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Moving Away from Positioning Devices in 2017

Obviously, no baby is going to spend 100% of their time playing on the floor or a mat/blanket. At some point you need to cook or shower and you need a place for the baby where they’re safe Blog-Positioning Devices-Main-Landscapefrom the toddler, the dog, or somewhere you know they won’t roll away. This is the time to use the exersaucer, sling seat, or bumbo seat; but try to limit the time spent in these devices to 20-30 minutes per day, collectively.

Here’s why you should consider moving away from positioning devices…

The biggest problem with these devices is children are placed in them well before they have the proper trunk and/or head control to really utilize them properly. With an exersaucer, most babies are also unable to place their feet flat on the bottom but are still pushing up into standing. This can increase extension tone, decrease ankle range of motion/muscle shortening, and can possibly be linked to future toe walking.

With a bumbo or sling seat, the baby is not placed in optimal sitting alignment causing poor sitting posture. While these appear to provide great support and make 4 month old babies look like they can sit independently, the truth is the device isn’t allowing your baby to utilize their core muscles to actively sit.

The bottom line is, if the positioning device is doing all the work, what is your child learning to do?

The best place for your child to play and spend the majority of their time is on the floor or on a blanket/mat. This allows them the opportunity to properly explore their environments and practice typical movement patterns like reaching for their feet, rolling to their side, rolling over, spending time in prone, pivoting, and creeping/crawling.

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140!

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Make the Summer Olympics Come to Life in Your Own Home

With the Summer Olympics just days away, what could be a better time to engage your kids in fun Summer Olympicsactivities to promote physical activity, social interaction, a healthy lifestyle, and improve their overall development? Many kids dream of becoming a gold-medalist in the Olympics and with these activities, you can make your child feel as if they are standing on top of that podium while assisting in their skill development without them even realizing it! There are endless opportunities to promote your child’s well-being. Be creative! Below are a list of easy-to-do Olympic related activities to get you started:

Focus on Fine, Visual, and Gross Motor Skills:

Table time activities

  • Print off Summer Olympic word searches, mazes, and coloring pages.
  • Create the Olympic rings (Cut strips of paper, form them in to circles, and connect them).
  • Olympic torch craft (create an Olympic torch using a paper towel roll, covering it with tin foil, and cutting/taping flames to the roll using red, orange, and yellow tissue paper).
  • Origami Olympic Rings (http://www.activityvillage.co.uk/origami-olympic-rings)
  • Create gold, silver, and bronze medals using paper, clay, tin foil, or paper plates. Then connect them to a string or ribbon to wear during your Olympic games.
  • Write about a favorite sport, Olympian, or your child’s Olympic dream.

Play Sports and Competitive Activities:

  • Basketball, swimming, running, simple gymnastics tricks, volleyball, soccer, hockey, mini-golf, etc.
  • Water balloon toss or ring toss
  • Races (three legged races, sack races, spoon, or relay races)
  • Obstacle course
  • Throwing a ball through a hoop or at a target,
  • Create a long/high jump

Focus on Social-emotional Skills:

  • Model good sportsmanship- Play the Olympic games with family and friends. This gives you the opportunity to model good sportsmanship when losing, working as a team, and how to support/encourage others for your child.
  • Promote social interaction with others, sharing, and taking turns – these are all important for building friendships and play skills.
  • Use positive self-talk– “I can do it,” “I will try my best,” “The more I practice, the better I will get.” Promoting positive self-talk will help improve self-confidence, increase positive thoughts, and will help improve performance during tasks.
  • Create rules for the games to teach direction following and playing fair with others.
  • Celebrate differences– the Olympics are a time of celebration, unity, and peace. Take this time to teach your child about different cultures and countries from around the world and that we accept our differences and treat everyone equally.
  • Promote friendly competition– While playing games, time your child and see how fast they can complete the game. Then see if your child can beat their score every trial. This will promote focus, improve overall attention, and assist in friendly competition with themselves or others.
  • Identify feelings of others– Find pictures of athletes in the Olympics on the internet or in magazines which portray emotions on the athletes faces and ask your kids how they think the athletes are feeling.

