{"id":4419,"date":"2026-08-21T07:22:06","date_gmt":"2026-08-21T07:22:06","guid":{"rendered":"https:\/\/teque7.in\/crestwell\/?page_id=4419"},"modified":"2026-08-21T07:25:50","modified_gmt":"2026-08-21T07:25:50","slug":"paediatric-physiotherapy","status":"publish","type":"page","link":"https:\/\/teque7.in\/crestwell\/services\/paediatric-physiotherapy\/","title":{"rendered":"Paediatric Physiotherapy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4419\" class=\"elementor elementor-4419\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9dd418e e-flex e-con-boxed e-con e-parent\" data-id=\"9dd418e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ecbd1ab e-con-full e-flex e-con e-child\" data-id=\"ecbd1ab\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-605f3da e-con-full sticky-column e-flex e-con e-child\" data-id=\"605f3da\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c7456a elementor-widget elementor-widget-kinesi-elementor-template\" data-id=\"6c7456a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"kinesi-elementor-template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"1230\" class=\"elementor elementor-1230\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<div class=\"elementor-element elementor-element-f77e8be e-flex e-con-boxed e-con e-parent\" data-id=\"f77e8be\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a015081 e-con-full e-flex e-con e-child\" data-id=\"a015081\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f2d261 at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"5f2d261\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Services<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0b9330 elementor-widget elementor-widget-nav-menu\" data-id=\"f0b9330\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;dropdown&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-chevron-down\\&quot; aria-hidden=\\&quot;true\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-f0b9330\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4057\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Musculoskeletal Physiotherapy<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4058\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/general-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">General physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4059\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sports-injury-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sports injury clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4060\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/back-and-neck-pain-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Back and neck pain clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4061\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/shoulder-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Shoulder clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4062\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hip-and-knee-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hip and knee clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4063\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/foot-and-ankle-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Foot and ankle clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4064\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hand-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hand therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4065\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/tmj-jaw-pain-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">TMJ (jaw pain) physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4066\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/vestibular-dizziness-vertigo-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Vestibular physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4067\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/chronic-pain-management\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Chronic pain management<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4068\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/fibromyalgia-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Fibromyalgia rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4069\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hypermobility-eds-hsd-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hypermobility (EDS\/HSD) clinic<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4073\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Specialist Rehabilitation<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4074\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/stroke-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Stroke rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4075\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cardiac-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cardiac rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4076\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/parkinsons-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Parkinson&#8217;s rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4077\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/multiple-sclerosis-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Multiple sclerosis rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4078\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/neurological-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Neurological rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4079\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/orthopaedic-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Orthopaedic rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4080\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/joint-replacement-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Joint replacement rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4081\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/fracture-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Fracture rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4082\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/falls-prevention\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Falls prevention<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4083\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/balance-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4084\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/elderly-rehabilitation-frailty-programme\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Elderly rehabilitation (frailty programme)<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4085\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cancer-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cancer rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4086\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/long-covid-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Long COVID rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4087\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/respiratory-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Respiratory physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4088\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/amputee-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Amputee rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4089\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Health<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4090\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/womens-health-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Women&#8217;s health physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4091\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pelvic-floor-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pelvic floor rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4092\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pessary-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pessary clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4093\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pregnancy-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pregnancy physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4094\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/postnatal-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Postnatal rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4095\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/diastasis-recti-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Diastasis recti rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4096\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/mens-pelvic-health\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Men&#8217;s pelvic health<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4097\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/continence-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Continence clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4098\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/paediatric-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Paediatric physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4099\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/teenage-sports-injuries\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Teenage