Stephanie Byrley, OTR
Evansville, IN 47715

Progress Report for Occupational Therapy
February 2002

Client Name: Crystal Allbritton
Evansville, IN 47710

Date of Birth: 7-18-99

Parent: Brenda Brames

Physician: Neil Propst, M.D.

Service Coordinator: Terry Rizen

Treatment Order: Occupational therapy one time per week for 60-minute sessions.

Long Term Goal # 1: Crystal will demonstrate function range of motion and strength for play and self care tasks.

Objective #1: Crystal will demonstrate 160 degrees of active shoulder flexion
consistently to raise both arms above her head during play and self care.
Progress: Crystal participates in activities to increase active shoulder strength and stability to improve active shoulder flexion. Activities include weight bearing on elbows with head support and putting on necklaces, combing her hair, and putting objects into raised containers. Crystal demonstrates approximately 130 degrees of active shoulder flexion during most therapy sessions. She can maintain this position for approximately 30 seconds.

Objective #2: Crystal will demonstrate full active range of motion of all joints in both of her hands and wrists.
Progress: Crystal has been trailed with a wrist/hand/finger orthosis for the last month and a half. Her contracture in the left hand has been corrected. Recommend continuing with orthotic wear to prevent further contractures in both wrists/hands. Continues to lack supination bilaterally. Spoke with mom regarding splinting for the defecit, however this defecit has not affected Crystal's function so we will not try anything beyond the stretches we are already doing.

Long Term Goal #2: Crystal will maintain breath support to decrease respiratory illnesses.

Objective #1: Crystal will activate a whistle 2 times per therapy session.
Progress: Crystal blows bubbles and activates a whistle one time during the last month.

Objective #2: Crystal sing along to one verse of Itsy Bitsy Spider doing the hand motions to demonstrate increased aerobic and lung capacity.
Progress: Crystal does not attempt to sing when participating in musical games.

Rehabilitation Potential and Prognosis: Good for goals.

Comments: Therapy sessions are one time per week for 60 minutes. Crystal tolerates the sessions well. We will be having a team conference at the beginning of March to discuss Crystal's transition to the school corporation.
Thank You,

Stephanie Byrley, OTR
Occupational Therapist Date

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