1. Info Prior to Visit
1.1. Info on Schedule
1.1.1. Some insight about what the pt feels is wrong with them
1.2. Info in Chart
1.2.1. Medical Diagnosis (Unless self-referred)
1.2.2. Basic Demographics
1.2.2.1. Do demographics lead you towards expected findings?
1.2.2.2. Do demographics indicate more likely diagnosis vs. others?
1.2.2.3. Risk factors based on demographics?
1.2.3. Medical History
1.2.4. Comorbidities
1.3. Scholarly Knowledge
1.3.1. Evidence-based knowledge of diagnosis
1.3.2. Evidence-based knowledge of expected subjective and objective findings
1.3.3. Published Clinical Prediction Rules
1.4. Knowledge from Clinical Experience
1.4.1. Presentation of previous patients with same Medical Diagnosis
1.4.1.1. What worked? What didn't work?
1.4.1.2. What did you find?
1.4.2. Personal Clinical Prediction Rules
2. Info from Objective
2.1. Choosing Outcome Measures
2.1.1. Validity
2.1.1.1. Does it give you the information you are actually looking for
2.1.1.2. Is your patient part of a population for which it is validated?
2.1.1.2.1. Cutoffs
2.1.1.2.2. Age/Gender/Population/Diagnosis-Related Normative Data?
2.1.2. Clinical Utility
2.1.2.1. Does the information it gives you matter?
2.1.3. Reliability
2.1.3.1. Are the results reproducible?
2.1.4. Feasibility/Efficiancy
2.1.4.1. Time
2.1.4.2. Space
2.1.4.3. Equipment
2.1.4.4. Cost
2.1.4.5. Patient ability
2.1.4.6. Special training for assessor?
2.1.5. Measurable
2.1.5.1. MDC
2.1.5.2. MCID
2.1.5.3. Responsiveness
2.1.5.4. Ceiling Effect?
2.1.5.5. Floor Effect?
2.2. IMPAIRMENTS
2.2.1. These are what we actually treat!
2.2.2. Body structure/Body function
2.2.3. Single System vs Multi-System
2.2.4. Which systems are affected?
2.2.4.1. Neurological
2.2.4.1.1. Central
2.2.4.1.2. Peripheral
2.2.4.1.3. Cognitive
2.2.4.1.4. Sensory
2.2.4.2. Musculoskeletal
2.2.4.2.1. ROM
2.2.4.2.2. Strength
2.2.4.2.3. Power
2.2.4.2.4. Endurance
2.2.4.2.5. Joint Integrity
2.2.4.3. Postural Control
2.2.4.3.1. Strategies
2.2.4.3.2. Anticipatory Control
2.2.4.3.3. Reactionary Control
2.3. Performing Tests and Measures
2.3.1. Screens
2.3.1.1. Cognitive
2.3.1.2. Cranial Nerves
2.3.1.3. Sensation
2.3.1.4. Motor
2.3.1.5. Coordination
2.3.2. Full Examination
2.3.3. Functional Tasks
2.3.4. Outcome Measures
2.3.4.1. Self-Report
2.3.4.2. Objective
2.3.5. ROM
2.3.6. MMT
2.3.7. Special Tests
3. Making A Decision on Interventions
3.1. Outside of the onion
3.1.1. Common elements to dysfunction?
3.1.2. Prioritize the problems
3.1.3. Will you be able to get them to a recovered state, or will they need compensation?
3.2. Progression based on Motor Control/Learning
3.2.1. What kind of learning are they capable of?
3.2.1.1. Implicit
3.2.1.2. Explicit
3.2.2. What theory do you subscribe to?
3.2.2.1. Schema
3.2.2.2. Ecological
3.2.2.3. Reflex
3.2.2.4. Hierarchical
3.2.2.5. Motor Programming
3.2.2.6. Systems
3.2.3. What Approach do you take?
3.2.3.1. Neurofacilitation
3.2.3.1.1. Bobath
3.2.3.1.2. Rood
3.2.3.1.3. Brunnstrum
3.2.3.1.4. PNF
3.2.3.1.5. Sensory Integration
3.2.3.2. Task-Oriented
3.2.4. Which Model do you use to assess learning?
3.2.4.1. Fitts and Posner
3.2.4.1.1. Cognitive Stage
3.2.4.1.2. Associative Stage
3.2.4.1.3. Autonomous Stage
3.2.4.2. Systems Three-Stage
3.2.4.2.1. Novice
3.2.4.2.2. Advanced
3.2.4.2.3. Expert
3.3. How much Practice
3.4. What kind of Feedback
3.4.1. Intrinsic
3.4.2. Extrinsic
3.5. Practice Conditions
3.5.1. Massed vs. Distributed
3.5.2. Constant vs. Variable
3.5.3. Random vs. Blocked
3.5.3.1. Blocked is great for PD
3.5.4. Whole vs. Part
3.5.5. Mental
3.6. Kleim's Principles
3.6.1. Use it or Lose it
3.6.2. Use it and improve it
3.6.3. Specificity
3.6.4. Repetition Matters
3.6.5. Intensity Matters
3.6.6. Time Matters
3.6.7. Salience Matters
3.6.8. Age Matters
3.6.9. Transference
3.6.10. Interference
4. Info from Subjective
4.1. What are the functional deficits?
4.1.1. You need to know what impact the impairments are having on this person's life
4.1.2. This may help you prioritize what you will do and how you may need to intervene
4.1.3. *This is setting-specific
4.1.3.1. If you are in acute care, they probably have no clue how what happened is affecting their activity and participation
4.1.3.2. In sub-acute, they may have a better idea, but still haven't had a chance to go about their new normal life
4.1.3.3. In outpatient, they have probably had a chance to experience what "normal" is currently like and how their impairments are impacting their life.
4.2. Environmental Factors
4.3. Risk Factors
4.4. Comorbidities
4.5. Social Factors
4.6. Psychosocial Factors
4.6.1. Do they want to get better?
4.6.2. What is their support system like?
4.7. What kind of enrichment have they had?
4.7.1. Pre Injury/Illness
4.7.1.1. Like Bohannon Says: "Function is a product of where they started"
4.7.2. Since Injury/Illness onset