Stephanie Byrley, OTR
Evansville, IN 47715

Progress Report for Occupational Therapy
January 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 45-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 demonstrates approximately 125 degrees of active range of motion during play activities several times during therapy sessions. Crystal reaches overhead to put balls into a container and puts beads on over her head. Crystal's ability to weight bear has remained consistent and she is able to tolerate approximately 30 seconds to 1 minute with head support demonstrating improved stability/strength at the shoulders.

Objective #2: Crystal will demonstrate full active range of motion of all joints in both of her hands and wrists.
Progress: Crystal demonstrates full active range of motion for all joints of the hand with the exception of the ring finger on the left hand and with supination. Crystal is wearing a wrist/hand/finger orthosis on a trial basis to try and correct the flexion contracture of her 4th digit on the left hand. If Crystal tolerates this orthotic, we will request funding for bilateral hand splints to reduce the risk of soft tissue contractures.

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 on during to therapy sessions, however this activity is not consistent and she does not activate whistles. Crystal has not had as much coughing with secretions during the last two months possibly related to a new supplement she is trying. Crystal does not tolerate the breathing exercise of light holding to her rib cage during expiration.

Objective #2: Crystal will 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 have increased from 45 minute sessions to 60 minute sessions. Crystal tolerates the extra 15 minutes and is making good progress. This month Crystal moved into an apartment with her Mom and siblings. She is adjusting well and has a lot of toys to keep her active and learning.

Thank You,

Stephanie Byrley, OTR
Occupational Therapist Date

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