How Does Physical Therapy Help Children Who Toe Walk?

the feet of a child doing a therapy for toe walking

April is Autism Awareness Month, a time dedicated to shedding light on autism spectrum disorder (ASD) and promoting understanding and acceptance. Throughout this month, we've been exploring how MetroEHS, a pediatric neighborhood therapy company with locations across Metro Detroit, is making a difference in the lives of children on the autism spectrum through various forms of therapy.

Today, we delve into a common phenomenon observed in children—toe walking—and its potential significance, particularly in relation to autism. Toe walking, the act of walking on the toes, balls of the feet, or tippy toes, is a behavior that may raise concerns, especially when observed in children around the ages of two to three.

According to experts at MetroEHS, including Kelly Johns, the Director of Physical Therapy, toe walking can be an indicator of potential developmental issues, including autism spectrum disorder. Children on the spectrum often exhibit sensory-seeking behaviors, and toe walking can be one manifestation of this sensory-seeking behavior, providing them with additional sensory input.

While occasional toe walking in toddlers who are still learning to walk may not be alarming, persistent toe walking, especially beyond the age of two or three, warrants attention. If a child is consistently toe walking more than 50% of the time, it is advisable for parents to seek evaluation and possible intervention, such as physical or occupational therapy.

Toe walking can have various implications for a child's physical development and overall well-being. It can lead to issues such as pelvic misalignment, muscular imbalances, and even the shortening of the Achilles tendon over time. Addressing toe walking early through therapy and interventions can mitigate potential future problems and promote proper musculoskeletal development.

MetroEHS offers a range of therapies, including physical and occupational therapy, to address toe walking and other developmental concerns in children. Additionally, parents can play an active role in helping their children at home by incorporating simple exercises and activities aimed at stretching the calf muscles and promoting proper walking mechanics.

Simple interventions like stretching exercises and using swim flippers can aid in correcting toe walking tendencies and promoting a more natural gait pattern in children. By combining professional therapy with at-home practices, parents can support their children's physical development and overall well-being.

MetroEHS has 14 locations across Metro Detroit, with three more on the way, ensuring accessibility for families seeking therapy services for various developmental needs, including autism spectrum disorder. Find the nearest MetroEHS location to you on the Locations Page!

As we wrap up Autism Awareness Month, let's continue to spread awareness, understanding, and support for individuals on the autism spectrum and their families, empowering them to thrive and lead fulfilling lives.

Continue Reading

June 19, 2024

How Can Parents Prevent Youth Sports Injuries?

Youth sports are a cornerstone of childhood, offering numerous benefits such as physical fitness, teamwork, and discipline. However, with the increasing intensity and competitiveness in youth sports, injuries among young children are becoming more prevalent.

According to the National SAFE KIDS Campaign and the American Academy of Pediatrics: More than 3.5 million children (about twice the population of Nebraska) ages 14 and younger get hurt annually playing sports or participating in recreational activities. There are a few steps that parents can take to potentially prevent injuries in sporting activities and keep the fun on the field!

Ensure Proper Conditioning and Training

  1. Pre-Participation Physical Exam: Before starting any sport, have your child undergo a physical exam to ensure they are fit to participate.
  2. Proper Training: Enroll your child in programs with certified coaches who emphasize proper techniques and conditioning.
  3. Strength and Flexibility: Encourage exercises that build strength and flexibility. Strength training should be age-appropriate, focusing on technique rather than heavy weights.

Use Appropriate Equipment

–Protective Gear: Ensure your child uses sport-specific protective gear such as helmets, mouthguards, pads, and appropriate footwear. All equipment should fit well and be in good condition.
–Regular Checks: Inspect equipment regularly for wear and tear. Replace damaged gear promptly to maintain safety standards.

Promote Safe Playing Techniques

  1. Warm-Up and Cool-Down: Encourage a proper warm-up before and cool-down after practices and games to prevent muscle injuries.
  2. Teach Safe Techniques: Ensure coaches emphasize and teach safe playing techniques, particularly in contact sports. Children should understand the rules of the game and the importance of fair play.
  3. Avoid Overuse: Limit repetitive movements that can lead to overuse injuries. Ensure your child gets sufficient rest and recovery time between practices and games.

Encourage Open Communication

-Listen to Your Child: Encourage your child to speak up about any pain or discomfort. Ignoring pain can lead to more severe injuries.
-Monitor for Signs of Fatigue: Watch for signs of fatigue or burnout, which can increase the risk of injury. Ensure your child gets adequate rest and maintains a healthy balance between sports and other activities.

Foster a Balanced Approach

-Limit Specialization: Avoid having your child specialize in one sport or activity at a young age. Encourage participation in various activities from soccer to piano lessons to promote physical development and reduce the risk of overuse injuries.
-Adequate Rest: Ensure your child gets enough rest, including off-season breaks, to allow their body to recover and grow stronger.

Educate on Nutrition and Hydration

-Balanced Diet: Provide a balanced diet rich in vitamins and minerals to support your child’s physical activity. Include a variety of fruits, vegetables, lean proteins, and whole grains.
-Stay Hydrated: Teach your child the importance of staying hydrated before, during, and after physical activities. Encourage them to drink water regularly, especially in hot and humid conditions.

Work with Healthcare Providers

  1. Regular Check-Ups: Schedule regular check-ups with a healthcare provider to monitor your child’s overall health and development.
  2. Follow Medical Advice: If your child is recovering from an injury, strictly follow the healthcare provider’s advice regarding rehabilitation and when it is safe to return to sports. Stay Informed and Involved
  3. Educate Yourself: Stay informed about the risks associated with your child’s sport and the best practices for injury prevention.
  4. Active Participation: Be actively involved in your child’s sports activities. Attend practices and games to observe the coaching methods and the environment.

Preventing injuries in youth sports requires a proactive approach from parents. Through these efforts, parents can help their children enjoy the benefits of sports while minimizing the risks. Sometimes, even with parents’ and coaches’ best intentions, injuries can occur.

Common Youth Sports Injuries

Injuries in youth sports can range from minor bruises to severe fractures. Here are some of the most common injuries:

  1. Sprains and Strains: These occur when ligaments (sprains) or muscles (strains) are overstretched or torn. Common sites include the ankle, knee, and wrist.
  2. Fractures: Broken bones are a frequent result of high-impact sports or falls. The wrist, arm, and collarbone are often affected.
  3. Overuse Injuries: Conditions like shin splints and stress fractures arise from repetitive motion. They are particularly common in sports requiring long periods of training, such as running and swimming.
  4. Concussions: Head injuries are serious and can occur in contact sports like football, soccer, and basketball. They require immediate medical attention.

The Role of Physical Therapy

Physical therapy plays a critical role in the recovery and rehabilitation of young athletes. Here’s why it’s frequently prescribed:

  1. Personalized Rehabilitation Plans: Physical therapists develop customized treatment plans tailored to the specific injury and the child’s needs. This ensures a targeted approach to healing.
  2. Pain Management: Techniques such as ice therapy, heat therapy, and electrical stimulation help manage pain effectively, promoting a quicker return to normal activities.
  3. Improving Mobility and Strength: Therapists use exercises to enhance flexibility, strength, and range of motion. This is crucial for preventing future injuries.
  4. Education and Prevention: Physical therapists educate young athletes and their families on proper techniques, warm-up exercises, and ways to prevent re-injury.

Frequency of Physical Therapy Prescription

The prescription of physical therapy varies depending on the severity and type of injury. However, statistics indicate a growing reliance on physical therapy for youth sports injuries:

Research shows that nearly 30-50% of youth athletes with moderate to severe injuries are prescribed physical therapy as part of their treatment plan. This percentage highlights the critical role physical therapy plays in the comprehensive recovery process for young athletes.

Youth sports injuries are an unfortunate but common aspect of an active childhood. While they can be alarming, the right approach to treatment, including the strategic use of physical therapy, can significantly enhance recovery outcomes. By focusing on personalized rehabilitation, pain management, and preventative education, physical therapy helps young athletes get back on their feet—stronger and more resilient than before.

As the world of youth sports continues to grow, understanding and mitigating the impact of sports injuries through effective therapeutic interventions will remain crucial in safeguarding the health and well-being of young athletes. By fostering awareness and providing appropriate care, we can ensure that youth sports remain a positive and enriching experience for all children.

March 11, 2021

Opening up New Opportunities with Pediatric Therapy in Spanish!

Brittany: Hello! My name is Brittany, I am the bilingual Speech Pathologist at Metro EHS in Sterling Heights and Detroit.

Mallory: Hi! My name is Mallory, and I work in the Human Resources Department at the administrative office in Plymouth.

B: And we are so excited to announce that MetroEHS now offers speech therapy in Spanish and English!

M: That’s great! We can service Metro Detroit kids in their native language! But Brittany, can you tell me how to know if my child needs speech therapy?

B: Sure! If you have concerns about the language or articulation development of your child, it is possible that he/she might benefit from speech therapy. For example, if your child cannot pronounce certain sounds, does not say a lot of words or combine words to form sentences, or if you cannot understand him/her, we can do an evaluation to see if he/she qualifies for speech therapy.

M: That sounds great! What happens next?

B: After the evaluation, if therapy is necessary, we are able to initiate therapy in English, Spanish, or both languages to help your child communicate with family, friends and all of the people in the child’s life using their preferred language.

M: So cool! Are any other therapies offered?

B: Of course! We also offer therapy for feeding difficulties, stuttering, problems with social language secondary to autism, and the use of augmentative and alternative communication for children who are not able to talk using verbalizations. Here at MetroEHS we also offer occupational and behavior therapy at all of our centers. We have a phenomenal team of therapists that provide individualized services for your child. And Mallory, you can assist Spanish-speaking families get started, right?

