🌍 ICF Model (WHO)

💡 Understanding the ICF framework helps structure assessments.

🔹 Body Structure Impairments – Problems in body function/structure

🔹 Activity Limitations – Difficulties executing activities

🔹 Participation Restrictions – Problems in societal functioning

🔹 Environmental/Personal Factors – Barriers/facilitators

🗣️ Subjective Assessment

📝 Format Checklist:

🔹 HOPC – History of Presenting Condition

🔹 Pain – Location, type, severity, irritability

🔹 Aggravating & Easing Factors

🔹 24-Hour Symptoms (AM/PM Changes)

🔹 Red/Yellow Flags 🚩

🔹 Social & Medical History

🔹 Neurological Signs ⚡

🏥 Body Chart

📝 Record:

• 📌 Type of pain
• 📌 Area, Depth, Intensity
• 📌 Relationship of symptoms

📖 HOPC Example

Patient: 25-year-old female

Condition: Right lateral ankle pain (5 days)

Cause: Landed awkwardly in basketball game

Symptoms: Immediate pain post-injury

🔥 Pain Assessment

🔹 Type – Sharp, dull, throbbing?

🔹 Intensity – 0-10 scale

🔹 Duration – Constant or intermittent?

🔹 Pattern – Worsens/improves with activities?

📌 Example:

• At rest – dull ache 4/10
• Weight bearing – sharp 7/10
• Improves with NSAIDs

⚖️ Aggravating & Easing Factors

❌ Aggravating: Weight-bearing, walking, stairs, STS

✅ Easing: Rest, ice, elevation, NSAIDs

⏳ 24-Hour Symptoms

🌞 Morning: Stiff with mild swelling, eases with movement

🌜 Evening: Worsens with prolonged weight-bearing

🌙 Night Pain

📌 Questions to Ask:

🔹 Do you wake up due to pain?

🔹 Is there a painful sleeping position?

🔹 Does rolling in bed cause pain?

❓ Special Questions

🟢 General Health: Any medications? Chronic conditions?

🟠 Weight Loss: Unexplained?

🔴 Imaging: X-ray/MRI?

⚡ Neurological Signs: Pins & needles? Numbness? Bowel/bladder issues?

🏃‍♂️ Objective Assessment

🔍 Observation:

• Weight-shifting, posture, swelling
• Functional tasks: Gait, SLS, STS, hopping

🔄 Range of Motion (AROM/PROM):

• Limited due to pain

💪 Muscle Strength Test:

• 🦵 Ankle Dorsiflexion – 2/5
• 🦶 Plantarflexion – 4/5

🔬 Special Tests:

✅ Anterior Drawer – Positive

✅ Talar Tilt (Inversion in PF) – Positive

🚫 Ottawa Ankle Rules – Negative