My son receives ABA, OT and ST totalling about 20-22 hours/week. He recently turned 5, and is mostly nonverbal and also has apraxia of speech. Therapy is mainly home based, partial clinic. He has strong echoic abilities, tougher spontaeous communication, relies on PECS and recently started learning AAC. All that said, his OT recommended he has a PT eval bc she sees challenges w gross motor imitation (GMI)—he does have some GMI skills but she thinks PT will help growth. She also said… read more
Thank you everyone! I think PT is worth evaluating to see if even needed; his OT is very talented and supportive. But I know we need to be mindful of how we proceed, because all that said, if he does need PT we need to be able to support it from a logistics perspective...and not burn us out.
(He has OT/ST cotreat in clinic, I wonder if they would add PT to the OT side of that session or if that’s too much.)
One step at a time.....
I understand your feelings. I honestly don’t see your OT is giving you a strong reason for his need for PT, it sounds like speculation on her part. I really don’t think you are depriving him of what he needs. By any chance does your OT work in a facility that also offers PT? I ask because I’ve encountered therapists recommending things to get more business at their facility, there are dishonest people who prey on parents desperation. I’m not implying you are desperate for help, but the dishonesty is all to real from what I’ve witnessed over the past 3 years.
In a nutshell, PT has the main purpose of addressing a child’s physical deficits. I tell you this from my experience with my son having PT due to him having severe Hypotonia.
I honestly don’t see why your son would Need PT. It sounds as if your son is getting what he needs already and you really do need to factor in your ability to function to be able to be the best mom you can be.
PT should happen in a clinical gym due to the equipment needed. That being said, your son could have it as an in home therapy since he doesn’t have the need for the gym equipment based on what your OT said.
As for managing time, I can’t answer this because I am very burnt out at this point because I have no respite or actual family help. It is all on mine & my husband’s shoulders and the stress does take it’s toll physically and emotionally on us as parents.
Motor planning helps with language! It helps the brain come together. Also, sometimes core strength can help with posture, which can help kids attend. This can sometimes be covered with an OT.
What we ended up doing is just sticking with ABA bc it touched base with things like pt,ot,sp and so on...also my son needs up to 40 hours of ABA so we ended up backing off the others for the time being so we could work through one at a time...his ABA therapists work with him on speech,cognitive movement and so on thats why i said we do pt..bc he does get help with it through aba and aba is more constant and consistent ...may be just back off a few of the other therapies and focus on the ones that help most😏