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