Profile
Log Out
Main Menu
Dashboard
Pre Booking
Create Pre Booking
View Pre Booking
Masters
Doctor Master
Disease / Symptoms
Session Timing
Patients
Create Patient
Patient Management
Patient Reports
Consultation & Assessment Fees
Create Fees
View Fees
Receipt
Create Receipt
View Receipt
Appointments
Make Appointment
View Appointment
Today Appointments
Appointments Reports
Patient Appointments History
Appointment Billing
Billing
Physio Review
Patient Assessment - Page 1 (Edit)
Date *
Patient Name *
PR No
Age / Gender *
F
M
T
Contact No
Reference
Address
Andalpuram
Occupation Type *
Select
Government
Non-Government
Senior Citizen
Others
Designation
Nature of Work
Select
Active
Desktop
Field
Travel
House Holder
others
Vitals
HEIGHT
WEIGHT
BP
PR
TEMP
SPO2
Other Health Issues & Treatment History
-
+ Add Row
History of Present Complaints
4+ yrs, whole body muscle tightness Feeling of low back heaviness - No floor sitting for the 25yrs Right low back occasional pain - due to one side loading during driving
Onset
Sudden
Insidious
Gradual
Treatment Taken
Nil
Investigation Details
Not Taken
Done , Not Produced
Attached with Case Sheet
Current Physiotherapy Episode
1
2
>3
Previous Session Details
Passive stretches
Update
Present Complaints
Stiffness of whole body - Poor lifestyle - No floor sitting for the past 20+ yrs Right low back pain at times Long drives
Symptoms
Constant
Intermittent
Worsening Factors
Relieving Factors
Pain Chart Notes
Pain Scale
Worst
Same
Better
VAS
At Worst
At Best
Pain Type
Nociceptive
Neuropathic
Nociplastic
Skin Colour
Scar
Adherent
Non-Adherent
No Scar
Swelling
Soft Fluctuating
Leathery
Tough
Dry
Tened
Hard
Boggy
Spongy
Thick
8 to 24 Hours of Injury
Tenderness
Grade I
Grade II
Grade III
Grade IV
Remarks
Lower thoracic and upper lumbar - Fascia tightness
Update
Edit - Page 3
Dashboard
Patient Management
Edit - Page 3
ROM
AROM
Movement
Side
Part
Plane
Available Range
Pain Starts
Action
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
+ Add AROM
PROM
Movement
Side
Part
Plane
Available Range
Pain Starts
Action
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
+ Add PROM
End Feel
Soft
Firm
Hard
Empty
MMT
-
+ Add MMT
Special Tests
Special Test 1
Special Test 2
Remarks
SLR BL 60+ due to Hamstrings tightness - Overall muscular flexibility reduced Patient is very anxious about his poor flexibility, general fatigue FOCUS: Overall muscular flexibility - Strength + Mobility combination - Functional training
Diagnosis
Patient Goals & Concerns
Physiotherapy Goals
Short Term Goals
Long Term Goals
Action
-
+ Add Goal
Further Referral (if needed)
No
Physiotherapist Details
Assessed Physio Name
IAP Membership No.
Treatment In-Charge Name
IAP Membership No.
Update
Electrotherapy
Modality
Site
Details
Date
Remarks
Action
-
+ Add Row
Supportive Techniques
Technique
Details
Date
Remarks
Action
3 sessions
-
+ Add Row
Corrective Exercises
S.No
Exercise
Sets
Reps
Time
Date
Remarks
Action
1
-
2
-
3
-
4
-
5
-
+ Add Row
Date
Remarks
Weekly 3 sessions x 4 weeks followed by review Rs.900 per session
Update