Focus on Sensory Processing:

  • Tactile input
    • Create the Olympic rings with finger paint- have the child create a circle with their thumb and index finger and with a paint brush, paint their hand. Then print on to the paper and repeat with the next color (this is a great tactile play activity for the tactile defensive child)
    • Bake cookies and decorate them to look like the Olympic rings, medals, basketballs, etc. Have your child mix the dough with their hands and decorate with frosting, sprinkles, or candies. This way your child is engaging with all different textures.
  • Proprioceptive input with heavy work– Have races, whether it be while pushing a laundry basket, running around a track outside, or animal walk races (these are great activities to help regulate the sensory seeking child or increase arousal levels)
  • Oral and tactile input-Engage with and try different foods from different countries and cultures from around the world- maybe your picky eater will try something you never though they would!

Focus on Speech and Language:

  • Incorporate your child’s target sounds in the context of the Olympics. For example, if your child is working on his or her “L” sound, have them practice saying: Summer Olympics, medal, or basketball.
  • Improve expressive language by describing/explaining as well as answering open ended questions, you can ask you child some of these questions:
    1. How hard do you think the athletes work to be able to compete in the Summer Olympics?
    2. How do you think the athletes feel on the day when they will be competing in the Olympics?
    3. What types of things would you do on that big day to prepare?
    4. How do you think an athlete would feel if they took last place in the Olympic Games?
    5. If you were going to compete in the Summer Olympics, which sport would you chose and why?

Make it even more fun by making a whole day out of it and creating your own Olympic Games! Create an athlete registration table, make teams, dress up, and don’t forget the award ceremonies. Enjoy and may the odds be ever in your favor!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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fitness goals for kids

Fitness Goals For Elementary Aged Children

Parents often wonder if their children are happy and healthy. While most children will let you know if they are happy or not, determining a child’s health may require some more investigative work. A child’s innate athleticism, or lack thereof, may make a child appear more or less fit than they actually are. Here are some fitness standards pulled from standardized gross motor tests, the Presidential FitnessGram, and endurance norms for 6-12 year old children.

Fitness Standards for Children:Fitness Standards for Elementary Aged Children

6 Year Old

  • Completes 5 sit-ups Independently
  • Completes 8 push-ups with good form, given 1 demonstration
  • Skips forward 10 feet
  • Completes half mile run in 6 minutes

8 Year Old

  • Completes 6 sit-ups Independently
  • Completes 8 push-ups with good form
  • Completes 4 pull-ups
  • Rides a bike 20 feet independently
  • Completes half mile run in 6 minutes

10 Year Old

  • Completes 12 sit-ups Independently
  • Completes 10 push-ups with good form
  • Completes 4 pull-ups
  • Completes mile run in 12 minutes

12 Year Old

  • Completes 18 sit-ups Independently
  • Completes 10 push-ups with good form
  • Completes 4 pull-ups
  • Completes mile run in 9 minutes for boys and 11 minutes for girls

If you feel your child isn’t meeting the above fitness goals, please see the pediatric experts at North Shore Pediatric Therapy for a free physical therapy screening.

north shore pediatric therapy physical therapy

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

w sitting

What’s Wrong With W-Sitting?

Parents bring their kids in for a physical therapy evaluation for many different reasons, from toe-walking to neuromuscular conditions to decreased ability to keep up with peers. Regardless of the diagnosis, about 25% of my clients under 5 also present with w-sitting. When brought to the attention of the parents, typical responses range from, “I’ve never noticed that before; is that bad?” to“I w-sat as a child, and I turned out fine.” Physical therapists will most always work to correct this sitting posture and some of the underlying impairments. Here are some of the reasons w-sitting is not healthy for children.

What’s wrong with w-sitting?

