CRM built by bespokecrm for Harborside Physiotherapy. Want yours?

Dashboard

Monday, March 16, 2026
Access Notes: Ring buzzer 4B. Maisie (golden retriever) is friendly but jumps.
Time
9:00 AM - 10:00 AM
Therapist
James Chen
Site
142 Portland St
Zone
Dartmouth
Travel Time
25 min
Billing Type
MSI
SOAP Note
Signed Feb 19
Subjective
Patient reports improved L arm control this week. Able to hold cup with L hand briefly. Fatigue remains a barrier — best in mornings. Wife notes improved mood.
Objective
L UE: shoulder flexion 110 deg, grip strength 8 kg (R=32 kg). L LE: hip flexion 100 deg, knee extension -5 deg. Berg Balance 38/56. Transfers: mod-I with standby assist.
Assessment
Steady neurological recovery 4 weeks post-stroke. L UE function improving faster than anticipated. Balance still impaired — fall risk high. Fatigue management key.
Plan
Continue 2x/week. Focus on functional L UE tasks — reaching, grasping. Standing balance exercises with perturbation training. Coordinate with OT for ADL retraining. Morning appointments preferred.
Signed by c_james on Feb 19
Claims
MSI $78.00