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PAEDS: Global Developmental Delay (GDD)
5 (examples) of Physio Problems:
Delayed gross motor milestones
Poor postural control and proximal weakness
Fine motor delay
Motor planning & coordination difficulties
Reduced independence & participation
5 (examples) of Assessments:
Gross Motor Function Measure
Peabody Developmental Motor Scales (assess fine/gross)
Postural control & Balance assessment
Coordination assessment
Functional skills assessment
Examples of Treatment Plans:
Supported standing and early walking (gross)
Tunnels, reaching, climbing (postural control)
Grasping different sized objects (fine motor)
Obstacle courses (motor planning)
Imitation games (coordination)
PAEDS: Cerebral Palsy
5 (examples) of Physio Problems:
Spasticity or dystonia
Delayed gross milestones
Reduced selective motor control
Impaired balance
Contracture risk and reduced joint range
5 (examples) of Assessments:
Gross Motor Function Measure
Tardieu scale for spasticity
ROM and contracture screening
Selective motor control assessment
Observation of gait analysis
5 (examples) of Treatment Plans:
Stretching, prolonged positioning, weight-bearing (tone)
Functional strengthening like sit-to-stands (motor control)
Gait training like walking on cones (gross)
Reaching tasks (postural control)
Positioning advice / standing frame (HEP)
PAEDS: Down Syndrome
5 (examples) of Physio Problems:
Hypotonia
Joint hypermobility/ instability
Delayed gross motor milestones
Poor postural control/balance
Reduced strength & endurance
5 (examples) of Assessments:
Gross Motor Function Measure
Postural control and balance (e.g. sitting/standing)
Strength & endurance (observation during play)
Joint hypermobility screening (observe joint alignment)
Cervical spine safety → check for red flags
Examples of Treatment Plans:
Play based resistance tasks (e.g. sit to stand)
Obstacle courses (postural control)
Adventure play (gross)
Animal walks (joint stability)
“Freeze dance” to practice stopping in stable positions
Daily “movement playtime” at home
PAEDS: Autism Spectrum Disorder
5 (examples) of Physio Problems:
Reduced social engagement
Sensory processing differences
Coordination difficulties
Delayed gross motor skills
Difficulty with transitions and routine changes
5 (examples) of Assessments:
Observation of social interaction through play with others
Caregiver interview about sensory triggers, likes, dislikes etc
Gross motor assessment (object manipulation, balance etc)
Motor planning assessment like “follow the leader”
How well the child goes form one task to another
Examples of Treatment Plans:
Copy-me actions (social play)
Taking turn games
Sensory bins (rice, water etc) (sensory regulation)
Obstacle courses (motor planning)
Pretend play, like feed teddy bear
Steppingstone games (gross motor skill)
“Clean up race” (transitions)
PAEDS: Typically Developing Child
5 (examples) of Physio Problems:
Emerging gross motor skills
Developing fine motor skills
Developing postural control & endurance
Developing motor planning//sequencing
Developing participation in structured play
5 (examples) of Assessments:
Compare fine/gross skills to expected milestones
Play-based gross motor observation
Grasp patterns, drawing → fine motor
Postural control assessment sitting/standing
Functional participation assessment
Examples of Treatment Plans:
Running, hopping and jumping games (gross skills)
Playdough, threading beads (fine skills)
Reaching outside base of support
Obstacle courses (postural control)
Turn-taking games (social skills)
ADULT: Cerebrovascular Accident
5 (examples) of Physio Problems:
Reduced selective motor control
Impaired balance and postural control
Gait dysfunction
Reduced functional independence
Spasticity/tone
5 (examples) of Assessments:
Coordination assessment
Berg balance scale
Gait assessment like 10m walk test
Spasticity scale like Tardieu
Mobility assessment like sit to stand
Examples of Treatment Plans:
Repetitive practice of sit-to-stand, step ups etc
Reaching outside base of support (balance)
Treadmill training (gait retraining)
Prolonged stretching (tone management)
bed mobility (functional task practice)
ADULT: Traumatic Brain Injury
5 (examples) of Physio Problems:
Impaired arousal, attention and cognitive processing
Motor impairments (weakness, tone etc)
Balance and postural instability FALLS RISK
Gait dysfunction
Reduced functional independence
5 (examples) of Assessments:
Mini-mental test (questions asked)
Berg-balance scale
Motor assessment of coordination, motor control and strength
10-metre walk test / Gait analysis
Functional mobility assessment (e.g. sit to stand)
Examples of Treatment Plans:
Repetition of functional movements
Weight shifting & reaching outside BOS
Treadmill gait retraining
Coordination drills like target stepping
Transfers, bed mobility, stair practice (functional)
ADULT: Spinal Cord Injury
5 (examples) of Physio Problems:
Weakness or paralysis affecting mobility, transfers etc
Impaired sensation/proprioception
Reduced balance
Reduced postural control
Orthostatic hypotension
5 (examples) of Assessments:
Sensory assessment
MMT for muscle at and below lesion level
Proprioception testing → limb movement matching
Functional mobility assessment sit to stand
Examples of Treatment Plans:
Task-specific strengthening / functional resistance tasks
Reaching outside BOS
Supported sitting
ADULT: Multiple Sclerosis
5 (examples) of Physio Problems:
Fatigue
Weakness and reduced motor control
Balance and coordination impairments
Gait dysfunction
Spasticity and reduced flexibility
5 (examples) of Assessments:
Modified Fatigue Impact Scale
Berg-balance scale
Gait assessment (6 minute walk test)
MMT of functional strength
Muscle legnth tests
Examples of Treatment Plans:
Activity pacing and rest breaks
Sit to stand strengthening (strength)
Target stepping (balance)
Cueing for foot clearance (gait retraining)
Prolonged positioning (spasticity)
ADULT: Parkinsons Disease
5 (examples) of Physio Problems:
Bradykinesia
Postural instability
Gait dysfunction
Rigidity
Reduced functional independence
5 (examples) of Assessments:
Functional assessment to assess bradykinesia
Timed Up and Go to test postural instability
10-metre walk test (gait)
Berg balance assessment (balance)
Functional mobility like sit to stand
Examples of Treatment Plans:
Exaggerated movements like swinging arms (bradykinesia)
Walking to metronome, floor markers verbal (gait)
Weight shifting, reaching outside BOS (balance)
Sit to stands
Stair negotiation
Rhythmic movements