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Occupational Therapy
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Assessment & diagnosis
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Assessment & diagnosis
How is developmental age assessed for the Adaptive domain?
Developmental age for the Adaptive domain is estimated by a clinician comparing your child's everyday self-care and daily-living skills against age-typical sequences — combining detailed history, structured questionnaires and gentle observation, not one test. The mapped point where your child's current skills usually emerge gives the developmental age. It is a snapshot of ability, never a verdict, and only a qualified Pinnacle clinician forms a clinical AbilityScore®.
Read the answer AnswerHow is developmental age assessed for the Motor domain?
Developmental age for the Motor domain is assessed by comparing what your child can do with their body — gross motor skills like sitting and walking, and fine motor skills like grasping and scribbling — against typical milestones for their age. A clinician observes your child in play and movement, gathers your everyday observations, and uses structured tools to map abilities to a developmental-age range. There is no single test, and only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow is developmental age assessed for the Sensory domain?
Developmental age for the Sensory domain is assessed by a clinician over time, not by one test — combining your detailed history, structured questionnaires, and play-based observation of how your child seeks or avoids touch, sound, sight, movement, taste and smell. The clinician compares your child's responses with what's typical at each age and maps them against their own baseline. It is never a quick label, and only a qualified Pinnacle clinician confirms what it means.
Read the answer AnswerHow is Developmental Coordination Disorder assessed in children under 7?
In children under 7, DCD is assessed through structured observation of everyday motor tasks, standardised motor testing, parent and teacher reports, and ruling out other causes. A firm label is usually reserved for after age 5, as younger children develop motor skills at very different rates. Diagnosis is formed only at a Pinnacle centre under clinician care.
Read the answer AnswerHow is Fine-Motor assessed in a toddler?
Fine-motor skills in a toddler are assessed by observing how your child uses hands and fingers in everyday play — grasping, stacking, scribbling and feeding — alongside a conversation about milestones. There is no single test; a qualified clinician builds a picture through structured play, and only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow Fine Motor Delay Is Assessed in Children Under 7
Fine motor delay in under-7s is assessed by observing hand and finger use across everyday tasks — grasp, pincer grip, drawing, threading and self-care — combined with parent history and a structured, clinician-administered assessment. It maps strengths and support needs, never a pass-or-fail test, and any clinical AbilityScore® or diagnosis is formed only at a Pinnacle centre.
Read the answer AnswerHow is Fine-Motor measured and progress-tracked within a therapy plan?
Fine-motor is measured through structured observation and validated functional tasks — grasp, in-hand manipulation, bilateral coordination, tool use and graphomotor control — anchored to a child's own baseline. Within a therapy plan, progress is tracked via SMART goals, repeated standardised re-tests and session-by-session functional data, reviewed collaboratively and recalibrated as the child advances.
Read the answer AnswerHow is Fine Motor scored on the AbilityScore?
Fine motor isn't reduced to a single test number. At a Pinnacle centre, a clinician observes how your child grasps, pinches, draws and builds in playful tasks, comparing this against age expectations and your child's own baseline. This structured observation feeds the AbilityScore®, which only a qualified clinician interprets.
Read the answer AnswerHow is Gross Motor assessed?
Gross motor skills are assessed by observing how your child uses large muscles — running, jumping, hopping, climbing, balancing, throwing — in play, alongside a conversation about milestones. A clinician compares this against age patterns and your child's own baseline. There is no single test, and only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow Gross Motor Delay Is Assessed in Children Under 7
Gross motor delay in children under 7 is assessed by observing big-muscle milestones — sitting, crawling, walking, balance — alongside muscle tone, strength and coordination, using parent history and structured, play-based clinical observation. A clinical AbilityScore® is formed only at a Pinnacle centre under clinician care.
Read the answer AnswerMeasuring and Tracking Gross-Motor Progress
Gross-motor ability is measured through standardised, criterion-referenced observation of postural control, balance, locomotion and coordination, anchored to milestones and re-measured at fixed intervals to chart change. Within a therapy plan, baseline plus functional goals and movement-quality tracking let clinicians see plateaus or gains early. Developmental measurement supports care planning; diagnosis requires an appropriately qualified healthcare professional.
Read the answer AnswerHow is Gross-Motor scored on the AbilityScore?
