Clinical

Why prescribers need to understand and respect length-tension dynamics and the implications for seating

For individuals with physical disabilities, especially children with conditions like Cerebral Palsy, the way muscles are positioned during sitting can significantly impact comfort, function, and long term health. This blog explores the critical role of the length - tension relationship in muscle function, the risks of prolonged positioning at end range, and why prescribers must consider these factors when recommending supportive seating.

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Similar but different – Standing frames vs walking frames

For children with additional needs, specialist equipment can open up opportunities for physical development much like those available to typically developing children. Two of the most impactful devices are standing frames and walking frames. Both encourage an upright posture, but they serve different purposes and offer unique benefits. In this blog, we will explore the benefits of each and highlight why it's important to have separate standing and walking frames.

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Reframing Our Language in Paediatric Disability: Understanding Behaviour as Communication

In healthcare, the language we choose profoundly affects how we perceive, understand, and respond to our patients. For children with disabilities, and especially those with limited verbal skills, the term “behavioural issues” is often used to describe actions that may appear disruptive or difficult. Yet, this label risks reducing complex behaviours to simple “misbehaviour,” leading us to overlook the essential fact that all behaviour is communication.

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Developing Early Wheelchair Skills

Transitioning an additional needs child from a stroller to a self-propelling wheelchair is a significant milestone in their journey towards independence. As therapists, we play a crucial role in facilitating this transition, ensuring that children not only adapt to using a wheelchair but thrive in doing so. Developing wheelchair skills early is paramount, as it sets the foundation for mobility, independence, and confidence.

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Parent Carer Trauma

Content warning: this article refers to trauma and examples based on parent carers’ lived experiences.  If you do not feel ready to read it now please save and bookmark for a later time when you are able to and have relevant support around you.

It is well recognised that parents of disabled children can be at greater risk of poorer mental health than other parents. What is not always recognised is that they may also be experiencing trauma.

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Activity Ideas for Kids with Additional Needs

As paediatric therapists, we know the importance of encouraging physical activity for the children and young people we work with. However, it can sometimes be difficult to have these conversations when we are aware of how much families are juggling and don't want to guilt them into thinking they aren't doing enough for their child.

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