HOW PHYSICAL THERAPY CAN HELP YOUR CHILDREN

At Thera-play Pediatrics, your child’s comprehensive wellness is important to us. Our team of therapists is dedicated to providing you with unique therapy treatment for your child. Our goal is to ensure that every patient receives the attention they deserve. We also strive to give you the resources you need to understand your child’s issues and how to help.


 

Physical Therapy: Warning Signs & Diagnosis

Common diagnosis that may require physical therapy intervention include, Cerebral palsy, Traumatic brain injuries, chronic pain, Cystic Fibrosis, Cancer, Scoliosis, Down syndrome and developmental delays and movement disorders resulting from premature birth. Red flags include poor body awareness; frequent falls, clumsiness, weakness, “late” walker, toe walking, “W” sitting, and general gross motor deficits may indicate that your child may need physical therapy.  After an evaluation, we will develop a plan to work with your child to meet age appropriate goals.


 

Parents should consider seeking an evaluation with a Physical Therapist if their child demonstrates any of the following:

Birth to 2 months:
– Doesn’t lift head in prone position (while lying on their stomach)
– Does not turn head to one side in prone position
– Does not turn head to both sides in supine position (lying on back)

3 months:
– Does not hold head up 90 degrees in prone position (lying on stomach)
– Does not extend both legs or kick reciprocally
– Does not roll to back when placed on their side

4 months:
– Does not place weight on forearms in prone position (lying on stomach)
– Does not rotate or extend head
– Is unable to grasp a rattle
– Cannot bring both hands together

5 months:
– Does not roll over one way
– Does not hold head up when pulled to sitting
– Is unable to hold head steady in supported sitting position
– Does not bear weight on legs

6 months:
– Is unable to keep head level with body when pulled to a sitting position
– Does not demonstrate balance reactions
– Cannot bear weight on hands in prone position (lying on stomach)
– Does not move head actively in supported sitting position

7 months:
– Does not roll over either way
– Does not bear weight on legs
– Cannot lift head or assist when pulled to sitting position
– Demonstrates little balance reactions or protective extension of arms

8 months:
– Does not roll over both ways
– Cannot sit with little or not support
– Does not hold weight on one hand while in the prone position (lying on stomach)
– Cannot bear weight on legs and bounce

10 months:
– Cannot get to sitting position without assistance
– Does not assume crawling position (hand-knee position)
– Does not show interest/motivation to crawl
– Cannot sit on own without hand support

12 months:
– Does not pull to stand using furniture
– Cannot switch positions from sitting to prone
– Does not creep on hand and knees
– Cannot pivot while in sit position to retrieve toy
– Cannot pass an object from one to the other
– Cannot stand holding on to someone or something
– Cannot pick up small objects

15 months:
– Does not walk with one hand held
– Cannot stand alone well
– Does not demonstrate balance reaction while in kneeling position
– Does not walk alone one to two steps
– Does not demonstrate motor planning by climbing on furniture
– Has a hard time picking up small objects

18 months:
– Does not attempt to creep upstairs
– Does not walk without support
– Cannot throw ball
– Does not bend down to retrieve objects
– Does not demonstrate balance reaction in standing

24 months:
– Does not run
– Cannot walk upstairs with one hand held
– Cannot carry large toy while walking
– Does not squat in play
– Cannot retrieve toy off of floor from standing position
– Does not climb onto furniture, turn and sit
– Cannot build tower of six blocks
– Does not use utensils well

30 months:
– Does not jump in place with both feet
– Does not stand from sitting by rolling on side
– Cannot catch large ball
– Has difficulty with gait and balance
– Does not walk downstairs using rail for support
– Does not have wide range of movement
– Does not run and stop without holding
– Does not avoid objects when running

36 months:
– Cannot kick stationary ball
– Is not able to stand on one foot for two seconds
– Cannot build tower of 9 blocks
– Cannot complete 5-6 piece puzzle
– Is not using utensils properly
– Does not attempt to ride tricycle
– Does not demonstrate grasp of crayon