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Pediatric PT for Toe Walking: Treatment and Strategies

7/1/2025

At Leaps and Bounds Pediatric Physical Therapy, we often work with families who are concerned about their child’s walking pattern—particularly when a child walks on their toes instead of using a typical heel-to-toe gait. Toe walking is common in toddlers who are just learning to walk. Between the ages of 10 to 18 months, it's not unusual for children to walk on the balls of their feet as they explore their mobility. Most children naturally grow out of this phase by around age two-three. However, if your child continues to toe walk beyond that age, it could be a sign that further evaluation and support are needed. In this blog,
Dr. Bassem will help us to understand toe walking and how PT can help!

What Causes Toe Walking?
There are a variety of reasons why a child might toe walk. In some cases, it’s idiopathic, meaning there’s no clear underlying cause. About 5% of otherwise healthy children fall into this category and often grow out of it over time.
Other times, toe walking may be related to neurological conditions like cerebral palsy, muscular dystrophy, or sensory processing disorders, including autism. Physical limitations such as a tight Achilles tendon or shortened calf muscles can also prevent the heel from touching the ground. Some children simply develop a habit of toe walking, especially if they have muscle tightness or favor that gait pattern. In a few cases, a family history of toe walking suggests there may even be a genetic component. At Leaps and Bounds PT, we take a compassionate, child-centered approach to treating toe walking. We believe in working closely with families to create a therapy plan that fits your child’s needs while keeping therapy engaging and enjoyable.
Our pediatric physical therapists are experienced in identifying the root causes of abnormal gait and using evidence-based strategies to help your child develop a more functional and comfortable way of walking. Here’s how we help: For children with sensory processing challenges, we incorporate a sensory diet into their therapy. Using tools like vibration board or sensory stepping stones, we provide targeted input to the bottoms of the feet to help children feel more grounded and take more confident steps.

Hands-On Therapy
We use soft tissue mobilization techniques on the feet, ankles, and calves to reduce tightness, improve circulation, and enhance sensory feedback. This helps relax overactive muscles and prepares the body for more effective movement. Stretching and Strengthening Our therapists lead children through gentle stretching routines to improve flexibility, particularly in the calves and Achilles tendon. We also focus on strengthening exercises to support better posture and walking patterns.

Functional, Play-Based Exercises
What sets Leaps and Bounds apart is our ability to make therapy fun and meaningful. We incorporate activities such as:
● Seated scooter boards
● Obstacle courses with textured surfaces and movement challenges
● Animal walks like bear crawls or crab walks
● Backward walking and heel walking
● Climbing stairs, pulling/pushing weighted objects, and balance games
These exercises are not only enjoyable but also essential for improving coordination, balance, and overall motor skills.

When More Support Is Needed
While many children benefit from conservative physical therapy, some may need additional support. At Leaps and Bounds PT, we collaborate with families and medical providers to determine the best course of action. This may include:
● Bracing with ankle-foot orthotics to help stretch the calves and promote heel contact.
● In rare cases, surgical intervention may be considered.

Why Early PT Matters
Toe walking can affect more than just how your child moves—it can impact their balance, coordination, muscle development, and even confidence. At Leaps and Bounds PT, we believe that early evaluation with a PT can make a lasting difference. Our goal is to help your child move with ease, confidence, and joy. Whether your child is just starting to toe walk or has been doing so for a while, we’re here to help guide you through every step of the journey with expert care and a personalized approach.

Tommy John Surgery in Young Athletes: What Parents Need to Know

6/1/2025

At our pediatric physical therapy office, we often work with young
athletes recovering from injuries. One of the most talked-about
surgeries in youth baseball is Tommy John surgery, a procedure
to repair the ulnar collateral ligament (UCL) in the elbow. While this
surgery can be successful, the best approach is injury prevention--
starting with Dr. Brianna's proper pitch count guidelines for kids.

What is Tommy John Surgery?
Tommy John surgery, named after the MLB pitcher who first underwent the procedure, is a reconstructive surgery that replaces a damaged UCL with a tendon from another part of the body. This injury is most common in baseball pitchers due to the repetitive stress placed on the elbow during overhand throwing.

Why Are Kids Getting Tommy John Surgery?
The increasing frequency of Tommy John surgery among young athletes is concerning. Overuse, improper throwing mechanics, and lack of adequate rest are major contributors. Specializing too early and playing year-round baseball without breaks can significantly increase the risk of UCL injuries.

