Certified Physical Therapy Assistant (CPTA) Checklist

TREATMENT SETTINGS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Acute (Critical Care; Med/Surg)
Subacute (Med/Surg; Rehab)
Extended Care Facility (ECF) / Skilled Nursing Facility (SNF)
Outpatient Treatment Clinic
Home Care
School-Based

TREATMENT SETTINGS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Acute (Critical Care; Med/Surg)
Subacute (Med/Surg; Rehab)
Extended Care Facility (ECF) / Skilled Nursing Facility (SNF)
Outpatient Treatment Clinic
Home Care
School-Based

ORTHOPEDIC-ADULT *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Neck Injuries/Surgeries
Back Injuries/Surgeries
Hip Fractures/Injuries
Total Hip Replacement
Knee Injuries
Total Knee Replacement
Shoulder Injuries
Degenerative Joint Disease
Post-Operative Care
Amputations

ORTHOPEDIC-ADULT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Neck Injuries/Surgeries
Back Injuries/Surgeries
Hip Fractures/Injuries
Total Hip Replacement
Knee Injuries
Total Knee Replacement
Shoulder Injuries
Degenerative Joint Disease
Post-Operative Care
Amputations

NEUROLOGIC-ADULT *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Stroke Rehabilitation
Cognitive Disorders
Head Trauma
Spinal Cord Injury
Adaptive Equipment
Neuromuscular Diseases
Peripheral Nerve Injury

NEUROLOGIC-ADULT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Stroke Rehabilitation
Cognitive Disorders
Head Trauma
Spinal Cord Injury
Adaptive Equipment
Neuromuscular Diseases
Peripheral Nerve Injury

PROSTHETICS/ORTHOTICS/BRACES/SPLINTS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Upper Extremity Prosthetics
Above Knee Prosthetics
Below Knee Prosthetics
Ankle/Foot Orthosis
Slings
Splints
Bracing

PROSTHETICS/ORTHOTICS/BRACES/SPLINTS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Upper Extremity Prosthetics
Above Knee Prosthetics
Below Knee Prosthetics
Ankle/Foot Orthosis
Slings
Splints
Bracing

PROCEDURES/TREATMENTS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Biofeedback
Continuous Passive Motion (CPM) Machines
Whirlpool
Therapeutic Pool
Transcutaneous Electrical Nerve Stimulation (TENS)
Ultrasound
Cryotherapy
Range of Motion (ROM)
Massage
Diathermy
Myofascial Release
Cervical Traction
Lumbar Traction
Activities of Daily Living
Transfers
Isokinetic Exercise
Taping
Adaptive Equipment Training
Postural Balance Training
Mobility Training

PROCEDURES/TREATMENTS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Biofeedback
Continuous Passive Motion (CPM) Machines
Whirlpool
Therapeutic Pool
Transcutaneous Electrical Nerve Stimulation (TENS)
Ultrasound
Cryotherapy
Range of Motion (ROM)
Massage
Diathermy
Myofascial Release
Cervical Traction
Lumbar Traction
Activities of Daily Living
Transfers
Isokinetic Exercise
Taping
Adaptive Equipment Training
Postural Balance Training
Mobility Training

OTHER MANAGEMENT *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Chest Physiotherapy
Cardiac Rehabilitation
Intensive Care Unit (ICU) Procedures
Burn Management
Work Hardening
Work Capacity Evaluation
Functional Capacity Evaluation
Muscle Energy Techniques
Universal Precautions
Isolation Procedures

OTHER MANAGEMENT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Chest Physiotherapy
Cardiac Rehabilitation
Intensive Care Unit (ICU) Procedures
Burn Management
Work Hardening
Work Capacity Evaluation
Functional Capacity Evaluation
Muscle Energy Techniques
Universal Precautions
Isolation Procedures

ASSESSMENTS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Manual Muscle Testing (MMT)
Manual Sensation Muscle Testing
Goniometry
Skin
Pain

ASSESSMENTS * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Manual Muscle Testing (MMT)
Manual Sensation Muscle Testing
Goniometry
Skin
Pain

ORTHOPEDIC-PEDIATRIC *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Fractures
Birth Defects
Developmental Disease of Bone

ORTHOPEDIC-PEDIATRIC *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Fractures
Birth Defects
Developmental Disease of Bone

NEUROLOGIC-PEDIATRIC * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Head Injury
Spinal Cord Injury
Sensory Integrative Deficits
Visual Perceptual Disorders

NEUROLOGIC-PEDIATRIC *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Head Injury
Spinal Cord Injury
Sensory Integrative Deficits
Visual Perceptual Disorders

NEURODEVELOPMENTAL TECHNIQUES-PEDIATRIC * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Muscular Dystrophy
Cerebral Palsy
Spina Bifida
Autism Spectrum Disorders
Down Syndrome

NEURODEVELOPMENTAL TECHNIQUES-PEDIATRIC *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Muscular Dystrophy
Cerebral Palsy
Spina Bifida
Autism Spectrum Disorders
Down Syndrome

AGE SPECIFIC COMPETENCIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)