sports injuries<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4100\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Sports &#038; Performance<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4101\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sports-massage\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sports massage<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4102\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pilates\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pilates<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4104\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/running-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Running assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4105\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/running-gait-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Running gait analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4106\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cycling-biomechanics\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cycling biomechanics<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4107\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/return-to-sport-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Return-to-sport testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4108\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/injury-prevention-programmes\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Injury prevention programmes<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4109\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/performance-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Performance screening<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4110\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pre-season-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pre-season screening<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4111\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/strength-conditioning\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Strength &#038; conditioning<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4112\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/functional-movement-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Functional movement screening<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4113\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Diagnostics &#038; Technology<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4114\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/shockwave-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Shockwave therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4115\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/therapeutic-ultrasound\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Therapeutic ultrasound<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4116\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/ultrasound-guided-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Ultrasound-guided rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4117\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/digital-gait-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Digital gait analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4118\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/movement-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Movement analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4119\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/force-plate-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Force plate testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4120\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/balance-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4121\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/grip-strength-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Grip strength testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4123\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/workplace-ergonomic-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Workplace ergonomic assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4124\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/home-ergonomic-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Home ergonomic assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4125\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/wearable-movement-monitoring\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Wearable movement monitoring<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4126\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/tele-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Tele-rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4127\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Integrative Care<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4128\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/medical-acupuncture\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Medical acupuncture<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4129\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/dry-needling\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Dry needling<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4130\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cupping-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cupping therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4131\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/specialist-ayurveda-treatments\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Specialist Ayurveda treatments<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4132\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/therapeutic-massage\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Therapeutic massage<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4133\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/lifestyle-coaching\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Lifestyle coaching<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4134\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sleep-optimisation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sleep optimisation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4135\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/stress-management\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Stress management<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4136\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/yoga-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Yoga therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4137\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/meditation-for-chronic-pain\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Meditation for chronic pain<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4736df3 e-con-full e-flex e-con e-child\" data-id=\"4736df3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-669d45b e-con-full e-flex e-con e-child\" data-id=\"669d45b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a319898 elementor-widget elementor-widget-text-editor\" data-id=\"a319898\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Support for movement, development and physical independence<\/b><\/h2><p><span style=\"font-weight: 400;\">Children develop movement skills at different rates, but injury, illness, developmental differences or long-term health conditions can sometimes make movement more difficult.<\/span><\/p><p><span style=\"font-weight: 400;\">Paediatric physiotherapy supports babies, children and young people whose mobility, strength, balance, coordination or physical development is affected. Treatment is adapted to the child&#8217;s age, ability and individual needs, with exercises often incorporated into play and everyday activities.<\/span><\/p><p><span style=\"font-weight: 400;\">The aim may be to develop a new movement skill, recover after an injury, improve physical confidence, maintain mobility or make everyday activities easier.<\/span><\/p><h2><b>What is paediatric physiotherapy?<\/b><\/h2><p><span style=\"font-weight: 400;\">Paediatric physiotherapy is physiotherapy specifically adapted for babies, children and young people.<\/span><\/p><p><span style=\"font-weight: 400;\">Children are still growing and developing, so assessment and treatment need to consider more than the area that is painful or difficult to move.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy may look at:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gross motor development<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Posture<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle tone<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical endurance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement during play<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participation in school and everyday activities<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Paediatric physiotherapists commonly assess movement, posture, muscle tone, strength and joint range as part of understanding a child&#8217;s physical function.