Click-to-copy active exercise documentation for PTs and PTAs in skilled nursing. Free, no login.
GENERAL BLE EXERCISE: Patient performed therapeutic resistance exercises, isotonic resistive exercises to hips and knees in all planes, and theraband resistive exercises for improved mobility task.
GENERAL AROM + TRANSFERS - Patient was coached through PROM and stretching to B hips, knees, ankles for improved flexibility and joint integrity. Patient was lead through AROM exercises via hip flex/ext/ABD/ADD, knee flex/ext, and ankle PF/DF in order to improve increase strength to BLE for increased independence in transfers. Patient was able to perform stand-pivot transfers bed to/from chair with max A.
GENERAL AROM - Patient was coached through AROM and isometric exercises to BLE hips, knees, and ankles to increase strength and improve motor control for improved functional mobility. Patient responded well to verbal and visual cueing and tapping technique to agonist musculature in order to initiate and enhance contractions in exercises.
GENERAL AROM KNEES LIMITED EX - Patient was lead through B AROM knee ext exercises and stretching to B hamstrings in order to increase B knee ext ROM and strengthen quads musculature for improved functional mobility in standing. Patient presented with increased tolerance to exercises; however continues with B knee ext ROM limitations that impair upright standing posture.
ISOMETRICS – Patient was coached through BLE strengthening exercises via isometric exercises to hips, knees, and ankles in all planes in order to improve strength, kinesthetic position sense, counteract muscle atrophy and joint health for improved functional mobility.
GENERAL BLE ISOMETRIC - Patient was coached through BLE strengthening exercises via AAROM and isometric exercises to hips, knees, and ankles in all planes in order to improve strength, kinesthetic position sense, and joint health for improved functional mobility. Patient required verbal and visual cueing with tapping technique to agonist musculature for enhanced contractions. Patient continues to present with decreased strength and motor control to BLE with more involvement to RLE with c/o numbness from the knee down.
GENERAL ISO + AROM - Patient was instructed through BLE strengthening exercises via isometric exercises and AROM to B hips, knees, and ankles in order to improve tolerance for functional mobility and counteract muscle atrophy. Patient tolerated treatment well with frequent rest breaks and required maximal verbal cueing to maintain attention to tasks.
GENERAL 3 EXERCISE + NUSTEP - Patient was lead through seated BLE strengthening exercises via marching, kicking, and ankle pumps in order to address muscle atrophy associated with immobility and increase tolerance to WB functional activities in ambulation, bed mobility, and transfers. Patient was coached through endurance exercise on NuStep in order to perform BLE reciprocal loading, increase tolerance to ADLs, and improve kinesthetic awareness. Patient required minimal verbal cueing for correct performance of exercises.
KNEE – TO – CHEST Patient was coached through supine ther ex. to B hip, knee, and ankle musculature for improved strength and tolerance to ADLs in bed mobility, transfers, and toileting. Patient was able to tolerate exercises well today and required min A with knee-to-chest exercises; all other exercises were performed with moderate verbal cueing for improved attention and performance of ex's and without need for manual A.
4-WAY EX - In order to improve functional mobility, patient was coached through BLE strengthening to glutes, iliopsoas, quads, hams, ant. tib, and gastroc/soleus via standing 4-way exercises and leg curls and sitting LAQs, knee bends, ankle DF/PF with manual resistance. Treatment focused on increasing BLE strength, BLE AROM, and functional activity tolerance. Patient required moderate verbal/visual/tactile cueing for safe and correct performance of exercises.
PRE-GAIT BLE: In order to progress tolerance to ambulation, patient was instructed through ther ex to BLE in elevated sitting via LAQs and knee lifts
HAMSTRING STRETCH: Patient received slow static stretching to BLE knee flexors for increased Knee extension ROM.
SIT-STAND Patient performed therapeutic exercises that were progressed to closed chain exercises, therapeutic exercises progressed from sitting to standing.
SUPINE - Patient progress through bilateral LE AROM of hip, knee and ankle, to improve the strength, coordination and tolerance to activity in LE allowing for improved performance of functional activities and gait.
SUPINE - In order to increase patient participation in daily activities, patient was coached through the following: supine exercises via SAQs and ankle pumps;
SEATED - Patient was progressed through seated bilateral LE AROM of hips, knee and ankles; to improve strength, tolerance to activity and coordination; allowing for improved performance of functional mobility and ADLs.
