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Pediatric Therapy

  • Milestone Achievers

Milestone Achiever of the Month

Milestones help measure the healthy development of a child. When a child continues to miss a milestone, Bryan Pediatric Rehab Services is here to help. Our team of physical therapists, occupational therapists and speech language pathologists provide children and their families with guidance, therapies and steps to reach their milestones. Not only that we find a way to make reaching milestones fun for each child! Each month we celebrate a patient that has made great strides due to their efforts and the care and support of our therapists.


June 2018

Ezekiel Gettemy

3-year-old Ezekiel works with Bryan physical therapist, Brandy Escamilla. We celebrate with Ezekiel as he improves his strength, balance and coordination. His favorite activities in therapy are playing with potato heads, cars and bubbles. Below are the milestones Ezekiel has achieved, followed by his new goals going forward.

Goals Achieved:

  1. Ezekiel can now transfer from one surface to another that are slightly more than an arm’s length apart. 
  2. Ezekiel can step over a balance beam with only one handhold assist.
  3. Ezekiel can climb a standard set of stairs step by step with a handrail and contact assist.

New Goals:

  1. Ezekiel will stand up from a sitting position on the floor three to five times during a therapy session.
  2. Ezekiel will step over four balance beams with only one handhold assist.
  3. Ezekiel will climb a standard set of stairs step by step to show improvements in his strength, coordination and balance for daily activities.

May 2018

Kasen Grubb

Kasen is a twin and a former Bryan NICU baby born at 36 weeks gestation. At 21 months, Kasen had very few consonant sounds and only one intelligible word. His limited vocabulary made it difficult to communicate basic wants and needs to his parents. After his evaluation he began working with Bryan speech pathologists, Ashley Yates and Julie McDaniel. They not only work with Kasen, but also teach his mother how to model for him and encourage the use of his words. Kasen's therapy happens while he plays and he loves to play with animals, cars, bubbles and playdough. His increase in vocabulary has decreased some of his communication frustrations. Below are the milestones Kasen has achieved, followed by his new goals going forward.

Goals Achieved:

  1. Kasen has shown increased sounds that imitate adult speech.
  2. Kasen increased his vocabulary to 25 words.
  3. Given two options, Kasen will use his words to choose 80% of the time. 

New Goals:

  1. Kasen will increase vocabulary to greater than 50 words.
  2. During a therapy session, Kasen will put two words together 10 times.
  3. Kasen will increase his social language skills for daily interactions, such as answering yes/no, asking for help, labeling, gaining attention, requesting an action.

April 2018

Xavier Ludemann

Xavier is an energetic young man who is always smiling. His occupational therapist, Kindra Fox, helps him improve his focus, coordination and organization. Kindra shows Xavier full body exercises to exert just enough energy so he is able to sit at a table and focus. These exercises help with his attention, strengthen his core for good posture and develop gross motor skills. To improve fine motor skills, Xavier uses tweezers to place small pom poms into the mouth of a tennis ball. Xavier loves to make up games and have competitions during therapy. Below are the milestones Xavier has achieved, followed by his new goals going forward.

Goals Achieved:

  1. Xavier can hold a prone extension for 1 minute. This has helped increase his shoulder stability for handwriting and fine motor skills.
  2. Xavier can manage buttons through jean material and small buttons 80 percent of the time.
  3. Xavier is able to tie his shoes, 75 percent of the time with verbal cues.

New Goals:

  1. Xavier will identify when he needs to use the skills he's learned to increase his ability to attend to tasks 80 percent of the time.
  2. Xavier will be able to state three activities to increase a calm, alert state as needed 80 percent of the time.
  3. Xavier will continue to develop his trunk strength by completing a prone extension for one and a half minutes.

March 2018

Jaylee Krauter

Jaylee was a former Bryan NICU baby born at 29 weeks gestation. After leaving the NICU she struggled taking in adequate volumes by her bottle. The placement of a feeding tube has helped her get the necessary nutrition and calories she needs to grow. Now she works with Bryan therapists, Julie McDaniel, MS, CCC-SLP and Stacey Anderson, OTR/L, CPST to eat appropriate table foods. Below are the milestones Jaylee has achieved, followed by her new goals going forward.

Goals Achieved:

  1. Demonstrates appropriate biting of preferred food textures 80 percent of the time.
  2. Moves tongue side to side inside the mouth to manipulate food to be chewed and formed into a ball before swallowing.
  3. Shows the ability to touch wet textured foods without signs of distress.

New Goals:

  1. Jaylee will demonstrate confidence to bring new food textures to her mouth.
  2. Jaylee will move ball of food towards the back of her mouth and swallow.
  3. Jaylee will demonstrate up to three chewing cycles before spitting it out.

February 2018

Tyson Reinboth

Milestone Achiever Tyson

Tyson’s physical, occupational and speech therapists help him improve his balance, develop his fine motor precision and increase his vocabulary skills. He works with Brandy Escamilla, PT, Kindra Fox, OT and Ashley Yates, SLP. This six-year-old knows how to have fun - making up silly stories and playing games like Pop the Pig, Candyland and Perfection. Below are the milestones Tyson has achieved, followed by his new goals going forward.

Goals Achieved:

  1. Tyson is able to sit up while reaching for objects without loss of balance.
  2. Tyson is able to cut paper in half with a little help holding the paper.
  3. Tyson identifies similarities and differences for word use with 75 percent accuracy.

New Goals:

  1. Tyson will walk with forearm crutches for 20 steps.
  2. Tyson will increase his motor skills by cutting a square and staying within 1/2 inch of the line.
  3. Tyson will generate concrete sentences provided with pictures with 50 percent accuracy.

January 2018

Niam Bhakta

Milestone Achiever of the Month - Niam

Two-year-old Niam works with a Bryan physical therapist, NaTosha Siemek and speech pathologist, Julie McDaniel. We celebrate with Niam as he increases his vocabulary and improves his walking with greater speed and balance. His favorite activities in therapy are playing with cars and balls. Below are the milestones Niam has achieved, followed by his new goals going forward.

Goals Achieved:

  1. Niam increased his vocabulary to 20 words.
  2. Niam points to target picture in a simple group of four pictures with 75% accuracy.
  3. Niam walks up and down an incline surface by himself without losing his balance.
  4. Niam demonstrates improved walking speed, keeping up with his mom or physical therapist.

New Goals:

  1. Niam will combine two words and/or signs together in 75 percent of opportunities.
  2. Niam will increase functional vocabulary with word/sign combinations to 50 words.
  3. Niam will walk up four stairs with one handrail assist.
  4. Niam will pedal a trike for 10 feet without assistance.

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