Gross-Motor on the AbilityScore is read by observing how your toddler uses their large muscles — sitting, crawling, walking, climbing and balancing — against their own developmental stage. A qualified Pinnacle clinician watches your child move in playful moments and combines this with your home account. There is no online number; the AbilityScore is a clinician-administered structured assessment, and any result is formed only at a Pinnacle centre.
Read the answer AnswerHow Is Hypotonia Assessed in Children Under 7?
Hypotonia in children under 7 is assessed by clinical observation and a structured hands-on examination — looking at posture, head and trunk control, resistance to limb movement, motor milestones, and strength versus tone. It is not one single test, and Developmental measurement supports care planning; diagnosis requires an appropriately qualified healthcare professional.
Read the answer AnswerHow is Independence & Autonomy assessed?
Independence and autonomy in a young child are assessed by observing how they manage everyday self-care, choices and problem-solving, alongside a warm conversation about daily routines at home. There is no single test — an occupational therapist builds a picture over time, and only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow Independence & Autonomy is measured and progress-tracked
Independence and autonomy (ICF d599) are measured against the child's own baseline using observable functional targets — initiation, prompt level, task completion and generalisation — and tracked longitudinally through structured observation, caregiver report and goal-attainment scaling within the therapy plan, not against a normative cut-off.
Read the answer AnswerHow Independence & Autonomy Is Scored on the AbilityScore
Independence & Autonomy is scored on the AbilityScore through a clinician-administered structured assessment that observes how your child manages self-care, choices and routines for their age, measured against their own baseline. It maps the level of support your child currently needs and how that narrows over time. Only a Pinnacle clinician can interpret what it means.
Read the answer AnswerHow is Jumping assessed?
Jumping is assessed by watching your toddler move and play — observing how they bend, push off, leave the ground, land and balance — paired with a warm chat about what you see at home. There is no single test; a clinician reads it against your own child's stage, and only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow Jumping Is Measured and Progress-Tracked in Therapy
Jumping is measured as a graded progression — pre-jump readiness, two-foot lift-off, distance, height and landing control — tracked across sessions against the child's own baseline rather than a single attempt. Clinicians document both quantitative gains (distance, reps, support faded) and movement quality, aligned to standardised gross-motor goals.
Read the answer AnswerHow Jumping Is Scored on the AbilityScore
Jumping is scored within your toddler's gross-motor profile through a clinician-administered AbilityScore® — observing take-off, landing, balance and coordination, read against your child's own baseline, never as a single pass/fail number. Only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow is Manual Dexterity assessed?
Manual dexterity in a child aged 3–7 is assessed by watching how the hands and fingers work together in play-based tasks — pinching small objects, threading, cutting, drawing and doing up buttons. An occupational therapist blends gentle observation with structured, age-normed activities to read grip, speed, accuracy and coordination. Only a Pinnacle clinician can confirm what it means.
Read the answer AnswerHow is manual dexterity measured and progress-tracked in therapy?
Manual dexterity is measured through structured clinician observation of fine-motor performance — grasp, in-hand manipulation, bimanual coordination, speed and accuracy — anchored to the child's own baseline. Progress is tracked via goal-attainment scaling and periodic re-sampling of calibrated tasks, with the plan re-dosed against functional milestones. Any AbilityScore or diagnosis is formed only at a Pinnacle centre under clinician care.
Read the answer AnswerHow is Manual Dexterity scored on the AbilityScore?
Manual dexterity is scored on the AbilityScore through clinician-guided observation of real hand tasks — grasp, pinch, in-hand manipulation, bilateral coordination and precision — measured against your child's own baseline. It is a structured, clinician-administered assessment done through play, never an online number, and only a Pinnacle clinician confirms what it means.
Read the answer AnswerHow is Mobility assessed?
Toddler mobility is assessed by watching how your child moves in everyday play — getting up, balancing, walking, climbing and carrying — alongside gentle hands-on checks of tone, strength and coordination and a conversation about milestones. There is no single test; a clinician builds the picture against your child's own progress, and only a Pinnacle clinician confirms what it means.
Read the answer AnswerHow is Mobility measured and progress-tracked within a therapy plan?
Mobility is measured through standardised clinician-administered motor assessment plus structured observation of functional movement — transitions, balance, gait and real-world participation. Progress is tracked against the child's own baseline using repeatable, time-anchored, goal-attainment measures that feed back into the therapy plan. Developmental measurement supports care planning; diagnosis requires an appropriately qualified healthcare professional.
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