Sample case · clinician-controlled records
Physiotherapy assessment and treatment plan: a sample workflow in Physio Clinic Software
One knee case, five steps: assessment, goals, SOAP note, home exercise plan on WhatsApp and a week-6 outcome review. Every record below is written and signed off by the physiotherapist; Physio Clinic Software stores, calculates, reminds and drafts, and never diagnoses.
Sample data: Ravi M, 27, right knee ACL reconstruction. Not a real patient.
The workflow at a glance
- Assessment: history, pain map, ROM, muscle grades, special tests
- Goals: measurable, agreed with the patient
- SOAP note: every visit, from a condition template
- Home exercise plan: WhatsApp in the patient's language, Done + pain 0–10
- Outcome review: scores, ROM and adherence at week 6; letter reviewed and sent by the physio
Sample data throughout this page.
Who controls the clinical record
The physiotherapist does. Assessments, goals, SOAP notes, outcome scores, ROM readings and exercise plans in Physio Clinic Software are clinical records written by a qualified clinician. The software prefills templates, calculates angles and questionnaire changes, graphs trends, flags a change larger than a measure's minimal clinically important difference, reminds you when a progress letter is due and drafts it from what you recorded. It does not make diagnoses, choose exercises, change doses or send anything to a referring doctor without the physiotherapist's action. Automated outputs support professional judgement and never replace it.
Step 1 · Initial assessment Sample data
Recorded on a tablet in the treatment room, day 1 of physiotherapy (post-op week 2).
| Section | Recorded by the physio |
|---|---|
| History | 27 M, cricketer. Right ACL reconstruction (hamstring graft) 7 Aug 2026. Referred by Dr. Senthil, orthopaedic surgeon. Pain on stairs, stiffness in the morning. |
| Pain map and NPRS | Anteromedial right knee, 7/10; hamstring donor site, 4/10 |
| Range of motion | R knee flexion 75° active (phone-camera tool, confirmed with goniometer 76°); extension deficit −8° |
| Muscle grades (MMT) | R quadriceps 3+/5 with 10° extensor lag; R hamstrings 4−/5 |
| Special tests | Lachman not tested (graft protection per surgeon's protocol); effusion: stroke test 2+ |
| Precautions | No open-chain knee extension 0–45° before week 12; brace for walking outdoors until week 4 |
| Outcome baseline | LEFS 52/80 (entered by the physio after the patient completed the questionnaire) |
Step 2 · Goals Sample data
By week 4
Full active extension (0°), flexion 110°, walk without the brace indoors, no quadriceps lag.
By week 8
Flexion 120°, stairs step-over-step, LEFS ≥ 65, single-leg stance 30 seconds.
By week 12
Running screen with the surgeon's clearance; return-to-cricket plan agreed with patient and surgeon.
Goals are typed into the assessment's Goals field by the physio and agreed with the patient. They are not generated by the software.
Step 3 · SOAP note, session 6 Sample data
Started from the "ACL reconstruction" condition template, then edited by the treating physio:
- S: Stairs easier; pain 4/10 after the evening walk. Doing home plan most mornings.
- O: Flexion 98°, extension −3°, effusion trace, quadriceps lag 0°. Gait with mild stiff-knee pattern.
- A: Progressing as expected for week 4 post-op ACL; quadriceps activation restored, flexion behind target.
- P: Add wall squat to 30° and stationary bike for range; continue heel slides; review in 3 days. Home plan updated.
Step 4 · Home exercise plan on WhatsApp Sample data
Language: Tamil. Send time: 7:00 am daily. Channel: WhatsApp from the clinic's number.
| Exercise | Tamil name | Dose | Note from the physio |
|---|---|---|---|
| Quad sets | குவாட் செட்ஸ் | 3×15, 5 s hold | Before getting out of bed |
| Straight-leg raise | நேராக கால் தூக்குதல் | 3×10 | Stop if the knee bends during the lift |
| Heel slides | குதிகால் சறுக்கல் | 2×10 | Firm stretch, not pain |
| Wall squat to 30° | சுவர் ஸ்குவாட் | 3×8 | Knees over feet |
What Ravi receives each morning (sample): "வணக்கம் Ravi! Thu 01 Oct · ACL week 4 · 1. Quad sets · குவாட் செட்ஸ் · 3×15 … முடித்ததும் Done அழுத்தி, வலி 0–10 அனுப்பவும்." with a private link to his plan page. He replies "Done 3" or taps Done on the page.
Live today
Greeting and check-in line in Tamil, Hindi, Telugu, Kannada, Malayalam or English; exercise names in English and Tamil; steps in English; your own video link per exercise.
Planned
Recorded exercise videos with voice-over, translated step-by-step instructions, Telugu/Kannada/Malayalam exercise names, automatic high-pain alerts.
Content review
The 35 built-in exercises were written by our team and have not had an independent clinical review yet. The prescribing physio checks every exercise and dose before sending; videos will be reviewed by a named registered physiotherapist before release.
