Group
1.MISS  NATCHA  RATANAGASET 5831803008
2.MISS  BENJAPORN  NGAMRATCHADA 5831803021
3.MISS  KAMONRAT  CHOKSATAPORN 5831803044
4.MISS  JITSUPA  PORNWISANUKUL 5831803048
5.MISS  PANATSAYA  KONGDEE 5831803055
6.MISS  SMITRA  DECHSAWATHIRAN 5831803059

Problem lists

1. Left sided body involvement and incoordination.
2. Frequency falling about 2 times per month.

3. Feeling tried constantly and had not enough energy to do housework.

Possible assessment

1. Coordination test
- Finger to nose 

- Finger to therapist’s finger

- Finger to finger

- Alternate nose to finger

- Finger opposition

- Mass grasp

- Pronation / supination

- Rebound test

- Tapping of hand and foot

- Pointing and past pointing

- Alternate heel to knee, heel to toe

- Toe to examiner’s finger

- Heel on shin

- Heel tapping test

- Drawing a circle

- Position holding

2. Functional balance assessment

3. Hand function assessment (e.g. lift the bottle to drink and writing)

 

1. Decrease falling rate by improving balance 
2. Improve hand function

3. Decrease feeling tried

1. The patient is able to sew again
2. The patient is able to square dance with her club

1. Balance training
2. Breathing control exercise

3. Position training by biofeedback (mirror)

4. Frankel’s exercise

1.  Modified Borg Scale assessment during any assessment or treatment
 (RPE more than 4, suddenly stop assessment or treatment)

2. Severe headache 

3. Drowsily

4. Nausea and vomiting

5. Convulsing

 

2. Miss Mintra  Tho-ngam

     ID5831803031

3. Mr.Saranyu  Plomin

     ID5831803036

4. Miss Supatra  Khanapan

     ID5831803039

5. Miss Jittraporn  Sripool

     ID5831803047

Problem lists

1. Poor ambulation[sitting to standing ,walking]

2. Poor self-care

3. Expressive aphasia with dysarthria

4. Behavior impair

1. Range of motion

2. Manual muscle test

3. Berg balance scale assessment

4. STREAM

5. Glasgow coma scale

1. Improve balance within 4 weeks

2. Improve ambulation within 6 weeks

3. Improve functional mobility within 8 weeks

1. The patients is able to walk with minimal/without assistance within  12 months

2. The patients is able to perform self-care independently within 12 months

1. Strengthening exercise

2. Balance training

3. Ambulation training[sitting to standing, walking]

4. Functional training

1. Fracture at jaw, left scapula, left radius, right ankle

2. Beware of falling

3. Difficult to understand

4. Behavior impair

5. Wound

- Not able to track to auditory or
 visual stimuli.
 - Patient does not respond to verbal command.
 - Patient does not able to vocalize,or make any attempt at communication.
 - Patient presents with decorticate posture.
 - Nonpurposeful movement in UEs and LEs bilaterally.
 - No active dorsiflexion.
 - Patient is dependent for all mobility.
 - Patient is not able to stand.
 
 Assessments
- Glasgow coma scale
- Balance
 - Passive movement test
 - Functional mobility
 
 Short term goals
- improve balance within 4-6 weeks
 - improve bed mobility within 4-6 weeks
 - improve ankle dorsiflexion within 4-6 weeks
 
 Long term goals
- Patient is able to walk with normal gait pattern.
 - patient is independent for bed mobility.
 - patient is able to stand.
 
 Treatments
- Balance training
 - Tilt table
 - Gait pattern
 - Train of functional mobility
 - Passive exercise
 
 Precaution
- lung infection
 - Intracranial pressure
 - Bedsore
 - Beware to transfer patient
 - Vital sign

 

1. Passive Exercise 

2. Balance and bed mobility training ( such as, weigh shifting, and supine to sit )

3. Tilt table

4. Posture managing technique

5. Sensory Stimuli ( always talking with patient )

1. Infections ( such as, pneumonia, and urinary tract infection)

2. Bed sore

3. Respiratory function complication (tracheotomy tube intact)
4. ICP
5. Tube placement during assessment and treatment