Read up on the latest news, tips & clinical advice published by the Leckey clinical team alongside guest blog articles from a range of healthcare professionals.
We'll be sharing informative content surrounding topics such as toileting, postural management, early intervention, managing Cerebral Palsy and much more. For a more in depth look and additional clinical advice, you can join our regularly scheduled, live webinars. Sign up to our mailing list to stay informed.
A recent paper from CanChild has reignited a discussion among the Leckey clinical team – one which I’m sure is familiar to many therapists – how to apply the ICF-CY in everyday practice? The paper, ‘Parenting a Child with a Neurodevelopmental Disorder’ (Rosenbaum and Novak-Palik, 2021) explores the transformative effect that the ICF-CY framework and the F-words have had on childhood disability. It looks beyond the diagnosis and ‘fixing’ the child through intervention, to understanding the importance of parent perspectives and the role of the family unit as essential elements in paediatric development.
For many therapists, it is incredibly frustrating when, after providing a productive therapy session, we set up a child with non-typical development in "optimal" sitting posture only to find shortly after that the child looks nothing like how they were first positioned. The pelvis begins to tilt posteriorly, the child slides forward in their seat, the trunk starts to round out (causing thoracic kyphosis), the cervical spine is hyperextended, and the chin pokes forward. Eventually, the child's caregiver or teacher brings the child back to therapy and asks us, the therapists, to "fix" the seating system.
24-hour postural management is a planned programme that considers all relevant positions a child uses throughout the day and intervenes to improve or maintain body shape while promoting the child's functional development. A postural management plan tries to incorporate a neutral body position into the three core postural orientations of lying, standing and sitting posture. However, we know that the role of the pelvis is significant to creating these positions and deserves our full attention when we are attempting to incorporate positioning strategies into the child's activities, from bathing to floor play to upright movement.
Hippotherapy, derived from the Greek word ‘hippos’, meaning horse, is a form of physical therapy for children and adults that uses the motion of a walking horse to provide therapeutic movement to the rider. It is a treatment that is used to bring about change in children and adults, in areas including balance, strength, sitting posture or sensory deficits. But what should you know about this unique style of therapy?
The squat posture can stretch tight muscles, reduce straining, and assist natural physiological function. The resulting toilet training success will have a positive impact on activity, participation, and quality of life for both the child and the family. Now there is a child-sized product to support this functional posture the only question that remains is when are us adults going to catch up?
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The Firefly range of portable products are all about participation. These posturally supportive products are clinically sound, practical and fun, ensuring children with additional needs can take part in everyday life. As well as products, Firefly facilitates an online community where advice and experiences are shared between parents, therapists and charities.