What Is Pediatric DMI Therapy and How Does It Support Motor Development?

a child doing a dynamic movement intervention therapy session with MetroEHS therapists

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.

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April 30, 2020

Does Online Speech Teletherapy Work

Teletherapy, also called tele-practice or tele-speech, has become more popular during the uncertain circumstances and stay at home orders of COVID-19. Teletherapy can bring a sense of familiarity in uncertain times, as your child can have a weekly live speech therapy visit with a consistent speech language pathologist (SLP). A relationship is built, and the therapist and child share smiles and laughter in between working on their goals. With teletherapy, children can continue to receive continuity of care even as they stay safe at home! But does this foreign method of attending speech therapy really work?

Research is largely in agreement: Teletherapy is a very effective way of teaching kids speech and language!

With teletherapy, speech therapy is provided via a video chat platform that is secure. MetroEHS’s online platform includes fun games, a box for clients to watch applicable videos and talk through worksheets or read stories, screen share, practice cards, and, of course,  a live-streaming video SLP guiding them through all of it. All of these features engage most children, including those on the Autism Spectrum. This 1:1 teletherapy has been proven effective: according to a review of 7 studies of school-aged children, “telehealth is a promising method for treating children” (1). Another study looking specifically at children with ASD stated, “All [14] studies reported high levels of programme acceptability and parent satisfaction with the telehealth component of the intervention” (2). And another states, “Emerging research in telepractice treatment for ASD clients already shows success in both direct and indirect interactions” (3).

If a child is too young or difficult to engage, the SLP may opt for a parent training approach. The parent will receive a list of supplies to gather from around the house, and the SLP will teach the parent how to target the child’s goals. The parent is encouraged to ask questions, and the SLP coaches as the parent engages their child and completes their goals. This has also been proven effective for children learning language! Evidence suggests, “that parent-mediated intervention training delivered remotely can improve parents’ knowledge in [autism spectrum disorder] ASD, parent intervention fidelity, and subsequently improve the social behavior and communication skills of their children with ASD (4).

Feeding Therapy can be provided with a similar model. The SLP guides the caregiver during the session, and talks through strategies and techniques for children accepting the food, chewing, and swallowing. Providing feeding therapy online can be beneficial because the SLP can see where the child typically sits, the types of eating utensils that are used, and overall family dynamic- all of which play a major role in carryover of skills to the home environment. What better way to support generalization to home, than having therapy in the home! Feeding Teletherapy, too, is an excellent and effective substitute to in-person therapy, according to research (5)!

As you can see, teletherapy is a powerful alternative to in-person therapy, especially during situations when receiving in-person therapy is difficult or impossible for families. If you would like more information about teletherapy, to enroll your child, or a free “Teletherapy Tour” to see our platform, please contact MetroEHS today!

Resources

  1. 2017. Wales, D., Skinner, L., et al. The Efficacy of Telehealth-Delivered Speech and Language Intervention for Primary School-Age Children: A Systematic Review. International Journal of Telerehabilitation, 9(1), 55-70.
  2. 2018. Sutherland, R., Trembath, D., et al. Telehealth and Autism: A Systematic Search and Review of the Literature. International Journal of Speech-Language Pathology, 20(3), 324-336.
  3. 2015, April 28. Cornish, Nate. Social Mediating: Using Telepractice for Clients With Autism. ASHAwire.
  4. 2017. Parsons, D., Cordier, R., et al. Parent-Mediated Intervention Training Delivered Remotely for Children With Autism Spectrum Disorder Living Outside of Urban Areas: Systematic Review. Journal of Medical Internet Research, 19(8), e198.
  5. 2008. Clawson, Seldon, Lacks, Deaton, Hall, Bach. Complex pediatric feeding disorders: using teleconferencing technology to improve access to a treatment program. Pediatric Nursing, 34(3): 213-6.
July 29, 2026

Is My Child Ready for School? Here's What School Readiness Really Means

Parents often ask one important question before preschool or kindergarten begins:

"Is my child ready?"

Many people think school readiness simply means knowing letters, numbers, or colors. While those skills are certainly helpful, they are only one small piece of the puzzle.

The truth is that successful classroom participation depends on many developmental skills working together.

Can your child:

✔ Follow simple directions?

✔ Transition between activities?

✔ Sit with a group?

✔ Ask for help?

✔ Play alongside peers?

