Children referred to Kindering Center have their motor development assessed by an occupational or physical therapist. Along with an evaluation of gross motor skills (the ability to sit, stand, crawl, walk, etc.), children are also observed for quality of movement, balance reactions, muscle tone (too stiff or too floppy) and other orthopedic problems which may be interfering with normal movement. The therapist also assesses fine motor skills, including hand function and feeding skills, to determine the child's level of functioning and to identify reasons for problems in this area. After the assessment, the therapist discusses the results of the exam and gives an approximate functioning age in motor skills; a functioning age score means the age at which a typically developing child would perform those particular activities. If necessary, the therapist will recommend therapy. Since every child is different, the intensity, frequency and duration of therapy varies, from 1 to 2 times a week for 30 to 50 minute sessions, to monthly or less frequent checkups.
Along with the one-to-one treatment sessions with your child, the therapist will give suggestions for appropriate home management and for positioning to help you encourage your child’s optimal motor development. Therapy is intended to be an adjunct to your child’s life; it is very important that it fit into your family’s lifestyle and activities. As a parent, you can help to keep your child’s wholeness foremost and help to integrate therapy goals into your regular day.
