Pediatric Therapy

Franciscan Care Services offers pediatric physical, occupational and speech therapy services. Our therapists have training and experience in treating children with a variety of neuromuscular, orthopedic and behavioral diagnosis including but not limited to:

Pediatric Therapy


  • Autism
  • Brian InjuryDSCN0553
  • Cerebal Palsy
  • Delayed Development/Milestones
  • Genetic Disorders
  • Juvenile Arthritis
  • Low Muscle Tone
  • Muscular Dystrophy
  • Musculoskeletal Conditions
  • Orthopedic Conditions
  • Neurological Conditions
  • Sensory Processing Disorders
  • Scoliosis
  • Spina Bifida
  • Spinal Cord Injuries
  • Torticollis

Our therapists believe in providing quality services to children and their families in a fun and exciting environment. They work with parents and families to establish goals that are not only functional, but also meaningful to the entire family. We promise to listen to parents and hear their concerns. Our goal is to help children with disabilities reach their highest potential.

Therapy sessions are designed to use play to accomplish specific goals. Interventions may include

  • Adaptive Equipment/Orthotic Assessment and FittingDSCN0574
  • Aquatic Therapy
  • Articulation/Stuttering Therapy
  • Balance
  • Coordination
  • Dressing Skills
  • Feeding Therapy
  • Gait/Functional Mobility Training
  • Handwritting
  • Strengthing
  • Stretching









Ashley Strehle

Ashley Strehle, PT, DPT

Physical Therapist

Ashley is originially from Ashland, Nebraska. She went to Nebraska Wesleyan University in Lincoln for her undergraduate studies. She received her bachelor’s degree in Exercise Science. Ashley went on to physical therapy school at the University of Nebraska Medical Center. There she directed her focus in pediatrics. She completed 4 clinical rotations throughout Iowa and Missouri. She graduated in 2011 from physical therapy school and lived and worked in Iowa while her husband finished up school. Ashley then worked in an outpatient pediatric clinic in Lincoln for 3 years. Ashley and her husband Luke have recently moved to West Point with their two sons, Clayton and Brecken. Ashley wants to bring her knowledge of pediatric development to Franciscan Care Services and help to grow the pediatric therapy program at Wimmer Rehabilitation. Ashley has focused nearly 4 years of her continuing education on pediatric courses and clinics. In her spare time, Ashley enjoys playing with her boys, camping, boating and gardening.


Amanda Hegy, OTD, OTR-L

Occupational Therapist

Amanda is originally from Fremont, Nebraska. She went to Midland Lutheran College in Fremont for her undergraduate studies where she also played volleyball. Amanda went on to graduate school in occupational therapy at the Creighton University and graduated with her doctorate degree in 2008. There she completed 2 clinical rotations (one 12 weeks and the other 16 weeks) both in outpatient pediatrics and school based therapy. Amanda and her husband Josh live in Fremont with their two sons, Drake and Gage. Amanda has always had a passion for working with pediatrics and is excited to see the development of the pediatric therapy program begin. In her spare time, Amanda enjoys playing with her boys, scrapbooking, traveling, and advocating for pediatric cancer through running half marathons.


Olivia Walker, MS, CCC-SLP

Speech Pathologist

Olivia is originally from South Sioux City, NE.  She graduated from the University of Nebraska Omaha in 2014.  Since graduation, she has worked within the school settings and is excited to use her skills with out patient pediatric population.  She has emphasized her experience within the pre-school population.

If you have questions about your child’s development you should consult your physician. The following is a general guideline of developmental milestones.

Gross Motor Fine Motor Speech/Communication
3 Months · Bring head up to 90 degrees while laying on tummy· Bear weight through arms while on tummy· Begin rolling front to back · Bring hands together while laying on back· Keep hands open most of the time· Visually track people or objects · Baby will cry, smile and coo· Respond to voices· Have the ability to calm when picked up or comforted
6 Months · Roll from back to front and front to back· Bring feet to mouth and hands while laying on back· Begin sitting with support

· Bear weight through both legs when supported in standing position

· Grasp and hold a small block· Pick up a rattle· Grasp a string to pull a toy · Smile and laugh· Cry when upset· Will move arms and legs with excitement

· Makes lots of different, playful sounds (called babbling)

9 Months · Get into sitting position without help· Sit unsupported, maintaining balance while reaching for toys· Use arms to move body forward 3 feet (army crawling or hands and knees crawling)

· Begin to pull up to standing position

· Bring hands together to hold a block· Pick up 2 blocks and bang them together· Transfer a toy from 1 hand to the other

