ANAMNESE músculo-esquelético

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CENTRO UNIVERSITÁRIO FMABC
 MANTIDO PELA FUNDAÇÃO DO ABC
ANAMNESE MÚSCULOESQUELÉTICA
Nome:________________________________________________________________
Telefone:_________________________Data Nascimento:______________________
Data avaliação:________________________
HD:__________________________________________________________________
QP:_______________________________________________________________________________________________________________________________________________________________________________________________________________________
HMA:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
HMP: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Exames Complementares:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Medicamentos:______________________________________________________________________________________________________________________________________________________________________________________________________________
Exame Físico
PA:_____________________________
Inspeção:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Palpação:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Goniometria:
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
 MOVIMENTO				DIREITO			ESQUERDO
Teste força muscular:
 
 MOVIMENTO				DIREITO			ESQUERDO
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Cirtometria:_________________________________________________________________________________________________________________________________
Perimetria:
Testes Especiais_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Objetivos Fisioterapêuticos:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Conduta:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Sede: Av. Príncipe de Gales, 821 – Bairro Príncipe de Gales – Santo André, SP – CEP: 09060-650 (Portaria 1) 
Av. Lauro Gomes, 2000 - Vila Sacadura Cabral - Santo André / SP - CEP: 09060-870 (Portaria 2)
 Telefone: (11) 4993-5400 ou www.fmabc.br