How To Write a Physical Therapy Evaluation

A physical therapy evaluation is the synthesis of all the information you gather during a physical therapy examination. Let's review a physical therapy examination and how to write up your findings in a physical therapy evaluation. You can find all the templates here: Evaluation Template: https://www.ptprogress.com/eval Assessment/Goal Template Bundle: https://www.ptprogress.com/templates Thanks to MedBridge Education for providing $175 off with the promo code PTProgress. https://www.medbridgeeducation.com/pt-progress 💡Efficient Therapy Documentation Course ✏️ https://www.ptprogress.com/efficient 😲 It’s how I save 30-60 minutes a day on documentation ⏰ Timestamps: 0:00 - Intro 1:00 - What is a Therapy Evaluation? 3:28 - Clinical Examination 8:54 - Written Evaluation 14:53 - Full Evaluation Example Clinical Examination: Most clinics will set aside 45 to 60 minutes for the initial evaluation. During the evaluation, you’ll cover a lot of information, which may include: Patient’s Medical History Systems Review Tests & Measures Posture & Gait Analysis Range of Motion & Muscle Strength Testing Special Tests Home Exercise Prescription Goal Setting Treatment Recommendations For an in depth look at how to structure your PT eval, check out the Therapy Evaluation Templates Key Components of a Physical Therapy Evaluation While the overall structure of a physical therapy evaluation does follow a broad SOAP note format, you’ll cover a lot more detail in this initial note than in most follow up notes or daily notes. Subjective / Chief Complaint / Past Medical History Objective Testing / Special Tests / Relevant Data Assessment, Diagnosis, Prognosis, & Goals Plan of Care ***Disclaimer*** The content found on this channel and any affiliated websites are not considered medical or financial advice. The information presented is for general education and entertainment purposes only. If you need medical attention, seek care from your physician or physical therapist. You agree to indemnify and hold harmless PTProgress, its employees, officers, and independent contractors for any and all injuries, losses, or damages resulting from any claims that arise from misuse of the content presented on this channel or associated websites. Some of the links above may be affiliate links, which help support the channel but does not cost you anything.

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