ADITYA RAINBOW HOSPITAL

1.Neurodevelopmental Therapy(NDT):

• NDT is a problem-solving assessment and treatment approach for children with neurological impairments ar a delay in their motor skills.
• Low or high muscle tone, as well as poor strength, may cause dysfunction in postural control and movement.
• This leads to a limitation in functions in motor skills.
• Our therapists are trained in NDT therapeutic handling, assessment, observation and movement analysis.
• With this information, a treatment program can be developed.
• Children with CP, brain injury or deveopment delay may benefit from this form of treatment.

• It consist of a series of very specific exercies designed to strongly provoke the child's automatic righting responses , part of the postural motor control mechanism.
• In this way, the child learns to work against the influence of gravity thought to be the driving force behind sucessful movement.
• As movement responses to the exercise improve, the child develops better skills such as head and trunk control , standing and walking.
• Children with gross motor delay may benefitfrom this type of therapy

• Core strenghening is addresses by ensuring optimal postural alignment in all positions and creatiry strength and awareness of the muscle activation needed to achieve and maintain the alignment.
• In infants , this is developed gradually through handling techniques, specific exercise and seating supports.
• In older children and tears the use of breathinf exo activates the diaphragm and teamwork of muscles that maintain allgnment.
• This can help improve postural stability and mobility during functional movement

• Infants who suffer from brathing problems, as well as asthma , cystic fibrosis, chest physiotherapy is the best option to minimize secretion
• Our physio use different types of techniquesto reduce asthma, clear chest etc

• Infants who is having sucking problems, physiotherapy is te solution.
• polatile physiotherapy helps infants ti improve their sucking reflexes.

Paediatric Physiotherapy

• It works with people of varying ages from premature babies to adolescents to ensure optimal physical function and development.
• The aim is to provide a program that the patient will enjoy while encouraging them to participate and become independent.
• physio also aim to minimise the effects of physical impairment to promote optimum function and musculoskeletal development.
• Advice on activities and stretches offered by the physic can assist in maintains a full range of movement and prevention of contracture.

1. Cerebral palsy:- from mild hemiplegia to severe quadriplegia.
2. Developmental delay:- due to hypotonic with or without diagnosis and may be gross motor or global.
3. Down's and west syndromes
4. Other genetic conditions
5. Muscular dystrophy and spinal muscular atrophy.
6. Brachial plexopathy
7. Premature babies with dystonic.
8. Postual problem :- torticollis, scolliosis, CTEV
9. Respiratcy problem :- cystic fibrosis, pnumonia, asthma.
10. Minimal cerebral dysfunction

• The role of the pediatric physio is to assess the referred child and give parents and carers advice regarding handling, positioning, and treatment through exercise or play.
• Physio works closely with families, carers, teachers, doctors and other health professionals.
• The approach is holistic & practical with an emphasis on gross motor function & posture.
• For better outcomes and most effective treatment results, early referral is the key i.e. before 8 months.
• A range of treatment methods may be used such as neurodevelopmental therapy, motor learning, and hydrotherapy.
• Physiotherapist help to maintain & develop functional skill level and range of movement in order to minimize joint contractors and postural deformities.
• They also prescribe and monitor the use of aids such as orthotics, walking aids and wheelchairs to help maintain independence.

• Each child is unique and presents with his or her own challenge and treatment.
• Part of the assessment process is determining what type of treatment is best suited to your child's needs.
• As pediatrics physio, we believe that itis important to have varied techniques and approaches to meet those needs.

• Pediatric therapists
• sometimes combinations of techniques may be the best way to help your child.