C
Case History (Sammy) continued:
MOTOR DEVELOPMENT
1. Developmental Response
At what age did your child reach the usual developmental milestones?
Sitting?______6 months__________
Crawling?____10 months____________
Walking?____11 months_____________
Talking?___12 months_______________
YES NO COMMENTS
Does your child lack adequate
protective reactions when falling _____ __no___
____________________
2. Muscle Tone
Does your child:
Have a grasp of a crayon/
pencil that is less mature
than his peers? __yes _____ ____fisted_____________
Have good balance? __yes__ _____ ______________________
Drool? __yes___ _____ __stopped 6 months ago
Have any diagnosed muscle
pathology (i.e., spasticity,
flaccidity, rigidity, etc.)? _____ __no___ ____________________________
Seem weaker or stronger
than normal? _____ _no __ ____________________________
Frequently grasp objects
too lightly/strongly? _____ _no___ ____________________________
Tire easily? _____ _no___ ____________________________
3. Coordination
Does your child:
Manipulate small objects
easily? __?___ _____ Doesn't play with toys yet spins tiny objects
Seem accident prone
(i.e.: have frequent
scrapes and bruises)? __yes __ _____ Not aware steps on people
Eat in a sloppy manner? __yes___ _____ ___________________________
Have difficulty with
pencil activities? _____ _____ Not interested
Have difficulty with
dressing and/or fastening
clothes? __yes___ _____ ___________________________
Have a consistent hand
dominance? _____ __no___ Switches, maybe right______
S
ENSORY DEVELOPMENT
1. Tactile Sensation
Does your child:
Object to being touched? _____ __no___ ___________________________
Dislike being cuddled? _____ __no___ ___________________________
Seem irritable when held? ___yes__ _____ Doesn't sit still for long periods
Prefer to touch rather
than be touched? __yes___ _____ ___________________________
React negatively to the
feel of new clothes? _yes___ _____ ___________________________
Dislike having hair and/or
face washed? __yes__ _____ This has become very difficult
Dislike having teeth
brushed? __yes__ _____ ___________________________
Dislike having nails
clipped? __yes__ _____ Do it when he is asleep
Prefer certain textures
of clothing? ___yes__ _____ Soft cotton cloths no tags
Avoid certain textures __________yes________ _______________-
Isolate self from other
children? ___yes__ _____ Not really interested in other children
2. Vestibular Sensation
Does your child:
Dislike being tossed in
the air? _____ __no__ ___________________________
Seem fearful in space
(i.e.: going up and down
stairs, riding teeter-
totter)? _____ _ no____ ___________________________
Appear clumsy, often
bumping into things
and/or falling down? ___yes__ _____ Sometimes he will walk right through you.
Prefer fast-moving,
spinning carnival rides? __ yes___ _____ Likes them
Avoid balance activities? _____ _ no____ ___________________________
Spins self? __yes___ _____ A little but prefers to spin objects
3. Olfactory Sensation
Does your child:
Explore the environment
with smell? _____ _____ Don't know!
Discriminate odors? _____ _____ Don't Know!
React defensively to smell? _____ _____ Not observed!
Ignore noxious odors? _____ _____ Doesn't notice the babies dirty diaper
4. Gustatory Sensation
Does your child:
Act as though all food
tastes the same? _____ _no___ Very picky!
Explore by tasting? _____ __no___ Will touch things and gag!
Dislike foods of a certain
texture or multiple
textures? _____ _____ Don't know
Avoid or crave certain
temperatures of food? _____ _no____ ___________________________
V
ISUAL SENSATION
Does your child:
Have difficulty maintaining
eye contact? __yes___ _____ ___________________________
Have a diagnosed visual
deffect? _____ ___no__ ___________________________
Make reversals when
copying? _____ ___no__ Doesn't draw__________________
Have difficulty discriminating
colors, shapes? _____ _____ Used to be very interested in letters and #'s
Appear sensitive to light? __yes___ _____ Squints in sunlight___________
Become over excited when
confronted with variety of
stimuli? __yes___ _____ In mall gets overwhelmed.______
Have an attraction to
spinning objects or vertical
and horizontal lines? __yes___ _____ Wheel and toys, spinning tops
Explore objects using
peripheral vision? __yes__ _____ Holds objects to side of his eyes____
Squint or close one eye
when looking at things? __yes___ _____ Occasionally ____________
Appear not to notice things
in their environment or
focus on minute detail? __yes___ _____ Into minutia at times__________
AUDITORY DEVELOPMENT
Has your child experienced any problems with his/her hearing? (operations, infections, tubes)
First ear infection was at 6 months. He had frequent infection for the next 18 months. Just when we were considering tubes the ear infections stopped. He now get sinus infections which clear up with anti-biotics
Ear infections? seldom________ sometimes________ often__X______
mild__________ moderate____X_____ severe_______
Has your child had his/her hearing tested? If yes, what were the results?
Yes Normal_______________________________________________
Are there any current/past hearing problems of which you are aware? ___NO________