Patient rehabilitation goal: play is not affected
Short-term Goals (STG) :
Jump 10cm on one leg on the right side;
2) The ability to move in different environments
Long-term goal (LTG) : Transnistria of leisure activities
|
Patient rehabilitation goal: play is not affected
Short-term Goals (STG) :
Jump 10cm on one leg on the right side;
2) The ability to move in different environments
Long-term goal (LTG) : Transnistria of leisure activities
|
Patient rehabilitation goal: play is not affected
Short-term Goals (STG) :
Jump 10cm on one leg on the right side;
2) The ability to move in different environments
Long-term goal (LTG) : Transnistria of leisure activities
|
Patient rehabilitation goal: play is not affected
Short-term Goals (STG) :
Jump 10cm on one leg on the right side;
2) The ability to move in different environments
Long-term goal (LTG) : Transnistria of leisure activities
|
Diagnosis: CMT4F type
|
Diagnosis: CMT4F type
|
Diagnosis: CMT4F type
|
Diagnosis: CMT4F type
|
|
|
The date of |
February 1, 2020 |
February 1, 2020 |
February 1, 2020 |
February 1, 2020 |
February 1, 2020 |
February 1, 2020 |
February 1,
2020 |
August 1, 2020 |
August 1, 2020 |
|
Examination |
Examination |
Examination |
Examination |
Examination |
Examination |
Intervention + Frequency |
Re-examination |
Re-examination |
ICF Categories
Intervention Target
|
The Need to Examine?
|
Test
|
Test Value
|
Test Value
|
Intervention Target, Related to STG/LTG Number?
|
Prognosis
(Only for Intervention Targets)
|
Physical Therapy Sessions Will Be Provided 1 or 2 Times Daily
|
Retest Value (Only for Intervention Targets)
|
Goal Achieved?
|
Body Functions |
Body Functions |
Body Functions |
Body Functions |
Body
Functions |
Body Functions |
Body Functions |
Body Functions |
Body
Functions |
Body Functions |
b7301 Power of muscles of one limb |
Yes |
GMFM-88 |
Hold on the right
foot for 3 seconds |
Hold on the right foot for 3 seconds |
STG1 |
Strength training might increase muscle power |
Strength training daily
in the community |
Hold on the right leg for 12 seconds |
Yes |
b770 Gait Pattern Functions
|
Yes
|
Observational Gait Analysis
|
Lack of arm swing
Unsteady walking
Large base of support
|
Lack of arm swing
Unsteady walking
Large base of support
|
STG1
|
Walking improvement
|
Gait training indoors and outdoors
|
With arm swing
Reasonable base of support
|
Yes
|
b7409 Muscle endurance functions, unspecified |
Yes |
Endurance test |
Six minutes walk test |
Six minutes walk test |
STG1/STG2 |
Muscle
endurance increased |
Water walking, endurance walking |
Walking 2km and
climbing 5 stairs has no muscle pain |
Yes |
b7602 Coordination of voluntary movement |
Yes |
Observation+GMFM-88 |
Kicking ball, skipping rope and other activities are not coordinated |
Kicking ball, skipping rope and other activities are not coordinated |
STG1 |
Coordination improved |
Coordination training |
Complete
activities such as playing football with high quality |
Yes |
Body Structure |
Body Structure |
Body Structure |
Body Structure |
Body
Structure |
Body Structure |
Body Structure |
Body Structure |
Body
Structure |
Body Structure |
s7709 Additional musculoskeletal structures related to movement,
unspecified |
Yes |
observation |
Alignment of lower extremities |
Alignment of lower extremities |
STG1 |
Good alignment |
Part practice |
Lower extremities running, jumping and other line lifting |
Yes |
Activities and Participation |
Activities and Participation |
Activities
and Participation |
Activities and Participation |
Activities and
Participation |
Activities and Participation |
Activities and
Participation |
Activities and Participation |
Activities and
Participation |
Activities and Participation |
d 4502 Walking on different surfaces |
Yes |
Observation |
Do not walk
freely on rough or soft ground |
Do not walk freely on rough or soft
ground |
STG1 |
Balance improvement |
Up and down the hill, walking on
the sponge |
Can walk on any road surface |
Yes |
d 4552 Running |
Yes |
GMFM-88 |
Do not run at a speed change or with
dual tasks |
Do not run at a speed change or with dual tasks |
STG2 |
Improving Running Ability |
Variable speed running, walking and running
combined training |
Variable speed running can be completed under
supervision |
Yes |
d 4553 Jumping |
Yes |
GMFM-88 |
Jump 10cm on both legs and 5cm on one
leg on the right side |
Jump 10cm on both legs and 5cm on one leg on the
right side |
STG1 |
Jumping ability improved |
Assist jumping trampoline |
Free jumping |
Yes |
Environmental Factors |
Influence |
Influence |
|
|
|
|
|
|
|
|
Positive |
Negative |
|
|
|
|
|
|
|
e310 Immediate Family |
Square root |
|
|
|
|
|
|
|
|
e340 Personal care providers and personal assistants |
Square root |
|
|
|
|
|
|
|
|
Personal Factors |
Influence |
Influence |
|
|
|
|
|
|
|
|
Positive |
Negative |
|
|
|
|
|
|
|
Motivation |
Square root |
|
|
|
|
|
|
|
|
Communication skills |
Square root |
|
|
|
|
|
|
|
|
Evaluation and Overall Prognosis |
The prognosis of the disease is
unknown, and it can only be judged that strength and exercise endurance
will be improved based on the existing few literatures |
The prognosis
of the disease is unknown, and it can only be judged that strength and
exercise endurance will be improved based on the existing few
literatures |
The prognosis of the disease is unknown, and it can only
be judged that strength and exercise endurance will be improved based on
the existing few literatures |
The prognosis of the disease is unknown,
and it can only be judged that strength and exercise endurance will be
improved based on the existing few literatures |
The prognosis of the
disease is unknown, and it can only be judged that strength and exercise
endurance will be improved based on the existing few literatures |
The
prognosis of the disease is unknown, and it can only be judged that
strength and exercise endurance will be improved based on the existing
few literatures |
The prognosis of the disease is unknown, and it can
only be judged that strength and exercise endurance will be improved
based on the existing few literatures |
The prognosis of the disease is
unknown, and it can only be judged that strength and exercise endurance
will be improved based on the existing few literatures |
The prognosis
of the disease is unknown, and it can only be judged that strength and
exercise endurance will be improved based on the existing few
literatures |
Discharge Plan |
Long-term follow-up is needed because of the rare
disease, which has not been reported |
Long-term follow-up is needed
because of the rare disease, which has not been reported |
Long-term
follow-up is needed because of the rare disease, which has not been
reported |
Long-term follow-up is needed because of the rare disease,
which has not been reported |
Long-term follow-up is needed because of
the rare disease, which has not been reported |
Long-term follow-up is
needed because of the rare disease, which has not been reported |
Long-term follow-up is needed because of the rare disease, which has not
been reported |
Long-term follow-up is needed because of the rare
disease, which has not been reported |
Long-term follow-up is needed
because of the rare disease, which has not been reported |
Other Notes |
|
|
|
|
|
|
|
|
|