PHYSIOTHERAPY

The role of the physotherapist is broad, but mainly concerns the assessment, treatment and management of children with significant movement difficulities.  Although based on neuro-development lines, the approach to treatment is not restricted.

On admission, an initial assessment is carried out.  From this, specific goals are set and an individual management programme formulated.  These are dicussed with both the young person and parents/carers, and protocols for carrying out the programme are agreed.  The programme is regularly reviews, evaluated and modified as appropriate.  For some young people, part of their therapeutic input may include personal orthotics such as hand or leg splints.  The physiotherapist works together with the visiting orthotist to ensure appropriable prescrption use and review of all personal orthotic devices.

Special equipment can be a fundemental part of a young persons treatment or management programme.  The physiotherapist, often in consultation with the occupational therapist, will advise and assist in the selection of appropriate equipment and train the  relevant carers in its use.  The physiotherpist also acts in an advisory capacity.  The therapists can teach handling  and positioning techniques to parents/carers and staff, discuss suitable leisure activities and suggest appropriate positions for play, dressing, feeding etc.

The purpose-built hydrotherapy pool, with interactive, computer-programmed, audio and visual equipment is a valuable part of the therapeutic input for some children.  The environment and treatment techniques involved assist in promoting relaxation, reducing high tone, improving function, boosting self-esteem and developing a sense of achievement.  During the past year, young people have accessed cycling using specialist adapted bicycles as part of their physiotherapy programme.

24-HOUR POSTURAL MANAGEMENT

24 hour postural management is an important part of the therapeutic regime both in the daytime, through the use of equipment such as lyers and standing frames, and at night.  Staff are on duty throughout the 24 hour period so Birtenshaw Hall is ideal for children whose physical reqwuirements include the use of sleep systems.