Our children’s physiotherapy team works with children with neurodevelopmental and orthopaedic motor difficulties from birth until they leave school.

We provide specialist assessment, advice and intervention with a neurodevelopmental approach to assist children with their physical function with regard to positioning, movement and balance, to enable them to achieve their optimum physical function/potential.

How can we help?

Children will receive intervention in relation to positioning, functional ability, equipment, aids and splints.

Typically, for very young children, the skills of sitting, rolling and crawling need to be mastered, and for older children more complex activities such as throwing catching, running and sport skills are addressed.

The conditions we support and how we support them are as follows:

Learning difficulties (global developmental delay)

  • To promote gross motor skill development (sitting and walking)
  • To maximise independence and increase participation in home, school, and community environments
  • To recommend and monitor function, fit and proper use of equipment such as mobility aids (e.g. supportive walkers), positioning devices (e.g. standing frames, sleep systems)

Neurological conditions (cerebral palsy)

  • To improve gross motor skill function
  • To manage muscle tone, protect posture, and reduce need for surgery
  • To maximise independence and increase participation in home, school, and community environments
  • To recommend and monitor function, fit and proper use of equipment such as mobility aids (e.g. supportive walkers), positioning devices (e.g. standing frames, sleep systems)

Neuromuscular conditions (muscular dystrophy)

  • To maximise function and to minimise the development of contractures and deformities through a programme of stretches and, where appropriate, exercises
  • To recommend and monitor function, fit and proper use of equipment such as positioning devices for contracture prevention (e.g. standing frames, sleep systems)
  • To educate children and families and support respiratory function programs including cough assistance and airway clearance techniques (e.g. chest percussions and ‘shakes’)

Sensory impairment

  • To promote gross motor skill development (sitting, walking, running)
  • To contribute to sensorimotor programs in the promotion of independence in home, school, and community environments

Social communication disorders (ASD)

  • To promote gross motor skill development (sitting, walking, running)
  • To recommend strategies for body awareness and motor planning skills for improved balance and coordination
  • To contribute to sensorimotor programs in the promotion of independence in home, school, and community environments

Developmental coordination disorder

  • To promote gross motor skill development (sitting, walking, running)
  • To recommend strategies for body awareness and motor planning skills for improved balance and coordination

Syndromes (Down Syndrome)

  • To promote gross motor skill development (sitting, walking, running)
  • To advise on supportive footwear, such as boots, to help increase foot stability and improve foot posture
  • To maximise independence and increase participation in home, school, and community environments

Who will my child see?

The children’s physiotherapy team includes:

  • Specialist children’s physiotherapists
  • Physiotherapy assistants with experience in neurodevelopment children’s physiotherapy
  • Occupational therapists

What happens next?

All children will receive an individual assessment with advice and a treatment programme as required. This assessment can be made in their home, health clinic, nursery or school. In some cases we can also provide assessments for equipment to support a child’s educational involvement and achievement.


Integrated Therapies Service Review Survey

In 2016 Wiltshire launched its community Integrated Therapies services. The Integrated Therapies service is made up of Physiotherapy and Occupational Therapy professionals, and children referred into the service may access support from both professions, or just one, depending on their needs.

We would like to review service user’s and professionals’ experience of the Integrated Therapies service, to help us understand how our service approaches are working. To help us to do this we are asking our service users and professionals who have had some involvement with the Wiltshire Integrated Therapies service to complete a short questionnaire to let us know about your experience. Thank you very much for your contribution.

Parent /carer survey: https://www.surveymonkey.co.uk/r/integratedtherapiesreview-parentscarers 

Professionals survey: https://www.surveymonkey.co.uk/r/Integratedtherapiesreview-professionals