Pediatric Physical Therapy Services

Children with JRA often exhibit joint pain and swelling as well as range of motion deficits in the affected joints.

Our team of physical therapists at CFZ works closely with patients, families and physicians to reduce pain and swelling in affected joints as well as improve joint range of motion through a variety of therapeutic techniques including but not limited to passive range of motion, soft tissue massage/mobilization and functional activities as tolerated by the patient.  These children often respond well to aquatic therapy, which helps to decrease weight-bearing through painful joints while increasing the amount of movement within these joints.

This category includes any diagnosis that affects the brain’s ability to transmit neurological signals to the rest of the body. Children with neurological impairments may exhibit abnormalities in muscle tone and strength which can lead to range of motion limitations, bony deformities, balance and coordination deficits.  As a result, functional mobility skills may be negatively impacted.

Our therapists work with these children to improve upon their specific limitations through individualized functional programs suited to fit each individual child’s needs.  In addition to treatment programming, we work with families to perform adaptive equipment evaluations for wheelchairs, adaptive seating, standers, gait trainers and walking aides as well as orthotic assessments in order to achieve the maximum extent of mobility possible.

This category encompasses any diagnosis or disorder that affects one’s ability to move his/her arms, legs or trunk. This includes but is not limited to diagnoses of muscular dystrophy, spinal muscular atrophy, spina bifida and myopathies.

Physical therapists at CFZ will work with these patients and families to address movement impairments through strengthening, stretching, positioning, and energy conservation strategies.  Our therapists will also work closely with families to obtain adaptive equipment and/or orthotic devices as needed for each individual child.

Toe walking is a commonly seen diagnosis and is often accompanied by tightness of the gastrocnemius/soleus complex (calf muscles). Children who are toe walkers often begin toe walking from an early age and may go undetected for some time before concerns are raised by the parents.  Causes of toe walking can be idiopathic (unknown), neurological impairments or sensory processing disorders.

Our team of physical therapists at CFZ will work with patients and families to determine the cause of toe walking in order to guide treatment appropriately.  If the family expresses some sensory concerns, a referral to occupational therapy may be warranted to rule out sensory processing disorders.  Physical therapy treatment will address muscle tightness, muscle weakness and body mechanics to promote improvements with gait patterns.

Torticollis is a condition primarily seen in infants and is characterized by tightness of the sternocleidomastoid muscle in the neck, resulting in abnormal positioning of the head. Babies with torticollis may also present with flattening of the head (plagiocephaly) due to poor head positioning.

Physical therapists at CFZ work closely with these families to develop therapeutic programs that incorporate stretching, positioning and gross motor skill development.  Our therapists will also work with families and physicians to determine whether or not there is a need for a cranial orthosis to help with correction of plagiocephaly.