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What are the Best Over the Counter Foot Orthotics?

Although most children with feet problems should be treated with a custom orthotic prescribed by a podiatrist, over-the-counter orthotics are an option for some children, teens and young adults.  Could your teen or young adult child benefit from an over-the-counter orthotic?  Read on for several great options.

What are Over the Counter Orthotics?pediatric orthotics

In general, over the counter (OTC) orthotics look like shoe inserts and are placed inside your shoe to add extra support and to help with arch problems. They’re geared toward people suffering from foot, knee, or back pain that can arise from having flat feet, wearing uncomfortable shoes, or simply walking or running incorrectly. Unlike custom orthotics, they are available without a doctor’s prescription.

What to Look for in an Over the Counter Orthotic:

It is best to find an over the counter orthotic that has a plastic polymer or a hard plastic that is a little more rigid than just the typical shoe insole. While the average lifespan of custom orthotics is 3 years, the average life span of over-the-counter orthotics is 6 months.  Read more

Why It’s Important For A Baby Not To Skip Crawling | Pediatric Therapy TV

In today’s Webisode, a pediatric physical therapist shows how crawling is essential for an infant’s muscles and sensory input.

Read these useful tips on how to encourage your baby to crawl

In this video you will learn:

  • How crawling influences an infant’s muscles
  • What essential skills infants learn to master when crawling

Physical Activities to Get your Child Moving | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist will explain creative ways to help your child get up and get active!

In this video you will learn:

  • What indoor games are best for encouraging physical activity with your child
  • What outdoor activities increase muscular activity
  • What gaming system is best for enhancing your child’s activity

Video Transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide
audience, this is Pediatric Therapy TV, where we provide experience and
innovation to maximize your child’s potential. Now you’re host, here’s
Robyn.

Robyn: Hello, and welcome to Pediatric Therapy TV. I’m your host Robyn
Ackerman, and today I’m standing here with Leida Van Oss, a
pediatric physical therapist. Leida, can you tell us some
physical activities that we can use to get our children
moving?

Leida: Sure. When you want to get your kid moving and active, it’s
really important that it’s something that’s fun to them. So
if they’re really interested in doing board games, there
are a couple different board games you can do, such as
Hullabaloo or I Can Do That by Cat in the Hat or Twister.
If they like to go outdoors, then do something like a
sport, like swimming or soccer, or if there’s snow on the
ground, you can build forts or go sledding. But it’s really
important to pick something that they’re going to be
interested in so that they get really active.

If they really like video games, there are a lot of good active video
games you can do, especially with the new system, the
Kinect. Things like Just Dance or Dance, Dance Revolution
are all really good games that incorporate the video game
aspect with being really active.

Robyn: All right. Well, thank you so much for those tips, and thank
you to our viewers, and remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of
mind to your family with the best in educational
programming. To subscribe to our broadcast, read our blogs,
or learn more, visit our website at LearnMore.me. That’s
LearnMore.me.

Ways to Encourage a Baby to Sit Up | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist will show us helpful ways to encourage a baby to sit up independently.

Read about useful tips to get your baby to roll

In this video you will learn:

  • How old your baby should be to sit up
  • Strategies to support your baby as they sit up

Video transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide
audience, this is Pediatric Therapy TV, where we provide
experience and innovation to maximize your child’s
potential. Now your host, here’s Robyn.

Robyn: Hello, and welcome to Pediatric Therapy TV. I’m your host Robyn
Ackerman, and I’m here today with Leida Van Oss, a
Pediatric Physical Therapist. Leida, can you tell us a
couple tips on how to get a child to start sitting up
independently?

Leida: Sure. So the first stage of sitting should be done by four
months of age, and this is called prop sitting. This is
when they support themselves on their own. So you want to
put a toy down by their feet, and then tilt them forward so
that they put their hands on the ground, and then that
should encourage them to support themselves on their hands.
She’s older than four months, so she doesn’t want to do it.