  • Decreased Core Activation – Due to the wide base of support afforded with w-sitting, less coreWhat's Wrong With W-Sitting? muscle (trunk extensors and abdominals) activation is required to maintain position. This wide base of support also limits the child’s need to weight shift from side to side during play, resulting in decreased use of lateral and posterior balance reactions.
  • Poor Posture – “W”-sitting encourages excessive posterior pelvic tilt, which can result in slouching. Excessive hunching over results in minimal trunk extensor activation. This creates a cycle of poor sitting posture due to muscle weakness, resulting in poor sitting posture.
  • Pigeon-Toed (In-Toeing) Walking Pattern – Increased hip internal range of motion, decreased hip external range of motion, and hip abductor weakness can contribute to an in-toeing gait pattern. It should be noted, however, that some in-toeing gait can be attributed to femoral anteversion.
  • Decreased Trunk Rotation – Poor trunk extension due to posterior pelvic tilt can limit ability to turn trunk from side to side. This is important because decreased trunk rotation during play can impair the body’s ability to integrate left and right sides of the body, leading to decreased coordination
  • Delayed or Impaired Fine Motor Development – This delay is usually due to a combination of the impairments already mentioned above, such as decreased trunk rotation and poor core strength. These impairments can lead to decreased play involving midline crossing and poor development of bilateral coordination. High level fine motor tasks, such as fastening a button, requires a coordinated effort between left and right hands.

Click here to read more about w-sitting and the young child.

To help your child who ”w”-sits, please contact one of our physical therapists at North Shore Pediatric Therapy for a free screen.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

4 year old doctor visit checklist

4-Year Doctor Visit Checklist

We continue our series on checklists for yearly Pediatrician check-ups (click here to see the checklists for the 1-year visit, the 2-year visit and the 3-year visit). Pediatricians have a set of developmental red flags, but these only hit the “big-bad-uglies” as we like to call them, including the following: Can you understand everything your child says? Does your child fall excessively? Is he feeding himself? These red flags are very specific, meaning a child who exhibits these red flags would be identified for services, but not very sensitive, meaning many children who would benefit from therapy services are missed. To help bridge the gap between Pediatricians’ red flags and children who need therapy services, I have put together a checklist of things to discuss with your Pediatrician at your child’s 4 year check-up.

At 4 Years Your Child Should Be Able to Do the Following:

Gross Motor Skills4-Year Old Doctor Visit Checklist

  • Places one foot on each stair, while going up and down stairs without handrail use
  • Hops forward on one foot
  • Throws ball at a target 5 feet away
  • Runs and stops without falling to ground

Fine Motor Skills

  • Unbuttons and buttons clothing
  • Cuts paper in near straight line
  • Independent eating with good fork use

Speech Skills

  • 100% intelligible to familiar audience
  • Uses plurals and past tense
  • Correctly uses “he”, “she”, “they”
  • Follows 3-step commands
  • Points to parts of pictures

Take this checklist with you to your 4-year visit. If you have further concerns, schedule a pediatric physical therapy evaluation.

north shore pediatric therapy physical therapy

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

3 year doctor visit checklist

3-Year Doctor Visit Checklist

We continue our series on checklists for yearly Pediatrician check-ups (click here to see the checklist for the 1-year visit and the 2-year visit).  Pediatricians have a set of developmental red flags, but these only hit the “big-bad-uglys” as we like to call them, including: stutter, go up and down stairs by themselves, or answer and ask “yes or no” questions.  These red flags are very specific, meaning a child who exhibits these red flags would be identified for services, but not very sensitive, meaning many children who would benefit from therapy services are missed. To help bridge the gap between Pediatricians’ red flags and children who need therapy services, I have put together a checklist of things to discuss with your Pediatrician at your child’s 3 year check-up.

