Pediatrics refer to patients aged 0 to 17 years, presenting with either a postural problem (ex: stiff neck/torticollis, scoliosis, limp, child sitting W position), a flat head (ex: plagiocephaly), delayed or impaired development (ex: moving forward on the buttocks), a neurological problem, an orthopaedic problem (ex: sprains, post-fracture or surgery, patello-femoral syndrome, Osgood-Schlatter) or other…
Global evaluation of the child to understand the deficiencies and the disabilities, in order to set achievable goals with the parents.
During the first visit, the physiotherapist conducts a subjective evaluation allowing her/him to get to know the child and understand the parent’s expectations (questions on the birth history, development history, and difficulties encountered).
Following this, the physiotherapist proceeds to the objective evaluation. This begins with the observations of the child while performing motor functions (maintaining positions, balance reactions, displacements, quality of movement, etc.) Then, the therapist evaluates posture, muscle tone, flexibility and muscle strength of the child.
To end the visit, the physiotherapist explains the results of the evaluation to the parents and determines with them the objectives of therapy and the frequency of the treatments. The therapist will then recommend certain exercises and activities to stimulate the child at home.
Through game playing at therapy sessions, techniques of facilitation and postural correction, as well as other activities, will be used to achieve set goals. The physiotherapist always includes advice and guidance to the parents.
The physiotherapist is continuously evaluating the child during the interventions (techniques used, home exercises, frequency of therapy….) to ensure the child is responding positively and treatments will be adjusted accordingly.
* In certain clinics, the service is offered in the home or the daycare.
When to consult?
Do not hesitate to consult a physiotherapist specialized in pediatrics to help find the cause of the disorder and a solution to remedy it. No problem disappears on its own, often advice is not sufficient. Furthermore, when the child is referred early, the therapy intervention is more efficient, changes more rapid and consequences are often less severe and may disappear completely.