Dashboard
Monday, March 16, 2026
Visit — Robert Fraser
Progress Review · Mar 5
Time
9:00 AM - 10:30 AM
Therapist
James Chen
Site
142 Portland St
Zone
Dartmouth
Travel Time
25 min
Billing Type
MSI
SOAP Note
Subjective
6-week progress review. Patient reports L hand function much improved — can button shirt, hold fork. Walking with quad cane outdoors. Wife reports he is more independent with morning routine.
Objective
L UE: shoulder flexion 130 deg, grip strength 14 kg (was 8 kg). L LE: hip flexion 110 deg, ankle dorsiflexion 10 deg (was 0). Berg Balance 44/56 (was 38). 6MWT: 220m (was 150m). Transfers: independent all surfaces.
Assessment
Significant functional gains at 6-week mark. L UE grip strength nearly doubled. Balance scores improved to moderate risk range. Walking endurance up 47%. Patient exceeding expected recovery trajectory for age and stroke severity.
Plan
Continue 2x/week for 4 more weeks then reassess. Focus shifting to community reintegration — outdoor walking, public transit training. Coordinate with OT re: kitchen and bathroom modifications. Begin discharge planning for week 12.
Signed by c_james on Mar 5
Claims
Submitted
Notes
Visit notes.