During your child’s growing years, the alignment of their bones and muscles can sometimes look a little unusual and there is a big spectrum of normal. Flexible flat feet, bowed or knocked knees are great examples of these. Having this knowledge to aid assessment helps prevent unnecessary treatment but also ensures that the ‘not so normal’ concerns get noticed and sorted. We have close ties with highly skilled paediatric orthopaedic and developmental consultants that we can refer you on to if further investigation and management is warranted.
Comprehensive screening and assessment will be completed with the utilisation of a number of selected assessment tools to let you know the areas your child is doing well in and areas that we need to develop further compared to their age-matched peers.
Louise has been specially trained in The Prechtl General Movements Assessment (GMA) which is an assessment that has been specifically designed to help predict if an infant is at risk of developing Cerebral Palsy. This assessment is completed by reviewing a 5-minute video recording of the infant when they are awake and settled. The assessment can be completed from birth to 20 weeks of age (corrected for prematurity). If your child is not at risk of Cerebral Palsy then this test would not be completed. As part of the assessment, we would observe how your child moves in different positions and interacts with their environment looking again for their strength, coordination, quality of movement, and how they maintain their interest. Find out more at Prechtl’s General Movements Assessment fact sheet.
The HINE is recommended to be completed with the GMA to aid diagnosis. This assessment reviews your baby’s muscle activity, reflexes, strength, posture, movement quality, and cranial nerve function. It is part of the best practice recommendation for the diagnosis of Cerebral Palsy. Find out more at the Cerebral Palsy Alliance.
This assessment allows us to track and measure your child’s gross motor improvements over time across a wide variety of areas such as rolling to walking and jumping. It can be great to help motivate your child to keep trying and practicing new challenging activities, as we sometimes forget other areas that are improving when we are focused on another skill e.g. sitting up without help and improved rolling and crawling skills.
To help understand what is important to you and your child we utilise the ‘F-Words in childhood disability tool’ to personalise therapy to best meet these important areas. If you would like to read more about the F-Words, visit CanChild F-Words Knowledge Hub.