Hand Therapy Evaluation
[YOUR COMPANY NAME]
Date: March 19, 2050
Patient's Information:
Name: |
Age: |
Gender: |
Date of Birth: |
Contact Information: |
Introduction: This evaluation form is specifically designed for the assessment of hand therapy patients. It aims to objectively evaluate their functional abilities, strength, and range of motion.
Overview: This comprehensive Hand Therapy Evaluation contributes to the rehabilitation process of individuals with hand injuries or conditions. It systematically monitors progress and pinpoints areas requiring additional therapy interventions.
Evaluation Criteria:
Functional Abilities: This criterion assesses the patient's capability to perform everyday tasks using their hands. It includes activities such as gripping objects, writing, buttoning clothes, and handling utensils.
Range of Motion: Evaluate the extent of movement in the patient's hand joints, including fingers, wrist, and thumb. Use a goniometer or visually estimate the range of motion to provide an accurate assessment.
Strength: Measure the power exerted by the patient's hand without discomfort or injury. This involves testing grip strength and pinch strength using dynamometry or manual muscle testing techniques.
Dexterity: Assess the patient's precision, coordination, and fine motor skills in hand movements. Tasks such as picking up small objects, threading a needle, or manipulating small tools can be used to evaluate dexterity.
Instructions:
Rate each criterion on a scale from 1 to 5 according to the provided definitions:
1 - Severe impairment - Indicates significant limitation or inability to perform tasks.
2 - Significant impairment - This signifies notable difficulty or restriction in function.
3 - Moderate impairment - Suggests some limitations but with the ability to perform tasks with effort.
4 - Mild impairment - Denotes slight difficulty or restriction in function.
5 - No impairment - Indicates full capability with no limitations in function.
Assessment:
Criteria | Description | Rating Scale (1-5) |
|---|
Functional Abilities | The ability of the patient to perform day-to-day tasks using their hands. | |
Range of Motion | The degree of movement available in the patient's hand joints. | |
Strength | The power is exertable by the patient's hand without discomfort or injury. | |
Dexterity | The skill and ease with which the patient can use their hand and fingers. | |
Additional Comments
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