<\/span><\/p><h2><b>When paediatric physiotherapy may help<\/b><\/h2><p><span style=\"font-weight: 400;\">An assessment may be useful if a child is experiencing:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Delayed development of movement skills<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty sitting, crawling or walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unusual or difficult walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent falls<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coordination difficulties<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced physical endurance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint stiffness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle tightness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty keeping up with physical activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty using stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty running or jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain affecting movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced mobility after surgery or injury<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A neurological or developmental condition affecting movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty returning to sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced confidence with physical activity<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Children&#8217;s physiotherapy services commonly support developmental, neurological and orthopaedic movement difficulties.<\/span><\/p><h2><b>What happens during the first appointment?<\/b><\/h2><p><span style=\"font-weight: 400;\">The first appointment begins with a discussion with the child and parent or carer about the main concerns.<\/span><\/p><p><span style=\"font-weight: 400;\">Depending on the child&#8217;s age and reason for attending, the physiotherapist may ask about:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy and birth history where relevant<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Early development<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous medical conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Current diagnosis<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Falls<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">School activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous physiotherapy<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Equipment or braces currently used<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activities the child finds difficult<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What the child and family would like to improve<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The physical assessment may involve observing the child while they:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sit<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stand<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walk<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Run<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Squat<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Step<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Climb<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reach<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jump<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Play<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The assessment may also look at strength, balance, joint movement, coordination, posture and muscle tone.<\/span><\/p><p><span style=\"font-weight: 400;\">For younger children, much of the assessment can take place through play rather than formal exercise.<\/span><\/p><h2><b>What treatment may include<\/b><\/h2><p><span style=\"font-weight: 400;\">Treatment is based on the child&#8217;s age, condition and physical goals.<\/span><\/p><h3><b>Movement practice<\/b><\/h3><p><span style=\"font-weight: 400;\">Children develop movement skills through repeated opportunities to move and explore.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy may practise activities such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rolling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sitting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between positions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Crawling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Exercises can be incorporated into games or everyday activities where possible.<\/span><\/p><h3><b>Strengthening exercises<\/b><\/h3><p><span style=\"font-weight: 400;\">Weakness may affect walking, stairs, running, jumping or participation in sport.<\/span><\/p><p><span style=\"font-weight: 400;\">Strengthening may involve:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sit-to-stands<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Squats<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Step exercises<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Climbing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Resistance exercises<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Playground-based movements<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The exercises should be appropriate for the child&#8217;s age and ability.<\/span><\/p><h3><b>Balance exercises<\/b><\/h3><p><span style=\"font-weight: 400;\">Balance activities may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing on different surfaces<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stepping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reaching<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking along a line<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obstacle courses<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Single-leg activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping and landing<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">For younger children, these exercises may be presented as games.<\/span><\/p><h3><b>Walking rehabilitation<\/b><\/h3><p><span style=\"font-weight: 400;\">Where walking is affected, treatment may look at:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Step pattern<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foot position<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endurance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking speed<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Turning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Outdoor mobility<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Walking aids or orthotic support may also be considered where appropriate.<\/span><\/p><h3><b>Mobility and flexibility<\/b><\/h3><p><span style=\"font-weight: 400;\">Some conditions can result in reduced joint movement or muscle tightness.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Active movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stretching where appropriate<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercises that encourage movement through useful ranges<\/span><\/li><\/ul><h3><b>Home activity programme<\/b><\/h3><p><span style=\"font-weight: 400;\">Parents or carers may receive activities to practise at home.<\/span><\/p><p><span style=\"font-weight: 400;\">The programme should be realistic and fit into normal family routines rather than requiring long periods of formal exercise every day.<\/span><\/p><h2><b>Developmental movement difficulties<\/b><\/h2><p><span style=\"font-weight: 400;\">Children develop physical skills at different rates.<\/span><\/p><p><span style=\"font-weight: 400;\">Some children may take longer to develop skills such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sitting independently<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving around the floor<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">A developmental assessment looks at what the child can currently do and how they move between different positions.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy may then provide opportunities to practise the next useful movement skills.<\/span><\/p><p><span style=\"font-weight: 400;\">The aim is not to compare every child rigidly with another child of the same age, but to understand whether movement difficulties are affecting development or participation.<\/span><\/p><h2><b>Babies and early movement<\/b><\/h2><p><span style=\"font-weight: 400;\">For babies, physiotherapy may focus on movement during:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Floor play<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tummy time<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rolling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sitting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reaching<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between positions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Supported standing<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Parents may be shown simple ways to encourage movement during normal play.<\/span><\/p><p><span style=\"font-weight: 400;\">The aim is to give the baby appropriate opportunities to practise movement rather than turning every interaction into an exercise session.<\/span><\/p><h2><b>Tummy time and floor play<\/b><\/h2><p><span style=\"font-weight: 400;\">Floor-based play gives babies opportunities to develop strength and movement in different positions.