Step 5 · Week-6 outcome review Sample data
| Measure | Start | Week 6 | Change | Software flag |
|---|---|---|---|---|
| Pain (NPRS 0–10) | 7 | 3 | −4 | Beyond MCID (2) |
| LEFS (0–80) | 52 | 70 | +18 | Beyond MCID (9) |
| Knee flexion | 75° | 110° | +35° | None (ROM is shown first vs latest) |
| Home-plan adherence | 12 of 14 days fully done (WhatsApp) | 86 % | None | |
The physio's decision (not the software's): flexion still 10° short of the week-8 goal; progress to closed-chain strengthening and bike, keep heel slides, review in a week. Physio Clinic Software reminds the clinic that the week-6 letter is due and drafts it from the table above; the physio rewrites the summary and plan, confirms the patient agreed to sharing, and sends it to Dr. Senthil as a private WhatsApp link. See what doctors receive.
Phone-camera range-of-motion: how it works and its limits
How it works. On the patient record, open the ROM tool on a phone or tablet. Start the camera (or upload a photo), freeze the frame and tap three points: a landmark on the upper segment, the joint centre, and a landmark on the lower segment. The tool calculates the angle in the browser. The physio checks it, edits the number if needed, enters the joint, movement and side, and saves it as a re-assessment.
- Supported movements: those in the plane facing the camera: knee, elbow, hip and ankle flexion and extension, shoulder flexion and abduction.
- Not supported: rotations (for example shoulder internal and external rotation), forearm pronation and supination, spinal movements, and any movement the camera sees at an angle.
- Conditions for a usable reading: phone held square to the plane of movement at joint height, whole limb in frame, good light, landmarks visible (shorts or rolled-up clothing), patient positioned the same way each time.
- Accuracy limits: the reading is only as good as the photo and the points placed. No validation study has been published, so use it to track week-to-week change, re-measure anything that looks wrong, and confirm borderline or medico-legal readings with a goniometer.
- Verification and failure handling: nothing is saved until the physio confirms the angle. If the camera is unavailable or permission is denied, the tool falls back to uploading a photo; if a landmark cannot be seen, measure with a goniometer instead. The photo is not uploaded or stored.
Pain scores and adherence data: storage, access and sharing
- What is stored: for each plan day, whether each exercise was marked Done, when, and from where (WhatsApp reply, plan page or staff), plus one 0–10 pain score for the day.
- Where: in the clinic's own workspace, on servers in India (AWS Mumbai), encrypted at rest, with daily backups kept 30 days.
- Who can see it: staff with a login to that clinic. Per-therapist restriction is planned. The patient sees only their own plan through a private link and should not forward it, because anyone with the link can view that plan and mark it done.
- Sharing with referring doctors: only in a progress letter the physio reviews, edits and sends. The clinic records the patient's consent at registration and should confirm that the patient agrees to reports going to the referring doctor; a separate per-letter consent field is planned.
- Deletion: removed with the patient record, or 30 days after the clinic closes its workspace. Details are in the privacy policy and on the security page.
Questions about the clinical workflow
Does Physio Clinic Software diagnose patients or write the treatment plan?
No. The physiotherapist examines the patient and writes the assessment, goals, SOAP notes and exercise plan. The software prefills templates, calculates angles and totals, graphs scores and drafts letters from what the physio recorded, but every clinical record is written, checked and controlled by the clinician, and nothing goes to a doctor without the physio sending it.
Which joints can the phone-camera ROM tool measure?
Movements that happen in the plane facing the camera: knee, elbow, hip and ankle flexion and extension, and shoulder flexion and abduction. It is not suitable for rotation (for example shoulder internal and external rotation), forearm or spinal movements, or anything the camera sees at an angle.
How accurate is the phone-camera ROM reading?
It is as accurate as the photo and the three points the physio places. Errors come from the phone not being square to the joint, a limb partly out of frame, loose clothing hiding landmarks, or poor light. No validation study has been published yet, so treat it as a tracking aid, recheck readings that look wrong, and use a goniometer for borderline or medico-legal measurements. The photo is not stored; only the angle you confirm is saved.
Where are pain scores and adherence stored, and who can see them?
Each day's Done marks and 0–10 pain score are stored against the patient's exercise plan in the clinic's workspace, on servers in India. Staff with a login to that clinic can see them; per-therapist restriction is planned. Patients see only their own plan page through a private link. We do not sell or share the data.
How are pain and adherence shared with the referring doctor?
Only inside a progress letter that the physiotherapist reviews, edits and sends. The clinic records the patient's consent at registration and should confirm the patient agrees to reports going to the referring doctor before sending. The letter goes as a private WhatsApp link or on paper.
What happens if a patient reports high pain on WhatsApp?
The score appears on the patient's record and pain trend the same day. Automatic high-pain alerts are planned, so for now clinics should review pain trends daily and tell patients to call the clinic, not just reply, if pain is severe or new symptoms appear.
Run this workflow with your own patients
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