1 Support hips whilst child is in crawling position, with straight elbows, for 10 seconds.
2 Help child place one leg in front, stay there for 10 secs, and then stand by supporting hips moving forward
3 ask child to lean forwards and then stand up with support at the hips. Repeat 5-10 times or as per tolerance
4 From lying down, encourage child to take weight through one hand (with support behind the opposite shoulder), and sit up slowly, taking weight through their own hand
5 hold child's forearms or hands while they lean forwards and keep the stretch for 30 counts and repeat
6 using a short stick, assist child to raise both arms together while keeping movement up and down
7 To decrease tone in wrists, stabilise child’s forearm whilst moving the hand
8 Increasing tone in elbows
9 Sitting balance
10 Sitting balance on ball
11 Standing and reaching
12
13 Standing frame
14 Standing frame alternatives
15 For elbow stretching, gently straighten the arm (if resistance starts, pause, then continue when the resistance has lessened
16 stretching on the wedge
Reaching Encourage arm movement, with reaching
21 Support child's back whilst encouraging their own back movement to gain strength
22 Improving upper limb movement
23 Positioning to encourage head and neck strength
24 encouraging head and neck strength
25 Resting positions
26 Sleeping positions
27 Sleeping positions
30 moving legs and arms when supported on a ball greatly strengthens and encourages balance
32 Moving feet and knees through the available range
33 hold legs appropriate to where long or short leverage is required
34
35
36 : Elbow stretching. gently straighten the arm (if resistance starts, pause, then continue when the resistance has lessened
37
38
39
46
47
48
Teaching The role of the physio is to teach the treatment to parent (carer) enabling them to treat the child
themselves
Inclusion Handicap International has shown that including the child in the community as much as possible is the best way to improve quality of life
53
54
56
59 involving a child in musical activity greatly encourages balance
60 Riding a horse is a wonderful means to gain upper body strength
62
63
64 using bars, encourage child use their own balance as much as possible
65
72 encourage response to music as much as possible to gain innate balance
75 encourage games with a ball to promote innate balance
76 help child use their own balance against the ball
78using bars, help child use their own balance as much as possible
82 Improving upper limb movement
85 Improving upper limb movement using a tyre as swing
91 Learn to reposition in a wheelchair by leaning each way to avoid sores
Teaching transfer from chair to toilet
95 support from sitting in a basket allows movement and stability
97 support movement and stability whilst child plays on rocking horse
98
99
100
101 where necessary, rolling across a bucket helps the child to strengthen
102 where necessary, rolling lengthways on a bucket moving side to side will help strengthening
103 where possible, allow the child to help strengthen upper arms
105 support movement and stability whilst child plays on tilting plank
Treatments
Keep your notes going as you proceed with these treatments
This is potentially the most important legal note because this is the therapists professional opinion in light of
subjective and objective findings. It should explain the reasoning behind all decisions taken and clarify and
support the analytical thinking behind the problem-solving process. How you arrived at the stated goals should be
indicated, as well as any factors that may require modification, such as frequency, duration or intervention itself.
Adverse, as well as positive responses should be documented.
Common errors:
The assessment is too vague e.g.: "Patient is improving"
Spinal Cord Injury Please refer to
this module for Spinal cord injury diagnosis level, management and treatment plans.
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exercises
