Occupational therapy programs tables of content



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Posturing: +/- Decebrate_____________ Decorticate____________
IV MOTOR RESPONSE TO SENSORY STIMULATION___________________________________________

_____________________________________________________________________________________________

V VOCALIZATIONS/VERBALIZATIONS IN RESPONSE TO SENSORY STIMULATION_________________

_____________________________________________________________________________________________

VI UPPER EXTREMITY EVALUATION

AROM/PROM______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(CONTINUES)

Muscle Tone/Spasticity:

Date

Within Normal Limits

Flaccid

Mild

Moderate

Severe




R

L

R

L

R

L

R

L

R

L

Internal Rotators































Pectoralis































Biceps































Triceps































Forearm pronators































Wrist flexors































Finger flexors































Thumb flexors































Other
































VI COGNITION

Response to

Verbal Commands



No

Response

Consistent

Inconsistent


Comments


1. “Open your eyes”













2. “Stick out your tongue”













3. “Squeeze my hand”













4. “Hold up two fingers”













5. “Touch body parts”













6. States/recognizes name













7. Nods head appropriately in response to questions













8. Initiates automatic tasks

with cues















9. Initiates automatic tasks

without cues















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