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Specialised Paediatric Consultation

The 1.5 Hour Consultation

This specialist paediatric consultation service, of infant / child development assessment (developmental assessment), paediatric osteopathy and cranial osteopathy (osteopathic treatment), paediatric exercise, paediatric physical rehabilitation (children’s rehab), to paediatric performance training, for all children from newborn infants up to 18 years old, is provided by our clinical principal Michael Parr, an evidence based practitioner, specialising in osteopathy and neuromotor rehabilitation, assessment, child physical rehabilitation, and performance enhancement. He has trained with some of the leading experts in the field, honing his skills and techniques, including but not limited to training and certification in courses such as ‘Paediatric Practitioner’, ‘Osteopathy In The Cranial Field’, ‘Exercise Trainer’, ‘Child Protection’, ‘Comparing Osteopathic Care With Other Types Of Care For Infantile Colic, Positional Plagiocephaly And Congenital Muscular Torticollis’, ‘The Rehab Continuum: Stability to Performance from Head to Toe’, ‘DNS Practitioner’, ‘The Schroth Best Practice Programme’, ‘Building a Better Life for Patients with Neuro-Physio’.

This consultation process is able to be used to track and assist in a chronological order for all children who require developmental assessment, including those with additional support needs or focus, and those with sports performance targets as junior athletes, which could have neuro-musculo-skeletal requirements.

We aim to provide clarity, with ‘makes sense’ approaches, and an effective monitoring progress, a comprehensive appraisal of your child’s case, efficient assistance, from someone who is trying to help, with practical advice and application. This can be the start of an osteopathic manual therapy, paediatric exercise and Physical Rehabilitation Programme.

Michael has been trained by some of the most respected paediatric neuromotor assessors, and paediatric physical rehabilitation specialists, professors and experts in the world, in their research informed, evidence based approach to diagnosis, paediatric exercise and physical rehabilitation programmes, including those for junior athletes.

These neuro-motor assessments can assist in the early detection of health problems, whilst, wanting to support and work alongside current systems of detection and care. We recommend you ensure your baby / child continues to attend all health service assessments and primary care appointments. We will focus on the supportive monitoring of an infants in-born motor functions, their development, and then later learned motor functions, such as dynamic movements of your baby / child, throughout early infant developmental stages (ontogenesis) and far beyond, until adulthood.

Specialised Paediatric Consultation, Supporting Children’s Development and Physical Performance:

Paediatric Osteopath Assessing a Babies Feet and Legs

Newborn Infant and Toddler – Paediatric Consultation

Through detailed screening assessment (developmental assessment) of a newborn infant (neonate), young baby, or toddler, we will work to evaluate a baby’s neuro-motor, structural and functional health, from birth 0 – 3 months of age and up (0 – 2 Years and 11 Months). The baby assessment (baby check up), may help assist in the early detection and supportive intervention of developmental disturbances, and conditions such as developmental delay, plagiocephaly and torticollis treatment, toe walking.

Together we can learn using the paediatric neuromotor screening, to distinguish the likely need to obtain further additional assessment, or when to introduce immediate supportive interventions, or just when to monitor the infants / child’s development periodically, with the repeatable and comparable developmental assessment (Baby MOT).

The goal of these developmental assessments is to determine the type of reflexive, postural and movement patterns available to the infant, assess current neuromuscular functions, and highlight abnormalities in neuro-motor development, which aids in the early establishment of treatment strategies such as paediatric exercise.

Ensuring your infant gets the best start!

Family time in the Park following a Successful Children's Clinic Appointment for Physical Rehabilitation

Juvenile – Paediatric Consultation

Juvenile children (3 – 9 Years and 11 Months old) can sometimes have body asymmetry, paediatric scoliosis, hypermobility, flat feet, altered gait patterns, in toe gait (walking in toes), adaptation from paediatric injuries, balance troubles, developmental co-ordination disorder, movement awareness and body awareness aspects, that are not yet optimal, perhaps from earlier troubles, childhood disorders, or recent injury, that could improve further before their soon to occur rapid growth.