STANDING – Patient coached through therapeutic exercises for LE to facilitate independence in mobility tasks in standing. Patient given verbal --- tactile cues for proper form, posture and count. Patient tolerated standing exercises ---- requiring --- therapeutic rest breaks.
Mod STANDING - modified standing exercises on high mat via weight shifting f/b and side-to-side; and standing exercises via mini-squats.
STANDING TOLERANCE + ENDURANCE EX - Patient was coached through standing activity using RW for B UE A in order to increase tolerance to functional standing activities. Patient was able to tolerate standing position for 30 seconds before reporting symptoms of dizziness. Patient was coached through endurance exercise using Omnicycle in order to increase BLE strength and tolerance to ADLs. Patient required moderate verbal and tactile cueing to B quads in order to equalize loading of LEs. Patient was lead through balance exercise in sitting on an elevated mat for modified WB in order to improve dynamic postural control and progress tolerance to standing position. Patient performed a dual motor task while on elevated mat and was able to hold position without UE support on mat. Patient tolerated treatment well and would benefit from continued PT for improved tolerance to functional activities.
DYNAMIC STANDING ACTIVITIES + TRANSFERS - In order to improve balance, strength, and tolerance to ADLs, patient was instructed through sit-to-stands, reaching activities in sitting and standing, kicking ball in sitting with 3 lb ankle weights, marching in place, and resisted hip ABD using yellow T-band. Patient required one-step instructions and maximal visual cueing via mimicking desired movements in order to improve sequencing and attention to activities. Patient is demonstrating improved supine-to-sit and stand-pivot transfers with decreased need for manual A.
STATIC STANDING - static standing for increased BLE strength, tolerance to standing position, and proprioception via WB positions.
Pt performed B LE PROM hip flexion, knee flexion/extension and ankle DF/PF 3 sets x 10 reps in sitting position to build strength and hip stability with standing activities with decreased risk for falls.
Pt performed B AAROM hip flexion, knee flexion/extension and ankle DF/PF 3 sets x 10 reps in sitting position to build strength and stability needed when participating in functional mobility with decreased risk for falls.
Pt performed B AAROM hip flexion, knee flexion/extension and ankle DF/PF 3 sets x 10 reps in supine position to build strength and stability needed when participating in standing activities.
Pt performed B AROM hip flexion, knee flexion/extension and ankle DF/PF 3 sets x 10 reps with 1.5lb ankle weight in sitting position to increase tone to B LE to participate in functional mobility activities with decrease risk for falls.
Pt performed AROM hip flexion, knee extension and ankle DF/PF 3 sets x 10 reps in supine to assist with proper sequencing and foot placement with supine>sit activities to allow for patient to participate in EOB activities.
Pt performed B AAROM hip flexion, knee flexion/extension and ankle DF/PF 3 sets x 10 reps in supine position to improve muscular strength necessary to maintain balance with functional activities to reduce risk for falls.
Pt was able to participate with BLE strengthening exercises today to all planes possible in sitting utilizing manual resistance requiring continuous verbal cues and coaching for improved activity coordination. Emphasis to B quad exercises through knee extension and hip flexion was provided today for improved ability to reposition BLE in bed during bed mobility as well as advancement of unilateral LE during swing-through phase of gait to facilitate step-to gait pattern.
Bilateral Lower extremity therapeutic exercises focused on ankle DF, ankle PF, ankle eversion, ankle inversion, hip abduction, hip adduction and passive exercises 10 reps x 3 sets, without resistance and MAX physical assistance required due to compromised attention and strength to enhance muscle performance, enhance muscle strength, facilitate muscle recruitment, facilitate optimal joint excursion and facilitate optimal joint flexibility in order to promote ability to come to stance, enhance safety and control during dynamic movement, improve balance for safe functional mobility and promote maximum cardiopulmonary performance during functional mobility.
Pt guided in functional closed chain exercises for hip, knee and ankle in cardinal planes with 4 lb AW for added resistance and use of VCs for full muscle excursion and promote full joint mobility and preserve LE strength.
Pt was coached through seated exercises today for quadriceps, hamstrings, and gastrocnemius strengthening utilizing manual resistance necessary for standing tolerance and bed mobility activities.
