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    Da Soapier

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    This document summarizes a physical therapy session for a 4-year-old female patient with Spina Bifida. The patient participated in a 1-hour cheerleading session and showed awareness of her needs and capabilities. During the session, she used a wheelchair for mobility and required assistance with activities of daily living. Her upper extremities had full range of motion. In response to the intervention, the patient was able to participate more comfortably with peers but her upper extremities grew fatigued as the session progressed. The plan is for the patient to participate in more strength-building activities to make future cheers less tiring.

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    Da Soapier

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    api-355067189
    19 views2 pages
    This document summarizes a physical therapy session for a 4-year-old female patient with Spina Bifida. The patient participated in a 1-hour cheerleading session and showed awareness of her needs and capabilities. During the session, she used a wheelchair for mobility and required assistance with activities of daily living. Her upper extremities had full range of motion. In response to the intervention, the patient was able to participate more comfortably with peers but her upper extremities grew fatigued as the session progressed. The plan is for the patient to participate in more strength-building activities to make future cheers less tiring.

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    This document summarizes a physical therapy session for a 4-year-old female patient with Spina Bifida. The patient participated in a 1-hour cheerleading session and showed awareness of her needs and capabilities. During the session, she used a wheelchair for mobility and required assistance with activities of daily living. Her upper extremities had full range of motion. In response to the intervention, the patient was able to participate more comfortably with peers but her upper extremities grew fatigued as the session progressed. The plan is for the patient to participate in more strength-building activities to make future cheers less tiring.

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    © All Rights Reserved
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    19 views2 pages

    Da Soapier

    Uploaded by

    api-355067189
    This document summarizes a physical therapy session for a 4-year-old female patient with Spina Bifida. The patient participated in a 1-hour cheerleading session and showed awareness of her needs and capabilities. During the session, she used a wheelchair for mobility and required assistance with activities of daily living. Her upper extremities had full range of motion. In response to the intervention, the patient was able to participate more comfortably with peers but her upper extremities grew fatigued as the session progressed. The plan is for the patient to participate in more strength-building activities to make future cheers less tiring.

    Copyright:

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    of 2

    Practice SOAPIER Name:

    Masyn Upchurch

    Pt. is a 4 y/o female with Spina Bifida. Pt. engaged in a 1 hr. cheerleading session on

    10/25/2011.

    Subjective Data: Pt. showed awareness of needs, AEB asking guardian to dry their hair.

    Pt. also showed awareness of capabilities, AEB refusing help c shoes, stating, Ill do it!

    Objective Data: Pt. used w/c to amb & required Total Assistance to Mod I Assistance c

    ADLs. Pt. demonstrated little to no control over BLE but had FROM of BUE. Pt. appeared

    to be A&Ox3.

    Analysis: Pt. did not appear deterred by Spina Bifida-related difficulties. Pt. was able to

    communicate needs & have + social life through cheerleading. Pt. able to participate in

    activities c Total Assistance to Mod I Assistance from guardians & w/c.

    Plan: Pt. will participate in a cheer routine designed to engage UE & ability to move

    around on floor.

    Intervention Implemented: Pt. engaged in a 1 hr. TR session, participating in a cheer

    routine that engaged pt.s strengths & weaknesses.

    Evaluation of Response: Pt. responded + to intervention, able to participate more

    comfortably c peers but UE grew fatigued as session progressed.

    Revisions: Pt. will participate in more strength-building activities to make cheers less

    tiring.

    Print: _______________________________________ Sign: ________________________________


    Date: _______________________________________ Time: ________________________________

    w/c- Wheelchair

    ADLs- Activities of Daily Living

    BUE- Bilateral Upper Extremities

    FROM- Full Range of Motion

    BLE- Bilateral Lower Extremities

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