May experience difficulty with self feeding, using utensils, clothing fasteners (zippers, snaps, buttons, shoe tying), handwriting, scissor use and more!

May experience difficulty with rolling, sitting, crawling, standing, walking, jumping, running, throwing, catching, climbing

May experience difficulty with tongue and lip range of motion, food refusal, chewing/manipulating food, drooling, inability to blow a bubble. Weakness of the mouth muscles, poor coordination of the mouth and tongue, speech difficulties.

May have low muscle tone, high muscle tone, clumsiness, unsteadiness, poor hand-eye coordination, poor balance, jerky or unsteady movements.

May experience difficulty progressing through milestones (such as head control, reaching, sitting unsupported, crawling, pulls to stand, walking) from infancy and up. A solid foundation is SO important and the design behind PYRAMID play is to ensure milestones to follow occur for the most functional outcomes later.

May have difficulties with strength or flexibility from an injury or other medical condition that has impacted ability to participate in child’s occupations (playing, school, self care routines etc.).

May experience difficulty with oral intake, food progressions (liquids to solid foods), frequent gagging, food aversions, extremely picky eating, feeding self (by hand and/or utensils), increased anxiety around food limiting intake.

Over response to sensory input may look like dislike in textures in fabrics, foods, grooming tasks appearing to be in serious discomfort or feel threatened by them (including lights and sounds!)

Under response/lack of responsiveness to any sensory input

Sensory craving, excessive fidgeting, making or seeking loud noises, crashing/falling down seeking sensory input.

We are born with primitive reflexes for survival (startle reflex, rooting reflex, grasp reflex and many many more!) These reflexes gradually go away/integrate as the brain matures and develops turning these movements into more complex motor skills. Poor integration can present itself in developmental delays, sensory processing issues, and learning difficulties.

May have difficulties with getting self dressed, sequencing dressing, toileting skills, brushing teeth, bathing, ability to carry out self care tasks fully.

May experience difficulty in communication, sharing, cooperation, coping with or regulating emotions, role playing, eye contact, or withdrawal from social interactions due to anxiety/fear.

May look like preparing for a job, money management/bill paying skills, self care/hygiene, preparing for more independent living such as laundry, cooking, cleaning tasks, engagement in leisure activities or hobbies.