Orientation · 13 slides
Welcome to Pro Physio
Believe you can.
Who we are, where we work, what we stand for and how we work together — before you open the manual.
Our story
It started with three.
Pro Physio Healthcare Pvt Ltd begins in Bengaluru with one belief: rehabilitation should be measured, not guessed at.
Capital and mentorship to build a network inside hospitals rather than beside them.
Embedded in Bengaluru’s leading hospital networks, with our flagship on 10th A Main Road, Malleshwaram.
The ambition we build toward — every centre, every session, every conversation.
Mission
Rebuilding rehab.
Measured like a science, delivered with warmth.
Healing is a capability the patient builds — not something done to them. Our job is to make that building measurable, and human.
Vision
Rehabilitation that is measured, not guessed at.
Measurement
Every plan has a measure and a review date. Progress is shown, not promised.
Clinician accountability
Clinical decisions stay with the physiotherapist. Tools suggest; humans confirm.
Quality over claims
We say what we know, what is uncertain, and what we will review. No guaranteed outcomes.
Growing into a movement-intelligence platform — rehabilitation you can see improving.
Where we work
Inside the hospital, beside the patient.
Rainbow Children’s Hospital
Paediatric and developmental rehabilitation.
Cytecare
Onco rehabilitation.
Apollo Health & Lifestyle
Community care across the city.
Sakra World Hospital
Neuro and complex rehabilitation.
NU Hospitals
Renal rehabilitation.
Spire Hospital · Malleshwaram flagship
A collaboration with Spire, and our own flagship centre on 10th A Main Road, Malleshwaram.
Proudly Bengaluru. Every centre is embedded in a hospital team — you are part of their ward round, not a referral.
Programmes
What we treat
Neuro & stroke rehab
Onco rehab
Renal rehabilitation
Cardiac-pulmonary
Paediatrics & SEL
Physiotherapy, speech, occupational therapy and psychology for children.
Pelvic & women’s health
PelviHeal academy and clinics.
Musculoskeletal & sports
Pro Physio × Krida, Pro Run.
Move Well for Life
Lifestyle, mind and movement.
Learning
A clinician who keeps learning
Every patient interaction is a learning opportunity. Reflection turns experience into expertise — and here, into XP.
Pro Learn
Nine subjects, ten-level ladders, an examiner that adapts to you.
CPD from your own cases
Case discussions and literature tasks drawn from patients you documented. CPD points accrue as XP.
Campus
Directory, wins, clubs and events — the community you learn with.
The APTA collaboration
India’s official host of the APTA Academy of Pelvic Health
The American Physical Therapy Association sets the global benchmark for how physiotherapy is taught and practised. Its Academy of Pelvic Health runs the CAPP-Pelvic and CAPP-Obstetric certifications in India through Pro Physio.
What it means for you
Access to an international certification pathway in pelvic and women’s health, taught under our own roof.
Who runs it
Bhagwathi Nambirajan is Programme Director for the APTA and PelviHeal academies; Pratima Nagpal holds clinical governance.
How we talk about it
“Official host.” Never “APTA-certified therapist”, “exclusive” or “India’s only”. The standard is the point, not the slogan.
The people you’ll work with
First, a hello from the founder.
Founder & CEOMost rehab asks you to trust that it’s working. We decided that wasn’t good enough — so we measure it.
Pramod RavindraFounder & CEO · author of Quantum Healing
Pramod started Pro Physio in 2016 as three physiotherapists in one room, on a belief most of the industry still resists: that rehabilitation should be measured, not guessed at. He will tell you the company is not the centres or the platforms — it is the person sitting across from a patient. That is you. Welcome.
The directors
The people who answer for everything
The clinical conscience of the company. Nothing reaches a patient until the science holds — every protocol, every programme, every claim carries her sign-off. When you have a clinical question, a red flag or a consent doubt, Pratima is the person you ask. She would rather hear it early.
She turns clinical excellence into something teachable. Programme Director for our APTA and PelviHeal academies, she leads specialist practice in pelvic and women’s health — and Pro Learn, the courses and XP you will be earning here. Your growth is, quite literally, her job.
He keeps the ambition accountable — the capital, the unit economics and the discipline that let us grow without loosening the standard. Your salary, your XP rewards and the numbers behind every centre pass through his care.
The outside view that keeps ambition honest. Angel investor, CA, LLB and Babson MBA, formerly a global tax advisor at Ernst & Young, he has steadied more than fifty companies through scale. NestaVera backed us in 2019 — and he still sits at our table.