Pitch Count Guidelines for Injury Prevention
One of the most effective ways to prevent UCL injuries is to follow established pitch count recommendations. The guidelines from organizations like Little League Baseball and USA Baseball help ensure that young pitchers do not overwork their developing arms. Here are some general recommendations:
·Ages 7-8: 50 pitches per game, 75 per week, and at least two days of rest after 20+ pitches.
·Ages 9-10: 75 pitches per game, 100 per week, and at least two days of rest after 20+ pitches.
·Ages 11-12: 85 pitches per game, 100 per week, and at least three days of rest after 35+ pitches.
·Ages 13-16: 95 pitches per game, 125 per week, and at least three to four days of rest after 40+ pitches.

Additionally, young pitchers should avoid throwing breaking balls (like curveballs and sliders) until their arm is more developed, typically around age 14-16.

Strength and Conditioning for Injury Prevention
Physical therapy and targeted strength training can help reduce injury risk. Exercises that focus on shoulder stability, core strength, and proper throwing mechanics are key components of injury prevention. Stretching and recovery routines are equally important in keeping young athletes healthy.

While Tommy John surgery can help athletes return to the game, prevention is always the best strategy. Parents and coaches should monitor pitch counts, ensure proper rest, and encourage young players to participate in multiple sports to avoid overuse injuries. If your child is experiencing elbow pain or discomfort, early intervention with a pediatric physical therapist can make all the difference.

At our clinic, we specialize in helping young athletes stay strong, recover effectively, and prevent injuries. Contact us today to learn more about injury prevention programs for your child!

Helping Children Learn Through Effective Feedback

5/1/2025

When it comes to supporting children's development—especially in
therapy settings—how we give feedback can make a big difference.
The right kind of feedback not only guides learning but also builds
confidence, encourages persistence, and fosters a sense of ownership
in their progress. In this post, Dr. Bassem will explain different
types of feedback that can help children grow and succeed, with
practical examples to use during therapy sessions.

Types of Feedback To Help Children Learn:
1. Formative Feedback: Given throughout a therapy session to guide and encourage the
child’s progress.
Example: Offering immediate feedback during a therapy session, like “Let’s try that
again, but keep your knee straight.”

2. Summative Feedback: Provided after a therapy session or set of sessions to evaluate
the child’s progress toward their goals.
Example: Reviewing the child’s ability to complete specific activities or achieve
milestones, like walking a certain distance or improving muscle strength.

3. Self-Assessment Feedback: Allows children to reflect on their own therapy goals and
progress. It encourages ownership of their improvement and builds awareness of their
abilities.
Example: After completing a task, ask the child how they think they did and what they
feel they could improve.

4. Positive Feedback: Reinforces good behaviors and accomplishments with compliments
or small rewards to encourage continued effort.
Example: Saying, “I’m so proud of you for completing the obstacle course! You worked
hard and made great progress!”

5. Constructive Feedback: Helps children understand where they need to improve and
provides specific guidance on how to correct it.
Example: Gently pointing out that the child needs to correct their posture during an
exercise and showing them how to adjust.

6. Balanced Feedback: Combines praise with specific suggestions for improvement,
ensuring the child feels encouraged but also understands what to focus on next.
Example: “You did an awesome job with your squats today! Let’s work on bending our
knees a little more next time.”

7. Timely Feedback: Providing feedback right after a task or exercise helps children
connect their actions with the suggestions for improvement.
Example: Offering encouragement right after a child completes a challenging task, like
climbing steps: “Nice job! You almost made it to the top! Let’s try again and see if we can
get there together.”

8. Action-Oriented Feedback: Helps children know exactly what they need to do next to
improve and makes the process of learning new skills clear and achievable.
Example: Suggesting a new activity or challenge that the child can work on to build
strength, such as adding resistance bands to an exercise to increase difficulty.

A Spring in Your Step: Jumping Fun for Pediatric PT!

4/1/2025

We believe movement is magic—especially when it comes to jumping! Jumping activities are not just fun; they play a vital role in developing strength, coordination, balance, and confidence in children. Whether your little one is working on motor skills, building endurance, or just needs a little extra encouragement to move, incorporating jumping exercises can make physical therapy engaging and effective. Check out some of Dr. Brianna's favorite jumping activities to keep your child active and smiling!