At 3 Years, Your Child Should Be Able to Do the Following:

Gross Motor Skills3-Year Doctor Visit Checklist

  • Pedals a tricycle
  • Catches a ball thrown from 5 feet away
  • Jumps forward at least 24 inches, with both feet leaving the ground at the same time
  • Stands on 1 foot for 3 seconds
  • Walks up stairs with 1 foot on each step

Fine Motor Skills

  • Draws circle, horizontal lines, and cross, with demonstration
  • Strings small beads
  • Opens screwed top container
  • Pulls up pants and puts on coat independently

Speech Skills

  • Increases word production to >300 words
  • Combines 3 word phrases
  • Starts to understand differences between opposites
  • Begins to follow 2 –step commands
  • Names colors
  • Demonstrates parallel play

Take this checklist with you to your 3-year visit. If you have further concerns, schedule a pediatric physical therapy evaluation.

north shore pediatric therapy physical therapy

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

2-Year-Old Checklist

2-Year Doctor Visit Checklist

Building off of last month’s 1 year check-list for Pediatrician check-ups, we bring you a check-list to look at prior to your child’s 2 year old check-up.  Again Pediatricians have a set of developmental red flags, but these only hit the “big-bad-uglys” as we like to call them, including the following questions: does your child get frustrated when trying to talk, can he or she jump or attempt to jump, did your child walk by 18 months. These red flags are very specific, meaning a child who exhibits these red flags would be identified for services, but not very sensitive, meaning many children who would benefit from therapy services are missed. To help bridge the gap between Pediatricians’ red flags and children who need therapy services, I have put together a checklist of things to discuss with your Pediatrician at your child’s 2 year check-up.

2-Year Check-Up Red Flags:

Gross Motor SkillsParent Checklist for 2-Year-Old Well Visit

  • Runs forward 10 feet, without a loss of balance
  • Jumps in place, jumps forward, and jumps down from a step
  • Walks forward, backwards, and sideways independently and without a loss of balance
  • Walks up and down a set of stairs, using a handrail
  • Kicks a ball forward 3 feet

Fine Motor Skills

  • Turns pages of thick page book, 1 at a time
  • Stacks 5 cubes
  • Draws vertical lines given demonstration
  • Takes off button-less clothing and socks independently

Speech Skills

  • Begins saying 2 word phases and 2 word questions
  • Increases vocabulary to saying >50 words and understanding >300 words, with new words added every week
  • Answers “yes or no” questions
  • Points to objects named
  • Speech should be understood at least  50-75% of the time by a familiar listener

Take this checklist with you to your 2-year visit. If you have further concerns, schedule a pediatric physical therapy evaluation.

north shore pediatric therapy physical therapy

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

12-Month Doctor Visit Checklist

12-Month Doctor Visit Checklist

Developmental check-ups with a Pediatrician throughout your child’s first year of life (at 2, 4, 6, 9, and 12 months) are a perfect place to bring up any concerns you as a parent may have a about your child’s development. While Pediatricians have their own set of developmental red flags, these only hit the “big-12-Month Doctor Visit Checklistbad-uglys” as we like to call them, including the following:

  • Is your child rolling by 6 months?
  • Is your child sitting independently by 8 months?
  • Is your child crawling by 12 months?
  • Is your child walking by 18 months?

These red flags are very specific, meaning  a child who exhibits these red flags would be identified for services, but not very sensitive, meaning many children who would benefit from therapy services are missed. I have seen many children referred to physical therapy for delayed walking skills, who are not standing independently or didn’t roll consistently until 8 months. To help these children who are being missed by the Pediatricians red flags, I have put together a checklist of things to discuss with your Pediatrician at your child’s 12 month check-up.

Checklist for your child’s 12-month doctor visit:

Gross Motor Skills

  • Independently transitions into and out of sitting
  • Rolling independently from back to belly, and belly to back, with ease
  • Crawling on hands and knees with reciprocal form
  • Pulls to stand at stable surface
  • Cruises along furniture

Fine Motor Skills

  • Begins using pincher grasp (thumb and single finger)
  • Transfers objects from one hand to the other
  • Places toys into large container, and takes toys out
  • Begins holding spoon during feeding

Speech Skills

  • At least 1-2 words
  • Babbling with constant – vowel combination, ie. ba-ba, ma-ma, da-da
  • Labeling object with consistent sounds, ie. ball is always “ba”
  • Pays attention to speech around them
  • Follows simple commands, ie. “go get the ball”

Take this checklist with you to your 12-month visit. If you have further concerns, schedule a pediatric physical therapy evaluation.

north shore pediatric therapy physical therapy

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

Why Isn’t My Child Walking Yet?

