Manas AI Pro Physio
PRO PHYSIO
Manas AI · Renal Rehab

Patient records — Renal 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 & kidney profile

Who we are assessing, where their kidneys are, and how dialysis fits into their week. This drives every safety rule downstream.

Patient

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

CKD status

Recent labs — optional, improves safety gating
Enter the most recent values available. Missing labs default to caution language, never to clearance.
2

Cardiovascular screen

CKD is a cardiovascular disease with a renal address. This screen is rule-based: hard stops block the plan; cautions modify it.

Resting measures (today)

Never measure BP on the fistula arm.

Known conditions

Symptoms — tick anything present now or in the last week

Fluid status

3

MSK & functional assessment

Uraemic sarcopenia is the target. We measure what we will re-measure — sit-to-stand, walk capacity, balance — so progress is visible on paper.

Strength & sarcopenia (SARC-F)

>12 s suggests lower-limb weakness in this population.

Walking & balance

≥12 s → falls precautions.

Pain

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 heat, family duties, dialysis fatigue and fear of "damaging the kidneys" is a plan that gets abandoned by week 3. We measure willingness and build a do-able entry point.

Current activity & habits

Diet and protein targets are prescribed by the renal dietitian / nephrologist — never by 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.