APPENDIX 2
The Second Patient Record Chart.
Psychomotor growth rating in numbers for kids from 5 to 12 months old.
Session # _____ Date_______ Age in months_______
1. Leans on both hands while kneeling - 0.0, 1.0, 1.5, 2.0 score
2. Leans on the right hand while sitting on table - 0.0, 1.0, 1.5; 2.0 score; leans on the left hand while sitting on table - 0.0, 1.0, 1.5, 2.0 score
3. Stand on all fours - - hands - 0.0, 1.0, 1.5, 2.0 score; -- feet - 0.0, 1.0, 1.5, 2.0 score; -- back - 0.0, 1.0 1.5, 2.0 score
4. Creeps - 0.0, 1.0, 1.5, 2.0 score
5. Sits upright - 0.0, 1.0, 1.5, 2.0 score
6. Stands on the knees - 0.0, 1.0, 1.5, 2.0 score
7. Stands on the feet - 0.0, 1.0, 1.5, 2.0 score
8.Steps - 0.0, 1.0, 1.5, 2.0 score
9. Syllabicates - 0.0, 1.0, 1.5, 2.0 score
Total Possible Score: N=24
Explanation of the Scores:
0.0 score - exercise isn’t completed
1.0 score - exercise is completed only with assistance or is completed for a short time - (1-3 sec)
1.5 score - exercise is independently and correctly completed 60-70% for 1-3 minutes
2.0 score - exercise is independently and correctly completed 100% for more than 5 minutes
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