As a follow up to last week’s blog, Signs that My Child Will Walk Soon, I present the next topic in my walking series, Why Isn’t My Child Walking?. As first birthdays come around, many anxious parents wonder, “why hasn’t my child taken his first steps?” First off, let me dispel the myth that babies will begin taking their first steps by their first birthday. The normal range for independent walking is 10-18 months, however most children begin walking around 14-15 months. Delayed walking skills may be due to decreased muscle strength, decreased confidence, or impaired balance. Read below for a description of signs of each and tips to help improve them.

 Reasons Your Child May Not Be Walking Yet:

  • Decreased Muscle Strength: Walking is a major milestone for children and requires a lot of lower extremitywhen will my child walk strength. This is why there are so many important precursors to walking, such as cruising and creeping on hands and knees. Children typically spend 1-4 months in each of these precursory milestones in order to build the strength necessary for walking. Encouraging your child to spend time in these gravity dependent positions will help build lower extremity strength.
  • Decreased Confidence: Often times children who have been cruising for significant periods of time without making the transition to independent stepping may have decreased confidence in their walking skills. Employing a towel or blanket that is held as a link between parent and child, can help build their confidence.
  • Impaired Balance: A child who shows difficulty with independent standing may have impaired balance and proprioception. Using heavier shoes that help give feet to the child that let them know where they are in space.
  • Other Medical Reasons: There may be an underlying medical condition preventing your achieving his gross motor milestones in an appropriate time frame If your child is not demonstrating signs that he will walk soon by 12 months of age, please contact your physician or come into North Shore Pediatric Therapy for a free physical therapy screen.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

holiday gifts: toys to promote age appropriate developmental skills

Holiday Gifts: Toys to Promote Age-Appropriate Developmental Skills

As the holiday season approaches us, so starts the mad dash to buy everyone’s wish-list toys. Toy stores will provide you with a plethora of options from electronic gadgets to doll sets. But remember, toys can also help to improve skills, confidence and overall development! Before you go running to the stores, let’s stop and examine the toys that promote developmental skills from an occupational therapy perspective.

4 Toys for Fine Motor Development:holiday gifts: toys to promote age appropriate developmental skills

  1. Automoblox – Suitable for children 2+ years, Automoblox allow your child to explore their creative side! The interchangeable wheels, rims, tops, and bumpers promote manipulation skills.
  2. Tinker Toys – For ages 3+, this building set offers hundreds of options for creation as your child uses not only their fine motor skills, but their visual motor skills as well!
  3. Pop Beads – Pop them in and pop them out! These beads promote fine motor precision as your child becomes a jewelry designer. In addition, the resistive aspect of the Pop Beads improves fine motor strength.
  4. Spirograph – Your childhood comes back to life as you watch your child create beautiful circular patterns. As popular as ever, the Spirograph’s interlocking gears promote fine motor precision and control. Suitable for ages 5+.

4 Toys for Gross Motor Development:

  1. Rody Inflatable Hopping Horse– For children ages 3-5, this updated hippity-hop encourages posture and balance.
  2. Cat in the Hat I Can Do That Game– Can you tip toe around the Trick-a-ma-stick while balancing a cake on your head? I bet you can! This silly multi-player game encourages gross motor development through various animal walks and balancing activities. Great for ages 4-8.
  3. ALEX toys, Monkey Balance Board – This adorable board is great to practice balance skills, weight-shifting and leg strength. The durable wood is great for indoors and out, so this board will last you well into the next winter season! Great for little feet ages 3+.
  4. Skip-It – This 90’s game is still skipping strong! The Skip-It encourages gross motor coordination, balance, and encourages a child to separate the sides of their body, increasing body awareness skills.

