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Physiotherapy for children in Edmonton AB

Pediatric Physiotherapy

At Pine Cone Health, we believe that children get the most out of their rehab when they are engaged, challenged and most importantly having fun!! Our Pediatric Physiotherapy strives to improve and enhance your child’s development and physical functioning through creative and engaging exercises, which may look like a lot of fun and play. Our therapists use their neurological, orthopaedic and developmental skills to help reach their functional goals. We believe in “family centered care” and that rehab continues in the home as well. We will work with parents and caregivers so they can continue doing rehab in their home to further help their child grow and reach their full potential.

Pediatric Physiotherapy Services We Provide

childrens physiotherapy edmonton
 

 

Bedwetting

One of the great parenting challenges. This can be such a difficult issue for both children and parents and it’s more common than people might think. Our pediatric pelvic floor Physiotherapist will help to identify what is contributing to night time (or daytime) wetting. We will look at behavioural impacts such as bladder habits, hydration, digestion, and physical activity. Then we will also address any specific control issues that fall under the role of the pelvic floor muscles. There is no internal exam of children but learning how to strengthen, and relax, the pelvic floor muscles is an important part of curing bed wetting

Physio therapist assessing head baby head shape
 

 

Head Shape and Torticollis

For infants who have torticollis/ and head shape (neck tightness and skull deformities) concerns, we will perform a comprehensive assessment and come up with a customized treatment program for your child.

This may include stretching and strengthening of weak and tight muscles, repositioning advice to help with skull deformity and ongoing follow up. With early intervention these conditions can be treated easily and effectively.

Working on motor skill in children

 

 

Gross Motor Development Therapy

Are you a new mom and worried that your child isn’t rolling, sitting, crawling, walking or jumping yet? Do you have questions about your infant or child’s development? We are here to help. Through formal and informal assessments, and looking at how your child moves we can provide you with recommendations on things that you can do at home to prevent further delays and how to improve their skills in a fun and exciting manner. We also work with children who have a confirmed disability or condition to improve their development and participation.

Stacking toys working on babies fine motor skills

 

 

Fine Motor Development Therapy

Precision movements of the hands, fingers, feet, toes are called fine motor skills. These are the skills that allow us to pick up small objects, use cutlery, write, play the piano, and do almost all of the tasks that we need to get done in a day! Fine motor skills develop from a strong core and stable base.

Our Physiotherapists will help to identify why your child might be having difficulty with precision tasks and make a plan to work on them. Treatment will consist of play based therapy in clinic, and recommendations for how you can support this skill development in your child at home.

Infant in tummy time with Mom and therapist
 

 

Tummy Time

It is easier said than done!! We know how important tummy time is for a child’s development and preventing head shape concerns, but some babies just don’t like it. That’s where pediatric physiotherapy comes in. As physiotherapists, we can show you different ways of doing tummy time and find ways that work best for your baby. That way you can feel confident you are on the right track and go home with a toolbox of ideas to keep practicing.

Walking on uneven surfaces to help toe walking
 

 

Toe Walking

Toe walking is a pattern of walking on the balls of your feet without your heels touching the ground. In the absence of another medical condition we call this “idiopathic toe walking”. Walking on your toes can lead to a variety of issues.  There are a variety of strategies we can provide to help curb this pattern before it gets even harder to correct.  Early detection and correction is key.

Pediatric Physiotherapists

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We are here to help you grow your health!

Kristine Fairbanks
Kristine Fairbanks
Kids can benefit from physiotherapy, find it at Pine Cone Health
Calista Naismith (she/her)
holly thompson
Holly Thompson
lauren-richardson-kids-physiotherapist
Lauren Richardson
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Some of the Struggles We Can Help Your Child or Teen With:

Bedwetting

Pelvic pain

Constipation

Gross Motor Delays

Fine Motor Delays

Global Developmental Delays

Low Muscle Tone

Juvenile Rheumatoid Arthritis

Positional Plagiocephaly

Brachycephaly

Toe Walking

Torticollis

In-toeing

Cerebral Palsy

Brain Injury

Down Syndrome

Autism Spectrum Disorder

Delays Resulting from Premature Birth

Other Neurological Conditions

Sports & Orthopaedic Injuries

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How Do I Know if My Child Needs Physiotherapy Treatment?

How Do I Know if My Child Needs Physiotherapy?

