S.

No Procedure Instructions to be followed

1. Receiving the patient and A. Welcome the patient with warm greetings in a pleasing
make them feel tone.
comfortable B. Introduce yourself and let them introduce.
C. Collecting chief complaints.
D. Brief explanation about the procedure to be done and get
their consent for the same. (Refer ANNEXURE - 1)
2. Check for indications & A. Check general and local contraindications. Eg. Pyrexia,
contraindications open wounds, acute fracture, etc., (Refer ANNEXURE – 2
& 5)
3. Collection of materials A. Decide according to the need of the procedure to be
done.
Eg. Pillows, covering sheets, etc., (Refer ANNEXURE - 3 )
4. Positioning the patient A. Choose the most comfortable position with the treatment
part or the side to be treated to be exposed better.
B. Ask the examiner about the side to be treated.
C. Choose the right position(Lying, sitting, pronelying)
according to the technique was given by examiner
D. Cover the patient and expose the suitable area properly.
E. Confirm the privacy of the patient and their comfort.

5. Instruction to the patient A. Advise the patient to let the therapist know if they feel
anything discomfort.
B. Explain the procedure to be done.
C. Request the cooperation from the patient before starting
the procedure.
6. Demonstration A. Explain the type of the procedure, therapist position,
 Technique fixation, stabilization, support, relaxed position,
 Speed & Rhythm placement of hand.
B. Never skip the contact and continuity with the patient
throughout the procedure.
C. Follow the magnitude and frequency required for the
respective technique.
7. Effects and uses of the A. Explain the physiological and therapeutic effects of
technique chosen particular technique.
B. Explain the significance of the techniques regarding to the
indication.
C. Explain about the contraindications for the technique
given.
8. Anatomy A. Review the knowledge of anatomy and physiology of the
given treatment part.(Refer ANNEXURE - 4)
9. Home program A. Instruct the patient to do the exercises taught in the
therapy session. Eg. active stretching at home
B. Advice the patient regarding dos and don’ts. (Refer
ANNEXURE - 6)
EXCEL COLLEGE OF PHYSIOTHERAPY AND RESEARCH CENTER
10. Exercise therapy practical
Winding up Performa
A. Thank the patient forand
theirDescription
cooperation during entire
therapy session.
B. Replace the materials used for the treatment.
EXCEL COLLEGE OF PHYSIOTHERAPY AND RESEARCH CENTER
Exercise therapy practical Performa and Description

ANNEXURE 1
RECEIVING THE PATIENT AND MAKE THEM FEEL COMFORTABLE
1. Happy morning / afternoon / evening.
2. This is ………….. Studying II year BPT.
3. Would you please let me know your difficulties and complaints?
4. Thank you for your kind information, according to your problem I suggest you to have a
therapeutic session with me to get improved in your well being.
5. We will have a session of exercises which makes you feel comfort from your problem
and make you perform your role even better.
ANNEXURE 2
CHECK FOR CONTRAINDICATIONS
(Conditions in a recipient that increases the risk for a serious adverse reaction)
 General contraindications  Local contraindications

Hyperpyrexia Acute injury

Epilepsy Recent Scar
Severe renal failure Cuts
Severe cardiac problems Abrasions
Pregnancy – 1st trimester Eczema
Cardiac failure Open wounds
Malignancy Burns
Fluctuating Blood pressure Metal implants
Poor cooperating patient Impaired sensation
COMA Acute fracture
Infectious diseases Eyes, anterior neck, carotid sinus,
Psoriasis head, reproductive organs
Hypersensitivity
Diarrhea

Inform the patient to wait for a while until you prepare the treatment tray.
 ANNEXURE 3
COLLECTION OF MATERIALS
(Choose the materials according to the need for the given procedure)
TRAY PREPARATION
Cotton Sandbags
Pillows Re-education boards
Covering sheets Lubricants
Suspension materials Walking aids
Inch Tape Goniometer
Towel
ANNEXURE 4
ANATOMY
Talk about surface landmark and regional description, origin, insertion, function of a muscle,
nerve supply, and orientation of the muscle mass.
ANNEXURE 5
INDICATIONS
Muscle weakness Reduced mobility
Muscle tightness Spasm
Post surgical immobility Disuse atrophy
Amputation Stroke
Impaired proprioception Strain
Facial palsy Bell’s palsy
Paraplegia Bed ridden
Post immobilization stiffness Comatose
Anxiety Stress
Musculoskeletal disorders Cerebellar ataxia
Impaired balance Guillian barre syndrome
Parkinson’s disease Muscular dystrophy
Sports injuries Overuse injuries
Multiple sclerosis Fibromyalgia
Lymphedema Ligament injuries
Delayed milestone Developmental disorders
Structural deformities Spinal cord injuries

ANNEXURE 6
HOME PROGRAM
Dos - Instruct the patient to follow the exercises have been taught in the therapy session which
makes them feel better on their functioning and performance.
Don’ts - Advice them not to do the activities which gives them adverse effects for their
presenting condition.