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Physical Therapy Assistant Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

AGE OF CLIENTS:

Newborn/Neonate (birth to 30 days)(Required)
Infant (31 days to 12 months)(Required)
Toddler/Preschool (13 months to 5 years)(Required)
School Age Child/adolescent (6 years to 18 years)(Required)
Young Adults Middle Adult (19 years to 64 years)(Required)
Older Adults/Elderly (65+years)(Required)

SETTING:

Acute(Required)
Rehab(Required)
Inpatient(Required)

ADULT ORTHOPEDIC:

Neck Injuries/Surgeries(Required)
Back Injuries/Surgeries(Required)
Hip Fractures/Injuries(Required)
Total Hip Replacement(Required)
Knee Injuries(Required)
Total Knee Replacement(Required)
Upper Extremity Joint Replacements(Required)
Shoulder Injuries(Required)
Degenerative Joint Disease/Arthritis(Required)
Hand Injuries(Required)
Temporomandibular Joint (TMJ)(Required)
Post Operative Care(Required)
Amputations(Required)

ADULT NEUROLOGIC

Stroke Rehabilitation(Required)
Cognitive Disorders(Required)
Head Trauma(Required)
Spinal Cord Injury(Required)
Functional Splinting(Required)
Adaptive Equipment - Wheelchair(Required)
Neuromuscular Diseases(Required)
Multiple Sclerosis(Required)

SPORTS MEDICINE

Bracing/Joint Immobilization(Required)
Biodex(Required)
Cybex(Required)
LIDO(Required)
Orthotron(Required)
Nautilus/Eagle(Required)
Strength and Endurance Training(Required)

Procedures/Treatments

Ankle/Foot Orthosis(Required)
Slings(Required)
Splints - Wrist/Hand(Required)
CPM Machine(Required)
Hydrotherapy(Required)
Whirlpool(Required)
Hubbard Tank(Required)
Therapeutic Pool(Required)
TENS(Required)
Electrical Stimulation(Required)
Ultrasound(Required)
Cryotherapy(Required)
Massage(Required)
Diathermy(Required)
Acupressure(Required)
Spinal Mobilization(Required)
Extremity Mobilization(Required)
Myofacial Release(Required)
Cranisacral Techniques(Required)
Cervical Traction(Required)
Lumbar Traction(Required)
Activities of Daily Living(Required)
Gait Training(Required)
Transfers(Required)
Sports Medicine(Required)
Athletic Injuries(Required)
Biodex(Required)
Cybex(Required)
Orthotron(Required)

OTHER

Chest PT(Required)
Cardiac Rehab(Required)
ICU Procedures(Required)
CCU Procedures(Required)
SICU Procedures(Required)
Burn Management(Required)
Work Hardening - Work Site Eval(Required)
Work Capacity Eval(Required)
Functional Capacity Eval(Required)
Muscles Energy Techniques(Required)
Universal Precautions(Required)
Skilled Nursing Documentation(Required)
Medicare A(Required)
Medicare B(Required)
State Health Care(Required)
Electronic Documentation(Required)

OTHER SKILLS

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