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  • Skeleton

    Transféré par

    Goody Freking Futton
    28 vues3 pages
    The document appears to be a physical therapy examination form containing sections for range of motion tests, reflex tests, orthopedic tests, health concerns, subjective complaints, and diagnosis and treatment. It collects information such as the patient's name, examination date, test results, strength and sensory assessments, and notes areas for documenting diagnoses, treatment, and the patient's appearance and comments. The form is used to document the physical examination and evaluation of a patient undergoing physical therapy.

    Description originale:

    Test

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    © © All Rights Reserved

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    The document appears to be a physical therapy examination form containing sections for range of motion tests, reflex tests, orthopedic tests, health concerns, subjective complaints, and diagnosis and treatment. It collects information such as the patient's name, examination date, test results, strength and sensory assessments, and notes areas for documenting diagnoses, treatment, and the patient's appearance and comments. The form is used to document the physical examination and evaluation of a patient undergoing physical therapy.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme DOCX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    28 vues3 pages

    Skeleton

    Transféré par

    Goody Freking Futton
    The document appears to be a physical therapy examination form containing sections for range of motion tests, reflex tests, orthopedic tests, health concerns, subjective complaints, and diagnosis and treatment. It collects information such as the patient's name, examination date, test results, strength and sensory assessments, and notes areas for documenting diagnoses, treatment, and the patient's appearance and comments. The form is used to document the physical examination and evaluation of a patient undergoing physical therapy.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme DOCX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 3

    Patient Name: ______________________________________________________________

    Examination Date: ______________________________

    L/S C/S ROM Tests L R


    SLR
    L R L R SI Tests

    L R L R

    E E

    Reflex L R
    Bab.
    Arc.
    Pal.
    Bic.
    Tri.
    Bra.
    Comments
    Upper Body Strength:________________________________
    U.B. Sensory:__________________________________ ____
    Lower Body Strength:___________________________ ____
    L.B. Sensory:__________________________________ ____
    _________________________________________________
    _________________________________________________
    _________________________________________________
    ________________________________________
    Health Concerns:

    1. _____________________________________________
    _____________________________________________
    2. _____________________________________________
    _____________________________________________
    3. _____________________________________________
    _____________________________________________
    4. _____________________________________________
    _____________________________________________
    5. _____________________________________________ SCALES: ________ L ________ R
    _____________________________________________

    Diagnosis Treatment
    A-ACHE S-SORENESS P-PAIN 1.
    N-NUMBNESS ST-STIFFNESS
    T-TINGLING 2.

    3.
    Patient Name: ___________________________________________ File #: __________________________

    Examination Date: ______________________________ Patient Appearance: _________________________________

    L/S C/S Orthopaedics


    Houles L_____R_____ ________ L_____R_____
    L R L R
    Kemps L_____R_____ ________ L_____R_____
    Phesant’s L_____R_____ ________ L_____R_____
    L R L R
    Doorbell L_____R_____ SI tests
    Valsalva L_____R_____ LUF _______ RUF _______
    E E ________ L_____R_____ LLF _______ RLF _______

    Reflex L R ROM Tests L R


    Bab. N = normal SLR
    Arc + = hyper Knee/Chest
    Pat. Hip
    Bic. Toe
    Tri. Heel
    Bra.
    Posture &
    Subjective Complaints Comments
    Upper Body Strength:______________________
    U.B. Sensory:____________________________
    Lower Body Strength:____________________
    L.B. Sensory:_______________________ ____
    ____________________________________
    ___________________________________
    ___________________________________________
    ____________________________________

    ____________________________________________
    _____________ ___________________________
    Health Concerns:
    _________________________
    1. _____________________________________________
    _____________________________________________ _________________________
    2. _____________________________________________
    _____________________________________________ __________________________
    3. _____________________________________________ _______________________
    _____________________________________________
    4. _____________________________________________ ___________________________________________
    _____________________________________________
    5. _________________________________________ SCALES: ________ L ________ R
    _________________________________________

    A-ACHE S-SORENESS P-PAIN Diagnosis Treatment


    N-NUMBNESS ST-STIFFNESS 1.
    T-TINGLING
    2.

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