CASE 1
NAME:Vishalini.G
AGE: 4YRS 4 MONTHS
FAMILY MEMBERS: Vishalini lives with her mother Shanthi ,father Karthick and her younger brother
Rahul.
The observation took place on 2024 on feb 5th in the clinical set up for 20 minutes. Baby vishalini’s
activities, interactions were observed during the session. Her aunty and her mother were
interviewed for further information.
Physical appearance:
Vishalini was a chubby and healthy baby.
MOTOR SKILLS
Vishalini’s mother reported that she had attained her motor milestones little bit later. Head control
gained at 5 months, sat with support at 7 months. Standing and walking attained at the age of 1 year
and 1 year 6 months respectively.
Her gross motor and fine motor skills are also delayed. Now the child can able to grasp pencil. But
she couldn’t able to write properly. She wrote very big letters, and always refused to writes. She find
difficult to make colour. She can able to button up. She can feed herself, most of the time she took
help from her mother.
During the session the child was not cooperative a crying most of the time.
SPEECH /LANGAUAGE AND COMMUNICATION
She finds difficult in maintaining eye contact with the persons talking to her.
Able to speak, her voice was low pitched and monotonus.she finds difficulty in communicating with
the peer groups. She was interested to play with them, but she can’t able to communicate and play
with them. She can able to reply for our question, but not confident.
COGNITIVE DEVELOPMENT:
She was hyperactive .not able to sit in a place for more than 5 minutes. She won’t sit even for play
activities. She was able to do puzzle activities, colouring, able to say orally rhymes, body part, and
colours. Able to sing the rhymes what she learns from you- tube channels.
She can able to differentiate what are eatable and non eatable things. She removes her dress during
her toilet routines in play school with oral instruction.
Most of the time she left her things in the classroom, she felt sleepy in the classroom. Able to
differentiate her thing from others.
Routines:
Her father should insist her to wake up and do her daily activities. With the help of mother she can
able to brush her teeth, and bathing. Sometimes she feeds herself, most of the time she wants help
from her mother. Chew her food very slowly.
Bet wetting is present. She always woke at 8am.she plays for a while. Always cling to her mother.
She was very adamant. She goes to her school regularly and very happily.
Test administered:
1. Developmental screening test (DST): the child score was 75 suggesting of borderline
developmental quotient.
2. M- CHAT: the score was 6 suggestive of moderate rise for autism.
ADVIC E
Parental education given
Plan for OT and behavioural therapy
Follow up after 3 months for M chat. Plan for IQ after 1 year
CASE:2
NAME:Kathir
Age:2yrs 2months
Family members:
Kathir lives with his mother shanmuga priya , fatherparthiban, her sister srnika.
No h/o consanguineous parent
H/o NICU admission for 15 days (pre term baby)
Setting:
The observation took place on April 21 st at 10.30 am, in the clinical setup for 15 minutes
on first day. The next session was held after 1 week which took place for 25 minutes. His parents
were interviewed on both days for further information.
Physical appearance
He was healthy baby; he was very active, not able to sit in a place for 5 minutes
Motor skills:
His parents are reported that he had developed his mile stones at appropriate age .his
motor milestones were reported to be god (head control, roll over, crawling, standing and walking)
and attained at expected months.
SPEECH /LANGUAGEAND COMMUNICATION SKILLS
He was undergone for OAE screening at the age of 3 months to rule out childhood deafness.
During the session he was able to respond to his name, eye contact was good.kathir able to vocalise
sounds like amma, dada, thathha etc...Able to speak single syllables, but find difficult to
comprehend with his peer group. Use more gestures. Able to understand language and responded
well to instructions. Able to show the body parts, points to things in a book.
SOCIAL-EMOTIONAL SKILLS
The child able to notice his mother’s facial expression. Able to understand the happy
moments.
Play cooperatively with his siblings and neighbours. Kathir enjoying while palyingslide, swing in the
park. Able to understand the present emotions and react.
COGNITIVE MILSTONES
Child able to understand the environment. He was pretending his mother. Able to
follow simple instructions such as bring the towel, take the plate. Interested in play activities, block
building, assemble puzzles.
Able to react to the situations accordingly.
TEST ADMINISTRED
1.Developmental screening test shows that average developmental quotient
ADVICE
Parental counselling given
Review after 3 months
