Good Physio Paediatrics

Some of the paediatric conditions treated are:

Kids stretching and playing

  • Chest infections/ Asthma.
  • Sinusitis and nasal congestion.
  • Constipation.
  • Developmental Delay.
  • Acquired Brain Injury/ Cerebral Palsy.
  • Gross and fine motor delay.
  • Low tone / Obesity in Children.
  • Genetic Disorders.
  • Musculo-skeletal and Orthopaedic injuries/conditions.
  • Neurological Conditions.
  • Juvenile Arthritis / Joint Pain.
  • Hearing Impairment – Physio for.
  • Flat Feet.

How Can Physiotherapy Help Your Child?

Gross Motor Development
A Paediatric Physiotherapist offers early intervention for children who may have neurological and developmental delays as well as sensory impairments related to hearing and vision. Physiotherapy also helps children with biomechanical, positional and sports injuries. Some children may present with multiple issues that can be helped by seeing a Paediatric Physiotherapist.

Some examples of common concerns that parents may have include:

Kids Volly

  • Premature babies.
  • Newborn babies having difficulty turning their heads.
  • Newborn babies not tolerating tummy time.
  • Newborn babies having flat spots on the back or side of their heads, especially after 7 weeks old.
  • Babies and toddlers who have difficulty with rolling, sitting, crawling and walking.
  • Toddlers with pigeon toes, bow legs, in-rolling ankles, knock knees.
  • Children who have difficulties with coordination, balance, walking and running.
  • Frequent falls, poor balance and coordination.
  • Children and teenagers who have any sports related injuries.
  • Children with poor posture or children who complain of frequent muscular pain.

Contributing Factors

Some contributing factors to delayed or poor quality motor development are:
Image Second child tennis

  • low muscle tone/strength/endurance.
  • poor or under-developed coordination.
  • poor or under-developed balance.
  • poor or under-developed core/trunk stability.
  • less than ideal body/joint mechanics or alignment.
  • communication challenges.
  • sensory challenges.
  • injury – this can include injuries to the musculoskeletal system (i.e. sports injuries) or the neurological system (i.e.traumatic brain injury) the environment.

Gross Motor Milestones

What are they?

Your child’s ability to control movements and respond to his/her environment begins to develop even before birth. Each baby is unique and grows at his/her own rate. That is why there is a wide variety of “normal” in development. Although this is a gradual, individualized process, most babies do go through a series of developmental milestones around certain ages. The purpose of this checklist is to provide a reference to help guide you through your child’s development and what to expect at certain stages

 

Birth-2 months

  • Raises head slightly off floor or bed when on stomach.
  • Holds head up momentarily when supported.
  • Alternates kicking legs when on back.
  • Arm thrusts in play.

 

3-5 months

  • Lifts head and chest when on stomach (props on forearm).
  • Head control improving.
  • Some head bobbing in supported sitting.
  • Rolls from side to side.
  • Rolls from stomach to back.
  • Sits briefly with arm support.
  • Random batting at objects.
  • Hands to midline.
  • Makes crawling movements.

 

6-8 months

  • Reaches to objects on stomach.
  • Pivots around when on stomach.
  • Pulls self forward on stomach.
  • Rolls from back to stomach.
  • Sits alone briefly.
  • Moves from sitting to lying on stomach.
  • Stands with support.
  • Assumes quadraped and rocks.

 

9-11 months

  • Sits alone with trunk rotation.
  • Pivots and scoots in sitting.
  • Creeps or crawls.
  • Pulls to stand.
  • Cruises.
  • Stands alone momentarily.

 

12-15 months

  • Assumes tall kneeling.
  • Walks on knees.
  • Walks independently without support.
  • Able to stand without support.
  • Creeps up stairs.
  • Able to start, stop and turn without falling while walking.
  • Crawls up on chairs or other furniture.
  • Runs.

 

16-18 months

  • Walks up one step at a time with hand held or railing.
  • Creeps down stairs Walks with heel-toe pattern, seldom falls.
  • Walks sideways and backwards.
  • Run stiffly.
  • Stands on one foot with help.
  • Kicks large ball forward after demonstration.
  • Manages riding toys.
  • Good balance and coordination.

 

19-24 months

  • Walks down one step at a time with rail or hand holding.
  • Squats in play and stands back up.
  • Jumps in place.
  • Kicks a stationary ball.
  • Jumps off 12 inch box with 1 foot leading.
  • Walks on balance beam with 1 foot on/ 1 foot off.
  • Walks up and down stairs alone.

 

24-29 months

  • Walks on balance beam with one hand held.
  • Stands on balance beam alone.
  • Walks up stairs one step at a time with no railing.
  • Runs well Briefly stands on one foot.
  • Jumps from one step with feet together.
  • Throws ball overhead
  • Climbs on play equipment-ladders, slides, etc.

 

2-3 years

  • Walks down stairs step by step without railing.
  • Balances on one foot 2-3 seconds.
  • Jumps forward at least one foot.
  • Walks on balance beam alone.
  • Walks on tip toe when asked.

 

3-4 years

  • Walks on balance beam sideways.
  • Catches a bounced ball.
  • Rides a tricycle.
  • Hops on one foot 2-5 times.
  • Balances on one foot 2-5 seconds.
  • Consecutive jumping.
  • Walks up stairs step over step alone.

 

4-5 years

  • Balances on one foot 4-8 seconds.
  • Walks on balance beam in all directions.
  • Walks down stairs step over step alone.
  • Kicks a rolling ball.
  • Catches large and small ball with outstretched arm.
  • Throw a small ball overhand.

 

5-6 years

  • Balances on one foot 10 seconds.
  • Skips.
  • Rides a bike with or without training wheels.
  • Begins to jump rope.
  • Hops on one foot ten times.
  • Catches bounced or thrown ball with hands.
  • Walks on heals when asked.
  • Swings on swing, pumping by self.

 

What we can do….

If you have any concerns regarding your childs’ Gross Motor development we can provide:

  • Assessment of your child’s motor skills.
  • Reassurance and further information on gross motor skills.
  • Advice on promoting motor development.
  • Referral to an appropriate medical practitioner if necessary.

 

What you can do….

You as parents and caregivers are the best at determining whether your child is having difficulties in their development. Trust your judgment! If you have concerns, don’t hesitate to bring it to the attention of your doctor, community nurse or paediatric physiotherapist. Give your child multiple opportunities to practice motor skills.