S.O.A.P

Object

1.Neuromuscular Function

1)Range of Motion (PROM/AROM): Full ROM

2)Muscle strength- Manual Muscle Test

: normal

3)U/E FUNCTIONAL USE-뇌졸중상지기능검사(manual function test)

: (32점 만점 중 Rt,Lt 각각 20점)
상지의 운동과 장악력 영역에서는 정상 범위로 나왔으나 손가락 조작과 손가락 조작과 같은 민첩성이 떨어졌다.
3) hand function
· opposition : +/+
· grasp/ release : +/+
· grip strength : 28kg/26kg

4)spasticity: -

5)postural control balance

· sitting
-static: Good
-dynamic: Good

6)subluxation: -

7)Oral motor control

· gag/palate reflex: +
· jaw movement :+
· lip closing : +
· tongue movement: circumduction movment
· drooling: -
· swallowing reflex : +
Strength · ROM과 oral motor control, muscle strengthWeakness · grip strength가 떨어짐

2. sensory

· light to…(생략)

3. coordination