We provide orthotics for children and adults with Cerebral Palsy and other Neuro-motor challenges. Casting is done by a PT certified in Neuro-developmental treatment in pediatrics (NDTA).Braces are created by the leading orthotics manufactor in the country.
Our typical School-based evaluation consists of several parts:
1. Review of relevant school records (by PT; OT) and reason for request for evaluation.
2. Send a detailed questionnaire to the teacher(s).
3. Send a detailed developmental history to family (if needed): which encompasses medical and developmental history; sleep patterns, nutritional patterns, motor skills, sensory history and behavioral history.
4. Phone consult with evaluating therapist and teacher: Prior to the first visit, the therapist will arrange a phone consultation with the teacher, or person making the referral, to discuss the main reasons for the referral and any specific concerns.
5. The Evaluation Process:
5A. School observation: The therapist will observe the child in several settings during the school day. During this observation, she will be noting the child’s general neurological organization, maturity of primitive reflexes, visual-motor organization, sensory processing, coordination, internal and external organization. She will note all of the above as they relate to social and academic tasks at hand.
5B. Evaluation: Following this observation, she will spend some time alone with the child to further assess his/her fine motor, gross motor and/or sensory motor function. Standardized testing may or may not be performed depending on the needs of the child and/or specific requests. For younger children, this evaluation will be conducted in a playful comfortable manner that should be fun for the child. Although it looks like play, during this clinical evaluation, the therapist will be assessing the child’s movement patterns, responses to sensations, neurological organization, the maturity of neurological reflexes; sensory processing, internal and external organization, gross motor skills and fine motor skills, arousal levels, visual and auditory attention skills and modulation (the ability to maintain the proper state of arousal for a task), and all of the above as they relate to behavioral organization and responses. This portion generally lasts 1 hour (but may be up to 1 and ½ hours). Other areas that will be addressed are coordination, balance, communication, visual motor control, and hand skills. A standardized assessment tool may be used to measure the child’s performance against that of children of the same age, but this is not always the case.
6. Lengthy, Detailed Report: Including Comprehensive description of current levels of Sensory Processing as it relates to school function: The evaluating therapist will integrate the information received from the developmental history with the information gained in their clinical assessment and develop a lengthy, detailed report with her findings and recommendations. She may also consult with other therapists in our office to assist in developing the final assessment and recommendations.
7. Follow Up-Visit with school personnel or PPT: The therapist will meet with the adults to discuss the results of the evaluation and the report in depth. This is an opportunity to discuss the report and recommendations in detail. The most important thing people have told us they usually get out of these evaluations is an understanding of the child’s neurological function as it may relate to his/her behavior, a better understanding of the sensory system and how it contributes to how we function in the world. Others have told us they gained an understanding of what might be “out of balance” sensorily or nutritionally, as well as ideas to help “fine tune” anything out of balance to improve the child’s overall function and health.
Does your child struggle with....
A comprehensive evaluation for children and adults struggling with behavioral, attention, self-regulation, sensory, sleep or nutritional challenges.
The S.A.N.E. Evaluation is a holistic multidisciplinary evaluation, incorporating assessment of gross motor skills, fine motor skills, sensory processing, social/behavioral function, sleep and nutrition. In children and adults with attention, sensory, motor or behavioral challenges, many of these areas overlap. Addressing and treating each of these areas can assist the individual in improving their daily function. During the evaluation, the therapist is not only looking at whether the individual 'can do' the task, but 'how' he does the task (i.e. 'how is he wired, and how is the nervous system handling the information and the task"?)
This is a 4 part evaluation in which the family/caregivers receive an extensive report with descriptions of function and recommendations for home and school as well as a 2 hour follow up meeting with the therapists to discuss the report. These reports can be used as a teaching tool and can assist in setting up programs both at home and school.
This evaluation can take place at our clinic or can be performed on site at schools, home or day program settings (for children or adults):
1. Before your first visit to us (or ours to you) we will mail you an extensive developmental history form which includes questions regarding your child/client's medical, nutritional, sleep, sensory and physical development. Please bring the completed form with you to the first visit along with any other reports/evaluations (from doctors, school, teachers, counselors, etc.) which are relevant to your child’s/client's care.
2. For children: The first visit is a comprehensive clinical evaluation with your child. The evaluation will be conducted in a playful manner, comfortable for your child. Areas that will be addressed will include assessment of alertness states and attention, reactivity to touch, sound, movement and visual sensations; muscle tone, reflexes, coordination, balance, communication, visual motor control, and hand skills. A standardized assessment tool may be used to measure your child’s performance against that of children of the same age. Additionally, you will be asked to give information about your child’s medical history, sleep patterns and diet. (Allow up to 1 ½ hours for this visit.)
2a. For Adults: The first visit is often at your location, either home, work or day program. During this visit, we will bring a variety of physical, and sensory items and activities to try with the individual, and will also spend time just 'observing' the good, the bad and the challenges. We will be observing the state of the nervous system, their sensory responses, vestibular function, arousal level and noting what types of sensations may be problematic. We will also spend time talking with support staff and taking detailed information on behaviors to complete the 'neurological puzzle"
3. Before your next visit the evaluating therapist will integrate the detailed information from the developmental summary, clinical observations, and /or other relevant documentation and develop a detailed report for you that includes a description of function, an understanding of the underlying challenges (sensory and/or motor) and detailed recommendations in all relevant domains for home/school or work environments (sleep, sensory, activities, nutrition, and environments).
4. Your follow up visit will be for ADULTS ONLY and will be an opportunity to review the report and recommendations with the therapist and to discuss your child/client at length. This visit can typically last up to 2 hours and is scheduled approximately 2 weeks after your child’s visit. Together we will develop an individualized treatment plan and/or discuss how to assist you in implementing the recommendations in your environment or at school.
Our Occupational Therapists are specialists with advanced training in Sensory Processing Disorders and Pediatrics. They service both children and adults with developmental challenges, both in our clinic and in homes and schools. They can provide traditional direct service treatment in our clinic setting or provide detailed 'on site' evaluations with extensive follow up reports and recommendations for schools and home settings (See S.A.N.E. Evaluation below). Our Occupational Therapists also provide in-services and workshops for schools, homes and daycare settings on the topics of Sensory Processing and Behavior, as, and clinical Assessments and Treatment.
With over 2 decades of experience with children and their relationship with food, Patricia Lynch, RDN, CDN uses a multi-faceted nutrition assessment to piece together what may be playing a role in sensory issues, picky eating, problem feeding, and individual diagnoses. Symptoms such as mood and behavior change, poor concentration, gastrointestinal issues, sleep disturbance, loss of appetite, cravings or susceptibility to sickness are strongly linked to nutritional deficiencies, types of foods being consumed, and possible food sensitivities or intolerances. Using tools such as a nutrition questionnaire, food records, nutrition analysis of food intake, lab testing and medical/sensory history, Trish is able to guide parents toward better health for their children.