Table 2:
Classification of intensity of PT/OT interventions
| Age Range | Very light | Light | Moderate | Intensive |
|---|---|---|---|---|
| 0–5 years | • AROM/AAROM • Essential ADLs (in bed) ∘ sitting edge of bed ∘ self feeding ∘ grooming ∘ dressing • Bed mobility ∘ Transfer supine to sit in/edge of bed ∘ rolling • Therapeutic activity in bed • Seated fine motor play • Reaching activities seated |
• Transfers/transitions ∘ quadruped, ∘ prone prop, ∘ pull to stand etc • Limited ambulation (in room) • PROM • ADLs (standing edge of bed) • Static balance on even and stable surfaces (mat, floor) • Fine motor play in standing at stable support surface |
• Dynamic balance/coordina tion on uneven or unstable surfaces (physioball, bosu ball, wedge, balance/foam disc) • Reaching outside base of support on uneven/unstable surface • Unlimited ambulation (out of room) • Endurance • OOB ADLs (in bathroom or away from sitting surface) |
• Stretching/elongation • Climbing; negotiation over uneven surfaces (multiple changes in position) • Percussion • Vibration • Pulmonary toileting • Strengthening • Progressive resistive exercises • Jumping • Propelling on scooter |
| 6–18 | • AROM/AAROM • Essential ADLs (sitting edge of bed/in bed/chair) ∘ grooming, ∘ dressing, ∘ bathing, ∘ feeding, etc • Bed mobility (rolling, supine to sit edge of bed) • Therapeutic activity in bed |
• Transfers • Limited ambulation (in room) • PROM • ADLs (standing edge of bed) • Static balance on even and stable surfaces (mat, floor) |
• MMT • Dynamic balance/coordina tion (uneven surfaces) • Endurance • Unlimited ambulation (out of room) • OOB ADLs (in bathroom or away from sitting surface) • Restorator (NO resistance) |
• Stretching/elongation • Strengthening • Progressive resistive exercises • Jumping, obstacle course, climbing • Restorator (WITH resistance) • Percussion • Vibration • Pulmonary toileting |
Abbreviations: AROM - active range of motion; AAROM -active assisted range of motion; ADLs - activities of daily living; OOB -out of bed; MMT -manual muscle testing