Abbreviations / Terminology relating to PTA
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| A: | Assessment;
denotes Assessment portion of a SOAP note
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| A or a | Assist
(type of assistance required; example: MinA or Min+A)
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| AAROM | Active Assisted Range of Motion
(Assisting a patient’s extremity through ROM)
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| Abn | Abnormal
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| ADLs | Activities of Daily Living
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| APTA | American Physical Therapy Association
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| AROM | Active Range of Motion;
Patient can independently move extremity through ROM
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| Assist | Assistance;
(also see A above) The amount of help a patient requires
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| B or (B) | Bilateral or both
(Bil. Also acceptable but not preferred)
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| Bid | Twice a day
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| biw | Twice a week
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| B/S or BS | Bedside
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| ͞c | With
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| CCU | Coronary (Cardiac) Care Unit
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| CG or CGA | Contact Guard
(having 1or 2 hands on patient but provide assistance as needed)
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| c/o | Complains of
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| D/C or d/c | Discharged or discontinued
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| DNR | Do not resuscitate
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| DOB | Date of birth
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| Dx | Diagnosis
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| EOB | Edge of the bed
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| Eval | Evaluation
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| Ex | Exercise
(commonly seen as TherEx=Therapeutic Exercise)
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| ext or / | Extension
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| flex or √ | Flexion
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| ft | Feet or foot (measure)
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| f/u | Follow up
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| fx | Fracture
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| gt | Gait
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| HEP | Home Exercise Program
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| HHA | Hand Held Assistance
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| Hx or hx | History
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| (I) | Independent or independently
{ ex: patient performs HEP (I) }
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| IP | Inpatient (or when referring to the hand it is the Interphalangeal joint, IP jt)
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| LTG | Long term goal
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| Max or max | Maximal or maximum
(ex- maxA+2: means maximum assist with 2 people)
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| Min or min | Minimal assistance;
requires patient to perform 75% and therapist 25% assistance
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| Mod or mod | Moderate, (ex: ModA =level of assistance 50% patient & 50% therapist assists)
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| MVA | Motor Vehicle Accident
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| neg or - | Negative
(Symbol more commonly used in therapy)
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| NPO | Nothing by mouth
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| NWB | Non weight bearing
(patient cannot bear weight on the specified extremity)
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| O: | Objective;
denotes objective portion of the SOAP note
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| O2 or O2 Sat | Oxygen; or Oxygen saturation level measured by pulse oxsymetry
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| OOB | Out of bed
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| OP | Out patient
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| ͞p | Following, after
{ rememeber p as in posterior }
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| ͞a | Before
{ remember a for anterior }
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| P: | Plan;
denotes plan portion of the SOAP note
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| PLOF | Prior level of function
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| PMH | Past medical history
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| POC | Plan of care
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| post op | After / following surgery
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| PRE | Progressive resistive exercises
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| PT | Physical therapist or therapy
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| Pt. or pt. | Patient
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| PTA | Physical Therapist assistant
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| ® | Right
{ left is the the same with L }
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| reps | Repetitions
(example: 3x10 means 3 sets 10 reps each)
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| ®LL; ® LE | Right lower lobe; right lower extremity
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| R/O | Rule out
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| ROM | Range of motion
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| Rx | Prescription
( can be medication or exercise prescription)
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| ͞s | without
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| S | Supervision
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| S: | Subjective,
(denotes the subjective portion of a SOAP note)
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| SNF | Skilled nursing facility
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| SOAP | Subjective, objective, assessment, plan- a form of documentation of treatment
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| SOB | shortness of breath
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| S/P or s/p | Status post;
(means following= usually used “following surgery”)
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| Stat. or stat. | Immediately or right away!
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| STG | Short term goal
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| Sx or sx | Symptoms
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| tid | Three times a day or 3x/day
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| tiw | Three times in week or 3x/wk
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| tol. | Tolerate or tolerated
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| tx | Treatment, can also mean traction
(example: mech tx- is mechanical traction)
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| UE, UEs | Upper extremity(ies)
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| VCs | Verbal cues;
means using words to instruct or correct patient (pt needs VCs 50% to..)
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| VO | Verbal order
(Dr's order)
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| W/C | wheelchair
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| X | Times
(example 3X10 means 3 sets of 10 reps)
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| ↑ ↨ | Increase(d) or up; up and down (example: pt able to go ↨ stairs)
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| ↓ | Decrease(d) or down
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| ↔ → | To and from, can also mean side to side. To (example: sit →stand means sit to stand)
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| ≠ | Not equal
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| ∆ | Change
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| 1° | Primary
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| 2° | Secondary or secondary to (example: Pt has ®LE pain 2° to DDD)
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| + | Positive or plus (example: +MRI for ACL tear)
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| - | Negative or minus (example: -MRI R/O ACL tear)
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| # | Number
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| ♂ | Male
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| ♀ | Female
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