AAROM BLE EXERCISE Patient performed AAROM to knee, hips, and ankles in all planes for increased gross motor muscle facilitation. Patient also performed Isometric s resistance to hip flexors and abductors.
GENERAL AAROM – HYGIENE - In order to improve bed mobility and hygiene, patient was instructed through isometric and AAROM to B hip, knee, and ankle musculature for improved BLE strength and motor control. Patient required moderate verbal and visual cueing with tapping to agonist musculature in order to initiate and enhance contractions. Patients continues to present with BLE weakness and impaired motor control with more involvement to RLE.
GENERAL AAROM BLE - Patient was lead through resisted ankle pumps and AAROM to B hips, knees, and ankles via knee-to-chest, alt. hip ABD/ADD, SAQs, and heel slides in order to increase BLE strength and improve neuromuscular activity for improved functional mobility. Patient required moderate verbal and tactile cueing for enhanced contractions and performance of activities. More A is needed to L LE due to unilateral neglect; however, patient is demonstrating improved volitional contractions to L hip, knee, and ankle musculature.
GENERAL PROM -AAROM - Patient was progressed through PROM and AAROM to B hips, B knees, and L ankle to increase flexibility with emphasis on increasing B hip and knee ext ROM and L ankle DF and Ever. ROM for improved functional mobility and anatomical alignment. Patient responded well to maximal verbal cueing with calm tone and sustained pressure to antagonist musculature.
GENERAL AAROM + NEGLECT In order to gain functional strength needed for ADLs, patient was coached through AAROM exercises to B hip, knee, ankle joints for improved BLE strength and tolerance to activities. Patient required maximal facilitation with redirecting, tapping to agonsit musculature, and demonstration of task for improved motor control. Significant neglect and weakness was noted to right side.
AAROM FOR HYGIENE GROOMING DRESSING - In order to increase independence in ADLs for hygiene, grooming, and dressing, patient was coached through AAROM exercises to B hip, knee, and ankle joints for improved strength to anti-gravity musculature and tolerance to functional activities. Patient required frequent rest breaks and maximal verbal one-step instructions, demonstration of tasks, and tapping to agonist musculature for improved motor control and strength of contractions. Patient required close monitoring of exertion and vital signs for safe performance of exercises.