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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