<\/span><\/p><p><span style=\"font-weight: 400;\">Depending on the baby&#8217;s ability, physiotherapy may suggest activities involving:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lying on the tummy<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reaching for toys<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rolling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Supported sitting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between sitting and floor positions<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Activities can be adjusted if the baby finds certain positions difficult.<\/span><\/p><h2><b>Sitting balance<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children find it difficult to sit independently or maintain balance while using their hands to play.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy may work on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trunk strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reaching<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight shifting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between positions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing the amount of external support gradually<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The goal is to help sitting become useful for play and everyday activity.<\/span><\/p><h2><b>Crawling and floor mobility<\/b><\/h2><p><span style=\"font-weight: 400;\">Not every child moves around the floor in exactly the same way.<\/span><\/p><p><span style=\"font-weight: 400;\">Some crawl on hands and knees, while others use different movement strategies.<\/span><\/p><p><span style=\"font-weight: 400;\">If floor mobility is difficult, treatment may focus on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Arm and leg strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trunk control<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight shifting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between sitting and floor positions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reaching for toys<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The focus is on helping the child develop useful independent movement.<\/span><\/p><h2><b>Standing and early walking<\/b><\/h2><p><span style=\"font-weight: 400;\">When standing or walking is difficult, physiotherapy may assess:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leg strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foot position<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ability to transfer weight<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confidence standing with support<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment may involve practising:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pulling to stand<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing with support<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between furniture<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stepping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking with appropriate support<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Progression is based on what the child can currently manage safely.<\/span><\/p><h2><b>Walking difficulties<\/b><\/h2><p><span style=\"font-weight: 400;\">Children may attend physiotherapy because their walking looks or feels different.<\/span><\/p><p><span style=\"font-weight: 400;\">You may notice:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent tripping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty keeping up<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking that appears uneven<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced foot clearance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty walking longer distances<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty using stairs<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The assessment looks at the whole movement pattern rather than focusing only on the feet.<\/span><\/p><p><span style=\"font-weight: 400;\">Strength, balance, joint movement, coordination and neurological factors may all influence walking.<\/span><\/p><h2><b>Toe walking<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children walk on their toes for part or all of the time.<\/span><\/p><p><span style=\"font-weight: 400;\">Toe walking can have different causes, and assessment may consider:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ankle movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle length<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sensory factors<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological history<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether the child can walk with their heels down when asked<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment depends on the findings.<\/span><\/p><p><span style=\"font-weight: 400;\">Not every child who occasionally walks on their toes requires physiotherapy, but persistent toe walking or associated movement difficulties may benefit from assessment.<\/span><\/p><h2><b>Balance and frequent falls<\/b><\/h2><p><span style=\"font-weight: 400;\">Falls are a normal part of learning movement, particularly in younger children.<\/span><\/p><p><span style=\"font-weight: 400;\">However, assessment may be useful if a child:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Falls much more frequently than expected<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Has difficulty recovering balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoids uneven surfaces<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Struggles with stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Has become less confident with movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Has other weakness or coordination difficulties<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment may involve strength, stepping, balance activities and movement practice.<\/span><\/p><h2><b>Coordination difficulties<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children find activities requiring several movements to work together more challenging.<\/span><\/p><p><span style=\"font-weight: 400;\">This may affect:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Catching<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Throwing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hopping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skipping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cycling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Playground activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PE lessons<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy may break more difficult activities into smaller parts before bringing them together.<\/span><\/p><p><span style=\"font-weight: 400;\">Practice should remain appropriate for the child&#8217;s age and interests.<\/span><\/p><h2><b>Running and jumping<\/b><\/h2><p><span style=\"font-weight: 400;\">Running and jumping require strength, balance, coordination and confidence.<\/span><\/p><p><span style=\"font-weight: 400;\">If these skills are difficult, treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leg strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calf strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stepping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hopping preparation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping and landing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running drills<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Activities can be developed around games rather than repetitive exercise where appropriate.<\/span><\/p><h2><b>Muscle weakness<\/b><\/h2><p><span style=\"font-weight: 400;\">Weakness can occur because of:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neuromuscular conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Injury<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Long periods of reduced activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other medical conditions<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Weakness may affect:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Play<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical endurance<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Exercises can be selected according to the child&#8217;s condition and ability.<\/span><\/p><h2><b>Low muscle tone<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children have lower muscle tone, which can make maintaining positions or controlling movement more physically demanding.<\/span><\/p><p><span style=\"font-weight: 400;\">They may appear to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tire easily<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sit in positions that provide more support<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Find balance difficult<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Take longer to develop some movement skills<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy may focus on strength, movement experience and practical physical skills.<\/span><\/p><p><span style=\"font-weight: 400;\">Low muscle tone and muscle weakness are not exactly the same thing, so assessment is useful before deciding what exercises are needed.