But then the next stage is this kind of sitting, where they
want to bring up their hands, and sit by themselves
independently. So if they’re not quite wanting to do that
yet, you can take their toy – there we go – and lift it up
in front of them, so that they want to look up and raise
their arms up. This will activate the core and back
muscles, which will help bring up their head and do more of
an independent sitting.

You want to make sure that you keep a hand behind their
body, so that in case they topple backwards, you can catch
them really quickly. Then, the last mature stage of sitting
are things like rotating and reaching out if they need some
support. So, again, you can use toys to have them turn to
the side or reach up, or reach far [inaudible 00:01:37].
Those are all things that are going to help encourage more
mature sitting skills.

Robyn: All right. Well, thank you so much, and thank you to our
viewers, and remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of
mind to your family with the best in educational
programming. To subscribe to our broadcast, read our blogs,
or learn more, visit our website at learnmore.me. That’s
learnmore.me.

Toe Walkers Part 2: When You Should Seek Help | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist discusses the intervention needed for a toe walking child.  For more on Toe walking, read this blog.

To Watch Part 1 of the Toe Walking Webisode, click here.

In this video you will learn:

  • How soon a toddler needs therapy intervention for toe walking
  • What is the maximum age  a child should stop toe walking

 Video Transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide audience, this is Pediatric Therapy TV, where we provide experience and innovation to maximize your child’s potential. Now, your host, here’s Robyn.

Robyn: Hello and welcome to Pediatric Therapy TV. I’m your host, Robyn Ackerman. I’m stranding here today with pediatric physical therapist, Colleen Kearns. Colleen, when it comes to toe walking, when is intervention needed?

Colleen: Well, when it comes to toe walking, the earlier the intervention, the better, because toe walking can become such a strong habit in children. The longer that they do toe walk, the harder it is to break that habit. And then, also I mentioned before, when the muscles do become shorter, the more the child’s toe walking, the shorter the muscles will become. And then the longer that it goes, the harder it’s going to be to reverse that. So, if the child is over 2 years old and walking on the toes over 50% of the time, so the majority of the time that they’re walking, then it’s time to seek intervention.

Robyn: All right. Thank you so much, Colleen. Thank you to our viewers, and remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of mind to your family with the best in educational programming. To subscribe to our broadcast, read our blogs, or learn more, visit our website at LearnMore.me. That’s LearnMore.me.

Toe Walkers Part 1: What are Reasons Children Toe Walk | Pediatric Therapy Tv

In today’s Webisode, a pediatric physical therapist explains why children may walk on their toes.

Learn more from this blog called “Is Toe Walking Normal?”

In this video you will learn:

  • How sensory input is related to toe walking
  • What is muscular dystrophy
  • What is idiopathic toe walking

Video Transcription:

Announcer: From Chicago’s leading experts in pediatrics to a worldwide audience, this is Pediatric Therapy TV, where we provide experience and innovation to maximize your child’s potential. Now, your host, here’s Robyn.

Robyn: Hello, and welcome to Pediatric Therapy TV. I’m your host, Robyn Ackerman, and I’m standing here today with Colleen Kearns, a Pediatric Physical Therapist. Colleen, can you give our viewers an explanation of why some children toe walk?

Colleen: Of course, Robyn. There are three main reasons why children may toe walk. The first one is related to sensory issues. Some children may actually be hypersensitive to certain textures on the floors that they are walking on, and the surfaces that they are walking on. So if that occurs, they may be more prone to walk on their toes to avoid those uncomfortable textures.

On the other hand, they may also be seeking extrasensory input. Maybe, some kids need a little bit more of the sensory input, and by walking on their toes they are locking their ankles and knees, and by doing that, they are actually getting more input from their joints. So that’s also why children with autism will walk on their toes, to get that extrasensory input.

The second main reason that children toe walk is due to an underlying diagnosis. Muscular dystrophy is a big one. That’s a genetic disorder where the muscle tissue is destroyed and it’s actually replaced by fat, and the calf muscles are often the first ones to be involved with that. So children with muscular dystrophy will toe walk in an effort to stabilize, due to the decreased strength. Any condition that results in an abnormal increase in muscle tone will also result in toe walking. A common one with that would be cerebral palsy.

