An evaluation is the start of a therapeutic relationship. It is an opportunity to gather data, observe, and use critical thinking skills. Standardized assessments provide data for qualifying children for services. They can also establish a baseline for creating goals and designing a remediation plan.

1. The Kioko
Center

2. About us
The Kioko Center has been providing expert
occupational and speech therapy services to
children and young adults, ages birth to 21
years, since 2006. During that time, we have
developed the highest quality standards for our
therapies and services. Our staff are highly
trained and prepared to integrate the latest
therapy techniques into your child’s sessions.
We provide comprehensive, individualized
therapies which facilitate overall development
and independence. We look to our name, Kioko,
meaning “Happy Child” in Japanese as a guiding
principle for our work.

3. At the Kioko Center we are passionate about providing the very best OT
therapy and SLP therapy services for children and young adults. We serve the
schools, therapists, and families that support them. We are a pediatric
therapy organization that specializes in occupational therapy and speech
therapy. Our multidisciplinary, holistic approach gives each child the best
chance to realize their full potential.
Massachusetts Pediatric Occupational Therapy
and Speech Therapy for Children and Young Adults

4. Developmental Motor Assessments for
Physical and Occupational Therapists
An evaluation is the start of a therapeutic relationship. It is an opportunity to gather data, observe,
and use critical thinking skills. Standardized assessments provide data for qualifying children for
services. They can also establish a baseline for creating goals and designing a remediation plan.
Selecting an appropriate motor assessment for your client will ensure that the child can engage and
that you collect the information you need. Considerations when choosing an evaluation should
include the child’s age, referral reason, test length, types of activities included as testing tasks, and
what the test is measuring. A description of four motor assessments commonly used by both OTs and
PTs are described below.

5. Bruininks-Oseretsy Test of Motor Proficiency (2nd Edition)
Peabody Developmental Motor Scales (2nd Edition)
Also known as the BOT-2, this tool is widely used by Occupational Therapist and physical therapists.
Fine motor categories include fine motor precision, fine motor integration, manual dexterity, and
upper-limb coordination. Bilateral coordination, balance, running speed/agility, and strength subtests
make up the gross motor portion of the test. Tasks vary from dribbling a tennis ball to coloring in
shapes, performing jumping jacks, and cutting out a circle. An abbreviated short form provides a brief
overview of motor functioning. BOT-II is appropriate for children ages 4-21 years.
The PDMS-2 is standardized for children from birth to age six. This evaluation is a basal and ceiling
evaluation, so you only need to test skills that are appropriate for the child’s age level. When the child
is unable to complete three consecutive tasks successfully, that category is discontinued. For the
youngest population, tasks will include aligning their head, pulling to sit, propping on forearms, and
tracking a rattle. Older children will stack blocks, lace beads, kick a ball, balance on one foot, and
more. Subtests include reflexes, sustained control, locomotion, object manipulation, grasping, and
visual-motor integration.

6. Miller Function and Participation Scales (M-FUN)
Toddler and Infant Motor Evaluation
This assessment is standardized for children ages two to eight. The test has visual motor, fine motor,
and gross motor domains. Fine and visual motor activities are child-friendly games such as “Find the
Puppies” and “Go Fishing.” Gross motor activities are embedded into a “Statue Game,” soccer
practice, and more. The M-Fun Assessment kit includes a home and classroom observation checklist
that examines social skills, sensory needs, and ability to regulate. While this assessment takes longer
than the others to administer, it provides comprehensive data which can aid in writing goals and
intervention planning.
Created for children ages birth to age three years and six months, the Toddler and Infant Motor
Evaluation (TIME) assesses movement quality. Five subtests that assess mobility, stability, motor
organization, social/emotional abilities, and functional performance. Optional subtests are available
for advanced practitioners and include component analysis, quality rating, and atypical movements.
Activities include sequencing movement into different positions and free-play with a caregiver. Open-
ended parent questions along with a Likert questionnaire provide both contextual information and
data on current performance.

8. Amazing Therapists Amazing Kids Amazing Results
The Kioko Center provides expert pediatric
occupational and speech therapy for children and
young adults.
Kioko Center
820 Turnpike St #104, North Andover,
MA 01845
978-681-6605
978-681-6601
kioko@kiokocenter.com
careers@kiokocenter.com