Why Do Some Children With Autism Toe Walk—and What Can Parents Do?

Are you concerned about your child’s toe walking habits? Toe walking, a common concern for parents, can sometimes be associated with autism spectrum disorder (ASD). Understanding the connection between toe walking and autism is crucial for early intervention and support.

What is Toe Walking?

Toe walking refers to a walking pattern where a person walks on their toes or the balls of their feet without their heels touching the ground. While occasional toe walking in toddlers is common, persistent toe walking beyond the age of two may indicate an underlying issue.

The Connection with Autism

Toe walking is often observed in children with autism spectrum disorder (ASD). While not all toe walkers have autism, studies suggest that many children with ASD exhibit toe walking behavior. Children with Autism often have higher sensory seeking behaviors, and being up on their toes gives them deep sensory input through their feet and in their contracted calf muscles. This connection can lead to more targeted interventions and support from therapists and parents.

How Can a MetroEHS Physical Therapist Help?

Physical therapy plays a crucial role in addressing toe walking in children, especially those with autism. A skilled physical therapist can:

  • Assess the Underlying Causes: A physical therapist will conduct a comprehensive evaluation to identify any underlying factors contributing to toe walking, such as muscle tightness, sensory issues, muscle weakness, or lack of range of motion.
  • Develop Individualized Treatment Plans: Based on the assessment, the physical therapist will create a personalized treatment plan tailored to your child’s needs. This plan may include stretching exercises, strengthening activities, balance training, or different sensory inputs.
  • Educate and Empower Families: MetroEHS Physical Therapists work closely with families to educate them about toe walking and provide strategies for home exercises and activities to support their child’s progress.

Toe-walking can impact your child long-term if left untreated:

Toe walking will impact your child’s overall body positioning, posture, and muscles. With toe walking, because of these impacts, it will also change the load of the body’s joints and likely cause chronic pain as the individual ages. It is common for toe walkers to lose range of motion in their ankles, preventing them from being able to reach their heels to the ground and causing their Achilles tendon to shorten. In more severe cases, if the Achilles tendon shortens too much, the only way to regain that length is with a surgical lengthening.

Take the First Step Towards Support

If you’re concerned about your child’s toe walking or suspect they may have autism, early intervention is key. Schedule an evaluation with a qualified physical therapist who specializes in pediatric care. Together, we can help your child take confident steps towards improved mobility and independence.

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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.

May 30, 2023

Sensory Friendly Movies

We love working in Southeastern Michigan as we get to work with hard-working families and amazing businesses like Emagine who intentionally create special experiences for members of the community that can get overlooked.

Join Emagine For A Sensory Friendly Movie!

Sensory Friendly Screenings provide modifications to the theatre atmosphere without modifying the film for those who experience sensory issues.

SENSORY FRIENDLY MOVIES
Sensory Friendly Film Screenings

Select Emagine locations will host a unique, sensory friendly screening twice a month, with specific modifications made to ensure an enjoyable experience for individuals with sensory needs and their supporters. Their sensory friendly programing makes going to the movies a more enjoyable experience for families, children, and teens with sensory needs. All sensory friendly films will be shown in 2D. *Note there are no modifications made to the film.

What does Sensory Friendly mean?

First, it means sensory friendly experience (lights up a bit, sound down a bit). Second, if your child needs to get up, move, dance, sing…No problem. Third, guests are welcome to bring a safe snack for any food allergies or food avoidance/restrictions.

Locations: (Michigan) Birch Run, Canton, Hartland, Macomb, Novi, Rochester Hills, Saline, Woodhaven, Quality 10 Powered by Emagine, (Minnesota) Eagan, Lakeville, Rogers, White Bear, (Illinois) Frankfort, (Indiana) Noblesville, Portage, (Wisconsin) Geneva Lakes

Films

First Showing of the Day. On-Sale dates vary. Check the website or Emagine app for theatres and showtimes.

The Little Mermaid
Saturday, June 3, 2023

Elemental
Saturday, June 17, 2023

Where

Tickets are available at the box office, online at Emagine-Entertainment.com or through the Emagine App.
To purchase tickets and for a full list of showtimes visit Emagine-Entertainment.com
On-Sale dates vary.
All films, locations, dates, and times are subject to change.

Sensory Friendly Movies
Film Synopsis

The Little Mermaid (Rated PG)
The Little Mermaid is the beloved story of Ariel, a beautiful and spirited young mermaid with a thirst for adventure. The youngest of King Triton’s daughters and the most defiant, Ariel longs to find out more about the world beyond the sea and, while visiting the surface, falls for the dashing Prince Eric. While mermaids are forbidden to interact with humans, Ariel must follow her heart. She makes a deal with the evil sea witch, Ursula, which gives her a chance to experience life on land but ultimately places her life – and her father’s crown – in jeopardy.

