Telehealth for Adults!
During this time of social isolation and social distancing, it can be difficult coordinating the maintenance of your fitness and your flexibility with the demands of telehealth programmes for your children.
Therapies for Kids is Sydney’s premier paediatric therapy centre. We have converted our entire range of therapy programmes to a telehealth (virtual online) video conferencing format. Musculoskeletal strength and conditioning is a core part of our physiotherapy programmes for your children, but in a telehealth format where you are the therapist’s hands, you may find that you need a bit of strength and conditioning to keep up as well!
While we want (and need) your involvement in the telehealth treatments, you may find yourself using certain muscle groups that you haven’t used in a while and the last thing we want is for you to strain something. Injury prevention is paramount to staying healthy so James Bassil (one of our physios) will develop a personalised program to assist you.
Prior to joining Therapies for Kids, James has worked with adults and children in the sports and musculoskeletal area. James is a skilled clinician in assessing and treating complex, acute and chronic musculoskeletal injuries, so he knows full well what is needed to prevent such injuries occurring.
Download the brochure here and/or call our reception (02 9519 0966) for more information.
These groups are conducted in school holidays and involve small groups (up to 4 children) addressing handwriting needs such as grip, hand strength, fluency, formation, or speed over 3 consecutive sessions.
Fun Fingers and Hand Groups
This group is primarily aimed at Kindergarten children looking at developing hand strength, fine motor skills, and pencil and scissor skills. It is usually run at the end of Term 1 or 2.
Social Skill Groups
This group is run in the school holidays for children who need to develop social skills and their peer interaction skills. It involves role plays and common issues that arise in social settings.
School Readiness (for preschoolers attending school the following year)
This group is run in Terms 3 and 4 for children the year before they start Kindergarten. It aims at developing hand strength, hand dominance, fine motor skills, scissor skills, pencil skills, self-care, and social interaction skills.
Life Skills (for 8 year old plus)
A fun and social way to learn and practise everyday skills, such as good hand washing, making toast/sandwiches, dressing, and tooth brushing
Bike riding on two wheels is such a big milestone for any child and the smile on their face when they first do is priceless! In our busy lifestyles and urban living, it is often hard for parents to find the time to put in enough practice, or to know how to approach the transition from training wheels.
Many children who find the acquisition of motor skills difficult, who are anxious, or lack confidence, find bike riding difficult to achieve. As being able to ride a bike with your peers is such an important motor, fitness and social milestone, we feel it is a skill that we would like all children to achieve.
At Therapies for Kids we have the experience to assist you and your child with the transition from trainer wheels to two wheeler easier than you can imagine for kids of all ages and abilities. We run school holiday group programs, individual sessions, or if you like, organise your own group and give us a call.
What does a podiatrist do?
Podiatrists deal with the prevention, diagnosis, treatment, and rehabilitation of medical and surgical conditions of the feet and lower limbs. Children’s feet differ from those of adults as they are not fully formed. With this in mind, the podiatrist and physiotherapists at Therapies for Kids are aware of the developmental milestones and patterns of growth of children’s feet and feel we need to provide a collaborative and innovative approach to the management of lower limb problems for children and adolescents. To provide this, we have a regular clinic with both podiatry and physiotherapy input.
Conditions affecting bones, joints, and the tissues around them are described as ‘musculoskeletal’ or ‘orthopaedic.’ Because there are many physiological and anatomical differences between children and adults, children require a specialised approach to their orthopaedic management. The physiotherapists at Therapies for Kids always consider these differences when assessing and treating children.
When children first start walking they will often walk on their toes or with their feet turned in. This is quite normal, but usually improves by the time they are 6 or 7. Sometimes, as children grow, they develop an uneven walking pattern which can be improved with physiotherapy.
Common Foot Problems in Children:
Pronation (Flat Feet, Over-Pronated Foot Type)
This is a very common condition and refers to when the arch or instep of your foot is less curved or low, often with the heels rolling in than that what would be required for normal walking biomechanics. The mechanical malalignment of over-pronation is common in all age groups and occurs as a part of the natural development process of a child’s foot. In a child, as the bones are forming over time, the structures are becoming strengthened as required for walking and running. This usually resolves by the time the child is 3 to 5 years of age. If, however, your child still has ‘flat feet’ or is getting leg pains at night by the age of 3, it is important to get this evaluated by our podiatrist.
Although your child may grow up to have flat feet or low arches, excessive pronation can later contribute to foot, ankle, leg, knee, hip, and lower back pains, with an unsupported posture that can be corrected
Supination (High-Arched Feet, Supinated Foot Type)
Less common in society, but similarly to flat feet, supination can cause problems with the lower limb alignment with walking and running biomechanics of the rest of the body. A child that presents with a high arch or feet that roll out can increase the risk of injuries, such as ankle sprains and fractures, because as the child’s foot rolls outwards, it makes it stiff and potentially less stable to stand.
Toe walking, tip toe, or walking on the balls of the feet can occur very early, as your child is beginning to learn how to walk between 12-20 months. Most children will stop toe walking, however, sometimes this can occur with neuromuscular diseases such as:
Cerebral Palsy - Muscular Dystrophy - Muscular Atrophy
Often muscular causes, such as tight Achilles tendons and calves, however, there is in some cases ,such as autism, that may walk on their toes. The complications with toe walking is that the gait becomes imbalanced, awkward, and unstable, which can lead to injuries.
Adducted Gait (In Toeing or Pigeon Toe Walking)
If your child appears to be waking in-toed it can be attributed to a number of causes, such as stemming from the hip, thigh, or lower leg and feet. This condition can be functional, such as muscles, tendons, and ligaments, or it can be structural, such as bone alignment. Like a lot of leg conditions, children who walk in-toed may correct, however, it is important that as parents you have this assessed, and if needed, treated to prevent injuries and more serious conditions in their future, such as lower back, hip, knee, and ankle issues.
Sever’s Disease - Calcaneal Apophysitis (Heel Pain, Growing Pains)
Severs Disease, also known as calcaneal apophysitis, is associated with the inflammation of the growth plate of the calcaneaus, or the heel bone. This condition is often seen in our practice in active children between the ages of 8-13 years in girls and 10-15 years in boys and is the most common cause of heel pain in children.
During adolescence, bone growth plates develop in a process where cartilage is replaced by bone. It is understood that due to overuse, sudden increase in activity, and rapid growth spurts, this process is disrupted causing inflammation and pain when walking and running. Often children at risk for developing this condition present with either a flat or high arched feet, poor-fitting shoes, one leg shorter than the other, or weight gain and obesity.
Osgood-Schlatter Disease (Knee Pain, Growing Pains)
Osgood-Schlatter Disease is a condition that we see that often occurs in athletic or active children between the ages of 10 and 15. Generally, this is an overuse injury of the knee in running and jumping sports. Commonly, your child may complain of pain just below the knee cap with the tenderness worse during or after activity or exercise.
Just like in Sever’s Disease (another growing pain), this presents as a result of the disturbance during a period of a rapid growth spurt. The growth plate in this disease or condition is an injury due to tension of a tendon of quadriceps (front thigh muscles) which is located in a bony area at the top of the tibia (shin), just below the knee.
Congenital Talipes Equinovarus (Club Feet)
This is the most common birth defect. This is a rigid, non-reducible or fixed congenital deformity better addressed at the earliest of ages. Studies highlights that it occurs more in males and may occur in only one lower limb as opposed to both. The child’s legs are “bowed” or turn inwards, and feet are in a twisted position facing the centerline of the body (clawed), so that if the child walks, it is on the outside edge of the foot.