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Caring for both the affected arm and leg

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Caring for both the affected arm and leg

In each panel please select the amount of difficulty experienced in doing the activity, over the last 7 days (person or carer).

This assessment helps you evaluate how the affected arm is cared for in daily life.

Each question relates to a specific activity and asks you to rate the level of difficulty experienced in completing that activity over the past 7 days — either by the person themselves or by a carer/caregiver.

  • Part 1 focuses on caring for the affected arm — this may involve actions done by the person using their unaffected arm, by a carer/caregiver, or through a combination of both.

  • The section does not ask about using the affected arm to complete any of the tasks.

  • Be as accurate as possible. Reflect on how the activity is typically performed, not on what might be achieved on a particularly good or bad day.

  • Base your answers on usual performance, not on what could be achieved with additional help or effort.

  • Select one option per activity — from No difficulty to Unable to do activity.

  • If an activity is not done or not applicable (for example, if a splint, glove, or elbow support is not used), please select “No difficulty.”

  • There are no right or wrong answers. The purpose is to identify where support, treatment, or intervention may be beneficial and to monitor progress over time.

  • Once all items have been rated, a total assessment score will be automatically generated. This score helps guide the next stage of treatment planning.

After completing the assessment, you will move on to Part 2 – Treatment Planning, where you can set individualised goals and select appropriate interventions for each area (wrist and hand, elbow, and shoulder).

To begin:

Click on the relevant tab – Left Arm or Right Arm – to complete the assessment for each arm separately.

If both arms are affected, complete both sections to provide a full picture of function and need.

Part 1 | Assessment

If not used select "No difficulty"

*If not used select "No difficulty"

*If not used select "No difficulty"

*If not used select "No difficulty"

Total assessment score:

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment. Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Caring for the wrist and hand

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the splint with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning the palm of the hand from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning the palm of the hand from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.
  • Decrease the difficulty of you cutting your fingernails from 9 to 8-5 on a 10-point numeric scale, in 5 weeks.
  • Decrease the difficulty of a carer cutting your fingernails from 9 to 8-5 on a 10-point numeric scale, in 5 weeks.
  • Enable you to put on a glove independently within 6 weeks.
  • Enable a carer to put on a glove with you within 6 weeks.

Pain

  • Reduce pain in the wrist and fingers from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the fingers from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the wrist and fingers from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the wrist and fingers from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Associated Reaction

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Contracture Prevention

  • Maintain current range of movement in the fingers of the hand at neutral in the finger joints for 4 months.
  • Maintain current range of movement in for the wrist at neutral for 4 months.

Active Assisted or Passive stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast application or positioning).
Extension of fingers and wrist  1. Extension of fingers and wrist
Extension of thumb and webspace 2. Extension of thumb and webspace

Positioning

Extension of fingers and wrist on tray table  1. Extension of fingers and wrist on tray table
Extension of thumb and webspace on tray table 2. Extension of thumb and webspace on tray table
 

Consistent positioning programme with fingers, hand, thumb and wrist in extension on a wheelchair tray table or arm support.

Positioning in a slingConsistent positioning of fingers, hand thumb and wrist in extension in an arm support or sling (e.g. Lancaster Sling).

Splinting (or casting with careful case selection and appropriate clinical skills within the team)

Resting splint in extension/resting position of fingers and wrist  1. Resting splint in extension/resting position of fingers and wrist
Extension of thumb and webspace on tray table 2. Extension of thumb and webspace on tray table
 

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Pillow wrap splint

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the elbow

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the elbow splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the elbow splint with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning your elbow crease from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning your elbow crease from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please add in the patient goal based on the advice above

Pain goal options/examples

  • Reduce pain in the elbow from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the elbow from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the elbow from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the elbow from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction goal options/examples

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention goal options/examples

  • Maintain current range of movement in the elbow at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the elbow for the left or right degrees from at -45 neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the elbow (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).
Extension of the elbow  1. Extension of the elbow

Positioning

Extension of elbow on a pillow 1. Extension of elbow on a pillow
Extension of elbow on a wheelchair tray table 2. Extension of elbow on a wheelchair tray table
Resting splint in extension/resting position of elbow 3. Resting splint in extension/resting position of elbow
Pillow wrap splint 4. Pillow wrap splint
 

Consistent positioning programme with elbow in extension on a wheelchair tray table or arm support.

For consistent positioning programme with elbow in extension on a wheelchair tray table or arm support. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with elbow in extension in bed.

