documentation
what does the S in SOAP stand for
subjective
what tests are used to test dynamic balance?
-YBT
-4 square
-gait
talocrural resting position
10 degrees PF
glenohumeral resting position
55 abd, 30 horizontal add
semitendinosus PA, DA, I?
PA: ischial tuberosity
DA: pes anserine
I: Tibial (L5, S1)
what does the O and A in SOAP stand for?
objective and assessment
what tests are used for reactive balance?
push/release
perturbed sitting
knee resting position
25 degrees flex
humeroulnar resting position
70 flex, slight supination of forearm
Tibialis anterior PA, DA, A?
PA: Lateral condyle and superior lateral tibia, and interosseous membrane.
DA: Medial and inferior surfaces of medial cuneiform and base of 1st metatarsal.
A: Ankle dorsiflexion, foot inversion.
what is informed consent?
explain what you do and why and ask if that is ok
-ask if pt has questions
-pt needs to give obvious OK (verbal is best)
what are the 6 pillars in the framework of balance?
Balance constraints
Spatial oritentation
Sensory strats
Motor strats
Dynamic control
cognitive processing
what is capsular pattern for talocrual
PF> DF
glenohumeral capsular pattern
Soleus PA, DA, A, I?
PA: Head and superior surface of posterior fibula, soleal line and medial border of tibia, tendinous arch between bony attachments.
DA: Calcaneus via calcaneal tendon.
A: Ankle plantarflexion.
N: Tibial (S1, S2).
types of documentation
-eval
-visit note
-progress note
-discharge summary
what is the minibest test
-14 tests scored 0-2
-28 total points
-MCID- 4 pts
cutt off-
<18 (chronic stroke) fall risk
<20 (PD)
what is capsular pattern for hip?
flex, abd, IR (any order)
wrist resting and close packed position
rest= slight ext, slight ulnar deviation
close= full ext, radial deviation
capsular pattern= equal flex/ext, little restriction ulnar/deviation
biceps femoris short head OINA?
PA: Lateral lip of linea aspera, lateral supracondylar line.
DA: Head of fibula.
A: Knee flexion, tibial external rotation.
N: Common fibular (L5, S1).
what should be included in all notes?
-patient name and MRN
-your name + credintials
-date and time of service
-referral source
-clear and complete with no blank lines
-professional
what is the berg balance test
14 items scored 0-4= 56 total points
MCID= unknown
cut off score= celing effect
45/56= older fallers
what is hip open and close packed position
open= 30 flex, 30 abd, 20 ER
closed= ext, abd, IR
spine joint pattern
resting= flexion
close= extension
capsular pattern= extension most limited, SB and ROT equally limited
TFL OINA?
PA: ASIS and anterior part of iliac crest.
DA: Iliotibial band (ITB), which inserts on Gerdy’s tubercle on the lateral tibial condyle.
N: Superior gluteal n. (L5).
A: Abducts, internally rotates, and flexes hip. Can assist with knee flexion/extension (via its insertion into ITB).