Start with what you observed.
“Left knee flexion, 105 degrees. Uses the handrail going downstairs.”
More hands-on care. Less after-hours charting.
Explore PT note examples from evaluation to discharge. Vero helps turn your recorded findings into clear notes that follow your style.
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For every step of recovery
- Initial evaluations
- Treatment visits
- Progress reviews
- Return to activity
- Discharge
You see the progress. Let the note tell the story.
Explore a knee rehabilitation example through four note types. See how movement, confidence, and everyday activity change over time.
One patient. Every stage.
J. Morgan · Knee rehabilitation
The session
“I want to take the stairs without thinking about my knee.”
Recorded knee flexion
105°
Range of motion
- Knee extension strength
- 3+/5
- Reported pain
- 6/10
Physical therapy evaluation example
A clear starting point
- Subjective
- J. Morgan reports left knee pain of 6/10 with stairs and difficulty completing usual walks.
- Objective
- Left knee flexion: 105°. Knee extension strength: 3+/5. Uses a handrail when descending stairs.
- Assessment
- Restricted left knee mobility and reduced extension strength limit stair descent and usual walking activities.
- Plan
- Goals: resume usual walks and use stairs with confidence. Track walking comfort and stair use at the next visit.
The session
“Walking feels easier, but going downstairs still takes some effort.”
Recorded knee flexion
115°
Range of motion
- Knee extension strength
- 4−/5
- Reported pain
- 4/10
Daily treatment note example
The response to today’s session
- Subjective
- Walking feels easier; descending stairs remains difficult. Reports left knee pain of 4/10.
- Objective
- Left knee flexion: 115°. Knee extension strength: 4−/5. Handrail still used during stair descent.
- Assessment
- The therapist notes improved mobility and strength with ongoing stair limitations.
- Plan
- Follow up on walking comfort and stair tolerance at the next session.
The session
“I’m back to my usual walks, and stairs are getting more comfortable.”
Recorded knee flexion
126°
Range of motion
- Knee extension strength
- 4+/5
- Reported pain
- 2/10
Physical therapy progress note example
Progress, with context
- Subjective
- Usual walks have resumed. Stairs feel more comfortable; left knee pain is reported as 2/10.
- Objective
- Left knee flexion: 126° (105° at evaluation). Knee extension strength: 4+/5 (3+/5 at evaluation).
- Assessment
- Walking goal met by patient report. Mobility and strength have improved; stair confidence remains a goal.
- Plan
- Focus the next progress check on stair confidence and the remaining activity goals.
The session
“I’m using the stairs and enjoying my walks again.”
Recorded knee flexion
130°
Range of motion
- Knee extension strength
- 5/5
- Reported pain
- 1/10
Discharge summary example
The full course of care
- Subjective
- Reports comfortable stair use and a return to usual walks, with left knee pain of 1/10.
- Objective
- Left knee flexion: 130°. Knee extension strength: 5/5. Stair task completed without the handrail.
- Assessment
- Agreed walking and stair goals met. Findings and patient report support the therapist’s discharge decision.
- Plan
- Continue with the agreed home program. Patient summary includes activity goals and follow-up details.
Your findings. Your templates. Your final say.
Explore Vero ScribeKeep good care moving.
One plan. Clear takeaways.
Turn your documented plan into a home program summary or a letter for the care team.
A question. A closer look.
Explore cited evidence with the patient’s context close by and sources you can inspect.
Next visit. Less catching up.
Keep patient goals, documents, and the next reassessment connected to the encounter.
Small details. Clear progress. Keep the whole story together.
From a quick observation to an organized note. Keep movement, daily activities, and patient goals connected.
Separate measure from function.
Preserve the measured value and the functional observation as distinct details.
Pick up where you left off.
Bring today’s movement and activity notes into the next conversation.
Good questions. Clear answers.
SOAP notes, progress updates, and a format that fits your day.
How do these physical therapy SOAP note examples differ?
The evaluation captures the starting point. The treatment note follows the current session. The progress note compares movement and activity with earlier visits. The discharge summary brings the patient’s progress and next steps together.
Where do patient feedback and movement measurements go?
In these examples, the patient’s description of comfort and daily activities appears under Subjective. Range of motion, strength, and observed stair performance appear under Objective. Assessment and Plan connect those details to progress and next steps.
How can I show progress between sessions?
Bring earlier measures and patient goals alongside today’s findings. The progress example compares knee movement and strength, then connects those changes to walking comfort and stair confidence.
Can I turn a session note into a patient summary?
Yes. Vero Documents uses encounter context to help prepare a visit summary, home-program recap, or progress update. Carry the goals and next steps from the session into a clear format for the patient.
Can I keep my own note format?
Yes. Start with a Vero template, import your existing format, or build your own. Arrange sections for movement, activities, patient goals, and the plan of care to match the way you chart.
Help them get back to life. Get a little of yours back, too.
Start with your next session. Let Vero help with the note.
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