Flores - BSPT 1a - Activity 16 - Stacking Cones
Flores - BSPT 1a - Activity 16 - Stacking Cones
Flores - BSPT 1a - Activity 16 - Stacking Cones
Doctor’s Diagnosis of the Patient that requires rehabilitation using the said instrument:
I. Patient Data
A. PATIENT INFORMATION:
• NAME: _____________________________________________ SEX: _______
• BIRTHDATE: ___________ AGE: _______ HEIGHT: ________ WEIGHT: __________
• OCCUPATION: _________________________
• HOME/CELL PHONE: __________________
• PER-PARTICIPATION SCREENING NOTES:
B. PATIENT HISTORY
• Surgical History
☐None
☐If Yes, please list any surgeries you have had before:
____________________.
C. MEDICATIONS (If yes, please specify.)
☐None
☐Yes _____________
II. Assessment
Introduction:
Stacking Cones are used for people who experienced accidents or injuries/deformities in the upper extremities. These
are impact-resistant and ideal for upper extremity rehab and evaluation, occupational therapy, hand and finger
exercise and dexterity, reaching and grasping, hand-eye coordination, color identification, and perceptual training. .
Preparation:
Assessment Proper
• The Physical Therapist will hold the cones above the chest level and will assist the patient.
• The patient will try to reach one cone, one at a time that is being held by the therapist and try to stack it
on the table.
• During the test, we will set the time for 2 minutes to see how many cones she/he can perform during the
said activity.
• Perform three sets with each hand and record the cones lifted and the time duration of each.
Note: Do not force the patient to do the activity if he/she feels discomfort or pain.
SET NO. BODY HAND TIME TRIAL 1 TRIAL 2 TRIAL 3 TOTAL REMARKS
POSITION (NO. OF CONES) (NO. OF CONES) (NO. OF CONES) OF
CONES
Left Hand 2 minutes
1 SITTING/
STANDING Right Hand 2 minutes
SET NO. BODY HAND TIME TRIAL 1 TRIAL 2 TRIAL 3 TOTAL REMARKS
POSITION (NO. OF CONES) (NO. OF CONES) (NO. OF CONES) OF
CONES
Left Hand 2 minutes
2 SITTING/
STANDING Right Hand 2 minutes
SET NO. BODY HAND TIME TRIAL 1 TRIAL 2 TRIAL 3 TOTAL REMARKS
POSITION (NO. OF CONES) (NO. OF CONES) (NO. OF CONES) OF
CONES
Left Hand 2 minutes
3 SITTING/
STANDING Right Hand 2 minutes
III. Documentation Provide pictures that were taken during the Assessment
IV. Physics Principles involve in this activity. Enumerate at least 5 Physics principles
V. Site position or activities in which this physics principle applies. Explain how the principle
is applied
VI. Observation
VII. Analysis
VIII. Conclusion