SMSS Physical Therapy Screener

Physical Therapy Screener
http://www.smsspecialists.com/
The following list is an overview of milestones across age ranges that could warrant further PhysicalTherapy Evaluation. Please check any age appropriate skills your child has difficulty performing or is unable to perform. These items will be reviewed by a Physical Therapist to determine if formal evaluation is recommended.
GENERAL CONCERNS in Infancy and Toddlerhood:
Presence of a flat spot either on the side or back of the headStrong preference for head to be tilted or rotated to one side that does not resolve after 2 months ofageFeels stiff or arches often, difficulty with dressing or diaper changesFeels very floppy, doesn’t move arms or kick legs, typically remains in one positionTime in equipment such as swings/bouncers/floor chair exceeds floor time throughout the daycoinciding with frustration/difficulty during floor timeDoes not crawl in a typical fashionDoes not have full foot contact in standingDemonstrates a preference to be up on toes in standingW sits often and/or is the primary sitting position
OTHER THINGS TO WATCH FOR AS SKILLS DEVELOP
Walks with feet wider than hips after walking has been established for ~2-3 monthsWalks loudly and/or with flat feet after walking has been established ~3-6 monthsWalks on toes >25% of the timeDrags one foot or legs are positioned differently (turning out or turning in) after walking has beenestablished for several months
Gross Motor Milestones
By 4 months:
Has good head control in a variety of positions (back, stomach, and when being held)o Holds head centered while on backo Able to hold head up fully when on stomachFully accepts weight through arms when on stomach and starting to push up onto handsTracks toys and smiles in response to familiar personAble to hold head up against gravity when on stomach, support weight through armsMay begin rolling tummy to back
By 6 Months:
Plays with feet and able to bring feet to mouthRolls in both directions – stomach to back and back to stomachAble to bring hands to feet and feet to mouth when lying on backAble to sit without supportSupports weight through legs when placed in standing position
By 9 months, a baby:
Sits in a variety of positions – ring sit, side sit, and long sit and able to transition in/out of each to flooror return without difficultyAble to prevent falls from sitting using protective reactions of the armsAble to move independently between positions such as from sitting to stomach for floor play as well asget up to sitting from stomachAbility to pivot and scoot on stomach during floor time to exploreMay begin crawling on hands and knees (9-10 months)
12 to 15 Months:
Pulls to stand leading with either legAble to crawl up/down stairs or over bulky items on floor (pillows, blankets, etc)Walks with furniture supportWalks with hands held or using push toyStands momentarily without supportAble to control standing to sit with supportTaking steps independently and able to vary speed and direction
18-24 Months
Able to play in a deep squat positionCan walk up and down a few steps with 1 hand held using either legSquat to pick up a toy while walking and return to standing/walkingPropels a ride on toyAble to kick a ball with either footWalks sideways and backwards
2-3 Years
Enjoys and seeks out various opportunities to move and play in variety of positions – pushes carsacross floor, climbs over/under and through, etcAble to rise onto tip toes when reaching overheadAble to walk, run, and maintain balance on a variety of surfacesHas sufficient endurance to participate and keep up with peersWalks with a heel to toe patternAble to jump with both feet clearing the floorAble to kick a ballAble to catch a playground sized ballAble to walk up and down stairs with 1 foot on each stepAble to pedal a tricycle
3-4 Years
Able to get up from circle time without external support/using handsAble to sit during circle time or floor play in a variety of positionsAble to access all playground equipment with easeAble to pedal a bicycle with training wheelsAble to balance well on one footAble to hop on either footRuns fast and avoids obstacles without difficulty
Early School Age (5-8 Years)
Able to perform 3+ sit ups without assistanceAble to perform push-ups with good controlAble to gallopAble to skip with good coordination of arm/legsAble to play hopscotch (hop and switch feet, alternate between 2 feet and 1 foot, etc)Able to jump at steady pace such as jumping rope
Later School Age (9-12 Years)
Demonstrates mature patterns of throwing, kicking, jumping, running, etc.Able to participate in group sports and maintain pace with peers
Adolescence (13+ Years)
Easily performs all prior listed skills, able to participate in group activities/sports, etc.
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Physical Therapy Screener

Gross Motor Milestones

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