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Name:

Case :
Resident: GUN
Positive Findings Problem List ICF) Diagnose Planning
ROM PDx: :
- Neck : F PTx:
- Trunk : F - TENS. frequencies 50-
- Upper extremity : F/F 100 Hz, intensity as
- Lower Extremity : F/F patient tolerate, duration
MMT 15 minutes, 3x/week
- Neck : 5/5
- Trunk : 5/5 - Cryotherapy, starts from
- Upper extremity : 5/5 low flow increased as
- Lower Extremity : 5/5 patient tolerate, duration
3 minutes, 3x/week
CNS maturation:
Level spinal : flexor withdrawal (-), extensor - SWD, frequency 27,12
thrust (-) Hz, intensity as patient
Level brainstem : ATNR (-) tolerate, duration 15
Level midbrain : neck righting (+), optical righting minutes, 3x/week
acting on the head (+)
Level cortical : sitting (-) four foot kneeling (-) - USD, frequency 1MHz,
intensity 1,5 W/cm2 ; 5-
10 minutes, 2x/week
Spasticity (-)
- NMES ,intensity 70-85
pps, on-time 10-15
seconds, off-time 50
seconds – 2 minutes,
duration minimum 10
contraction, frequency
3x/week
Name:
Case :
Resident: GUN
Positive Findings Problem List ICF) Diagnose Planning
M D V D M
5 2 C5 2 5
5 2 C6 2 5
5 2 C7 2 5
5 2 C8 2 5
5 2 T1 2 5

M D V D M
5 2 L2 2 5
5 2 L3 2 5
5 2 L4 2 5
5 2 L5 2 5
5 2 S1 2 5

Special test of neck :


Lhermite (-) , Neck compression : (-) Neck
distraction (-)

Special test of Back :


SLR (-) Bragard (-) Sicard (-) Patrick (-) Contra
Patrick (-)

Special test of back :


SLR (-/-), bragard (-/-), sicard (-/-), Patrick (-/-),
contra Patrick (-/-)

Special test of knee :


Anterior drawer (-/-), posterior drawer (-/-), valgus
stress (-/-), varus stress (-/-), patellar tap (-/-)
NECK ROM MMT
Flexion F (0-450) 5
Extension F (0-450) 5
Lateral bending F/F (0-450) 5/5
Rotation F/F (0-600) 5/5
TRUNK ROM MMT
Flexion F (0-800) 5
Extension F (0-300) 5
Lateral bending F/F (0-350) 5/5
Rotation F/F (0-450) 5/5
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UPPER EXTREMITY

SHOULDER ROM MMT


Flexion F/F (0-1800) 5/5
Extension F/F (0-600) 5/5
Abduction F/F (0-1800) 5/5
Adduction F/F (0-450) 5/5
Internal F/F (0-700) 5/5
ELBOW ROM MMT
rotation
Flexion F/F (0-150 0) 5/5
External 0
F/F (0-90 ) 5/5
Extension
rotation F/F (1500-0) 5/5
Supination F/F (0-900) 5/5
Pronation 4 0)
F/F (0-90 5/5
WRIST ROM MMT
Flexion F/F(0-800) 5/5

Extension F/F(0-700) 5/5

Ulnar F/F(0-300) 5/5

deviation
Radial F/F(0-200) 5/5

deviation

THUMB ROM MMT

Flexion
MCP F/F(0-900) 5/5

IP F/F(0-800) 5/5

Extension F/F(0-300) 5/5

Abduction 5 0)
F/F(0-70 5/5

Adduction F/F(700-0) 5/5

Opposition F/F 5/5


FINGERS: 2nd ROM MMT
3rd 4th 5th
Finger
Flexion
2nd 4th F/F(0-900) 5/5

MCP 5th
3rd F/F(0-900) 5/5

PIP F/F (0-1000) 5/5

DIP F/F (0-900) 5/5

Extension F/F (0-300) 5/5

Abduction F/F (0-200) 5/5

Adduction F/F (200-0) 5/5

Opposition F/F 5/5


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LOWER EXTREMITY

HIP ROM MMT


Flexion F/F (0-1200) 5/5
Extension F/F (0-300) 5/5
Abduction F/F (0-450) 5/5
Adduction F/F (0-300) 5/5
Internal F/F (0-450) 5/5
rotation
External F/F (0-350) 5/5
rotation
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KNEE ROM MMT
Flexion F/F (0-1350) 5/5
Extension F/F (1350-0) 5/5

ANKLE ROM MMT


Dorsoflexion F/F (0-200) 5/5
Plantarflexio F/F (0-500) 5/5
n
Inversion F/F (0-350) 5/5
Eversion F/F (0-150) 5/5
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