Program Treatment Flow Sheet — Hip
SOR Physical Therapy
Patient & Case Identification
Treatment Execution Grid (8+ Visits)
Treatment(23 Rows) | Protocol Ref | Visit 1 | Visit 2 | Visit 3 | Visit 4 | Visit 5 | Visit 6 | Visit 7 | Visit 8 |
|---|---|---|---|---|---|---|---|---|---|
1.Bike(warm-up) | |||||||||
2.Knee/Hip PROM | |||||||||
3.Heel Slides | |||||||||
4.Lunges | |||||||||
5.Adduction Sq | |||||||||
6.Abduction Band | |||||||||
7.Toe Rz | |||||||||
8.Supine Marches | |||||||||
9.Straight Leg Rz | |||||||||
10.SAQ | |||||||||
11.Mini Squats | |||||||||
12.Knee Extension | |||||||||
13.Standing Hip Flex | |||||||||
14.Standing Hip Ext | |||||||||
15.Tandum Bal | |||||||||
16.Single Leg Bal | |||||||||
17.Step Up | |||||||||
18.Knee Ext Machine | |||||||||
19.Hamstring Machine | |||||||||
20.Bike(cool-down) | |||||||||
21. | |||||||||
22. | |||||||||
23. |
(Currently 8 visit columns)