A children’s physiotherapist can help your child reach the motor milestones detailed below, and ensure that they are moving in a way that best supports their physical development. The following chart provides information on milestones and warning signs to look for, broken down by your child’s age.

Motors Skill Milestones for Children from Birth to Age 6:

* Credit to pathways.org for the chart information

Milestones Warning Signs
While lying on tummy, pushes up on arms Difficulty lifting head
While lying on tummy, lifts and holds head up Stiff legs with little or no movement
Able to move fists from closed to open Keeps hands fisted and lacks arm movement
Able to bring hands to mouth Pushes back with head while lying on back
Moves legs and arms off of surface when excited

Milestones Warning Signs
Uses hands to support self while sitting Sits with a rounded backs
Rolls from back to tummy and tummy to back Poor head control and unable to lift head
While standing with support, accepts entire weight with legs Difficulty bringing arms forward to reach out
Reaches for nearby toys while on tummy Arches back and stiffens legs when pulling to a sit
While lying on back, reaches both hands to play with feet Holds arms back and has stiff legs in a supported stand
While lying on back, transfers a toy from one hand to the other

Milestones Warning Signs
Sits without support Uses one hand predominately
Sits and reaches for toys without falling Rounded back when sitting, inability to straighten back
Moves from tummy or back into sitting Poor use of arms in sitting
Starts to move with alternate leg and arm movement e.g. creeping, crawling Difficulty crawling
Picks up head and pushes through elbows during Tummy Time Uses only one side of the body to move
Turns head to visually track objects while sitting Cannot take weight on legs
Shows more control while rolling and sitting Does not transfer toys from one hand to the other
Picks up small objects with thumbs and fingers
In simple play imitates others

Milestones Warning Signs
Pulls to stand and cruises along furniture Difficulty getting to stand because of stiff legs and pointed toes
Stands alone and takes several independent steps Only uses arms to pull up to standing
Moves in and out of various positions to explore environment and get desired toys Sits with weight to one side
Maintains balance in sitting when throwing objects Strongly flexed or stiffly extended arms
Claps hands Needs to use hands to maintain sitting position
Releases objects into a container with a large opening Poor head control in upright position
Uses thumb and pointer finger to pick up tiny objects

Milestones Warning Signs
Walks independently and seldom falls Unable to take steps independently
Squats to pick up a toy Poor standing balance, falls frequently
Stacks two objects or blocks Walks on Toes
Doesn’t pull to stand
Can’t crawl to climb stairs
Doesn’t use pincer grasp (thumb and forefinger) to hold small objects

Milestones
Is frequently moving in and out of various positions (e.g. crawling, climbing, cruising, and walking) to explore and get desirable objects Coordinates movements needed to play and explore
Usually walks with heel toe pattern and not primarily on toes Uses both hands equally to play with and explore toys
Enjoys and seeks out various ways to move and play Has adequate endurance and strength to play with peers
Can maintain balance to catch ball or when gently bumped by peers Is able to throw and attempt to catch ball without losing balance
Uses hands to help move from one position to another

Milestones
Enjoys and seeks out various ways to move and play Has adequate endurance and strength to play with peers
Uses hands to help move from one position to another Coordinates movements needed to play and explore
Usually walks with heel toe pattern and not primarily on toes Can maintain balance to catch ball or when gently bumped by peers
Is able to walk and maintain balance over uneven surfaces Walks through a new room without bumping into objects and people
Is able to throw and attempt to catch ball without losing balance Only leans on furniture, walls, or people and sits slumped over when tired
Coordinates both hands to play, such as swinging a bat or opening a container Uses both hands equally to play and explore toys
Coordinates hand and fingers

Milestones
Enjoys and seeks out various ways to move and play Has adequate endurance and strength to play with peers
Coordinates movements needed to play and explore Usually walks with heel toe pattern and not primarily on toes
Can maintain balance to catch ball or when gently bumped by peers Is able to walk and maintain balance over uneven surfaces
Walks through new room without bumping into objects or people Only leans on furniture, walls or people and sits slumped over when tired
Is able to throw and attempt to catch ball without losing balance Coordinates both hands to play, such as swinging a bat or opening a container
Coordinates hand and finger movement needed to participate in table top games and activities Is able to color and begin to imitate shapes
Is able to maintain good sitting posture needed to sit in chair Uses appropriate force when playing with peers or pets or when holding objects

If your child is not meeting several milestones or is demonstrating any of the warning signs, they may benefit from physiotherapy.

