Practice Activities Sentence Transformation: Convert the affirmative sentences into negative and questions. Modifique as frases na afirmativa para a negativa e para pergunta. Example: Affirmative: "I have a meeting tomorrow." Negative: "I do not have a meeting tomorrow." Question: "Do I have a meeting tomorrow?" "I have a therapy session to improve my core stability." Negative: I don't have a therapy session to improve my core stability. Question: Do I have therapy sessions to improve my core stability? "She wants a stretching routine to reduce tightness in her hamstrings." Negative: She doesn't want a stretching routine to reduce tightness in her hamstrings. Question: Did she want a stretching routine to reduce tightness in her hamstrings? "They do daily balance exercises to strengthen their posture." Negative: they don't do daily balance exercises to strengthen their posture Question: Do they do daily balance exercises to strengthen their posture? "He is consistent with his rehabilitation program for nerve recovery." Negative: he doesn't is consistent with his rehabilitation program for nerve recovery. Question: Did he is consistent with his rehabilitation program for nerve recovery? "We need a new plan to increase flexibility in the quadriceps." Negative: we do not need a new plan to increase flexibility. Question: Do we need a new plan to increase flexibility? "You have an evaluation scheduled to check spinal alignment." Negative: You don't have an evaluation schedule to check spinal alignment. Question: Do you have an evaluation schedule to check spinal alignment? "The patient does regular stretches to improve their sciatic nerve function." Negative: the patient doesn't do regular stretches to improve their sciatic nerve function. Question: Does the patient do regular stretches to improve their sciatic nerve function? "She needs proper posture to avoid stress on her joints." Negative: She doesn't need proper posture to avoid stress on her joints.

Good morning! Sorry my delay on last week homework! 🫣 S – A 75-year-old male presented to the clinic experiencing lower back pain the past 15 days, which worsens when standing. He also related weakness in both legs. O – Pain level is rated at 5 out of 10, with limited forward flexion and lateral bending. Strength 4/5 in lower extremities. Gait with difficulty. Positive for straight leg raise test on the right side. A – Pain and discomfort in the lower back, decreased ROM, muscle weakness and impaired gait. Diagnosis: Lumbar strain with associated muscle spasm. P – Improve lumbar flexibility and ROM. Strengthen lower back and legs muscles. Normalize gait.

S- The patient comes to the appointment and complains of pain and tingling in the thenar area of the right hand. The patient works full-time at the bank. She lives by herself in an apartment on the 2nd floor. O- upon evaluation, the Patient presents with waist muscles over the thenar area. A- wrist flexion strength 3+/5, Phalen's test +. P- mobilization of the medial nerves. Analgesics strategy for pain Exercise to strengthen the wrist flexor.

S – Patient reports a dull, constant ache in the left knee, rated at 5/10 on the pain scale. Pain when getting up or sitting down from a chair and climbing stairs. Symptoms worsen throughout the day and improve with sitting. O – Swelling observed around the right knee, stiffness upon awakening and range of motion for the knee is limited to 90 degrees of flexion. A – Likely osteoarthritis due to advanced age, work activities with repetitive movements and joint overload. P – Prescribe rest, recommend anti-inflammatory treatment quad-strengthening and analgesics strategy. Exercises twice a week and suggest a follow-up in one month.

S | Patient reports shoulder pain, a long time, rated at 6/10 pain scale. The pain increases as the effort is made, in a way that hinders work and daily activities. O | Decreased shoulder mobility, especially for movements above 80 degrees. Disconfort during palpation of the anterior shoulder region and decreased strength for shlouder abduction and extension. A| Results shower for inflamation process in muscle supraspinatus. P | Recommended passive mobility training for the glenohumeral joint, stretching and strengthening of the supraspinatus muscles