NEUROLOGICAL PHYSIOTHERAPY ASSESSMENT CHART

NEUROLOGICAL PHYSIOTHERAPY ASSESSMENT CHART

SUBJECTIVE EXAMINATION

NAME:
AGE:
SEX :
RACE:
OCCUPATION:
HANDEDNESS:
DATE OF ADMISSION:
CHIEF COMPLAINTS:

HISTORY:
- PRESENT HISTORY
- PAST HISTORY
- MEDICAL HISTORY
- FAMILY HISTORY
- PERSONAL HISTORY
- SOCIAL HISTORY

OBJECTIVE EXAMINATIONS

ON OBSERVATION

BUILD
ATTITUDE OF LIMBS
- IN LYING
- IN SITTING
- IN STANDING

POSTURE
- AP VIEW
- PA VIEW
- LATERAL VIEW

GAIT ANAYALYSIS

DEFORMITIES

ANY EXTERNAL APPLIANCES:

ON PALAPATIONS

TENDERNESS
SKIN TEMPERATURE
SWELLING OEDEMA
CLUBBING

ON EXAMINATIONS

HIGHER MENTAL FUNCTIONS

ORIENTAION

MEMORY
- SHORT TERM
- LONG TERM
- REMOTE

BEHAVIOUR
SPEECH
INTELLIGENCE

CRANIAL NERVER ASSESSMENT

MOTOR EXAMINATIONS

A. MUSCLE GIRTH MEASUREMENT
B. MUSCLE POWER
C. TONE
AXIAL
UPPER LIMBS
LOWER LIMBS

VOLUNTARY CONTROL EXAMINATIONS

REFLEXES:
- SPINAL REFLEXES:
- SUPERFICIAL REFLEXES:
- ABDOMINAL:
- BABINSKIS SIGN:
- DEEP TENDON REFLEXES
- BICEPS
- TRICEPS
- SUPINATOR
- KNEE JERK
- ANKLE JERK

MYOTOME TESTING

DERMATOME TESTING

MUSCLE LENGTH TESTING

CONTRACTURES/DEFORMITIES

SENSORY EXAMINATIONS

SOMATIC

SUPERFICIAL
- LIGHT TOUCH
- PAIN
- TEMPERATURE

DEEP
- VIBRATIONS SENSE
- JOINT POSITIONS SENSE

CORTICAL
- STEREOGONOSIS
- GRAPHESTHESIA
- BARAGNOSIS

DISCRIMINATIVE
- TWO POINT DISCRIMINATION

DERMATOME TESTING

ROM MEASUREMENT
- UPPER LIMB
- LOWER LIMB
- SPINE

LIMB LENGTH MEASUREMENT
- TRUE
- APPARENT

ABNORMAL MOVEMENTS

BALANCE AND CO-ORDINATIONS

BALANCE
- STATIC
- DYNAMIC

CO-ORDINATION
- FINGER TO NOSE TEST
- DYSDIADOKOKINESIA
- HEEL TO SHIN
- WASH BASIN SIGN
- ROMBERGS SIGN
- TANDEM WALKING

BLADDER/BOWEL CONTROL

CARDIO RESPIRATORY

VITAL SIGNS
- TEMPERATURE
- PULSE RATE
- RESPIRATORY RATE
- BLOOD PRESSURE

BREATING PATTERN

CHEST EXPANSION

CHEST DEFORMITY

AUSCULTATION

LUNG SECRETIONS

GASTROINTESTINAL EXAMINATIONS:

FUNCTIONAL ACTIVITY EXAMINATION
- EATING
- DRINKING
- BATHING
- TOILETING
- COMBING

PROVISIONAL DIAGNOSIS

DIFFERENTIAL DIAGNOSIS

INVESTIGATIONS

DIAGNOSIS

PROBLEM LISTING

PLAN OF TRETMENT
- SHORT TERM GOAL
- LONG TERM GOAL

PHYSIOTHERAPY MANAGEMENT
- GOALS
- MEANS