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HAND THERAPY PROGRESS NOTES

NameDateDiagnosis

SUBJECTIVE

Pain Same Better Worse Not Applicable

AROM Same Better Worse Not Applicable

Function Same Better Worse

Strength Same Better Worse Not Applicable

Objective

Pendulum Analysis

Pendulum Movement Small Circular Motion Large Circular Motion Small Vertical Motion Large Vertical Motion

Pendulum Positive Location Hand Wrist Elbow Neck Shoulder

Target Areas

Techniques Used Therapeutic Exercise Splinting Soft Tissue Mobilisation Joint Mobiloisation Sensory Decensitisation Muscle Strengthening Pressure Garments Biometrics E Link Scar Management Education Joint Protection Technqiues Energy Conservation Activity Analysis Postural Education Functional Training B3 Sciences Training CMMS Kinesio Taping Tuning Forks WRULD Program IASTM Spectrochrome Laser

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Modalities Used Vibration Infra Red Ultrasound Green Light Contrast Baths Coban None

Ultrasound Dosage

Acute Injury Pulse 1:4 Superficial: 3MHz Deep: 1MHz Intensity 0.1-0.3 W/cm2 1 minute / treatment head x pulse ratio: 3x2=6 minutes

Sub Acute Injury Pulse 1:4 Superficial: 3MHz Deep: 1MHzPulse Intensity: 0.2-0.5 W/cm2 1 minute / treatment head x pulse ratio: 3x2=6 minutes

Chronic Injury Pulse 1:2:1 continuous Superficial: 3MHz Deep: 1MHz Intensity: chronic: 0.3-0.8 W/cm2 1 minute / treatment head x pulse ratio: 3x2=6 minutes

Treatment NotesAnalysisGoals AchievedUpdate Goals

Pt gave consent to ongoing treatment, all modalities and techniques used and associated costs, once all the above benefits, risks and potential for no improvement or aggravated symptoms have been explained. Yes No

Robyn Midgley, Clinical Specialist, Hand Therapy

Centre of Advanced Medicine, Building C, Ground Floor, 13-17 Scott Street, Waverley, Johannesburg, 2090. Tel: +27 (0) 83 650 3022 E Mail: info@handconsultsa.com Website: www.handconsultsa.com Practice No: 6618537

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