Physical Therapy Evaluation

Evaluation is  the physical therapist’s synthesis of the findings from the history (including symptom investigation and the review of systems) and tests and measures (including initial screening or tests and measures of the 4 systems) to establish the diagnosis, prognosis, and plans for intervention as part of patient/client management. The clinical findings of the examination—  such as the level of functioning, environmental and personal factors, and current health status — influence the intensity of the evaluative process. The physical therapist considers the onset of the  current condition, the possibility of multisite or multisystem involvement, the presence of  preexisting conditions or diseases, and the stability of the current and preexisting conditions.  Physical therapists also consider the probability of changes in functioning or prolonged impairment, activity limitations, and participation restrictions. They take into account relevant characteristics of the patient/client (eg, personal factors, values and preferences, and goals). Environmental factors, supports, services, and system needs also are considered, along with their  impact on the current condition and goals of the patient/client.