By: Nancy Amar OTR/L www.MissMancy.com
By: Nancy Amar OTR/L www.MissMancy.com
OT referrals• When is a child referred for OT
services in a school setting?1-Handwriting difficulties2-Poor fine motor skills3-Attention/Partcipation4-Sensory Processing
Important components of an OT Evaluation
1- Behavior during testing2- Core Strength/Reflex Integration3- Gross Motor Skills4- Fine Motor Skills5- Visual Motor Integration Skills6- Sensory Processing Skills7- Activities of Daily Living8- Plan of Care
Behavior during Testing• Attention and distractibility • Active Participation (following
directions)• Impulsivity (waits for instructions)• Termination• Social Interaction• Anxiety level
Reflex Integration
Core Strength
• Prone extension (fly like superman)
• Supine flexion (egg position)
Core Strength
Gross Motor Skills• Balance (1 foot, hopping)• Sustained postural control (Rhomberg,
Sharpened Rhomberg)• Coordination (unilateral and bilateral, rhythm)
• Ball Skills (eye-hand coordination, feed back motor coordination, anticipated action sequence, hand/foot dominance, graded control)
Fine Motor Skills• Sensory Awareness (RAM rapid
alternating movements)• In-hand manipulation and isolated
finger control• Prehension Pattern• Handwriting Skills• Coloring Skills• Scissor Skills
Fine Motor Skills
Fine Motor Skills
Beery VMI • Visual Motor Integration
• Visual Perceptual
• Motor Coordination
Sensory Processing• Full Sensory Questionnaire
(completed by caregiver)• School Companion Sensory
Questionnaire (completed by teacher)
Sensory and Behavioral Score Summary (caregiver)
Auditory Processing (caregiver)
Auditory Processing (teacher)
Sensory and Behavioral Score Summary (teacher)
Activities of Daily Living• Dressing• Feeding• Toileting • Chores
Plan of Care• From the results of testing, I create a
plan of care (POC):• Long-term goals and short-term goals• Recommendation for OT services• Recommendation to other services
including testing for auditory processing difficulties
Long-term Goals
Short-term Goals
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