4 Toys for Sensory Play Development:

  1. Lakeshore Scented Dough– Can your child tell the difference between the cherry and the grape? This dough encourages olfactory development as your child kneads, pinches and sculpts the dough into shapes and characters.
  2. Wonderworld Sensory Blocks– These little blocks, designed for children ages 18 months and older, encourage visual, auditory and tactile discrimination skills.
  3. Touchy Feely– A Marbles the Brain Store game, it encourages tactile discrimination for texture, shape, and temperatures.
  4. Melissa and Doug Deluxe Band Set – A mom-approved band for your child to star in! A great way for your child to control the amount of auditory stimulation in their environment and be exposed to various sounds!

4 toys for Executive Functioning Skill Development:

  1. Sequence for Kids– A family-friendly game for ages 3-6, this game is great for attention, problem solving, and as the title suggests, Sequencing skills! The best part, if you love it, you can buy the adult version as well!
  2. Busy Town Eye Found It – Richard Scarry’s beloved children’s book comes to life in an eye-spy inspired game. Race through Busy Town looking for hidden pictures promoting attention, cooperation and visual motor skills! Great for a group of kids ages 3+.
  3. Rush Hour – Help the red car get out of a traffic jam! For your older child (ages 8+), this game promotes problem-solving skills, sequencing, attention and organization.
  4. Simon Swipe– Follow the color pattern and focus on strengthening your attention, sequencing and memory skills! This game is great for solo play or to play with a friend! (ages 8+)

 

These are toys your kids will enjoy now, and they build skills that will last a lifetime! Happy holiday shopping from North Shore Pediatric Therapy!





Physical Therapy Posts

Physical Therapy Month: What do Physical Therapists Treat?

When I tell people that I am a pediatric physical therapist I am often met with a blank, questioning stare. Why could children possibly need physical therapy? When most people think of physical blog-physical therapy-month-main-landscapetherapy, they think of recovering from a back injury or shoulder surgery, or maybe they think of someone in a nursing home going through rehab after a stroke. However, children can often benefit from the services of a physical therapist as well, from newborns all the way through adolescents. Pediatric physical therapists focus on the gross motor development of children, and work to address any limitations that may impact that development.

Pediatric physical therapists therefore work with a wide range of diagnoses and conditions including:

  • Gross motor delay: Development of gross motor skills is an important piece of child development. Since these skills build on one another, a delay with one skill can lead to further delays or difficulty with later skills. Pediatric physical therapists can help your child develop the major gross motor milestones listed below, as well as many more!
    • Rolling
    • Sitting
    • Crawling
    • Standing
    • Walking
    • Running
    • Jumping
  • Torticollis and plagiocephaly: Torticollis is a condition that occurs when there is asymmetrical muscle length and strength in a baby’s neck muscles, and therefore limits symmetrical neck motion. Plagiocephaly, or asymmetrical head shape, often occurs when a child has torticollis, as a result of frequent pressure being put on only one part of the head. A pediatric physical therapist can help to stretch and strengthen the child’s neck in order to promote symmetrical motion and head shape.
  • Balance and coordination disorders: Limitations in balance and coordination can have a significant impact on a child’s ability to develop motor skills, as well as to safely negotiate his or her natural environments. A pediatric physical therapist can treat these limitations to allow for improved functioning and safety.
  • Neurological disorders: A neurological disorder occurs when there is abnormal functioning of the body’s nerves, spinal cord, or brain. These are just a few of the disorders that a pediatric physical therapist can treat.
    • Cerebral palsy
    • Spina bifida
    • Traumatic brain injury
    • Spinal cord injury
  • Orthopedic conditions: Children get hurt too! Even though children tend to be more resilient to injury then adults, children who suffer an injury or require surgery can also benefit from physical therapy services to help restore function to the musculoskeletal system.
    • Post-injury
    • Post-surgery
    • Scoliosis
  • Genetic disorders: Genetic mutations may result in impaired development and functioning in children, and can therefore be addressed through intervention with a pediatric physical therapist. While there is a wide range of genetic disorders and their resulting impact on child development, below are a few examples of genetic disorders where a pediatric physical therapist is typically a part of the child’s team of providers.
    • Down syndrome
    • Duchenne muscular dystrophy
    • Prader-Willi syndrome
  • Gait abnormalities: The way a child’s lower extremity bones and muscles develop have a large impact on the child’s gait mechanics. Abnormalities with gait, such as toe-walking, can be addressed by a pediatric physical therapist.
  • Many more! If you are unsure of whether your child may benefit from the services of a pediatric physical therapist, speak with your pediatrician or reach out to a pediatric physical therapist near you.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood,Glenview, Lake Bluff, Des Plaines, and Hinsdale! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