<\/span><\/p><h2><b>Increased muscle tone and spasticity<\/b><\/h2><p><span style=\"font-weight: 400;\">Some neurological conditions can cause increased muscle tone or spasticity.<\/span><\/p><p><span style=\"font-weight: 400;\">This may affect:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hand or arm use<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Comfort<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Everyday physical activity<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy may form part of a wider management programme involving movement, positioning, strengthening, equipment or other specialist treatment.<\/span><\/p><p><span style=\"font-weight: 400;\">For children and young people with spasticity, NICE recommends physical therapy as part of an individualised management programme.<\/span><\/p><h2><b>Cerebral palsy<\/b><\/h2><p><span style=\"font-weight: 400;\">Cerebral palsy can affect movement, posture and coordination in different ways.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy may focus on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement skills<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical fitness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Equipment<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participation in everyday activities<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment goals depend on the child&#8217;s individual abilities.<\/span><\/p><p><span style=\"font-weight: 400;\">For one child, the goal may be independent walking. For another, it may be improving transfers, wheelchair mobility or maintaining comfortable movement.<\/span><\/p><p><span style=\"font-weight: 400;\">Current NICE guidance emphasises supporting children and young people with cerebral palsy to remain as active and independent as possible.<\/span><\/p><h2><b>Neuromuscular conditions<\/b><\/h2><p><span style=\"font-weight: 400;\">Neuromuscular conditions can affect muscle strength and physical endurance.<\/span><\/p><p><span style=\"font-weight: 400;\">Rehabilitation may need to balance activity with the characteristics of the individual condition.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may involve:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Appropriate strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mobility<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Equipment<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Respiratory support where relevant<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining participation in everyday activity<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The programme should be coordinated with the child&#8217;s wider medical team.<\/span><\/p><h2><b>Neurological rehabilitation for children<\/b><\/h2><p><span style=\"font-weight: 400;\">Children with neurological conditions may experience difficulties with:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement control<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle tone<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical endurance<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy can use repeated movement practice and age-appropriate activities to address these areas.<\/span><\/p><p><span style=\"font-weight: 400;\">The approach will depend on the child&#8217;s diagnosis, development and functional goals.<\/span><\/p><h2><b>Rehabilitation after injury<\/b><\/h2><p><span style=\"font-weight: 400;\">Children can experience fractures, sprains, muscle injuries and other musculoskeletal problems.<\/span><\/p><p><span style=\"font-weight: 400;\">Following injury, physiotherapy may help with:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Restoring movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rebuilding strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to school activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to PE<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to sport<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The programme should follow any medical restrictions associated with the injury.<\/span><\/p><h2><b>Rehabilitation after a fracture<\/b><\/h2><p><span style=\"font-weight: 400;\">Following a fracture or period in a cast, a child may temporarily experience:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stiffness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swelling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced confidence<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty returning to sport<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Once medically appropriate, rehabilitation can gradually restore movement and strength.<\/span><\/p><p><span style=\"font-weight: 400;\">Children often want to return to activity quickly, so progression should consider healing as well as how comfortable the child feels.<\/span><\/p><h2><b>Rehabilitation after surgery<\/b><\/h2><p><span style=\"font-weight: 400;\">Children may require physiotherapy after orthopaedic, neurological or other surgery.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to normal activity<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Any restrictions provided by the surgical team should guide rehabilitation.<\/span><\/p><h2><b>Joint and muscle pain<\/b><\/h2><p><span style=\"font-weight: 400;\">Children and young people can experience musculoskeletal pain involving areas such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Knees<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ankles<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hips<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Back<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shoulders<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The assessment may look at:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Training or activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Recent growth<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous injury<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Functional activities<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment may involve exercise and temporary adjustment of aggravating activities rather than automatically requiring complete rest.<\/span><\/p><h2><b>Hypermobility<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children naturally have joints that move through a larger range.<\/span><\/p><p><span style=\"font-weight: 400;\">For many, this causes no difficulty.<\/span><\/p><p><span style=\"font-weight: 400;\">When hypermobility is associated with pain, fatigue, instability or difficulty with physical activity, rehabilitation may focus on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement control<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical endurance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confidence with activity<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The aim is generally to improve control and physical capacity rather than trying to make flexible joints less flexible.<\/span><\/p><h2><b>Growing children and physical activity<\/b><\/h2><p><span style=\"font-weight: 400;\">Children&#8217;s bodies change as they grow.<\/span><\/p><p><span style=\"font-weight: 400;\">Periods of rapid growth can sometimes temporarily affect:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flexibility<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Comfort during sport<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy can consider growth alongside training, movement and activity demands.<\/span><\/p><p><span style=\"font-weight: 400;\">Pain that is persistent, severe, associated with illness or causing significant loss of function should receive appropriate assessment rather than simply being attributed to growth.<\/span><\/p><h2><b>Sports injuries in children and young people<\/b><\/h2><p><span style=\"font-weight: 400;\">Young athletes can experience both sudden injuries and problems that develop gradually.<\/span><\/p><p><span style=\"font-weight: 400;\">Rehabilitation may address:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Landing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes of direction<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport-specific movements<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Return to sport should be based on the injury, healing and physical ability rather than simply whether pain has disappeared.<\/span><\/p><h2><b>Returning to PE<\/b><\/h2><p><span style=\"font-weight: 400;\">A child may be comfortable with everyday walking but not yet ready for all school sports.<\/span><\/p><p><span style=\"font-weight: 400;\">PE can involve:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Quick direction changes<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Repeated activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Rehabilitation may gradually prepare the child for these demands.<\/span><\/p><p><span style=\"font-weight: 400;\">Temporary modifications can sometimes allow continued participation while recovery progresses.<\/span><\/p><h2><b>Returning to sport<\/b><\/h2><p><span style=\"font-weight: 400;\">Later-stage rehabilitation may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sprinting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hopping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Landing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes of direction<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport-specific drills<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The programme should reflect the activity the child wants to return to.