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Got written results of OT eval at Dev. Peds.

post #1 of 6
Thread Starter 
But they are recommending OT at least once a week to every other week.

Lack of coordination...
Difficulty with basic praxis of motor coordination/execution
difficulties processing sensory input from his environment...

Are just a few of the things....

Focus of treatment
1) Sensory processing
2) Fine and visual motor tasks
3) Praxis skills
post #2 of 6
But I thought they said he doesn't have apraxia...this sounds like apraxia! Maybe his symptoms are too mild to be considered apraxia?

So what happens now...the school cancelled his IEP, but you have an outside professional recommending therapy. Do you take this report to the school and see if you can get him back on an IEP? Is he already getting OT privately? Connor has a private OT eval coming up. He gets it at the school once a week for a pretty significant fine motor delay.
post #3 of 6
It seems to me that apraxia diagnoses are still not de rigueur, and that some docs aren't giving it at all. Not really sure why. I think Lynn has mentioned something about that before, but I can't remember. It's been a while.

In my opinion, it doesn't matter so much what they call it, as long as it's being treated. I've received quite a few blank stares from people (med profs) when I say apraxia, but they seem to totally understand when I describe symptoms.
post #4 of 6
Thread Starter 
Quote:
Originally Posted by 2boyzmama View Post
But I thought they said he doesn't have apraxia...this sounds like apraxia! Maybe his symptoms are too mild to be considered apraxia?

So what happens now...the school cancelled his IEP, but you have an outside professional recommending therapy. Do you take this report to the school and see if you can get him back on an IEP? Is he already getting OT privately? Connor has a private OT eval coming up. He gets it at the school once a week for a pretty significant fine motor delay.
The school did not cancel his IEP. But he only gets speech services, actually speech therapy. See, it is so funny, because at The Point (private preschool), they saw some of his "balance" issues and have them listed on the Briggance screening results. At the school he gets IEP services they keep telling me they "don't see it". I am not sure if I should even take these reports to them, as right now, we only have the OT eval. report, or if I should take them and have them added to his file as we get them.

School is technically out for him for the summer. I do plan on talking to the school we are putting him in next year (private Montissori) and trying to figure out which classroom he will be in. I know one of the teachers has added activities and stuff to her room that focus on working on motor skills and has purchased stuff you would see them work with in an OT/PT setting to aid her kids.
post #5 of 6
Thread Starter 
As for the apraxia, I think they were only referring to the speech. The Dev. Ped, had not seen or spoke with the OT person, and specifically mentioned she wanted him to have an OT Eval. But, with regards to his speech/language, that is no longer considered apraxia because he is scoring above average in both receptive and expressive.
post #6 of 6
There's a difference between dyspraxia and apraxia. Apraxia often only refers to speech, while dyspraxia is often used for various motor control and planning issues.

His profile sounds very much like our ds' did when he was evaluated. OT did help tremendously. He's still not terribly coordinated, and his dyspraxia came back to make our lives difficult this spring when he had to do a math unit on Tangrams. The poor child just could not see how to arrange those shapes. He could barely copy it when I did it.

When hunting for a website to define dyspraxia, I ran across this, which looks good. http://www.childsupport.in/html/dyspraxia.html

"Sensory Processing Disorder" is not an official diagnosis in the DSM-IV. Lucy Jane Miller and the SPD foundation are working to get it into the DSM-V. But because it's not in the DSM-IV, most school districts and most insurance companies don't recognize it as a diagnosis. Our OT was great and told us exactly what 'codes' we had to have our physician diagnosed to get the OT covered under insurance. (It was essentially disorders of the nervous system, I've got the codes at home if it's at all helpful to anyone.)

I don't have any info on apraxia -- it is given as a diagnosis, but I think that you need someone specialized to give that diagnosis.
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