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PLAN WORKSHEET
Client initials: ASH Age: 45 Gender: male Therapist: Diala Darwish + Nour Ishaq

Metacarpal fracture in the right hand ( dominant) 3rd and 4th metacarpals / his job is a programmer
Injury date 10/Oct./2022 casted for 5 weeks first OT session 6/Dec./2022
List 2 specific problems that you observed: List new solution to address each problem:
1. Decreased ROM in fingers (grasp ROM) Joint mobilization (compression and stretching)

2. Grasp weakness in the affected hand Grasp strengthening exercises

(weak grasp and release)

Short-Term Occupational Therapy Goals:

1. Increase the hand ROM to improve his grasp abilities in Sunday’s session
2. The patient will engage in gradual increased intense strengthening activities in Sunday’s
session

45-minutes TREATMENT PLAN

Time Activity How to grade up How grade down
(#min)
15 min Warm up (joint compression and Increase repetitions Decrease
stretching to maximize the ROM) /duration/ intensity/end repetitions/duration/
range intensity/end range

5 min Stretching for his hands and Increase repetitions Decrease repetitions
shoulders

10 min Use resistance band to resist his Increase Decrease

finger flexion while using repetitions/hold at end repetitions/hold at end
unaffected hand for range range
stabilization(1min- 30 sec)for each
finger
10 min Try to pick up beads from Increase Decrease
theraputty (green one) using his 2- repetitions/beads repetitions/beads
3-4th fingers to dig and use depth/decrease beads depth/increase beads
opposition with different fingers to size size
pick up the beads

Q
F-AQAC-03.02.01
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F-AQAC-03.02.01