Clinical
Physiotherapy
An assessment with range of motion in degrees, active and passive, against the normal for each joint and movement; muscle power on the MRC 0–5 scale; a session plan; and sessions recording modalities, pain before and after, and a progress note — so progress is a chart.
For:PhysiotherapistsRehabilitation physicians
Where:on the visit: New assessment · Clinical › Physiotherapy · Configuration › Joints & Movements
How to
Assess a patient
- On the visit, New physiotherapy assessment: kind (initial, review, discharge), presenting problem, onset, pain score and site, function score, goals and plan, sessions planned.
- Range of motion › Add: the movement (joint proposed), side, active and passive degrees; the normal, the deficit and the percentage compute; tick painful, note the end feel.
- Muscle power › Add: muscle group, side, MRC grade.
Record a session
- Add a session: date, therapist, duration, the modalities used (exercise, manual therapy, TENS, ultrasound, interferential, hot and cold packs, traction, taping, hydrotherapy, gait, balance), exercises and technique, pain before and after, the progress note.
- Tick Charged when the session is billed; the count of sessions shows on the assessment.
Close the episode
- Complete the assessment: the limited movements are summarised on the visit’s chatter.
- A review assessment repeats the measurements and shows the change.
See also: Visits (EMR) Bills, Charges & Cashier