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Clinical Logbook: Doctor of Physical Therapy

This clinical logbook contains sections for documenting a patient's assessment and physical therapy treatment. It includes areas to record information such as the patient's medical and physical diagnoses, history, objective evaluation findings, short and long term treatment goals, interventions provided, and treatment outcomes. The objective is to comprehensively document the patient's status and physical therapy management.

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Tania Zia
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2K views6 pages

Clinical Logbook: Doctor of Physical Therapy

This clinical logbook contains sections for documenting a patient's assessment and physical therapy treatment. It includes areas to record information such as the patient's medical and physical diagnoses, history, objective evaluation findings, short and long term treatment goals, interventions provided, and treatment outcomes. The objective is to comprehensively document the patient's status and physical therapy management.

Uploaded by

Tania Zia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CLINICAL LOGBOOK

DOCTOR OF PHYSICAL
THERAPY
DPT 7TH SEMESTER
COLLEGE OF PHYSICAL THERAPY
Assessment form
College of physical therapy GCUF
Department of physical therapy & rehabilitation
Surriya Majeed trust hospital

Name: S/O:
Age: Gender:
Marital status: Language:
Occupation: Address:
Mode of admission: Date of admission:

Medical Diagnosis:

Physical diagnosis:

History of present illness:


Past medical history:

Family history:

Objective evaluation:
ADL deficiencies:
Posture:
 Lying
 Sitting
 Standing

Pain:
 Onset
 Nature
 Radiating
 Aggravating factor
 Relieving factor
 Severity (NRS)
 Associated symptoms

Inspection:
Swelling:
Arrhythmia:
Joint deformity:

Muscle wasting:

Palpation:
Temperature:
Tenderness:
Edema:
Inflammatory sign:
Muscle wasting:
Contractures:

Examination:
Range of movement
Active:
Passive:
Muscle girth:
Limb length:
Differential test:
Gait assessment

MMT:

Neurological tests:
 Dermatomes
 Myotomes
 Reflexes
Lab test:
 Blood test
 X-Ray
 CT scan & MRI
Management
Short term goals:



Long term goals:



Intervention:
Manual therapy:
1.
2.
3.
Exercise therapy
1.
2.
Electrotherapy:
1.
2.
3.
Home plan:

Treatment outcome at end of session:

Name of student:
Roll no:
Program:
Signature of student: -------------------------------

----------------------------------
Supervisor

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