 

For consistent positioning with elbow in extension in bed. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Splinting

Consider pre-fabricated (including soft splint) or custom made splint manufacture with appropriate fit to the patient. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24 hour period.

Resting splint in extension/resting position of elbow 1. Resting splint in extension/resting position of elbow
Pillow wrap splint 2. Pillow wrap splint

Consider dose: (will need a box after each intervention to indicate the dose duration in mins/hours). Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the shoulder

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the shoulder support independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the shoulder support with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning under your arm from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning under your arm from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Pain

  • Reduce shoulder pain from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the shoulder from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the shoulder from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the shoulder from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Involuntary movement - Associated Reaction

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention

  • Maintain current range of movement in the shoulder at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the shoulder for the left or right degrees from at -45 neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the shoulder (dependent on motor control ability) to prepare muscles and joints for a stretch of appropriate duration (such as with splint or cast application or positioning). Particular care should be taken to support the arm during any movement and to re-align the glenohumeral joint in particular to avoid further injury.
Abduction and external rotation at the shoulder 1. Abduction and external rotation at the shoulder
Flexion at the shoulder 2. Flexion at the shoulder

For consistent positioning programme with shoulder in abduction and external rotation on a wheelchair tray table or arm support

For consistent positioning with shoulder in abduction and external rotation in bed

For shoulder support in Lancaster sling

Abduction and external rotation of shoulder on a pillow 1. Abduction and external rotation of shoulder on a pillow
Abduction and external rotation of shoulder on a pillow 2. Abduction and external rotation of shoulder on a wheelchair tray table
Shoulder support in Lancaster sling 3. Shoulder support in Lancaster slin
Abduction and external rotation of shoulder on a pillow 4. Abduction and external rotation of shoulder on Pillow

Splinting

Consider pre-fabricated (including soft splint) or custom made splint manufacture with appropriate fit to the patient. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consider dose: (will need a box after each intervention to indicate the dose duration in mins/hours). Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Part 1 | Assessment

If not used select "No difficulty"

*If not used select "No difficulty"

*If not used select "No difficulty"

*If not used select "No difficulty"

Total assessment score:

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment. Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Caring for the wrist and hand

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the splint with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning the palm of the hand from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning the palm of the hand from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.
  • Decrease the difficulty of you cutting your fingernails from 9 to 8-5 on a 10-point numeric scale, in 5 weeks.
  • Decrease the difficulty of a carer cutting your fingernails from 9 to 8-5 on a 10-point numeric scale, in 5 weeks.
  • Enable you to put on a glove independently within 6 weeks.
  • Enable a carer to put on a glove with you within 6 weeks.

Pain

  • Reduce pain in the wrist and fingers from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the fingers from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the wrist and fingers from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the wrist and fingers from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Associated Reaction

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Contracture Prevention

  • Maintain current range of movement in the fingers of the hand at neutral in the finger joints for 4 months.
  • Maintain current range of movement in for the wrist at neutral for 4 months.

Active Assisted or Passive stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast application or positioning).
Extension of fingers and wrist  1. Extension of fingers and wrist
Extension of thumb and webspace 2. Extension of thumb and webspace

Positioning

Extension of fingers and wrist on tray table  1. Extension of fingers and wrist on tray table
Extension of thumb and webspace on tray table 2. Extension of thumb and webspace on tray table
 

Consistent positioning programme with fingers, hand, thumb and wrist in extension on a wheelchair tray table or arm support.

Positioning in a slingConsistent positioning of fingers, hand thumb and wrist in extension in an arm support or sling (e.g. Lancaster Sling).

Splinting (or casting with careful case selection and appropriate clinical skills within the team)

Resting splint in extension/resting position of fingers and wrist  1. Resting splint in extension/resting position of fingers and wrist
Extension of thumb and webspace on tray table 2. Extension of thumb and webspace on tray table
 

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Pillow wrap splint

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the elbow

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the elbow splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the elbow splint with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning your elbow crease from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning your elbow crease from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please add in the patient goal based on the advice above

Pain goal options/examples

  • Reduce pain in the elbow from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the elbow from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the elbow from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the elbow from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction goal options/examples

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention goal options/examples

  • Maintain current range of movement in the elbow at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the elbow for the left or right degrees from at -45 neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the elbow (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).
Extension of the elbow  1. Extension of the elbow

Positioning

Extension of elbow on a pillow 1. Extension of elbow on a pillow
Extension of elbow on a wheelchair tray table 2. Extension of elbow on a wheelchair tray table
Resting splint in extension/resting position of elbow 3. Resting splint in extension/resting position of elbow
Pillow wrap splint 4. Pillow wrap splint
 

Consistent positioning programme with elbow in extension on a wheelchair tray table or arm support.