1. Hopscotch Happiness
This classic game is fantastic for balance, coordination, and lower-body strength. Use chalk outside or tape indoors to create a hopscotch board and encourage kids to hop on one foot or jump with both feet together. For an added challenge, have them pick up small objects while hopping!
2. Trampoline Time
Mini trampolines are a great way to work on proprioception, balance, and leg strength in a safe and controlled environment. Supervised bouncing sessions help kids improve coordination and even offer sensory input that can be calming and regulating.
3. Lily Pad Leaps
Place floor markers, mats, or even pillows on the ground as "lily pads." Have children jump from one to another, encouraging them to vary their jumping patterns—two feet together, single-leg hops, or side-to-side jumps. This activity enhances motor planning and agility.
4. Jump Rope Jamboree
Jump rope is an excellent way to build endurance, timing, and rhythm. Start with simple two-foot jumps and progress to more advanced moves like alternating feet or crossing the rope. If a full jump rope is too challenging, try using a smaller rope for individual jumps.
5. Animal Jumps
Encourage kids to imitate different animals as they jump! Frog jumps, kangaroo hops, and bunny bounces are fun ways to build leg strength and engage core muscles. Turn it into a game by calling out different animals and having kids switch their jumping style accordingly.
6. Obstacle Course Challenges
Set up an obstacle course with cones, hurdles, and balance beams where kids must jump over, onto, or through different elements. This not only builds strength but also enhances sequencing and problem-solving skills.
7. Balloon Bounce
Blow up a balloon and challenge kids to keep it in the air using jumps! This activity promotes endurance, coordination, and reaction time, making it a fantastic way to get kids moving without them even realizing they’re exercising.

Why Jumping Matters
Jumping isn’t just about play—it’s a fundamental skill that contributes to overall physical development. It strengthens bones, improves cardiovascular health, and enhances body awareness. For children in physical therapy, jumping exercises can be tailored to target specific motor skills while keeping sessions fun and engaging.
Here at Leaps, we make movement exciting, helping every child develop the skills they need to thrive. Try out these activities at home or in therapy sessions, and watch your little one soar—one jump at a time!

Ready to Get Moving?
If your child could benefit from fun, movement-based therapy, we’d love to help! Contact us today to learn more about our pediatric physical therapy programs. Let’s put a spring in their step together!

Understanding Torticollis & Plagiocephaly

3/1/2025

What is Torticollis?
Torticollis is a condition where an infant experiences limited neck movement, causing their head to tilt to one side and their chin to rotate toward the opposite side. The muscles involved are the sternocleidomastoid, trapezius, and scalenes, which are responsible for the head and neck’s movement and stability. In some cases, a small mass called a fibrous tumor can form in the affected muscle, though this is not always present.

When these muscles are tight, they can affect a baby’s ability to control their head properly. This may reduce strength and movement on the affected side, delay motor skills such as rolling or sitting, and make it difficult for the baby to fully turn their head or track objects on the opposite side. In severe cases, poor head control can prevent the baby from repositioning themselves in their crib, which can contribute to plagiocephaly. Plagiocephaly is a condition where one side of the infant’s head becomes flattened from prolonged pressure on that area of the skull, often a result of limited movement or staying in the same position for long periods.

Who Does Torticollis Affect?
Torticollis is fairly common, occurring in about 1 in 6 births. It affects both males and females equally. There are two types:
● Congenital Torticollis: This type is present at birth or develops shortly after. It may not be noticeable immediately but typically becomes apparent as the infant gains more control over head movements, usually within the first few weeks of life.
● Acquired Torticollis: This type often develops after birth, usually after 4 to 6 months of age, and can be caused by various factors that occur post-birth.

