Common Abbreviations in Physical Therapy Documentation

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Lane Community College

Physical Therapist Assistant Program

Common Abbreviations in Physical Therapy Documentation

A ā

A:

ADL

AE(A)

AFO ag

AK

AKA

ALS

Amb

Amp

ANS

AAE

A&D

AAROM

ABC

Abd ac

ACJ

ACL

AD ad lib

Add

AP

ARDS

ARE

AROM

AS

ASAP as tol before assessment active assist exercise admission and discharge active assistive range of motion airway, breathing, circulation abduction before meals acromioclavicular joint anterior cruciate ligament right ear as desired, at will adduction activities of daily living above elbow (amputation) ankle foot orthosis antigravity above knee (amp) above knee amputation amyotrophic lateral sclerosis (lou gehrigs) ambulation amputation autonomic nervous system anterior/posterior acute (adult) respiratory distress syndrome active resistive exercise active range of motion left ear as soon as possible as tolerated

B

B

B/A

BEA

BID, bid

BKA

BIW

BK bilateral backache below elbow amputee twice a day below knee amputee twice a week below knee

BKA

BMI

BP

BRP

Bx

C ĉ

CA

CNS

COPD

COTA

CP

CPT

CRF

CSF

CVA

CW

CABG

CAD cc

CCU

CGA

CHD

CHF

CHI

CKC

CP

CPM

CTx

CMC

CNA

D d/c

DC

DDD

DF, d√

DIP

DJD

DM

DO

DPM

DPT

DR

DTR below knee amputation body mass index blood pressure bathroom priviledges biopsy with cancer

"cabbage" (coronary artery bypass graft) coronary artery disease chief complaint coronary care unit contact guard assist coronary heart disease, congenital heart disease congestive heart failure closed head injury closed kinetic chain cold pack, cerebral palsy continuous passive motion cervical traction carpometacarpal (joint) certified nursing aide central nervous system chronic obstructive pulmonary disease certified occupational therapist assistant cerebral palsy current procedural terminology (codes) chronic renal failure cerebrospinal fluid cerebral vascular accident crutch walking discontinue or discharged

Doctor of Chiropractic degenerative disc disease dorsiflexion distal interphalangeal (joint)- joint near tip of finger degenerative joint disease diabetes mellitus

Doctor of Osteopathy

Doctor of Podiatric Medicine doctor of physical therapy doctor deep tendon reflex

DTs

DVT

Dx delirium tremens deep vein thrombosis diagnosis

ED elev

EMT

ENT

ER

ER

Ex

Ev

EBV

Ext, /

E

E

E Stim

ECF extremity electrical stimulation extended care facility, extracellular fluid

ECG, EKG electrocardiogram emergency department elevation emergency medical technician ear, nose, and throat emergency room, external rotation external rotation exercise eversion

Epstein-Barr virus external, extension

Flex, √ fluido

FOB

F-N

FNP

FWB

FROM ft fwd

Fx

G

GB

GE

GHJ

F

FBS fasting blood sugar

FIM score functional independence level flexion fluidotherapy foot of bed finger to nose family nurse practioner full weight bearing full range of motion feet or foot forward fracture gallbladder gastroenteritis glenohumeral joint

H h

H2O

HBP

HEP

HNP h/o hour water high blood pressure (hypertension) home exercise program herniated nucleus pulposus history of

J

J

K

K

KAFO

KJ

L

LAc

LAQ lat lat flex

LBQC

LCL

LCSW

LE ll bars

LLB

LLL

LLQ

LMT

LOC

HOB

HOH

HP

HR hs

HVGS

Hx

I

I

I&D

I&O

IBS

IC Tx

ICF

ICU

IM

Inv

IP Tx

IR

ITB

IV head of bed hard of hearing hot packs heart rate bedtime high voltage galvantic stimulation history independent incision & drainage intake and output irritable bowel syndrome intermittent cervical traction intracellular fluid intensive care unit intramuscular inversion intermittent pelvic traction internal rotation iliotibial band intravenous joint potassium knee ankle foot orthosis knee jerk

Licensed Acupuncturist long arc quad lateral lateral flexion large base quad cane lateral collateral ligament

Licensed Counselor Social Work lower extremity, left eye parallel bars lower leg brace lower left lobe lower left quadrant licensed massage therapist loss of consciousness

M

MCL

MCP

MD

MFR

MI

Mm

MMR

MMT

Mobs

MOM

MRI

MS

MTP

MVA

LOM

LPN

LS

LSO

LRQ

LUL

LUQ

LV

LTG

N n&v

ND

NDT

NG

NPO

NSG

NWB

O

O:

OA

OD od

OKC

OOB

ORIF

OS

OT

OTA limitation of motion licensed practical nurse lumbosacral lumbosacral orthosis lower right quadrant left upper lobe lower upper quadrant left ventricle long term goals medial collateral ligament metacarpal phalangeal joint

Doctor of Medicine, muscular dystrophy myofascial release myocardial infarction muscle measles, mumps, rubella manual muscle test mobilization milk of magnesia magnetic resonance image multiple sclerosis, muscle strength, musculoskeletal metatarsal phalangeal joint motor vehicle accident nausea and vomiting

Naturopathic Doctor neuro developmental technique nasogastric nothing by mouth nursing non weight bearing objective osteoarthritis right eye every day, once a day open kinetic chain out of bed open reduction internal fixation left eye occupational therapy/therapist occupational therapist assistant

OU

P p-

P: parr pass pc

PCL

PF

PFS

PIP

PN, pn

PNF

PMHx

POC

POD prn

PRE

PROM pt

PT

PTA

PVD

PWB

Px

Q

Q

QC

QD

QH, Q2h

QID

QM

QN

QOD

R

R

RA

RC

RCM reed rehab

RICE

RLL both eyes post plan parrafin wax passive after meals posterior cruciate ligament plantar flexion patellofemoral syndrome proximal interphalangeal (joint) pain proprioceptive neuromuscular facilitation past medical history plan of care postoperative day as needed progressive resistive exercise passive range of motion patient physical therapist physical therapy assistant peripheral vascular disease partial weight bearing prognosis every quad cane every day every hour, every 2 hours four times a day every morning every night every other day right rheumatoid arthritis

Respiratory Care

Resident Care Manager reeducation rehabilitation rest,ice,compression,elevation right lower lobe

RLQ

RML

R/O

ROM

Rom

Rot

RR

RUE

RUL

RUQ

RX, Rx rx right lower quadrant right middle lobe rule out range of motion

Romberg (neurologic test for balance) rotation respiratory rate right upper extremity right upper lobe right upper quadrant treatment, therapy reaction

S s (with a line over it) without

S: s/p

SAH

SAQ

SB

SBA

SBQC

SC

SCI

SD

SDH

SIJ

SLB

SLC

SLE

SLP

SLR

SOB stat

STG

STM

Sup

Sx subjective status-post subarachnoid hemorrhage short arc quad side bending stand by assist small base quad cane straight cane spinal cord injury shoulder disarticulation subdural hematoma sacroiliac joint short leg brace short leg cast systemic lupus erythematosus speech language pathologist straight leg raise short of breath immediately short term goal soft tissue mobilization supination signs, symptoms

T

TBI

TENS

THA

THR

Ther Ex

TIA

Traumatic Brain Injury transcutaneous electrical nerve stimulation total hip arthroplasty total hip replacement therapeutic exercise transient ischemic attack

V

VO

VS

W

W/c, wc

WFL wk

WNL

WP wt tid tiw

TKA

TKR

TLSO

TO

TTWB

Tx

U

UE

ULQ

URI

URQ

US, u/s

Y y.o.

X x three times a day three times a week total knee arthroplasty total knee replacement thoracic lumbar sacral orthosis telephone order toe touch weight bearing traction, treatment upper extremity upper left quadrant upper respiratory infection upper right quadrant ultrasound verbal order vital signs wheel chair within functional limit week within normal limits wet pack weight year-old times or repetitions

Weight Bearing Abbreviations

NWB – Non Weight Bearing

PWB – Partial Weight Bearing

TDWB – Touch Down Weight Bearing

TTWB – Toe Touch Weight Bearing

WBAT – Weight Bearing as Tolerated

FWB – Full Weight Bearing

Assistive Device Abbreviations

SC – Straight Cane

SPC – Single Point Cane

QC – Quad Cane

SBQC – Small Base Quad Cane

LBQC – Large Base Quad Cane

PUW – Pick up Walker

HW – Hemi-Walker

RW – Rolling Walker

Range of Motion

PROM – Passive Range of Motion

AAROM – Active Assisted Range of Motion

AROM – Active Range of Motion

ADD – Adduction

ABD - Abduction

Flex, √ - flexion

Ext, / - Extension

Sup – Supination

Pron – Pronation

SB – Side bending

Rot – Rotation

ER – External rotation

IR – Internal rotation

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