The people who run your day
Your KAM, and the hundred beside you
Mary · Operations Manager
The daily running of the network. If your KAM cannot resolve it, Mary can — rosters, centres, escalations across the city.
Your KAM is your first call for rosters, patients and the hospital team. They were a therapist on your centre’s floor before they ran it.
Your tools
Two platforms, one standard
prophysio.ai · clinical
- First Connect — structured first assessment, tele and in person
- Manas AI — documentation that drafts; you confirm before anything reaches a patient
- Campus — this portal: directory, CPD, XP and the manuals
prophysio.me · operations
- Schedule — your day, your sessions, your check-in
- Ops Command — the network’s single source of truth for sessions and attendance
- Pro Learn — courses, quizzes and live sessions
Three rules that never bend: red flags are rule-based, never left to an AI model. AI drafts, a human confirms. Clinical notes live only on prophysio.ai.
How we show up
Science in the measure. Warmth in the room.
Measure
Assess, record, review. Say what changed and what did not.
Listen
The person defines what matters. That is the whole of the manual you are about to open.
Keep learning
Reflect after every session. Earn your XP by doing, not by watching.
Before the programme
Two things, then we begin.
Done both? Start “How to be a Pro Physio”. You can come back to either at any time.
The programme · five levels
How to be a Pro Physio
Communication Manual · Volume I
Five levels. Each one timed, each one earning XP. Read at the pace of a shift; the quiz waits for you.
How to be a Pro Physio · Level 1 of 5
Notice
Notice a reaction before it becomes a label
The therapist’s inner response, observation versus interpretation, and the practice from the journal.
A masterclass in human care
Communication for physiotherapists
A masterclass in human care
Pro Physio’s human-care philosophy
Enabling you to love a walk. It’s only human.
Every conversation in this masterclass serves one thing: the person’s own reason to move again.
The session
What we will practise
Notice a reaction before it becomes a label
Discover the person’s concern and meaningful goal
Explain a plan and check understanding
Handle a difficult moment with clarity and choice
90 minutes, including listening practice and three role plays.
Part 1 · Notice
The therapist’s inner response
I notice an urge to hurry, persuade or defend.
Notice
What am I feeling in this moment?
Separate
What did the person actually say or do?
Choose
What question would help me understand?
A brief pause can create room for a more deliberate response.
One slow breath before you answer. Tap to hold.
Part 1 · Notice
Observation, interpretation and a check
| What I observe | What I might assume | What I can ask |
|---|---|---|
| The parent checks their phone. | “They are not interested.” | “Is anything urgent making it difficult to focus today?” |
| The child pulls their hand away. | “They are being difficult.” | “How do they usually show us yes, no or enough?” |
| The home plan did not happen. | “They lack motivation.” | “What made the plan hard to fit into your week?” |
An interpretation becomes useful when the person can correct it.
Part 1 · A practice from the journal
Observe. Ask. Differentiate. Respond.
Describe the behaviour or words accurately.
Agree a useful next step, then check the response.
Level 1 · Notice · Quiz
Five questions. At your pace.
How to be a Pro Physio · Level 2 of 5
Discover
Discover the person’s concern and meaningful goal
The first two minutes, listening beneath the words, silence, a goal with a personal reason.
Part 2 · Discover
The first two minutes
I’m your physiotherapist. How would you like me to address you?
What is the main thing you want us to understand today?
What worries you most about it?
Let’s make sure we address that during today’s assessment.
Confirm the preferred language and who the person wants involved.
Part 2 · Discover
Listening for the concern beneath the words
I have tried so many exercises. I’m tired of starting again.
Starting again feels exhausting after so many attempts.
Have I understood that correctly?
What was hardest about the last plan?
Use tentative language. Let the person disagree or add detail.
Part 2 · Discover
Silence and communication access
Silence can have many meanings
- Thinking or processing
- Pain, fatigue or uncertainty
- A language or hearing need
- Preference, disagreement or emotion
A useful response
Take your time.
Would you prefer to tell me, show me or write it down?
- Arrange qualified language support when needed.
- Accept gesture, aided communication and comfortable gaze.
Part 2 · Listening practice
Listening practice
I’m tired of starting exercises again.
- 1Round 1. One person speaks. The partner listens, reflects and checks.
- 2Round 2. Swap roles and repeat with a different concern.
- 3Debrief. What did you discover before you offered advice?
Practise with a fictional example. Give one specific piece of feedback.
Part 2 · Discover
A clinical goal with a personal reason
If walking became easier, what would you most like to return to?
