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What's supposed to happen in a physio assessment?

15 replies

LadyMaryQuiteContrary · 25/04/2013 16:27

Confused Ds has hypotonia in his hands and feet/hypermobility in his shoulders and possibly dyspraxia. He should have had a full physio assessment today as he was in too much pain when the physio tried to do it a couple of months ago but she was off so we saw someone else. The physio wasn't going to bother until I said that's why we were there, then all he did was wiggle ds's feet and get him to hop on each leg. He's now said ds can do PE on the basis of this and gave no guidance or did no assessment as to ds's range of movements/what movements were safe/what to avoid/excercises etc. Is this right? I feel as though we shouldn't have bothered. Sad

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PolterGoose · 25/04/2013 16:54

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LadyMaryQuiteContrary · 25/04/2013 16:56

Sad Thought so. Thank you. I asked about ds's wrists (they are so floppy and get painful when he's trying to write), the physio said the OT's would sort this out. He didn't even look. Just when I thought we were getting somewhere. Sad

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mrslaughan · 25/04/2013 17:53

I didn't sit in on DS assessment - but it was a couple of hours, involved assessment of gross and fine motor skills (hopping, jumping, catching - copyig of movements)....she also looked at sequencing skills. she looked at dominance (ear, eye, foot, hand, brain) and could tell me that he had cross laterality.
I know she got him to write first taking as much time as possible, then under pressure....
so a lot more than you had done.........

I can't find the report but know it was really comrehensive and surprised me as I had told DS she would be looking at his muscles.....

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LadyMaryQuiteContrary · 25/04/2013 17:58

Gah! What do I do now? Sad He has an OT assessment tomorrow, if I tell her/him that the physio assessment was shit too short would they be able to rearrange it?

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Ineedmorepatience · 25/04/2013 18:11

Mrsl That sounds more like an OT assessment. I wonder if your area has a combined service?

Lady I hope the OT assessment is more useful.

Dd3 had a full OT assessment and it was very enlightening.

Good luckSmile

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PolterGoose · 25/04/2013 18:17

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LadyMaryQuiteContrary · 25/04/2013 18:24

Thank you. Smile The good physio diagnosed him with SPD and hypotonia. I think he's dyspraxic as well as his co ordination is dire. His social skills are not great but it depends on what sort of mood he's in and who he's talking to. There's no other signs of Aspergers other than the need for equality (this causes huge issues), then there's the innapropriate comments in public ('you can't smoke here, see!' pointing at the no smoking sign). I can see why he does this, it's not a good idea to tell random strangers not to smoke or swear though. You know the saying 'one step forward, two steps back?' feels like that. Sad

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PolterGoose · 25/04/2013 18:29

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LadyMaryQuiteContrary · 25/04/2013 18:34

They all seem to overlap from what I can gather. The traits of aspergers overlap with dyspraxia which overlap with hypermobility which overlap with EDS... Confused

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Ineedmorepatience · 25/04/2013 19:18

It is all very complicated and sometimes the Proffs seem to make it even more difficult.

The OT's that saw Dd3 said she had hypermobile fingers and elbows but they couldnt check her hips, knees or ankles as she needed a physio for that Hmm

I have now asked for a sensory assessment 2 yrs down the line but they are saying the issues that look like sensory issues could be due to the hyoermobility.

Why does it have to be so complicated?

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Ineedmorepatience · 25/04/2013 19:20

Meant to say Dd3 has a dx of Asd as well and that crosses over with everything.

All I want is for her to get the correct support when she goes to secondary!

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LadyMaryQuiteContrary · 25/04/2013 19:39

Ds is 14. I've been trying to get him the right support for years. The professionals don't make it easy. Sad

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Ineedmorepatience · 25/04/2013 20:01

Feel for you lady Sad

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LadyMaryQuiteContrary · 25/04/2013 20:02

Sad Thank you.

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LadyMaryQuiteContrary · 26/04/2013 20:01

OT assessment went OK... but there's a 5 month waiting list if they do decide that he needs some help. They are referring him to cahms for his social skills problems though (bet this will take another 5 months). Sad

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