PHYSICAL THERAPY

Our physical therapists have over 130 years of cumulative experience evaluating and treating sensory-motor, neuromuscular, musculoskeletal, and other movement disorders and injuries. 

 

We work with the family and child to improve or restore the child’s ability to participate in the functional, safe exploration of their environment and participate in their community activities.  Physical therapy also addresses many conditions to prevent secondary complications and resolve painful movements.

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OUR THERAPISTS PROVIDE EVALUATION & INTERVENTION FOR:

SENSORY MOTOR DEVELOPMENT

NEUROMUSCULAR

FUNCTION

POSTURE & SKELETAL

ALIGNMENT

PRE-GAIT & GAIT TRAINING

COORDINATION

MOTOR PLANNING & MOTOR LEARNING

HIGH RISK FOLLOW UP/TORTICOLLIS

ORTHOTIC MANAGEMENT

CONNECTIVE TISSUE INTEGRITY

ENDURANCE & CARDIO FUNCTION

ACUTE & CHRONIC PAIN MANAGEMENT

SPORTS INJURIES & PREVENTION

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DEVELOPMENTAL MILESTONES

0 - 1 Year Old


2 MONTHS

  • Minimal head bobbing when supported upright
  • Eyes focus on a caregiver when within 12 inches
  • When lying on tummy, can turn head to each side and does not have a strong preference for head-turning one side
  • No flattened areas on the head
4 MONTHS
  • Takes weight when held in standing but does not take automatic steps
  • Maintains head in midline for 30 seconds while lying on back
  • No head bobbing when held upright
  • Brings hands to midline and bats at toys
  • Symmetrical body alignments during tummy time and when lying on back
6 MONTHS
  • Pushes up on arms when on tummy to see things
  • Rolls to try to get closer to people or an exciting toy or object
  • Sits with help and holds head steady
  • Plays with feet while lying on back
  • Bounces when supported in a standing position
8 MONTHS
  • Stands at furniture
  • Rocks back and forth on hands and knees to get ready to crawl
  • Cruises laterally along the furniture
  • Crawls to get around on hands & knees or commando crawling
  • Sits and plays
  • Moves between sitting and tummy with ease by using side-sit
10 MONTHS
  • Walks pushing a toy
  • Cruises along the furniture with one hand able to turn body forward
12 MONTHS
  • Crawls fast and over objects
  • Walks holding onto furniture/hand or independently
  • Squats and returns to stand with control
  • Pivots 90 degrees in sitting




3 - 4 Years Old


  • Jumps forward 18-24 inches
  • Jumps over a 10-inch hurdle
  • Jumps off a 20-inch height, landing with both feet
  • Runs with reciprocal arm swing
  • Walks upstairs using step-to sequence
  • Catches tennis ball with hands only




1 - 2 Years Old


15 Months

  • Walks independently
18-21 months
  • Able to tip-toe walk 5 feet
  • Squats to pick up toys
  • Starts and stops with control
  • Steps over objects
24 months
  • Jumps getting both feet off the floor
  • Jumps forward 6 inches
  • Able to throw a ball without falling
  • Imitates movements that others make




2 - 3 Years Old


30 MONTHS

  • Jumps off low steps or curbs, landing in a squat with hands forward
  • Runs
36 MONTHS
  • Begins to jump over lines, hula hoop
  • Jumps off steps and lands on feet
  • Catches tossed ball by trapping on chest
  • Kicks fall 5 feet with leg swing
  • Learns most motor skills by observing others




4 - 5 Years Old


  • Jumps off a low step
  • Performs standing vertical jump of 4-inches
  • Walks upstairs using reciprocal steps
  • Kicks ball with backswing over 10-inches
  • Throws tennis ball overhand using opposing step and throw sequence




5 - 6 Years Old


  • Able to place feet together and stand 30 seconds
  • Able to stand 10 seconds with eyes closed
  • Moves to intercept kicked ball to either side
  • Adjusts their throwing based on their performance; each throw becomes more accurate




6 - 7 Years Old


  • Skips smoothly
  • Stands on one leg (right and left) with hands-on wait for 10 seconds with no trunk sway
  • Runs with arms swinging in opposition to legs and legs contact ground at hips width
  • Overhand throws using an opposing step throw pattern > 5 feet
  • Able to catch a 6-inch ball with hands only




7 - 8 Years Old


  • Hops on one foot with arms swinging and nonsupporting leg remaining behind body
  • Broad jumps 36”
  • Dribbles a ball with fingertips (no slapping) 10 consecutive bounces
  • Kicks a soccer ball with a continuous rapid approach to the ball for > 15’ distance
  • Catches an overhand thrown tennis ball with hands only
  • Overhand throws using an opposing step throw pattern 20’




8 - 9 Years Old


  • Hops on one foot with arms swinging and nonsupporting leg remaining behind the body
  • Broad jumps 36-inch
  • Dribbles a ball with fingertips (no slapping) 10 consecutive bounces
  • Kicks a soccer ball with a continuous rapid approach to the ball for > 15-feet distance
  • Catches an overhand thrown tennis ball with hands only
  • Overhand throws using an opposing step throw pattern 20'




9 - 10 Years Old


  • After ten years of age, foundational gross motor skills remain the same.
  • The child begins to add skill, fluidity, and control to their movements.
  • All of this is part of coordination which requires appropriate muscle activation, balance reactions, and graded control.
  • Many skills develop through practice.
  • Your child might find it more challenging to acquire these higher-level skills to keep up with peers.
  • Here are some skills that indicate the ability for a child to progress coordination skills with typical practice.
    • Imitates four cross-body movements without pause; with 1-3 demonstrations
    • Claps and stomps to various beats (using metronome or music)
    • Taps a tennis ball up with a racket 20 consecutive times
    • Able to throw various size and weight balls into a 3-foot target 20 feet away
    • Jumps rope 20 consecutive times





- Treatment Methods -

Adaptive Play | Aquatic Therapy | Trampoline | Rock Climbing Wall | Kinesiotaping | Lite Gait: Gait and Mobility | Spasticity Management | Orthotic Management | Adaptive Equipment Assessment and Monitoring | Strength Training | Serial Casting | Vestibular Stimulation | Neurodevelopmental Techniques | Interactive Metronome | Electrical Muscle Stimulation  

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