Stroke

Select Name Description Delete
Coordination act w/ use of weak hand to place, grasp, and release item on target by sequence in numbers.
GROOMING Tactile cues to encourage bilateral hand use during grooming activities
Intrinsic muscle exercises w/ rubber bands to increase grip strength. Pt instructed to perform finger flex/ext.
Patient successfully demonstrated the ability to dress independently using the one-handed technique. Showing improved progress from last session, requiring no physical assistance, only initial set-up. Pt expressed confidence in the ability to continue using the method at home.
PROM Shoulder abduction, shoulder flexion, shoulder internal rotation, shoulder horizontal abduction/adduction, elbow flexion, Forearm pronation/supination, wrist flex/ext, thumb opposition, hip flexors, hip extensor, hip external rotation, hip internal rotation.
Pt required supervision and minimal verbal prompts to ensure proper technique. Demonstrated adequate coordination and strength in (R) unaffected UE to dress (L) affected UE
Pt ed on one-handed dressing technique w/ demonstration and then step-by-step walk through implementation. Patient required increased time with threading (R) UE through shirt due to decreased coordination and strength. Required [mod] physical assistance to guide (L) *unaffected UE with dressing (R) *affected UE.
Pt required [moderate] physical assistance to guide (R) affected UE through shirt due to spasticity. Provided frequent verbal cues and tactile prompts to aid in one-handed dressing technique. Patient demonstrated improved technique but will need continued practice and supervision.
Training on One-Handed-Technique by stabilizing garments w/ unaffected hand while dressing opposite side hand. stabilizing toothbrush w/ weak-sided hand while squeezing toothpaste w/ strong side.

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