Pt was provided with supine bed exercises today for hip flexion, hip abd, and knee flexion/ext, and ankle DF/PF.
Patient performed AAROM to knee, hips, and ankles in all planes for increased gross motor muscle facilitation. Patient also performed Isometrics resistance to hip flexors and abductors.
Pt performed B t-spine rotation 3 sets x 10 reps in sitting to improve biomechanics with spinal rotation to take part in rolling activities in bed to decrease risk for skin breakdown.
Pt required VC/TC for proper sequencing with body mechanics.
Pt was able to participate well today with upright standing exercises for static balance unsupported for 1 min without any support and any LOB noted, with improved ankle strategies and cervical stabilization.
Pt presented with behavioral this day required VCs to increase pt willingness to participate in skilled interventions. PT expressed decreased motivation and c/p pain to general whole body stating she just wanted to lay down. Therapist instructed in benefits of therapeutic activities and possible complications from not participating, pt agreed to in bed exercises this day.
Patient was progressed through PROM and stretching exercises to BLE in all planes with emphasis on increasing B knee ext ROM and R hip IR ROM for improved anatomical alignment and joint health. Effective handling techniques were identified for the development RNP and contracture management program as follows: calming, on-going verbal instructions and sustained pressure to antagonist musculature. Patient was lead through B knee ext/flex AAROM and repositioning in supine for improved self-repositioning and redistribution of pressure points in order to protect skin integrity.
Pt. performed B PROM hip flexion, knee flexion / extension and ankle DF/PF 3 sets x 10 reps in supine position necessary to improve strength and coordination necessary to allow for pt to participate in bed mobility activies with decrease risk for falls.
Pt. performed B AROM hip flexion, knee extension and ankle DF/PF 3 sets x 10 reps in sitting to build strength to B LE to in order to improve stability with standing activities to reduce risk for falls.
Pt. performed B AROM hip flexion, knee extension and ankle DF/PF 3 sets x 10 reps in sitting to build strength to B LE to participate in functional mobility activites with decrease risk for falls.
Pt. performed AROM hip flexion, knee extension and ankle DF/PF 3 sets x 10 reps in sitting to build strength necessary to support self during functioanl test using balance strategy.
Pt. performed B PROM hip flexion, knee flexion/extension and ankle DF/PF to improve muscular strength necessary to maintain balance with functioanl transfers from bed to w/c.
Pt. performed B PROM hip add, knee flexion, and ankle DF 3 sets x 10 reps in supine necessary to induce fatigue to targeted muscles to allow to tissue extensibility in order to facilitate positioning for comfort. no adverse effects noted.
Patient completed seated LAQ B knee extension --- x --- reps with --- lb cuff weights for quadriceps strengthening to support sit <> stand. VC for terminal knee extension hold x 3 sec; TC at distal quad to facilitate VMO recruitment.
Patient performed standing hip abduction B at RW --- x --- reps with --- lb ankle weights to improve frontal plane stability during gait. TC at lateral hip to cue gluteus medius; VC to prevent trunk lean.
Patient completed seated marching B x --- reps against green theraband for hip flexor endurance needed for step clearance. PT graded resistance from red to green this date; patient tolerated without c/o.
Patient performed NuStep L--- x --- min at resistance --- for LE strengthening and activity tolerance. HR remained --- and RPE --- of 10. Patient c/o --- and required --- standing rest breaks.
Patient completed sit <> stand from --- in w/c x --- reps without B UE support to progress toward 5x sit-to-stand goal of --- sec. VC for fwd trunk lean over BOS and equal LE loading.
Patient performed heel raises B at // bars --- x --- reps to strengthen gastroc-soleus for push-off during terminal stance. TC at calcaneus for full excursion; patient demonstrated --- fatigue by set ---.
Patient completed standing terminal knee extension with red theraband --- x --- reps for quadriceps control and to reduce knee buckling noted during stance phase. VC to avoid hyperextension.
Patient performed seated ankle DF/PF and inversion/eversion B x --- reps with red theraband to address --- DF ROM limiting heel strike. Patient required VC for full available excursion.
Patient completed bridging on mat x --- reps holding --- sec for gluteal and core activation to support bed mobility and scooting. TC at ASIS to cue neutral pelvis; VC to avoid breath holding.