infant physical therapy

Physical Therapy For Infants

If you have ever thrown out your back helping a friend move or torn your meniscus playing basketball at the gym, chances are you attended physical therapy somewhere on your road to recovery. So when your Pediatrician recommends that your 7 month old attend physical therapy to help with head control, you may ask yourself, “What is physical therapy for infants?”

Physical Therapy for Infants:

First off, your right to assume that physical therapy for infants is going to look at lot different than the physical therapyinfant physical therapy you received after knee surgery. While all physical therapist must attend accredited Masters and Doctorate of Physical Therapy programs, the areas you can specialize vary greatly, from an outpatient center where people go after surgeries and sport injuries, to a burn unit where physical therapist are helping patients maximize range of motion. A physical therapist who specializes in pediatrics has learned how to achieve similar strength gains, increase range of motion, and functional improvements, with children.

One of the main differences between physical therapy for infants and physical therapy for adults is the idea of parent education. In order to maximize gains, exercises must done multiple times every day. Since it is not feasible for a physical therapist to perform all of these repetitions, they must act as educators to the caregivers, teaching handling techniques and updating exercises as the child progresses. Much of each physical therapy session is spent on updating and educating this home exercise plan.

Now we come to the next major difference between infant and adult physical therapy: exercises. How can an infant exercise?? Are there baby weights they should be using?? Most of the exercises an infant does are going to be greatly different than the ones you or I would perform. Because they are growing everyday, most functional movements are in fact a form of exercise for them, allowing their muscles to get stronger and building the foundation for all gross motor skills. Each home exercise is tailored to the child’s specific needs and growth over time. So depending on what your child was referred to physical therapy for their home exercises could include play time while laying on a specific side, learning to transition into or out of sitting, or stretches while having them turn to the left.

While the differences between infant physical therapy and adult physical therapy are many, the foundations remain the same. The physical therapist is looking for physical deficits in strength, range of motion, balance, etc, that are negatively impacting a person’s performance in a specific activity, whether that be jumping and walking up stairs, or crawling and holding their head up.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

the Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2)

Understanding Physical Therapy Outcome Measurements: The Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2)

Previous physical therapy blogs have explained outcome measurements used to assess gross motor development in infants and children up to age 5, including the Peabody Developmental Motor Scale, second edition and the Alberta Infant Motor Scale. When children age out of either the PDMS-2 or the AIMS, one standardized assessment option physical therapists have is the Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2). The BOT-2 can be used to evaluate a wide variety of fine and gross motor skills for children, teenagers and young adults 4-21 years of age. This is a test that can also be used by occupational therapists, psychologists, adaptive physical education teachers, special education teachers and educational diagnosticians.

The BOT-2 contains a total of 8 subtests that look at both fine and gross motor functioning. When certain subtests are combined, they can give more specific information regarding the child’s Fine Manual Control, Manual Coordination, Body Coordination, or Strength and Agility. Administering all 8 subtests can allow the physical therapist to obtain a Total Motor Composite looking at the child’s overall performance with fine and gross motor functioning.

