| CATEGORY | LEVEL | TERM | GOAL | |
| Strength/Endurance | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in the strength and endurance necessary to allow participation in physical activities in the educational environment. |
| Strength/Endurance | Physical Therapy | 2 | Annual Goals | Demonstrate improved overall muscle strength in upper extrememities to perform ambulation activities. |
| Strength/Endurance | Physical Therapy | 3 | Annual Goals | Demonstrate improved overall muscle strength in lower extrememities to perform ambulation activities. |
| Strength/Endurance | Physical Therapy | 4 | Annual Goals | Demonstrate improved overall muscle strength in trunk to perform functional activities in the classroom |
| Strength/Endurance | Physical Therapy | 5 | Annual Goals | Demonstrate improved postural control for more skilled distal function. |
| Strength/Endurance | Physical Therapy | 6 | Annual Goals | Demonstrate improved stability in weight bearing position. |
| Strength/Endurance | Physical Therapy | 7 | Annual Goals | Demonstrate the ability to walk for functional distances with functional speed within the educational environment. |
| Strength/Endurance | Physical Therapy | 8 | Annual Goals | Demonstrate the ability to perform general conditioning excercises independently with proper form. |
| Posture | Physical Therapy | 1 | Short Term Objective | Demonstrate the ability to maintain appropriate body alignment during classroom activities, ____minutes, ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1 | Short Term Objective | When in supine, keep head in line with body when pulled to sitting, ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to maintain full body flexion for ____seconds, ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to maintain full body extension for ____seconds, ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to bridge in supine position for ____repetitions ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to wheel-barrow walk forward on arms for ____feet, ____out of ____trials ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to wheel-barrow walk backward on arms for ____feet, ____out of ____trials ____out of ____times by the end of the ____quarter. |
| Strength/Exercise | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to perform sit-ups to 45 degrees with knees bent for ____repetitions, with arms ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1 | Short Term Objective | Demonstrate the ability to participate in gross motor activities for increasing duration without resting for ____minutes, ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to fully participate in physical education class for ____minutes, ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to propel on scooter board for ____feet in ____minutes, ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to pedal a stationary bike for ____minutes without resting ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to walk ____feet ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to run ___feet ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to run with functional speed to keep up with peers in his physical education class ____out of ____times by the end of the ____quarter. |
| Endurance | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to jump forward with feet together for ____out of ____trials ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in early developmental gross motor skills. |
| Developmental Skills | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to reach with one hand to grab a toy held at eye level while propped on elbows ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to push up on extended arms to observe a dangling toy while lying on stomach ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1C | Short Term Objective | When lying on back, demonstrate the ability to reach with 1 or 2 hands to grab an object held overheld ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to roll from back to stomach with assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to roll from stomach to back with assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to lie on stomach and prop on forearms for increasing periods for ____seconds ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to belly crawl forward for ____feet with ____assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1H | Short Term Objective | Demonstrate the ability to belly crawl backward for ____feet ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1I | Short Term Objective | Demonstrate the ability to creep on hands and knees reciprocally for ____feet ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1J | Short Term Objective | Demonstrate the ability to creep on hands and knees backward for ____feet ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1K | Short Term Objective | Demonstrate the ability to creep on hands and knees around and over obstacles ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1L | Short Term Objective | Demonstrate the ability to move from a stomach or back lying position to a sitting position with ____assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1M | Short Term Objective | Demonstrate the ability to independently assume a tailor-sit position ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1N | Short Term Objective | Demonstrate the ability to independently assume a long-leg sitting position ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1O | Short Term Objective | Demonstrate the ability to bear weight on one arm and reach across with opposite arm to obtain toy placed on weight bearing side, while sitting ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1P | Short Term Objective | Demonstrate the ability to reach and touch objects placed at arm's reach using either hand, while sitting ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1Q | Short Term Objective | Demonstrate the ability to move from hands and knees to a tall kneeling position with ____assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1R | Short Term Objective | Demonstrate the ability to move from side sitting to a tall kneeling position with ____assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1S | Short Term Objective | Demonstrate the ability to assume a one-half kneeling position with ____assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1T | Short Term Objective | Demonstrate the ability to pull to a standing position while holding on to furniture ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1U | Short Term Objective | Demonstrate the ability to independently transition from floor through standing ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1V | Short Term Objective | Demonstrate the ability to move from a one-half kneeling position to a standing position with assistance ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1W | Short Term Objective | Demonstrate the ability to move from a one-half kneeling position to a standing position without support ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1X | Short Term Objective | Demonstrate the ability to pull to a standing position and move a step to one side while holding on to furniture ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1Y | Short Term Objective | Demonstrate the ability to pull to a standing position and stand alone without support for ____minutes ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1Z | Short Term Objective | Demonstrate the ability to stand alone without support and take side step(s) ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1AA | Short Term Objective | Demonstrate the ability to squat to pick up an object from the floor ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1BB | Short Term Objective | Demonstrate the ability to get on and off a toilet independently ____out of ____times by the end of the ____quarter. |
| Developmental Skills | Physical Therapy | 1CC | Short Term Objective | Demonstrate the ability to run forward demonstrating trunk rotation for ____feet ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in balance for increased safety while participating in educational activities in the school environment. |
| Balance | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to sit with support and maintain head in midline, while engaged in classroom activities, for increasing ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to sit with support and maintain head in midline, while engaged in classroom activities, for ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to sit erect and maintain proper body alignment, while seated in a chair, for ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to maintain balance on a classroom seat reaching to either side for objects without falling ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to independetly maintain a tailor-sit position for ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to independently a long-leg sitting position for ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to maintain left/right side sitting position while bearing weight on left/right open hand ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1H | Short Term Objective | Demonstrate the ability to reach and grab an object held at arm's length from either side, without losing balance, while long-sitting ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1I | Short Term Objective | Demonstrate the ability to sit unsupported for ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1J | Short Term Objective | Demonstrate the ability to regain and maintain balance, while sitting unsupported, when physically challenged by the physical therapist ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1K | Short Term Objective | Demonstrate the ability to maintain side sitting for increasing periods without support ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1L | Short Term Objective | Demonstrate the ability to maintain an upright sitting posture on a large ball or swing, without losing balance for ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1M | Short Term Objective | Demonstrate the ability to maintain balance while sitting on a therapeutic rocker board for increasing periods ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1N | Short Term Objective | Demonstrate the ability to maintain balance while throwing and catching a small ball, while sitting on an exercise ball with feet on the floor ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1O | Short Term Objective | Demonstrate the ability to lift each leg into full extension when on hands and knees ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1P | Short Term Objective | Demonstrate the ability to lift each arm into full extension when on hands and knees ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1Q | Short Term Objective | Demonstrate the ability to maintain balance on opposite hand and knee for ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1R | Short Term Objective | Demonstrate the ability to knee stand for increasing periods without losing balance ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1S | Short Term Objective | Demonstrate the ability to regain balance when displaced in any direction while kneeling ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1T | Short Term Objective | Demonstrate the ability to balance while throwing at least 5 bean bags into a bucket without falling over, while kneeling ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1U | Short Term Objective | Demonstrate the ability to balance in kneeling position with support for ____minutes while performing a dynamic activity ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1V | Short Term Objective | Demonstrate the ability to walk forward on knees for ____feet ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1W | Short Term Objective | Demonstrate the ability to walk backward on knees for ____feet ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1X | Short Term Objective | Demonstrate the ability to maintain balance when in a half-kneeling position on either leg for ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1Y | Short Term Objective | Demonstrate the ability to balance in a half-kneeling position with support for ____minutes while successfully performing a dynamic activity ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1Z | Short Term Objective | Demonstrate the ability to stand (with assistive device), without losing balance, for ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1AA | Short Term Objective | Demonstrate the ability to stand unsupported, without losing balance, for ____ minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1BB | Short Term Objective | Demonstrate the ability to pick up objects from the floor without falling ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1CC | Short Term Objective | Demonstrate the ability to lean over without falling and pick up an object and throw it ____feet ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1DD | Short Term Objective | Demonstrate the ability to regain balance, while standing unsupported when physically challenged. |
