Why Choose KIDSPHYSIO?
Children are not just miniature adults.
There are a many differences between children, adolescents and adults - physiological, anatomical, cognitive, social and emotional. Illness, disease and disability therefore present differently in children and young people.
A Paediatric Physiotherapist has additional training regarding the way children grow and develop and it is important to choose a physiotherapist with such training for your child.
Some of the differences and how they impact on physiotherapy include:
- Children’s bones grow mainly at specific places at the top and bottom of the bones (growth plates or epiphyseal plates).
- Physiotherapists need to be aware of these areas and when they fuse (stop growing).
- Care needs to be taken with breaks to bones that are on or close to a growth plate.
- Knowledge of growth plates is also important when considering electrical physiotherapy treatments, such as ultrasound therapy. Opinions vary regarding the use of electrotherapy for children, but with no hard evidence that it is safe near epiphyses, caution needs to be exercised.
- Some conditions are specific to children as they affect growth plates, eg Severs, Osgood Schlatters, Sinding-Larsen-Johansson.
- Some other conditions are only seen in children, including torticollis, development delay.
- Children’s bones break in different ways to adult bones. They may have bowing or greenstick fractures which are not seen with adults. Children’s bones heal more quickly than adult bones.
- Muscles develop and change with age. Strength training in younger people should be part of a fitness programme with emphasis on coordination and cardiovascular fitness. It is generally not advised to use resistance training in children under 14, but this does depend on the nature of a child’s condition.
- Children have a proportionately larger skin surface area than adults. As a result, children are affected more quickly and easily by toxins that are absorbed through the skin. Physiotherapists must be careful when considering creams for massage and materials for taping.
- A child’s walking pattern (gait) is different to that of an adult. Toddlers have a wide base of support, reduced arm swing and trunk rotation, their feet are flatter. Many young children will walk on their toes or with their feet turned in. It is important for a physiotherapist to understand the normal variations of walking so they can detect when something is not right and provide appropriate physiotherapy treatment or advice.
- It can be difficult to maintain a child’s interest in an activity until treatment aims have been achieved. Physiotherapists need to understand how children develop cognitively and emotionally so they can provide appropriate activities and change them at the right times to maintain interest whilst still achieving goals.
- Children can find new environments, situations and people challenging. KidsPhysio is able to provide physiotherapy in a child’s own environment so they are more at ease.
- Consideration is needed for a child’s family, parents and siblings.
- Our Physiotherapists try to involve siblings within treatment sessions where appropriate.
- We try to arrange appointments outside school hours to minimise disruption to a child’s education.
- We provide advice on activities, clubs and groups which your child may enjoy.