Professional Documents
Culture Documents
TABELA
NOME IDADE
M.F.S.F 50
S.N.S.
51
T.B.P.
53
V.S.
A.C.R.
62
38
F
M
G.S.C.
62
H.C.B.
47
M.H.S.L 60
M.L.V. 67
F
F
TABELA
NOME
J.S.M.
V.C.V.
E.E.S.R.
M.C.S.
IDADE
51
39
43
46
D.O.
56
M.I.P.A
62
M.G.C.M 45
AVALIAO POSTURAL
P: Plano
Everso
Joelho: Recurvatum
Tbia vara
Valgo
Pelve: Anteverso
Inclinao
Rotao
Coluna: Hiperlordose lombar
Retificao torcica
Escoliose
Hipercifose torcica
Abdomen: Protuso
Trax: Rotao
Inclinao
Ombro: Um mais elevado
Rotao Interna
Protuso
Escpula: Uma mais elevada
Alada
Cabea: Protusa
Rodada
Inclinada
Diagonais de Kabat
(Cabea e mmss)
Flexo lateral
Fortalecimento: Interescapulares
Dissociao de cinturas
Fortalecimento: Abdutores
Fortalecimento: Quadrceps
Fortalecimento: Isquiostibiais
Fortalecimento: Quadrceps
Fortalecimento:
Adutores
Alongamento: Quadrceps
Alongamento: Adutores
Alongamento:
isquiostibiais, adutores,
abdominais (obliquos)
Alongamento: Glteo
mdio e mnimo
Mobilidade de Tronco,
Flexo lombar
Alongamento:
Escalenos
Alongamento: Adutores
Alongamento: Paravertebrais
lombares
Rotao de Tronco
Fortalecimento: Abdominais
Fortalecimento: Rotadores
internos e externos de mmii
Treino Respiratrio
P:_______________________________________________
Joelho:____________________________________________
Pelve:_____________________________________________
Coluna:____________________________________________
Abdomem:_________________________________________
Trax:_____________________________________________
Ombro:____________________________________________
Escpulas:__________________________________________
Cabea:____________________________________________
Observaes Gerais:
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
____________________
Fisioterapeuta
Medicao Atual:___________________________________________________
________________________________________________________________
H.P.P.: __________________________________________________________
________________________________________________________________
________________________________________________________________
H.Fam.(membros da famlia, moradia, relacionamento, dados de sade):
________________________________________________________________
________________________________________________________________
________________________________________________________________
H.Soc. (ocupacional, etilista, tabagista, outras drogas, atividade fsica,
alimentao): __________________________________________________
________________________________________________________________
________________________________________________________________
3 Exame Fsico (Peso, altura, inspeo, palpao,P.A., etc):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
4 Avaliao Postural
P D:
P E:
( ) Hlux Valgo
( ) Arco Plano
( ) Hlux Valgo
( ) Arco Plano
( ) Hlux Varo
( ) Arco Cavo
( ) Hlux Varo
( ) Arco Cavo
( ) Hlux Normal
( ) Arco Normal ( ) Hlux Normal
( ) Arco Normal
Tornozelos:
( ) Verticais
( ) Valgos
( ) Varos
Joelhos:
(
(
(
(
Pelve:
( ) Retroverso
( ) Anteverso
( ) Assimetria das Cristas
Rotao: ( ) D ( ) E
Coluna Lombar:
( ) Lordose
( ) Hiperlordose
( ) Retificada
( ) Gibosidade____________
Coluna Torcica:
( ) Cifose
( ) Retificada
( ) Hipercifose
( ) Lordose diafragmtica
( ) Gibosidade__________________
ngulo de Tales:
( ) Simtrico
( ) Assimtrico
) Flexo
) Recurvatum
) Valgo
) Varo
Ombro D:
( ) Protuso
( ) Retruso
( ) Deprimido
( ) Elevado
Ombro E:
( ) Protuso
( ) Retruso
( ) Deprimido
( ) Elevado
Clavcula D:
( ) Verticalizada
( ) Horizontalizada
( ) Normal
Clavcula E:
( ) Verticalizada
( ) Horizontalizada
( ) Normal
Escpula D:
( ) Abduzida
( ) Aduzida
( ) Alada
( ) Elevada
( ) Deprimida
( ) Bscula lateral
( ) Bscula Medial
Escpula D:
( ) Abduzida
( ) Aduzida
( ) Alada
( ) Elevada
( ) Deprimida
( ) Bscula lateral
( ) Bscula Medial
Cervical:
( ) Retificada
( ) Lordosada
( ) Hiperlordosada
Cabea:
( ) Anteriorizada
( ) Inclinada
( ) Posteriorizada
( ) Rodada
Avaliao da marcha:_______________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Observaes Gerais: _______________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
______________________________
Estagirio(a)
_____________________________
Fisioterapeuta
5 Conduta
______________________________________________________________
______________________________________________________________
______________________________________________________________
__________________________
Fisioterapeuta
Data: ___/___/___
Medicao Atual:___________________________________________________
________________________________________________________________
H.P.P.: __________________________________________________________
________________________________________________________________
________________________________________________________________
H.Fam. (membros da famlia, moradia, relacionamento, dados de sade):____
________________________________________________________________
________________________________________________________________
H.Soc. (ocupacional, etilista, tabagista, outras drogas, atividade fsica,
alimentao): __________________________________________________
________________________________________________________________
________________________________________________________________
Escala de dor analgica visual numrica (0 a 10)
Sem dor
Dor insuportvel
_______________________________________________________
0
1
2
3
4
5
6
7
8
9
10
Tratamentos anteriores: ____________________________________________
________________________________________________________________
________________________________________________________________
Exames Complementares: ___________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Exame Fsico:
P.A.:________mmhg
F.R.:________ ipm
F.C.:_______bpm
Ausculta Pulmonar:_______________________________________________
Inspeo: ______________________________________________________
______________________________________________________________
______________________________________________________________
Palpao: ______________________________________________________
______________________________________________________________
______________________________________________________________
Amplitude de Movimento: _________________________________________
______________________________________________________________
______________________________________________________________
Fora Muscular: _________________________________________________
______________________________________________________________
______________________________________________________________
Avaliao Postural:________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Procedimentos Fisioteraputicos:_____________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
__________________________
Estagirio (a)
__________________________
Fisioterapeuta
Evoluo: ________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
OBRIGADA!