| Balance | Physical Therapy | 1EE | Short Term Objective | Demonstrate the ability to walk in a straight line with classmates during classroom transitions ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1FF | Short Term Objective | Demonstrate the ability to pick up and carry an object without falling for increasing distances for ____feet ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1GG | Short Term Objective | Demonstrate the ability to stand on one leg without vision occluded for increasing periods for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1HH | Short Term Objective | Demonstrate the ability to stand on one leg with vision occluded for increasing periods for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1II | Short Term Objective | Demonstrate the ability to stand on tip toes without moving feet for increased periods for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1JJ | Short Term Objective | Demonstrate the ability to tandem walk a line for increasing distances for ____feet ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1KK | Short Term Objective | Demonstrate the ability to stand on a balance beam with one hand held for increasing periods for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1LL | Short Term Objective | Demonstrate the ability to stand on one foot on a balance beam without assistance for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1MM | Short Term Objective | Demonstrate the ability to walk on a 6" X 4" balance beam with assistance ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1NN | Short Term Objective | Demonstrate the ability to walk the length of the balance beam without stepping off ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1OO | Short Term Objective | Demonstrate the ability to walk forward on a 6" X 4" balance beam in a heal to toe pattern without stepping off ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1PP | Short Term Objective | Demonstrate the ability to maintain balance on an unstable surface for ____minutes ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1QQ | Short Term Objective | Demonstrate the ability to get on and off therapy equipment with increased independence ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1RR | Short Term Objective | Demonstrate the ability to maintain balance while standing on a therapeutic rocker board for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1SS | Short Term Objective | Demonstrate the ability to throw a ball into a basket without losing balance, while sitting, standing or kneeling on a therapeutic rocker board, for increasing periods for ____seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1TT | Short Term Objective | Demonstrate the ability to catch and throw a ball into a basket without losing balance, while sitting, standing or kneeling on a therapeutic rocker board, for increasing period for ___seconds ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1UU | Short Term Objective | Demonstrate the ability to climb up a ladder on a slide without assistance ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1VV | Short Term Objective | Demonstrate the ability to walk through the angled ladder keeping one foot on each side and putting only one foot in each box ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1WW | Short Term Objective | Demonstrate the ability to walk through an exercise ladder keeping both feet in each box ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1XX | Short Term Objective | Demonstrate the ability to walk through the exercise ladder with one foot on each, keeping feet inside the boxes without tripping ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1YY | Short Term Objective | Demonstrate the ability to climb onto and off of a large bolster or wedge without assistance ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1ZZ | Short Term Objective | Demonstrate the ability to run in a coordinatd fashion for increasing ____feet without falling ____out of ____times by the end of the ____quarter. |
| Balance | Physical Therapy | 1AAA | Short Term Objective | Demonstrate the ability to kick a moving playground ball forward without falling ____out of ____times by the end of the ____quarter. |
| Coordination/Gross Motor Skills | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in activities which require gross motor coordination needed to participate in classroom and physical education type activities. |
| Walking | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to stand on one foot and maintain balance for ____seconds ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to walk with arms swinging at side ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to take ten consecutive steps on tiptoes ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to walk forwards independently with a heel to toe gait ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to walk in a straight line for ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to walk forwards independently with a heel to toe gait with increasing distance for ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to ambulate the length of a classroom with ____assistance ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1H | Short Term Objective | Demonstrate the ability to ambulate between rows of classroom furniture without bumping into any ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1I | Short Term Objective | Demonstrate the ability to ambulate the ground level of the building with ____assistance ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1J | Short Term Objective | Demonstrate the ability to walk backwards independently with a toe to heel gait ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1K | Short Term Objective | Demonstrate the ability to walk on grass with good control for ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1L | Short Term Objective | Demonstrate the ability to walk up and down a ramp with ____assistance ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1M | Short Term Objective | Demonstrate the ability to walk on uneven terrain adjusting to obstacles for ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1N | Short Term Objective | Demonstrate the ability to ambulate up and down a curb or step with ____assistance ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1O | Short Term Objective | Demonstrate the ability to ambulate up and down a curb or step independently ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1P | Short Term Objective | Demonstrate the ability to walk around obstacles without losing balance ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1Q | Short Term Objective | Demonstrate the ability to walk over obstacles without falling ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1R | Short Term Objective | Demonstrate the ability to change directions when walking without verbal/physical cues ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1S | Short Term Objective | Demonstrate the ability to walk sideways, right to left and left to right ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1T | Short Term Objective | Demonstrate the ability to walk on a line placing heel of one foot in front of toe of the other (tandem) for increasing distances ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1U | Short Term Objective | Demonstrate the ability to walk on tip toes for ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1V | Short Term Objective | Demonstrate the ability to walk on heels for increasing ____feet ____out of ____times by the end of the ____quarter. |
| Walking | Physical Therapy | 1W | Short Term Objective | Demonstrate the ability to safely ambulate on all surfaes of the school environment following safety rules ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2 | Short Term Objective | Demonstrate the ability to ascend and decsend stairs on backside ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2A | Short Term Objective | Demonstrate the ability to ascend stairs on hands and knees ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2B | Short Term Objective | Demonstrate the ability to ascend stairs step to step using a handrail ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2C | Short Term Objective | Demonstrate the ability to descend stairs step to step using a handrail ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2D | Short Term Objective | Demonstrate the ability to ascend and descend stairs step to step using a handrail in a safe manner____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2E | Short Term Objective | Demonstrate the ability to ascend and descend stairs step to step without a handrail in a safe manner ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2F | Short Term Objective | Demonstrate the ability to ascend stairs step over step using a handrail ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2G | Short Term Objective | Demonstrate the ability to descend stairs step over step using a handrail ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2H | Short Term Objective | Demonstrate the ability to ascend and descend stairs step over step using a handrail in a safe manner ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2I | Short Term Objective | Demonstrate the ability to ascend and descend stairs step over step without a handrail in a safe manner ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2J | Short Term Objective | Demonstrate the ability to ascend and descend the steps of a school bus with assistance ____out of ____times by the end of the ____quarter. |
| Stairs | Physical Therapy | 2K | Short Term Objective | Demonstrate the ability to independently ascend and descend the steps of a school bus safely ____out of ____times by the end of the ____quarter. |
| Hopping | Physical Therapy | 3 | Short Term Objective | Demonstrate the ability to hop consecutively on either foot for ____times ____out of ____times by the end of the ____quarter. |
| Hopping | Physical Therapy | 3A | Short Term Objective | Demonstrate the ability to hop consecutively on either foot with assistance for ____times ____out of ____times by the end of the ____quarter. |
| Hopping | Physical Therapy | 3B | Short Term Objective | Demonstrate the ability to hop consecutively on either foot without assistance for ____times ____out of ____times by the end of the ____quarter. |
| Hopping | Physical Therapy | 3C | Short Term Objective | Demonstrate the ability to hop on either foot consecutively without losing balance for ____times ____out of ____times by the end of the ____quarter. |
| Skipping | Physical Therapy | 4 | Short Term Objective | Demonstrate the ability to gallop with either foot leading for ___feet ____out of ____times by the end of the ____quarter. |
| Skipping | Physical Therapy | 4A | Short Term Objective | Demonstrate the ability to skip with alternating feet for ____feet ____out of ____times by the end of the ____quarter. |
| Skipping | Physical Therapy | 4B | Short Term Objective | Demonstrate the ability to skip along a given path for ____feet ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5 | Short Term Objective | Demonstrate the ability to jump in place for ____times ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5A | Short Term Objective | Demonstrate the ability to jump forward with both feet together for ____times ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5B | Short Term Objective | Demonstrate the ability to jump from an 8-inch step with both feet landing together ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5C | Short Term Objective | Demonstrate the ability to jump with feet together forward, backward and sideways ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5D | Short Term Objective | Demonstrate the ability to jump forward, backward and sideways into specified targets on the floor ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5E | Short Term Objective | Demonstrate the ability to broad jump for ____inches ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5F | Short Term Objective | Demonstrate the ability to jump over a 6-inch high rope or object ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5G | Short Term Objective | Demonstrate the ability to jump up to touch a spot on the wall 8-inches above normal reach ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5H | Short Term Objective | Demonstrate the ability to jump on a trampoline for ____minutes ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5I | Short Term Objective | Demonstrate the ability to jump in place with feet together for ___times ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5J | Short Term Objective | Demonstrate the ability to jump rope for ____times ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5K | Short Term Objective | Demonstrate the ability to jump robe for ____repetition ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5L | Short Term Objective | Demonstrate the abilitiy to coordinate smooth jumping jacks for ____minutes ____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5M | Short Term Objective | Demonstrate the ability to coordinate smooth jumping jacks for ____times____out of ____times by the end of the ____quarter. |
