Bez notes Flashcards
pta mark poslednie notes
explanation of ex
Bilateral lower extremity therapeutic exercise focused on Active assist exercises, hip abduction, knees bent, hip extension, hip flexion, knee extension, knee flexion, quad sets, active exercise, ankle dorsiflexion, ankle plantar flexion and ankle pumps , seated, 10 reps, 3 set(s), with light resistance band and moderate / 75% visual demonstration and moderate / 75% tactile cues/facilitation and moderate / 75% verbal instruction and moderate / 75% physical assistance without visual, verbal, tactile or physical assistance to enhance muscle strength, enhance muscle performance and facilitate muscle coordination in order to enhance safety and control during dynamic movement and improve ability to ambulate with physical assistance.
weight shift anterior, weight shift lateral and weight shift posterior , dynamic balance activities in sitting reaching foward for objects in sitting, supported, 10 reps, 3 sets without resistance and substantial / 75% visual demonstration and substantial / 75% verbal instruction and substantial / 75% tactile cues / facilitation and moderate / 50% physical assistance without visual, verbal, tactile or physical assistance in order to facilitate dynamic balance.
Skilled interventions focused on dynamic balance activities during sitting, initiation cues to facilitate skill performance, lifting/carrying to increase functional task performance, transfer training to increase functional task performance and range of motion techniques to increase functional task performance 3 reps, 3 set(s), and substantial / 100% visual demonstration and consistent / 100% verbal instruction and consistent / 100% tactile cues / facilitation and consistent / 100% physical assistance without visual, verbal, tactile or physical assistance.
therx
Rolling,and supine sit with head of bed elevated 90 degrees, with Max verbal cues, and tactile cues,and use of bedrails for safety to prevent skin break down, to be able to move around in bed, to reduce falls, to improve transfers, to reduce assistance from Caregivers, to improve safety and to improve functional ability.
AROM,, open Ekinetic chain exercises,, closed kinetic chain exercises, and L passive stretching, in sitting hip abd.,, hip add.,, knee flexion,, knee extension, ankle DF,, ankle PF, and trunk flexion/trunk extension, in standing marching and mini squats 10 reps, 3 sets, with 3lb ankle weights and riding the SCIFIT bike to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation, to improve coordination.
AAROM,, open kinetic chain exercises,, closed kinetic chain exercises, supine and BLE,, hip flexion,, hip extension,, hip abd.,, hip add.,, knee flexion,, knee extension,, quad sets ankle DF,, ankle PF, 10 reps, 3 sets, with out resistance from weights to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation, to improve coordination
Riding the SCIFIT bike for 15 min to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation, to improve coordination.
AROM,, open kinetic chain exercises,, closed kinetic chain exercises, supine and BLE,, SLR, hip extension,, hip abd.,, hip add.,, heel slide,,, quad sets, short arc quads, ankle DF,, ankle PF, 10 reps, 3 sets, with out resistance from weights to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation, to improve coordination
AAROM,, open kinetic chain exercises,, closed kinetic chain exercises, sitting in w/c SLR,, hip extension,, hip abd.,, hip add with small ball., heel slide, short arc quads, knee extension,, quad set, ankle DF,, ankle PF, 10 reps, 3 sets, with out resistance from weights and with frequent rest breaks to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation, to improve coordination
AROM,, open kinetic chain exercises,, closed kinetic chain exercises, in sitting hip abd.,, hip add.,, knee flexion,, knee extension, ankle DF,, ankle PF, and trunk flexion/trunk extension, in standing marching 10 reps, 3 sets, with green elastic band and riding the mini leg cycle to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation, to improve coordination.
AROM,, open kinetic chain exercises, and closed kinetic chain exercises, BLE,, sitting,, hip flexion,, hip extension,, hip abd.,, hip add.,, knee flexion,, knee extension,, ankle DF,, ankle PF, and trunk, 10 reps, 3 sets, 4.0 pound weight to increase strength, to increase ROM, to improve functional transfers and to improve coordination.
gait
Resident ambulated in room using SPC with Mod (A) negotiating furniture to improve gait pattern, to correct hand/foot placement, to correct sequencing of gait with AD, to increase safety and to safely maneuver around obstacles.
