We had our IEP meeting today and it went really well. We went over the physical therapist's report which found that Alison basically has no delays in her gross motor skills (can do all skills at the 27 month level and 3 out of 4 at the 31 month level), but she does have weakness in her lower extremities, particularly the right side, and some balance issues. So she didn't find anything that we weren't already aware of. That's always a relief. Everyone present at the meeting agreed that Alison is not the typical child they see with Spina Bifida.

The leg weakness and balance issues qualify her for PT services through ESA, and Alison will start on Thursday. Because of her function level, the PT recommended a wide range of services, so our plan calls for her to get PT 1 to 8 times a month for 30-60 minutes per session. That will enable us to do the 1-2 times a week that the orthopedic surgeon wants her to have for the next 2 months, and then, if Alison is doing well, we can back off to once a week, once every other week, once a month, bump her time back up for a month or two if need be, whatever we feel she needs. We're going to start out at twice a week for a while, so we can get off to a good start and establish a workable program for us to do at home, too.