| Jumping | Physical Therapy | 5N | Short Term Objective | Demonstrate the ability to jump over ____objects of various sizes with increasing control ____out of ____times by the end of the ____quarter. |
| Running | Physical Therapy | 6 | Short Term Objective | Demonstrate the ability to run forward ____feet ___out of ____times by the end of the ____quarter. |
| Running | Physical Therapy | 6A | Short Term Objective | Demonstrate the ability to run backward ____feet ___out of ____times by the end of the ____quarter. |
| Running | Physical Therapy | 6B | Short Term Objective | Demonstrate the ability to start, stop and change direction, while running ___out of ____times by the end of the ____quarter. |
| Running | Physical Therapy | 6C | Short Term Objective | Demonstrate the ability to run ____feet without falling ___out of ____times by the end of the ____quarter. |
| Running | Physical Therapy | 6D | Short Term Objective | Demonstrate the ability to run without falling for ____feet ___out of ____times by the end of the ____quarter. |
| Running | Physical Therapy | 6E | Short Term Objective | Demonstrate the ability to run ____minutes without stopping ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7 | Short Term Objective | Demonstrate the ability to kick a medium size, stationary ball without losing balance ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7A | Short Term Objective | Demonstrate the ability to walk up and kick a medium size, stationary ball without losing balance ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7B | Short Term Objective | Demonstrate the ability to run up and kick a medium size, stationary ball without losing balance ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7C | Short Term Objective | Demonstrate the ability to walk up and kick a medium size, rolling ball without losing balance ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7D | Short Term Objective | Demonstrate the ability to run up and kick a medium size, rolling ball without losing balance ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7E | Short Term Objective | Demonstrate the ability to drop kick a medium size ball for a distance of at least 5 feet in the air ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7F | Short Term Objective | Demonstrate the ability to throw and catch a medium size ball, with 2 hands ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7G | Short Term Objective | Demonstrate the ability to throw a medium size ball a distance of 5 feet with one hand ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7H | Short Term Objective | Demonstrate the ability to throw a medium size ball into the air then catch it ____times ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7I | Short Term Objective | Demonstrate the ability to throw a medium size ball in the air, clap hands, and catch the ball ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7J | Short Term Objective | Demonstrate the ability to use a medium size ball (roll or throw) to hit a targeted object ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7K | Short Term Objective | Demonstrate the ability to throw a large ball using two hands ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7L | Short Term Objective | Demonstrate the ability to throw a small ball at least 5 feet ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7M | Short Term Objective | Demonstrate the ability to throw a small ball and hit specified targets ___feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7N | Short Term Objective | Demonstrate the ability to visually monitor the path of a ball thrown from ____feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7O | Short Term Objective | Demonstrate the ability to catch a large ball with hands only from ____feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7P | Short Term Objective | Demonstrate the ability to catch a ball with hands and chest from ____feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7Q | Short Term Objective | Demonstrate the ability to catch a playground ball with both hands from ____feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7R | Short Term Objective | Demonstrate the ability to bounce a medium size ball with one hand ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7S | Short Term Objective | Demonstrate the ability to bounce and catch a ball ____times ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7T | Short Term Objective | Demonstrate the ability to catch a small ball with hands only from ____feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7U | Short Term Objective | Demonstrate the ability to catch a ball with a mitt from ____feet away ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7V | Short Term Objective | Demonstrate the ability to throw a ball to the wall 5 feet away then catch after one bounce ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7W | Short Term Objective | Demonstrate the ability to dribble a ball with the dominate hand ____times ___out of ____times by the end of the ____quarter. |
| Ball Skills | Physical Therapy | 7X | Short Term Objective | Demonstrate the ability to hit a ball with a bat thrown from ____feet away ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8 | Short Term Objective | Demonstrate the ability to step on and off a small wheeled toy with ____assistance ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8A | Short Term Objective | Demonstrate the ability to move on a "ride on" toy without pedals with ____assistance ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8B | Short Term Objective | Demonstrate the ability to get on and off an adaptive tricycle and pedal with verbal and tactile body cues ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8C | Short Term Objective | Demonstrate the ability to get on and off an adaptive tricycle and pedal independently ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8D | Short Term Objective | Demonstrate the ability to ride on an adapted tricycle for ____feet ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8E | Short Term Objective | Demonstrate the ability to pedal a stationary bike for ____minutes without resting ____out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8F | Short Term Objective | Demonstrate the ability to ride a tricycle for ____feet ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8G | Short Term Objective | Demonstrate the ability to ride a bicycle with training wheels for ____feet ___out of ____times by the end of the ____quarter. |