Clinical measure
Walking tolerance, symptoms or another relevant measure.
Patient meaning
Joining an evening walk with a spouse or friends.
Shared review
A specific activity and a realistic point to reassess.
The person defines what matters. Assessment informs what is appropriate.
Level 2 · Discover · Quiz
Five questions. At your pace.
How to be a Pro Physio · Level 3 of 5
Explain
Explain a plan and check understanding
Explanations the person can use, talking about pain, the words you choose, shared decisions, teach-back, consent.
Part 3 · Explain
An explanation the person can use
What have you understood about the problem so far?
Would you like me to explain what today’s assessment suggests?
How does that fit with what you have been experiencing?
Explain technical terms. Use a demonstration or drawing when it helps.
Part 3 · Explain
Talking about pain
Your pain is real. Let’s connect what you feel with what we find today.
Acknowledge
Ask how pain affects the person’s life.
Assess
Explain relevant findings in context.
Be precise
State what is known, uncertain and worth reviewing.
Avoid blanket reassurance. New or concerning changes need assessment.
Part 3 · Explain
Words that invite a clearer conversation
Accurate language preserves hope without promising an outcome.
Part 3 · Explain
Shared decisions include practical constraints
“Which option fits your situation best?”
Part 3 · Explain
Checking understanding
“So I can check how clearly I explained it, please show me how you will do this at home.”
If the plan is unclear, explain it differently and check again.
Part 3 · Explain
Consent before examination and touch
Before proceeding
- Explain the purpose and what will happen.
- Describe relevant benefits, risks and alternatives.
- Check questions and understanding.
- Ask for specific, voluntary agreement.
During the encounter
- Explain where your hands will go.
- Protect privacy and discuss a chaperone when relevant.
- Notice discomfort or withdrawal.
- Pause when the person asks or agreement is uncertain.
Level 3 · Explain · Quiz
Five questions. At your pace.
How to be a Pro Physio · Level 4 of 5
Hold the room
Handle a difficult moment with clarity and choice
When the plan does not happen, honest reviews, children and parents, repairing a conversation.
Part 4 · Difficult moments
When the home plan does not happen
What made the plan hard to fit into your week?
Explore the barrier
Time, symptoms, uncertainty, cost, confidence or something else.
Recognise an effort
“You found one part that was manageable.”
Invite a realistic choice
“What would be possible on your busiest day?”
Curiosity helps distinguish a practical barrier from an assumption.
Part 4 · Difficult moments
The plan in the patient’s own words
“Tell me how this will fit into your day.”
Part 4 · Difficult moments
An honest review when progress is limited
This has been disappointing. Let’s review it carefully.
What has changed, and what is still difficult?
Here is what we know, and what I’m still uncertain about.
Let’s decide whether to adapt, reassess or seek another opinion.
A review date creates accountability. A guaranteed result creates false certainty.
Part 5 · Children and parents
A child’s participation begins with understanding
What is making this situation difficult for you?
Behaviour invites inquiry. Its cause still needs checking.
Part 5 · Children and parents
The child who moves away
| What happens | A response to practise |
|---|---|
| The child turns away and pulls their hand back. | Pause. Describe the behaviour and check comfort. |
| The parent says, “Please make him finish.” | “How does he usually show us yes, no or enough?” |
| The therapist thinks, “This session is wasted.” | Notice the frustration. Reassess the immediate goal. |
| The child points to a ball. | Offer an appropriate choice and time to respond. |
Check pain or a change from usual behaviour. Avoid a fixed label.
Part 5 · Children and parents
A worried parent asks about the future
Will my child ever be normal?
Understand the worry
“When you say normal, what are you most worried about?”
Recognise the child
“Let’s talk about their strengths and where support is needed.”
Be honest about the plan
“I can explain what we can assess and what we will review together.”
Offer realistic hope. Avoid promises or comparisons that erase the child’s individuality.
Part 6 · Repair
Repairing a difficult conversation
I can hear how disappointing this has been.
What were you expecting by this point?
Let’s compare that with what has changed and what has not.
Here is the next step I can take, and when I will follow up.
Name a mistake plainly. Agree a specific action and a realistic time.
Level 4 · Hold the room · Quiz
Five questions. At your pace.
How to be a Pro Physio · Level 5 of 5
Integrate and reflect
Carry it into every handover, and reflect on every session
Manas AI and messaging, handover, the role plays, Case A — then Chapter 2: reflection in practice and Kolb’s cycle.
