Clinical Documentation for the PTA – Abbreviation List

Vocabulary flashcards covering common clinical abbreviations used in PTA documentation.

CVA

cerebrovascular accident (stroke)

ā

before

DDD

degenerative disc disease

AAROM

active assistive range of motion

DF

dorsiflexion

Abd

abduction

DJD

degenerative joint disease

AC

acromioclavicular

EEG

electroencephalogram

ACDF

anterior cervical discectomy and fusion

EOB

edge of bed

ACL

anterior cruciate ligament

ER

external rotation

AD

assistive device

Estim or ES

electrical stimulation

Add

adduction

EV

eversion

ADL

activity of daily living

Ex

exercise

AFO

ankle foot orthosis

Ext

extension

AICD

automated implantable cardiac defibrillator

AKA

above knee amputation

FIM

functional independence level

AMA

against medical advice

Flex

flexion

Amb

ambulation

FWB

full weight bearing

A/P

anterior/posterior

FWW

front wheeled walker

AROM

active range of motion

Fx

fracture

A&O x (1–4)

alert and oriented to (person, place, time, situation)

GBG

good; bilateral (GBG stands for good; bilateral)

GH

glenohumeral

BID

twice a day

GI

gastrointestinal

BKA

below knee amputation

BM

bowel movement

H&P

history and physical

BOS

base of support

HA

headache

BP

blood pressure

Hb, Hgb

hemoglobin

bpm

beats/breaths per minute

Hemi

hemiplegia

B UE

bilateral upper extremities

HEP

home exercise program

CHHA

handheld assist

c̄

with

h/o

history of

Ca

cancer

HOB

head of bed

CABG

coronary artery bypass graft

HP

hot pack

CAD

coronary artery disease

HR

heart rate or handrail

cc

chief complaints

HTN

hypertension

CGA

contact guard assist

Hx

history

CHF

congestive heart failure

ICKC

closed kinetic chain

I, ind

independent

COPD

chronic obstructive pulmonary disease

I&D

incision and drainage (debridement)

c/o

complaints of

ICP

intracranial pressure

CP

cold pack

ICU

intensive care unit

CPM

continuous passive motion

Inf

inferior

CTx

cervical traction

Inv

inversion

OTR

registered occupational therapist

IPR

inpatient rehabilitation

PIR

internal rotation

p

post, after

KP

poor

KAFO

knee ankle foot orthosis

PA

physical assist or physician assistant

Para

paraplegia

L, lt

left

PE

pulmonary embolus

LAQ

long arc quad

PF

plantarflexion

Lat

lateral

PMH

past medical history

LBP

low back pain

PO

by mouth

LE

lower extremity

POC

plan of care

L LE

left lower extremity

PRE

progressive resistive exercise

LOA

level of assist

prn

as needed

LOB

loss of balance

PROM

passive range of motion

LOC

loss of consciousness

PTA

prior to admission or physical therapist assistant