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Ref - No.-18 - 12 - 06 Date: 16. 12. 2018. Add.

This document summarizes a physiotherapy assessment and treatment plan. It records vital signs and evaluates muscle tone, motor control, and functional abilities through various tests. Core muscles are identified and their roles described. A treatment approach called FMATS is suggested, integrating NDT, PNF and MRP to address issues with axial stability, scapulohumeral function, hand and lower limb function. The treatment strategy involves positioning, soft tissue work, proprioceptive stimulation, and muscle reactivation techniques to improve function through assisted and dynamic practice of tasks. Advice is also provided.

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Somnath Ghoshal
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37 views2 pages

Ref - No.-18 - 12 - 06 Date: 16. 12. 2018. Add.

This document summarizes a physiotherapy assessment and treatment plan. It records vital signs and evaluates muscle tone, motor control, and functional abilities through various tests. Core muscles are identified and their roles described. A treatment approach called FMATS is suggested, integrating NDT, PNF and MRP to address issues with axial stability, scapulohumeral function, hand and lower limb function. The treatment strategy involves positioning, soft tissue work, proprioceptive stimulation, and muscle reactivation techniques to improve function through assisted and dynamic practice of tasks. Advice is also provided.

Uploaded by

Somnath Ghoshal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Ref.No.

- 18_12_06
Date: 16. 12. 2018. Add. –

C/O.

H/O.

O/E. BP –
MMSE –
Brunstrom’s Grading:
Muscle Tone (according to Modified Ashworth’s Scale):
Right Left
Upper Limb Proximal Gr – Gr –
Upper Limb Distal Gr – Gr –
Lower Limb Proximal Gr – Gr –
Lower Limb Distal Gr – Gr –

Motor Control :
Right Left
Upper Limb Proximal
Upper Limb Distal
Lower Limb Proximal
Lower Limb Distal
Trunk Upper
Trunk Lower

FUNCTIONAL ASSESSMENT
o Static observational
▪ Posture & Joint alignment
o Palpation & Examination
▪ Soft tissue integrity
▪ Tone
▪ Muscle length
o Dynamic Functional movement analysis
▪ Identifying the limitations
▪ Identifying the compensation
▪ Identifying the biomechanical deviations

Lateral Reaching
Forward Reaching
Reaching for Object on Floor – Forward
Reaching for Object on Floor – Lateral
Reaching for Object on Opposite side – Lateral
Reaching for Object on Same side – Lateral
Reaching for Object – Backwards

Major Core Muscles


•Transversus Abdominis (Corset like action)
• Multifidus (Stiffness & Stability of the Spinal column)
•Internal Obliques (Ipsilateral side flexion & rotation of trunk)
•External Obliques (Ipsilateral side flexion &contralateral rotation)
•Rectus Abdominis (Trunk flexion)
•Longissimus Thoracis (Extension & Lateral Flexion)
•Quadratus Lumborum (Lateral Flexion & Hip hiking)

Balancing reaction & Proprioception:

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2, Jessore Road(N), Sethpukur, Barasat (Opp. Barasat Head Post Office), Kol-124.
Timings: 9am – 11am & 6pm – 8pm (Except Sunday)
Physiotherapy suggested: FMATS approach (NDT + PNF + MRP integrated)

Axial Stability & Core Function


Scapulohumeral Function
Hand Complex Function
Femoropelvic Function
Ankle Knee Foot Complex Function

TREATMENT STRATEGY
1. Positioning & alignment.
2. Preparatory tissue elongation
3. Soft tissue manipulation
4. Proprioceptive stimulation
5. Muscle Reactivation Technique
6. Assisted tactile cuing method
7. Dynamic volitional method
8. Practice of task (with and without cuing)

Advice:

Somnath Ghoshal, PT
IAP Regn. No. – L-38644

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2, Jessore Road(N), Sethpukur, Barasat (Opp. Barasat Head Post Office), Kol-124.
Timings: 9am – 11am & 6pm – 8pm (Except Sunday)

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