Manas AI Pro Physio
PRO PHYSIO
Manas AI · Onco Rehab

Patient records — Onco Rehab

Supabase migration — approved, apply when moving server-side

Apply manually in the SQL editor of the Pro Physio Clinical Supabase project. RLS denies all by default — service-role access only until roles are defined.


    
  








  
  

  
  


    
    

      
1
Patient & cancer profile

      
Who we are assessing, what they are being treated for, and where they are in the treatment journey. This drives every safety rule downstream.

      
Patient

        

          

          

          

          

          

          

        

        
DPDP note: record patient data only with consent; this tool stores records on this device only.

      

      
Cancer & treatment status

        

        

        

        

          

          

        

        
        

          
Bone metastases change loading rules — fracture precautions apply.

      

      
Recent bloods — optional, improves safety gating

        

          

          

          

        

        
Enter the most recent values available. Missing bloods default to caution language, never to clearance.

      

      

    


    
    

      
2
Medical & symptom screen

      
Rule-based safety, oncology edition: infection, marrow suppression, cord compression, clots and cardiotoxicity. Hard stops block the plan; cautions modify it.

      
Resting measures (today)

        

          

          

          

        

        

          

          

        

        
After axillary surgery, measure BP on the unaffected arm.

      

      
Relevant history

        

      

      
Symptoms — tick anything present now or in the last week

        

      

      
Swelling check

        

        
Heaviness in the at-risk limb → lymphoedema watch. One-sided calf swelling → clot until proven otherwise.

      

      

    


    
    

      
3
Function & fatigue

      
Cancer-related fatigue is the dominant symptom, and paradoxically exercise is its best-evidenced treatment. We measure it — then dose movement against it.

      
Fatigue & performance

        

          
3

        

        

      

      
Strength & sarcopenia (SARC-F)

        

        

          
>12 s suggests lower-limb weakness — steroid myopathy shows here first.

          

        

      

      
Walking & balance

        

          

          

          
≥12 s or numb feet → falls precautions.

        

      

      
Pain & movement restriction

        

          
0

        

        

        

      

      
The three activities that matter most — scored in the patient's words

        
0 = can't do it at all · 10 = back to normal. These become the milestones on the patient report.

        

      

      

    


    
    

      
4
Lifestyle, barriers & willingness

      
The India layer. A plan that ignores treatment-day exhaustion, "complete rest" advice from family, and the fear that exercise feeds the illness is a plan that gets abandoned by week 3. We measure willingness and build a do-able entry point.

      
Current activity & habits

        

          

            

          

          

            

          

        

        

          

            

            
Diet, nausea and weight questions belong to the oncology dietitian — never to this tool.

          

          

            

          

        

      

      
Barriers to exercise — tick everything that applies

        

      

      
Willingness & confidence

        

          

        

        

          
5

        

        

          

            

          

          

            

          

        

      

      

    


    
    

      
5
Evidence base & exercise framework

      
The framework below is generated deterministically from the assessment, grounded in the guideline evidence listed underneath. Every element is editable by the physiotherapist in the library step.

      

      
Gold-standard evidence this framework is built on

        

        
Citations are curated from published guidelines and reviews known to the build model; verify exact editions/DOIs against the source when the evidence base is next reviewed. This list is the internal justification layer — the patient report carries a plain-language version.

      

      

    


    
    

      
6
Exercise library — physiotherapist selects

      
Suggested items (green chip) are pre-selected from the framework, safety flags and patient preferences. Tap to add or remove — the plan is the physio's, not the tool's.

      

      

      

    


    
    

      
7
Patient report

      
Built in the house report style — the patient's story, starting scores, goals, levels, and renal-specific "call us if" flags. Print to PDF for the patient's copy.

      
Cost plan — shown on the report as a transparent estimate

        

          

          

        

        

          

            

          

          

        

        
Rates: online ₹8/minute · physical ₹12/minute. The report shows this as an itemised estimate, confirmed with the patient before the plan begins.