Functional Goal Writing - Interactive Metronome

Writing Functional Goals

Linking IM Goals to Functional Deficits

Sample Goals: Stroke & TBI

Patient will bear weight on non-affected side in standing with moderate assistance for balance and shift weight onto affected side 25/50 repetitions (50% accuracy) in 2 minutes.

Patient will be able to reach while maintaining a 90 degree position of the affected side on supine with 25/50 repetitions (50% accuracy) in 2 minutes and moderate assistance for success.

Patient will be able to shift weight onto affected side with 30/50 attempts (60% accuracy) in 2 minutes and minimal assistance in parallel bars.

Diagnosis & CPT Codes Stroke & TBI

97110 Therapeutic Exercise - ortho, coordination and endurance 97530 Therapeutic Activity - therapeutic activities and work simulation 97112 Neuromuscular Reeducation - Nerve injuries (UMN and LMN)

342.00 Hemiplegia flaccid

CPT codes: 97110, 97530, 97112

342.10 Hemiplegia spastic

CPT codes: 97110, 97530, 97112

438 Cerebral Vascular Event (Late Effects)

CPT codes: 97110, 97530, 97112

432.1 Subdural Hemorrhage

CPT codes: 97110, 97530, 97112

Sample Goals: LMN Rehab

Patient will perform median nerve innervated thumb adduction repetitive movement activity 30/50 attempts (60% accuracy) in 2 minutes and visual cues for assistance with enough strength to close a switch without stopping.

Patient will be able to step up on 6 inch step without foot drop with good placement performing the activity with 35/50 repetitions(70 % accuracy) in 2 minutes with

moderate assistance for balance and attention.

Diagnosis & CPT Codes LMN Rehab

97110 Therapeutic Exercise - ortho, coordination and endurance 97530 Therapeutic Activity - therapeutic activities and work simulation 97112 Neuromuscular Reeducation - Nerve injuries (UMN and LMN)

354.0 Carpal Tunnel Syndrome 97110, 97530, 97112

354.3 Injury of the radial nerve 97110, 97530, 97112

354.2 Injury of the ulna nerve 97110, 97530, 97112

353.0 Brachial plexus injury 97110, 97530, 97112

724.3 Sciatica 97110, 97530, 97112

Sample Goals: Shoulder Rehab

Patient will achieve 90 degrees of right shoulder abduction with moderate assistance and verbal cuing for performance 25/50 repetitions (50% accuracy) in 1 minute, as needed to feed him/ herself independently.

Patient will be able to perform right scapula elevation, retraction and depression while slowing down and speeding up with minimal cuing 25/50 repetitions (50% accuracy) in 1 minute to facilitate optimum scapulothoracic rhythm required for shoulder elevation.

Patient will be able to achieve 60 degrees of shoulder flexion during repetitive task practice with feedback based activities 6/10 repetitions with reports of shoulder pain no greater than 2/10 with no delayed onset of pain due to capsulitis.

Diagnosis & CPT Codes Shoulder Rehab

97110 Therapeutic Exercise - ortho, coordination and endurance 97530 Therapeutic Activity - therapeutic activities and work simulation 97112 Neuromuscular Reeducation - Nerve injuries (UMN and LMN)

727.61 Rotator Cuff Tear (Complete)

97110

726.0 Adhesive Capsulitis

97110

719.41 Shoulder Pain

97110, 97530

Sample Goals: Elbow Rehab

Patient will perform a functional reach activity requiring negative 10 degrees of elbow extension 35/50 repetitions (70% accuracy) in 2 minutes with min assistance for success.

Patient will perform a rhythmical coordinated elbow flexion and extension activity 35/50 repetitions (70% accuracy) and moderate assistance for success requiring 50 degrees of movement from flexion to extension.

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