Home Neuromuscular

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	BED MOBILITY N POSITIONING	provided neuromuscular re-education in supine and sidelying to facilitate midline orientation, trunk activation, and LE alignment, improving motor control required for bed mobility and repositioning. Pt required mod verbal and tactile cues to reduce compensatory movements and improve body awareness and controlled rolling, increasing safety with self-care tasks in bed.
	BILATERAL COORDINATION N FXNL INTEGRATION	Neuromuscular re-education to improve bilateral UE coordination and timing during simulated dressing tasks. Pt demonstrated improved task efficiency with verbal cueing, supporting increased independence with UB dressing.
	BILATERAL INTEGRATION N COORDINATION	1. NMR utilized to improve bilateral UE coordination and motor sequencing during simulated dressing tasks, with verbal and tactile cues to support smooth, purposeful movement. 2. Pt engaged in coordinated bilateral activities to enhance timing, symmetry, and task efficiency during ADL performance.
	COGNITIVE MOTOR INTEGRATION	NMR incorporated with functional tasks to address attention, sequencing, and motor planning, improving task completion during ADLs. Pt required verbal cueing to initiate and sustain movement patterns, demonstrating need for skilled OT intervention.
	Coordination and Balance Training	act w/ eye hand-eye coordination exercises and balancing exercises to improve control.
	DAILY NOTE EXAMPLE	Skilled OT provided neuromuscular re-education in seated and standing positions to address impaired balance, postural control, and UE coordination impacting ADL performance. Pt required min-mod verbal and tactile cues to maintain midline and complete controlled movements, improving safety during dressing and toileting tasks
	Facilitation	in sit <> stand to improve dynamic balance and weight shifting.
	Fxnl task training	w/ breaking down tasks into manageable steps and practicing each task to improve fxnl independence.
	GAIT AND FXNL MOBILITY	1. Neuromuscular re-education during ambulation focused on step symmetry, foot placement, and postural alignment, with verbal and tactile cues to improve motor sequencing. 2. Pt engaged in pre-gait activities emphasizing weight shift and stance stability to improve fxnl mobility, safety and reduce fall risk.
	Neuro Re ed	Proprioceptive neuromuscular facilitation (PNF) or functional electrical stimulation (FES) to help retrain muscles and nerves to improve movement and muscle activation patterns.
	OT SEATED BALANCE	1. Neuromuscular re-education completed in seated position at EOB to improve trunk control, righting reactions, and dynamic balance needed for grooming and dressing tasks. 2. Facilitated graded reaching outside BOS with skilled cueing to promote proximal stability and controlled UE movement during functional tasks.
	Postural Control and Alignment	training to reduce load on weakened muscles and joints to improve function and reduce discomfort.
	PROGRESS EXAMPLE	Pt demonstrated improved postural control during seated neuromuscular re-education, requiring min verbal cues vs mod cues last session, supporting improved carryover to grooming tasks.
	PROGRESS EXAMPLE2	Pt demonstrated improved seated postural control during NMR, requiring min verbal cues vs mod cues previous session, with noted carryover to grooming tasks.
	Provided	neuromuscular re-education in supine and sidelying to facilitate trunk activation and midline orientation, improving motor control required for bed mobility and repositioning. 2. Pt engaged in guided rolling with tactile and verbal cues to reduce compensatory movements and improve body awareness and controlled movement for ADL participation.
	Provided Neuromuscular	re-education to improve motor control, coordination, postural stability, and functional movement patterns required for safe and independent ADL performance.
	ROM	PROM/AROM exercises to maintain/increase joint mobility and decrease/prevent further muscle tightness/joint stiffness.
	SAFETY AWARENESS	Neuromuscular re-education incorporated to improve postural responses and balance reactions, reducing fall risk during functional tasks. Pt required consistent cueing for safety awareness, indicating continued skilled OT need.
	SEATED BALANCE FOR ADLS eob WC	Neuromuscular re-education completed in seated position at EOB to improve trunk control, righting reactions, and dynamic balance required for dressing and grooming. Facilitated graded reaching outside BOS with skilled cueing to promote proximal stability and controlled UE movement, reducing risk of LOB during seated ADLs.
	SITTING BALANCE AND CORE CONTROL	1. Neuromuscular re-education completed in seated position at EOB to improve trunk control, postural reactions, and righting responses, required for safe ADL participation. 2. Pt engaged in dynamic seated balance activities with graded reaching outside BOS to improve proximal stability and coordination, with verbal and tactile cues for upright posture.
	STANDING BALANCE AND POSTURAL CONTROL	1. Neuromuscular re-education performed in standing to facilitate weight shifting, balance reactions, and LE motor control, improving safety during transfers. 2. Pt practiced controlled weight acceptance through affected LE with skilled facilitation to promote normalized gait mechanics and reduce reliance on UE support.
	STANDING BALANCE FOR FXNL TASKS	NMR performed in standing to improve weight shifting, postural alignment, and balance reactions required for clothing management and sink-side ADLs. Provided graded challenges with skilled cueing to facilitate controlled transitions and improved safety awareness during functional standing tasks.
	STANDING BALANCE N WEIGHT SHIFTING	Neuromuscular re-education performed in standing to address weight shifting, postural alignment, and balance reactions needed for clothing management and toileting. Pt required min-mod tactile cues to maintain upright posture and controlled transitions, demonstrating ongoing need for skilled OT intervention.
	Strengthening exercise	Facilitation in isometric/resistance exercises to promote muscle endurance and strength.
	Stretches	Facilitation in stretching in BUE to prevent contractures and improve flexibility.
	SUPINE BED MOBILITY	1. Neuromuscular re-education in supine, focusing on trunk activation and bilateral LE alignment through guided pelvic tilts and weight shifting to improve motor control required for bed mobility. 2. NMR provided to facilitate midline orientation and symmetrical LE positioning, with tactile cues to reduce abnormal tone and improve movement efficiency during rolling.
	TONE MANAGEMENT N ABNORMAL MOVEMENT PATTERNS	NMR utilized to inhibit abnormal tone and facilitate controlled, purposeful movement during functional activities. Provided skilled handling to promote normalized movement patterns and improve task initiation and follow-through.
	TONE MANAGEMENT OR MOTOR PLANNING	Neuromuscular re-education utilized to inhibit abnormal tone and facilitate controlled, purposeful UE movement during functional tasks. OT provided skilled facilitation to improve motor planning and initiation, increasing pt’s ability to engage in self-care with reduced assistance.
	UPPER EXTREMITY MOTOR CONTROL	1. NMR provided to R/L UE to address impaired coordination, proprioception, and motor planning, supporting functional reach, grasp, and release during self-care activities. 2. Pt completed patterned UE movements with tactile input to improve scapular stability and coordinated reach, reducing compensatory trunk movements during ADLs.
	UPPER EXTREMITY NEUROMUSCULAR CONTROL	1. NMR provided to R/L UE to improve scapular stability, coordinated reach, and motor planning, required for functional grasp and release during self-care tasks. 2. Pt completed guided UE movement patterns with tactile input to enhance proprioceptive awareness and coordination, minimizing compensatory trunk movements.

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