Approximately 1-2 days before your scheduled speech and language evaluation, you should receive a call from your evaluating therapist. She will introduce herself and briefly discuss your primary area/s of concern regarding your child’s communication.
This will help the clinician make decisions about what formal tests to select for the evaluation. If we have received your case history form, she might also review your case history and ask any additional questions she might have regarding your child’s developmental and medical histories. Discussing these items prior to the evaluation allows the therapist enough time for both formal and informal assessments during the actual evaluation. In general, most initial speech and language evaluations will examine the following areas of communication:
At the conclusion of the evaluation, your evaluating therapist will discuss her clinical impressions and recommendations for therapy including the frequency and duration (e.g. 1x/week for 30 minutes). If therapy is recommended, you will be guided to the Client Care Coordinator to create an ongoing appointment. You will receive a written report of your evaluation typically within 2 weeks after the evaluation.
About the Evaluation:
Occupations for a child are anything that a child needs to do to participate in their life to the fullest.
This includes things like:
An occupational therapy evaluation will consider your child’s occupations and potential underlying areas that may be limiting your child throughout their day. It is our belief that when children are able to fully participate in their desired occupations that improved self-esteem, self-efficacy, meaningful relationships, and joy in life are truly possible.
Before the Evaluation:
At the Evaluation:
Most evaluations will be completed over 2 evaluation appointments.
What to Expect at the First Appointment:
A few examples:
Our goal is to investigate possible underlying contributing factors and create an individualized plan which celebrates your child’s strengths in order to address their needs and goals. Based on the results of the second appointment, the therapist will establish a specific plan of care and goals for your child.
After the Evaluation:
If therapy is recommended, the Client Care Coordinator will assist you in scheduling ongoing therapy. You will be provided with a copy of the evaluation report approximately 2 weeks after the second visit.
We are excited to meet you and thankful that you chose us to partner with your family!
Approximately 2-5 days before your scheduled physical therapy evaluation, you should receive a call or an email from your evaluating therapist. She will introduce herself and confirm your appointment. Most physical therapy evaluations will take place over 2 separate appointments.
At your first appointment, the therapist will review your case history and ask any additional questions she has regarding your child’s developmental and medical histories. The therapist will be most interested in your goals for therapy – what will success look like? The therapist will observe your child participating in a variety of “play” activities in our sensory motor gym in order to informally assess his/her strengths and needs. The information you provide will help the clinician make decisions about what formal tests to select for the evaluation. Typically, this first visit will take approximately 30-45 minutes. The formal testing will take place on the second visit, which will take approximately 1 hour.
In general, most physical therapy evaluations will examine the following areas of physical characteristics and gross motor development:
1. Range of Motion – the movement of a joint from end range to end range. This is assessed through the passive or active movement of a joint. Specific measurements may be taken if a joint appears limited.
2. Strength – is typically evaluated based on clinical observations of your child’s quality of movement with various gross motor skills and transitions between positions. Strength may also be formally assessed using a standardized test depending on your child’s age.
3. Muscle Tone – the amount of muscle contraction at rest. This is assessed by the resistance felt during passive movement. Increased muscle tone is noted by increased resistance or rigidity of the muscle. Low muscle tone is noted when the muscle feels loose or floppy.
4. Balance – is evaluated through clinical observations and/or standardized testing.
5. Gait – the manner of walking. This is evaluated through observation. The therapist may ask permission to video your child to be able to assess and analyze his/her gait pattern more in depth. This may also include running and walking up and down stairs.
6. Posture – position of the body in standing or sitting. This not only includes the orientation of the head, neck, and trunk, but also the symmetry and alignment of the hips, legs, and feet.
7. Gross Motor Skills – crawling, running, jumping, and other large movements of the body. The therapist will assess the ability of your child to perform certain skills as well as their quality of movement.
At the conclusion of the evaluation, the therapist will guide you to the Client Care Coordinator for your new client orientation. She will make sure that you are set up for your second appointment if one is necessary. If ongoing therapy is recommended, you will discuss this with our office staff and we will try to find a day and time that works best for you and your child. You will receive a written report of your child’s evaluation typically within 2 weeks.