Recent Physical Therapy Re-Evaluation

Dated: June 7, 2010

Long Term Goals
Randy will ambulate 20' independently using a normal base of support without loss of balance - not achieved
Randy will be in the 25th percentile for gross motor as assessed by the Peabody - not achieved
Randy will walk up and down 4 steps with 1 hand rail and step to gait - not initiated
Randy will step backwards for 5 feet with or without pulling object 3/5 attempts - not initiated
Randy will kick a ball in standing without loss of balance 3/5 attempts - not initiated

Short term goals
Randy will be independent in getting in and out of walker 4/5 attempts - achieved
Randy will ambulates in a walker of push toy for 50' and around corners independently 2/3 attempts - achieved
Randy will stand independently for 1 minute 3/5 attempts - partially achieved
Randy will throw a ball in standing with minimal loss of balance - not achieved
Randy will move from sitting on the floor to standing independently 2/5 attempts - not achieved

His current Peabody z-score is -1.88 which is an improvement over 6 months ago.  Individual scores:
Stationary - 18 months, 37th percentile
Locomotion - 13 months, 1st percentile

Object manipulation - 12 months, 2nd percentile

One Year

That is the next time Randy goes to see his neurosurgeon (barring any emergencies).  His appointment went well.  His scan looked good and I had it put on CD just in case we go out of town or have to go to a closer hospital in an emergency.

The doctor and nurses were so pleased to see how well he is doing.  The doc was impressed with his talking, alertness and development.  Remember that this is the same doctor who said he'd never go to a regular school.  Despite that comment, I still like him.  I feel he has tried to make the best decisions for Randy and kept a great balance between being aggressive in his care and reckless.

His growth was fantastic!!! He weighs 26 lbs and is 33.75 inches long.  Can you believe that?  I was floored.  His head has not grown though.  It is still 45 cm.  That is 6 months with no growth.  The neurosurgeon says that it is not uncommon for kids with hydrocephalus to have small heads (seems like an oxymoron doesn't it?)  His skull closed early than most babies, therefore limiting some head growth.  He wants the pediatrician to email him head measurements and the eye doctor to send him reports.  If there is anything alarming, he will have me bring him in.  He did not seem concerned; so neither will I (this time).