At Bodyworks Paediatric Physiotherapy we offer high quality, evidence-based holistic care to children and their families. Our aim is to create an environment that is fun and engaging for babies and children, individually tailored to your child, based around movement, play and treatments that are meaningful and encouraging.
We offer a range of paediatric physiotherapy techniques, and provide:
- Holistic assessment, which assesses across all domains environmentally, physical, social, neurological and somatosensory
- Standardised outcome measures to assess the function of your child
- Hands on Physiotherapy treatment
- Practical advice and education
- Tailored exercise programmes
- Better Start Therapy – for babies development
Delayed early developmental milestones
A Paediatric Physiotherapist can help families understand what the gross motor milestones are, and if your child is experiencing any difficulties with these or you have just noticed something quirky about how they move. A baby’s milestones have a timeline as to when we expect them to learn a new skill, however every baby is different and unique, and this is taken into consideration when making an assessment.
For example, it is expected socially for a child to walking by their 1st birthday but the normal range for walking is 12 to 18 months, if your child isn’t close to walking by 15 or 16 months and has been delayed with other early motor skills, such as crawling it may be worth having an assessment.
We can assess and treat:
Coordination is a part of everyday life and it is required to perform many daily activities, which include things like dressing or eating breakfast. For some children it is difficult to memorise and learn a new physical skill. If your child is having difficulty with learning a new physical skill, for example they are late to learn to ride a bike, skipping delayed or struggling with swimming, then they could require some strategies to assist their physical activity. A child with coordination difficulty may require extra time and practise to learn a new skill.
One difficulty alone doesn’t mean there is an issue, there needs to be a thorough assessment of all areas of development to determine if further assessment is required. If your child is having difficulties in all areas of activities of daily living and physical activity they could be suffering from DCD (Developmental Coordination Disorder), which can also be known as Motor Dyspraxia.
Examples of physical coordination difficulties *
- Jerky movements such as running
- Takes a long time to learn a new skill.
- Child can’t hop, star jump or play hopscotch.
- Unable to ride a bike, skip, swim
- Unable to climb equipment at the park or play centre
* all are dependent on child’s age
Commonly left untreated, families are told most children will “outgrow” Toe Walking. This is not true. The earlier this is detected the higher chance this condition can be reduced. In a child’s development it is expected to come up onto their toes when reaching and maybe when climbing. It is not expected for a child to walk on their toes for a large distance and at a high frequency.Toe walking can impact functional movements, including their Gross Motor Skills development. Commonly poor balance, tripping and falls are often seen together. A long history of toe walking and can result musculoskeletal conditions such as muscular tightness and poor core strength.
We can assess and treat:
- Toe Walking
- Gait retraining
- Individualise home exercise program
- Modifications to footwear; inserts and heel raises
A Paediatric Physiotherapist understands growth, development and the different conditions that occur whilst a child is developing.Intoeing or “Pigeon toed” and bowing legs are considered a normal part of development, but only up to a certain age. As a child grows theses gait abnormalities should correct themselves but it does require follow up if there is the difference is from side to side, if the condition is not improving with time, your child may be in pain or discomfort. These conditions can cause delays to the development of Gross Motor Skills, especially with balance. A child can often fall over and trip due to positioning of feet. If asymmetry noticed, a difference from left to right foot, it is important to get this checked. A detailed assessment will be completed to determine any asymmetries or abnormalities.
We can assess and treat:
- Intoeing or “Pigeon toed”
- Knocked knees
- Bowed legs
- Asymmetries from side to side
- Flat feet
Plagiocephaly and Torticollis
Plagiocephaly is a very common condition seen in young babies. Plagiocephaly refers to a misshapen, flat or asymmetrical head shape. The most common causes of this is environmental (positional Plagiocephaly) however sometimes is not always the case.
Torticollis is tightness in the large neck muscle, the Sternocleidomastoid. It causes the baby’s neck to turn and tip to one side, causing an asymmetry. If this asymmetry is left untreated it can cause the tissue to permanently tighten therefore it is important to learn the symptoms early so treatment can start as soon as possible.
If you are concerned your baby is starting to show signs of either Plagiocephaly and/or torticollis it is worth getting the baby assessed by either the Physiotherapist, GP or Child Health Nurse.