M: Of course! We accept most insurances. I would be happy to answer any questions that families might have. Call our office to see if your child might benefit from speech therapy or other therapies in Spanish, English, or both languages. Our telephone number is 313-278-4601. We would love to talk to you!

Brittany: Hola! Me llamo Brittany y soy la terapeuta bilingue de habla en MetroEHS en Sterling Heights y Detroit.

Mallory: Hola! Me llamo Mallory y trabajo en el departamentro de recursos humanos en la oficina administrativa en Plymouth.

Brittany: Estamos emocionados de anunciar que MetroEHS ofrece la terapia de habla en ingles y espanol.

Mallory: Que excelente! Podemos proporcionar la terapia de habla a ninos en MetroDetroit en su idioma nativo. Brittany, me puedes explicar como saber si mi hijo necesita la terapia de habla.

Brittany: Por supuesto! Si tiene preocupaciones del desarrollo del lenguaje o de la articulacion de su hijo es posible que se beneficie de la terapia de habla. Por ejemplo,  si su hijo no puede pronunciar ciertos sonidos, no dice muchas palabras ni combina palabras para hacer oraciones, o si no le puede entender a su hijo, podemos hacer una evaluacion para ver si califica para la terapia de habla.

Mallory: Suena muy bien! Que pasara despues?

Brittany: Despues de la evaluacion, si las terapias son necesarias, podemos iniciar las terapias en ingles, espanol o ambos idimos para ayudar a hijo a comunicarse con la familia, los amigos y todas las personas en su vida usando su idioma preferido.

Mallory: Guau(wow)! Ofrecen otras terapias?

Brittany: Tambien ofrecemos terapias para dificultades con la alimentacion, el tartamudeo, problemas con el lenguje social secundario al autismo, y el uso de comunicacion aumentativa y alternativa para ninos que no puede hablar con verbalizaciones. En MetroEHS, ofrecemos la terapia ocupacional y la terapia de comportamiento (ABA). Tenemos un equipo fenomenal de terapeutas que proporcionan servicios individualizados para su hijo. Mallory, tu puedes ayudar a las familiar que hablar espanol en la oficina, verdad?

Mallory: Por supuesto! Aceptamos muchos seguros medicos. Yo estaria encantada de responder a cualquier pregunta que tenga. Llame nuesta oficina para ver si su hijo se podria beneficiar de la terapia de habla en espanol, ingles, o ambos idiomas. El numero de telefono de la oficina es 313-278-4601. Nos encantaria hablar con usted.

April 22, 2024

Empowering Communication for Children with Autism: A Look at Therapy Interventions

In a recent airing of Live in the D, sponsored by MetroEHS Pediatric Therapy, the spotlight was on Autism Awareness Month, shedding light on how children on the autism spectrum can benefit from life-changing therapy. MetroEHS, a pediatric neighborhood therapy company with multiple locations across Metro Detroit, including expanding services, is dedicated to enhancing the quality of life for children with various therapy needs, including autism.

Deanna Coker, a board-certified behavioral analyst, and Kris Krajewski, a speech therapist with MetroEHS, joined the show to discuss how therapy can significantly impact children’s communication skills.

Understanding Communication Challenges in Autism

Deanna explained that autism, as a developmental disability, often presents challenges in social interaction and communication. Unlike typically developing children who learn language by observing and imitating, children with autism struggle to find meaningful ways to communicate, despite their desire to do so.

The Role of Speech Therapy

Kris emphasized that speech therapy is essential for children with autism, given that communication difficulties are a hallmark characteristic of the condition. Speech therapists, like those at MetroEHS, work to identify barriers to communication and introduce alternative methods for expressing thoughts and needs.

Speech Therapy Interventions

Kris introduced an innovative tool called the AAC device (Alternative and Augmentative Communication), essentially an iPad loaded with specialized software designed exclusively for communication purposes. This device enables children to select words and icons to express themselves, giving them a voice and autonomy in their interactions.

Empowering Communication Through Tools

Deanna highlighted another communication aid, the PECS book (Picture Exchange Communication System), a low-tech solution that uses pictures to help children convey wants, needs, and preferences. By selecting and exchanging pictures, children can effectively communicate with caregivers, enhancing their independence and self-expression.

The conversation between Deanna, Kris, and the show’s host highlighted the importance of therapy in empowering children with autism to communicate effectively. Through innovative interventions and specialized tools, such as AAC devices and PECS books, children can overcome communication barriers and actively engage with the world around them.

For families seeking therapy services for their children, MetroEHS offers comprehensive support, including ABA, speech, occupational, feeding, and physical therapies. With multiple locations across Metro Detroit and additional centers on the way, MetroEHS aims to make therapy accessible and impactful for families in need.