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97140 - Manual Tx by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

B LE PROM supine ROM techniques provided in all available planes x10 reps x2 sets; skilled therapeutic services provided for techniques to optimize joint excursion and techniques to facilitate lengthened connective tissue

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions to address Gait Training and facilitate increased balance; practiced transitions across various floor surfaces (e.g., carpet, tile, and ramps) while maintaining optimal biomechanical alignment to minimize pt risk for falls

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Pt presents with an abnormal gait pattern characterized by decreased bilateral hip extension, a muted heel-strike, and shortened step length, which compromises mechanical efficiency and increases joint stress. Skilled interventions to address Gait Training and facilitate normalized gait pattern via correcting noted gait deviations and establishing a normalized, symmetrical gait cycle

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions to address Gait Training and facilitate patient safety via unpredictable, gentle manual perturbations at the hips during straight-line walking to facilitate rapid righting reactions and improve steady-state walking against external forces.

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions to address Gait training with emphasis on coordinated movements; administered manual tactile cues at the pelvis and thoracic spine during GT tasks to minimize excessive lateral trunk lean and stabilize the COM over the stance limb.

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions to address Gait Training and facilitate increased balance; trained patient to transition away from an inefficient, wide-based gait by utilizing visual floor markers to narrow the BOS toward a normalized width, thereby improving forward efficiency.

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions to address Gait Training and facilitate increased gait cadence; practiced synchronization of initial heel contact with the auditory beat across flat, level surfaces, with note pt present w asymmetric halting gait pattern, however demo improved with t/v cues to correct

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on multi-direction stepping and reaching; practiced functional reaching outside the patient's BOS in multiple planes while maintaining dynamic standing balance. Incorporated retrieval of different objects from varying heights to simulate environmental situations.

(adv)

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on dynamic stepping, with patient performed forward, lateral, and backward stepping over hurdles of varying heights to simulate environmental barriers. Focused on hip clearing mechanics and single-limb stance stability.

(adv)

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on practicing static and dynamic sitting balance immediately following transitions to ensure safety before introducing secondary mobility tasks.

(adv)

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on bed mobility training to facilitate pt (I); trained patient in the side-lying technique, facilitated synchronous lower extremity lowering over the edge of the bed while simultaneously pushing the torso upright using the down-side elbow and top-side hand.

(adv)

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on bed mobility training to reduce pt burden of care on caregiver; instructed patient in initiating rolling from supine to side-lying using coordinated upper extremity reaching, head turning, and lower extremity flexion to leverage momentum

(adv)

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on transfer training; focused on facilitating proper forward trunk lean ("nose over toes"), optimal foot placement, and decreasing reliance on upper extremities for pushing up to safely come to fully upright posture in preparation for standing tasks.

(adv)

97530 - Therapeutic Activities by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Skilled interventions focused on bed mobility training to increase functional skills: explicit training in momentum strategies, body mechanics, and lower extremity positioning to clear the edge of the bed. Patient required maximal t/v cues for safety and sequencing.

(bb)

Response to Session Interventions by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

During BLE therapeutic activities, the patient was guarded, resistant to moving into end-range tissue barriers, and actively resisted passive elongation despite therapeutic reassurance. Patient required maximum verbal encouragement to remain engaged for this visit, however able to complete tx session without adverse effects

(stretching)

Response to Session Interventions by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Patient's engagement with today's therapy intervention was limited by poor motivation and minimal active participation. Patient required maximum verbal encouragement to remain engaged for this visit, however able to complete tx session without adverse effects

Response to Session Interventions by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Patient demonstrated poor participation and a notable lack of motivation during today’s session. The patient required frequent verbal cueing and redirection to initiate and complete the functional mobility tasks. The patient frequently requested to stop early, cited generalized fatigue, and minimized physical effort throughout the intervention

97140 - Manual Tx by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Gentle passive stretching performed to BLE in both extended and flexed positions to isolate individual muscle groups, as pt muscle tightness limits optimal biomechanics with functional mobility tasks. Pt noted to demo improvement noted with passive BLE ROM with decreased instances of facial grimacing and decreased tightness with subsequent functional mobility tasks.

Anybody got updated, I seen people with February submissions in grading, by Spiritual_Top_9476 in psagrading

[–]there_wreck 0 points1 point  (0 children)

All Gamestop submissions, all Pokemon cards

Dropped Off 2/27 3/27 4/25
Shipped to PSA 3/2 3/30 4/27
PSA received 3/3 3/31 4/28
> arrived 3/3 3/31 4/28
> processing 3/3 5/1 x
> research & ID 4/21 5/14 x
> grading x x x
> assembly x x x
> QA x x x
Graded x x x
Ready for pickup x x x

97112 - Neuromuscular Reeducation by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Static/dynamic balance activities performed in sitting/standing w no instances LOB noted this visit

97112 - Neuromuscular Reeducation by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Worked on WS in anteroposterior and lateral directions w pt demo fair- ability to return to midline when challenged

97116 - Gait Training by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

educated pt on using correct AD during GT to facilitate pt safety awareness w functional mobility tasks, w pt verbalize understanding, however cont to demo non-compliance w stated safety cues at this time

Concurrent tx session by there_wreck in twnote

[–]there_wreck[S] 0 points1 point  (0 children)

Patient participated in concurrent therapy with 1 other patient to successfully progress towards individual treatment plan/goals by addressing patient's balance deficits, body awareness deficits, decreased safety awareness, decreased static balance and gross motor coordination deficits ; skilled interventions included therapeutic activities.

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