Information Gathering in Physiotherapy – Lecture Vocabulary

Key vocabulary terms introduced in the lecture on information gathering, the ICF framework, SOAP notes and subjective assessment in physiotherapy.

ICF Framework

International Classification of Functioning, Disability and Health; model that links health condition, body functions & structures, activities, participation, environmental and personal factors.

Activity Limitation

Difficulty executing a specific task or action (e.g., sitting >10 min).

Participation Restriction

Problem experienced in life situations or societal roles (e.g., inability to work).

Personal Factors

Individual background variables such as age, gender, culture, family roles influencing health.

Environmental Factors

Physical, social and attitudinal surroundings that affect functioning (home, work, climate).

Biopsychosocial Model

Holistic view that integrates biological, psychological and social influences on health.

SOAP Notes

Documentation structure: Subjective, Objective, Assessment, Plan.

Subjective Assessment

Information obtained from patient interview, case notes, reports and test results.

Objective Assessment

Physiotherapist’s observable or measurable examination, including physical tests and treatments performed in-session.

Assessment (SOAP)

Clinician’s interpretation or diagnosis derived from subjective and objective findings.

Plan (SOAP)

Proposed management: home advice, referrals, future treatments and follow-up assessments.

Orientation Assessment

Check of person, place and time to gauge cognitive status in hospital/rehab settings.

Goal Setting

Collaborative identification of desired outcomes guiding treatment and discharge planning.

Family History

Information about relatives’ medical conditions influencing genetic risk and patient perceptions.