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By: Nancy Amar OTR/L
www.MissMancy.com
Ot evaluation APD lecture nova
OT referrals
• When is a child referred for OT services in
a school setting?
1-Handwriting difficulties
2-Poor fine motor skills
3-Attention/Partcipation
4-Sensory Processing
Important components of an OT
Evaluation
1- Behavior during testing
2- Core Strength/Reflex Integration
3- Gross Motor Skills
4- Fine Motor Skills
5- Visual Motor Integration Skills
6- Sensory Processing Skills
7- Activities of Daily Living
8- Plan of Care
Behavior during Testing
• Attention and distractibility
• Active Participation (following directions)
• Impulsivity (waits for instructions)
• Termination
• Social Interaction
• Anxiety level
Ot evaluation APD lecture nova
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)
Ot evaluation APD lecture nova
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
www.MissMancy.com

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Ot evaluation APD lecture nova

Editor's Notes

  • #8: Retained reflexes can cause learning difficulties such as poor handwriting, decreased muscle tone, poor eye-hand coordination, poor impulse control
  • #9: Tree, root, leaves Weaknesses can reflect poor reflex integration, gives you information on proprioception, vestibular (gravity) Sitting tolerance/endurance, alertness
  • #13: The more effort a child puts into classroom skills, the more difficult it will be for him to process learning, auditory information