COTC sees children from birth through elementary school age. Some children have been diagnosed with a particular disorder or dysfunction while others may have some mild difficulty keeping up with their peers. Difficulties may be seen in the areas of gross motor, fine motor, speech/ language, or academic skill development. We provide one on one therapy to meet your child's individual needs.

It is important to note that each child develops at his or her own pace and may simply need time to mature. In other cases, therapy intervention may be beneficial. All of our visits are confidential. If you have questions about whether or not your child would benefit from our services, please contact COTC for more information.

Below is list of diagnoses we see

Developmental Delay

Sensory Integration Dysfunction

Attention Deficit Disorder (ADD, ADHD)

Birth Injuries (Erb's Palsy, shoulder dystocia)

Autism

Genetic Anomalies (Down's syndrome, Prader-Willie syndrome, Apert Syndrome)

Prematurity

Learning Disabilities

Speech and Language Deficit

Some of the difficulties that may be seen with the above diagnoses

• Fine motor deficit
  • Difficulty with handwriting or forming letters
  • Difficulty with self-care (tying shoe laces, buttoning, zippering)
• Gross motor deficits
• Coordination disorders
• Speech and language problems
• Visual motor deficit (coordinating eye-hand movements)
• Visual perceptual deficits (ability to understand what is seen- e.g. differentiate a square from a triangle or identifying letters)
• Postural instability (low muscle tone affecting gross motor movements- difficulty with crawling, walking or running - "floppy" or "weak muscles")
• Oral-motor deficits (difficulty feeding, picky eater)
• Difficulty achieving any age-appropriate motor tasks
• Difficulty with sensory processing (inability to tolerate visual, olfactory, auditory, tactile or oral sensations that would not normally bother a child)
• Difficulty with motor planning (inability to organize a task for completion)
• Difficulty with bilateral coordination ( using both hands to perform a task such as cutting with scissors)
• Difficulty with midline integration (difficulty with spontaneously reaching across midline of body, difficulty with written movements across midline-e.g. crossing letter "T" completely with one stroke)