Patient performed standing hip extension B at RW --- x --- reps with --- lb ankle weights to improve hip extension for terminal stance. VC to limit lumbar compensation.
Patient completed short arc quads B --- x --- reps over bolster with --- lb cuff weight to strengthen quadriceps in pain-free range post --- surgery. Patient reported --- of 10 pain during, resolved with rest.
Patient performed seated long arc quad with --- sec isometric hold at terminal extension x --- reps to improve quadriceps endurance needed for stair negotiation. TC for patellar tracking.
Patient completed standing mini squats to --- degrees at // bars x --- reps for closed chain quadriceps and gluteal strengthening. VC for knees behind toes and equal WB.
Patient performed clamshells in R/L SL x --- reps with red theraband for hip ER strengthening to reduce Trendelenburg pattern observed during gait. TC at greater trochanter.
Patient completed shoulder pulleys B flexion x --- min for UE ROM and endurance needed for RW management and self-care. Patient achieved --- degrees flexion without c/o.
Patient performed UBE forward --- min at level --- for BUE endurance and cardiopulmonary conditioning to support functional activity tolerance. RPE ---; no adverse response.
Patient completed therapy putty B grip x --- reps at --- resistance to improve grip strength required for safe AD management. Patient demonstrated --- lb grip on dynamometer.
Patient performed seated hip adduction with peanut ball squeeze x --- reps holding --- sec to activate adductors for pelvic stability during transfers. VC to avoid Valsalva.
Patient completed step-ups onto --- inch step at // bars x --- reps B LE to improve eccentric control for curb negotiation. TC at knee to prevent valgus collapse.
Patient performed standing hip flexion B at RW x --- reps with --- lb ankle weights to improve swing phase clearance and reduce toe drag noted L LE. VC for hip hike avoidance.
Patient completed prone/standing hamstring curls B x --- reps with --- lb ankle weights to balance quad:hamstring ratio for knee stability during stance.
Patient performed diagonal PNF D2 flexion B UE against manual resistance x --- reps to facilitate scapular upward rotation and trunk extension needed for upright posture.
Patient completed seated trunk rotation with --- lb med ball x --- reps to improve rotational control needed for bed mobility and reaching in sitting. VC for controlled eccentric return.
Patient performed standing calf and hamstring stretch on ProStretch --- sec x --- reps B to address --- degrees DF limitation restricting heel strike.
Patient completed seated resisted ankle DF with red theraband x --- reps to address foot drop L LE contributing to toe drag and elevated fall risk.
Patient performed standing weight shift with resisted step-out using green theraband x --- reps each LE for hip abductor endurance during single limb stance.
Patient completed supine straight leg raise B x --- reps with --- lb cuff weight for hip flexor and quadriceps strengthening while maintaining --- precautions.
Patient performed seated shoulder press with --- lb dumbbells x --- reps to build BUE strength required for stand pivot transfers and w/c propulsion.
Patient completed standing row with green theraband x --- reps to strengthen scapular retractors and improve upright posture noted to fatigue after --- ft ambulation.
Patient performed side stepping along // bars x --- laps with green theraband at ankles for hip abductor endurance and lateral stability. VC to maintain hip and knee flexion.
Pt was provided with LudoFit computer aided exercise: emphasis to fwd trunk lean, B UE reaching, marching in place, as well as eye-hand coordination for timing and neccessary for improved functional interactions within immediate environment.
Pt was coached with standing exercsies using 5lbs AW 3 x 10 reps for fwd and lateral lunges, as well as hip abd and marching in place without B UE support for improved synamic balance.
Pt was coached through Omnicycle B LE strength and endurance training at 20 RPM and 5 resistance. Note: changes in speed and distance from using Omnicycle was provided in order to improve PROM as well as AROM necessary for ADL participation
Patient was progressed through seated bilateral LE AROM of hips, knee and ankles; to improve strength, tolerance to activity and coordination; allowing for improved performance of functional mobility and ADLs 10 reps x 3 sets each exercise with tactile and verbal cueing from therapist for improved performance
Patient was progressed through seated bilateral LE AROM of hips, knee and ankles; to improve strength, tolerance to activity and coordination; allowing for improved performance of functional mobility and ADLs through LAQ, hip flexion/ext, hip abd/add, and ankle PF/DF with min manual resistance