Home Balance
| Select | Name | Description | Delete |
|---|---|---|---|
| Anterior | weigh shifts to improve safety with item retrieval overhead for ADL. | ||
| Balance | training w/ use of cones and rings to increase supported/unsupported sitting/ standing balance while shifting weight to promote fall prevention. Seated rest in between each stand. | ||
| Ball weaving | Dynamic sitting act to improve balance and UB ROM during toileting and LB ADLs. Act included forward and distal reach of weaving ball through BLE and reaching ball posteriorly. | ||
| Balloon tap | act to facilitate righting reactions to reduce fall risk and increase gross motor coordination/hand-eye coordination. | ||
| C | Pt participates in toileting task. Txf w/c toilet at min a. Doffs brief and pants at CGA. Increased time for toileting. Pt reports he did not get washed up this morning. Pt able to recall getting washed up due to event w/ looking for long sleeve shirt. Dep for peri care after voiding. Dep pulling up brief and pants due to limited ROM. Hand hygiene completed at w/c level. Tactile cue for trunk flexion to increase reach. Pt seated at EOB upon entrance. Reports not feeling too good, but agreeable to participate in therapy session. Txf training to increase safe fxnl txf. Ed on increasing height of bed for safe sit > stand 4WW. Pt trialed x2 at CGA. Agreeable to keep height of bed higher. Pt demos unsteadiness during stand 4WW. Txf 4WW <> w/c at CGA. Requests to txf to w/c for toileting task. Propels in and out of bathroom at SBA. Training on SPT EOB <> W/C x2 at CGA w/ cueing. Sit EOB > supine at SBA. Supine > sit at SBA. Gradually changes to min a due to over exertion. Able to roll to R side at CGA. Min a to roll L side. Mod TB w/ training on breathing techniques to reduce SOB. SPO reading at 97% on 2L oxygen. Pt sidelying in bed w/ assistance on positioning at end of session. | ||
| Completed dynamic | balance act to retrieve items from floor level safely. | ||
| DUAL TASK | Dual-Task Balance act to promote attention, coordination, and safety during fxnl tasks. Pt engages in a standing act while counting backwards. | ||
| Dynamic reaching act | w/ tband on walker/parallel bar to reach over and under external/visual cue to retrieve items to promote body mechanics, trunk rotation, and reaching in multiple directions. | ||
| Dynamic sitting act | w/ use of cone and rings to focus on trunk alignment and stability, crossing midline w/ modified PNF patterns, fxnl grasp retrieval and placement, initiation of movement, and problem-solving error correction. | ||
| Facilitation | of ROM, postural control/alignment techniques, and strength. | ||
| Facilitation in trunk control and strength | act w/ forward leaning, lateral reach, table-assisted trunk flexion, trunk rotation, and trunk extension. Seated bar battle act to challenge trunk stability. | ||
| FUNCTIONAL REACH | Seated/standing act to improve dynamic balance for fxnl act, weight shifting, and postural control to decrease fall risks. Requires verbal/tactile cues for controlled reach w/ facilitation of core and safe return to midline. Upgrade/downgrade w/ change of surface, target height, and distance. | ||
| Fxnl reaching | act sitting/standing to facilitate balance, weight shifting, UE ROM, fxnl reaching, act tolerance, and coordination. | ||
| Marching | act to improve LE coordination and balance for fxnl mobility to the dining room, bathroom, and dayroom. Tactile cues to increase knee height. VC for pacing. | ||
| Multi | -target reaching task to improve pt's core stability and reaction time for improved balance in dynamic tasks. Provided min VC for form and visual scanning. | ||
| Patient performed | multi-directional posterior wall taps with slider discs to simulate functional reaching tasks. Demonstrated improved trunk rotation and upright posture with minimal verbal and tactile cues to engage the core and maintain alignment.“ | ||
| Posterior pass back act | while seated at EOB/EOM to promote shoulder rotation, UE ROM, coordination, grasp, and trunk mobility. | ||
| posterior reach | Pt engaged in posterior reach activity while standing unsupported to facilitate balance, UE ROM, and posterior reach in preparation for self-care tasks. CGA provided for safety. | ||
| POSTERIOR RETRIEVAL | Pt engages in standing/seated posterior retrieval activity to promote posterior reach, dynamic standing balance, trunk rotation, and FM skills to increase participation in toileting tasks. | ||
| Posture training | w/ static sitting at EOB to promote postural alignment, trunk control, and body mechanics for fxnl tasks. | ||
| Pt | engages in unilateral standing and throwing activities to facilitate strength, coordination, balance, act tolerance, and ROM. Pt sit > stand 2WW at SBA. | ||
| Pt engages in | turning and reaching act to promote item retrieval for personal hygiene. | ||
| Pt participates | in dynamic balance act to safely retrieve items from floor level. | ||
| Pt participates in standing | balance act to increase endurance on ADLs and fxnl activities. | ||
| Reactive Balance Training | Pt performed multi-directional reaching and stepping outside BOS w/ visual target locating numbers on wall and tapping for dynamic stability. Increased time to scan and locate target. One LOB present. Pt locates 4/10 numbers correctly. | ||
| Romberg Stance | balance act w/ to promote standing balance and stability during fxnl task. Instructions for slow head rotation, neck flexion and extension, and eyes closed. Progressed to a half-tandem stance. VC to move head at same speed as eyes. VC to maintain upright posture. CGA due to LOB. | ||
| Seated unsupported | to facilitate trunk control, core strength, balance, lateral reaching, crossing midline, strength, coordination, and UE ROM. | ||
| Standing balance | and coordination act to facilitate trunk rotation, balance, coordination, strength, and standing balance. Progress adding steps. * pool noodle hockey | ||
| Static sitting balance | at EOB/EOM to increase trunk control and posture for fxnl tasks. Mirror provided for biofeedback for posture. Tactile and verbal cues to assist pt w/ strengthening and relearning midline in sitting posture. | ||
| Static standing | and alternating head turns for visual scanning to increase visual awareness of environment to decrease risk of falling. | ||
| Stepping backward | and rotating act to promote LB strength for controlled steps, trunk rotation for safe efficient turning, dynamic and weight shifting postural control, fxnl reach, and cognitive engagement by tracking card/ball. | ||
| Supported | standing act at parallel bar to increase standing tolerance and stability for fxnl tasks. Mirror provided for visual feedback to self correct posture. Pt sit > stand at ____. Pt achieves _____ on this date. Requires tb due to fatigue. | ||
| Supported standing | table top act to promote FM skills, standing tolerance, standing stability and ROM. Pt sit > stand at ____. Achieves ____ of supported standing on this date. Completes act seated. | ||
| Supported standing act | to promote functional reach, standing balance with trunk extension, and hand/wrist ROM and dexterity. | ||
| Supported standing activity | to increase awareness with visually scanning environment while maintaining balance to decrease fall risks and maximize safety. | ||
| Tactile cues | on hips to correct lateral tilt. | ||
| Towel slides at EOM | to promote sitting balance, UE ROM, and weight shifting for dressing and toileting task. Provided verbal cues to increase shoulder range of motion while sliding towel posterior. Provided tactile cues over hand to enhance body awareness during towel slide activity to increase independence with toileting task. | ||
| Trunk rotation act on mat | to focus on reaching across midline, UE ROM and coordination, and grasp for item retrieval. Promotes core strength, motor control, and sitting balance. | ||
| Unsupported sitting act | to facilitate sitting balance on shower seat/chair. | ||
| Unsupported standing act | to reduce fall risks w/ fxnl tasks. | ||
| Visual cues | w/ tape on wall to encourage eye-level gaze for posture correction. |
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