<\/span><\/p><p><span style=\"font-weight: 400;\">A footballer may need different later-stage rehabilitation from a swimmer, dancer or gymnast.<\/span><\/p><h2><b>Physical endurance<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children have enough strength for short activities but become tired much more quickly than their peers.<\/span><\/p><p><span style=\"font-weight: 400;\">Reduced endurance may affect:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">School trips<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PE<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Playground activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Family outings<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Where medically appropriate, rehabilitation can gradually build physical conditioning through activities such as walking, cycling, games and other forms of exercise.<\/span><\/p><h2><b>Stairs<\/b><\/h2><p><span style=\"font-weight: 400;\">Stairs require leg strength, balance and coordination.<\/span><\/p><p><span style=\"font-weight: 400;\">If stairs are difficult, treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Step exercises<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leg strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foot placement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Practising stair technique<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using support where required<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Goals can be adapted to the child&#8217;s age and physical ability.<\/span><\/p><h2><b>Posture<\/b><\/h2><p><span style=\"font-weight: 400;\">Children naturally use many different sitting and standing positions throughout the day.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy generally does not aim to make a child maintain one rigid posture continuously.<\/span><\/p><p><span style=\"font-weight: 400;\">Where posture is affecting comfort or function, treatment may consider:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seating<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical activity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Position changes<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Equipment where needed<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">For children with more complex physical needs, positioning can also be important for comfort and maintaining function.<\/span><\/p><h2><b>Mobility aids<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children may benefit from mobility equipment such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking frames<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Crutches<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking sticks<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wheelchairs<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Equipment may be temporary following an injury or form part of longer-term mobility management.<\/span><\/p><p><span style=\"font-weight: 400;\">The aim is to improve useful independence.<\/span><\/p><p><span style=\"font-weight: 400;\">Using a mobility aid does not mean that a child should stop practising movement or strengthening where these remain appropriate.<\/span><\/p><h2><b>Orthotics and braces<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children use orthotic devices to support movement or positioning.<\/span><\/p><p><span style=\"font-weight: 400;\">These may include supports around the foot or ankle.<\/span><\/p><p><span style=\"font-weight: 400;\">Whether an orthosis is appropriate depends on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking pattern<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle tone<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diagnosis<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Functional goals<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy may work alongside orthotic services where additional support is required.<\/span><\/p><h2><b>Wheelchair mobility<\/b><\/h2><p><span style=\"font-weight: 400;\">For some children, a wheelchair provides important independent mobility.<\/span><\/p><p><span style=\"font-weight: 400;\">Physiotherapy may support:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mobility<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing or walking where appropriate<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Wheelchair use and walking rehabilitation are not necessarily competing goals.<\/span><\/p><p><span style=\"font-weight: 400;\">A child may use different forms of mobility depending on distance, fatigue and environment.<\/span><\/p><h2><b>Participation at school<\/b><\/h2><p><span style=\"font-weight: 400;\">Physical difficulties can affect more than PE.<\/span><\/p><p><span style=\"font-weight: 400;\">A child may have difficulty:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moving between classrooms<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sitting comfortably<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carrying school equipment<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accessing the playground<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participating in trips<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Where appropriate, physiotherapy can consider how the child&#8217;s physical abilities relate to the school environment.<\/span><\/p><h2><b>Working with schools and nurseries<\/b><\/h2><p><span style=\"font-weight: 400;\">For children with ongoing physical needs, rehabilitation may involve communication with nursery or school staff where appropriate.<\/span><\/p><p><span style=\"font-weight: 400;\">This may include guidance around:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement opportunities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PE<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mobility equipment<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Safe transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participation in school activities<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The aim is to support practical participation during the child&#8217;s normal day.<\/span><\/p><h2><b>Play as part of rehabilitation<\/b><\/h2><p><span style=\"font-weight: 400;\">Children do not always respond well to adult-style exercise programmes.<\/span><\/p><p><span style=\"font-weight: 400;\">Play can be used to practise strength, balance and movement without making every activity feel clinical.<\/span><\/p><p><span style=\"font-weight: 400;\">For example, rehabilitation might use:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obstacle courses<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ball games<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stepping games<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reaching for toys<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Climbing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping activities<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The therapeutic goal remains important, but the activity can be adapted to keep the child engaged.<\/span><\/p><h2><b>Supporting parents and carers<\/b><\/h2><p><span style=\"font-weight: 400;\">Parents and carers are often closely involved in paediatric rehabilitation.<\/span><\/p><p><span style=\"font-weight: 400;\">You may receive guidance on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercises<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Play activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking practice<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Equipment<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Encouraging independence<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Home activities should fit realistically into family life.<\/span><\/p><p><span style=\"font-weight: 400;\">Parents should not feel that every movement their child makes needs to be corrected or turned into therapy.<\/span><\/p><h2><b>Encouraging independence<\/b><\/h2><p><span style=\"font-weight: 400;\">It is natural to want to help when a child finds movement difficult.<\/span><\/p><p><span style=\"font-weight: 400;\">However, providing more physical assistance than necessary can sometimes reduce opportunities for the child to practise.<\/span><\/p><p><span style=\"font-weight: 400;\">Where safe, rehabilitation may encourage the child to participate actively in movements such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dressing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stairs<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The amount of assistance can be adjusted as the child&#8217;s ability changes.<\/span><\/p><h2><b>Rehabilitation through everyday activity<\/b><\/h2><p><span style=\"font-weight: 400;\">Some of the most useful opportunities for physical development happen during normal routines.