Program Treatment Flow Sheet — Lumbar
SOR Physical Therapy
Patient & Session Information
Flow Sheet Active
0 / 8 Dated
Treatment Flow Grid — Lumbar Protocol
Visit Columns:8 Visits(Minimum 8 columns, expandable)
Treatment(19 + 3 custom) | Visit 1 | Visit 2 | Visit 3 | Visit 4 | Visit 5 | Visit 6 | Visit 7 | Visit 8 |
|---|---|---|---|---|---|---|---|---|
Bridges | ||||||||
Lumbar Rotation | ||||||||
Add. Sq | ||||||||
Abd Band | ||||||||
SAQ | ||||||||
Straight Leg Rz | ||||||||
Thoracic Ext | ||||||||
Pelvic Tilt | ||||||||
Supine March | ||||||||
Ball Rollout | ||||||||
Thoracic Rot | ||||||||
Knee Extension | ||||||||
Hip Flex | ||||||||
Pallof Press | ||||||||
Band Rot | ||||||||
Band Side Bending | ||||||||
Lat Pull Downs | ||||||||
Rows | ||||||||
Bike | ||||||||
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New unsaved flow sheet session
Internal Clinical Staff Use Only • Non-Public PHI