Free clinician worksheet

When Progress Stalls

A controlled reassessment loop for cases that improve briefly, change inconsistently, or stop moving forward

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10 pages · PDF · No signup required

Cover of When Progress Stalls, a reassessment worksheet for clinicians
  1. 01 Baseline
  2. 02 Control
  3. 03 Change
  4. 04 Repeat
  5. 05 Challenge
  6. 06 Interpret

Use it before you add another technique

When progress slows, the first impulse is often to do more. This worksheet asks you to make the comparison cleaner first

It helps you turn a vague "stuck case" into one observable output, control the comparison, change one variable, and leave the reassessment with a better next question

The controlled reassessment loop

  1. 01

    Build a baseline you can recreate

    Record the task, position, contact point, direction, cue, and observable response before changing anything

  2. 02

    Control the test before you interpret it

    Keep setup, timing, contact, direction, and effort stable enough for the comparison to mean something

  3. 03

    Change one variable

    Alter one condition while preserving the baseline. If multiple variables move, the comparison becomes unclear

  4. 04

    Repeat the same output

    Return to the original task. Record whether the observation repeats, what changed, and what stayed the same

  5. 05

    Add a second demand

    Check whether the observation survives a different angle, position, load, or clinically relevant demand

  6. 06

    Write the observation, not the story

    Use one defensible sentence, list alternative explanations, and name the next question that could change your mind

Use it when

Expected progress is not showing up, the response changes from one test to the next, an improvement is brief or hard to reproduce, or several possible variables compete for attention

It is written for hands-on clinicians who already assess movement, response, and task performance

What it includes

A reusable one-case reassessment worksheet and a five-case pattern log help you separate a repeatable observation from a one-time response

This is an educational reassessment aid. It is not a diagnostic rule, treatment protocol, or substitute for professional scope and clinical judgment

About me

Dr. Alex Atiakshev

I am a P-DTR instructor and clinician educator. I have 15+ years of manual and osteopathic practice and have trained in P-DTR since 2017

My teaching focuses on controlled comparisons, receptor-based clinical reasoning, and the discipline of separating an observation from an explanation

I trained directly with Dr. José Palomar, who developed P-DTR

Keep the loop beside your next reassessment

10 pages. Printable PDF. No email required

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