physical therapy orthopedic assessment

1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬

2. ASSESSMENT
PERIPHERAL SUBJECTIVE OBJECTIVE ANALYSIS
SUBJECTIVE
HISTORY:-
PRESENT
PAST
FAMILLY
SOCIAL
INVESTIGATION
MEDICATION
HEALTH HABITS AND FUNCTIONAL LIMITATIONS
PROSTHETICS ORTHOTICS BRACES

3. PAIN ASSESSMENT
TYPE OF PAIN
PAIN SCORE
CURRENT SCORE
HIGHER SCORE DURING LAST 24 H
LOWER SCORE DURING LAST 24 H
NUMBER OF EPISODES
AGGRAVATING FACTOR
RELIEVING FACTOR

4. OBJECTIVE
OBSERVATION
PALPATION
RELATED JOINTS (PROXIMAL , DISTAL)
NEUROLOGICAL SCREENING AND SENSORY INTEGRITY (DERMATOMES , MYOTOMES
,REFLEX)
ROM (ACIVE THEN PASSIVE) END FEEL (NORMAL PHYSIOLOGIC SOFT HARD OR BONEY
CAPSULAR AND ABNORMAL NON PHYSIOLOGIC SPASM SPRINGY HARD EMPETY
CAPSULAR OR EDEAMATOUS
MMT
FLEXABILITY TESTS
GIRTH MESEURMENT( 5CM FROM MIDPOINT OF PATELLA UP OR BELOW THEN 5CM UP OR
BELOW – OR OLECRANEON PROCESS OF ELBOW)
LIMB LENGTH DISCREPENCY( START WITH TRUE FROM FIXED ASIS TO FIXED POINT MEDIAL
MALLOUS THEN WITH APPERANT FROM NONFIXED AMBLICUSTO FIXED POINT MEDIAL
MALLEOUS)
SPECIAL TESTS
GAIT ASSESSMENT

19. ANALYSIS
PROBLEM LIST
MUST BE FUNCTIONAL (PATIENT UNABLE OR CANT DO -----DUE TO PAIN SCORE OR ROM
LIMITATIONS OR DUE TO MUSCLES WEAKNESS
SHORT TERM GOALS (SHORT ACHEAVABLE,FUNCTIONAL , PERIORITY, DURATION 2-3
WEEKS –IF YO CHEIVE IT YOU REACH TO LONG TERM GOAL)
LONG TERM GOALS (LONG ACHEAVABLE,FUNCTIONAL , PERIORITY, DURATION 2-3
MONTHS)
PLAN OF TREATMENT ( IN DETALIES )
ADVICE AND PATIENT EDUCATION(DO OR DON’T DO AND EXPLAIN ITO HIM WHY)
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25. SOAP
S (PATIENT PRESENTED OR REFFERED TO OUR OPD (CLINIC) COMPLAINING OF --------AND
UNABLE OR CANT DO ---------( FUNCTIONAL LIMITATIONS) DUE TO PAIN SCORE ----
O
ROM (ACIVE THEN PASSIVE) END FEEL
MMT
FLEXABILITY TESTS
GIRTH MESEURMENT
LIMB LENGTH DISCREPENCY
SPECIAL TESTS
A
PATIENT UNABLE TO DO -----DUE TO LIMITATIONS OR PAIN AT -----SO WE WILL FOCUS OR
CONCENTRATE ON ------------
P
EVERY THING OR MODALITIES DURING SESSION ONLY IN DETALIES( START WITH HOT OR
COLD PACKS THEN EXERCISES IN DETALIES TYPE , AREA , INTENSITY , REP , SETS ,
DURATIONS THEN MODALITIES NAME ,INTENSITY,FREQUENCY,TIME,AREA EXACTLY
ADVICES AND PATIENT EDUCATIONS
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