Gait Training: even surfaces, 50 feet, using RW, with Max(A), and verbal cues, and tactile cues, 2 reps, to improve gait pattern, to improve heel strike, to increase step length, to reduce shuffling, to correct sequencing of gait with AD, to correct hand/foot placement, to increase safety, to safely maneuver around obstacles and to adjust speed during gait , to address current gait deviations:
Gait Training: even surfaces, 30 feet, using hemi walker, with Mod(A), and verbal cues, and tactile cues, 2 reps, to improve gait pattern, to correct hand/foot placement, to correct sequencing of gait with AD, to increase safety and to safely maneuver around obstacles , to address current gait deviations:..
bed mob
supine to sit and scooting at the edge of the bed with with ModA and verbal cues, and tactile cues, no assistive device to prevent skin break down, to be able to get in and out of bed, to reduce falls, to reduce assistance from Caregivers, to improve functional ability, to improve safety and to improve transfers.
supine to sit, Sit to supine scooting up and down in bed, bridging with ModA and verbal cues, and tactile cues, no assistive device to prevent skin break down, to be able to get in and out of bed, to reduce falls, to reduce assistance from Caregivers, to improve functional ability, to improve safety and to improve transfers.
Rolling, bridging,supinesit, Min/Mod(A), and verbal cues, and tactile cues, no assistive device to prevent skin break down, to be able to move around in bed, to reduce falls, to improve transfers, to reduce assistance from Caregivers, to improve safety and to improve functional ability.
variotions of bed moblity
Scooting up or down Scooting sideways Rolling over Twisting and reaching Lifting your hips (as in bridging) Moving from sitting to lying down in bed Moving from lying down to sitting up in bed
Improving Bed Mob
Quadriceps Hamstrings Gluteus muscles of your hips Calf muscles rotator cuff Triceps and biceps
exercises Glute sets Straight leg raises Bridges Short arc quads Ankle pumps Lower trunk rotation Upper extremity exercises https://www.verywellhealth.com/exercises-for-healthy-hips-2696613
transfers
W/Cbed, and scooting to the right and to the left at the edge of the bed ,with Mod(A) and verbal cues, and tactile cues, rolling walker to prevent skin break down, to improve functional ability, to improve safety, to reduce assistance from Caregivers, to reduce falls, to improve transfers, to be able to get in and out of bed and to be able to move around in bed.
sitstand, Mod(A), and verbal cues, and tactile cues, rolling walker to prevent skin break down, to improve transfers, to increase weight bearing and to improve safety.
Repeated sitstand Min/Mod(A), and verbal cues, and tactile cues, using rolling walker to prevent skin break down, to improve transfers, to increase weight bearing and to improve safet
balance
static standing balance,, dynamic standing balance,, challenging balance within base of support, and righting reactions, standing on static surface, navigating obstacles, side stepping ambulation and single leg standing in to improve safety, to improve balance and coordination and to improve functional mobility.
static standing balance,, dynamic standing balance,, challenging balance within base of support, and challenging balance outside base of support, rolling walker, single leg standing, throwing and catching activities in various directions to improve balance and coordination, to improve functional mobility and to improve limits of stability.
dynamic sitting balance,, static sitting balance,, throwing and catching activities in sitting, static standing balance,, dynamic standing balance, in RW challenging balance within base of support, and postural control/alignment, supported standing, postural correction to improve balance and coordination, to improve safety, to improve functional mobility and to improve midline control.
static standing balance,, dynamic standing balance,, postural control/alignment, and challenging balance within base of support, supported standing, single leg standing and standing on static surface stepping on color floor markers in various directions to improve safety, to improve balance and coordination and to improve functional mobility, to improve proptioception.
static standing balance,, dynamic standing balance, and challenging balance within base of support, rolling walker, placing and retrieving objects within BOS, placing and retrieving objects outside the BOS, reach forward for objects, reach laterally for objects, reach diagonally for objects, ankle strategies and to improve balance and coordination, to improve functional mobility, to improve safety and reduce fall risk and to improve limits of stability.
static standing balance,, dynamic standing balance, and challenging balance within base of support, rolling walker, placing and retrieving objects within BOS, placing and retrieving objects outside the BOS and single leg standing and throwing and catching activities in different directions to improve balance and coordination, to improve safety and to improve functional mobility.
