Click-to-copy manual therapy documentation for PTs and PTAs in skilled nursing. Free, no login.
Prolonged static stretch was applied to bilateral hamstrings to increase ROM in knee joint. This was done in conjunction with SWD to increased flexibility of muscle and allow for greater ROM with ADLs.
In order to improve functional mobility via improved tissue extensibility, patient was progressed through myofascial release therapeutic massage and stretching to R gastroc/soleus. Patient responded to treatment well as indicated by improved weight acceptance and increase ankle DF during stance phase to RLE during ambulation.
Manual Tx: joint mobilization techniques, restoration of movement in edematous muscles, stretching of shortened connective tissue, facilitation of fluid exchange, manual lymphatic drainage, manipulation techniques, myofascial release and manual traction.
Manual joint approximation techniques and use of rhythmic oscillation to increase joint proprioception and reduce negative effects from lack of use.
Pt was provided manual STM to B glut muscles to relieve stiffness and improve tissue extensibility in order to decrease pain and tingling to distal end of B LE necessary to safely ambulate with decrease risk for falls.
Pt provided manual static stretch to improve B knee extension 3 sets x 1 min to improve elongation of hamstring muscles in order to allow for improved ROM and achieve equal weight distribution in supine.
Pt provided static stretch to improve knee extension and ankle DF in supine 3 sets x 1 min to improve tissue extensibility and ROM to allow for correct anatomical position during standing activities to decrease risk for falls.
Pt was provided STM to trunk extensors to decrease pain and improve postural alignment with standing activities in order to complete static standing activities with decrease risk for falls.
Pt was provided manual static stretch to hip adductors and knee flexors 3 sets x 30 sec and PNF Rhythmic rotation in supine position to improve tissue extensibility and relaxation necessary to provide comfort in supine position with improved repositioning strategies.
Pt was provided STM to B hamstring muscles to allow for tissue extensibility to improve terminal knee extension in order for pt to participate in bed mobility activities with proper sequencing.
Pt was provided manual stretch to hip adductors 30 sec x 3 sets in supine position to improve tissue extensibility necessary to provide stability when participating in sit to stand activities.
Pt was provided manual stretch to B hamstring muscles 30 sec x 3 sets in sitting position to improve tissue extensibility necessary to improve posture with terminal knee extension necessary to maintain balance with standing activities.
Pt was provided manual stretch to B hamstring and hip adductors 30 sec x 3 sets in sitting position to improve tissue extensibility to facilitate repositioning for comfort in supine activities.
Pt was provided manual stretch to B hip adductors, L quad, R hamstring and B gastroc muscles 30 sec x 3 sets in supine position to improve tissue extensibility in order to facilitate proper position in supine activities.
Therapist applied STM x 15 min x2 on B LE with application of massage cream to BLE hamstring quads and gastroc to increase pt muscle relaxation and increase pt tissue extensibility to promote LE extension and manage contracture progression. Cross friction techniques to increase tissue temperature and use of gentle mod over pressure to increase end ROM.
Therapist applied manual STM to lumbar region c application of biofreeze for pain management and increase pt tolerance to standing c proper posture.
Therapist provided manual LE Joint mobilization with mod over pressure to preserve L hip, knee and ankle mobility for reduced stiffness and increase pt LE proprioception with manual joint approximation strategies and rhythmic rotation to decrease LE tone and minimize guarding for ROM exercises.
STM and manual joint mobility to manage ROM and reduce stiffening of hip, knee and ankles from lack of mobility and increase pt recovery time with minimized joint stiffening from immobility.
Pt progressed in functional STM and manual stretches to gastroc, soleus, and hamstrings to improve ROM and reduce negative effects from prolonged immobility.
Pt was also provided with B hamstring static stretches for 5 mins and with min knee mobilization in order to improve arthrokinematics of tibiofemoral joint necessary for improving flexion/ext AROM for bed mobility and gait.
Pt was provided with PROM and AAROM to B LE utilizing functional PNF movement patterns/techniques through slow controlled movement with emphasis to constant muscle contraction as well as TrP to muscle groups that demonstrate increase spasm and induce autogenic inhibition. Manual static stretches at end ranges were provided today with varying intensity for improved pt tolerance.