· Pick up 2 small items from a table using a raking motion

· Babbles· Has at least 4 different sounds· Plays peek-a-boo

· Responds to their name

· Reacts to voices (friendly, angry, loud)

12 Months · Crawl and hands and knees 5 feet· Pull to standing position using an object for support· Take 4 alternating steps forward with hand held support

· Maintain balance in standing position for 5 seconds without support

· Clap hands· Pick up a small object with thumb and forefinger and drop it into a cup· Put blocks into a container

· Remove both socks

· Finger feed themselves

· Assists with putting clothes on and off

· Imitates faces such as sticking out tongue· Begins to say “Mama” or “Dada”· Shows affection

· Repeats same sounds often

· Babbles that sounds like real speech

· Makes eye contact

15 Months · Walk 5 steps without support· Stand up from the floor without support· Crawl up stairs on hands and knees

· Corral a ball with arms/hands when rolled to child

· Throw a small ball in any direction

· Open a book· Turn a container over to dump toys· Begin using eating utensils

· Make scribbles on a paper

· Pick up 2 cubes with 1 hand and hold them

· Uses a few words· Understands “No”· Waves bye-bye

· Plays Pat-a-Cake

· Imitates familiar words

18 Months · Walk Independently· Crawl backwards down steps· Walk up steps with support from a rail

· Walk backwards

· Kick a ball in any direction

· Stack 2-3 blocks· Place 2 shapes into correct holes in a shape sorter toy· Grasp a marker with thumb and 1st finger when coloring

· Use a spoon

· Drink from an open cup with some assistance

· Points to body parts· Makes animal sounds· Understands 1 step instructions (Sit down, Open, Throw it)

· Uses 10 to 20 different words

· Recognizes pictures of familiar persons and objects.

2 Years · Run· Walk sideways· Jump forward

· Walk up stairs without support

· Throw a ball over and underhand

· Kick a ball forward

· Turn 3 pages in a book· Place 3 shapes correctly into a shape sorter toy· Stack 4-5 blocks

· Draw a straight vertical line

· Uses words to communicate wants and needs (milk, more, up)· Starts to put 2 words together (Go Night-night, Up please)· Sings parts of simple songs

· Mixes real words with babbling sounds

· By 30 Months should have 200 words

3 Years · Jump forward using a 2 foot takeoff and landing· Walk up steps with 1 foot on each step without support from a rail· Walk 8 feet on tip-toes

· Stand on 1 foot for 3 seconds

· Catch a ball

· Begin to ride a trike

· Remove a screw on lid from a bottle· Stack 6 blocks· Snip paper with scissors

· String 2 beads

· Draw a Circle

· Use a mature grasp on a writing utensil

· Feed self with a spoon and fork

· Has 450 words· Can tell you their name· Holds up fingers to tell their age

· Has 2-3 word sentences

· Refers to themselves as “I” or “Me”

· Names pictures

· Matches 3-4 colors

· Answers “where” questions

4 Years · Walk down steps with 1 foot on each step without support from a rail· Stand on 1 foot for 5 seconds· Hop forward on 1 foot

· Throw overhand and hit a target from 5 feet

· Ride a tricycle or a bike

· Cut paper into 2 pieces· Draw a cross (t)· Trace a horizontal line

· Button and unbutton clothes

· Put simple puzzles together

· Undress independently

· Drink from an open cup without spilling

· Has 900 or more words· Says 4-5 word sentences· Knows their name, gender, street they live on and can repeat nursery rhymes

· Counts

· Can identify colors

· Uses proper grammar most of the time

· Sorts colors

· Can stay with 1 activity for 8-9 minutes

5 years · Skip, hop and gallop· Walk forward and backward on a balance beam· Complete 3 sit-ups

· Run, jump and climb without difficulty

· Perform a somersault

· Draw a square· Cut out a square· Cut along a line

· Touch each finger to thumb

· Fold a paper in half with edges parallel

· Color between vertical lines

· Draw a person with 3-4 body parts

· Speaks in 5-6 word sentences· Asks “who” and “why” questions· Tells stories

· Matches and sorts objects

· Understands past, present and future tense

· Uses all speech sounds correctly with the possible exceptions of v, l, th, ch, j, s, z, and r

· Counts 10 objects

· Asks questions to get information

Sources: Peabody Developmental Motor Scales, Center for Disease Control and Prevention, & Children’s Therapy and Family Resource Center


Administrative Office
430 N Monitor
West Point, NE 68788
Phone: (402) 372-2404
Fax: (402) 372-2360

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