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Letter of Medical Justification
4/13/97
RE: Chris M
DOB: 4/12/86
To
Whom It May Concern,
Christopher
is an eleven-year-old boy with a diagnosis of Cerebral Palsy. He receives home
based physical therapy 1x weekly as well as P.T. services 2x weekly in
school. Physical therapy goals include increasing lower extremity strength,
improving dynamic balance in sitting and standing, improving gait pattern
with and without assistive devices and improvement of independent mobility
skills.
A
recent re-evaluation reveals that Chris continues to exhibit functional
weakness in the lower extremities. He continues to primarily maintain weight
on the left lower extremity in stance and weight shift during ambulation is
minimal. His standing balance is FAIR without his forearm crutches but he
continues to lean to the left when adjusting his standing position.
In
discussing Chris' progress with him and his parents I have reiterated the
need for Chris to participate in re- creational activities that follow
through on his therapeutic program. In order to provide the necessary
exercise for Chris to improve his strength and endurance while participating
in an age appropriate social and recreational activity I have made the
following recommendation:
STEP' N GO Cycle - with crutch holder, Quickstand, Halo seat, foot retainers and
straps and adjustable height steering column.
This
special adaptive cycle will enable Chris to address therapeutic goals related
to increasing lower extremity strength and endurance. It also promotes a more
normal reciprocal movement pattern, similar to walking, in the legs than a
standard pedaling adaptive bicycle provides. Also, the stepping pattern used
to propel the STEP IN GO facilitates active weight shifting and can improve
Chris' dynamic balance. This is necessary to achieve higher levels of
independent mobility in his everyday environment.
Thank
you for time and please feel free to contact me if you have any further
questions.
Professional
regards,
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