What do we offer?
Paediatric Physiotherapy service offers an assessment of physical conditions which impact mobility, function and movement. Following this assessment, a child may receive on-going physiotherapy interventions.
What happens at an Initial Assessment?
Most children are seen for an initial assessment within in a clinic location. However, there may be cases when it is not appropriate for a child/young person to be seen in a clinic, at these times an appointment may be offered at school or nursery or at home. For an initial appointment, we need to obtain written consent for assessment and treatment from the person with parental responsibility. Therefore we would ask that the person with parental responsibility be present at this first appointment. Parental responsibility lies with the mother and, in some cases, the father. For all subsequent appointments, children under 16 years of age will need to be accompanied by an adult.
After introducing themselves to the child/young person and their parents/carers and obtaining written consent, the therapist will usually invite the child/young person and parents/carer’s to tell them about their physical abilities and difficulties. We will need to obtain information regarding early childhood development to include birth history, early childhood milestones, medical conditions and investigations. So it is important that this information is available to inform the therapist.
A physical assessment will then occur with the child/young person. This assessment may require an element of undressing in order for the therapist to fully assess the child/young person. In some situations wearing shorts may suffice. So we recommend that if a young person will be reluctant to undress then to bring some shorts and a vest top to the appointment.
A physical assessment will include observations of the child/young person performing physical activities applicable to their age and abilities. This may include:
- Lying, sitting and standing postures observations
- Moving between positions (for example rolling and getting on and off the floor)
- Walking and running
- Jumping and hopping
- Throwing and catching
- Balance and core strength exercises
Following this, the therapist may want to assess the joints and muscles to feel for any changes in joint or muscle movements.
What happens after the assessment?
At the end of the assessment, the therapist will discuss with the child/young person and parents/carers the findings of the assessment. They will then formulate a treatment plan and objectives in collaboration. Depending upon the assessment findings this may include on-going interventions or onward referrals or advice and education. Please refer to our Interventions offered for further details.