Elemental (Rated Pg)
Follows Ember and Wade, in a city where fire-, water-, land- and air-residents live together.

In addition to Sensory Friendly Movies

Join Emagine Entertainment For A Variety Of Specialty Screenings‍

Providing Open Caption, Sensory Friendly, Dementia Friendly, Breakfast & a Movie, and Lunch & a Movie Screenings

Join Emagine Entertainment this June as they host a variety of specialty screenings for their guests. Each month guests can watch some of the newest film releases with an enhanced experience. Open Caption screenings provide subtitles for those with hearing impairments. Sensory Friendly Screenings provide modifications to the theatre atmosphere without modifying the film for those who experience sensory issues. Dementia Friendly screenings provide exclusively selected classic movies and musicals and encourage audience participation while providing guests with special door-to-door service. The Breakfast and a Movie and Lunch and a Movie allow guests to enjoy a full meal and concessions while they enjoy their film.

Open Caption Film Screenings

Select Emagine locations will host Open Caption showings of some of the newest film releases on Sunday and Wednesday afternoons all month long. Guests who experience hearing impairments will be able to enjoy the movie-going experience with audio subtitles displayed on the big screen for all to see.
All open caption movies are shown in 2D. *Note: there are no modifications made to the film.

Locations: (Michigan) Novi, Rochester Hills, Royal Oak, Hartland, Woodhaven, Quality 10 Powered by Emagine, (Minnesota) Eagan, Lakeville, Monticello, Rogers, White Bear, Willow Creek, (Wisconsin) Geneva Lakes, (Illinois) Frankfort, (Indiana) Noblesville, Portage

Films:
On-Sale dates vary. Check the website or Emagine app for theatres and showtimes.

Spider-Man: Across The Spider-Verse
Sunday, June 4, 2023
Wednesday, June 7, 2023

Transformers: Rise Of The Beasts
Sunday, June 11, 2023
Wednesday, June 14, 2023

Elemental
Sunday, June 18, 2023
Wednesday, June 21, 2023

The Flash
Sunday, June 25, 2023
Wednesday, June 28, 2023

Dementia Friendly Screening

Dementia Friendly Screenings include exclusively selected classic movies and musicals presented in a unique setting with softer sound and ambient lighting. Guests are able to interact during the presentation and encouraged to talk back, clap, tap their feet, sway, sing along and get up and dance.
Emagine works with Dementia Friendly Saline to provide guests with a special door-to-door experience guided by a team of dementia friendly “Purple Angels.” These staff and volunteers act as guides for the guests beginning the moment they arrive until the moment they leave.
More information can be found on Emagine’s website. Tickets can be purchaseddirectly through Dementia Friendly Saline.

Location: Emagine Saline

Films:
Showings are the second Wednesday of each month.

Meet Me In St. Louis
Wednesday, June 14, 2023
Pre-Show Mingling: 1:15-2:00PM
Film Begins: 2:00PM

Breakfast And A Movie Screening

Each month, Emagine hosts a Breakfast and a Movie showing, at select theatres, of one of the newest family-film releases. Tickets are $24 each and include a full breakfast buffet, a 44oz. popcorn, and a 21oz fountain drink as well as a ticket to the showing.

Location: Emagine Royal Oak, Emagine Palladium, Emagine Canton

Film:
On-Sale dates vary. Check the website or Emagine app for more information.

The Little Mermaid*
Sunday, May 28, 2023

Spider-Man: Across The Spider-Verse
Sunday, June 4, 2023

Spider-Man: Across The Spider-Verse
Sunday, June 4, 2023

Senior Lunch And A Movie Screening

Each month, Emagine Royal Oak hosts a special Senior Citizen Lunch and a Movie. Tickets are $24 each and include a full lunch buffet, a 44oz. popcorn and a 21oz. fountain drink as well as a ticket to the showing. This offer is valid for guests aged 55 and up.

Location: Emagine Royal Oak

Film:
On-Sale dates vary. Check the website or Emagine app for more information.

About My Father
Tuesday, June 20, 2023

Where:
Tickets are available at the box office, online at Emagine-Entertainment.com or through the Emagine App.

Film Synopsis

Spider-Man: Across The Spider-Verse (Rated P)
Miles Morales returns for the next chapter of the Oscar®-winning Spider-Verse saga, an epic adventure that will transport Brooklyn’s full-time, friendly neighbourhood Spider-Man across the Multiverse to join forces with Gwen Stacy and a new team of Spider-People to face off with a villain more powerful than anything they have ever encountered.

Transformers: Rise Of The Beasts (Rated P-13)
Returning to the action and spectacle that have captured moviegoers around the world, Transformers: Rise of the Beasts will take audiences on a ‘90s globetrotting adventure with the Autobots and introduce a whole new breed of Transformer – the Maximals – to the existing battle on earth between Autobots and Decepticons. Directed by Steven Caple Jr. and starring Anthony Ramos and Dominique Fishback, the film arrives in theatres June 9, 2023.

