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What area of the body is of concern?*
How old is the child?
Which best describes the child's maximum gross motor skill level (choose one)?
Which best describes the child's muscle tone?
Which best describes your child's foot position?

Pronate Example

Pronation

Supinate Example 1

Supination

Supinate Example 2

Supination
If walking, choose one that best describes your child's gait pattern focusable="false"

Rotation

Rotation

Crouching

Crouching

Toe Walking

Toe Walking
Does the knee hyperextend? focusable="false"
Hyperextension
Does the child have poor trunk control? focusable="false"

Example 1

Poor Trunk Control

Example 2

Poor Trunk Control
Does the child have poor head control? focusable="false"
Poor Head Control
Does the child "w-sit"? focusable="false"

Example 1

W-Sitting

Example 2

W-Sitting

Example 3

W-Sitting

Example 3

W-Sitting