COLLES FX

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PT IMPRESSION:
Px is s/p ORIF of the (R) wrist d/t fully displaced Colles fx. Prolonged
immobilization caused the px to have mm atrophy and tightness of the (R) foream
and weakness of (R) finger flexors resulting to LOM and difficulty in doing activities
which involve grip such as eating, writing and painting.

REHAB POTENTIAL:
Px has a fair-good prognosis in improving condition d/t the ff reasons:
1.
2.
3.
4.
5.
6.

Px is a 30y/o male proffesional painter

Px is a non-cigarette smoker
Px is a non-alcoholic beverage drinker
Px is (-) on HTN and DM
Px is financially stable
Px is willing, motivated and cooperative to attend PT sessions to improve his
condition

PROBLEM LIST:
1. Deep localized nagging pain on R elbow
2. Dull aching pain on R FA
3. ROM on R wrist flexion and extension
4. ROM on radial and ulnar deviation on R wrist
5. (+) ms weakness on R wrist flexion
6. (+) ms weakness on R wrist extension
7. (+) ms weakness on R wrist radial deviation
8. (+) ms weakness on R wrist on ulnar deviation
9. (+) ms weakness on MCP flexion
10.(+) ms weakness on PIP flexion
11.(+) ms weakness on DIP flexion
12.(+) ms weakness on thumb IP flexion
13.(+) postural deviation
14.(+) gait deviation
15.(+) ms atrophy on R FA
16.(+) Gr1 tenderness on R FA
LTG:

In In 3mos duration, 4 tx session/wk

1. To prevent 2 complications such as
2. To maintain N cardiovascular condition,
3. To attain the highest functional capacity of the px as to performance in
ADL

STG:
In 1month duration, 4 tx session/wk
1.
2.
3.
4.
5.
6.

To pain on R elbow from PS 6/10 PS 3/10

To pain on R FA from PS 4/10 PS 2/10
ROM on R wrist flexion c increments of 10-15 in 9-12 tx sessions
ROM on R wrist extension c increments of 10-15 in 9-12 tx sessions
ROM on radial deviation on R wrist c increments of 2 in 9-12 tx sessions
ROM on ulnar deviation on R wrist c inrements of 10-15 in 9-12 tx
sessions
7. To ms strength on R wrist flexion from 2/5 4/5 in 9-12 tx sessions
8. To ms strength on R wrist extension from 2/5 4/5 in 9-12 tx sessions
9. To ms strength on R radial deviation from 2/5 4/5 in 9-12 tx sessions
10.To ms strength on R ulnar deviation from 2/5 4/5 in 9-12 tx sessions
11.To ms strength on R PIP flexion from 2/5 4/5 in 9-12 ts sessions
12.To ms strength on R DIP flexion from 2/5 4/5 in 9-12 ts sessions
13.To ms strength on R thumb IP flexion from 2/5 4/5 in 9-12 ts sessions
14.To demonstrate proper posture to gait analysis
15.To performance of ADL c minimal difficulty at home and at work
16.To tenderness on R FA