PHYSIO MONITORING TABLE FOR MDM LIM LEE

Please tick the exercise the client is doing in the day. Please give comment if any challenges faced
MINIMUM 6 EXERCISES EACH SESSION
C PROVIDER'S NAME: C PROVIDER'S NAME: C PROVIDER'S NAME:

NO DESCRIPTION DATE COMMENT DATE COMMENT DATE COMMNET

EXERCISE 1 LEG PEDAL

EXERCISE 2 STAND

EXERCISE 3 LIFT LEG

EXERCISE 4 THIGH SQUEEZE

EXERCISE 5 HOLD BALL & LIFT UP

EXERCISE 6 ANKLE MOVEMENT

EXERCISE 7 LIE DOWN, LIFT LEG

EXERCISE 8 USE TOWEL, LIFT LEG

EXERCISE 9 BUTTOCK LIFT UP

EXERCISE 10A HAND PEDAL

10B HAND STRETCH UP

10C HAND STRETCH TO SIDE

EXERCISE 11 THROW BALL

GENRAL FEEDBACK

CP TO SIGN: CP TO SIGN: CP TO SIGN: