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Interactive Metronome

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Presentation on theme: "Interactive Metronome"— Presentation transcript:

1 Interactive Metronome
Case Study Interactive Metronome

2 Paul Male, 6 years, 7 months 3 weeks, 10 1-hour sessions
Does not like getting hands wet Letter reversals New and novel is anxiety provoking Has occasional meltdowns Getting ready in morning is a battle Chewing on non-edible items Reading still needed more improvement Stating that he does not have friends at school Motor planning issues Ocular motor issues Do not use or distribute without written permission.

3 LFA (2/21/2018) Day 1 Task MS Early Hits Late Hits 257 38 15 150 17 12
Both Hands 257 38 15 Right Hand 150 17 12 Left Hand 196 13 Both Toes 269 19 11 Right Toe 238 21 9 Left Toe 194 Both Heels N/A Right Heel 204 Left Heel 156 16 Right Hand/Left Toe 337 27 4 Left Hand/Right Toe 86 18 8 Bal Right Tap Left Foot Bal Left Tap Right Foot 160 Both Hands w/ GS 307 31 Total Unadjusted 211.5 61.5% 38.5% LFA (2/21/2018) Do not use or distribute without written permission.

4 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 227.5 Feet ms Avg 202.4 Both Hands ms avg 282 Both Feet ms avg 269 Left Side ms avg 182 Right Side ms avg 197.3 Bilateral ms avg 211.5 Adjusted ms avg 215 Highest IAR 2 Total Bursts % within 15 MS 6.5% Attend over time 216.1 Averages Do not use or distribute without written permission.

5 LFA (3/15/2018) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 257 38 15 Right Hand 150 17 12 Left Hand 196 13 Both Toes 269 19 11 Right Toe 238 21 9 Left Toe 194 Both Heels N/A Right Heel 204 Left Heel 156 16 Right Hand/Left Toe 337 27 4 Left Hand/Right Toe 86 18 8 Bal Right Tap Left Foot Bal Left Tap Right Foot 160 Both Hands w/ GS 307 31 Total Unadjusted 211.5 61.5% 38.5% Day 10 Task MS Early Hits Late Hits Both Hands 156 46 8 Right Hand 145 25 4 Left Hand 27 Both Toes 243 23 9 Right Toe 183 19 12 Left Toe 227 14 16 Both Heels 263 11 Right Heel 157 Left Heel 247 17 Right Hand/Left Toe 230 24 5 Left Hand/Right Toe 273 10 Bal Right Tap Left Foot 191 18 Bal Left Tap Right Foot 178 15 Both Hands w/ GS 216 41 Total Unadjusted 203.9 68.3% 31.7% Do not use or distribute without written permission.

6 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 227.5 Feet ms Avg 202.4 Both Hands ms avg 282 Both Feet ms avg 269 Left Side ms avg 182 Right Side ms avg 197.3 Bilateral ms avg 211.5 Adjusted ms avg 215 Highest IAR 2 Total Bursts % within 15 MS 6.5% Attend over time 216.1 Day 12 Battery Results, Millisecond Accuracy MS Hands ms avg 165.5 Feet ms Avg 211.1 Both Hands ms avg 186 Both Feet ms avg 253 Left Side ms avg 206.3 Right Side ms avg 161.7 Bilateral ms avg 251.5 Adjusted ms avg 188.3 Highest IAR 2 Total Bursts % within 15 MS 3.1% Attend over time 182.4 Do not use or distribute without written permission.

7 April 10, 2018 Increased frequency in bowel movement
Gross motor coordination improving More fluid playing ball Caught the beat dancing, a first for him Appears stronger in his body Still emotional meltdowns but less in frequency More empathetic States he is not social at school, but no issues reaching out to neighbourhood friends Doing chores once per week now Improvement in memory Can be ready quickly for school depending on mood Improved reading skill, though still at slower pace. Attention is improving Teacher reports no concerns socially or academically Do not use or distribute without written permission.

8 LFA (7 / 2 / 2018) Day 1 Task MS Early Hits Late Hits 156 35 18 316 10
Both Hands 156 35 18 Right Hand 316 10 Left Hand 284 20 Both Toes 306 19 11 Right Toe 165 21 4 Left Toe 125 12 Both Heels 259 9 Right Heel 110 28 2 Left Heel 221 Right Hand/Left Toe 195 29 Left Hand/Right Toe 103 Bal Right Tap Left Foot 168 27 5 Bal Left Tap Right Foot 179 1 Both Hands w/ GS 234 13 Total Unadjusted 201.5 70.4% 29.6% LFA (7 / 2 / 2018) Do not use or distribute without written permission.

9 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 247.5 Feet ms Avg 191.6 Both Hands ms avg 195 Both Feet ms avg 282.5 Left Side ms avg 210 Right Side ms avg 197 Bilateral ms avg 149 Adjusted ms avg 219.6 Highest IAR 2 Total Bursts % within 15 MS 5.1% Attend over time 93.4 Averages Do not use or distribute without written permission.

10 LFA (7/16/2018) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 156 35 18 Right Hand 316 10 Left Hand 284 20 Both Toes 306 19 11 Right Toe 165 21 4 Left Toe 125 12 Both Heels 259 9 Right Heel 110 28 2 Left Heel 221 Right Hand/Left Toe 195 29 Left Hand/Right Toe 103 Bal Right Tap Left Foot 168 27 5 Bal Left Tap Right Foot 179 1 Both Hands w/ GS 234 13 Total Unadjusted 201.5 70.4% 29.6% Day 10 Task MS Early Hits Late Hits Both Hands 68 42 13 Right Hand 73 12 17 Left Hand 84 21 10 Both Toes 61 19 Right Toe 134 9 Left Toe 133 Both Heels 96 11 Right Heel 122 Left Heel Right Hand/Left Toe 108 22 8 Left Hand/Right Toe 192 28 2 Bal Right Tap Left Foot 135 Bal Left Tap Right Foot 194 27 4 Both Hands w/ GS 57 34 20 Total Unadjusted 112.8 65.5% 34.5% Do not use or distribute without written permission.

11 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 247.5 Feet ms Avg 191.6 Both Hands ms avg 195 Both Feet ms avg 282.5 Left Side ms avg 210 Right Side ms avg 197 Bilateral ms avg 149 Adjusted ms avg 219.6 Highest IAR 2 Total Bursts % within 15 MS 5.1% Attend over time 93.4 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 70.5 Feet ms Avg 124.6 Both Hands ms avg 62.5 Both Feet ms avg 78.5 Left Side ms avg 113 Right Side ms avg 109.7 Bilateral ms avg 150 Adjusted ms avg 97.6 Highest IAR 3 Total Bursts % within 15 MS 11.3% Attend over time 76.5 Do not use or distribute without written permission.

12 Henry Age 6 June 6, 2016 to June 17, 2016 1 hour per day for 10 days
Concerns: Praxis Somewhat dysregulated / Anxiety Talking loud in class Working memory Possibility of reading issues Do not use or distribute without written permission.

13 LFA (June 6 / 6 / 2016 Day 1 Task MS Early Hits Late Hits 219 42 10
Both Hands 219 42 10 Right Hand 431 21 8 Left Hand 391 25 5 Both Toes 181 N/A Right Toe 233 20 12 Left Toe 234 26 4 Both Heels 294 15 Right Heel 323 Left Heel 263 30 1 Right Hand/Left Toe 264 Left Hand/Right Toe 290 Bal Right Tap Left Foot 306 29 3 Bal Left Tap Right Foot 288 Both Hands w/ GS 372 31 19 Total Unadjusted 300.6 78.8% 21.2% LFA (June 6 / 6 / 2016 Do not use or distribute without written permission.

14 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 353.3 Feet ms Avg 277.3 Both Hands ms avg 295.5 Both Feet ms avg 294 Left Side ms avg 296 Right Side ms avg 329 Bilateral ms avg 277 Adjusted ms avg 315.3 Highest IAR 3 Total Bursts % within 15 MS 1.4% Attend over time 207.1 Averages Do not use or distribute without written permission.

15 LFA (6/17/2016 Day 1 Day 10 Task MS Early Hits Late Hits Task MS
Both Hands 219 42 10 Right Hand 431 21 8 Left Hand 391 25 5 Both Toes 181 N/A Right Toe 233 20 12 Left Toe 234 26 4 Both Heels 294 15 Right Heel 323 Left Heel 263 30 1 Right Hand/Left Toe 264 Left Hand/Right Toe 290 Bal Right Tap Left Foot 306 29 3 Bal Left Tap Right Foot 288 Both Hands w/ GS 372 31 19 Total Unadjusted 300.6 78.8% 21.2% Day 10 Task MS Early Hits Late Hits Both Hands 276 18 25 Right Hand 331 9 14 Left Hand 295 12 Both Toes 264 Right Toe 266 10 Left Toe 22 7 Both Heels 248 15 Right Heel 300 13 Left Heel 397 Right Hand/Left Toe 330 23 4 Left Hand/Right Toe 249 20 8 Bal Right Tap Left Foot 290 6 Bal Left Tap Right Foot 277 Both Hands w/ GS 245 30 16 Total Unadjusted 290.2 62.4% 37.6% Do not use or distribute without written permission.

16 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 353.3 Feet ms Avg 277.3 Both Hands ms avg 295.5 Both Feet ms avg 294 Left Side ms avg 296 Right Side ms avg 329 Bilateral ms avg 277 Adjusted ms avg 315.3 Highest IAR 3 Total Bursts % within 15 MS 1.4% Attend over time 207.1 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 286.8 Feet ms Avg 292.1 Both Hands ms avg 260.5 Both Feet ms avg 256 Left Side ms avg 329 Right Side ms avg 299 Bilateral ms avg 289.5 Adjusted ms avg 289.4 Highest IAR 1 Total Bursts % within 15 MS 2% Attend over time 254 Do not use or distribute without written permission.

17 July 20, 2016 Selective listening improved
Improved motor, can skip now Able to start swimming instructor Wants to swing all the time now Taking more risks with body Waits till last minute before going to bathroom Improved writing skills Symbol / sound association improving Sibling issues, comparing himself negatively Do not use or distribute without written permission.

18 LFA (8 / 8 / 2016) Day 1 Task MS Early Hits Late Hits 308 25 24 246 19
Both Hands 308 25 24 Right Hand 246 19 9 Left Hand 255 15 12 Both Toes 252 7 Right Toe 232 13 Left Toe 303 23 5 Both Heels 276 6 Right Heel 254 22 Left Heel 278 Right Hand/Left Toe 320 27 1 Left Hand/Right Toe 280 11 Bal Right Tap Left Foot 282 28 3 Bal Left Tap Right Foot 359 29 Both Hands w/ GS 328 34 Total Unadjusted 282.8 72.1% 27.9% LFA (8 / 8 / 2016) Do not use or distribute without written permission.

19 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 284.3 Feet ms Avg 279.5 Both Hands ms avg 318 Both Feet ms avg 264 Left Side ms avg 278 Right Side ms avg 244 Bilateral ms avg 300 Adjusted ms avg 281.9 Highest IAR 2 Total Bursts % within 15 MS 2.6% Attend over time 239.7 Averages Do not use or distribute without written permission.

20 LFA (8/19/2016) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 308 25 24 Right Hand 246 19 9 Left Hand 255 15 12 Both Toes 252 7 Right Toe 232 13 Left Toe 303 23 5 Both Heels 276 6 Right Heel 254 22 Left Heel 278 Right Hand/Left Toe 320 27 1 Left Hand/Right Toe 280 11 Bal Right Tap Left Foot 282 28 3 Bal Left Tap Right Foot 359 29 Both Hands w/ GS 328 34 Total Unadjusted 282.8 72.1% 27.9% Day 10 Task MS Early Hits Late Hits Both Hands 203 18 28 Right Hand 123 26 3 Left Hand 208 17 6 Both Toes 280 19 12 Right Toe 287 21 9 Left Toe 275 23 8 Both Heels 297 4 Right Heel 329 Left Heel 301 30 1 Right Hand/Left Toe 250 Left Hand/Right Toe 16 7 Bal Right Tap Left Foot 310 27 Bal Left Tap Right Foot 24 Both Hands w/ GS 205 36 15 Total Unadjusted 257 73.7% 26.3% Do not use or distribute without written permission.

21 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 284.3 Feet ms Avg 279.5 Both Hands ms avg 318 Both Feet ms avg 264 Left Side ms avg 278 Right Side ms avg 244 Bilateral ms avg 300 Adjusted ms avg 281.9 Highest IAR 2 Total Bursts % within 15 MS 2.6% Attend over time 239.7 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 184.8 Feet ms Avg 291.1 Both Hands ms avg 204 Both Feet ms avg 288 Left Side ms avg 261.3 Right Side ms avg 246.3 Bilateral ms avg 265 Adjusted ms avg 237.9 Highest IAR 2 Total Bursts % within 15 MS 4.3% Attend over time 222.2 Do not use or distribute without written permission.

22 September 13, 2016 Picky eating Jumping into pool by himself
Doing all kinds of flips with his body Ok with head inverted now No more bucket swing, on regular swing – learning to pump his feet Drawing stick figures now, but finally willing Explosive outbursts still More confident overall Still needing to be in control of play, but more flexible with sister Expanding into imaginary play Telling more jokes Getting dressed improved, still frustrated with socks Identifying letters and numbers now Transitioned back to school with no issues Reversals in letters Time concepts emerging: before, after, yesterday, tomorrow Do not use or distribute without written permission.

23 LFA (6/19/2017) Day 1 Task MS Early Hits Late Hits 304 29 22 363 21 5
Both Hands 304 29 22 Right Hand 363 21 5 Left Hand 447 17 7 Both Toes 421 2 Right Toe 264 19 9 Left Toe 150 16 14 Both Heels N/A Right Heel 332 27 Left Heel 268 20 Right Hand/Left Toe 327 26 Left Hand/Right Toe 290 12 Bal Right Tap Left Foot 250 23 8 Bal Left Tap Right Foot 288 Both Hands w/ GS 252 Total Unadjusted 304.3 72.7% 27.3% LFA (6/19/2017) Do not use or distribute without written permission.

24 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 341.5 Feet ms Avg 281.9 Both Hands ms avg 278 Both Feet ms avg 421 Left Side ms avg 288.3 Right Side ms avg 319.7 Bilateral ms avg 308.5 Adjusted ms avg 311.7 Highest IAR 1 Total Bursts % within 15 MS 2.2% Attend over time 262.9 Averages Do not use or distribute without written permission.

25 LFA (6/30/2017) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 304 29 22 Right Hand 363 21 5 Left Hand 447 17 7 Both Toes 421 2 Right Toe 264 19 9 Left Toe 150 16 14 Both Heels N/A Right Heel 332 27 Left Heel 268 20 Right Hand/Left Toe 327 26 Left Hand/Right Toe 290 12 Bal Right Tap Left Foot 250 23 8 Bal Left Tap Right Foot 288 Both Hands w/ GS 252 Total Unadjusted 304.3 72.7% 27.3% Day 10 Task MS Early Hits Late Hits Both Hands 61 31 24 Right Hand 109 10 19 Left Hand 102 14 16 Both Toes 179 20 Right Toe 208 11 15 Left Toe 266 21 Both Heels 274 18 7 Right Heel 279 12 Left Heel 202 13 Right Hand/Left Toe 131 5 Left Hand/Right Toe 142 Bal Right Tap Left Foot 228 Bal Left Tap Right Foot 285 23 Both Hands w/ GS 62 32 Total Unadjusted 180.6 58% 42% Do not use or distribute without written permission.

26 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 341.5 Feet ms Avg 281.9 Both Hands ms avg 278 Both Feet ms avg 421 Left Side ms avg 288.3 Right Side ms avg 319.7 Bilateral ms avg 308.5 Adjusted ms avg 311.7 Highest IAR 1 Total Bursts % within 15 MS 2.2% Attend over time 262.9 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 83.5 Feet ms Avg 240.1 Both Hands ms avg 61.5 Both Feet ms avg 226.5 Left Side ms avg 190 Right Side ms avg 198.7 Bilateral ms avg 136.5 Adjusted ms avg 161.8 Highest IAR 4 Total Bursts 1 % within 15 MS 8.9% Attend over time 88 Do not use or distribute without written permission.

27 Peter 6 years, 1 month – male 10 days, 1-hour daily
Regulation difficulties Sleep and eating too little Handwriting poor Ability to connect ideas need to improve Table top work triggers behaviors Resistive to adult directed requests Reading comprehension challenging Do not use or distribute without written permission.

28 LFA (8/19/2013) Day 1 Task MS Early Hits Late Hits 247 39 10 337 15
Both Hands 247 39 10 Right Hand 337 15 Left Hand 276 13 14 Both Toes 209 17 Right Toe N/A Left Toe Both Heels 320 20 4 Right Heel 315 24 5 Left Heel 200 22 9 Right Hand/Left Toe 211 6 Left Hand/Right Toe 241 11 Bal Right Tap Left Foot 300 27 2 Bal Left Tap Right Foot 358 3 Both Hands w/ GS 318 33 18 Total Unadjusted 277.7 70.5% 29.5% LFA (8/19/2013) Do not use or distribute without written permission.

29 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 294.5 Feet ms Avg 283.7 Both Hands ms avg 282.5 Both Feet ms avg 264.5 Left Side ms avg 238 Right Side ms avg 326 Bilateral ms avg 226 Adjusted ms avg 289.1 Highest IAR 2 Total Bursts % within 15 MS 2.1% Attend over time Averages Do not use or distribute without written permission.

30 LFA (8/30/2013) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 247 39 10 Right Hand 337 15 Left Hand 276 13 14 Both Toes 209 17 Right Toe N/A Left Toe Both Heels 320 20 4 Right Heel 315 24 5 Left Heel 200 22 9 Right Hand/Left Toe 211 6 Left Hand/Right Toe 241 11 Bal Right Tap Left Foot 300 27 2 Bal Left Tap Right Foot 358 3 Both Hands w/ GS 318 33 18 Total Unadjusted 277.7 70.5% 29.5% Day 10 Task MS Early Hits Late Hits Both Hands 83 35 19 Right Hand 153 25 5 Left Hand 82 20 10 Both Toes 379 15 14 Right Toe 181 11 Left Toe 254 13 8 Both Heels 192 Right Heel 292 24 6 Left Heel 390 21 9 Right Hand/Left Toe 218 12 Left Hand/Right Toe 158 3 Bal Right Tap Left Foot 346 29 1 Bal Left Tap Right Foot 279 Both Hands w/ GS 77 Total Unadjusted 220.3 69.4% 30.6% Do not use or distribute without written permission.

31 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 294.5 Feet ms Avg 283.7 Both Hands ms avg 282.5 Both Feet ms avg 264.5 Left Side ms avg 238 Right Side ms avg 326 Bilateral ms avg 226 Adjusted ms avg 289.1 Highest IAR 2 Total Bursts % within 15 MS 2.1% Attend over time Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 98.8 Feet ms Avg 289.1 Both Hands ms avg 80 Both Feet ms avg 285.5 Left Side ms avg 242 Right Side ms avg 208.7 Bilateral ms avg 188 Adjusted ms avg 193.9 Highest IAR 3 Total Bursts % within 15 MS 9.4% Attend over time 101.8 Do not use or distribute without written permission.

32 LFA ( 5/26/2014) Day 1 Task MS Early Hits Late Hits 99 49 6 76 21 9 85
Both Hands 99 49 6 Right Hand 76 21 9 Left Hand 85 24 7 Both Toes 196 16 14 Right Toe 143 17 Left Toe 136 11 Both Heels 302 15 Right Heel 25 5 Left Heel 321 28 3 Right Hand/Left Toe N/A Left Hand/Right Toe 173 20 8 Bal Right Tap Left Foot 167 Bal Left Tap Right Foot 227 26 Both Hands w/ GS 88 41 10 Total Unadjusted 178.1 75.7% 24.3% LFA ( 5/26/2014) Do not use or distribute without written permission.

33 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 87 Feet ms Avg 224.3 Both Hands ms avg 93.5 Both Feet ms avg 249 Left Side ms avg 180.7 Right Side ms avg 173.7 Bilateral ms avg 173 Adjusted ms avg 155.6 Highest IAR 4 Total Bursts 1 % within 15 MS 11.1% Attend over time 144.9 Averages Do not use or distribute without written permission.

34 LFA (6/6/2014) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 99 49 6 Right Hand 76 21 9 Left Hand 85 24 7 Both Toes 196 16 14 Right Toe 143 17 Left Toe 136 11 Both Heels 302 15 Right Heel 25 5 Left Heel 321 28 3 Right Hand/Left Toe N/A Left Hand/Right Toe 173 20 8 Bal Right Tap Left Foot 167 Bal Left Tap Right Foot 227 26 Both Hands w/ GS 88 41 10 Total Unadjusted 178.1 75.7% 24.3% Day 10 Task MS Early Hits Late Hits Both Hands 74 32 16 Right Hand 88 11 19 Left Hand 76 13 10 Both Toes 147 Right Toe 194 22 3 Left Toe 234 18 9 Both Heels 225 17 Right Heel 238 6 Left Heel 301 Right Hand/Left Toe 109 Left Hand/Right Toe 290 27 Bal Right Tap Left Foot 235 7 Bal Left Tap Right Foot 305 21 Both Hands w/ GS 71 29 24 Total Unadjusted 184.8 61.6% 38.4% Do not use or distribute without written permission.

35 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 87 Feet ms Avg 224.3 Both Hands ms avg 93.5 Both Feet ms avg 249 Left Side ms avg 180.7 Right Side ms avg 173.7 Bilateral ms avg 173 Adjusted ms avg 155.6 Highest IAR 4 Total Bursts 1 % within 15 MS 11.1% Attend over time 144.9 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 77.3 Feet ms Avg 234.9 Both Hands ms avg 72.5 Both Feet ms avg 186 Left Side ms avg 203.7 Right Side ms avg 173.3 Bilateral ms avg 199.5 Adjusted ms avg 156.1 Highest IAR 2 Total Bursts % within 15 MS 9.9% Attend over time N/A Do not use or distribute without written permission.

36 October 29, 2014 Multiple circles of communication in DIR/Floortime sessions with ongoing sustained engagement over 2 hours one-on-one. Increased ideation Expanding play ideas and sequences More even pacing through activity More focused on “being different” More systematic in math step sequences Increased fluency in meta-cognition One-on-one teacher – increased working memory More willing to engage in verbal reasoning with sequencing and fluidity Do not use or distribute without written permission.

37 October 7, 2015 Social triggers for regulation – seeks movement
Verbal expression improved Working memory Tested gifted Not as resistant to reading Reading decoding improved strongly Phonetic spelling really good Do not use or distribute without written permission.

38 LFA (12/16/2015) Day 1 Task MS Early Hits Late Hits 94 41 14 55 25 6
Both Hands 94 41 14 Right Hand 55 25 6 Left Hand 50 27 4 Both Toes 133 12 19 Right Toe 129 26 5 Left Toe 119 24 7 Both Heels 93 23 Right Heel 101 8 Left Heel 58 16 15 Right Hand/Left Toe 70 Left Hand/Right Toe 73 Bal Right Tap Left Foot 43 10 Bal Left Tap Right Foot 72 Both Hands w/ GS 67 46 9 Total Unadjusted 82.6 63.9% 36.1% LFA (12/16/2015) Do not use or distribute without written permission.

39 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 66.5 Feet ms Avg 93.5 Both Hands ms avg 80.5 Both Feet ms avg 113 Left Side ms avg 75.7 Right Side ms avg 95 Bilateral ms avg 71.5 Adjusted ms avg 80 Highest IAR 3 Total Bursts % within 15 MS 14.9% Attend over time 84.5 Averages Do not use or distribute without written permission.

40 LFA (12/31/2015) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 94 41 14 Right Hand 55 25 6 Left Hand 50 27 4 Both Toes 133 12 19 Right Toe 129 26 5 Left Toe 119 24 7 Both Heels 93 23 Right Heel 101 8 Left Heel 58 16 15 Right Hand/Left Toe 70 Left Hand/Right Toe 73 Bal Right Tap Left Foot 43 10 Bal Left Tap Right Foot 72 Both Hands w/ GS 67 46 9 Total Unadjusted 82.6 63.9% 36.1% Day 10 Task MS Early Hits Late Hits Both Hands 33 26 29 Right Hand 41 12 18 Left Hand 49 15 16 Both Toes 36 20 11 Right Toe 6 25 Left Toe 27 14 17 Both Heels Right Heel 23 8 Left Heel 56 21 Right Hand/Left Toe Left Hand/Right Toe 55 19 Bal Right Tap Left Foot Bal Left Tap Right Foot 57 13 Both Hands w/ GS 28 Total Unadjusted 40.6 47.9% 52.1% Do not use or distribute without written permission.

41 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 66.5 Feet ms Avg 93.5 Both Hands ms avg 80.5 Both Feet ms avg 113 Left Side ms avg 75.7 Right Side ms avg 95 Bilateral ms avg 71.5 Adjusted ms avg 80 Highest IAR 3 Total Bursts % within 15 MS 14.9% Attend over time 84.5 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 37.5 Feet ms Avg 41 Both Hands ms avg 30 Both Feet ms avg 34.5 Left Side ms avg 44 Right Side ms avg 35 Bilateral ms avg 45.5 Adjusted ms avg 39.3 Highest IAR 5 Total Bursts 1 % within 15 MS 26.5% Attend over time 37.2 Do not use or distribute without written permission.

42 January 27, 2016 Improved eye hand coordination Catching throwing ball
Handwriting improved, less slanting Increased awareness of emotions Sometimes misinterprets non-verbal cues Wants to be part of a group, not sure how Overall better socially Reading well Written expression challenging Working memory difficulty still persists Do not use or distribute without written permission.

43 LFA (6/13/2016) Day 1 Task MS Early Hits Late Hits 40 43 10 32 17 14
Both Hands 40 43 10 Right Hand 32 17 14 Left Hand 36 15 16 Both Toes 48 21 Right Toe 62 26 4 Left Toe 90 24 6 Both Heels 57 11 20 Right Heel 143 27 3 Left Heel 102 Right Hand/Left Toe 139 28 1 Left Hand/Right Toe 86 18 8 Bal Right Tap Left Foot 76 22 9 Bal Left Tap Right Foot 54 13 Both Hands w/ GS 51 Total Unadjusted 72.6 71.1% 28.9% LFA (6/13/2016) Do not use or distribute without written permission.

44 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 39.8 Feet ms Avg 79 Both Hands ms avg 45.5 Both Feet ms avg 52.5 Left Side ms avg 76 Right Side ms avg Bilateral ms avg 112.5 Adjusted ms avg 59.4 Highest IAR 4 Total Bursts 1 % within 15 MS 18.6% Attend over time 28.2 Averages Do not use or distribute without written permission.

45 LFA (6/24/2016) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 40 43 10 Right Hand 32 17 14 Left Hand 36 15 16 Both Toes 48 21 Right Toe 62 26 4 Left Toe 90 24 6 Both Heels 57 11 20 Right Heel 143 27 3 Left Heel 102 Right Hand/Left Toe 139 28 1 Left Hand/Right Toe 86 18 8 Bal Right Tap Left Foot 76 22 9 Bal Left Tap Right Foot 54 13 Both Hands w/ GS 51 Total Unadjusted 72.6 71.1% 28.9% Day 10 Task MS Early Hits Late Hits Both Hands 35 27 Right Hand 36 9 21 Left Hand 29 Both Toes 31 7 23 Right Toe 41 4 16 Left Toe 39 15 Both Heels 70 3 Right Heel 225 13 18 Left Heel Right Hand/Left Toe 8 Left Hand/Right Toe 40 17 Bal Right Tap Left Foot 57 19 10 Bal Left Tap Right Foot 32 Both Hands w/ GS 20 34 Total Unadjusted 51.7 47.1% 52.9% Do not use or distribute without written permission.

46 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 39.8 Feet ms Avg 79 Both Hands ms avg 45.5 Both Feet ms avg 52.5 Left Side ms avg 76 Right Side ms avg Bilateral ms avg 112.5 Adjusted ms avg 59.4 Highest IAR 4 Total Bursts 1 % within 15 MS 18.6% Attend over time 28.2 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 31.8 Feet ms Avg 66.3 Both Hands ms avg 31 Both Feet ms avg 50.5 Left Side ms avg 34.3 Right Side ms avg 100.7 Bilateral ms avg 33.5 Adjusted ms avg 49 Highest IAR 4 Total Bursts 1 % within 15 MS 27% Attend over time N/A Do not use or distribute without written permission.

47 July 27, 2016 Increased independence Defiance toward authority
Expanded interests Recalling past events Verbal expression good, may still lack a little in spontenaity Gets angry and pushy, but no meltdowns Success important Skipped one grade at school Do not use or distribute without written permission.

48 John 6 years, 1 month (ASD) Loud places overwhelming
World is scary, more aware Still working on balance Obsessed with coloring Wants to write now / seeking words to spell Trying to overcome fear of stove / toaster Concrete preferred, not abstract Still aggressive from time to time Expresses need to be more independent at school Perfection in lieu of executive functions Wants to “fit in” Do not use or distribute without written permission.

49 LFA (12/1/2014) Day 1 Task MS Early Hits Late Hits 319 18 27 322 12
Both Hands 319 18 27 Right Hand 322 12 Left Hand 275 17 Both Toes 301 19 6 Right Toe 287 20 8 Left Toe 328 29 1 Both Heels 311 13 Right Heel 294 21 3 Left Heel 309 25 Right Hand/Left Toe 266 Left Hand/Right Toe 23 2 Bal Right Tap Left Foot 257 Bal Left Tap Right Foot 262 Both Hands w/ GS 276 42 Total Unadjusted 294.9 73.8% 26.2% LFA (12/1/2014) Do not use or distribute without written permission.

50 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 298 Feet ms Avg 293.6 Both Hands ms avg 297.5 Both Feet ms avg 306 Left Side ms avg 304 Right Side ms avg 301 Bilateral ms avg 294 Adjusted ms avg 295.8 Highest IAR 1 Total Bursts % within 15 MS 1.6% Attend over time 272.3 Averages Do not use or distribute without written permission.

51 LFA (12/12/2014) Day 1 Day 10 Task MS Early Hits Late Hits Task MS
Both Hands 319 18 27 Right Hand 322 12 Left Hand 275 17 Both Toes 301 19 6 Right Toe 287 20 8 Left Toe 328 29 1 Both Heels 311 13 Right Heel 294 21 3 Left Heel 309 25 Right Hand/Left Toe 266 Left Hand/Right Toe 23 2 Bal Right Tap Left Foot 257 Bal Left Tap Right Foot 262 Both Hands w/ GS 276 42 Total Unadjusted 294.9 73.8% 26.2% Day 10 Task MS Early Hits Late Hits Both Hands 125 33 19 Right Hand 88 20 10 Left Hand 139 14 9 Both Toes 188 12 17 Right Toe 196 15 Left Toe 228 22 6 Both Heels 287 8 Right Heel 226 Left Heel 283 11 Right Hand/Left Toe 214 18 Left Hand/Right Toe 266 Bal Right Tap Left Foot 195 Bal Left Tap Right Foot Both Hands w/ GS 223 32 Total Unadjusted 206 59% 41% Do not use or distribute without written permission.

52 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 298 Feet ms Avg 293.6 Both Hands ms avg 297.5 Both Feet ms avg 306 Left Side ms avg 304 Right Side ms avg 301 Bilateral ms avg 294 Adjusted ms avg 295.8 Highest IAR 1 Total Bursts % within 15 MS 1.6% Attend over time 272.3 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 143.8 Feet ms Avg 228.6 Both Hands ms avg 174 Both Feet ms avg 237.5 Left Side ms avg 216.7 Right Side ms avg 170 Bilateral ms avg 240 Adjusted ms avg 186.2 Highest IAR 2 Total Bursts % within 15 MS 4.4% Attend over time 213.8 Do not use or distribute without written permission.

53 June 23, 2016 7 years, 9 months Doing well overall
Difficulties at school Behaviors could increase after school Academics tested average Advanced skills in math Increased verbal emotional expression Memltdowns almost completely decreased, but the infrequent ones can last a very long time No friends in school environment, suspecting bullying Fatigue with handwriting – pressure IM included in OT sessions 2x weekly Do not use or distribute without written permission.

54 LFA 07/5/2017 Day 1 Task MS Early Hits Late Hits 151 30 26 81 21 9 265
Both Hands 151 30 26 Right Hand 81 21 9 Left Hand 265 29 Both Toes 129 13 17 Right Toe 113 19 10 Left Toe 223 25 6 Both Heels 268 20 Right Heel 221 12 Left Heel 184 18 Right Hand/Left Toe 204 24 7 Left Hand/Right Toe 240 31 Bal Right Tap Left Foot 233 28 3 Bal Left Tap Right Foot 255 27 5 Both Hands w/ GS 44 Total Unadjusted 199.1 73.7% 26.3% LFA 07/5/2017 Do not use or distribute without written permission.

55 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 179.5 Feet ms Avg 203.3 Both Hands ms avg 186 Both Feet ms avg 198.5 Left Side ms avg 224 Right Side ms avg 138.3 Bilateral ms avg 222 Adjusted ms avg 191.4 Highest IAR 3 Total Bursts % within 15 MS 5.7% Attend over time N/A Averages Do not use or distribute without written permission.

56 LFA (8/15/2017) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 151 30 26 Right Hand 81 21 9 Left Hand 265 29 Both Toes 129 13 17 Right Toe 113 19 10 Left Toe 223 25 6 Both Heels 268 20 Right Heel 221 12 Left Heel 184 18 Right Hand/Left Toe 204 24 7 Left Hand/Right Toe 240 31 Bal Right Tap Left Foot 233 28 3 Bal Left Tap Right Foot 255 27 5 Both Hands w/ GS 44 Total Unadjusted 199.1 73.7% 26.3% Day 10 Task MS Early Hits Late Hits Both Hands 69 18 32 Right Hand 39 11 19 Left Hand 59 15 Both Toes 177 24 7 Right Toe 261 6 Left Toe 159 28 3 Both Heels 256 10 Right Heel 207 23 Left Heel 232 21 Right Hand/Left Toe 179 26 5 Left Hand/Right Toe 158 Bal Right Tap Left Foot 253 25 Bal Left Tap Right Foot 155 2 Both Hands w/ GS 76 47 8 Total Unadjusted 162.9 69.7% 30.3% Do not use or distribute without written permission.

57 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 179.5 Feet ms Avg 203.3 Both Hands ms avg 186 Both Feet ms avg 198.5 Left Side ms avg 224 Right Side ms avg 138.3 Bilateral ms avg 222 Adjusted ms avg 191.4 Highest IAR 3 Total Bursts % within 15 MS 5.7% Attend over time N/A Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 60.8 Feet ms Avg 212.5 Both Hands ms avg 72.5 Both Feet ms avg 216.5 Left Side ms avg 150 Right Side ms avg 169 Bilateral ms avg 168.5 Adjusted ms avg 136.6 Highest IAR 2 Total Bursts % within 15 MS 9.7% Attend over time N/A Do not use or distribute without written permission.

58 LFA (01/05/2018) Day 1 Task MS Early Hits Late Hits 82 36 18 64 21 9
Both Hands 82 36 18 Right Hand 64 21 9 Left Hand 73 19 11 Both Toes 104 20 10 Right Toe 112 24 5 Left Toe 124 30 N/A Both Heels 209 14 Right Heel 135 28 1 Left Heel 173 23 Right Hand/Left Toe 114 Left Hand/Right Toe 93 25 Bal Right Tap Left Foot 204 27 2 Bal Left Tap Right Foot 120 Both Hands w/ GS 81 47 4 Total Unadjusted 121 79% 21% LFA (01/05/2018) Do not use or distribute without written permission.

59 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 75 Feet ms Avg 147.6 Both Hands ms avg 81.5 Both Feet ms avg 156.5 Left Side ms avg 123.3 Right Side ms avg 103.7 Bilateral ms avg 103.5 Adjusted ms avg 11.3 Highest IAR 2 Total Bursts % within 15 MS 5.9% Attend over time N/A Averages Do not use or distribute without written permission.

60 Sally 15 years, 6 months 10 day intensive, 1 hour/day
Feels tired when wakes up Need improvement in conversational skills Need improvement in reading and writing Already showed improvement in regulation, sleep, and emotional inhibition Do not use or distribute without written permission.

61 LFA (5/7/2018) Day 1 Task MS Early Hits Late Hits 99 52 2 125 30 1 142
Both Hands 99 52 2 Right Hand 125 30 1 Left Hand 142 29 Both Toes 130 Right Toe 109 24 Left Toe 202 23 Both Heels 146 31 Right Heel 152 Left Heel 149 Right Hand/Left Toe 144 27 Left Hand/Right Toe 100 21 Bal Right Tap Left Foot 123 28 Bal Left Tap Right Foot 208 Both Hands w/ GS 3 Total Unadjusted 140.9 96.9% 3.1% LFA (5/7/2018) Do not use or distribute without written permission.

62 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 127.5 Feet ms Avg 152.4 Both Hands ms avg 121.5 Both Feet ms avg 138 Left Side ms avg 164.3 Right Side ms avg 128.7 Bilateral ms avg 122 Adjusted ms avg 139.9 Highest IAR 2 Total Bursts % within 15 MS 2.6% Attend over time 129 Averages Do not use or distribute without written permission.

