C&p Report

[kaykay]

Physical Exam

-Functional Motor Impairment - lower legs, from hip down, all muscle groups 3/5, except flexor in both feet 0/5 (drop foot bilaterally); upper extremeties muscle 4/5; face & neck 5/5

-Abnormal Gait

-Abnormal Balance - can not walk without cane, walker (uses scooter outside of house)

-Ataxia, incoordination or spasticity - yes, cannot walk without cane

-Bowel Impairment - yes

-Bladder Impairment - yes

-Other significant findings - patient does not have limitations of ROM of major joints, but has severe pain with movements

Effect on Usual Daily Activities - yes

[kaykay]

Sorry for the extra post. I don't know what happened, but I was still working on my message.

Effect on Daily Activities

Chores: Prevents

Shopping: Severe

Exercise: Prevents

Sports: Prevents

Recreation: Severe

Traveling: Severe

Feeding: Moderate

Bathing: Moderate

Dressing: Moderate

Toileting: Moderate

Grooming: Moderate

Additional comments: Daughter helps with majority of ADL

Any ideas on how this would be rated? I'm pretty sure it should be SMC, but at what level?