Paediatric Physical Therapy
How does a Child need physiotherapy?
Optimal physical development is vital for your child’s physical and mental growth, general health and well-being.
Babies and children love moving! Children learn about themselves and their environment through movement. The ability not only to move, but to move as well as possible
There are numerous childhood conditions which can affect a child’s physical abilities. These conditions can be congenital (the child is born with them) or acquired, they can be severe or minor and they can be long or short term in nature. Whatever the condition it may reduce a child’s ability to move freely and well.
Poor movement may lead to poor physical development, impaired learning and a lack of self-confidence.
CDC,Apollo Gleneagles Hospital, Kolkata ,India
To help children with special needs live their lives fully
Providing a healing environment and practice physiotherapy at highest possible level.
Exceeding child’s/parents expectations by providing highest quality care in a friendly and encouraging environment.
I believe working closely with child and his or her family to provide both treatment and ongoing education.
I believe in the great benefit of early intervention and in making therapy a positive experience for the child.
Normal Milestones and Worrying Signs
Identify your Child’s symptoms
From birth – 3 months
Characterized by adaptation to the new environment- baby needs to learn a different way of moving to cope with the life outside uterus. Birth is merely an interruption, but there are now new factors that influence movement, namely, gravity, sound and light.
At the end of the first trimester:
# has established his midline and can keep his head in the midline
# can move his head away from midline and bring it back to midline, i.e has some independent head movement.
# Can bring his hands to midline and to his mouth
# In prone ,he can lift his head in the midline and take weight on his arms
# Has independent movements of knees ,ankles and toes
# Has firm grasp.
total pattern of flexion and extension with no distal isolated movements
Poor variety of movements
Head persistently turned to one side
Not bringing hand to midline or to the mouth
From 4 to 6 months
Characterized by the development of extension and flexion patterns of movement against gravity and the easy interaction between the two sides of his body, beginning of rotation, development of stability.
At the end a child should be able to:
In supine, get his hands to his feet
In prone, push himself up on the extended arms
Sit alone when propped
Lack of poor head control when propped in sitting
No reaching forward with the arms in supine
Not pushing up on the extended arms in prone
Not bringing legs up above the abdomen in supine
A pattern of adduction and internal rotation in the legs
Persistent moro reaction
Excessive floppiness or stiffness of limbs or trunk.
From 6 to 9 months
Characterized by mobility- getting off the surface against the gravity : locomotion sequences of movement and movement through space,at the end
Can sit independently
Starts to crawl
Begins to sequence movement and move in and out of sitting
Pulls to stand with support
No rolling, no rotation
No arm support
Unable to sit up from prone
No balance in sitting
From 9 to 12 months
Characterized by refinement of movement , gaining more dissociation and more selectivity, activity , greater variety of movement patterns
At the end of the fourth trimester a child should:
Cruises around furniture
Is developing balance in standing
Problem-solving in new situations
Movement is becoming more purposeful and functional movement is also well graded – even into gravity he makes more use of rotation and sequences of movement.
Not pulling to stand
Adducted legs in standing
Physiotherapy for Children? What’s involved?
As well as hands on treatment, advice, guidance and support is offered on how to include exercises into your child’s daily life aiming to enhance their overall well being and quality of life. Suggestions on appropriate footwear, orthotics (insoles, splints etc.), toys, home and school furniture and where necessary special needs equipment are also offered.