✔ Manage big emotions?

✔ Hold crayons and scissors?

✔ Listen during story time?

✔ Walk safely in a classroom?

These everyday abilities often have a much bigger impact on classroom success than academic knowledge alone.

Why School Readiness Matters

The first few years of school help shape confidence, friendships, communication, and lifelong learning habits.

When children enter school with strong foundational skills, they're often able to:

  • Participate confidently
  • Build friendships
  • Follow classroom routines
  • Learn alongside peers
  • Become more independent

For children with autism, these foundational skills often benefit from early, coordinated support.

Introducing Superhero Academy

MetroEHS created Superhero Academy to help children ages 2-6 develop the skills needed for preschool and kindergarten through integrated therapy.

Unlike traditional therapy where each discipline works independently, Superhero Academy combines:

ABA Therapy

Occupational Therapy

Physical Therapy

Speech Therapy

Our therapists collaborate to help children practice the same skills across every therapy session.

Instead of isolated goals, children experience one coordinated learning environment.

Learning Through Play

Every month introduces a new superhero mission.

Children learn through:

  • Structured play
  • Sensory activities
  • Group learning
  • Social interaction
  • Movement games
  • Classroom routines
  • Communication opportunities

The result is therapy that feels fun while building real-world school skills.

The Four Hero Disciplines

Sensory Squad (Occupational Therapy)

Helping children develop:

  • Fine Motor Skills
  • Self-regulation
  • Sensory processing
  • Independence

Mighty Mover (Physical Therapy)

Helping children improve:

  • Balance
  • Coordination
  • Strength
  • Motor planning
  • Confidence

Communication Champion (Speech Therapy)

Helping children build:

  • Expressive language
  • Listening skills
  • Social communication
  • Early literacy

Learning Legend (ABA)

Helping children develop:

  • Classroom behaviors
  • Emotional regulation
  • Functional communication
  • Cooperation
  • Peer interactions
  • Independence

Building Real School Skills

Throughout the year, children practice:

  • Following routines
  • Listening to teachers
  • Sharing
  • Taking turns
  • Transitioning between activities
  • Solving problems
  • Managing emotions
  • Communicating wants and needs
  • Participating in groups
  • Becoming independent learners

Every milestone helps prepare them for the classroom.

Celebrating Every Hero

Children earn Hero Badges as they master new skills throughout the year.

At graduation, every child receives a Superhero Cape or Hero Champion Medal and a diploma celebrating everything they've accomplished.

Because every child deserves to feel like a superhero.

Ready to Begin?

If your child is between the ages of 2 and 6 and has been diagnosed with autism and you’ve been interested in an ABA program, Superhero Academy may be the perfect next step.

May 2, 2025

Neuroplasticity: The Brain’s Superpower!

Calling All Brain Boosters and Therapy Sidekicks!

Did you know your child’s brain has a superpower? That’s right — it’s called neuroplasticity, and it’s basically the brain’s way of saying, “Hey, I can grow, change, and level up — just give me a reason!”

In the world of pediatric therapy, neuroplasticity is our superhero ally. It means that with the right kind of training and enough repetition, a child’s brain can form new pathways, build stronger connections, and unlock abilities they never thought possible. And guess what fuels this superpower?

Intensive Intervention!

Due to a child’s neuroplasticity, MetroEHS ensnares this rapid growth acceleration by declaring Intensive Intervention as the most effective strategy in revealing the SUPER in every child. We’re talking 5 sessions a week, not because we’re trying to break a record — but because that’s how we build real, lasting change.

Think of it like superhero training camp. If your goal is to fly, shoot webs, or develop super speed, do you practice once a week and hope for the best? Nope! You train every day, building your skills and flexing those brain muscles!

Here’s why 5x a week is a power move:

  • More reps = stronger brain connections
  • Faster progress = more confidence
  • Consistent practice = real-world impactSo, when a child engages in therapy intensively and regularly, they’re not just “working hard” — they’re giving their brain the super fuel it needs to thrive. Whether it’s building communication skills, mastering motor movements, or learning how to regulate emotions, frequent sessions give the brain the boost it needs to rewire and rise to its fullest potential.“With great [brain] power comes great responsibility!” And we believe in giving kids every opportunity to grow into their best, brightest, most confident superhero selves. Ready to suit up and supercharge those neural pathways? Let’s go!