Academy of Pediatric Physical Therapy
FACT SHEET: The ABCs of Pediatric Physical Therapy
What is Pediatric Physical Therapy?
Pediatric physical therapists (PTs) work with children and their families to assist each child in reaching their maximum potential to function independently and to promote active participation in home, school, and community environments. Physical therapists have expertise in movement, motor development, and body function (eg, strength and endurance). They apply clinical reasoning during examination, evaluation, diagnosis, and intervention for children, youth, and young adults. As primary health care providers, PTs also promote health and wellness as they implement a wide variety of supports in collaboration with families, communities, and other medical, educational, developmental, and rehabilitation specialists.
What Role Does the Family Play?
Parents and families have the primary role in their child’s development. The pediatric PT collaborates with the family to promote development and implement an individualized intervention program. Families are supported through coordination of services, advocacy, and assistance to enhance the development of their child. This can include:
- Positioning during daily routines and activities
- Adapting toys for play
- Expanding mobility options
- Using equipment effectively
- Facilitating safety for the home and community
- Accessing community programs and resources
- Providing information on the child’s physical and health care needs
- Supporting family caregiving
- Smoothing transitions from early childhood to school and into adult life
The process of supporting children and families begins with an interview, or conversation, to identify the child’s needs and family’s concerns and continues with an examination and evaluation of the child in the context of their daily routines and activities. This examination may include, but not be limited to, mobility, sensory and neuromotor development, use of assistive technology, muscle and joint function, strength and endurance, cardiopulmonary status, 2 | Academy of Pediatric Physical Therapy Fact Sheet posture and balance, and oral motor skills. The process of providing pediatric physical therapy continues with collaboration, consultation, and intervention. Physical therapist assistants may be involved with the delivery of physical therapy services under the direction and supervision of a licensed PT.
Where Does Your Child Receive Pediatric Physical Therapy?
Pediatric physical therapy may be provided in natural learning environments, including home, child care centers, preschools, schools, job sites, recreational centers, and other community settings. Children and families also may have contact with pediatric PTs in hospitals and clinics when receiving physical therapy for medically-related conditions, specialty health care services, or during episodes of acute care. Is Your Child Entitled to Physical Therapy Services? Private and public health insurance programs cover payment for physical therapy, but the services and reimbursement may vary and families should be familiar with the benefits provided by the policy or program. In addition, provision of pediatric physical therapy is required legislatively by:
- The Individuals with Disabilities Education Act (IDEA), which includes provisions for pediatric physical therapy for children from birth to 21 years of age who are eligible for early intervention (Part C) or special education and related services (Part B).
- Section 504 of the Rehabilitation Act, which requires the provision of reasonable accommodations, including physical therapy, for individuals with disabilities who are protected from discrimination.
How do Pediatric Physical Therapists Use Evidence to Support their Decisions?
The Academy of Pediatric Physical Therapy supports the use of evidence-informed practice, which is the integration of research findings, clinical expertise, and family priorities and preferences. Pediatric physical therapists may use evidence-informed practice to provide any of the following services as part of their goal-directed plan of care:
- Developmental activities
- Movement and mobility
- Motor learning
- Balance and coordination
- Recreation, play, and leisure
- Daily care activities and routines
- Equipment design, fabrication, and fitting
- Tone management
- Assistive technology
- Posture, positioning, and lifting
- Orthotics and prosthetics
- Burn and wound care
- Cardiopulmonary endurance
- Pain management
- Safety, health promotion, and prevention programs
How Are Pediatric Physical Therapists Licensed?
Pediatric PTs have a special interest and desire to work with children and families and lend their unique talents and professional knowledge to children with many different conditions and strengths. Physical therapists and physical therapist assistants must be graduates of accredited educational programs and comply with rules of state licensure and practice guidelines. Additional credentials related to specialization in content, skills, or other academic degrees may be used to recognize an individual’s advanced knowledge and skills.
For More Information
If you have additional questions or would like to join the Academy of Pediatric Physical Therapy, please contact the Executive Office of the Academy of Pediatric Physical Therapy of the American Physical Therapy Association at: APTA Academy of Pediatric Physical Therapy, 1111 North Fairfax Street, Alexandria, VA 22314, email@example.com, www.pediatricapta.org.
©2019 by the Academy of Pediatric Physical Therapy, American Physical Therapy Association, 1111 N Fairfax Street, Alexandria, VA 22314-1488, www.pediatricapta.org.
Developed by APPT, with special thanks to expert contributors: Mary Jane Rapport, PT, DPT, PhD, FAPTA; Lisa Chiarello, PT, PhD, FAPTA; and Lynn Jeffries, PT, DPT, PhD, PCS.
The Academy of Pediatric Physical Therapy provides access to these member-produced fact sheets and resources for informational purposes only. They are not intended to represent the position of APPT or of the American Physical Therapy Association.
Child Passenger Safety Week — September 15-21, 2019
Child Passenger Safety Week highlights the safety benefit for children who are correctly secured in the right child restraint (rear-facing car seat, forward-facing car seat with a harness, belt-positioning booster seat or seat belt) appropriate for a child’s age and size. The campaign is dedicated to helping parents and caregivers make sure their children ride as safely as possible – every trip, every time.
Every year, children are tragically injured or killed in car crashes. In fact, car crashes are a leading cause of death for children. On average, in 2017, two children under 13 years of age were killed every day while riding in cars, SUVs, pickups, and vans. While fatalities and injuries decreased in 2017 from 2016 – an eight percent decrease in fatalities and an estimated 19 percent decrease in injuries – there is still more work to be done to eliminate these preventable tragedies. The fundamentals of child passenger safety – seat selection, direction, location, installation and harnessing – are more important than ever.
In Pennsylvania from 2013 – 2017, 82 percent of the children under age 4 who were involved in crashes and restrained in a car seat sustained no injury (2017 Pennsylvania Crash Facts and Statistics). The data is evidence that deaths and injuries can be prevented by correctly using car seats, boosters and seat belts.
Pennsylvania’s Occupant Protection Law for Children
- All children from birth to age 4 must be secured in a car seat anywhere in the vehicle.
- Children younger than age 2 must be secured rear-facing, until they outgrow the maximum weight and height of the car seat.
- All children 4 years of age and older, but less than 8 years, must be secured in a seat belt and an appropriate booster seat anywhere in the vehicle.
- All children 8 years of age and older, but less than 18 years of age, must be secured in a seat belt system anywhere in the vehicle.
- All drivers are responsible for securing children in the appropriate car seat, booster seat, or seat belt.
The PA Traffic Injury Prevention Project and the Pennsylvania Department of Transportation are committed to working closely with our partners and safety advocates to educate parents and caregivers during Child Passenger Safety Week. To generate awareness about the importance of securing children in the correct car seat, booster seat, or seat belt, the 2019 Child Passenger Safety Week planner was developed. The planner provides information and resources to promote the safety of children traveling in Pennsylvania. This year’s theme “Click it Tight. It is Worth Their Life to do it Right.” highlights that the best way to protect children is to correctly secure each child on every trip, every time.
Access the planner here http://pakidstravelsafe.org/resources/cps/item/897-child-passenger-safety-week-2019.
The available material reflects Pennsylvania law and best practice recommendations for correctly securing children.
During Child Passenger Safety Week, educational programs and community car seat check events are coordinated and staffed with certified Child Passenger Safety Technicians. The car seat check events will be posted at www.pakidstravelsafe.org. Child Passenger Safety Week concludes with National Seat Check Saturday on September 21st.
Information directly from “CONNECT; Watch Me Grow” pamphlet
Office of Child Development and Early Learning CONNECT
Every child grows and learns new skills at his or her own pace. Children can vary in skills and development. You know your child better than anyone else. If you have concerns about your child’s development, early intervention can help.
CONNECT Line: Linking families to Early Intervention services and support 1-800-692-7288 www.papromiseforchildren.org
What is Early Intervention? Early Intervention in PA consists of services and supports designed to help families with children who have developmental delays or disabilities. EI services can include information about how children develop, parent or caregiver education, family supports, and developmental and instructional therapists that assist in child development. Early Intervention builds upon the natural learning that occurs in the first few years of a child’s life. It is a process that promotes collaboration among parents, service providers and others who are involved with the child.
Who is Eligible? Infants, toddlers, and preschool children (0-3 years) who have a special need due to a developmental delay or disability are eligible to receive early intervention services.
Where do children and families receive supports and services? Services may be provided during the child’s daily activities at home or in the community, at childcare centers, preschools, play groups and Head Start programs.
Cost? There is no cost to PA families for this service!
The following skills give a picture of what a child may be able to do at a given age. Look at the skills with your child’s age and if you have concerns about development contact the EI program closest to you by calling the CONNECT Line (number above) This is only a brief list of developmental stages not a complete list of milestone’s but if you would like to see more milestones at your child’s age level please review the CDC’s Free Milestone Tracker App.
By 6 Months
- Knows familiar faces, smiles, makes cooing sounds
- Lifts head, begins to roll over, holds toy briefly
- Likes to watch their own hands and looks at things around them
- Wants to try new foods, seems excited about being fed
- Can bring both hands to center, plays with toes, holds head up and rolls
By 1 Year
- Rolls a ball, looks for dropped toys
- Likes to play with a toy, can use a cup with help
- Sits up, creeps or crawls, pulls up to stand
- Says and understands a few words
- Starts to stand alone
By 18 Months
- Starts to say several words, makes noises as if talking
- Rolls a ball, does things they see others do
- Takes off some clothes, puts things in a box
- Uses a cup, spoon, and kicks a ball
- Starting to run and climb chairs
By 2 Years
- Speaks several words together
- Feeds self with spoon and drinks from cup
- Points to body parts when asked
- Kicks a ball, walks up and down stairs
- Likes to hear stories, plays along for short time
By 3 Years
- Enjoys pretending with toys and adults
- Easily picks up very small objects
- Uses three-word sentences
- Enjoys playing with children but may be shy
- Puts on coat, shoes and hat