Patient & Visitor Alert: Because flu cases are on the rise, starting February 24, children 12 and younger
will be restricted from visiting hospitals and certain inpatient facilities throughout Carolinas HealthCare System. Learn more.

Carolinas HealthCare System

There may be signs your child could benefit from outpatient rehabilitation services.

Occupational Therapy Evaluation

  • Delay in gross and fine motor skills 
  • Decreased strength in trunk and upper extremities
  • Inappropriate reactions to various sensory input (i.e., scared of movement or loud noises, little reaction to noxious stimuli, resistant to touch or grooming)
  • Clumsiness with running, skipping or reciprocal coordination movements which may indicate sensorimotor or motor planning problems
  • Difficulty with fine motor skills such as grasp/release, manipulating objects, operating clothing fasteners
  • Trouble with handwriting skills
  • Difficulty with vision or perceptual skills (easily fatigues/complains about reading, trouble coping from the board)
  • Attention problems in school

Physical Therapy Evaluation

Signs your child may need a physical therapy evaluation:

  • Obvious delay in gross motor milestones
  • Concerns with movement; unable to play in different positions (i.e., may sit cross-legged constantly, becomes afraid or cries when asked to reach for a toy in sitting or standing)
  • Loses balance often while sitting or standing
  • Difficulty with coordination when playing (i.e., on playground equipment, riding a bike, at home)
  • Locks knees in standing for support, locks arms in crawling, plops down when going from standing to squatting
  • Unable to imitate dynamic bursts of activity or change the speed of movement (i.e., jumping, hopping, running)
  • Fear of movement
  • Toe walking
  • Obvious decreased strength and coordination
  • Limited flexibility which hinders activity

Speech Pathology Evaluation

Signs your child may benefit from a speech pathology evaluation:

  • Child does not demonstrate the following skills:
    • 1 year - produce 10 words, understand “no,” transition to early textures of food
    • 2 years - produce 100 words, begin to combine words, drink from cup/straw well, chew solids
    • 3 years - produce 300 to 500 words, speak in 3 to 4 word sentences, is at least 75 percent intelligible
    • 3 to 5 years - produce longer sentences, talk about recent events, follow series of 2 to 3 directions, know colors/shapes/common opposites, is 80 to 100 percent intelligible
  • Other areas of concern:
    • Stuttering or dysfluency
    • Prolonged abnormal voice production (i.e., raspy, hoarse whisper)
    • Difficulty transitioning through feeding stages, possibly indicating feeding/swallowing difficulties