What Causes Torticollis?
Acquired Torticollis
Acquired torticollis can develop for several reasons:
● Positional Factors: If a baby spends a lot of time lying on one side or consistently turns their head toward one direction, it can lead to muscle tightness and imbalance.
● Birthing Process: Difficult deliveries, particularly those involving the use of forceps or vacuum extraction, can result in injury to the neck muscles or nerves. This may lead to torticollis, as the baby might be unable to turn their head comfortably.
● Infections or Tumors: In some rare cases, infections or the presence of tumors near the cervical spine can cause pain. As a result, the baby may naturally favor one side to avoid discomfort, causing neck tightness and spasms.
● Stress and Fatigue: Prolonged crying, stress, or fatigue can strain the neck muscles, making the condition worse or triggering it in the first place.
Congenital Torticollis
Congenital torticollis typically develops before birth, often due to one of the following:
● Intrauterine Compartment Syndrome: This happens when there is limited space in the womb, which is more likely in cases involving multiple pregnancies (e.g., twins). This restricted space increases the likelihood of abnormal positioning and muscle tightness in the neck.
● Breech Position: If the baby is in the breech position (buttocks facing the birth canal), it can put pressure on the sternocleidomastoid muscle, which leads to tightening and the development of torticollis.
● Cervical Spine Deformities: Abnormalities in the cervical spine (the neck area) can affect the normal alignment and movement of the neck, making it more difficult for the baby to turn their head freely.

How is Torticollis Treated?
Early treatment through physical therapy is critical for treating torticollis, as prolonged muscle tightness can lead to muscle shortening, which is harder to treat later on.

Here are the common treatment approaches:
1. Gentle Soft Tissue Mobilization
This involves techniques designed to relax and lengthen the affected muscles, reducing tightness and improving flexibility.
2. Range of Motion Exercises
Exercises that help improve neck mobility and overall movement are essential for restoring the baby's ability to turn their head freely in all directions.
3. Manual Stretching
Techniques like the football stretch, which involves gently stretching the affected muscles, help alleviate tightness and improve flexibility.
4. Parent Education
Educating parents on proper positioning and handling techniques is crucial. Parents are taught to encourage their babies to turn their head in both directions and avoid positions that could reinforce muscle tightness. For instance, ensuring that babies spend time on their tummy while awake can help strengthen their neck muscles.
5. Functional Activities
Incorporating age-appropriate functional activities—such as reaching for toys, rolling, or sitting up—can help with overall motor development and promote better head control. Engaging in these activities encourages the baby to move their head and neck in different directions, which helps improve their flexibility.
6. Helmet for Plagiocephaly
If torticollis leads to plagiocephaly, where the baby's head becomes flattened, a helmet might be recommended. This helmet is designed to apply gentle pressure on specific areas of the skull, helping to reshape the baby's head over time.

Why Early Treatment Matters
Addressing torticollis early—ideally within the first few months—helps prevent long-term issues such as muscle shortening, developmental delays, and potential changes to head shape. Early physical therapy ensures that the baby reaches their motor milestones on time and avoids complications that can result from untreated torticollis, such as issues with vision and motor skills development.
By intervening early and providing appropriate PT treatments, many babies can recover fully from torticollis and avoid the need for more invasive treatments later on.

If you have any concerns about your child's development, please call either
of our offices, or fill out the contact form on our website, and a member of our
team will help you schedule an evaluation at your earliest convenience.
We can’t wait to see your child grow by Leaps & Bounds!
South Shore: (718) 477-1911
North Shore: (718) 313-4743

Sweet Moves: Valentine’s Day-Inspired Physical Therapy for Pediatric Patients

2/1/2025

Valentine’s Day is a time for love, kindness, and creativity, making it the perfect opportunity to engage pediatric patients in fun and festive physical therapy activities. By incorporating Valentine’s Day themes into therapy sessions, children can enjoy their exercises while improving mobility, strength, coordination, and overall function. Here are some heart-filled intervention
ideas from Dr. Brianna to keep young patients motivated and moving!

1. Cupid’s Arrow Balance Challenge
Help children work on their balance and coordination by setting up a “Cupid’s Arrow” obstacle course. Using heart-shaped markers, cones, or stepping stones, have the child step or hop from one to another while carrying a soft foam arrow. This activity enhances proprioception, core stability, and lower-body strength.
2. Valentine’s Toss & Catch
Use red and pink bean bags, soft plush hearts, or balloons for an engaging toss-and-catch game. Varying the weight and texture of the objects helps with grip strength, hand-eye coordination, and upper-body control. Make it extra fun by adding a challenge, such as throwing the object into a heart-shaped target.
3. Love Bug Crawling Race
For younger children or those working on motor planning, crawling activities are excellent for improving strength and coordination. Set up a race where kids pretend to be “love bugs” and crawl through tunnels, under tables, or through obstacle courses while collecting heart-shaped tokens along the way.
4. Hug-A-Ball Core Workout
Using a therapy ball, have children sit and give it a “big Valentine’s hug” while maintaining balance. This strengthens core muscles and improves posture control. To increase the challenge, have them gently rock side to side or pass the ball back and forth with a partner.
5. Heart Hopscotch
Cut out large paper hearts and arrange them in a hopscotch pattern. Encourage children to hop on one foot, jump with two feet, or alternate patterns based on their therapy goals. This activity promotes lower-body strength, coordination, and motor planning.
6. Love Letter Relay
Create a relay where children transport Valentine’s Day “love letters” (small envelopes or paper hearts) from one side of the room to another. They can run, hop, or use adaptive mobility devices, making it a great way to encourage endurance and functional movement.
7. Heartbeats & Rhythm Games
Music and movement are fantastic for pediatric therapy. Play upbeat Valentine’s-themed songs and have children march, clap, or stomp to the beat. This supports auditory processing, timing, and motor coordination.
8. Spread the Love Yoga Poses
Incorporate heart-themed yoga poses like “heart openers” (chest stretches), “Cupid’s arrow” (archer pose), and “love tree” (tree pose with hands forming a heart shape). Yoga helps with flexibility, body awareness, and calming strategies.

A Fun-Filled and Heart-Healthy Therapy Session!
By incorporating Valentine’s Day-themed activities into pediatric physical therapy sessions, children can stay engaged while working on their developmental goals. These creative interventions help make therapy sessions feel like play, fostering joy and motivation while promoting physical progress.

Whether it’s hopping, stretching, or hugging a therapy ball, these activities will ensure that love and movement are in the air this Valentine’s Day!

New Year, New Goals: Setting Developmental Milestones for Your Child

1/1/2025

As we welcome a new year, it’s the perfect time to reflect on the milestones your child has reached and set new goals for their development in 2025. Whether you’re working alongside one of our pediatric physical therapists or simply observing your child’s growth, understanding key developmental milestones and knowing when to seek professional guidance can ensure your child is on track to thrive. In this blog, Dr. Bassem shares a breakdown of common developmental milestones by age and signs to watch for that may warrant a discussion with your child’s pediatrician or PT.

Head Control by 3-4 months
Your baby should be able to lift their head while on their tummy and hold it steady when supported in a sitting position.
*If your baby has difficulty holding their head up independently in tummy time or shows signs of head lag when pulled to a sitting position, this could indicate weak neck muscles and may warrant a PT evaluation.

Rolling by 4-6 months
Babies typically roll from tummy to back first, and by 6 months, they should be able to roll in both directions (tummy to back and back to tummy).
*If your child consistently rolls in one direction but not the other, or shows difficulty rolling both ways equally, this may suggest an imbalance in muscle strength or motor coordination that should be discussed with your PT or pediatrician.

Sitting Independently by 6-9 months
By around 6 months, babies can often sit unsupported for short periods. By 9 months, they should be able to sit up without support for extended periods.
*If your child has trouble sitting independently by 9 months or has a tendency to fall over frequently without trying to catch themselves, this could be a sign of low muscle tone or developmental delay.

Crawling by 7-11 months
Most babies begin crawling between 7-10 months, although some may skip crawling and go straight to walking. Crawling develops strength in the arms, core, and legs.
*If your child isn’t showing interest in crawling by 10 months, has difficulty moving arms and legs alternately, or struggles to push up from a seated position, this may signal a need for evaluation.

Standing with Support by 9-12 months
By 9 months, many babies will begin pulling themselves up to stand while holding onto furniture. They may start cruising along furniture around 10-11 months.
*If your baby is unable to pull to a standing position or refuses to bear weight on one or both legs, this could indicate a muscle weakness

Walking Independently by 12-15 months
Most children take their first independent steps between 12 and 15 months. By 18 months, they should be walking steadily.
*If your child is not walking by 18 months or shows difficulty standing, walking, or falls often, it could indicate delayed motor skills or underlying physical issues that need attention.

Climbing by 2 years
At around 2 years, toddlers will begin climbing stairs (with support), climbing on playground equipment, and showing greater coordination with their movements.
*Difficulty with climbing or hesitation in trying new movements can signal developmental delay or issues with balance and coordination.

