Introduction

History of PT

Pediatric Physical Therapy

Case Studies

Cole

Oliver

Ava

Julie

Resources

Credits and Acknowledgements

 

Last updated: 31-may-07

Case Studies

Name: Cole
Corrected Age: 4 months, 9 days

History: Cole was born at 33 weeks gestation, when his mother went into preterm labor. At birth he weighed 1434 grams, and his Apgar scores were 3 at 1 minute, and 7 at 5 minutes. He stayed in the NICU for 3 weeks, before being discharged home.
Parent Report: His parents report that Cole has been healthy since coming home, and describe him as an “outgoing flirt.” He is eating well, vocalizes frequently and trying to roll over. They have no specific concerns, but want to make sure he is on track with his development.
Assessment: Cole was evaluated at the High Risk Infant Follow-up Clinic, at the Center on Human Development and Disability. Testing was completed by a PT, and assessed Cole’s fine and gross motor skills, his early play skills and language. An assessment of the quality of movements was also completed.
Tests used:

Movement Assessment of Infants
Bayley Scales of Infant and Toddler Development, 3rd ed.

Outcome: Cole is performing skills similar to other children 4 months of age. His primitive reflexes are integrating well, his muscle tone is normal, and he is beginning to develop some beginning balance responses. He will return for a re-evaluation in 6 months.
Videos
Video: Cole with ring.
Cole demonstrating his reaching and grasping skills.
 
Video: Cole balancing.
Testing Cole's balance reactions.

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Center on Human Development and Disability, Clinical Training Unit, University of Washington,
Box 357920, Seattle, WA 98195-7920 lend@uw.edu