The third reason why kids may toe walk is actually unknown. Some children, who don’t have an underlying diagnosis and don’t have sensory issues, just prefer to walk on their toes, and that’s what we call idiopathic toe walking, which means we just don’t know. Unfortunately, they can get into a very strong habit of doing it, and when they do that it results in a shortening of the muscles in their calf, and that actually makes it harder for the child to be able to get their foot flat on the ground. And when that happens, it’s kind of like a vicious cycle. They are more likely to be walking on their toes because they have a strong habit, then their muscles get shorter, then it’s harder for them to walk on their flat feet, so then they are even more prone to walking on their toes.

Robyn: All right. Well, thank you so much, and thank you to our viewers. And remember, keep on blossoming.

Announcer: This has been Pediatric Therapy TV, where we bring peace of mind to your family with the best in educational programming. To subscribe to our broadcast, read our blogs, or learn more, visit our website at learnmore.me. That’s Learnmore.me.

Preparing for Pediatric Physical Therapy Evaluation

Coming to a physical therapist for your child for the first time can be an overwhelming and confusing experience – but it doesn’t have to be! Here at North Shore Pediatric Therapy we have outlined the most important information to know before you go to the pediatric physical therapist for the first time.Pediatric physical therapist smiling

Paperwork: Although no one enjoys filling out form after form, this information is essential to the therapist and office staff. Please remember to bring the following with you at your first appointment. This information will be emailed to you by the family-child advocate before you come in.

  • Copy of your physician’s prescription for physical therapy. It is imperative that we have this on file before any ongoing treatment sessions.
  • Insurance Card 
  • Your child’s past medical history. We will ask questions concerning his or her gross motor milestones and at what ages these were achieved, as well as birth history, pertinent family health history, educational history and general information about your child’s motor, language and social skills. Also if your child has visited a therapist before and you have documentation from these visits, we would be happy to make a copy of those as well.
  • A clear picture of your availability for future appointments. We will do our very best to make all future treatment appointments at the initial evaluation.

Equipment: It would be helpful to us and your child if you bring a few things along with you.

For infants and younger children:

  • A toy that he or she responds to and enjoys can be used during treatment. This helps us transition the child to the new environment and is good for tracking skills.
  • A onesie to wear during the treatment sessions. At the evaluation we will observe the child moving without clothes on (except for the diaper) to observe his or her muscles and general tone.
  • A blanket can be more comfortable for the children to move around on. If you don’t have one don’t worry, our treatment mat is soft and secure.
  • A pacifier can help to soothe your child
  • A bottle or source of food might help if the child becomes hungry. He or she will be working hard and might become hungrier than normal.
  • A change of diapers is never a bad idea!

For toddlers and older children:

  • Dress your child in comfortable clothes that are easy to climb, jump, roll, crawl and move in.
  • Wear athletic shoes and socks to the appointment. We will complete most exercises without shoes on in order to accurately assess balance and movement skills. However, it is helpful for the therapist to see what footwear the child wears and if additional recommendations are warranted.

What do we do?

  • Strength and range of motion testing.
  • Assess gross motor milestones (i.e. rolling, crawling, running, jumping, skipping)
  • Discuss treatment plan and what you should expect out of therapy.
  • Plan functional short term and long term goals for your child.
  • Standardized testing is usually completed in order to get a baseline measurement for your child. These tests allow us to measure your child against his or her peers, and create realistic projections for what we can expect to achieve through therapy.

The physical therapist working with your child will be able to answer all of your questions pertaining to his or her diagnosis at the first appointment. Any questions that come up after that initial evaluation can be answered before, during or after future appointments via email, phone, or in-person conversations. Thank you for taking the time to read this and be prepared. We look forward to meeting you and your child!

* This article was also written by Adele Nathan, Student Physical Therapist at North Shore Pediatric Therapy

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