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OC TH 6520
Danielle Oberg
OC TH 6520
Mobility:
Describe any problems with ambulation, stairs, bed mobility, transfers..:
Client does have abnormal gait and at slower pace due to LLE weakness. Client
no longer uses an assistive walking device. Client reports increased time to use
stairs. Client reports no problems with bed mobility or transfers.
Upper Extremity ROM:
General description of problems with the upper extremity:
Client presents with increased flexor tone in LUE. Client compensates to
complete many movements (ex. Abducts shoulder to assist with elbow extension;
elevates shoulder to assist in shoulder flexion). Left hand has high tone and little
to no active movement.
Prior hand dominance: Right
Shoulder: Flexion
Extension
Abduction
ER
AROM - R
WNL
WNL
WNL
WNL
AROM - L
80
45
80
Need
measurement
Need
measurement
PROM - R
WNL
WNL
WNL
WNL
Need
measurement
Need
measurement
IR
WNL
Flexion
Extension
WNL
WNL
140
Forearm: Supination
Pronation
Wrist:
Flexion
WNL
WNL
WNL
NT*
NT*
Extension
WNL
NT*
WNL
Fingers: Flexion
Extension
Thumb: Flexion
WNL
WNL
WNL
NT*
NT*
NT*
WNL
WNL
WNL
90
0
NT*
WNL
Elbow:
Need
measurement
Need
measurement
Extension
WNL
*Not tested due to no active movement
WNL
PROM - L
110
50
90
WNL
WNL
140
15
WNL
WNL
WNL
WNL
WNL
Need
measurement
Need
measurement
Need
measurement
Danielle Oberg
OC TH 6520
Danielle Oberg
OC TH 6520
Set up/Equipment
Mat, self
Rationale
I would want to promote
stretch and mobilization
of the joints and muscles
in order to increase the
Danielle Oberg
OC TH 6520
3. Opening and
maintaining an open left
hand
Dishes, cupboards
5. HEP education
Pictures of exercises
10/08/14
Date