Evaluation of Physiotherapy

Examination of Muscles Power(Grade (5-0))

Neck

Specify if there is a problem

الكتف

Forearm

If other, precise:

Palm & fingers

If other, precise:

Legs

If other, precise:

Foot

If other, precise:

Pelvis

If other, precise:

Spine

If other, precise:

Range of muscles motion

Neck

If other, precise:

الكتف

إذا غير ذلك، اذكر بدقة:

Forearm

If other, precise:

Palm & fingers

If other, precise:

Legs

If other, precise:

Foot

If other, precise:

Pelvis

If other, precise:

Spine

If other, precise:

Deformities:

Development of motor skills of the case

Ability to sit from lie position

If other, precise:

Ability to stand from sitting position

If other, precise:

Ability to stand from squatting position

If other, precise:

Ability to balance in walking

If other, precise:

Ability to leap

If other, precise:

Ability to go up & down the steps

If other, precise:

Ability to run

If other, precise:

Ability to balance

If other, precise:

Development of motor growth of the children less than 3 years (mother & a child program)

Turning

If other, precise:

Crawling

If other, precise:

Sitting

If other, precise:

Standing

If other, precise:

Walking

If other, precise:

Objectives of physiotherapy:

Objectives of physiotherapy:

برنامج العلاج الطبيعي:

التوصيات

اسم الاخصائي: