Metrotherapy In Detroit, Michigan

Play is crucial for children’s physical, social, emotional, and cognitive development. Through play, children learn important life skills such as problem-solving, creativity, social interaction, and self-regulation. Play allows children to explore their environment, experiment with different ideas, and express themselves in ways that are natural and meaningful to them.

Play can take many forms, including physical play, imaginative play, sensory play, and social play. Children learn best through play that is meaningful and engaging to them, so it is important for parents, caregivers, and educators to provide a variety of play opportunities that are tailored to a child’s individual needs and interests.

What is play?

Play includes fun activities enjoyed independently or with others. Play has no rules, and people make up their own games. Play can be inside or outside. It uses things around us, like balls and sticks. Playing helps us learn how to get along with others and think about new things.

Types of play:

• Social Play is when kids play together. For example, playing soccer.
• Symbolic Play is when you pretend. You can do this from 18 months to 5 years old.
• Practice Play is doing the same thing repeatedly to learn how to do it better. For example, you might practice throwing a ball.
• Sensorimotor Play is used by infants. This means that they use their senses and move around. An example of this is shaking a rattle.
• Constructive Play is when kids make something. For example, building with legos or painting with their fingers.    

Play helps a child…

• Build Imagination and Creativity
• Foster Cognitive Growth
• Improve Literacy
• Improve Emotional Well-Being
• Encourage Greater Independence

Play is not just a fun activity for children but a vital part of their development. Therefore, it is essential to support and encourage play in children and create a safe and stimulating environment for them to explore and learn.

MetroEHS introduced Pelvic Floor Therapy last month and this new therapy will change the lives of countless children because of it. Pelvic floor therapy is a specialized field of physical therapy that focuses on treating conditions and symptoms related to the pelvic floor muscles in children.  Pelvic Floor Therapy involves training your child on how to contract and relax the pelvic floor muscles and with retraining and regular exercises, your child can learn how to better control and gain sensory awareness of these muscles, which play a crucial role in urination and stooling.

Who Could Benefit from Pelvic Floor Therapy?

Pelvic floor therapy can be beneficial for children who struggle with or are unable to gain control over their bowel and bladder. This therapy is often recommended for children who are diagnosed with one or multiple of the following conditions:

• Enuresis/Bedwetting
• Constipation
• Incontinence
• Overactive bladder
• Urinary frequency/retention
• Urinary incontinence
• Urinary urgency
• Frequent UTIs

What to Expect with Pelvic Floor Therapy?

The success of pelvic floor therapy often depends on the involvement and commitment of parents or caregivers. Adherence to recommended diet modifications and daily routines can greatly improve the outcomes of this therapy. At MetroEHS, our physical therapists take into account the family history and any life-changing events to tailor the therapy according to the specific needs of each child.

Pediatric Dynamic Movement Intervention (DMI) therapy is a specialized treatment aimed at improving the gross motor skills, movement control, and overall functional mobility of children with developmental delays.  DMI therapy is designed to promote and enhance the natural ability of children to develop motor skills through structured, targeted interventions.

What is Dynamic Movement Intervention (DMI)?

Dynamic Movement Intervention (DMI) is a cutting-edge therapeutic approach focusing on improving strength, coordination, balance, and motor planning in children with developmental delays. DMI therapy is based on neuroplasticity principles—the brain’s ability to reorganize itself by forming new neural connections. This means that with consistent and well-targeted interventions, children with motor impairments could make significant gains in motor function.

Without disruption or intervention, unhealthy habits (the types of learned patterns of movement a child relies on rather than reflexive movements) become engrained in the child’s behavior repertoire. Neuroplasticity is defined as the ability of the brain to form and reorganize synaptic connections, especially in response to learning, experience, or following an injury. Neuroplasticity is at its height in young children. Without novelty and challenge, well-established habits always dominate. Due to this natural neuroplasticity, it is often better to start children young with any kind of therapeutic care.

The primary theory behind DMI is the use of the body's automatic postural responses.  In DMI therapy, we place the child in a position where gravity provides information requiring a response. We then wait for the child to complete the movement, with gradually less assistance over time.

Who Needs DMI Therapy?

DMI is beneficial for children with and without a specific diagnosis. However, those with specific diagnoses include, but are not limited to:

Cerebral Palsy: Children with cerebral palsy often struggle with motor control, muscle tone, and balance, all of which can be targeted by DMI therapy.

Developmental Delays: Children experiencing delays in reaching motor milestones (such as crawling, walking, or standing) may benefit from DMI’s movement-based approach.

Genetic Disorders: Certain genetic conditions that affect motor development, such as Down syndrome or muscular dystrophy, may be candidates for DMI.

Spina Bifida: This congenital condition affecting the spinal cord can cause motor deficits, and DMI can be useful in strengthening movement capabilities.

Brain Injuries: Traumatic or acquired brain injuries in children that result in impaired motor functions can be addressed through DMI therapy.

Other symptoms of a child who could benefit from DMI include:

• Difficulty with postural control (e.g., sitting, standing, or balancing)
• Delayed or atypical motor development (not crawling or walking at the expected age)
• Limited muscle tone or spasticity
• Challenges in coordination and movement precision
• Fatigue or weakness during movement activities

This is not an exhaustive list. There are many other conditions that may benefit from Dynamic Movement Intervention. DMI therapy is typically recommended for children who have developmental motor disorders or neuromuscular challenges that affect their ability to move, balance, or coordinate their body movements.

Identifying the Need for DMI

The need for DMI therapy is typically identified by healthcare professionals such as neurologists, rehabilitation specialists or physical therapists, often after a comprehensive evaluation of the child’s motor function. Parents may also notice signs that their child is not reaching developmental motor milestones and seek medical advice.

Any physical therapy diagnosis can result in the use of DMI, and this is often very useful for children under 1 to help with head control, children under 2 to help with standing, walking, and posture control, and children 5 and under with more involved diagnoses. Early identification and intervention are extremely beneficial in maximizing the effectiveness of DMI therapy and improving the child’s functional outcomes.