PNPT

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Paediatric Physiotherapy

A paediatric physiotherapist observes, assesses and provides treatment for children (0-16 years) with problems in physical and sensory motor development. A paediatric physiotherapist utilizes a variety of treatment methods such as the neurological (NeuroDevelopment Treatment) and the sensory motor treatments (Sensory Integration).

Commonly treated conditions include:


developmental delay problems in the fine or gross motor coordination with or without learning/behavioral problems (e.g. "clumsy children", DCD) Congenital anomalies (e.g. spinal bifida) and acquired neurological conditions (e.g. cerebral palsy, acquired brain injuries etc.) orthopaedic conditions (limb problems, scoliosis, torticollis) respiratory problems (asthma, cystic fibrosis) walking difficulties clumsy child syndrome

How does it work?


An initial assessment and observation will be carried out together with a parent interview. These will be evaluated and a treatment plan will be formulated accordingly. The individual treatment focuses on stimulating the normal sensorimotor development of the child by means of exercises and handling techniques. In some cases, advice and instructions given to the parents may be all that is required.

"Physiotherapy for children in a friendly and stimulating environment."

Goals of rehabilitation I. II. III. IV. V. Improve mobility: Teach the child to use his remaining potential. Teach the child functional movement Gain muscle strength. Prevent deformity: Decrease spasticity. Improve joint alignment. Educate the parents: To set reasonable expectations. Do the exercises at home. Teach daily living skills: Have the child participate in daily living activities. Social integration: Provide community and social support.

Components of rehabilitation

Physiotherapy Occupational therapy Bracing Assistive devices Adaptive technology Sports and recreation Environment modification

Physiotherapy tries to improve


Postural control Muscle strength Range of motion Decreasing spasticity and contracture Increasing muscle elasticity and joint laxity Joint alignment Motor control Muscular/cardiovascular endurance and mobility skills Increasing coordination / agility Balance Transitions Use of assistive devices

Therapy program
Infant: Stimulating advanced postural, equilibrium and balance reactions to provide head and trunk control. Toddler & preschooler: Stretching the spastic muscles, strengthening the weak ones, and promoting mobility. Adolescent: Improving cardiovascular status.

Principles of therapy methods


Support the development of multiple systems such as cognitive, visual, sensory and musculoskeletal Involve play activities to ensure compliance, Enhance social integration, involve the family, Have fun.

What can physiotherapy accomplish?


Assist in the neurological development of the child. Enable the child to use his existing potential in the best possible way. Improve mobility and prevent secondary psychosocial retardation. Prevent contractures and deformities.

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