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​Pediatric Developmental
​Red Flags

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Gross Motor:
  • ​​Seems weaker than other children his/her age
  • Does not have the endurance other children his/her age have for an activity
  • ​Difficulty hopping, skipping, or running as compared to other children his/her age
  • Appears stiff and awkward in his/her movements
  • Clumsy, does not appear to know how body works, bumps into others or objects
  • Does not seem to understand concepts such as right, left, front back, as it relates to his/her body
  • Shies away from playground equipment.  May only play on one particular item
  • Poor posture (always seems to be leaning against something); doesn't sit in chair correctly
  • Difficulty initiating movements
  • Unusual/unsteady walking, toe walking, or drags feet
  • Tires easily
  • Passive - avoids recess and/or gym
  • Developmental skills below classmates 

Fine Motor:
  • Difficulty with drawing, coloring, tracing
  • Performs these activities quickly and the result is usually sloppy
  • Avoids fine motor activities
  • Awkward pencil grip
  • Problem holding pencil, grasp may be very loose or very tight
  • Printing is too dark, too light, too large, too small
  • Does not seem to have a dominant hand, switches hands frequently
  • Two hands do not work well together
  • Poor desk posture - leans on arms, keeps head close to work
  • Written work is slow and labored
  • Tires easily when writing
  • Does not stabilize paper when writing
  • Difficulty manipulating scissors
  • Difficulty with buttons, zippers, ties, snaps

Speech-Language-Hearing:
  • Repeats sounds, words or phrases over and over
  • Does not understand what you're saying
  • Does not point to common objects upon request
  • Does not follow simple directions
  • Does not respond correctly to yes/no questions
  • Does not respond correctly to who/what/where/when/why questions
  • Communicates through body language, grunting, or one-word utterances
  • execution is different from what was asked
  • Excessive putting of toys or objects in his mouth

Visual-Perception:
  • Trouble discriminating shapes, letters, or numbers
  • Cannot complete age-appropriate puzzles
  • Difficulty copying designs, letters, or numbers
  • Difficulty tracking (i.e. as in reading a book or following the teacher's arm movements)
  • Difficulty copying from the blackboard/smart board
  • Has a diagnosed visual deficit or receives visual training
  • Wears glasses, but issues aren't corrected
  • Omits words or phrases, skips lines or loses place while reading and/or copying
  • Requires fingers or markers to hold place while reading
  • Letter reversal (after first grade)
  • Difficulty with spacing and placement of letter/numbers
  • Difficulty locating objects/shapes from distracting background (maps, etc)
  • Complains of double, blurry vision, and/or closes or squints eyes frequently
  • Mis-aligns head or body when working on tabletop tasks
  • Has difficulty maintaining eye contact or does not visually regard tasks
  • Complains of frequent headaches

Sensory:
  • Withdraws from touch
  • Touches everything
  • Avoids being close to others (doesn't like to be hugged)
  • Over-reacts to unexpected touch
  • Dislikes removing outer garments, shoes
  • Dislikes clothing textures
  • Increased dis-tractability to sound
  • Overly sensitive to sounds/noise
  • Visually distracted
  • Over-reacts to smells
  • Avoids/craves specific food textures
  • Difficulty moving foods around in mouth, avoids working to chew foods
  • Fearful of being off the ground
  • Floppy, ragdoll like
  • Doesn't like playground equipment.
  • Can't seem to stop moving, craves swinging, rocking
  • Avoids activities that challenge balance
  • Seems "earthbound" (i.e. seems unable to jump, move feet off the ground)

Feeding Issues: the more checked off the more daily mealtime restriction it imposes
  • Gags easily
  • Avoids hot or cold temps
  • Avoid/craves mushy, crunchy, chewy, or saucy textures
  • Doesn't want foods touching each other
  • Eats same three foods every day 
  • Considered a yellow food eater
  • Not able to entice to try new foods with bribes
  • Difficulty accepting baby puree food
  • Difficulty transitioning from baby food to solids
  • Doesn't like brushing teeth
  • Places food at back molars avoiding tongue
  • Pocketing food in cheek
  • Over stuffs mouth

Emotional/Organizational Behaviors:
  • ​Does not like to have routine changed
  • Difficulty sequencing a single or multiple tasks from start to finish
  • Is easily frustrated.
  • Has long meltdowns, cannot self soothe
  • Cannot get along with others
  • Deals better with a small group situation or one-to-one
  • Frequently involves self in other people's activities
  • Cannot work independently
  • Difficulty problem solving

Executive Functioning:
  • Difficulty with organization a plan to achieve a goal
  • Struggles with sustaining attention
  • Unable to inhibit self to transfer to next task
  • Requires multiple cues to initiate tasks
  • Requires ongoing cues for completing routine tasks
  • Lacks mental flexibility
  • Inefficient work process

Academic:
  • Easily distracted. restless, short attention span
  • Slow worker
  • Disorganized, messy desk
  • Hyperactive
  • Difficulty following directions/sequential steps
  • Difficulty completing assignments

Activities of Daily Living:
  • Poor control of eating utensils, sloppy hand-to-mouth movements
  • Difficulty opening milk or juice cartons, or other containers
  • Has trouble manipulating buttons, zippers, snaps
  • Unable to tie shoes
  • Difficulty with clothing management during toileting
  • Difficulty sequencing self-care steps
  • Difficulty with organizing personal items 


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Location - Wayne, NJ

​1341 Hamburg Turnpike, Suite 4
Wayne, NJ 07470 ​
What People are Saying

​​"Our daughter now participates fully in a world that left her feeling powerless and overwhelmed.  We are deeply grateful to Lori for her creativity, skill, commitment to her clients, and determined belief in our daughter’s ability ​to succeed.”   J.F., Wayne, NJ​

"I appreciate the hard work I had from my OT.  Lori was always prepared with creative exercises and made great suggestions to make my life easier and safer.  She coordinated with my other therapists and reached out to my children.  Once I reached my goals, she set up a routine for me for each day.  I hope I stay healthy, but I will call Lori again if I ever need her."  R.B. Wayne, NJ

   Contact  

                                                Phone: 973-464-2197                                                       Fax: 973-305-4868                       Email: [email protected] 
     [email protected]
 
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