Her formal motor record shows changing performance across time and task rather than one uniform level of impairment.
In a July 2022 occupational-therapy evaluation:
- PDMS-2 Grasping and Visual-Motor Integration were each at the 16th percentile;
- the SPM-P fell in the “Some Problems” range for hearing, touch, body awareness, and total sensory processing and in the “Definite Dysfunction” range for planning;
- the Little DCDQ score was 49/75, a screening result considered suspicious for developmental coordination disorder, not a diagnosis; and
- residual asymmetry and stiff movement were observed, while tone was described as functionally within range that day.
That wording is important. Although family summaries have sometimes used “low tone,” the 2022 OT evaluation did not establish persistent generalized hypotonia.
A 2024 OT evaluation documented difficulty maintaining prone extension or supine flexion without assistance, poor balance, sequencing and coordination difficulty, asymmetry, inconsistent crossing of the midline, and marked oculomotor difficulty. Beery testing in December 2024 showed:
Scroll horizontally to review every column.
The record also shows measurable improvement. An OT progress report documented throwing accuracy increasing from approximately 10% to 50%, kicking from 0% to 66%, and cross-body performance from 20% to 80%. Residual needs involved handwriting, motor planning, sequencing and processing, and sensory filtering.
In October 2025, school OT reported improved bilateral coordination, spontaneous use of both hands, handwriting, and work with peers. She completed an eyes-closed head-tip activity independently on approximately 80% of opportunities. No formal reflex assessment had been completed, so improvement in that activity should not be presented as proof that a particular reflex had been “integrated.”
Her ability to participate successfully in everyday, school, peer, and therapy activities coexists with these formal needs. Skill is task-specific: practice, visual conditions, motivation, fatigue, and the type of motor sequence all matter.