The Flash (Rated P-13)
Worlds collide in “The Flash” when Barry uses his superpowers to travel back in time in order to change the events of the past. But when his attempt to save his family inadvertently alters the future, Barry becomes trapped in a reality in which General Zod has returned, threatening annihilation, and there are no Super Heroes to turn to. That is unless Barry can coax a very different Batman out of retirement and rescue an imprisoned Kryptonian… albeit not the one he’s looking for. Ultimately, to save the world that he is in and return to the future that he knows, Barry’s only hope is to race for his life. But will making the ultimate sacrifice be enough to reset the universe?

He Little Mermaid (Rated PG)
The Little Mermaid is the beloved story of Ariel, a beautiful and spirited young mermaid with a thirst for adventure. The youngest of King Triton’s daughters and the most defiant, Ariel longs to find out more about the world beyond the sea and, while visiting the surface, falls for the dashing Prince Eric. While mermaids are forbidden to interact with humans, Ariel must follow her heart. She makes a deal with the evil sea witch, Ursula, which gives her a chance to experience life on land but ultimately places her life – and her father’s crown – in jeopardy.

Elemental (Rated PG)
Follows Ember and Wade, in a city where fire-, water-, land- and air-residents live together.

About My Father (Rated PG-13)
The hottest comic in America, Sebastian Maniscalco joins forces with legendary Italian-American and two-time Oscar® winner, Robert De Niro (Best Actor, Raging Bull, 1980), in the new comedy ABOUT MY FATHER. The film centers around Sebastian (Maniscalco) who is encouraged by his fiancée (Leslie Bibb) to bring his immigrant, hairdresser father, Salvo (De Niro), to a weekend get-together with her super-rich and exceedingly eccentric family (Kim Cattrall, Anders Holm, Brett Dier, David Rasche). The weekend develops into what can only be described as a culture clash, leaving Sebastian and Salvo to discover that the great thing about family is everything about family.

Meet Me In St. Louis
St. Louis 1903. The well-off Smith family has four beautiful daughters, including Esther and little Tootie. 17-year-old Esther has fallen in love with the boy next door who has just moved in, John. He however barely notices her at first. The family is shocked when Mr. Smith reveals that he has been transferred to a nice position in New York, which means that the family has to leave St. Louis and the St. Louis Fair.

May 16, 2023

What Is Intensive Feeding Therapy at MetroEHS and How Does It Work?

What is the Intensive Feeding Therapy Program Like at MetroEHS?

As we dive into the details of the Intensive Feeding Therapy Program at MetroEHS, hear from the experts at MetroEHS and how they collaborate on the most wholistic approach to Intensive Feeding Therapy.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
When it comes to treating children who have complex feeding difficulties and pediatric feeding issues, there's a multitude of things that are typically at the root of the problem. So what's very unique about the program that we have here is that we have involvement from both occupational therapy, speech and language therapy, physical therapy, a dietician, as well as psychology.

Rose Britt (Registered Dietitian):
So it's all five disciplines. Spending time together with the family, with the patient, with each other, all talking at one cohesive time, making a plan instead of grabbing pieces from all over the place and putting them together. I think it makes it a lot smoother for us and the families as well.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
Each of our disciplines really does have something to offer to this process, but when we work all together, we have the ability to help our kiddos make more progress more quickly.

Kayla Daniels (Physical Therapist):
At Metro, we really take a whole body approach. We don't just look at one aspect of the child. And a lot of people don't think of physical therapy as part of the feeding team, but in order to eat, you have to use all of these posture and muscles, you have to hold yourself up. You have to hold your head up to be able to swallow. So really focusing on all of those aspects of your body is really important to be able to make the progress.

Azari Haygood (Psychologist):
As a psychologist on staff for the Intensive Feeding Program, I offer mental health services to the families and to some of the clients. It's very stressful for a lot of these families. It's stressful for the clients that we see. And so, I offer just another support for them, where I'm helping them kind of overcome some of the stressors that they're experiencing around feeding.

Rose Britt (Registered Dietitian):
It's not just me telling you what to do. There's so much more going into that, and you get to really listen to the families and hear why it's not working and problem solve together.

Kayla Daniels (Physical Therapist):
The impact you can make, not only on the child's life, but on the family's life as a whole is huge.

Azari Haygood (Psychologist):
Seeing that improvement in their family's lives feels really great all around.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
One in 23 children have a pediatric feeding issue. And so, to truly be able to address all of the aspects of that in one place, that's where we get to make a difference every single day.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
It's like when you have a jigsaw puzzle and you're missing one piece, you can still tell what the picture of the jigsaw puzzle is going to be, but when you have all of the pieces together, integrated into this treatment, the result is just something so much more beautiful.