LOG BOOK

MUSCULOSKELETAL ASSESSMENTS

Doctor of Physiotherapy
Clinical practice

Name: __________________________________

Roll No: _____________________________________

2020

Institute of Health Sciences

 Table Contents
SECTION-1
1. Particulars of the Candidate
2. Objectives of the Log Book
3. Instructions of the Students
4. Guidelines for the Program Chairperson
5. Aims and Objectives of the Training Program
6. Guidelines for the competency level
7. Guidelines for filling Sheets
 1. PARTICULARS RELATED TO THE STUDENT

Passport Size
Name: ___________________________________________________ Photograph

Father’s/Husband’s Name: __________________________________

Date of Birth: ________/_____________/______________ / Passport Size
Photograph
Date / month / year /
C.N.I.C. Number: ___________________________-___________________________
E-Mail I.D: ___________________________________________________________
Nationality: __________________________________________________________
University Registration Number: __________________________________________
Semester / subject: ____________________________________________________
Year of Graduation: ____________________________________________________
2. OBJECTIVES OF THE LOG BOOK
1. This Log Book will be a part of the prerequisite for appearing in five year course of
Doctor of Physiotherapy and covers the area of musculoskeletal subjective assessment.
2. This is used for subject Clinical Practice I and II.
3. It will help the trainee to maintain his/ her record regarding various academic
achievements.
4. It will also identify his/ her deficiencies in specific areas of learning
5. It will help the teachers to assess the trainee.

3. INSTRUCTIONS TO THE STUDENTS

1. The candidate will maintain the Log Book during the whole period of his/her learning.
2. He/ she will fill the columns of the Log Book on the same day of the activity.
3. All the entries must be signed by the teacher.
4. Consolidated sheets will be completed and signed by the teacher.
5. The candidate shall bring the Log Book in the final examination.
6. Log Book not signed by the teacher will make the student ineligible for the examination.

4. GUIDELINES FOR THE PROGRAM DIRECTOR

1. The name of the program director and coordinator has been approved by the competent
authority.
2. A formal weekly review of the student’s progress is required by the program director
& other teaching staff.
3. The aim of review by two or more teachers is to ensure to remove any deficiencies in
the training of the student.
4. The program director can assign duties to the other teaching faculty members for
training of the students.

5. AIMS AND OBJECTIVES OF THE TRAINING PROGRAM ARE TO:

1. Develop a sound understanding of and the theory and application of the major areas of
Physiotherapy relevant to professional practice
2. Acquire skills in complex patient analyses to handle a variety of practical problems using
modern physical therapy techniques and manipulations,
3. Acquire skills in data collection and data management, including rehabilitation design,
quality control procedures and the ethical handling of data
4. Develop skills to identify the relevant rehabilitation issues in practical problems in
medical/health settings and to propose and implement an appropriate physiotherapy
session design and/or analysis methodology
5. Develop skills and had experience in communication of physiotherapy session with
clinical / health personnel and the presentation of statistical results in a format suitable for
publication in health-related journals or professional reports
6. Acquire the technical skills to be able to read methodological papers in the physiotherapy
literature and apply the methods described therein to practical problems,
7. Develop the practical and technical skills to commence professional careers as
independent Physiotherapist and/or to progress to further postgraduate research studies
 8. Be able to demonstrate an understanding of professional codes of conduct and ethical
standards such as those of the American Physical therapy association,
9. Develop problem solving abilities in Physiotherapy, characterized by flexibility of
approach

To develop the practical and technical skills to commence professional careers as independent
Physiotherapist and/or to progress to further postgraduate research studies.

6. GUIDELINES FOR THE COMPETENCY LEVELS

Competency level Detail

1 The student performed his/her class work independently

2 The student performed his/her class work with assistance (teaching staff)

7. GUIDELINES FOR FILLING CONSOLIDATED SHEETS

1. The consolidated sheet forms a part of the ongoing assessment of the candidate
2. The consolidated sheet will identify the different levels of competencies of the student in
a specific period
3. The trainee will fill all the columns of the consolidated sheet carefully
4. The consolidated sheet will be checked by the program director with her final remarks
 Out Patients Clinical Practice

Age / Page
No. Name of Patient Diagnosis Referred by
Sex No

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
Clinical Data:
Name: ________________________________________, Age / Sex: _______________

Occupation: _________________________________________________________

Social History/Socioeconomic______________________________________________

Education: _____________________________________________________________

Diagnosis: ______________________________________________________________

Referring Dr.: ________________________________________________________

History of pain: ________________________________________________________

History of referral: ______________________________________________________

______________________________________________________________________________

_______________________________________________________________

Place of assessment: ____________________________________________________

Contact: ________________________________________________________________

Address: ______________________________________________________________

Past medical history: _____________________________________________________

Behavior of patient: ______________________________________________________

Any comments of patient: _______________________________________________

Student comments: ______________________________________________________

Subjective assessment form
Subjective examination Name
Body chart Age
Date

24 hour behaviour

Function

Improving Static Worsening

Special questions
General health
Weight loss
RA
Relationship of symptoms
Drugs
Steroids

Aggravating factors Anticoagulants

X-ray
Cord symptoms
Dizziness
HPC

Severe Irritable
PMH
Easing factors

SH & HF

I____________________________________________________________________I
No pain Intensity of pain Pain as bad
Objective assessment form
Physical examination Isometric muscle testing
Observation

Joint integrity tests Neurological integrity tests

Neurodynamic tests
Active and passive physiological movement of
elbow and other relevant regions

Other nerve tests

Miscellaneous test
(thoracic outlet, pulse, Edema)

Palpation
Capsular pattern yes / no

Muscle strength

Accessory movements and reassessment of

each relevant region

Muscle length
1. Name all the possible structures which could be a source of the symptoms:

Symptomatic Area –

Structure Under Area –

Structures which can refer to the area –

2. What needs to be examined today and why?

3. Will a neurological examination be required and why?

4. Behaviour of symptoms

a) Is the condition severe? Explain why.

b) Is the condition irritable? Explain why.

c) Are there any precautions or contraindications?

5. How is the severity, irritability or nature of the condition going to affect your physical
examination and treatment?

6. Will the comparable sign be easy or hard to find? Explain why.

7. What subjective findings indicate likely physical findings?

Subjective Physical

8. What other factors need to be examined as reasons why the structure has become
symptomatic?

9. What is your clinical diagnosis?

To be completed after the objective assessment:

1. Were your hypotheses supported or negated? Why?

2. Is there anything about your physical exam that would indicate caution in your
management?

3. How will you manage this patient?

4. What comparable signs will you check on return?

5. What is the patients prognosis? Justify:

6. What goals do you expect to achieve?