Part 6 · Systems
Human attention with Manas AI and messaging
During the consultation
- Explain why you are using the screen.
- Invite the person to review the summary.
- Verify information before relying on it.
- Keep clinical reasoning and decisions accountable.
Between visits
- Use approved channels and protect privacy.
- Confirm the concern before giving advice.
- Set a clear contact and response route.
- Direct urgent concerns to urgent care pathways.
Part 6 · Handover
A handover that preserves the person’s goal
“Please confirm the next action and who will contact the patient.”
Part 7 · Role plays
Three conversations to rehearse
- 1Three rounds. Six minutes each. Rotate roles so everyone practises.
- 2Each round. Read, converse, give feedback, then try the opening again.
- 3Group debrief. Share one useful sentence and one assumption you revised.
Use the observer checklist. The cases are fictional teaching scenarios.
Case A · Fictional teaching scenario
Fear after a scan report
The report says degeneration. Is my back crumbling?
A 46-year-old office worker has stopped their evening walks and wants to know what is safe.
- 1Find out what the report means to them.
- 2Explain the findings in the context of assessment.
- 3Agree an appropriate next step and check understanding.
Clinical assessment and escalation remain essential.
Take home
Observe. Ask. Differentiate. Respond.
Notice the reaction before it becomes a label. Discover the person’s reason. Explain so they can use it. Then check, and let them correct you.
Chapter 2
Reflection in clinical practice
Building thoughtful and evidence-informed clinicians
Clinical practice is not just doing. It is thinking about what we do and why.
Introduction
Reflection is a core competency
It helps bridge
Theory to practice
Experience into learning
Action into improvement
In physiotherapy
- Every patient interaction is a learning opportunity.
- Reflection transforms experience into expertise.
Why it matters
- Enhances clinical reasoning and improves patient outcomes.
- Promotes evidence-based practice.
- Identifies strengths and areas for improvement.
- Supports ethical decision-making, patient-centred care and lifelong learning.
Definition
What is reflection?
A structured process of thinking critically about an experience to learn and improve future practice.
Key components
- Awareness
- Analysis
- Learning
- Change in behaviour
Three types
- Reflection in action — during treatment
- Reflection on action — after treatment
- Reflection for action — planning ahead
Objectives
By the end of this chapter
Define reflection in clinical practice
Understand its importance in physiotherapy
Explain Kolb’s experiential learning cycle
Apply the model to a real clinical scenario
Develop basic reflective practice skills
Integrate reflection into daily clinical work
In practice
Reflection in real clinical practice
Example scenarios
- Patient not improving as expected
- Communication breakdown with a patient
- Unexpected treatment outcome
- Ethical dilemma
Reflection helps answer the questions the session leaves behind.
Kolb (1984) · The experiential learning cycle
Learning is continuous, cyclical and experience-driven.
You must move through all stages for effective learning.
Applying the model · Fictional teaching scenario
The child who is not engaging
A child with developmental delay is not engaging during therapy sessions. The therapist feels the sessions are ineffective and the child is non-cooperative.
Tap each stage. Reflection shifts blame to understanding, reaction to reasoning, routine delivery to individualised sessions.
Key learning
Reflection shifts
Leads to better therapist adaptability, improved patient experience and adherence to therapy.
Tools and barriers
Practical tools for reflection
Tools
- Reflective journaling
- Case discussions
- Peer feedback
- Supervisor debriefs
- Video analysis of sessions
Common barriers
- Lack of time
- Fear of criticism
- Habit of routine practice
- Lack of structured guidance
- Metacognition is a higher mental function
Overcoming them
- Schedule reflection time — 5 to 10 minutes a day
- Use a structured model — Kolb’s
- Encourage safe learning environments
- Normalise mistakes as learning opportunities
A simple framework for daily use
Three quick questions
After every session
Pause → Reflect → Adjust
Weekly
Reflect on complex cases.
Monthly
Identify patterns in practice.
Your notes stay on this device only. Copy them into your Pro Learn journal.
Personal growth
What reflection builds
Builds
- Clinical expertise
- Confidence
- Self-awareness
Essential for
- Ethical practice
- Leadership in healthcare
- Continuous professional development
Reflection is not optional. It is essential. Experience → learning. Learning → expertise.
Next activity
Reflect on a recent patient case
- 1Choose a recent patient case.
- 2Apply Kolb’s model — all four stages.
- 3Share insights with your group.
Great physiotherapists are not just skilled. They are reflective.
Level 5 · Integrate and reflect · Quiz