63 LFA 5/21/2018 Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 99 52 2 Right Hand 125 30 1 Left Hand 142 29 Both Toes 130 Right Toe 109 24 Left Toe 202 23 Both Heels 146 31 Right Heel 152 Left Heel 149 Right Hand/Left Toe 144 27 Left Hand/Right Toe 100 21 Bal Right Tap Left Foot 123 28 Bal Left Tap Right Foot 208 Both Hands w/ GS 3 Total Unadjusted 140.9 96.9% 3.1% Day 10 Task MS Early Hits Late Hits Both Hands 36 37 18 Right Hand 49 27 4 Left Hand 51 26 Both Toes 45 30 1 Right Toe 61 29 2 Left Toe 64 Both Heels 67 Right Heel 56 31 Left Heel 94 Right Hand/Left Toe 70 24 7 Left Hand/Right Toe Bal Right Tap Left Foot 68 Bal Left Tap Right Foot Both Hands w/ GS 47 44 11 Total Unadjusted 60.1 88.4% 11.6% Do not use or distribute without written permission.

64 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 127.5 Feet ms Avg 152.4 Both Hands ms avg 121.5 Both Feet ms avg 138 Left Side ms avg 164.3 Right Side ms avg 128.7 Bilateral ms avg 122 Adjusted ms avg 139.9 Highest IAR 2 Total Bursts % within 15 MS 2.6% Attend over time 129 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 45.8 Feet ms Avg 65.5 Both Hands ms avg 41.5 Both Feet ms avg 56 Left Side ms avg 69.7 Right Side ms avg 55.3 Bilateral ms avg 67 Adjusted ms avg 55.7 Highest IAR 3 Total Bursts % within 15 MS 12.7% Attend over time 35 Do not use or distribute without written permission.

65 November 21, 2018 More settled and more in control of her anxiety
Loves to talk now and able to stay on topic more Asserting herself more with classmates and asking the teacher for help when she needs it Improved eye coordination and looks more coordinated in her body with basketball and volleyball Straight A student! Not melting down or giving up when frustrated More confident and social Executive functioning is even better than before Better recognition of the good and bad: was not always aware before Not as easily distracted as before Reported that she is very glad she came to do the therapy, felt it was so worth it! Do not use or distribute without written permission.

66 LFA (7/9/2018) Day 1 Task MS Early Hits Late Hits 46 50 5 47 28 3 55
Both Hands 46 50 5 Right Hand 47 28 3 Left Hand 55 29 1 Both Toes 45 26 Right Toe 17 12 Left Toe 42 9 15 Both Heels 56 2 Right Heel 36 22 Left Heel 23 8 Right Hand/Left Toe 48 Left Hand/Right Toe 44 19 10 Bal Right Tap Left Foot 38 Bal Left Tap Right Foot 53 Both Hands w/ GS 31 30 Total Unadjusted 74.8% 25.2% LFA (7/9/2018) Do not use or distribute without written permission.

67 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 44.8 Feet ms Avg 43.1 Both Hands ms avg 38.5 Both Feet ms avg 50.5 Left Side ms avg 47.7 Right Side ms avg 37.3 Bilateral ms avg 46 Adjusted ms avg 43.9 Highest IAR 4 Total Bursts 2 % within 15 MS 21.4% Attend over time 39 Averages Do not use or distribute without written permission.

68 LFA (7/20/ 2018) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 46 50 5 Right Hand 47 28 3 Left Hand 55 29 1 Both Toes 45 26 Right Toe 17 12 Left Toe 42 9 15 Both Heels 56 2 Right Heel 36 22 Left Heel 23 8 Right Hand/Left Toe 48 Left Hand/Right Toe 44 19 10 Bal Right Tap Left Foot 38 Bal Left Tap Right Foot 53 Both Hands w/ GS 31 30 Total Unadjusted 74.8% 25.2% Day 10 Task MS Early Hits Late Hits Both Hands 36 42 13 Right Hand 23 8 Left Hand 39 25 6 Both Toes 27 4 Right Toe 22 20 11 Left Toe 44 21 10 Both Heels 26 3 Right Heel 37 Left Heel 50 Right Hand/Left Toe 34 24 7 Left Hand/Right Toe 18 Bal Right Tap Left Foot 29 2 Bal Left Tap Right Foot 33 Both Hands w/ GS 30 Total Unadjusted 35.4 75.3% 24.7% Do not use or distribute without written permission.

69 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 44.8 Feet ms Avg 43.1 Both Hands ms avg 38.5 Both Feet ms avg 50.5 Left Side ms avg 47.7 Right Side ms avg 37.3 Bilateral ms avg 46 Adjusted ms avg 43.9 Highest IAR 4 Total Bursts 2 % within 15 MS 21.4% Attend over time 39 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 34 Feet ms Avg 38.1 Both Hands ms avg 30.5 Both Feet ms avg 40 Left Side ms avg 44.3 Right Side ms avg 31.7 Bilateral ms avg 27 Adjusted ms avg 36.1 Highest IAR 4 Total Bursts % within 15 MS 26.4% Attend over time 50.6 Do not use or distribute without written permission.

70 Gary 6 years, 6 months Complicated mental health profile
Not submerge head under water Loud voice volume (screaming) Decreased stamina Reversals in letters Anger and frustration infrequently Need to be in control Anxiety Sibling rivalry Social skills difficulties Completed emotional processing sessions in-between 2 IM intensives Do not use or distribute without written permission.

71 LFA (6/23/17) Day 1 Task MS Early Hits Late Hits 124 38 16 129 21 9
Both Hands 124 38 16 Right Hand 129 21 9 Left Hand 112 19 12 Both Toes 149 10 Right Toe 200 17 7 Left Toe N/A Both Heels Right Heel 227 26 5 Left Heel 217 Right Hand/Left Toe 182 15 Left Hand/Right Toe 143 14 Bal Right Tap Left Foot 223 20 11 Bal Left Tap Right Foot 285 24 Both Hands w/ GS 179 31 23 Total Unadjusted 180.8 66.2% 33.8% LFA (6/23/17) Do not use or distribute without written permission.

72 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 136 Feet ms Avg 216.8 Both Hands ms avg 151.5 Both Feet ms avg Left Side ms avg 164.5 Right Side ms avg 185.3 Bilateral ms avg 162.5 Adjusted ms avg 176.4 Highest IAR 1 Total Bursts % within 15 MS 2.8% Attend over time 192.5 Averages Do not use or distribute without written permission.

