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.

My Goals:

CDC,Apollo Gleneagles Hospital,Kolkata
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.

Worrying signs

total pattern of flexion and extension with no distal isolated movements

Poor variety of movements

No grasp

No smile

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

Roll

Sit alone when propped

Worrying signs

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

Worrying signs

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.

Worrying signs

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.