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Patient Goal (PG): no limitation in leisure and recreation
Short-Term Goal1 (STG1): Jump 10cm on one leg on the right side
Short-Term Goal2 (STG2): The ability to move in different environments
Long-Term Goal (LTG): Resumption of leisure activities
ICF Categories ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier ICF Qualifier Related to STG/LTG Related to STG/LTG Goal Value
0 0 1 1 1 2 2 3 3 4 4
b152 Emotional functions 0
b455 Exercise tolerance functions STG1 & STG2 STG1 & STG2 1
b730 Muscle power functions STG1&STG2 STG1&STG2 1
b740 Muscle endurance functions STG1& STG2 STG1& STG2 1
b760 Control of voluntary movement functions STG1& STG2 STG1& STG2 0
b770 Gait Pattern Functions STG2 STG2 1
S799 structure related to movement, unspecified STG2 STG2 0
d155 Acquiring skills LTG LTG 0
d160 Focusing attention 0
d161 Directing attention 0
d175 Solving problems 0
d2102 Undertaking a single task independently 0
d240 Handling stress and other psychological demands 0
d435 Moving objects with lower extremities LTG LTG 0
d446 Fine foot use LTG LTG 0
d 450 Walking STG2 STG2 1
d460 Moving around in different locations STG2 STG2 0
D571 Looking after my safety 0
d920 Recreation and leisure LTG LTG 1
Influence of Environmental Factors Facilitator Facilitator Facilitator Facilitator Facilitator Facilitator Facilitator Barrier Barrier Barrier Barrier
+ 4 + 3 + 2 + 1
0
0
1
2
3
3
4
4
e310 Immediate Family
e340 Personal care providers and personal assistants
Personal Factors(PF) Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors Influence of Personal Factors
Positive Positive Positive Neutral Neutral Neutral Neutral Negative Negative Negative Negative
Motivation
Communication skills