| Riding | Physical Therapy | 8H | Short Term Objective | Demonstrate the ability to propel a scooter using reciprocal leg or arm movements, while seated or lying on stomach for ____feet before resting ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9 | Short Term Objective | Demonstrate the ability to sit on a swing, holding on with hands ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9A | Short Term Objective | Demonstrate the ability to sit on a swing, holding on with hands while pushed ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9B | Short Term Objective | Demonstrate the ability to move legs symmetrically to initiate swing movement ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9C | Short Term Objective | Demonstrate the ability to sit on a swing, holding on with hands and "pump" to propel on the swing ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9D | Short Term Objective | Demonstrate the ability to use playground swings independently ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9E | Short Term Objective | Demonstrate the ability to fully participate in structured playground activity for ____minutes ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9F | Short Term Objective | Demonstrate the ability to climb up and down a ladder or low play equipment with assistance ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9G | Short Term Objective | Demonstrate the ability to climb up and down a ladder or low play equipment without assistance ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9H | Short Term Objective | Demonstrate the ability to ascend and descend ladder rungs one step at a time ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9I | Short Term Objective | Demonstrate the ability to ascend and descend ladder rungs, alternating each step ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9J | Short Term Objective | Demonstrate the ability to successfully ascend and descend the steps of a playground slide ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9K | Short Term Objective | Demonstrate the ability to sit on top of the slide and initiate a sitting slide while holding on with feet straight ahead ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9L | Short Term Objective | Demonstrate the ability to climb the bars of a jungle gym with some assistance ___out of ____times by the end of the ____quarter. |
| Playground/Gym Equipement | Physical Therapy | 9M | Short Term Objective | Demonstrate the ability to independently climb the bars of a jungle gym ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in motor planning ability which is needed to participate in classroom and physical education type activities |
| Motor Planning | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to identify to identify or label up and down directions ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to identify or label left and right directions ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to identify or label diagonal direction ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to follow directions to complete a two-step motor task ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to follow directions to complete a three-step motor task ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to follow directions in a "Simon Says" game ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to change directions while moving without falling or confusion ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1H | Short Term Objective | Demonstrate the ability to negotiate ____step obstacle course ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1I | Short Term Objective | Demonstrate the ability to move over and around obstacles without falling ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1J | Short Term Objective | Demonstrate the ability to ambulate a multi-step obstacle course without loss of balance ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1K | Short Term Objective | Demonstrate the ability to perform one forward roll (somersault) ___out of ____times by the end of the ____quarter. |
| Motor Planning | Physical Therapy | 1L | Short Term Objective | Demonstrate the ability to perform 3 forward rolls without stopping or deviating to the sides ___out of ____times by the end of the ____quarter. |
| Mobility | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in mobility skills to successfully participate in educational activities and to negotiate the physical environment of the school |
| Walker | Physical Therapy | 1A | Short Term Objective | From a seated position demonstrate the ability to assume a standing position at a walker with ____assistance ___out of ____times by the end of the ____quarter. |
| Walker | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to take a few steps forward using a walker with ____assistance ___out of ____times by the end of the ____quarter. |
| Walker | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to independently turn around using a walker ___out of ____times by the end of the ____quarter. |
| Walker | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to walk the length of a classroom using a walker with ____assistance ___out of ____times by the end of the ____quarter. |
| Walker | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to open a closed door, walk through and close the door using a walker with ____assistance ___out of ____times by the end of the ____quarter. |
| Walker | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to transfer to and from the walker to the toilet with ____assistance ___out of ____times by the end of the ____quarter. |