For consistent positioning programme with elbow in extension on a wheelchair tray table or arm support. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with elbow in extension in bed.

 

For consistent positioning with elbow in extension in bed. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Splinting

Consider pre-fabricated (including soft splint) or custom made splint manufacture with appropriate fit to the patient. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24 hour period.

Resting splint in extension/resting position of elbow 1. Resting splint in extension/resting position of elbow
Pillow wrap splint 2. Pillow wrap splint

Consider dose: (will need a box after each intervention to indicate the dose duration in mins/hours). Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the shoulder

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the shoulder support independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the shoulder support with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning under your arm from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning under your arm from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Pain

  • Reduce shoulder pain from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the shoulder from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the shoulder from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the shoulder from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Involuntary movement - Associated Reaction

To improve the position of your arm during walking to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention

  • Maintain current range of movement in the shoulder at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the shoulder for the left or right degrees from at -45 neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the shoulder (dependent on motor control ability) to prepare muscles and joints for a stretch of appropriate duration (such as with splint or cast application or positioning). Particular care should be taken to support the arm during any movement and to re-align the glenohumeral joint in particular to avoid further injury.
Abduction and external rotation at the shoulder 1. Abduction and external rotation at the shoulder
Flexion at the shoulder 2. Flexion at the shoulder

For consistent positioning programme with shoulder in abduction and external rotation on a wheelchair tray table or arm support

For consistent positioning with shoulder in abduction and external rotation in bed

For shoulder support in Lancaster sling

Abduction and external rotation of shoulder on a pillow 1. Abduction and external rotation of shoulder on a pillow
Abduction and external rotation of shoulder on a pillow 2. Abduction and external rotation of shoulder on a wheelchair tray table
Shoulder support in Lancaster sling 3. Shoulder support in Lancaster slin
Abduction and external rotation of shoulder on a pillow 4. Abduction and external rotation of shoulder on Pillow

Splinting

Consider pre-fabricated (including soft splint) or custom made splint manufacture with appropriate fit to the patient. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consider dose: (will need a box after each intervention to indicate the dose duration in mins/hours). Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Using the affected leg or legs

In each panel please select the amount of difficulty experienced in doing the activity, over the last 7 days (person or carer).

This assessment helps you evaluate how the affected leg or legs are cared for in everyday activities.

Each question relates to a specific task and asks you to rate the level of difficulty experienced in completing that activity over the past 7 days — either by the person themselves or by a carer/caregiver.

  • Part 1 focuses on caring for the affected leg(s) — this may be done by the person themselves using their unaffected leg, by a carer/caregiver, or through a combination of both.

  • The section does not ask about using the affected leg(s) to complete any of the tasks.

  • Be as accurate as possible. Reflect on how the activity is typically performed, not on what might be achieved on a particularly good or bad day.

  • Base your answers on usual performance, not on what could be achieved with extra help or effort.

  • Select one option per activity — from No difficulty to Unable to do activity.

  • If an activity is not done or not applicable (for example, if a splint, hoist, or wheelchair is not used), please select “No difficulty.”

  • There are no right or wrong answers. The purpose is to identify areas where support, treatment, or intervention may be beneficial and to monitor progress over time.

  • Once all items have been rated, a total assessment score will be automatically generated. This score helps guide the next stage of treatment planning.

After completing the assessment, you will move on to Part 2 – Treatment Planning, where you can set individualised goals and select appropriate interventions for each area (ankle and foot, knee, and hip).

To begin:

Click on the relevant tab – Left Leg or Right Leg – to complete the assessment for each leg separately.

If both legs are affected, complete both sections to provide a full picture of function and need.

Part 1 | Assessment

If never done select "No difficulty"

If never done select "No difficulty"

If never done select "No difficulty"

If never done select "No difficulty"

If never done select "No difficulty"

Total assessment score:

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment.
Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Caring for the ankle foot

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the ankle and foot splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the ankle and foot splint with you for 6-8 hours per day within 3 weeks.
  • To put your foot on the wheelchair footplate for 6-8 hours per day within 3 weeks.
  • To enable a carer to put your foot on the wheelchair footplate with you for 6-8 hours per day within 3 weeks.
  • Enable you to put on a shoe or slipper independently within 6 weeks.
  • Enable a carer to put on a shoe or slipper with you within 6 weeks.

