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
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