Notes

Rehabilitation

Disease

Assessment

Physical therapists engage in an examination process that includes taking the individual's history, conducting a standardized systems review, and performing selected tests and measures to identify potential and existing movement-related disorders. The data gathered during history taking, including answers to review of systems questions, enables the physical therapist to generate diagnostic hypotheses and select specific tests and measures to identify and characterize signs, symptoms, and risk of movement dysfunctions. To establish the individual's specific diagnosis, prognosis, and plan of care through the evaluation process, physical therapists synthesize the collected examination data and determine whether the potential or existing disorders to be managed are within the scope of physical therapist practice. 

Based on their subsequent judgments about diagnoses and prognoses, and considering an individual's goals, physical therapists manage an individual by making referrals, providing interventions, conducting reexaminations, and, as necessary, modifying interventions to achieve the individual's goals and outcomes and to determine a conclusion to the plan of care. The detailed physical therapist examination and evaluation process is similar in structure across individuals, but will vary in specific content based on the individual's needs.

MEDICAL FITNESS

*MEDICAL FITNESS*
*PREVENTION IS* *BETTER THAN CURE*

_MEDICAL FITNESS_

           *BLOOD PRESSURE*
          ----------
120/80 --  Normal
130/85 --Normal  (Control)
140/90 --  High
150/95 --  V.High
----------------------------

           *PULSE*
          --------
72  per minute (standard)
60 --- 80 p.m. (Normal)
40 -- 180  p.m.(abnormal)
----------------------------

          *TEMPERATURE*
          -----------------
98.4 F    (Normal)
99.0 F Above  (Fever)

*Must read*

Know your genotype before you say yes to that handsome guy or to that beautiful lady whom you wish to spend the rest of your life with...
*Genotype & It's Appropriate Suitor:*
AA + AA = Excellent
AA + AS = Good
AA + SS = Fair
AS + AS = Bad
AS + SS = Very Bad
SS + SS = Extremely Bad (In fact, don't try it)

*#SickleCellAwareness*

*BLOOD GROUP COMPATIBILITY*

What’s Your Type and how common is it?

O+       1 in 3        37.4%
(Most common)

A+        1 in 3        35.7%

B+        1 in 12        8.5%

AB+     1 in 29        3.4%

O-        1 in 15        6.6%

A-        1 in 16        6.3%

B-        1 in 67        1.5%

AB-     1 in 167        .6%
(Rarest)

*Compatible Blood Types*

O- can receive O-

O+ can receive O+, O-

A- can receive A-, O-

A+ can receive A+, A-, O+, O-

B- can receive B-, O-

B+ can receive B+, B-, O+, O-

AB- can receive AB-, B-, A-, O-

AB+ can receive AB+, AB-, B+, B-, A+,  A-,  O+,  O-

This is an important msg which can save a life! A life could be saved...
What is ur blood group ?
Share the fantastic information..

*EFFECT OF WATER*                 
We Know Water is
       important but never
       knew about the
       Special Times one
       has to drink it.. !

       *Did you  ?*

  Drinking Water at the
       Right Time 
       Maximizes its
       effectiveness on the
       Human Body;

         1 Glass of Water
              after waking up -
              helps to
              activate internal
              organs..

         1 Glass of Water
              30 Minutes  
              before a Meal -
              helps digestion..

        1 Glass of Water
              before taking a
              Bath  - helps
              lower your blood
              pressure.

        1 Glass of Water
              before going to
              Bed -  avoids
              Stroke  or Heart
              Attack.

NEUROLOGICAL ASSESSMENT

*NEUROLOGICAL ASSESSMENT*

Reg. No., Name, Age/sex
Date of admission, Address, Occupation
Referred by (consultant) and hospital
Consultant’s probable diagnosis
Type of operation/illness
Date of discharge
Discharge summary
Instruction for physiotherapist
Subjective examination
History of present condition
Past medical history
Drug history
Social situation
Normal daily routine

 *GENERAL EXAMINATION*
• Pulse rate
• Respiratory rate
• Temperature
• Blood pressure
• State of consciousness—Glasgow Coma Scale

*On Observation*
• Attitude of limbs
• Facial expression
• Deformity
• Posture
– Lying
– Sitting
– Standing
• Pain
– Type
– Onset
– Nature
– Radiation
– Intensity
– Aggravating/relieving factor
– Associated symptoms
– Severity: Visual analog scale

*On Palpation*
• Temperature
• Tenderness
• Edema: Pitting/non-pitting
Inflammatory sign • Muscle wasting • Contractures

*On Examination*
• Range of movement
• Muscle girth
• Limb length
• End feel – Capsular – Noncapsular • Differential tests
• Gait – Pattern – Distance – Velocity – Walking aids – Orthoses
• MMT
• Reflexes – Superficial – Deep

 *STATES OF HIGHER FUNCTION*
• Orientation • Consciousness • Behavior • Memory • Intelligent capacity
• Counting and calculation
• Speech
• Reading and writing
• Vision
• Speech and articulation
• Cranial nerve examination
• Muscle tone
– Spasticity
– Rigidity
– Flaccidity

SENSORY ASSESSMENT
• Pain
• Temperature
• Vibration
• Touch
– Light
– Crude
• Pressure
• Two-point discrimination
• Spine
– Tenderness
– Deformity
• Limb attitude
– Lying
– Sitting
– Standing
• Co-ordination (UL/LL)
• Balance
• Bladder and bowel
• Dermatomes and myotomes
• Exercise tolerance test
• Fatigue
• Specific investigations/blood test/X-rays/CT
scan/MRI

ORTHOPAEDICS ASSESSMENT

ORTHOPAEDICS  ASSESSMENT

Reg. No. Name, Age/sex, Date of admission, Address, Occupation
Referred by (consultant) and hospital
Consultant’s probable diagnosis
Type of operation/illness
Date of discharge
Discharge summary
Instruction for physiotherapist
History of present illness
Past medical history
ADL activity
Personal history
Social history
Family history

 *ON OBSERVATION*
Attitude of limb
Facial expression
Deformity
Posture: Lying
Sitting
Standing
Pain:
Type
Onset
Nature
Radiation
Intensity
Aggravating factor
Relieving factor
Severity (visual analoguel scale)
Associated symptoms

 ON PALPATION
Temperature
Tenderness
Oedema—pitting/non-pitting
Inflammatory sign
Muscle wasting
Contractures

 *ON EXAMINATION*
Range of movement
Active
Passive
Joint effusion measurment
Muscle girth
Limb length
End feel: Capsular
Noncapsular
Differential test
Gait assessment
MMT
Neurological test
Dermatomes
Reflexes
Myotomes
Special tests
Investigation—Blood/X-ray/CT scan/MRI