TMR TOTS: Week 1

Its been 3 work days since I came back from the TMR course. I’ve been trialing it out with many of my kiddos. Its definitely taking less time to do the assessment of the 7 positions and to determine which is the hard vs. easy side for each motion. I do get consistent improvement in mobility by doing the TMR method. I am still waiting to see the functional changes before I know whether this is going to be a new tool in my toolbox or not. I plan to do some videotaping in order to look at the subtle changes that may be occurring. Read more

Adventures in PT Land

I just came back from 2 long days at a course called TMR (total motion release) for TOTs. I have been looking into the TMR program since last year around this time, but had only read about it for adults. The creator is a marketing guru if you ask me. I wasn’t too attracted to it initially. Orthopedics is not my thing and I’ve never been good at taking ortho topics and applying it to the kids. I have felt for a long time though that there is a lot of knowledge in ortho land that could help the kids gain mobility- I just never knew how to access this information in a way that I could apply to the population that I work with. Read more

My Favorite Halloween Costume!

Check out this fantastic Fireman driving his Fire Truck!  Complete with flashing lights, a siren, and important tools in the truck.  Please share with me other creative Halloween costumes you made or saw this year!

It Takes Two To Tango

As promised here are some of my go-to strategies during therapy sessions.  This carries over to home activities as well as any time a child is learning something new or facing a challenge.  None of these strategies have anything to do with physical therapy, movement, or motor development, but without them I wouldn’t be able to guide my kiddos to reach their goals.  The bottom line is that it takes two to tango and if the kiddo isn’t dancing, you’re not getting anywhere! Read more

A Gaggle of Giggles Get No to Go

Today was a great reminder as to how far a little laughter can take you when working with a child to overcome a challenge. I was at the park with a little girl I treat in the early intervention program. She is almost 2 and had never been on a playground swing. She has unique medical needs that have limited her exposure to a lot of things outside her home, but today we were at the park and ready to give the swing a shot. She didn’t complain at all getting in. She has seen her older brother and sister on swings, so she definitely had the message that this was going to be FUN. Her mom put her in and started pushing her. Read more

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Toe-Walking (Updated October 2017)

Children toe-walk for various different reasons. Medical causes such as cerebral palsy and muscular dystrophy must be ruled out.  Many children on the autism spectrum will also toe-walk.  Additionally, children without any other diagnoses have been called idiopathic toe walkers.  It is important to understand that toe-walking is a MOVEMENT problem, not just an ANKLE problem.  This is why toe-walking can be challenging to parents and therapists alike.  A whole body approach is needed to achieve great results!  Read more

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Learn To Move It, Move It

I just came from the house of an adorable 10 month old girl who I see through early intervention. She has been an amazing example of how quickly a child with an intact neurological system can learn new skills. This little girl had a rough start medically, but is now very healthy. With the medical concerns stabilized, her family was very concerned about her from a developmental perspective. When I started with her a couple of months ago she was barely sitting. Today she was crawling, cruising, and pulling to stand beautifully! She is now doing what other children her age are doing and is taking off. Read more

“Stretch Armstrong”

As a therapist working with kids with CP I often try to understand what it is like to be in the child’s shoes. Adults with CP have so much insight to offer therapists and parents alike. No 2 kids with CP, or 2 kids period, are the same, but we can gain a lot of knowledge by the vast experience of adults with disabilities who have been there, done that. Read more

I think I can, I know I can.

I saw 2 kids today who are similar in their motor skills. They both have cerebral palsy and walk independently with their walkers. They are both verbal, sweet as can be, beautiful, fun, smart kiddos. They are very different though in their independence in their daily lives. The boy has been pushed to be as independent as possible from early on. He was allowed to fall and learned how to be responsible for his own body in space. The girl was never allowed to fall and has learned very well how to get her family and nanny to do things for her. Read more

Musings, Evidence Based Practice, Etc

Dear Blog,

Sorry for my neglectful behavior. I have not forgotten about you, but I had a lot to figure out in my professional life recently. The experience has led to a lot of clarification as to my goals and although the details continue to be a bit hazy, they are gradually revealing themselves. Read more