Physical Therapist/Assistant Skills Checklist

  • LEVELS OF EXPERIENCE:
    Use the following values to rate your level of experience and/or frequency within the last two years.

    1=No Experience
    2=Limited Experience/Supervision or Support
    3=Experience/Needs Minimal Support
    4=Proficient Independently
  • Work Settings
  • 1234
    Acute Care Hospital
    Rehab Hospital/ Sub-Acute
    Extended Care Facility
    Assisted Living
    Skilled Nursing Facility
  • 1234
    Hospital Outpatient
    Outpatient Clinic
    Home Helathcare
    School Setting
    Pediatrics
  • Orthopedic
  • 1234
    Arthritis Programs
    Back Syndrome
    Hand Injury
    Hip Fractures
    Mobilization Techniques
  • 1234
    Neck Injuries
    Total Hip/Knee Replace
    Total Joint Replace
    Upper Extremities
    Trasmandibular Joint Dysfunction
  • Sports Medicine
  • 1234
    Biodex
    Bracing/Joint Immobilization
    Cybex
    LIDO
    Orthrotron
  • 1234
    Taping/Strapping
    Endurance
    Strength Training
    Nautilius/Eagle
  • Modalities/Manual Skills
  • 1234
    Acuscope
    Craniosacral Therapy
    Biofeedback
    Electro-Acupuncture
    Fluidotherapy
    Hydrotherapy
    Muscle Energy Technique
    Neuro Probe
    Spinal Mobilization
    TENS
    Traction Cervical
    Ultrasound
    Wound Dressing
  • 1234
    Passive Motion Machine
    Cryotherapy
    Diathermy
    Extremely Mobilization
    Hot/Cold Packs
    Massage
    Myofascial Release Technique
    Paraffin
    Strain/Counter Strain
    Therapeutic Exercise
    Traction Lumbar
    Vaspneumatic Device
    Home Programs
  • Neurologic
  • 1234
    Head Trauma
    Neusurgery
    Spinal Cord Injury
    Stroke Rehab
  • 1234
    Adaptive Equipment
    Functional Splinting
    Traumatic Brain Injury
    Parkinson's Disease
  • Prosthetics/Orthotics
  • 1234
    Above Knee
    Below Knee
    Gait Analysis
    Resting Splints
    Static Splinting
    Lower Extremity
  • 1234
    Ankle/Foot
    Dynamic Splinting
    Orthoplast/Aquaplast
    Serial/Inhibitory Casting
    Upper Extremity
    Joint Immobilization
  • Pediatrics
  • 1234
    Cerebral Palsy
    Equipment Assess Adaptive
    Leaning Disabled
    Neurodevelopment Treatment
    Spina Bifida
  • 1234
    Early Intervention
    Gross Motor Assess Tools
    Mental Retardation
    Orthotics
    NICU Treatment
  • Computerized Testing
  • 1234
    Fatigue Characteristics
    Functional Strength
    ROM
  • 1234
    Fiber Type
    Net Muscle Torque
    Work Capacity
  • Other
  • 1234
    Burn Management
    Chest Physiotherapy
    Functional Capacity Evaluation
    In-Service Education
    Medicare "A" Document
    RUG Levels
    Work Capacity Evaluation
  • 1234
    Cardiac Rehab
    Computerized Charting
    Geriatrics
    Wheelchair Assessment
    Medicare "B" Document
    Medicard Billing
    Pain Management