Ole' Happy Day

Happy New Year!!!

 

Landon standing supported with his walker during PT therapy session.

 

Below I have shared some therapy notes....

(picture taken by Negar, PT Therapist; during therapy session)



THERAPY NOTE – OT (12/31)  

Worked with Landon at the table during breakfast, in the hallway, and therapy room. Landon had finished eating but he was still drinking his milk. He appeared done as he threw the cup down. When given more milk, he did accept more. Min A to stand at sink and mod to max A to wash and dry his hands. Used the gait trainer to walk with him down the hallway to the therapy room. He immediately was interested in banging on the ball, taking turns with OT. He also comes up to a kneeling position easily when the ball is stabilized. He attempted to use the ball to pull to stand twice but could not make it all the way up. He was interested in exploring the room but not in engaging in any table top toys today. Continue with IFSP goals.

 

THERAPY NOTE – OT (12/30)

Worked with Landon in the hallway during transitions and in the therapy room. In the hall mirror, Landon will look at himself and play with the tambourine that is hanging from the mirror. In the therapy room, worked on standing balance while playing with a toy. Positioned him on the ball in prone, supine and transitioned him into sitting several times. Attempted to position him in straddle over the bolster to work on bending and reaching, but Landon crawled off the bolster. In a straddle position on the floor, Landon put all the shapes back into the shape sorter (with the cover off). Less throwing of toys today. Continue with attention, purposeful play, grasp.

THERAPY NOTE - OT (12/27)

Worked with Landon in the hallway and therapy room. Landon was upset upon arrival. He had eaten 3 english muffins and wanted more. He did not eat any fruit or eggs. He was brought out into the hallway and we stood with the walker for a few moments and started walking down the hallway. With some singing, he became more animated and started to smile. He smiled when we reached the mirror and he handled the tambourine. Worked in standing for a few minutes singing and encouraging him to engage his hands in various gestures. He maintained his balance for a few seconds at a time. In the therapy room, he stood at the bench (leaning into bench at times) to work with shape sorter. He slid the top partially off the container, took pieces out and attempted to stack two blocks. He also picked up two blocks in one hand at a time. He did not sustain this play for much longer as he started to throw the blocks. Provided movement on the ball. He tolerated being on his stomach for a few minutes as well as a transition into sitting but did not want to stay sitting on the ball. He did take turns with OT to bang on the large ball to make noise. Continue with IFSP goals.

THERAPY NOTE – Speech (12/20)

Goal: Increase in gestures/signs./sounds/words Strategy: Visual + verbal model, imitation, face-to-face Progress: Landon did well today. He immediately began smiling when seeing SLP and hearing her sing. While SLP singing Twinkle Little Star, Landon gesturing with his arms upward, Landon rolling his arms when hearing Wheels on Bus. Landon bringing hands together in modified sign for "more" today when provided with a verbal prompt. Landon vocalizing with /a/ sounds while moving arms and legs in excitement.

THERAPY NOTE – OT (12/18)

Worked with Landon in his and other classrooms. He appeared somewhat sad today at the beginning of the session and was clinging to OT. Positioned him in standing and walked him out into the hallway. He immediately dropped to his knees and started crawling. Worked in another classroom that has small steps and a slide. He crawled up the steps and seemed fearful of going through the tunnel. OT assisted him through the tunnel and he smiled. Crawled down the small slide with mod A. He enjoyed t he wheel that he could turn that was on the platform of this toy. He would spin it and then put his hand on OT's hand to spin it. He showed some overstimulation with this repetitive movement. Needed to move him away. He did not want to engage with a puzzle today. Used the walked to walk him back to the classroom. Continue with IFSP goals.

THERAPY NOTE - Speech (12/17)

Goal: Increase in gestures/signs/sounds/words Strategy: Face-to-face, imitation, visual model Progress: Landon seen shortly after drop off. Landon sitting in front of SLP and immediately became excited when SLP singing familiar songs (e.g. Wheels on bus, Twinkle Little Star). With HOH Landon gesturing to up and down and I love you - from Wheels on bus. Landon did not sign more today independently when provided with verbal + visual prompt, benefited from HOH. Landon vocalizing /d/ sound x1.

THERAPY NOTE – OT (12/17)

Worked with Landon in the hallway and therapy room. Landon walked with the walker and assistance from OT at his hands from classroom to the therapy room and back. Worked on increasing trunk control and stability while in standing and looking in the mirror and engaging with table top toys. He is standing with more stability and can maintain a few seconds without holding on. At the table, he played with a shape sorter. He initially threw the pieces around but then was able to put them all into the open container. When the top was put on, he continued to put the pieces on top of the cover. He did not demonstrate trial and error but allowed hand over hand to put all 8 pieces in. He looked happy when the pieces fell into the hole. Performed some face and ear massage for overall calming. Landon did great today showing improved standing balance and engaging in more purposeful play. Continue with IFSP goals.

THERAPY NOTE – OT (12/16)

Landon tolerated the session well. He stood unsupported for 4 seconds x 7 trials today. He worked on transitioning from stand to floor sitting with one hand supported and one hand reaching down for the floor. Landon continued to practice his walking using the loaner gait trainer (used as a posterior wheeled walker) with decreased assistance to keep his grasp on the handles today. He walked with fair trunk control on level surfaces 40 feet x 2 and 20 feet x 3 trials. Continue with plan of care.