Routine For: OT-Bed & Functional Mobility CG Education

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Lynne Stephens
5 years ago
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1 FUNCTIONAL - 7 Supine to Prone spine straight and abdominal muscles taut. Allow knees to bend. - Place one arm across abdomen and bend leg on same side.(a) - Tuck opposite arm closely against side of body. - Cue patient to begin rolling. - Use broad hand holds at shoulder and hip to assist patient. - Ensure crossed arm is in comfortable position, roll onto stomach.(b) - Position head, neck, and arms comfortably. Reverse procedure to return to supine. FUNCTIONAL - 8 Supine to Side-Lying Helper may place knee on bed to improve comfort. Keep spine straight and abdominal muscles taut. Allow knees to bend. - Grasp patient at shoulder and hip.(a) - Cue patient to roll toward helper. - Use arm muscles to assist patient in one smooth move.(b) - Before letting go, make sure patient is stable. Reverse procedure to return to supine. Variation: Bend knee before rolling to make motion easier. Page 1 of 4

2 FUNCTIONAL - 9 Side-Lying to Sit at Edge of Bed spine straight and abdominal muscles taut. - Move legs over edge of bed. - Helper reaches under shoulder and places other hand on hip.(a) - Cue patient to push up, using arms, as helper pivots patient up to sitting.(b) - Before letting go, make sure patient is stable.(c) FUNCTIONAL - 10 Side-Lying to Side-Sitting spine straight and abdominal muscles taut. - Patient lies on side with legs bent at hip and knee. - Helper reaches under shoulder and places other hand on hip.(a) - Cue patient to push up using one or both arms.(b) - Helper pivots patient up to side-sitting.(c) Page 2 of 4

3 FUNCTIONAL - 11 Side-Sitting to Quadruped spine straight and abdominal muscles taut. - Helper supports at shoulder as patient places hands on bed or mat, shoulder width apart.(a) - Cue patient to lift hips off mat, helper guides with hands or gait belt.(b) - Adjust knees to hip width and place hands for comfort and stability.(c) Reverse procedure to return to side-sitting. FUNCTIONAL - 12 Sitting to Standing Helper keeps feet apart for stability and hands on gait belt. Keep spine straight, knees bent, and abdominal muscles taut. - Slide seated patient forward, feet slightly apart and flat on floor.(a) - Cue patient to lean forward and push up using arms.(b) - Use gait belt to assist patient forward and up onto feet.(c) Page 3 of 4

4 FUNCTIONAL - 13 Standing to Sitting Helper keeps feet apart for stability and keeps hands on gait belt. Keep spine straight and abdominal muscles taut. - Patient stands with back of legs touching bed or chair. Helper holds gait belt.(a) - Cue patient to bend forward while reaching for bed or chair.(b) - Helper assists with support as patient performs SLOW, CONTROLLED lowering into seated position.(c) Page 4 of 4

5 CHART COPY Routine For: FUNCTIONAL - 7 Supine to Prone spine straight and abdominal muscles taut. Allow knees to bend. - Place one arm across abdomen and bend leg on same side.(a) - Tuck opposite arm closely against side of body. - Cue patient to begin rolling. - Use broad hand holds at shoulder and hip to assist patient. - Ensure crossed arm is in comfortable position, roll onto stomach.(b) - Position head, neck, and arms comfortably. Reverse procedure to return to supine. FUNCTIONAL - 8 Supine to Side-Lying Helper may place knee on bed to improve comfort. Keep spine straight and abdominal muscles taut. Allow knees to bend. - Grasp patient at shoulder and hip.(a) - Cue patient to roll toward helper. - Use arm muscles to assist patient in one smooth move.(b) - Before letting go, make sure patient is stable. Reverse procedure to return to supine. Variation: Bend knee before rolling to make motion easier. FUNCTIONAL - 9 Side-Lying to Sit at Edge of Bed spine straight and abdominal muscles taut. - Move legs over edge of bed. - Helper reaches under shoulder and places other hand on hip.(a) - Cue patient to push up, using arms, as helper pivots patient up to sitting.(b) - Before letting go, make sure patient is stable.(c) FUNCTIONAL - 10 Side-Lying to Side-Sitting FUNCTIONAL - 11 Side-Sitting to Quadruped FUNCTIONAL - 12 Sitting to Standing spine straight and abdominal muscles taut. - Patient lies on side with legs bent at hip and knee. - Helper reaches under shoulder and places other hand on hip.(a) - Cue patient to push up using one or both arms.(b) - Helper pivots patient up to side-sitting.(c) spine straight and abdominal muscles taut. - Helper supports at shoulder as patient places hands on bed or mat, shoulder width apart.(a) - Cue patient to lift hips off mat, helper guides with hands or gait belt.(b) - Adjust knees to hip width and place hands for comfort and stability.(c) Reverse procedure to return to side-sitting. Helper keeps feet apart for stability and hands on gait belt. Keep spine straight, knees bent, and abdominal muscles taut. - Slide seated patient forward, feet slightly apart and flat on floor.(a) - Cue patient to lean forward and push up using arms.(b) - Use gait belt to assist patient forward and up onto feet.(c) FUNCTIONAL - 13 Standing to Sitting Helper keeps feet apart for stability and keeps hands on gait belt. Keep spine straight and abdominal muscles taut. - Patient stands with back of legs touching bed or chair. Helper holds gait belt.(a) - Cue patient to bend forward while reaching for bed or chair.(b) - Helper assists with support as patient performs SLOW, CONTROLLED lowering into seated position.(c) COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 1 of 1

TRUNK - 2 Flexion: Stretch Low Back Extensors (Supine)

TRUNK - 2 Flexion: Stretch Low Back Extensors (Supine) Position Helper: Support legs with knees bent toward chest. - Helper presses legs toward abdomen. Hold seconds. Contract method: Resist seconds. (see