I've posted before about DD who is basically immobile.
Saw a private physio 2 weeks ago and DD made some good progress. Saw her again today and she was happy with her progress and has also written a letter asking the GP to refer her for NHS physio.
I just want to get a handle of what my expectations should be. Physio's letter to GP says this:
"I would be grateful if you would consider referring this little girl for NHS physiotherapy.
XX's mother contacted me with concerns regarding XX?s motor development and excessive ranges of movement. At 10.5 months, she could sit independently when placed but not roll or tolerate prone.
At her initial assessment on 25/06/09, I found her muscle tone to be a little low, but within normal limits. The ranges of movement in her upper limbs, feet and knees was fine; but her hip abduction excessive, with 90º bilaterally.
Functionally, I found that XX was reluctant to move; she was able to sit but only move out of her base of support forwards. Until the end of the session she would not tolerate prone at all, but then surprised us by rolling over onto her tummy when placed on the floor and encouraged to reach for a toy. She was unable to roll onto her back and seemed fearful of the movement when assisted to do this. She would not put her hands on a supporting surface to hold herself in standing.
I provided XX's parents with activity and handling advice and reviewed her earlier today. She has made very good progress. She will now roll on to her tummy easily and push up well on her arms. She still needs help to roll on to her back and still seems a little fearful of this at times. She stood by herself, with support from a low table. In sitting, she reached well out of her base of support to the left and sat back up independently, but was reluctant to reach to the right and pivoted so she could reach forwards.
Whilst XX has made excellent progress, I think she may need more physiotherapy and would be grateful if you would consider referring her to the Child Development Centre."
I asked the physio if she thought DD would ever crawl as I know some babies don't and it's not necessarily a milestone and she said she thought she may. I guess I just wondered if anyone has been in the same boat as I need someone to manage my expectations -e.g. 'don't expect this child to be moving before 18 months'
Sorry for the essay
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So my 11 month old has seen a private physio who is referring her for NHS physio - anyone else been in this situation?
9 replies
currymaid · 07/07/2009 22:22
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