Lacy was seen for occupational therapy from November of 2009 to April of 2010 for delayed development of overall milestones. She also had expressive language delay. Lacy has a twin sister, and they were born five weeks prematurely. Although her sister is developing on target, Lacy has been delayed along the way. Lacy has a diagnosis of hypothyroidism– at 12 months of age she sustained a subdural hemorrhage due to a fall from balance deficits and underwent a craniotomy. She received physical therapy from ECI, before I joined to provide occupational therapy. Initial testing revealed delayed fine motor skills and ADLs, balance deficits and tactile sensory processing deficits. Lacy did not initiate play or utilize bilateral coordination, nor did she speak.
Lacy’s tactile processing was diminished compared to her peers, so I utilized as variety of techniques, including deep pressure and joint compression input, during therapeutic activities. She was also a bit tactile defensive, so I used the brushing protocol and educated mom on how to perform on Lacy in order to decrease her sensitivity, thereby improving her initiation of play or ADL’s, through touch. She had balance deficits, so I utilized a variety of sensorimotor activities including a scooter board, therapy ball and balance board while performing some type of eye/hand coordination task: i.e. bubbles, balloons, etc. Last of all, for her fine motor deficits, she played with a variety of fine motor manipulatives, including craft activities, play dough, peg/board, stringing beads etc. Lacy initially required hand over hand assist, before ultimately working her way to independence of skills for her age.
Her mom was very involved in each treatment session, and often went above and beyond when it came to following through on sensory diet activities and home program. Lacy, twin sister Olivia (both 1 1/2-year-olds), and Joey (3 year-old cousin) were all present during treatment sessions, as Lacy received OT services from “Miss Sue”. Over the five months of “playing”, Lacy made steady gains. She was recently reevaluated and found to be age appropriate in all areas. She has blossomed into a happy girl who could express her own needs, play appropriately with her peers, and has become functionally independent for her age. Lacy was a joy to treat. Although it was often times to me like treating the whole “daycare” with sibling and cousin also present, Lacy was always happy to see me. Lacy was recently discharged. She still requires speech services, but is on a waiting list for that. It was my pleasure to help this sweet little girl!