Clinical

Addressing 24-Hour Activity Behaviours of Children With Cerebral Palsy

31 August 2022

A recent study showed that 0% of children with Cerebral Palsy (CP) at GMFCS Level III are reaching all the recommended guidelines for activity or sleep. How do we address this as part of a 24 hour postural management programme?

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Measuring Progress in Walkers and Gait trainers: Where do we start?

The way we view childhood disability is changing.  As physiotherapists, we are being encouraged to shift our attention away from purely addressing a child’s body structure and function (that is interventions which focus on muscle length or strength) to a more holistic approach - one which understands how the child participates at home, at school and in their community.

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Breaking the cycle of asymmetries using 24-hour postural management

For those of us who work with children with disabilities, we seem to intuitively know that if the child stays in one position too long, then the body will take the "shape" of that position, and if the position is not in good alignment, the child will begin to develop postural asymmetries. So, we try to create a program that offers alternative positioning throughout the day while supporting the child to prevent asymmetries.

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Pros & Cons To Common Approaches To Toilet Training

When it comes to children with additional needs, toilet training can understandably get pushed down the priority list, but the earlier you can make a start, the easier it will be.

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MyWay Pedal and Guidelines For Exercise

The recent publication in the UK of the first activity guidelines for children and young people with disabilities, got me thinking: how do we encourage children to achieve the recommended 120-180 minutes of physical activity per week?

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8 Exercises That Can Help To Manage Constipation

23 February 2022

Even with a varied diet, children with limited mobility can still get constipated. Less movement means that the bowels work less effectively, but research shows that some stretching exercises can help reduce constipation (Awan & Masood, 2016).

If you are on a toileting journey with your child, these eight stretches are a great place to start to help manage constipation. You should aim to hold each stretch for 30 seconds, and repeat 2-3 times. 

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