<\/span><\/p><p><span style=\"font-weight: 400;\">This may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Getting dressed<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Getting onto the floor to play<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Climbing stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking to school<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Playing outside<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carrying toys<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participating in sport<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">A rehabilitation programme can use these existing activities instead of relying entirely on separate exercise sessions.<\/span><\/p><h2><b>Children who are reluctant to exercise<\/b><\/h2><p><span style=\"font-weight: 400;\">Some children may avoid physical activity because it is difficult, tiring or associated with previous pain.<\/span><\/p><p><span style=\"font-weight: 400;\">Rehabilitation may begin with activities the child already enjoys.<\/span><\/p><p><span style=\"font-weight: 400;\">The amount of challenge can then increase gradually.<\/span><\/p><p><span style=\"font-weight: 400;\">The aim is to build physical confidence without making movement feel like repeated testing.<\/span><\/p><h2><b>Pain and children<\/b><\/h2><p><span style=\"font-weight: 400;\">Children may find it difficult to explain exactly what pain feels like or where it comes from.<\/span><\/p><p><span style=\"font-weight: 400;\">The assessment may therefore consider:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Behaviour<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activities being avoided<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleep<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">School<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Recent injury<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Persistent or unexplained pain should be assessed appropriately rather than assuming it is simply related to growth.<\/span><\/p><h2><b>Working with other healthcare professionals<\/b><\/h2><p><span style=\"font-weight: 400;\">Children with more complex needs may be supported by a wider healthcare team.<\/span><\/p><p><span style=\"font-weight: 400;\">Depending on the child, this may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paediatricians<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurologists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Orthopaedic teams<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physiotherapists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Occupational therapists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Speech and language therapists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Orthotists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nurses<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dietitians<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other relevant professionals<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy mainly focuses on movement, mobility and physical function.<\/span><\/p><p><span style=\"font-weight: 400;\">Other members of the team may address communication, daily activities, medical treatment, feeding, equipment or other developmental needs.<\/span><\/p><h2><b>When further medical assessment may be needed<\/b><\/h2><p><span style=\"font-weight: 400;\">Some movement changes or symptoms require medical assessment rather than physiotherapy alone.<\/span><\/p><p><span style=\"font-weight: 400;\">Seek appropriate medical advice if a child develops:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden unexplained weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden loss of previously established physical abilities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A significant change in walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent unexplained pain<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A joint that is significantly swollen, hot or red<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe pain following injury<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inability to put weight through a limb after injury<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent fever or feeling significantly unwell alongside musculoskeletal symptoms<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New unexplained problems with coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant breathing difficulty<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms that are rapidly worsening<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Parents or carers who are concerned about a child&#8217;s development should also discuss those concerns with an appropriate healthcare professional rather than waiting for difficulties to become more significant.<\/span><\/p><h2><b>Treatment based on the child&#8217;s goals<\/b><\/h2><p><span style=\"font-weight: 400;\">Paediatric physiotherapy should focus on activities that are meaningful to the child and family.<\/span><\/p><p><span style=\"font-weight: 400;\">Goals may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sitting independently<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Taking first steps<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking further<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Falling less frequently<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using stairs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Riding a bike<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joining playground activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participating in PE<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to sport<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining mobility<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Becoming more independent<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The rehabilitation programme can be developed around these practical goals.<\/span><\/p><h2><b>Progress may look different for every child<\/b><\/h2><p><span style=\"font-weight: 400;\">Progress in paediatric physiotherapy is not always measured by reaching a particular milestone by a particular date.<\/span><\/p><p><span style=\"font-weight: 400;\">Depending on the child&#8217;s condition, progress may mean:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Learning a new movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Becoming stronger<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking further<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Requiring less assistance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improving balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participating in more activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining current mobility<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using equipment more independently<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to sport<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">For some long-term conditions, maintaining physical ability can itself be an important rehabilitation goal.<\/span><\/p><h2><b>How long does paediatric physiotherapy take?<\/b><\/h2><p><span style=\"font-weight: 400;\">There is no single treatment timeline.<\/span><\/p><p><span style=\"font-weight: 400;\">The amount of physiotherapy required depends on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The reason for referral<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The child&#8217;s age<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Current physical ability<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether the condition is short or long term<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Recent injury or surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Developmental needs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rehabilitation goals<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Some children may need only a small number of appointments for assessment, advice and exercises.<\/span><\/p><p><span style=\"font-weight: 400;\">Others with more complex or long-term physical needs may benefit from physiotherapy at different stages as they grow and their activities change.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e62daac e-con-full e-flex e-con e-child\" data-id=\"e62daac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51bee65 at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"51bee65\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Frequently asked questions<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff461e6 elementor-widget elementor-widget-accordion\" data-id=\"ff461e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"accordion.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2671\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2671\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What ages can paediatric physiotherapy support?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2671\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2671\"><p><span style=\"font-weight: 400;\">Paediatric physiotherapy is designed for babies, children and young people. The exact age range seen can vary between services.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2672\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2672\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Does my child need a diagnosis before seeing a physiotherapist?