| Walker | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to use the walker to ambulate within the school building with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2 | Short Term Objective | Demonstrate the ability to assume standing using crutches with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2A | Short Term Objective | Demonstrate the ability to maintain standing using crutches for ____minutes ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2B | Short Term Objective | Demonstrate the ability to take a step sideways using crutches with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2C | Short Term Objective | Demonstrate the ability to take a step forward using crutches with a four-point gait with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2D | Short Term Objective | Demonstrate the ability to take a step forward using crutches with a three-point gait with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2E | Short Term Objective | Demonstrate the ability to take a step forward using crutches with a swing-through gait with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2F | Short Term Objective | Demonstrate the ability to turn around using crutches with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2G | Short Term Objective | Demonstrate the ability to open a closed door, walk through and close the door using crutches with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2H | Short Term Objective | Demonstrate the ability to walk the length of a classroom using crutches with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2I | Short Term Objective | Demonstrate the ability to independently ascend and descend stairs and curb with crutches in a safe manner ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2J | Short Term Objective | Demonstrate the ability to transfer to and from the crutches to the toilet with ____assistance ___out of ____times by the end of the ____quarter. |
| Crutches | Physical Therapy | 2K | Short Term Objective | Demonstrate the ability to use crutches to ambulate within the school building with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3 | Short Term Objective | Demonstrate the ability to stand using canes for ____minutes ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3A | Short Term Objective | Demonstrate the ability to take a step sideways using canes with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3B | Short Term Objective | Demonstrate the ability to take a step forward using canes with a four-point gait with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3C | Short Term Objective | Demonstrate the ability to take a step forward using canes with a three-point gait with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3D | Short Term Objective | Demonstrate the ability to take a step forward using canes with a two-point gait with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3E | Short Term Objective | Demonstrate the ability to turn around using canes with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3F | Short Term Objective | Demonstrate the ability to open a closed door, walk through and close the door using canes with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3G | Short Term Objective | Demonstrate the ability to walk the length of a classroom using canes with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3H | Short Term Objective | Demonstrate the ability to ambulate functionally throughout the first floor of the school environment ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3I | Short Term Objective | Demonstrate the ability to successfully ascend and descend stairs with canes with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3J | Short Term Objective | Demonstrate the ability to transfer to and from canes to the toilet with ____assistance ___out of ____times by the end of the ____quarter. |
| Canes | Physical Therapy | 3K | Short Term Objective | Demonstrate the ability to use canes to ambulate within the school building with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4 | Short Term Objective | Demonstrate the ability to appropriately operate components of wheelchair (e.g. brakes) with/without verbal clues ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4A | Short Term Objective | Demonstrate the ability to independently move wheelchair forward for ____feet ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4B | Short Term Objective | Demonstrate the ability to move wheelchair backward with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4C | Short Term Objective | Demonstrate the ability to travel using wheelchair and maneuver the chair forward, backward, through doorways and turns with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4D | Short Term Objective | Demonstrate the ability to independently maneuver wheelchair within the classroom ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4E | Short Term Objective | Demonstrate the ability to independently maneuver wheelchair and negotiate the school environment ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4F | Short Term Objective | Demonstrate the ability to independently propel wheelchair to ascend and descend a ramp ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4G | Short Term Objective | Demonstrate the ability to transfer from wheelchair to a chair and back to wheelchair with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4H | Short Term Objective | Demonstrate the ability to transfer from wheelchair to the floor or mat and back to wheelchair with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4I | Short Term Objective | Demonstrate the ability to transfer from wheelchair to the toilet and back to wheelchair with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4J | Short Term Objective | Demonstrate the ability to transfer from the wheelchair to an assistive device (e.g. walker, crutches, cane) and back to the wheelchair with ____assistance ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4K | Short Term Objective | Demonstrate the ability to get on and off the school bus safely and independently in wheelchair ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4L | Short Term Objective | Demonstrate the ability to move electric wheelchair forward ____feet safely ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4M | Short Term Objective | Demonstrate the ability to move electric wheelchair backward ____feet safely ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4N | Short Term Objective | Demonstrate the ability to travel using electric wheelchair and maneuver the chair forward, backward, through doorways and turns safely ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4O | Short Term Objective | Demonstrate the ablility to maneuver electric wheelchair within the classroom, avoiding obstacles ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4P | Short Term Objective | Demonstrate the ability to maneuver electric wheelchair and negotiate the school environment ___out of ____times by the end of the ____quarter. |