Below is a description of the subtests most commonly used by physical therapists in BOT-2 testing:

  • Bilateral Coordination: This section of the BOT-2 looks at a child’s control with tasks requiring movement ofthe Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2) both sides of the body. Tasks in this section will require the child to move his arms and legs from the same and opposite sides of the body together, in sequence, or in opposition.
  • Balance: The balance subtest evaluates the child’s moving and stationary balance. Tasks are completed with a variety of challenges to the balance systems, such as while on one foot, on a balance beam, or with eyes closed.
  • Running Speed and Agility: This section of the test looks at a child’s maximum running speed, running and changing directions, as well as stationary and dynamic hopping and jumping skills.
  • Upper-Limb Coordination: This subtest is used to assess the child’s ability to coordinate arm and hand movements and visual tracking of the task. The child is required to demonstrate skills such as catching, throwing and dribbling a tennis ball with one or both hands.
  • Strength: In the strength section of testing, the child is required to perform tasks designed to evaluate strength in the core, arms and legs. Strength is assessed in both static positions as well as with dynamic movements.

Based on the child’s presenting concerns, a physical therapist may evaluate the child using just a few or all of these subtests. The child’s performance on the BOT-2 will allow the physical therapist to identify areas of strength and areas of need in regards to the child’s gross motor functioning, and can therefore help to guide treatment. Because the BOT-2 has both age and sex-specific normative data, this test will help the physical therapist determine how the child is performing compared to peers his age. The BOT-2 can be re-administered periodically in order to monitor progress in the child’s functioning and performance with gross motor skills.

If you have concerns with your child’s performance in any of the categories listed above, click here to get scheduled with one of our pediatric physical therapists!

References:
Bruininks, Robert H., and Brett D. Bruininks. Bruininks-Oseretsky Test Motor Proficiency. 2nd ed. Minneapolis: Pearson, 2005. Print.

Signs at the Playground Your Child May Need Physical Therapy

The playground is one of the most basic, yet most wonderful, forums for young children to begin to develop gross motorskills.  For most kids, the playground is a place where physical feats and skills come alive.  However, the many options at the playground also provide an excellent spot for parents to see if a child is lagging in an area of his gross motor development and may need physical therapy.  Read on for 5 signs this may be the case.

Signs at the Playground Your Child May Need Physical Therapy:

  • He is afraid to climb certain structures, for example a rock wall or a chain ladder.
  • He has difficulty keeping up with peers during running games.
  • He runs into objects or people/falls down often.
  • He leads with one leg only when climbing.
  • He demonstrates an inability to ride a bike independently by 7 years of age.

If you feel your child presents with any of these signs, a consultation with a physical therapist may be needed.  Remember, every child develops at his own pace.

10 Signs at School Suggesting a Student May Benefit from Physical Therapy

Children develop and improve their gross motor skills significantly during their early school years, between three and ten years of age. A lot of gross motor development occurs at school while playing at recess or doing activities in gym class. School offers the opportunity to recognize if a child needs extra assistance from a physical therapist in expanding or improving their gross motor skills.

Physical therapist treats child

Here are some tips for teachers that will help determine if a child would benefit from physical therapy:

  1. The child prefers to sit and play instead of run or participate in gross motor activities during recess or gym class.
  2. The child has difficulty jumping, skipping, or galloping when compared to their peers.
  3. The child has an atypical gait pattern (for example, they walk on their toes or they are “knock-kneed”)
  4. The child prefers to w-sit (with their knees bent, feet by their bottom, and bottom on the floor) instead of crossed-legged on the floor.
  5. The child frequently trips, falls, or bumps into objects.
  6. When walking up and down the stairs, the child does not alternate their feet, instead placing both feet on each step.
  7. The child is unable to kick a soccer ball.
  8. The child is unable to catch or throw a playground ball.
  9. The child runs significantly slower than his peers or has difficulty running for more than one minute.
  10. The child complains of pain or tightness in their ankles, knees, hips, or back.

If you see any of these characteristics in children at school, they may benefit from a physical therapy evaluation. Without fully developed gross motor skills, a child is going to have difficulties keeping up with their peers during recess or gym class. It will also affect their ability to participate in gross motor games and sports. Also, it is important to note that many children will exhibit the above behaviors and may or may not require physical therapy (PT) intervention therefore it is important to consult with a PT first.