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2672\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2672\"><p><span style=\"font-weight: 400;\">Not always. Children may be assessed because of movement, balance, development or musculoskeletal concerns even when a specific diagnosis has not yet been established.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2673\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2673\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help if my child is late walking?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2673\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2673\"><p><span style=\"font-weight: 400;\">An assessment can look at strength, balance, movement development and other factors that may be influencing walking. Where necessary, further medical or developmental assessment may also be recommended.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2674\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2674\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Does physiotherapy for children involve exercises?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2674\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2674\"><p><span style=\"font-weight: 400;\">Yes, but exercises may be incorporated into play, games and normal activities rather than looking like an adult exercise programme.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2675\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2675\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help with frequent falls?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2675\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2675\"><p><span style=\"font-weight: 400;\">Yes. Where falls appear related to strength, balance, coordination or movement difficulties, these areas can be assessed and addressed through rehabilitation.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2676\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2676\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help children with neurological conditions?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2676\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2676\"><p><span style=\"font-weight: 400;\">Yes. Paediatric physiotherapy commonly supports children whose neurological conditions affect movement, muscle tone, balance, mobility or physical independence.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2677\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2677\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help after a child's fracture or surgery?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2677\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2677\"><p><span style=\"font-weight: 400;\">Yes. Once medically appropriate, rehabilitation may help restore movement, strength, walking and confidence following injury or surgery.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2678\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-2678\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help my child return to sport?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2678\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-2678\"><p><span style=\"font-weight: 400;\">Yes. Rehabilitation can gradually progress from basic movement and strength towards running, jumping and sport-specific activities.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2679\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-2679\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Will parents be shown exercises to do at home?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2679\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-2679\"><p><span style=\"font-weight: 400;\">Where useful, parents or carers may be shown exercises, movement activities or play-based strategies that can be incorporated into normal routines.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-26710\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-26710\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Will my child need physiotherapy long term?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-26710\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-26710\"><p><span style=\"font-weight: 400;\">Not necessarily. Some children require only a short period of support. Others with ongoing neurological, developmental or physical conditions may benefit from physiotherapy at different stages as their needs change.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What ages can paediatric physiotherapy support?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Paediatric physiotherapy is designed for babies, children and young people. The exact age range seen can vary between services.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Does my child need a diagnosis before seeing a physiotherapist?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Not always. Children may be assessed because of movement, balance, development or musculoskeletal concerns even when a specific diagnosis has not yet been established.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help if my child is late walking?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">An assessment can look at strength, balance, movement development and other factors that may be influencing walking. Where necessary, further medical or developmental assessment may also be recommended.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Does physiotherapy for children involve exercises?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes, but exercises may be incorporated into play, games and normal activities rather than looking like an adult exercise programme.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help with frequent falls?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Where falls appear related to strength, balance, coordination or movement difficulties, these areas can be assessed and addressed through rehabilitation.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help children with neurological conditions?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Paediatric physiotherapy commonly supports children whose neurological conditions affect movement, muscle tone, balance, mobility or physical independence.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help after a child's fracture or surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Once medically appropriate, rehabilitation may help restore movement, strength, walking and confidence following injury or surgery.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help my child return to sport?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Rehabilitation can gradually progress from basic movement and strength towards running, jumping and sport-specific activities.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Will parents be shown exercises to do at home?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Where useful, parents or carers may be shown exercises, movement activities or play-based strategies that can be incorporated into normal routines.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Will my child need physiotherapy long term?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Not necessarily. Some children require only a short period of support. Others with ongoing neurological, developmental or physical conditions may benefit from physiotherapy at different stages as their needs change.<\\\/span><\\\/p>\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86b0970 e-con-full e-flex e-con e-child\" data-id=\"86b0970\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-771797d at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"771797d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Arrange a paediatric physiotherapy assessment<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a48286 elementor-widget elementor-widget-text-editor\" data-id=\"8a48286\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">An initial assessment can help identify how movement, strength, balance, coordination or development is affecting your child&#8217;s everyday activities.<\/span><\/p><p><span style=\"font-weight: 400;\">From there, a physiotherapy programme can be developed around your child&#8217;s current abilities, individual needs and the physical activities they would like to develop, maintain or return to.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d3d16d elementor-align-left elementor-widget elementor-widget-button\" data-id=\"9d3d16d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/teque7.in\/crestwell\/book-appointment\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book a Paediatric Physiotherapy<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Services Musculoskeletal Physiotherapy General physiotherapy Sports injury clinic Back and neck pain [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1600,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4419","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/comments?post=4419"}],"version-history":[{"count":7,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4419\/revisions"}],"predecessor-version":[{"id":4440,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4419\/revisions\/4440"}],"up":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/1600"}],"wp:attachment":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/media?parent=4419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}