Pain

  • Reduce pain in your foot from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in your foot from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the foot and ankle from 7 to 6-4 on a 10-point numeric scale, during transferring from your bed to your chair.
  • Reduce pain in the foot and ankle from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Associated Reaction

To improve the position of your foot during walking decreasing the difficulty from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Contracture Prevention

  • Maintain current range of movement at the ankle at neutral with able to get your foot flat of the floor (plantigrade) for 4 months.
  • Maintain current range of movement in for the left ankle at neutral for 4 months.  

Preparatory stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast or orthotic application or positioning).
Dorsiflexion of ankle  1. Dorsiflexion of ankle

Positioning

Positioning foot on wheelchair footplate  1. Positioning foot on wheelchair footplate
Resting splint application in bed 2. Resting splint application in bed
Resting splint application in a wheelchair 3. Resting splint application in a wheelchair

Consistent positioning programme with ankle at neutral on a wheelchair footplate

Consistent positioning of foot supported by a foam wedge (or sleep system) in bed

Splinting (or casting with careful case selection and appropriate clinical skills within the team)

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Provision of an Ankle Foot Orthosis as a resting splint.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the knee

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the knee splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the knee splint with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning behind your knee from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning behind your knee from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please add in the patient goal based on the advice above

Pain goal options/examples

  • Reduce pain in the knee from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a transfer from a bed to a wheelchair in 6 weeks.
  • To reduce stiffness related pain in the knee from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the knee from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the knee from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction goal options/examples

To improve the position of your leg during stepping to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention goal options/examples

  • Maintain current range of movement in the right knee at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the knee for the left degrees from at -45  neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the knee (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).
Extension of the knee  1. . Extension of the knee

Consistent positioning programme with knee in extension on a stool or leg support

Extension of the leg on a pillow  1. Extension of the leg on a pillow
 2. Support of the leg in a wheelchair
Resting splint in extension/resting position of knee  3. Resting splint in extension/resting position of knee
Resting splint in extension/resting position of knee  4. Knee wrap splint

For consistent positioning programme with elbow in extension on a wheelchair tray table or arm support. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with leg in extension in bed

Positioning in wheelchair (e.g. adductor pad or pommel)  1. Positioning in wheelchair (e.g. adductor pad or pommel)
T-Roll 2. T-Roll

For consistent positioning with elbow in extension in bed. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the hip

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the hip support independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on thehip support with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning your perineum (between your legs) from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning your perineum (between your legs) from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Pain

  • Reduce hip pain from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the hip from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction

To improve the position of your leg during transferring from bed to chair to decrease difficulty when walking (or transferring) from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention

  • Maintain current range of movement in the hip at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the hip for the degrees from at -45  neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the hip (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).
Abduction and external rotation at the hip  1. Abduction and external rotation at the hip
Flexion at the hip 2. Flexion at the hip
Extension at the hip 3. Extension at the hip
Neural position of the hip using a pillow(s) Neural position of the hip using a pillow(s) 2 1. Neural position of the hip using a pillow(s)
Positioning using a profiling bed  2. Positioning using a profiling bed
Positioning in wheelchair (e.g. adductor pad or pommel) 3. Positioning in wheelchair (e.g. adductor pad or pommel)
T-Roll in bed  4. T-Roll in bed
F-Roll  4. F-Roll
E-Roll  4. E-Roll
W-Trough  4. W-Trough
Bean-Bag T-Roll  4. Bean-Bag T-Roll

Consistent positioning programme with hip and leg in abduction and external rotation on a wheelchair tray table or arm support.

Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with hip in abduction and external rotation in bed

Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Positioning the legs using a T-Roll or positioning aid

Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Part 1 | Assessment

If never done select "No difficulty"

If never done select "No difficulty"

If never done select "No difficulty"

If never done select "No difficulty"

If never done select "No difficulty"

Total assessment score:

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment.
Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Caring for the ankle foot

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the ankle and foot splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the ankle and foot splint with you for 6-8 hours per day within 3 weeks.
  • To put your foot on the wheelchair footplate for 6-8 hours per day within 3 weeks.
  • To enable a carer to put your foot on the wheelchair footplate with you for 6-8 hours per day within 3 weeks.
  • Enable you to put on a shoe or slipper independently within 6 weeks.
  • Enable a carer to put on a shoe or slipper with you within 6 weeks.

