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 22, 2024

Helping Picky Eaters: A Look into Pediatric Feeding Therapy with MetroEHS

In today’s hectic world of parenting, where every child seems to come with their unique set of challenges, one common struggle that many families face is dealing with picky eaters. It’s a scenario familiar to almost every parent or guardian out there. But fear not, because MetroEHS Pediatric Therapy is stepping in to offer a solution that not only addresses the needs of the child but also brings relief to the entire family.

During a recent segment on Live in the D, Tati Amare dove into the topic of feeding therapy with two experts from MetroEHS: Dawn Sterling, a Board Certified Behavioral Analyst, and Sam Fitzsimmons, the Director of Occupational Therapy. Their insights shed light on the signs indicating a child could benefit from feeding therapy, how MetroEHS approaches this issue, and invaluable advice for parents navigating feeding challenges.

According to Sam Fitzsimmons, pediatric feeding disorders are more common than we might think, with one in 23 children under the age of five affected. These disorders often accompany developmental disabilities like ADHD and autism, making them even more prevalent. Signs to watch out for include mealtime behaviors that disrupt daily routines, extreme food selectivity, and a reduction in the variety of foods consumed.

MetroEHS takes a holistic approach to feeding therapy, utilizing an interdisciplinary model that incorporates occupational therapy, speech therapy, applied behavior analysis (ABA), and physical therapy. Their goal is to make feeding a positive and enjoyable experience for children, starting with non-food items and gradually progressing to food-based activities through play and sensory exploration.

One of the most significant takeaways from the discussion is that it’s never too early to seek help. Whether it’s addressing difficulties with latching during breastfeeding in newborns or tackling food aversions in older children, MetroEHS is there to support families every step of the way.

When it comes to feeding strategies, Dawn Sterling emphasizes the importance of keeping things light and pressure-free. Rather than engaging in power struggles over food, she advocates for creating a nurturing environment where children feel comfortable exploring new foods at their own pace. The key is to focus on engagement and enjoyment, both for the child and the family.

In their own words, both Dawn and Sam emphasize MetroEHS’s commitment to holistic care, not just for the child but for the entire family. By adopting a whole-child approach and empowering families, MetroEHS aims to foster growth and success in every aspect of a child’s development.

As the conversation drew to a close, Tati Amare reiterated the accessibility of MetroEHS’s services, with 14 locations already established in Metro Detroit and three more on the horizon. Whether it’s ABA, speech, occupational, feeding, or physical therapies, MetroEHS stands ready to lend a helping hand to families in need.

In conclusion, dealing with picky eaters can be a daunting challenge, but with the right support and guidance from experts like those at MetroEHS Pediatric Therapy, families can overcome these obstacles and ensure that every child thrives. If you’re facing feeding difficulties with your child, don’t hesitate to reach out and discover the transformative power of pediatric feeding therapy.

March 26, 2024

New Therapy for Age Old Issue: Pelvic Floor Therapy

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.

September 26, 2025

Why Does Play-Based Therapy Work? 3 Reasons It Helps Children Thrive

How Play Unlocks Potential

Play isn’t just fun; it’s how kids learn best. It gives them the freedom to explore their abilities while feeling safe and supported. Imagine a young hero practicing teamwork by pretending to save the world with their peers or strengthening fine motor skills while building a block tower taller than a skyscraper. These playful missions help kids grow in ways that traditional methods simply can’t.

The BIG THREE Additions to Heroes’ tool belts.

  1. Improved Social Powers: Group games teach kids how to share, collaborate, and communicate—turning them into master team players.
  2. Problem-Solving Super Skills: Puzzles and pretend play help young heroes learn to think critically and creatively.
  3. Emotional Resilience: Role-playing scenarios give kids the tools to navigate their feelings and build confidence.

The Power of Play

In the world of superheroes, a child’s business is play. Through play-based therapy, skilled therapists use games, toys, and imaginative scenarios to help kids develop essential skills. Whether it’s building social connections, improving motor abilities, or boosting communication skills, every playful moment is designed with purpose—turning fun into progress.

For children, play is more than just a pastime; it’s the key to unlocking their unique powers. At MetroEHS, play-based therapy ensures every child has the chance to soar, grow, and shine—because every superhero deserves to feel unstoppable.