03/11/11

Donna Seudeal - Physical Therapy Checklist

1 = No Experience 3 = Experienced
2 = Intermittent Experience 4 = Supervise and Teach

BACKGROUND 1 2 3 4
Rehab Clinic X
Rehab Hospital X
Skilled Nursing Care Facility X
Sports Medicine Clinic X
Children's Hospital X
General Acute Care Facility X
School Setting X
Inpatient X
Outpatient X
MODALITIES / SKILLS 1 2 3 4
Muscle Stimulation X
Paraffin Bath X
Acuscope X
Biofeedback X
Continuous Passive Machine X
Craniosacral Therapy X
Diathermy X
Electro-accupuncture X
Extremity Mobilization X
Fluidotherapy X
Hot/Cold Packs X
Hubbard Tank X
Therapeutic Pool X
Whirlpool X
Massage X
Muscle Energy Techniques X
Neuro Probe X
Strain/Counterstrain Techniques X
Spinal Mobilization X
TENS X
Cervical Traction X
Lumbar Traction X
Ultrasound X
Wound Dressing X
NEUROLOGIC 1 2 3 4
Head Trauma X
Stroke Rehabilitation X
Neurosurgery X
Spinal Cord Injuries X
Adaptive Equipment X

Donna Seudeal - Physical Therapy Checklist 1/2

 03/11/11

Functional Splinting X
ORTHOPEDIC 1 2 3 4
Arthritis Programs X
Hip Fractures X
Backs X
Hand Injuries X
Mobilization Techniques X
Total Joint Replacement X
Total Hip / Knee Replacement X
Transmandibular Joint Dysfunction X
Neck Injuries X
SPORTS 1 2 3 4
Bracing/joint Immobilization X
Biodex X
Cybex X
LIDO X
Orthotron X
Nautilus/Eagle X
Strength and Endurance Training X
PROSTHETICS/ORTHOTICS 1 2 3 4
Above Knee Prosthetics X
Below Knee Prosthetics X
Upper Extremity Prosthetics X
Ankle Foot Orthosis X
PEDIATRICS 1 2 3 4
Orthotics X
Early Intervention X
Equipment Assessment X
Neurodevelopmental Treatment X
OTHER 1 2 3 4
Burn Management X
Cardiac rehabilitation X
Inservice Education X
Wheelchair/equipment assessment X
CHECKED : By checking this box, I attest the above information
I am providing is true to the best of my knowledge, and I give
Advanced Medical permission to share this information with any
client facilities.

Donna Seudeal - Physical Therapy Checklist 2/2