TheraPlay Spot, 560 N Exposition St, Wichita, KS 67203  Phone: 316-618-1252   Fax: 316-869-2277 

Signs & Symptoms your child might benefit from pediatric OT or PT services:

Fine Motor Skills

  • Switches hands or lack of a definite handedness after age 4
  • Awkward grasp on crayon, pencil, scissors, spoon, fork 
  • Struggles/avoids coloring in the lines, drawing shapes/letters, cutting with scissors
  • Hates handwriting (messy, disorganized, labored, or slow)
  • Wants help with buttons, snaps, zippers, shoelaces after age 5
  • Low muscle tone, "loose joints" in hands/fingers

Gross Motor Skills, Movement, Strength, Balance

  • Delayed motor milestones as a baby/toddler
  • Appears clumsy or uncoordinated; falls for “no reason”
  • Poor ball skills, difficulty jumping, hopping, skipping or marching
  • Fearful of feet leaving the ground (such as swings, climbing)
  • Prefers to watch playground/gym games rather than participate
  • Can’t stand on one foot for 4 seconds after age 3
  • Needs assessment for orthotics such as splints or braces
  • Needs help with assistive devices, walkers, or wheelchairs

Visual Processing/Eye Muscles

  • Loses place when reading or copying from the board
  • Poor eye contact
  • Slow with finding objects among other objects
  • Difficulty with concept of left and right
  • Writes reversals with numbers (i.e. 9 vs. P), letters (i.e. b vs. d), or words (i.e. saw vs. was)

Oral Motor/Oral Sensory

  • Drools when focused
  • Pockets food in cheeks without awareness
  • Excessively picky eater—only eats certain textures of food
  • Hates/fights tooth brushing
  • Mouths toys or non-edible objects after age 2

Sensory Processing/Sensory Integration

  • Avoids playing with messy or sticky textures
  • Reacts aggressively if touched unexpectedly
  • Over-reacts to loud or unexpected sounds  (covers ears, cries)
  • Uses too-hard or too-light pressure when touching objects
  • Constantly moves, jumps, bumps, crashes, or falls on purpose
  • Emotionally reactive, anxious, nervous, doesn’t like change
  • Unusually high pain tolerance (or opposite: high sensitivity to pain)
  • Accidentally breaks or knocks things over
  • Invades personal space of others without noticing
  • Fearful of or avoids swings and playground equipment
  • Awkward social skills with same-aged children
  • Has trouble coping in school environment or in community
  • Doesn’t have typical play skills


Learning Challenges

  • Can’t organize backpack, toys, or drawers without lots of help
  • Unable to focus for school learning; easily distracted
  • Difficulty following instructions and completing work without help
  • Tires easily with school work
  • Hyperactive, fidgety, constantly changes position or falls off of chair, gets up a lot
  • Takes notably longer to finish tabletop or written work than is expected
  • Reverses numbers or letters after age 7