Stages of the comprehensive evaluation and diagnosis process

The duration of the assessment with the physical therapist ranges from 30 minutes for a low-intensity assessment, 45 minutes for a moderate-intensity assessment, to 60 minutes for a complex-intensity assessment, depending on each child's condition.

The evaluation session is divided into three sections:

Section One: The child's medical history:

Every child is unique, and each child’s needs are different, so the treatment plan will be different for each case. The pediatric physiotherapist will review your child’s medical history and discuss any concerns or worries you have about his or her condition. Your child’s skills will be assessed through a combination of standardized tests and assessments, and the child’s response through play and during physical activities and the extent of motor development.

Section Two: Measuring and Evaluating the Child’s Performance and Abilities:

  1. The specialist begins by assessing the child’s condition, motor development, and motor patterns that he can master, as well as the skills that need training and improvement, and then sets goals and intervention plans to work on in the upcoming treatment sessions.
  2. To develop a treatment plan, the physical therapist will use several approved tests and assessments.

What is the role of assessment in developing a treatment plan?

The assessment is a roadmap that the physical therapist uses to identify the child's strengths and weaknesses, and to determine the goals that must be worked on during treatment.

Why does a specialist use multiple tests and assessments?

  • To get a comprehensive picture: The child's assessment is not limited to one aspect only, but includes the assessment of motor, neurological, sensory, and functional abilities.
  • To determine an accurate diagnosis: The evaluation helps determine the health condition the child is suffering from, whether it is a delay in motor development, a neurological disorder, or an injury.
  • To determine treatment goals: Based on the evaluation results, goals are determined that the treatment seeks to achieve, such as improving strength, increasing range of motion, or developing motor skills.

What types of assessments might a specialist use?

There are many tests and assessments that can be used, including:

  • Motor development tests: to assess a child's gross and fine motor skills.
  • Balance tests: to assess a child's ability to maintain balance.
  • Strength tests: to assess the child's muscle strength.
  • Range of motion tests: to assess the range of motion of joints.
  • Sensation tests: to assess the child's sensitivity to touch, heat, cold, and pain.
  • Neurological function tests: to assess the functions of the nervous system.
  • Daily Activities Tests: To assess the child's ability to perform daily activities.

Part Three of the Evaluation: Personal Interview with Parents:

Then comes the family's role, where both parents or one of them is interviewed to ask about the extent of the child's motor development and his ability to raise and move his head, crawl and crawl, turn over and sit alone or walk and go up and down stairs, to determine the child's motor development level according to his chronological and motor age and the extent of his dependence on himself or on another person in moving or changing his body position from one place to another. Also how to communicate with the child and whether he has some simple terms to express desires or certain behaviors such as crying, biting or clapping.

Therefore, what parents say and what they want from physical therapy sessions during the assessment session is important in developing the treatment program for the child.

At the end of the session

The physiotherapist will provide an analysis and treatment plan and recommend treatment options. Treatment is always done in collaboration with the family, and treatment may include individual or intensive sessions, teletherapy, or home care service depending on the child's condition and the parents' circumstances that enable them to follow the treatment program regularly.

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Comprehensive assessment and diagnosis in pediatric physical therapy is an essential process to ensure that each child receives the care they need to achieve maximum independence and ability to participate in daily life.

Important Notes

Inclusiveness

The assessment should include all aspects of the child's health and functional status.

Individuality

The treatment plan should be customized for each child based on his or her individual needs.

Collaboration

Evaluation and diagnosis should be made in collaboration with the multidisciplinary care team.

Continuous assessment

Periodic evaluations should be performed to measure progress and adjust the treatment plan as needed.

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