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. Author manuscript; available in PMC: 2019 Feb 1.
Published in final edited form as: Arch Phys Med Rehabil. 2017 Aug 12;99(2):226–233. doi: 10.1016/j.apmr.2017.06.034

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