Pain

  • Reduce pain in your foot from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in your foot from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the foot and ankle from 7 to 6-4 on a 10-point numeric scale, during transferring from your bed to your chair.
  • Reduce pain in the foot and ankle from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Associated Reaction

To improve the position of your foot during walking decreasing the difficulty from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Contracture Prevention

  • Maintain current range of movement at the ankle at neutral with able to get your foot flat of the floor (plantigrade) for 4 months.
  • Maintain current range of movement in for the left ankle at neutral for 4 months.  

Preparatory stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast or orthotic application or positioning).
Dorsiflexion of ankle  1. Dorsiflexion of ankle

Positioning

Positioning foot on wheelchair footplate  1. Positioning foot on wheelchair footplate
Resting splint application in bed 2. Resting splint application in bed
Resting splint application in a wheelchair 3. Resting splint application in a wheelchair

Consistent positioning programme with ankle at neutral on a wheelchair footplate

Consistent positioning of foot supported by a foam wedge (or sleep system) in bed

Splinting (or casting with careful case selection and appropriate clinical skills within the team)

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Provision of an Ankle Foot Orthosis as a resting splint.

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the knee

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the knee splint independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on the knee splint with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning behind your knee from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning behind your knee from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please add in the patient goal based on the advice above

Pain goal options/examples

  • Reduce pain in the knee from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a transfer from a bed to a wheelchair in 6 weeks.
  • To reduce stiffness related pain in the knee from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the knee from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the knee from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction goal options/examples

To improve the position of your leg during stepping to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention goal options/examples

  • Maintain current range of movement in the right knee at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the knee for the left degrees from at -45  neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the knee (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).
Extension of the knee  1. . Extension of the knee

Consistent positioning programme with knee in extension on a stool or leg support

Extension of the leg on a pillow  1. Extension of the leg on a pillow
 2. Support of the leg in a wheelchair
Resting splint in extension/resting position of knee  3. Resting splint in extension/resting position of knee
Resting splint in extension/resting position of knee  4. Knee wrap splint

For consistent positioning programme with elbow in extension on a wheelchair tray table or arm support. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with leg in extension in bed

Positioning in wheelchair (e.g. adductor pad or pommel)  1. Positioning in wheelchair (e.g. adductor pad or pommel)
T-Roll 2. T-Roll

For consistent positioning with elbow in extension in bed. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Caring for the hip

Select as many as appropriate:

Passive function (or care) treatment goal options

  • To put-on the hip support independently for 6-8 hours per day within 3 weeks.
  • To enable a carer to put-on thehip support with you for 6-8 hours per day within 3 weeks.
  • To decrease the difficulty of you cleaning your perineum (between your legs) from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
  • To decrease the difficulty of a carer cleaning your perineum (between your legs) from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Pain

  • Reduce hip pain from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
  • To reduce stiffness related pain in the hip from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
  • Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during washing.
  • Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction

To improve the position of your leg during transferring from bed to chair to decrease difficulty when walking (or transferring) from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention

  • Maintain current range of movement in the hip at -20 degrees from full extension for 4 months.
  • Maintain current range of movement in the hip for the degrees from at -45  neutral for 4 months.

Please select (copy-paste) the closest goal option and amend it to your selected goal

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the hip (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).
Abduction and external rotation at the hip  1. Abduction and external rotation at the hip
Flexion at the hip 2. Flexion at the hip
Extension at the hip 3. Extension at the hip
Neural position of the hip using a pillow(s) Neural position of the hip using a pillow(s) 2 1. Neural position of the hip using a pillow(s)
Positioning using a profiling bed  2. Positioning using a profiling bed
Positioning in wheelchair (e.g. adductor pad or pommel) 3. Positioning in wheelchair (e.g. adductor pad or pommel)
T-Roll in bed  4. T-Roll in bed
F-Roll  4. F-Roll
E-Roll  4. E-Roll
W-Trough  4. W-Trough
Bean-Bag T-Roll  4. Bean-Bag T-Roll

Consistent positioning programme with hip and leg in abduction and external rotation on a wheelchair tray table or arm support.

Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with hip in abduction and external rotation in bed

Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Positioning the legs using a T-Roll or positioning aid

Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.