To improve pt ability to perform hip SLR and LE positioning as a necessary skill for bed mobility and transfers, pt was provided with B LE PNF through diagonal functional movement pattern with emphasis to hamstring, hip ER, and calf end-range manual overpressure as static manual stretching.
Manual Tx: facilitation of fluid exchange, joint mobilization techniques, myofascial release, restoration of movement in edematous muscles and stretching of shortened connective tissue.
pt. was provided STM to B hamsting muslces to allow for tissue extensibility to improve terminal knee extension in order for pt. to participate in bed mobility activites with proper sequencing.
Patient received STM to B gastroc-soleus x --- min to reduce muscle guarding and improve DF ROM required for heel strike. DF improved from --- to --- degrees.
Patient received sustained low load stretch to R hip flexors x --- sec x --- reps in prone to address --- degree flexion contracture limiting terminal stance.
Patient received grade --- joint mobilization to L talocrural joint in posterior glide x --- min to restore DF accessory motion.
Patient received STM and trigger point release to B upper trapezius x --- min to reduce guarding contributing to forward head posture during RW ambulation.
Patient received contract-relax PNF to B hamstrings x --- reps to improve SLR from --- to --- degrees needed for bed mobility.
Patient received grade --- mobilization to R glenohumeral inferior glide x --- min to improve abduction limited to --- degrees.
Patient received manual lymphatic technique and retrograde massage to L LE x --- min to reduce edema; girth decreased from --- to --- cm at ---.
Patient received scar mobilization to --- incision x --- min in multiple directions to reduce adhesion restricting knee flexion.
Patient received STM to B quadratus lumborum x --- min followed by AROM to reduce guarding limiting rotation during rolling.
Patient received low load prolonged stretch to L knee flexors via wedge x --- min to address --- degree flexion contracture.
Patient received rhythmic oscillation to R shoulder x --- min to reduce tone prior to functional reaching activities.
Patient received joint approximation through B LE in standing x --- reps to increase proprioceptive input and improve stance stability.
Patient received STM to R piriformis x --- min to reduce referred pain reported at --- of 10 during sitting tolerance activities.
Patient received grade --- PA mobilization to lumbar spine L--- x --- min to improve extension needed for upright standing posture.
Patient received manual stretch to B pectoralis major x --- sec x --- reps to reduce protracted shoulder posture affecting RW management.
Patient received soft tissue work to B plantar fascia x --- min prior to standing to reduce first-step pain reported at --- of 10.
Patient received hold-relax to R hip adductors x --- reps to improve abduction ROM required for w/c positioning and hygiene.
Patient received STM to L tibialis anterior x --- min to reduce cramping reported during DF strengthening.
Patient received grade --- patellofemoral mobilization in medial and superior glides x --- min to improve knee extension lag.
Patient received manual scapular mobilization x --- min to restore upward rotation prior to overhead AAROM.
Patient received sustained cervical rotation stretch x --- sec x --- reps to improve head turning needed for visual scanning during gait.
Patient received STM to B hip abductors x --- min followed by side stepping to reduce guarding and improve lateral stability.
Patient received grade --- talocrural distraction x --- min followed by weight bearing DF stretch to consolidate gains.
Patient received manual edema mobilization to R hand x --- min; circumferential measurement decreased from --- to --- cm.
Patient received deep transverse friction massage to --- tendon x --- min to promote tissue remodeling; pain decreased from --- to --- of 10.
Patient received passive scapulothoracic gliding x --- min in sidelying to reduce shoulder pain limiting w/c propulsion.
Patient received STM to B paraspinals x --- min prior to bed mobility training to reduce guarding on rolling.
Patient received joint mobilization to R first MTP x --- min to restore extension required for push-off during terminal stance.
Patient received manual traction to lumbar spine x --- min to reduce radicular symptoms reported at --- of 10 into L LE.
Patient received STM and stretching to B heel cords x --- min with follow-up ProStretch to reinforce gains; DF now --- degrees B.