1. NEUROLOGICAL PHYSIOTHERAPY ASSESSMENT FORM PERTEMUAN KE 4
ABDUL CHALIK MEIDIAN & JERRY MARATIS
FAKULTAS FISIOTERAPI

2. KEMAMPUAN AKHIR YANG DIHARAPKAN
Mahasiswa mampu memahami Patofisiologi Fisioterapi Neuromuskuler dan Psikiatri
Mahasiswa mampu melakukan Pemeriksaan Fisioterapi Neuromuskuler dan Psikiatri
Mahasiswa mampu membuat Diagnosa Fungsional Fisioterapi Neuromuskuler dan Psikiatri
Mahasiswa mampu memahami dan menyusun rencana program Fisioterapi Neuromuskuler dan Psikiatri
Mahasiswa mampu memahami dan melakukan Proses Fisioterapi Neuromuskuler dan Psikiatri

3. Neurological Physiotherapy Assessment Form
Abdul Chalik Meidian
Neurological Physiotherapy Assessment Form

4. EXAMINATION
S - SUBJECTIVE
O - OBJECTIVE
A - ASSESMENT
P - PLANING

5. Subjective Examination
Name:
Age:
Sex:
Race:
Occupation:
Handedness:
Date of admission:

6. Subjective Examination
Chief Complaints:
History:
Present history:
Past history:
Medical history:
Family history:
Personal history:
Social history:

7. Objective Examination
On observation
Build:
Attitude of limbs:
In lying:
In sitting:
In standing:
Posture:
AP view:
PA view:
Lateral view:
Gait analysis:
Deformity:
Any external appliances:

8. Objective Examination
On palpation:
Tenderness:
Skin temperature:
Swelling oedema:
Clubbing:

11. Objective Examination
On examination
Higher mental function:
Orientation:
Memory:
Short term:
Long term:
Remote:
Behaviour:
Speech:
Intellegence:

12. Objective Examination
Cranial nerve assessment:
Motor examinations:
Muscle girth measurement:
Muscle power:
Tone:
Axial:
Upper limbs:
Lower limbs:
Voluntary control examinations:
Muscle girth: lingkar otot

13. Objective Examination
Reflexes:
0 = No response
1+ = Low normal or diminished
2+ = Normal
3+ = Brisker than normal. But may not indicate disease
4+ = Hyperactive very brisk spinal cord disorder
Spinal reflexes:
Superficial reflexes:
Abdominal:
Babinsky sign:

14. Objective Examination
Deep tendon reflexes:
Biceps
Triceps
Supinator
Knee jerk
Ankle jerk

15. Objective Examination
Myotome testing
Dermatome testing
Muscle length testing
Contractures/deformities

16. Objective Examination
Sensory examinations:
Somatic
Superficial
Ligth touch
Pain
Temperature
Deep
Vibrations sense
Joints positions sense
Cortical
Stereogonosisi
Graphesteisa
Baragnosis
Discriminative
Two point discrimination

17. Objective Examination
ROM measurement
Upper limb
Lower limb
Spine
Limb length measurement
Abnormal movement

18. Objective Examination
Balance dan co-ordination
Balance
Static
dynamic
Co-ordination
Finger to nose test
Dysdiadokokinesia
Heel to shin
Wash basin sign
Rombergs sign
Tandem walking

19. Objective Examination
Bladder/bowel control
Cardiorespiratory
Vital sign
Temperature
Pulse Rate
Respiratory Rate
Blood Pressure
Breathing Pattern
Chest expansion
Chest deformity
Auscultation
Lung secretions
Gastrointestinal examination

20. Objective Examination
Functional activity examination
Eating
Drinking
Bathing
Toileting
Combing

21. Assesment Diagnosis Provisional diagnosis Differential diagnosis
Insvestigation
Medical diagnosis
Problem listing

22. Planning Plan of treatment Physiotherapy management
Short term goal
Long term goal
Physiotherapy management
Alternative modality
Evaluation
Termination

23. TERIMA KASIH & SELAMAT BELAJAR
SELESAI
TERIMA KASIH & SELAMAT BELAJAR