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Meet the Edmonton Pediatric Physiotherapy Team

lauren-richardson-kids-physiotherapist
Lauren Richardson

Licensed Physiotherapist

Pediatric Physiotherapist

  • Paediatric Head Shape (Plagiocephaly and Torticollis)
  • Gross Motor Delays

  • Delays Resulting from Premature Birth
  • Torticollis
  • Positional Plagiocephaly and Brachycephaly
  • Cerebral Palsy
  • Low Muscle Tone
  • Intoeing
  • Toe Walking
  • Brain Injury
  • Down Syndrome
  • Autism spectrum disorder
  • Juvenile rheumatoid arthritis
  • Other Neurological Conditions
  • Sports and orthopaedic injuries

Book Appointment
Holly Thompson

Licensed Physiotherapist

Pediatric Physiotherapist

  • Cerebral Palsy
  • Spina Bifida
  • Global Developmental Delay
  • Down Syndrome
  • Autism
  • Developmental Coordination Disorder
  • Scoliosis
  • Idiopathic Toe Walking
  • Plagiocephaly
  • Torticollis
  • Chronic Pain

Holly graduated from the University of New Brunswick in 2007 attaining her Bachelor of Science in Kinesiology. She went on to continue her education at the University of Alberta and graduated in 2010 with a Master of Science in Physical Therapy.

Holly has always had a passion for children and began her physiotherapy career working with preschool, kindergarten and school aged children at a local school. Holly has worked with children with a variety of neurological and orthopedic conditions included but not limited to cerebral palsy, spina bifida, global developmental delay, down syndrome, autism, developmental coordination disorder, scoliosis, idiopathic toe walking, plagiocephaly and torticollis.

Building connection with children and families and helping them attain goals and milestones through play and fun makes working with children a constantly changing, exciting and the most rewarding job to have.

Book Appointment
Children love to be active, physio can help!
Kids can benefit from physiotherapy, find it at Pine Cone Health
Calista Naismith (she/her)

Licensed Physiotherapist

Pediatric Physiotherapist

Children & Teens (age 3+)

  • Transgender Pelvic Health Physio
  • Musculoskeletal Physio
  • Daytime Incontinence
  • Bed Wetting
  • Constipation
  • Bowel Leakage
  • Imperforate Anus
  • Hirschsprung’s Disease

I see kids for Pediatric Pelvic Health Physiotherapy starting at the age of 4-5 years old. Pediatric Pelvic health Physiotherapy includes treatment for daytime incontinence, bed wetting, constipation, bowel leakage, imperforate anus and Hirschsprung’s Disease. Treatment for constipation can begin from the age of four all the way into adulthood and for urinary disorders, such as bed wetting, can start at the age of five all the way into adulthood. Unlike adult pelvic health physiotherapy there are no internal exams involved. The only time an internal assessment would be done is if the following three are present: previous surgical bowel correction, it is deemed necessary for treatment, and child and parent are both comfortable.

Even though treatment does not involve an internal assessment children are still taught how to engage their pelvic floor through specific cueing and assessment is done on top of clothing. All assessment and treatment is thoroughly explained to the guardian and child and tailored to what is comfortable. Treatment as stated includes pelvic floor training, education, breathing exercises, daily schedule and habit retraining and core strengthening. Treatment is very specific to what each child is experiencing because even what causes something like bed wetting is not universal.

I love working with kids because they are intuitive to what is going on around them and what is causing their problem. They achieve success quickly as their bodies change and modify much faster than adults. Kids are also fun and motivated. When working with pediatrics there is often a psycho-social aspect to their diagnosis which makes them motivated to see change quickly.

Building connection with children and families and helping them attain goals and milestones through play and fun makes working with children a constantly changing, exciting and the most rewarding job to have.

Book Appointment
Jillian Palmer

Licensed Physiotherapist

Pediatric Physiotherapist

  • Gross Motor Assessments for Children (preschool and up)
  • Urinary Incontinence
  • Pelvic/Low Back/Abdominal Pain
  • Post Abdominal / Pelvic Surgical Rehab
  • Core Strengthening
Book Appointment
Jill Palmer
Kristine Fairbanks
Kristine Fairbanks

Licensed Physiotherapist

Pediatric Physiotherapist

  • Gross Motor Assessments for Children
  • Gross Motor Delays

Book Appointment
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