| Wheelchair | Physical Therapy | 4Q | Short Term Objective | Demonstrate the ability to use electric wheelchair independently for functional mobility in the educational environment ___out of ____times by the end of the ____quarter. |
| Improve Flexibility | Physical Therapy | 1 | Annual Goals | Demonstrate an increase in range of motion and flexibility of lower extremities to allow for properly aligned weight bearing. |
| Improve Flexibility | Physical Therapy | 1A | Short Term Objective | Range of motion of ____will increae by ____ ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1 | Annual Goals | Demonstrate an improvement in adapative positioning during the school day. |
| Positioning | Physical Therapy | 1A | Short Term Objective | Demonstrate the ability to utilize orthosis/prosthesis/stander for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1B | Short Term Objective | Demonstrate the ability to explain to a person assisting how to unlock/lock brace, adjust straps, put on and take off brace/prosthesis ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1C | Short Term Objective | Demonstrate the ability to correctly remove braces or prosthesis independently ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1D | Short Term Objective | Demonstrate the ability to correctly put on braces or prosthesis independently ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1E | Short Term Objective | Demonstrate the ability to correctly put on and remove braces or prosthesis with ____assistance ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1F | Short Term Objective | Demonstrate the ability to demonstrate functional independence in use of orthosis or prosthesis ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1G | Short Term Objective | Demonstrate the ability to sit erect displaying head and upper and lower trunk alignment when support is provided for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1H | Short Term Objective | Demonstrate the ability to sit erect, displaying head, upper and lower trunk alignment without support for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1I | Short Term Objective | Demonstrate the ability to maintain adaptive positioning (e.g., on a standing box, prone or supine stander, mat, sidelyer, stretcher) daily while in classroom for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1J | Short Term Objective | Demonstrate the ability to maintain adaptive positioning (e.g., on a standing box, prone or supine stander, mat, sidelyer, stretcher) daily while in classroom for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1K | Short Term Objective | Demonstrate the ability to stand in proper position in a prone or supine stander for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1L | Short Term Objective | Demonstrate the ability to maintain weight bearing at increasing angles on the tilt table for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1M | Short Term Objective | Demonstrate the ability to stand in a supported upright position for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1N | Short Term Objective | Demonstrate the abililty to lift head when positioned in prone over a wedge or therapeutic roll ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1O | Short Term Objective | Demonstrate the ability to remain over a wedge or therapeutic roll resting elbows for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1P | Short Term Objective | Demonstrate the ability to maintain a side lying position for ___minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1Q | Short Term Objective | Demonstrate the ability to maintain upper extremities in a splinted position to reduce hypertonic or hyperextension posture (static or dynamic) for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1R | Short Term Objective | Demonstrate the ability to maintain lower extremities in a splinted position to reduce hypertonic or hyperextension posture (static or dynamic) for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1S | Short Term Objective | Demonstrate the ability to increase tolerance to positioning in specialized equipment in school for ____minutes ___out of ____times by the end of the ____quarter. |
| Positioning | Physical Therapy | 1T | Short Term Objective | Demonstrate increased understanding of alternative postures and movements to decrease pain during the school day ____% of the time by the end of the ____quarter |
| Maintance | Physical Therapy | 1 | Annual Goals | The student will tolerate alternate positioning in order to maintain range of motion, prevent breakdown and neutralize muscle tone |
| Maintance | Physical Therapy | 2 | Annual Goals | Demonstrate ability to maintain flexibility and present range of motion in trunk and extremities to enhance interaction within the school environment. |
| Maintance | Physical Therapy | 3 | Annual Goals | Demonstrate the ability to maintain flexibility and present range of motion in trunk and extremities to perform educational and daily living activities. |
| Maintance | Physical Therapy | 3A | Short Term Objective | Maintain present range of motion and flexibility of upper extremities to function at current level of independence ___out of ____times by the end of the ____quarter. |
| Maintance | Physical Therapy | 3B | Short Term Objective | Maintain present range of motion and flexibility of lower extremities to function at current level of independence ___out of ____times by the end of the ____quarter. |
| Maintance | Physical Therapy | 3C | Short Term Objective | Demonstrate the ability to maintain relaxation for ____minutes ___out of ____times by the end of the ____quarter. |
| Consult | Physical Therapy | 1 | Annual Goals | Physical Therapy will consult with staff in order to ensure retention of previously learned gross motor skills and continued independent function in school. |
| Consult | Physical Therapy | 2 | Annual Goals | Physical Therapy will consult with staff in order to provide instruction on positioning/abilities regarding ______________. |
| Consult | Physical Therapy | 3 | Annual Goals | Physical Therapy will provide consultation to staff regarding students physical limitations and recommend any needed modification to ensure success in the educational environment. |