Treatments


Objective notes
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Bed positioning

Bed positioning

Bed positioning

Bed positioning, side-lying to prone. check patient is lying fully on their side

positioning lower limbs in bed

positioning lower limbs in bed

(text)

active rolling

active rolling

passive sitting

passive movement to limbs

(text)

movement facilitation

movement facilitation

(text)

(text)

lower limb functional strengthening

lower limb functional strengthening

lower limb functional strengthening

lower limb functional strengthening

(text)

(text)

(text)

lower limb sensory stimulation

lower limb stretches

upper limb passive range of movement

upper limb passive range of movement. 2: support range of movement; 3: if able, press against resistance

upper limb Passive Range of movement. if able, press against resistance

upper limb. sensory stimulation. take precaution with skin allergies and skin fragility – pressure sores)

upper limb. facilitate active movements

upper limb, scapula mobilisation. major precaution is needed to ensure correct support of the shoulder joint when mobilisiling. both left and right hand are used in conjunction to front and behind shoulder

upper limb, scapula mobilisation. pressure is brought downwards

upper limb, scapula mobilisation. and then upwards, under the scapula

upper limb ROM stretches. full flexion of shoulder. flexion of wrist and forearm

upper limb ROM stretches. elbow flexion. wrist flexion

upper limb ROM functional activities. place strong arm over weaker

upper limb ROM functional activities. stretch as far as possible. repeat with weak arm only

upper limb ROM functional activities. stretch in all directions

(text)

movement facilitation

movement facilitation

movement facilitation

weight bearing on arms

weight bearing on arms

mobilisation

upper limb mobilisation

upper limb functional activities

upper limb shoulder strengthening: exhale through mouth while shoulders pull arms down and back; nhale through nose as shoulders pull in and up

trunk, knee rolling

movement in sitting

movement in sitting

pelvic tilts

pelvic tilts

pelvic tilts

(text)

55 gluteal muscle strengthening

56 massage ball for trunk activity

57 lateral weight shift

58 lateral weight shift

lateral weight shift

assisting weight transfer from seated to standing

assisting weight transfer from seated to standing

assisting weight transfer from seated to standing

assisting weight transfer from seated to standing

assisting weight transfer and balance

assisting weight transfer and balance

sit to stand

sit to stand

sit to stand

sit to stand

sit to stand

weight transference in standing

weight transference in standing

weight transference in standing

weight transference in kneeling

weight transference in kneeling

assisting balance in seating

facilitating gait practice

facilitating gait practice

balance and weight transference for gait step practice

(text)

balance and gait step practice

assistance with balance for gait step practice

assistance with balance for gait practice

assistance with gait on stairs

assistance with gait on stairs

assistance with gait on stairs

using stairs for regular help to gait

using stairs for helping gait

exercises: use elastic band to pull muscles of affected arm

(text)

 

Right hemiplegia with increased tone

 

Home exercises

 

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Keep your Plan notes updated, once treatments are given!

 

 

Right hemiplegia with low tone

 

 

Left hemiplegia increased tone

 

Left Hemiplegia with low tone

 

Poor sitting balance

 

Reduced proprioception

 

Reduced sensation

 

Reduced range of movement

 

Shoulder subluxation

 

Shoulder pain

 

Elbow contracture

 

Wrist contracture

 

Hand flexion contracture

(Will need more graphics here for wrist splints)

 

Hip contracture

 

Knee contracture

 

Ankle contracture

(Will need graphic here with an ankle splint, in fact can use the one in SCI module)

 

Poor rolling ability

 

Poor pelvic tilting

 

A.O.1 Bed Transfers

(Will need to do new graphics here with patient being helping from bed, likely can take from SCI module but will have a look and see if appropriate)

(holding)

 

A.O.2 Bed Transfers

(Will need to do new graphics here with patient being helping from bed, likely can take from SCI module but will have a look and see if appropriate)

(holding)

 

A.O.1 Sit to stand

 

A.O.2 Sit to stand

(New graphics needed here, same as A.O.1 but with two therapists)

(holding)

 

Standing hoists

(Need new graphic with a hoist – will source as it will need to be a very basic one, and need one of a standing frame.)

 

Poor standing balance

 

Supervised mobility

 

Wheelchair for mobility

(Graphic here of a basic wheelchair, maybe can take from SCI)

 

Poor stepping ability

 

Right hemiplegia with increased tone (print-out version)

bed positioning...(3)

Bed positioning, side-lying to prone. check patient is lying fully on their side...(4)

positioning lower limbs in bed (5)

active rolling (7)

active rolling (8)

passive sitting (9)

passive movement to limbs (10)

movement facilitation (12)

movement facilitation (13)

lower limb functional strengthening (16)

lower limb functional strengthening (17)

lower limb stretches (24)

upper limb passive range of movement (25)

upper limb ROM stretches. full flexion of shoulder. flexion of wrist and forearm (33)

upper limb ROM stretches. elbow flexion. wrist flexion (34)

upper limb ROM functional activities. place strong arm over weaker (35)

upper limb ROM functional activities. stretch as far as possible. repeat with weak arm only (36)

upper limb ROM functional activities. stretch in all directions (37)

mobilisation (44)

movement in sitting (49)

movement in sitting (50)

pelvic tilts (51)

pelvic tilts (52)

pelvic tilts (53)

lateral weight shift (57)

lateral weight shift (58)

lateral weight shift (59)

assisting weight transfer from seated to standing (60)

assisting weight transfer from seated to standing (61)

assisting weight transfer from seated to standing (62)

assisting weight transfer from seated to standing (63)

assisting weight transfer and balance (64)

assisting weight transfer and balance (65)

sit to stand (66)

sit to stand (67)

sit to stand (68)

sit to stand (69)

sit to stand (70)

weight transference in standing (71)

weight transference in standing (72)

weight transference in standing (73)

weight transference in kneeling (74)

weight transference in standing (75)

assisting balance in seating (76)

facilitating gait practice (77)

facilitating gait practice (78)

balance and weight transference for gait step practice (79)

balance and gait step practice (81)

assistance with balance for gait step practice (82)

assistance with balance for gait step practice (83)

assistance with gait on stairs (84)

assistance with gait on stairs (85)

assistance with gait on stairs (86)

using stairs for regular help to gait (87)

using stairs for helping gait (88)