Categorisation | Free text |
---|---|
PT’s functional diagnosis | |
Normal findings | No diagnosis; Not relevant; Normal development; None; Normal joint conditions |
Motor difficulties | Bodily unrest and attention deficit; Struggles with gross motor skills; Immature movement pattern; Slightly delayed motor development according to age; Delayed fine motor development; Delayed gross motor development; Struggles in prone position; Reduced head control |
Asymmetry | Infant asymmetry; Positional infant asymmetry; Neck asymmetry; Torticollis; Favorite side; Asymmetrical movement development; Lateral flexion to the right side; Asymmetry |
Foot alignment | Stiff ankles, toe-walking; Intoeing; Asymmetrical running pattern and stiff ankle; Increased valgus in foot; Flexible flatfoot |
Established diagnosis/syndrome | Down's syndrome; Rare diseases (not shown due to anonymity) |
Other | Birth asphyxia; Pain problem; Tension headache; Stiff neck; Ankle fracture; Diffuse leg pain |
Main goal for treatment | |
No further follow-up | Only examination; No need for follow-up; Case closed |
Normalise or optimise motor development | Age-adequate motor development; Independent walking; Normal motor development; Improve independence in fine- and gross motor tasks; Improve writing; Normalise running pattern; Impact walking and running |
Achieve symmetrical movements | Symmetrical motor development; Symmetrical neck position; Symmetry in neck; Equal range of motion to both sides; Full range of motion bilaterally; Become equally strong in active lateral flexion to both sides; Become symmetrical in prone position; Achieve symmetry of head movements |
Pain reduction | Reduce pain in neck and back; Become pain free, become aware of tension; Reduce pain and fatigue |
Further examinations | Evaluate need for follow-up; Evaluation of fine motor function as part of further assessment; Mapping of motor skills; Assessment of feet; Assessment/evaluation of fine motor function and coordination; Determine need for further follow-up/assessment; Examine the cause of intoeing and determine need for follow-up; Find the cause of asymmetry and stiffness in ankle; Examination of neck; Examination and evaluation; Consider further follow-up by PT; |
Other | Maintain function; Participation in suitable and pleasurable leisure activities; Improve sleep and school day functioning; Improve range of motion in dorsiflexion of the ankle; Prevent problems due to week muscles; Avoid stiffening of shoulder; Monitor development |
Treatment plan | |
No need for treatment | No plan for treatment; No goal for treatment; No further follow-up |
Further examinations | Assessment; Examination; Observation and assessments; Mapping of causes; Observe in kindergarten; Observe in school; Evaluate motor development |
Advice/guidance of parents | Guidance of mother; Guidance of parents; Guidance kindergarten/home; Talk to child, mother and school; Ensure that parents are given knowledge-based information about motor development |
Stimulation to active movements | Stimulate both sides in daily activities; Stimulation on the child’s left side; Stimulate to symmetrical head control and varied positions; Stimulation; Stimulate to active rotation of the head to the left; Active lateral flection to the right in various position; Functional movements |
Adaptation of the environment and positional support | Adaptation in school; Adaptation; Supine position with adequate support to promote head in midline; Facilitate prone position; Facilitate varied motor development; Support for supine position |
Stretching | Stretching |
Other | Normal activity level; Balance, strength and stability; Variation in position; Understand the condition; Referral to occupational therapist |