Running and Jumping by 2.5-3 years
By 3 years, most children can run, jump with both feet off the ground, and navigate uneven terrain with increasing confidence.
*If your toddler shows little interest in running, jumping, or avoids active play, this could indicate issues with muscle tone, strength, or coordination.

Balancing on One Foot by 4 years old
By age 4, children should be able to balance on one foot for a few seconds and have more control over their posture.
*If your child has difficulty balancing, trips frequently, or struggles with hopping, it might indicate poor muscle control or motor coordination, which could be addressed with therapy.

Running with Speed and Agility by 4-5 years old
Children should be able to run with more speed and agility, navigating around objects with increasing control.
*If your child has trouble running, tends to fall often, or lacks coordination in movement, it may be helpful to consult a PT to assess their balance and motor planning.

Skipping by 5 years old
Skipping, which involves alternating feet while hopping, typically develops around age 5 and is a sign of refined coordination.
*If your child is still unable to skip by age 5, this could indicate that they need additional support with coordination or muscle strength.

When to Seek Professional Advice:
While all children develop at their own pace, certain signs could indicate that your child may benefit from a discussion with their pediatrician or a pediatric physical therapist. These include:

Delayed or Absent Motor Skills: If your child is significantly behind in achieving key milestones such as rolling, crawling, walking, or jumping, it may be worth discussing these delays with a professional.
Asymmetry or Imbalanced Movement: If your child consistently favors one side of their body (such as rolling only to one side or using one hand more dominantly), it could suggest muscle imbalances or weakness that a PT can help address.
Poor Muscle Tone or Weakness: If your baby or toddler shows signs of low muscle tone (floppiness or lack of muscle resistance during tummy time) or if your child has difficulty holding their own weight (such as struggling to sit up independently or stand), this may require an evaluation by a pediatric PT.
Balance and Coordination Issues: Frequent falls, difficulty with tasks that require coordination (such as jumping, skipping, or riding a bike), or resistance to active play may indicate a need for further assessment.
Lack of Interest in Physical Play: If your toddler or preschooler is uninterested in activities like running, climbing, or jumping, or shows fear when engaging in new movements, it could indicate discomfort, weakness, or sensory processing concerns.

Stocking Stuffer Ideas for Baby's First Christmas: A Guide by Age

12/1/2024

Christmas is a magical time of year, and for parents celebrating their baby’s first Christmas, it’s a time filled with wonder and joy. While babies are too young to understand the significance of stockings, this holiday tradition is still a perfect opportunity to introduce them to fun, functional, and developmental gifts. Here are some stocking stuffer ideas from Dr. Lindsey, tailored to different baby age ranges, ensuring that each little one gets something special and appropriate for their stage of growth!

0-3 Months: Newborn Wonder
At this age, babies are still getting used to the world around them, and their gifts should focus on sensory experiences and comfort as they develop their senses!

1. Soft Rattles:
Choose rattles made of soft materials, easy to hold (or grab) with tiny hands, and that produce gentle sounds. Rattles help with auditory development and hand-eye
coordination.

2. Infant Mittens:
Babies often scratch themselves during the early months. Soft, comfortable mittens
prevent this while keeping their hands warm.

3. Cloth Teething Toys:
Even though babies at this age aren’t teething yet, soft cloth teething toys or teething
rings can still be soothing for sore gums when they start.

4. Baby Socks or Booties:
Cozy, soft baby socks in cute patterns (like little animals or snowflakes) are a practical
stocking stuffer and always in demand.

5. Musical Plush Toys:
Small plush toys that play lullabies or soft music can be soothing for babies, helping to
calm them down before naps or bedtime.

4-6 Months: Developing Senses
At this stage, babies are beginning to explore their environment with more interest, and stocking stuffers can support sensory development and motor skills.

1. Textured Baby Books:
Soft, fabric books with bright colors and different textures stimulate babies' sense of
touch and sight. Look for ones with crinkly sounds, soft plush elements, or squeakers.

2. Soft Rubber or Silicone Teething Rings:
These are perfect for babies in the teething phase. Look for BPA-free, non-toxic rings in
soft, chewable materials that are easy to grasp.

3. Baby Mirrors:
Babies love to look at themselves and recognize faces, so a baby-safe mirror (often with
cute designs like animals) can be a fun and engaging gift.

