Helping children to cultivate needed skills and abilities to fully participate in activities of daily life.

Image for Pediatric Developmental Occupational Therapy

Approaches and techniques

IRG Cascade Children’s Therapy – Mill Creek provides occupational therapy services to help with handwriting, sensory processing and more, including:

  • Sensory integration (SI) theory and practice
  • Handwriting remediation
  • Constraint-induced therapy (CIT)
    • Intensive three-week camps during the summer are offered for children with significant differences between their right and left sides in muscle tone and function.


Evaluation of developmental skills

When your child works with one of our pediatric specialists, they will be comprehensively evaluated in a comfortable and fun setting. To assess a child’s gross and fine motor development in relation to their age, therapists commonly use tools such as the following:

  • Bayley Scales of Infant Development
  • Peabody Developmental Motor Scales
  • Bruininks-Oseretsky Test of Motor Proficiency
  • Movement Assessment of Infants (MAI)
  • “Infant/Toddler Symptom Checklist: A Screening Tool for Parents” by Georgia A. Degangi, Susan Poisson, Ruth Z. Sickel and Andrea Santman Weiner
  • Alberta Infant Motor Scale (AIMS)

Processing of sensory information and skills are assessed using:

  • The Sensory Profile™ (Winnie Dunn, PhD, OTR, FAOTA)
  • Test of Visual-Motor Skills (Morrison F. Gardner)
  • Test of Visual-Perceptual Skills (Morrison F. Gardner)
  • Informal evaluations of sensory processing

Other areas of growth and development may be evaluated using the following:

  • Handwriting assessment
    • Evaluation Tool of Children’s Handwriting (ETCH)
  • Oral motor and feeding assessment
  • Self-care skills
    • Pediatric Evaluation of Disability Inventory (PEDI)
    • Transfers
    • Techniques and equipment for bathing, dressing and toileting
Image for Pediatric Developmental Occupational Therapy

Therapy modalities and tools

Our occupational therapists will work with you, your child and your pediatrician to achieve the best outcomes for your child. After evaluation with one of our therapists, we may use a variety of modalities and tools suited to your child’s needs.

Compression and facilitation garments

Stabilizing Pressure Input Orthosis (SPIO®) garments are used to enhance a child’s body stability and awareness to promote balance and postural activation.

TheraTogs are used to address mobility, sensory input and stability challenges. The system provides postural and sensory training with the goal of allowing the child to participate in routine activities with improved joint alignment.

Wii video games

The use of Wii video games as a treatment tool has been validated by research studies and current therapy practices in a broad range of ages and conditions. Engagement in these games is used to develop balance and weight-bearing abilities: motor planning; reaction time; application of the appropriate amount of force to movement; strength; balance; and body awareness. Wii video games also offer a socially appropriate opportunity for peer interaction and engagement.



Supplemental services

In addition to the services and modalities above, our therapists also offer specialized orthotics and equipment to help your child reach their goals.

Lower extremity orthotics

Consultation and casting is carried out at IRG Cascade Children’s Therapy – Mill Creek by Don Buethorn, CPO, owner of Cascade DAFO in Ferndale, Wash. with a short turnaround time of one to two weeks for the fabrication of orthotics.

Upper extremity orthotics

Referrals are coordinated to the Mary Bridge Good Samaritan Children’s Therapy Unit in Puyallup, Wash. for weight-bearing, night-resting, and functional splinting for upper extremities.

Adaptive equipment

Providers at IRG Cascade Children’s Therapy – Mill Creek facilitate the provision of appropriate adaptive equipment such as wheelchairs, strollers, car seats, bath seats, gait trainers and walkers by working closely with equipment vendors and manufacturers.