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KinatexPediatric

Pediatric

Service

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…


Mission

Global evaluation of the child to understand the deficiencies and the disabilities, in order to set achievable goals with the parents.

Pediatrie

Evaluation

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.

Therapy

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?        

  • If you are concerned about your child’s development or his/her posture
  • If you notice any deformation of your child’s head
  • If you notice his/her posture is asymmetrical in one or more positions
  • If you notice that he/she seems limp and slips from your hands while being held by the armpits
  • If you notice that he/she pushes his head back, holds himself in a ‘C’ shape or that of a banana
  • If you notice that he/she rarely moves or moves one leg or arm more often than the other.
  • If you notice that he/she seems to have stiff legs or arms (difficult to wash or dress the child.)
  • If you notice that the child always holds his/her fists closed after 4 months or one fist more than the other.
  • If you notice that the child has difficulty attaining the normal stages of motor development:
    • Raises his/her head with difficulty at 3 months while on his tummy
    • Difficulty holding up his/her head at 3 months
    • Does not roll over at 7 months
    • Does not crawl at 8 months
    • Does not crawl on all fours at 10 months.
    • Does not walk at 15 months
    • Does not jump at 2 years of age
    • Does not alternate on stairs at 4 years of age.
  • If you notice at 8 months, he/she keeps his back hunched when sitting on the floor with his legs in front of him
  • If you notice, the child sits in a « W » position
  • If you notice the child stands on his/her tiptoes while he is being held standing
  • If you notice that he/she drags one foot while walking…
  • If you notice the child falls often even though he has been walking several months…
  • If you notice that the child has fallen arches, or poor alignment of the lower limbs…

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.