Physical Therapy & Rehabilitation

Conduct initial PT evaluation for [condition]:

Patient: [age, diagnosis]
Chief complaint: [functional limitation]
Onset: [acute vs chronic]
Prior level of function: [baseline]
Goals: [patient's goals]
Precautions: [medical contraindications]

PT evaluation:
- Subjective history (mechanism of injury, symptoms, aggravating/easing factors)
- Functional limitations (ADLs, work, recreation)
- Pain assessment (location, intensity, quality)
- Observation and posture
- Range of motion (active and passive)
- Strength testing (manual muscle testing)
- Special tests (orthopedic, neurological)
- Gait analysis
- Balance assessment
- Palpation findings
- Functional mobility (transfers, stairs, etc.)
- Problem list
- PT diagnosis
- Prognosis and plan of care
- Frequency and duration
- Short and long-term goals (SMART, functional)
- Intervention plan

Develop PT treatment plan for [diagnosis]:

Diagnosis: [condition]
Impairments: [ROM, strength, balance, etc.]
Functional limitations: [what they can't do]
Patient goals: [priorities]
Frequency: [2-3x/week, etc.]
Duration: [expected episodes]

Treatment plan:
- Short-term goals (2-4 weeks, measurable)
- Long-term goals (discharge goals)
- Intervention strategies:
  - Therapeutic exercises (specific)
  - Manual therapy techniques
  - Modalities (heat, ice, e-stim, ultrasound)
  - Neuromuscular re-education
  - Gait training
  - Balance training
  - Patient education
- Home exercise program
- Progression criteria
- Discharge criteria
- Frequency and duration
- Precautions and contraindications
- Expected outcomes
- Reassessment schedule

Design home exercise program for [condition]:

Condition: [diagnosis]
Impairments: [specific deficits]
Patient factors: [age, motivation, space, equipment]
Exercise experience: [novice vs experienced]
Precautions: [contraindications]
Goals: [treatment goals]

HEP design:
- Exercise selection (address impairments)
- 5-7 exercises (not overwhelming)
- Clear instructions (step-by-step)
- Proper form cues
- Starting position description
- Movement description
- Repetitions and sets
- Frequency (daily, 2x/day, etc.)
- Rest periods
- Progression guidelines
- When to stop (red flags)
- Equipment needed (or alternatives)
- Pictures or drawings if possible
- Expected sensations vs concerning symptoms
- Reassessment in clinic timing
- Adherence strategies

Document PT progress note for [patient]:

Patient: [identifier]
Diagnosis: [condition]
Visit number: [X of expected]
Treatments this session: [what you did]
Response: [how patient tolerated]
Progress toward goals: [status]

Progress note:
- Subjective report (pain, function, ADLs)
- Objective findings:
  - Interventions performed (specific)
  - Patient response and tolerance
  - Quantifiable measures (ROM, strength, distance, time)
  - Functional activities practiced
  - Assistance required
- Assessment:
  - Progress toward goals (on track, ahead, behind)
  - Barriers to progress
  - Change in condition
  - Comparison to prior visit
- Plan:
  - Continue current plan vs modify
  - Changes to treatment
  - HEP modifications
  - Next visit plan
  - Expected discharge date
  - Physician communication if needed

Assess fall risk and design fall prevention program:

Patient: [age, diagnosis]
Fall history: [recent falls]
Mobility: [assistive device use]
Cognition: [awareness]
Environment: [home layout]
Fear of falling: [confidence level]

Fall prevention program:
- Fall risk assessment (validated tool: Berg, Tinetti, TUG)
- Intrinsic risk factors (strength, balance, vision, meds)
- Extrinsic risk factors (environment, footwear, lighting)
- Balance training exercises:
  - Static balance progressions
  - Dynamic balance activities
  - Perturbation training
- Strength training (focus lower extremity and core)
- Gait training with assistive device if needed
- Home safety assessment and modifications
- Vision and medication review recommendations
- Fearless falling confidence building
- Education on fall prevention strategies
- Emergency response plan (how to get up)
- Caregiver training
- Community programs (tai chi, balance classes)

Design post-surgical rehab protocol for [surgery type]:

Surgery: [procedure performed]
Surgeon: [name/practice]
Protocol: [surgeon's restrictions]
Patient: [age, pre-op status]
Date of surgery: [date]
Goals: [return to what activity]

Rehab protocol phases:
- Phase 1 (Acute - weeks 0-2):
  - Precautions and restrictions
  - Pain and edema management
  - Protection of healing tissues
  - Early mobilization
  - Goals and criteria to progress
- Phase 2 (Recovery - weeks 2-6):
  - ROM restoration
  - Strengthening initiation
  - Normalization of gait
  - Goals and progression criteria
- Phase 3 (Strengthening - weeks 6-12):
  - Progressive strengthening
  - Functional activities
  - Neuromuscular control
  - Goals and progression criteria
- Phase 4 (Return to function - weeks 12+):
  - Sport/work-specific training
  - Plyometrics if appropriate
  - Discharge criteria
- Red flags requiring physician contact

Conduct ergonomic assessment for [work/home setting]:

Setting: [workstation, home, etc.]
Activity: [job duties or home tasks]
Symptoms: [pain or discomfort]
Duration: [how long doing activity]
Equipment: [current setup]
Goals: [pain reduction, prevention]

Ergonomic assessment:
- Workstation setup analysis
- Chair height and support
- Desk/work surface height
- Monitor height and distance
- Keyboard and mouse position
- Lighting adequacy
- Reach zones (frequent vs occasional)
- Repetitive motion identification
- Sustained postures
- Force requirements
- Body mechanics observation
- Musculoskeletal symptoms
- Recommendations for modifications
- Equipment needs (lumbar support, footrest, monitor stand)
- Postural correction exercises
- Microbreak strategies
- Stretching program
- Strengthening exercises
- Education on neutral postures

Summarize functional capacity evaluation:

Patient: [demographics, diagnosis]
Reason for FCE: [return to work, disability, settlement]
Job demands: [DOT classification, specific tasks]
Testing duration: [typically 2 days]
Maximum effort: [validity indicators]

FCE summary:
- Lifting capacity (floor, waist, overhead)
- Carrying capacity and distance
- Push/pull forces
- Grip and pinch strength
- Positional tolerances (sitting, standing, walking, climbing)
- Repetitive motions (reaching, bending, kneeling)
- Balance and coordination
- Endurance and cardiovascular response
- Consistency of effort
- Pain behaviors observed
- Functional limitations identified
- Match between FCE results and job demands
- Return to work recommendations (full duty, restrictions, accommodations)
- Disability rating if applicable
- Additional therapy needs
- Prognosis for improvement

Assess developmental delays for [child]:

Child: [age in months/years]
Concern: [parent or physician concern]
Birth history: [term, complications]
Medical history: [diagnoses, hospitalizations]
Current abilities: [what child can do]
Environment: [support at home]

Developmental assessment:
- Gross motor milestones (age-appropriate vs achieved)
- Muscle tone assessment
- Primitive reflex integration
- Postural reactions
- Balance and coordination
- Strength and endurance
- Quality of movement
- Play skills and exploration
- Equipment use (stroller, walker, etc.)
- Functional mobility (floor mobility, transfers, stairs)
- Standardized testing (PDMS, AIMS, etc.)
- Developmental age vs chronological age
- Environmental barriers
- Family concerns and goals
- Therapy recommendations (frequency)
- Home program for family
- Adaptive equipment needs
- Referrals to other disciplines