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In physical therapy we’re mostly focused on improving movement skills or maximizing ability. However, there are other essential factors that need to be present in both children and adults for physical therapy or any other form of healing to lead to wellness.
The most powerful lesson that I learned during my almost two years feeling dizzy was to take control of the things that I could control. When we face illness or disability there are many different ways to approach it, as there are different ways to approach life. Read more
Aim To compare the effects of a supported speed treadmill training exercise program (SSTTEP) with exercise on spasticity, strength, motor control, gait spatiotemporal parameters, gross motor skills, and physical function. Method Twenty-six children (14 males, 12 females; mean age 9y 6mo, SD 2y 2mo) with spastic cerebral palsy (CP; diplegia, n=12; triplegia, n=2; quadriplegia n=12; […]
I wanted to share some pictures of our trip to the new accessible playground in Ann Vann Middlesworth Park in Hillsborough. The playground provides a great sensory and movement experience to all children regardless of ability. The entrance to the playground structure is a ramp. No stairs in sight. Read more
“My son can’t keep up with his twin.”
“My daughter is always tripping and gets frustrated.”
“We finally got answers as to why my child is delayed, but now what?”
Do these concerns sound familiar to you? Have you been worried about your child and wondering where you might find answers and help? If so, you’ve come to the right place! Let’s start by answering the question-
What is a Pediatric Physical Therapist and Who Do They Help?
Pediatric Physical therapists (PTs) are licensed health professionals who have specialized knowledge and experience in the unique aspects of working with children and their families to improve motor development, independence, fitness and active participation in the family and in the community. Pediatric PTs work with children from birth through adolescence and participate on teams with other specialists, including physicians, occupational therapists and speech therapists.
They work with children to improve their brain-body connection, balance, strength, body awareness, coordination, and movement skills from crawling and walking to jumping and hopping. Pediatric physical therapists work with children to improve their sensory awareness and motor abilities. Improvement these skills can have a far ranging impact on the child beyond the movement itself, such as improving confidence, success in school, and social interaction.
Pediatric physical therapy often looks like play, but that is part of the magic! Pediatric physical therapists know how to engage the child with fun, share the joy of movement and combine that with the science of the brain and body. All these pieces come together to stimulate to new skills that the child can use in daily life at home, at school and in the community. New skills means new confidence and new success!
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As published on ourjourneythruautism.com
Exercise or therapy balls have been used in the therapy world for many years as a tool for core strengthening, developmental exercises, and for sensory stimulation. More recently they have popped up in gyms and people’s homes as an inexpensive, fun and dynamic piece of exercise equipment. Read more
As printed on ourjourneythruautism.com
Summer is the perfect time to take advantage of all the therapeutic benefits of swimming and playing in the pool. Many children who have difficulty controlling their bodies for sports and gross motor activities will have success moving in thewater. Its also such a calming and organizing sensory environment that it can provide a grounding experience for the child that can often last for the rest of the day.. Read more
Physical therapists work with so many different populations and within those populations are completely different expectations for how quickly the person will achieve their goals. This is a significant issue when dealing with insurance companies. I have been frustrated many times when an insurance company wants to treat a child with a developmental disability with the same progress expectations as an adult with a knee replacement. On the other hand, it is also an issue when children are coming for therapy week after week for years and sometimes it develops into an unclear end and amorphous goal. Read more
“I watched a remarkable, quiet, tearless session…that ended with his body and head in midline. No neck stretching!! No stretching of any kind! It’s particularly appealing in that parents get to hug and hold their children and get changes…without imposing any demands.”
Billi Cusick’s PT, MS, COF
Torticollis is a term used when a baby tends to keep their head tilted or turned to one side. The most common type of torticollis in children in Congenital Muscular Torticollis. The head is positioned in various degrees of tilt to one side and then rotation to the opposite side.Evidence-Based Care Guideline for Management of Congenital Muscular Torticollis in children age 0 to 36 months describes the traditional approach to torticollis treatment, which includes stretching, positioning, and active movement on the weaker side. The guideline does include assessing the full body, but treatment of these findings is not specifically recommended. Traditionally, the therapist will assess the full body, but then treat the neck in isolation because this is the most visible and obvious problem area.
The TMR approach to torticollis addresses the body as a WHOLE. Eliminate imbalances in the larger muscles to allow the tiny neck muscles to do their job spontaneously. Its like a potted plant growing crooked. We don’t stretch the leaves or the little stems. We repot the roots so that the plant can grow straight. Our visual and balance systems will automatically bring the head to the middle once we help balance out our roots, which in the body is the pelvis.
Some red flags that parents may notice outside of the head position or turning preference is that it may be harder to put one arm in the shirt when dressing, the baby always rolls to one side, or the baby learning to sit always falls in the same direction. Some other signs are bottom scooting rather than crawling on hands and knees, cruising along the couch in only one direction, and walking with one foot turned out.
Parents are taught how to do positioning and play at home that comfortably releases the bodies restrictions. They are also taught how to monitor their child’s movement patterns over time, so that if asymmetries increase while a child is learning a new skill, they will know how to address it.
Curious if this tearless appropach may be best for you and your baby? Call us to set up a screening at 908-543-4390.
A Dad asked me today if it was okay that his almost 2 year-old was walking on her tiptoes. His 5 year-old daughter also walks on her toes, but she has cerebral palsy, and has gone through years of botox injections and wearing orthotics to help her to stand on flat feet and to maintain the flexibility of her calves. Read more