4. Soft, Colorful Balls:
Lightweight, soft fabric balls with bright colors are easy for little hands to hold, roll, and
play with, helping to build motor skills.

5. Musical Toys:
Toys that play soft tunes when squeezed or pressed, like baby-friendly xylophones or
pianos, encourage auditory skills and fine motor development.

6. Tummy Time Mat:
Tummy time remains important at this age. A fun, plush mat designed for tummy time
can encourage babies to engage with the floor and lift their heads, while keeping them
comfortable while learning to roll!

7-9 Months: Little Explorers
At this age, babies are becoming more mobile and curious about the world around them,
reaching and grabbing at everything within their reach. Stocking stuffers should engage their newfound abilities.

1. Stacking Cups or Rings:
Colorful stacking cups or rings promote fine motor skills and hand-eye coordination.
They’re also great for bath time fun!

2. Soft Activity Balls:
Soft fabric or rubber balls that make noise or have different textures encourage babies
to roll, grab, and explore, promoting gross motor skills.

3. Baby Utensils & Plates:
Babies are starting to explore feeding and eating habits at this stage. A set of baby-
friendly utensils or a small, divided plate can be a fun stocking stuffer that’s also practical.

4. Sensory Toys:
Toys with lights, sounds, and textures will capture their attention. Look for ones that
allow babies to press buttons, flip switches, or squeeze.

10-12 Months: Active and Engaged
As babies approach their first birthday, they’re becoming more mobile, with many
starting to crawl or even walk. Stocking stuffers should encourage movement,
exploration, and communication.

1. Interactive Books:
Books with flaps to open, buttons to press, or textures to feel keep babies engaged
while supporting early literacy and motor skills.

2. Activity Cubes:
Activity cubes with spinning gears, bead mazes, and buttons can be perfect for
developing problem-solving skills and hand-eye coordination.

3. Musical Instruments for Babies:
Small tambourines, maracas, or xylophones designed for babies promote rhythm and
auditory development.

4. Teething Toys with Multiple Textures:
As teeth continue to come in, toys with a variety of textures and soft chewable parts
remain essential to keep babies comforted and entertained.

Baby's first Christmas is an exciting time, and stocking stuffers are a fun way to celebrate the season while supporting your little one’s growth and development. Whether it's soft toys for sensory exploration or interactive items that promote motor skills, each gift can be both fun and functional. By choosing age-appropriate stocking stuffers, you're ensuring that your baby gets
the most out of their first holiday season, while laying the foundation for the many milestones ahead. Happy holidays!

The Benefits of Family Involvement in Therapy

11/1/2024

As we embrace the spirit of Thanksgiving this November, the importance of family takes center stage. Family gatherings remind us of the crucial role our loved ones play in our lives, and this sentiment extends beyond just sharing meals and memories. In pediatric physical therapy, family involvement is more than just a bonus; it’s a vital component that can significantly enhance therapy outcomes for children. When families actively participate in the therapeutic process, they strengthen the support system around the child, making it easier for them to achieve their goals. In this blog post, Dr. Brianna explores the benefits of family involvement and practical ways parents can engage in their child’s therapy journey.

Why Family Involvement Matters

Enhanced Motivation: Children often feel more motivated when their family members are actively involved in their therapy. The presence of loved ones can provide encouragement and make sessions feel less intimidating.
Consistency and Reinforcement: Family members can help reinforce the skills learned in therapy at home. Consistent practice outside of therapy sessions is key to making progress, and parents can play a vital role in this.
Emotional Support: Navigating challenges in therapy can be tough for children. When families are involved, they provide the emotional support that helps kids feel secure and understood, making it easier for them to tackle difficult tasks.
Better Communication: When families participate in therapy sessions, they can communicate more effectively with therapists. This collaboration allows for a more tailored approach that meets the specific needs of the child.
Increased Understanding: Family involvement helps parents better understand their child’s challenges and strengths. This understanding fosters patience and empathy, which are crucial for effective support.

