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Patient Assessment - Page 1 (Edit)

Vitals
Other Health Issues & Treatment History
History of Present Complaints
Onset
Sudden Insidious Gradual
Treatment Taken
Investigation Details
Current Physiotherapy Episode
1 2 >3
Previous Session Details
Present Complaints

Constant Intermittent
Pain Chart Notes
Pain Scale
Worst
Same
Better
VAS
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

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ROM
AROM
Movement Side Part Plane Available Range Pain Starts Action
PROM
Movement Side Part Plane Available Range Pain Starts Action
End Feel
MMT
Special Tests
Diagnosis
Physiotherapy Goals
Short Term Goals Long Term Goals Action
Further Referral (if needed)
Physiotherapist Details
Electrotherapy
Modality Site Details Date Remarks Action
Supportive Techniques
Technique Details Date Remarks Action
Corrective Exercises
S.No Exercise Sets Reps Time Date Remarks Action
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