Static standing balance,, dynamic standing balance,, challenging balance within base of support, and righting reactions, standing on static surface, , side stepping ambulation, single leg standing, stepping on color floor markers, forward stepping on slant board, to improve safety, to improve balance and coordination and to improve functional mobility.
dynamic sitting balance,, static sitting balance,, static standing balance, supported standing, while holding onto // bars. Patient was able to tolerate standing for 2min and 2 trials for 60 seconds. to improve balance and coordination, to improve safety, to improve functional mobility and to improve midline controll
neuro
AROM,, open kinetic chain exercises,, closed kinetic chain exercises, and proprioceptive neuromuscular facilitation (PNF) exercises, BLE,, trunk,, sitting, in w/c hip flexion,, hip extension,, hip abd.,, hip add.,, knee flexion,, knee extension,, ankle DF, and ankle PF, 10 reps, 3 sets, with 2lb ankle weight to increase strength, to improve bed mobility, to improve transfers, to improve gait/ambulation and to improve coordination
contracture
Bilateral lower extremity therapeutic exercise focused on passive exercise, calf stretch, gastroc stretch and hamstring stretch , supine, 10 reps, 3 set(s),and PROM to BL LE hip abd,hip add, SLR, ankle pumps without resistance required due to compromised ROM to optimize joint mobility and facilitate optimal joint flexibility in order to prevent contracture.
patient tolerated R knee extension for 2 hrs w/o signs of discomfort or redness
pt was able to tolerate wearing BL knee brace for 30 min. no signs of skin irritation or redness
Instructed patient and primary caregivers in positioning/pressure relieving techniques and safety precautions specifically, in order to increase safety and decrease need for assistance with partial carryover demonstrated during training, due to safety awareness.
Passive participation during treatment
cognitive impairment.
Bilateral lower extremity therapeutic exercise focused on hip abduction, hip adduction knees bent, hip extension, hip flexion, knee extension, knee flexion, quad sets, active exercise on R with light resistance and active assist exercise on left seated, 10 reps, 3 set(s), with light resistance band and moderate / 50% visual demonstration and moderate / 50% tactile cues/facilitation and moderate / 50% verbal instruction and moderate / 50% physical assistance without visual, verbal, tactile or physical assistance to enhance muscle strength, enhance muscle performance and facilitate muscle coordination in order to enhance safety and control during dynamic movement and improve ability to ambulate with physical assistance.
Bilateral lower extremity therapeutic exercise focused on hip abduction, knees bent, hip extension, hip flexion, knee extension, knee flexion, quad sets, active exercise, and ankle pumps , seated, 10 reps, 3 set(s), with light resistance band and moderate / 50% visual demonstration and moderate / 50% tactile cues/facilitation and moderate / 50% verbal instruction and moderate / 50% physical assistance without visual, verbal, tactile or physical assistance to enhance muscle strength, enhance muscle performance and facilitate muscle coordination in order to enhance safety and control during dynamic movement and improve ability to ambulate with physical assistance.
balloon tap, lateral reach and single leg stance , in standing, supported, 10 reps, 3 sets without resistance and moderate / 50% visual demonstration and moderate / 50% verbal instruction and moderate / 50% tactile cues / facilitation and moderate / 50% physical assistance without visual, verbal, tactile or physical assistance in order to facilitate dynamic balance, facilitate static balance and provide corrective assistance for loss of balance.
Therapeutic Activities: Transfer training to increase functional task performance and strengthening activities to increase functional task performance.
Instructed patient and primary caregivers in energy conservation techniques, proper body mechanics and safety precautions specifically, in order to increase safety and decrease need for assistance with 100% return demonstration provided during session.
actively participates with skilled interventions, compliant with trained techniques and compliant with skilled interventions.
Weight bearing restrictions.
splint
Bilateral lower extremity therapeutic exercise focused on passive exercise, calf stretch, gastroc stretch and hamstring stretch , supine, 10 reps, 3 set(s),and PROM to BL LE hip abd,hip add, SLR, ankle pumps without resistance required due to compromised ROM to optimize joint moblity and facilitate optimal joint flexiblity in order to prevent contracture.
patient tolerated R knee extension for 2 hrs w/o signs of discomfort or redness
Instructed patient and primary caregivers in energy conservatio
During bed mobility training resident requires longer time to complete task secondary to c/o pain in R leg and scrotum. Resident exhibit difficulty lifting R leg and decrease UB and LB muscle strength
During transfer training resident requires Mod(A) secondary to c/o pain and discomfort in scrotum.
