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Our therapists are wholly dedicated to their patients and work with a variety of special needs with a caring encouraging attitude.

Pediatric Seating & Mobility
Pediatric Seating and Mobility/Wheelchair Clinic


During the evaluation, our ATP certified physical therapist along with a certified vendor will recommend and order custom manual and power wheelchair/mobility devices as well as other custom durable medical equipment. Other durable medical equipment prescribed could include alternative seating, bathing/toileting systems, mechanical lifts and medical beds. In addition to the initial seating evaluation, the vendor will also participate in the fitting, custom molding (if applicable), delivery and education of the wheelchair/equipment.

The evaluating therapist is also certified as a CPST in order to appropriately prescribe medical car seats and to provide proper fitting, installation and education. Assessment of a child's wheelchair and/or equipment is recommended to occur once a year in order to assess growth, appropriate postural support, medical changes and recommendation for new equipment if needed.


Please call our office to set up an appointment (615-826-7113). We are accepting new patients who have never been fitted for any durable medical equipment, as well as patients who already have items that need to be modified/readjusted.

Administration of Sensory Integration and Praxis Test


For most of us, sensory integration occurs automatically. When children have sensory integration dysfunction, they have difficulty or disordered processing of the information or inefficient interpretation of the sensations from the body.

Occupational Therapist Beth Nabors Sikes is certified to administer and interpret the Sensory Integration and Praxis Test (SIPT).

Some of the signs of sensory integration disorder, according to Sensory Integration International, include:

  • Extreme sensitivity or underreaction to touch, movement, sights or sounds

  • Distractibility

  • Social and/or emotional problems

  • Unusually high or unusually low activity level

  • Physical clumsiness or apparent carelessness

  • Impulsivity, or lack of self-control

  • Difficulty making transitions from one situation to another

  • Inability to unwind or calm one's self

  • Delays in speech, language or motor skills

  • Delays in academic achievement

Treatment for sensory processing delays usually consists of occupational therapy, which focuses on providing the child with different sensory experiences and helping him or her get used to those experiences.

Orthotics and Braces


A Step Ahead has an office within our clinic and provides custom fit orthotics, including ankle-foot orthoses (AFOs), Benik hand splints and prosthesis. These services are not only available to our therapy patients, but to non-Therapy Center clients as well.


Sensory Integration & Praxis Test
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