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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October 31, 2023

Fostering Gratitude in the Family

Gratitude is a valuable life skill that can enrich the lives of all individuals, including children on the autism spectrum. Teaching children with autism about gratitude can help them develop a more positive outlook, build stronger relationships, and improve their overall well-being. However, because children on the autism spectrum often have unique learning needs, it’s important to use tailored strategies to teach them about gratitude. Here are a few ideas.

1. Visual Supports

Visual supports are powerful tools for children with autism, as they process information in a more concrete manner. Create visual schedules or charts that incorporate gratitude activities into their daily routines. For example, you can design a “gratitude journal” with pictures or symbols representing things they are thankful for. During the month of November, you could draw a tree on a large piece of paper and add a leaf of gratitude every day with a drawn picture of what you are thankful or writing down simply one word. This can be a simple way to encourage them to reflect on positive aspects of their lives. As they add items to their gratitude journal, reinforce the positive feelings associated with each entry.

2. Social Stories

Social stories are narratives that describe social situations and appropriate behavior. You can create social stories that revolve around gratitude. Tailor the stories to your child’s interests and communication style. For instance, you might develop a story about a character who learns to express gratitude when someone helps them. Reading and discussing these stories with your child can help them understand the concept of gratitude and its importance.

3. Visual Modeling

Children on the autism spectrum often benefit from visual modeling, where they observe someone demonstrating a behavior or skill. Create visual examples of gratitude by using pictures, drawings, or videos. Show them how to say “thank you” or how to express gratitude through simple gestures. Repeated exposure to these visuals can help them imitate and internalize these actions. Make sure you are expressing your appreciation with the people around you while your child is watching.

4. Use Concrete Reinforcers

For many children with autism, immediate reinforcement is key to learning new behaviors. Use concrete reinforcers to motivate your child to practice gratitude. This could be as simple as providing a favorite treat or activity when they express gratitude, whether by saying thank you or engaging in a small act of kindness. The more they associate gratitude with positive outcomes, the more likely they are to embrace it.

5. Practice Mindfulness and Reflection

Gratitude often goes hand in hand with mindfulness and reflection. Teach your child techniques for being present in the moment and focusing on positive aspects of their lives. Simple activities like mindful breathing, meditation, or keeping a gratitude jar can help them develop an appreciation for what they have. Encourage them to reflect at bedtime about their day and share what they are thankful for, fostering a sense of gratitude as part of their daily routine.

Teaching children about gratitude is not only possible but also incredibly beneficial. Gratitude helps improve their emotional well-being, enhance their social interactions, and promote a more positive outlook on life. The key is to tailor your approach to their specific learning needs, using visual supports, social stories, visual modeling, concrete reinforcers, and mindfulness and reflection techniques. Remember that patience and consistency are crucial in helping children with autism develop this valuable life skill. By embracing these strategies, you can help them grow into more thankful, empathetic, and content individuals.

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.

May 7, 2025

The Journey to Graduation in ABA Therapy – WDIV Segment #5

MetroEHS emphasizes that ABA therapy is not a lifelong commitment but a structured program aimed at equipping children with essential skills. From the outset, each child receives an individualized treatment plan tailored to their unique needs and developmental goals at MetroEHS Pediatric Therapy.

Dawn Sterling, Regional Director of Behavioral Health at MetroEHS, explains, “We like to think of working ourselves out of a job… it’s not necessarily a lifelong thing that you have to experience, especially for those that are in ABA therapy.” This perspective underscores the organization’s commitment to empowering children to achieve independence.

Individualized Planning and Early Intervention

The process of graduating from ABA therapy is highly individualized. Ashley Lewis, Clinical Director at MetroEHS, notes that planning for graduation begins early in the therapy process. “We like to start talking about graduation early… so that we know what goals that we want to go for and how we want to target each and every one of those goals,” she says. This proactive approach ensures that therapy is goal-oriented and progress is continuously monitored.

Early intervention is a cornerstone of MetroEHS’s philosophy. By engaging children in therapy at a young age, the likelihood of achieving developmental milestones and preparing for school increases significantly.

Life After ABA Therapy

Graduation from ABA therapy marks the beginning of a new chapter. Post-graduation, children may continue to receive support through other services offered by MetroEHS, such as speech therapy, occupational therapy, and participation in social or playgroups. These services aim to reinforce the skills acquired during ABA therapy and ensure their application across various environments .

The goal is to prepare children for success in school and beyond, fostering independence and confidence in their abilities.

Learn More About MetroEHS Services

MetroEHS Pediatric Therapy offers a comprehensive range of services designed to support children with developmental challenges. For more information about their programs and how they can assist your family, visit metroehs.com or call 248-970-8402

Embarking on the journey through ABA therapy with MetroEHS means partnering with a team dedicated to revealing the “super” in every child.