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Authors:

Larry J. Petterborg, PhD

Priscilla Hebert, PT, MS

Lynn Palmer, PT, MS

School of Physical Therapy, Texas Woman's University, Dallas TX

Posterior Fossa Syndrome

Team Goals

Physical Therapy

Patient's goals, goal month, and month met the goal
Goals:
The patient will:
Goal month Month met
Short term goals
90/90 static sitting balance 1 min with standby assistance 3 3
Sit → stand with minimum assistance 3 4
Gait 100ft with moderate assistance 3 3
Supine → sit with moderate assistance 3 4
Long term goals
Static sit 90/90 5 min with standby assistance 5 4
Transfer with contact guard assistance bed → wheelchair 5 5
Gait 150ft with minimum assistance 5 4
Independent with HEP with family 5 Ongoing
Stand independently x 12 seconds 7 6
Transition floor → stand with verbal cues using tall kneel → 1/2 kneel → pull to stand with stand by assistance 7 9
Walk 10 steps backwards independently while holding parallel bars 7 7
Side step left & right independently in parallel bars x 10 feet holding on 7 7
Take 5 steps independently walking from PT to parent 8 Extended 10
Use walk as main means of mobility except for long distances > 15 minutes 9 Extended 12
Safely transition from standing to the floor using walker to lower down ½ kneel → tall kneel → quad 9 9

Occupational Therapy

Patient's goals, goal month, and month met the goal
Goals:
The patient will:
Goal month Month met
Require minimum assistance for self-feed skills 3 5
Require moderate assistance for sitting 90/90 3 3
Perform bilateral hand activities 3 4
Require minimum assistance for teeth brushing 4 5
Tolerate prone activity for 10 minutes 6 6
Independent with cutting skills 7 Ongoing
Independent with feeding 7 7
Take shoes on and off independently 7 Ongoing
Independent with crawling for 20 feet 8 8
Transfer from chair to floor with stand by assistance 8 8
Complete bathroom management with stand by assistance including clothing management 8 Ongoing
Independent with ADLs 8 Ongoing

Speech Therapy

Patient's goals, goal month, and month met the goal
Goals:
The patient will:
Goal month Month met
Follow 2-step commands with moderate assistance, 80% of the time 3 3
Increase voicing at session with minimal cues 3 3
Sequence 3+ items with minimal assistance, 80% of the time 3 3
Keep attention to task 15-20 minutes 3 3
Use verbal communication to gain/express wants & needs 3 3
Engage in 30-45 minute activities 3 4
Use voicing independently 3 3
Perform basic add/subtraction with minimal assistance, 80% of the time 4 4
Increase MLU (mean length of utterances) to age-appropriate level x 3 including sub-verb & descriptors 4 5
Answer high level “wh” questions with minimal assistance, 80% of the time 4 5
Improve respiratory proficiency using breathing exercises with minimal cues 6 8
Perform high-level math problems using currency & 2-digit numbers 9 Ongoing
Use appropriate sentence structure including plurals, contraction & descriptors during written task 9 Ongoing
Answer “how” questions & verbally sequence task with minimal assistance 10 Ongoing
Perform basic add/subtraction in word problems with minimal assistance, 80% of the time 5 5
Respiratory control will allow for consecutive sentence production in 5 consistent treatment sessions 7 8
Perform age-appropriate math with minimal cues, 90% of the time 9 Ongoing
Comprehend paragraph-level short stories with minimal assistance 90% of the time 7 8
Name days of week & months in order with minimal assistance 10 8
Improve expressive language through written language activities with minimal assistance 9 Ongoing
Comprehend yearly & weekly calendar with minimal assistance 10 8

Published by the Virtual Health Care Team ®
School of Health Professions
University of Missouri-Columbia
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Last Update: June 17 2008