Appendix 19 - Paediatric physiotherapy services
Conversation with senior paediatric physiotherapist Clare Andrews (2018):
“Initial appointment at around 3 months. Children are then reviewed on a 2-3 month basis for the first year and then once their physical progression is clear the frequency can be reduced in agreement with parents.
Once independent walking has been achieved they are assessed to their current need for orthotics / footwear with a referral to orthotics if required. Once independent walking is achieved children are discharged from physiotherapy with advice on activities - normal activities that can be achieved in the home / community environment (parks, soft play etc.) We encourage participation in physical activity to support development of physical skills albeit on a recognised slower attainment of motor milestones.
Referrals to Orthotics, OT etc occur as needs indicate.
Children with Down Syndrome who have an additional / associated disorder, or significant or outside of typically expected achievement times for physical skills attainment may be reviewed more frequently and for longer. Some children stay on as they transition into schools - this is a small number.
Part of pre-discharge assessment is to review foot posture - we make it clear of what we are looking out for and that needs for orthotics can change as a child grows bigger / heavier. We encourage parents to review their child’s foot posture when thinking of buying new shoes.”
Referring to Physiotherapy
Child is pre school - Please complete the pre-school parent questionnaire and attach to the referral form
Child is school aged - Please complete the school aged parent questionnaire and attach to the referral form
Further information
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