Endorsement Notes: Cerebral Palsy, Spastic Quadriplegia

Respectfully endorsing Anna Dominique Milan, a 15 1/12 yr old female px who was diagnosed to haves S/P Craniotomy 2 to IV tumor. Px is passive 100% during tx session. Px needs tactile stimulation because usually sleeps during tx time. Px usually comes every MWF 9-10 am with her grandma.

Precaution: seizure due to loud noise and sudden change in position

The PT Mx were:

1. HMP on (B) shoulder x 15mins
2. US on (B) heel cords x 1 MHz x 1 w/cm2 x 5mins
3. GPS on (B)shoulder towards abduction and flexion x 30sh x reps
4. Inhibitory Techniques
1. Alternate knee to chest
2. Pelvic rotation
5. PROME on (B) UE/LE x 10 reps x 1 set, AP
6. NDT’s to improve head and trunk control
1. PTS x 10 reps x 1 set c max assist on (B) shoulders inc stimulation of neck flexors
2. Kneeling x 5mins c +1 max assist on (B) pelvis using stacked wedges
3. POE using pink wedge c jt. Compression on (B) shoulder x 5mins
4. Long sitting x 10 mins c (B) ahnds propped forward c PKS on (B) UE c jt. approcximation on (B) shoulders à GPS of trunk towards (L) x 30sh x 3 reps
7. Tilt table x 10 mins

Dominic S. Adolfo

PLM PT INTERN 2008

Rajawen Africa, PTRP

PT Staff – in Charge