Ways Parents Can Get Involved

Attend Therapy Sessions: Whenever possible, parents should attend therapy sessions. This gives them a first-hand look at the techniques being used and allows them to ask questions and clarify any concerns.
Practice at Home: Therapists often provide exercises and activities to be practiced at home. Parents can schedule regular practice sessions, turning them into fun family activities to make it enjoyable for the child.
Set Goals Together: Collaborate with your child and their therapist to set achievable goals. Involving your child in this process can increase their motivation and sense of ownership over their progress.
Create a Supportive Environment: Make home modifications that promote independence and safety. This might include clearing obstacles for mobility, providing adaptive tools, or creating a dedicated space for practice.
Celebrate Achievements: Acknowledge and celebrate both small and large accomplishments. This not only boosts your child’s confidence but also reinforces the importance of their hard work.
Stay Educated: Learn about your child’s specific condition and therapy techniques. Understanding the underlying challenges can help you provide better support and encouragement.
Join Support Groups: Engage with other families who are navigating similar challenges. Support groups can provide valuable insights and help build a network of encouragement.
Communicate with the Therapist: Regularly communicate with the therapist about your child’s progress and any concerns you may have. This collaboration can lead to adjustments in the therapy plan that better suit your child’s needs.

Conclusion
As we reflect on gratitude during this Thanksgiving month, it's a wonderful reminder of the importance of family in our lives. Family involvement in pediatric physical therapy is essential for fostering an environment where children can thrive. By participating actively in the therapy process, families can enhance their child’s motivation, consistency, and emotional well-being, leading to improved outcomes. Every effort counts, and the journey is often more rewarding when families embark on it together. This November, let’s come together to support our children in achieving their therapy goals, celebrating not only their progress but the strength of our family bonds.

Initial Evaluations at Leaps & Bounds Pediatric Physical Therapy

10/1/2024

We understand starting therapy can feel overwhelming for both
children and parents alike, regardless of the child’s age or possible
diagnosis. Knowing what to expect during your first appointment with
us can help alleviate some concerns while setting the stage for a
successful physical therapy experience. Dr. Bassem has written a
helpful guide to prepare you and your child for the first visit to our clinic.

Before your appointment, we recommend gathering any information that may be relevant to your visit. Whether you have a physician’s referral, an X-ray, or a video showcasing a specific concern, we’re here to take a look and address your questions. We also recommend that you create a list of concerns in your child’s gross or fine motor development along with any other questions you’d like to discuss with your therapist.

Please also remember to bring your insurance information, identification, and any necessary paperwork to the evaluation as this will streamline the process. And while our clinic is filled with toys that your child will love, we encourage you to bring along a favorite toy for added comfort to the first session.

When you arrive at one of our three clinics, you’ll be welcomed by our front desk staff, who will assist you with the check-in process. Next, your physical therapist will introduce themselves to both you and your little one and guide you to the treatment area. To better understand your child’s needs, the therapist will conduct a brief interview with you, and they may inquire about your child’s medical history and any current challenges they’re facing. This is a great time to discuss your concerns as well.

During the evaluation, your therapist will observe your child’s movement patterns, coordination, and balance through engaging play-based activities. This could involve encouraging your infant to crawl toward their favorite toy or having your child navigate an
obstacle course with many different elements to check their balance. Depending on your child’s age and needs, the therapist may conduct a standardized test to assess their physical abilities, for example, the Alberta Infant Motor Scale & Movement Assessment Battery for Children. Nevertheless, you can expect a strong sense of play during the session, as our approach is centered around engaging activities to keep your child motivated. After the evaluation, the therapist will share their findings with you and collaborate on setting goals tailored to your child’s unique needs and family priorities. They’ll explain which goals are achievable in both the short and long term and will give ways that the therapist and the family alike may be able to measure the progress in these goals.

Your therapist may also give you a home exercise program (HEP) with some simple exercises that would be beneficial for your child to practice at home. Your therapist will guide you in learning how to best set up these activities at home and may even give alternative exercises as well. Your therapist will discuss the frequency and duration of future appointments and if needed, you can schedule additional appointments right then and there with our front desk staff. As always, we encourage you to ask any and all questions to any member of our knowledgeable staff.

Beyond your first appointment, we’re always just a call, text, or email away and we recommend families to reach out in whatever way is most convenient for them. You can start practicing the HEP in your daily routine to reinforce the hard work of your child during his or her physical therapy sessions.

If you have any concerns about your child's development, please feel free to fill out our contact form or call any of our three offices. We will get back to you with any out-of-pocket expenses and set up an evaluation at your earliest convenience.
We can’t wait to see your child grow by Leaps & Bounds!

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