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A- Outside the clinic
A) Outside door
The importance of History taking:
Grades (He can do –He can do with minimal assessment – He can do with maximum assistant- He can't do)
Respiratory and circulatory disorders.
A- Communication abilities
C- Arousal status: see the response
of the patient to any movement and
see if the arousal status is low or high.
a- Mobility stage
1) Rocking (body shift): Bushing from different directions, and from different positions or by lying on rocking plate .
2)Quadruped position raise one hand, then the other hand, raise one hand with opposite leg, raise one leg then another
Causes of disability of ADL:
ADL are assessed by:
*Questionnaire or Self
*Multi dimensional function:
it include physical examination
to detect if patient can
do ADL or not.
Ashworth Scale :
To perform this test, the part is moved through the joint range-of-motion (ROM).
Ashworth Score Criteria:
0 No increase in tone
1Slight increase in tone, giving a “catch” when the limb is moved in flexion or extension
2More marked increase in tone, but limb easily flexed
3 Considerable increase in tone; passive movement difficult
4 Limb rigid in flexion or extension
H- Reflex assessment: Assess superficial and deep reflexes (tendon reflex,, and babiniski sign).
A- Manual Test
Instrumentation used to assess coordination
Pivot turning mat
Side turning mat
1- Long term goals
A- Mobility stage:
1- Regular maintaining antispastic position.
2- Always use affected side together with the sound side to decrease the associated reactions.
3- Patient instructed to do movements in functional pattern.
4- Patient trained on defensive mechanism.