73 LFA (7/10/2017) Day 10 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 124 38 16 Right Hand 129 21 9 Left Hand 112 19 12 Both Toes 149 10 Right Toe 200 17 7 Left Toe N/A Both Heels Right Heel 227 26 5 Left Heel 217 Right Hand/Left Toe 182 15 Left Hand/Right Toe 143 14 Bal Right Tap Left Foot 223 20 11 Bal Left Tap Right Foot 285 24 Both Hands w/ GS 179 31 23 Total Unadjusted 180.8 66.2% 33.8% Day 10 Task MS Early Hits Late Hits Both Hands 56 18 35 Right Hand 75 6 24 Left Hand 80 7 Both Toes 103 16 15 Right Toe 193 22 10 Left Toe 210 9 19 Both Heels 73 30 1 Right Heel 140 26 5 Left Heel 48 21 Right Hand/Left Toe 39 14 Left Hand/Right Toe 81 17 12 Bal Right Tap Left Foot 154 13 Bal Left Tap Right Foot 178 Both Hands w/ GS 57 25 27 Total Unadjusted 106.2 53.3% 46.7% Do not use or distribute without written permission.

74 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 136 Feet ms Avg 216.8 Both Hands ms avg 151.5 Both Feet ms avg Left Side ms avg 164.5 Right Side ms avg 185.3 Bilateral ms avg 162.5 Adjusted ms avg 176.4 Highest IAR 1 Total Bursts % within 15 MS 2.8% Attend over time 192.5 Day 10 Battery Results, Millisecond Accuracy MS Hands ms avg 67 Feet ms Avg 137.4 Both Hands ms avg 56.5 Both Feet ms avg 88 Left Side ms avg 112.7 Right Side ms avg 136 Bilateral ms avg 60 Adjusted ms avg 102.2 Highest IAR 3 Total Bursts % within 15 MS 15.3% Attend over time 103.3 Do not use or distribute without written permission.

75 August 21, 2017 Completed another program at same time – very dysregulated Zero tolerance with brothers Homeopathy Still screaming – not as “bad” as before Swims like a fish now, catching items from the deep Daredevil on his bike Still screaming from time to time Peer relationships improving ADL’s scattered No academic concerns Grandparents noted vast improvement in multi tasking. Do not use or distribute without written permission.

76 After DIR/Floortime sessions
December 13, 2017 6 years, 11 ½ months Improved with siblings Vulnerable due to feeling more exposed, taking newer risks Played soccer, with one incident through season Shaky relationship with mom Above average academics Do not use or distribute without written permission.

77 LFA (1/3/2018) Day 1 Task MS Early Hits Late Hits 48 35 20 46 5 26 50
Both Hands 48 35 20 Right Hand 46 5 26 Left Hand 50 4 Both Toes 59 22 8 Right Toe 178 16 15 Left Toe 91 25 6 Both Heels 147 2 28 Right Heel 144 7 Left Heel Right Hand/Left Toe 140 Left Hand/Right Toe 60 Bal Right Tap Left Foot 311 30 1 Bal Left Tap Right Foot 234 3 Both Hands w/ GS 113 51 Total Unadjusted 126.3 64.8% 35.2% LFA (1/3/2018) Do not use or distribute without written permission.

78 Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 64.3 Feet ms Avg 163.9 Both Hands ms avg 80.5 Both Feet ms avg 103 Left Side ms avg 96 Right Side ms avg 122.7 Bilateral ms avg 100 Adjusted ms avg 114.1 Highest IAR 4 Total Bursts 1 % within 15 MS 12.4% Attend over time 101.2 Averages Do not use or distribute without written permission.

79 LFA (2/12/2018) Day 12 Day 1 Task MS Early Hits Late Hits Task MS
Both Hands 48 35 20 Right Hand 46 5 26 Left Hand 50 4 Both Toes 59 22 8 Right Toe 178 16 15 Left Toe 91 25 6 Both Heels 147 2 28 Right Heel 144 7 Left Heel Right Hand/Left Toe 140 Left Hand/Right Toe 60 Bal Right Tap Left Foot 311 30 1 Bal Left Tap Right Foot 234 3 Both Hands w/ GS 113 51 Total Unadjusted 126.3 64.8% 35.2% Day 12 Task MS Early Hits Late Hits Both Hands 50 38 16 Right Hand 102 9 20 Left Hand 109 18 11 Both Toes 56 21 10 Right Toe 266 22 8 Left Toe 110 Both Heels N/A Right Heel 229 29 2 Left Heel 171 19 12 Right Hand/Left Toe 124 25 6 Left Hand/Right Toe 162 Bal Right Tap Left Foot 146 Bal Left Tap Right Foot 256 24 Both Hands w/ GS 83 26 Total Unadjusted 143.4 67% 33% Do not use or distribute without written permission.

80 Averages Day 1 Battery Results, Millisecond Accuracy MS Hands ms avg 64.3 Feet ms Avg 163.9 Both Hands ms avg 80.5 Both Feet ms avg 103 Left Side ms avg 96 Right Side ms avg 122.7 Bilateral ms avg 100 Adjusted ms avg 114.1 Highest IAR 4 Total Bursts 1 % within 15 MS 12.4% Attend over time 101.2 Day 12 Battery Results, Millisecond Accuracy MS Hands ms avg 86 Feet ms Avg 176.3 Both Hands ms avg 66.5 Both Feet ms avg 56 Left Side ms avg 130 Right Side ms avg 199 Bilateral ms avg 143 Adjusted ms avg 131.1 Highest IAR 4 Total Bursts 1 % within 15 MS 10.5% Attend over time 99.9 Do not use or distribute without written permission.

81 March 6, 2018 Doing well in Karate, going for belt test
Reversals decreased Still pressing down hard on pencil Written expression on par with peers Can still be loud, but more calm in general No more outbursts, though frustrated at times Gets a “rise” from teasing others in family Timer helps independence in ADL’s. Reads well above grade level Good comprehension Struggled a little in math subtraction Attention good, still impulsive from time to time Do not use or distribute without written permission.

82 Maude Le Roux, OTR/L, SIPT, IMC
9 Lacrue Avenue, Suite 103 Glen Mills, PA 19342 Maude Le Roux, OTR/L, SIPT, IMC Website Facebook LinkedIn Blog


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