Beruflich Dokumente
Kultur Dokumente
session client required moderate verbal and tactile cueing to complete shoulder
flexion without compensation and improved to requiring only min assist which
shows progress towards LTG 2 of UE positioning. Client demonstrated
improvements with AROM of supination since the evaluation which is important in
achieving LTG 3. Client continues to demonstrate decreased strength of the R
UE and utilize compensatory movements. He will benefit from continued
occupational therapy for motor rehabilitation.
P: For next week. Describe all activities you plan to do.
Activity
1. Begin session with
preparatory work
including 10 minutes
of R UE weight
bearing while sitting
on the mat., AROM
and PROM of
shoulder external
roation, flexion and
extension, elbow
extension, wrist
extension,
supination,
pronation, ulnar and
radial deviation
2. Tennis ball on the
wall activity to focus
on shoulder flexion
without
compensation.
Set up/Equipment
Therapist and mat table
Rationale
Clients flexor tone
significantly decreases
with weight bearing.
Client requires stretching
prior to functional activity.
Tennis ball
wall
3. Cooking activity:
dipping pretzels.
Pretzels
Melting chocolate
Wax paper
Baking sheet
Bowel
Spoon
Sprinkles
PRN
4.Dishwashing activity:
Dishes and sink
focus on UE positioning
(dishes from cooking
starting proximal to distal, activity)
facilitation to prevent
compensation and
enhance normal
movement. Using R
hand to wash and L hand
as functional assist as
appropriate
5. Supination activity
using dominos. Having
the client use supination
to flip dominos while arm
is rested on the table to
prevent shoulder
compensation
Dominos, table
10-31-14
Date