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Pediatric
physical therapists who treat infants
and toddlers are specialists trained to
treat movement and functional dysfunctions.
They are concerned with providing the
child the necessary environmental stimuli
and proper cues to enhance development.
A primary role by the physical therapist
includes enhancing the stimuli and learning
process normally provided to the child
through play and exploration. This also
includes assisting the child into several
positions and several movements. All with
the goal of enhancing the child's sensorimotor
processing and overall learning. Physical
therapy may play a critical component
in the child's achievement of functional
independence and integration into the
school system. A physical therapist will
perform the gross motor examination to
assist in determining the developmental
age and abilities of the child. From this
information the therapist will determine
functional goals such as rolling or sitting
independently, ambulatory skills, improved
motor control and planning, and improving
quality of life. They also participate
in deciding on assistive devices for the
child, educating families on handling
and positioning of the child, and teaching
the child functional movement, stability,
and skills as well as providing important
sensory input to the child's compromised
nervous system.
A major emphasis is on parent education.
Parents have to know what to do at home
because this is the primary environment
of development for the child. The list
of treatment options is vast. Pediatric
therapists may help sensory dysfunctional
children seek appropriate sensory stimulation
that will improve neuromotor development.
They will assist delayed children with
exploring their environment through providing
experiences. For example, a child not
rolling at 6-7 months, will be taken through
the sequence of rolling beginning with
moderate to maximum assistance and decreasing
assistance as the child learns the skill.
So much sensory information is gained
by movement. The therapist will assist
the child with seeking this stimulation.
Other areas of therapy include gait training,
strengthening, weight bearing, functional
and energy efficient movements...and so
much more.
In
Trails, cases commonly referred are the
following:
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