These aspects of posture, types of motion, movement awareness, pain episodes, injury rehabilitation, and body awareness, can be assessed (developmental assessment) and treated.

The dynamic assessment, osteopathy treatment, paediatric exercise therapy, and supportive introduction of structured exercises, alongside education for every day activities, can be used to help find ways that empower a juvenile child to achieve their goals. By providing, individualised treatment and exercise for targeted results (paediatric physical rehabilitation). Preparing the way and building foundations for the soon to flourish psychomotor developmental ahead.

Ensuring your Juvenile child remains at their optimum!

Physical Rehabilitation of Teenager with Adolescent Idiopathic Scoliosis Exercising and Self Correcting Her Curve

Adolescent – Paediatric Consultation

The Adolescent years (10 – 17 Years and 11 Months old) are seen by some as the ‘motor golden age’ of psychomotor development.

During this time, we are experienced at assessing and treating many conditions, like those seen in children with balance issues, sensory awareness troubles, motor control problems, neurological control conditions, cerebral palsy, general movement weakness, muscle imbalances, post fracture reahabilitation, poor posture, asymmetry, curvature of the spine, adolescent idiopathic scoliosis (AIS), and paediatric sports injury, for example..

Matching developmental assessment finding with education, guidance, corrective therapeutic and performance enhancement exercises (paediatric exercise), and manual therapy, such as osteopathic treatment to your child’s case. Helping them to understand what to do, to allow for the building of a foundation towards optimal movement.

Developing strong performance skills in sports and other life skills, and then guiding in the keeping of the direction.

Helping to establish effective physical rehabilitation programmes, which see them into their adulthood.

Ensuring your adolescent child grows strong and true, and performs at their best!

Junior Athlete Physical Training Programmes – Paediatric Consultation

For junior athletes, we can help guide and support, in the formulation of a performance optimizing: warm up, motor control awareness training, sports injury physical rehabilitation, dynamic exercise therapy and paediatric exercise programmes.

We will provide strategies and exercises to help them on their way to starting to achieve and maintain a healthier and more robust body. Ensuring they clearly understand some progressions and milestones, while modifying for their age group capabilities.

Taking advantage of the amazing adaptability of youth, through the great motor learning ability, we can support a child to grow into their motor control, build control, strength, and power, and express this with greater elegance.

Preparing them with physical awareness and focus, in the move forward and in the preparation of higher level athleticism, in the not so distant future. Focusing them in gaining and regaining of their highly active lifestyle, optimizing their motor controls and outcomes, and enhancing their performance, leading to performance training in junior athletes

The clinical team have experience in physical rehabilitation and the motor control training of athletes who are up to world class standards and Olympic medallists, and we can confidently work with any athletic skill level.

Let’s outline an opportunity to progress!

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Michael is an outstanding professional and is at the top of his field.

After struggling with a debilitating injury, preventing me from running for around 8 months, having had regular physiotherapy and osteopathy at other practices, I made an appointment with Michael in Cambridge. I am now back to running, with no set backs at all. Furthermore, he has corrected a profound curve in my back that I have had since childhood, which all professionals I had seen previously said was untreatable – in just two months!

Michael has an extensive and unique skillset, allowing him to diagnose complex conditions at their root cause, and create highly tailored rehab programs suited to the patient; far beyond what you might expect from a standard physio or osteopath.

As well as the comprehensive skillsets of physiotherapists and osteopaths, he has extensive training in dynamic neuromuscular stabilization (DNS), a cutting-edge field at the forefront of physiotherapy; which applies current knowledge of the neuromuscular system, and its involvement in exercise and injury. Michael’s extensive knowledge of neuroscience further allows him to apply this technique intuitively – with incredible results.

Paediatric Consultation Procedure

For new patients, or the application of new therapies, a full case history is taken, all provided images and reports reviewed, and any prior investigations and current goals discussed, so these can be taken into consideration.

Next, if clinically appropriate, under the presence of an ‘appropriate adult’ with ‘parental responsibility’, to examine the child properly, your child may be asked, or you may be asked to assist dress down of the child to underwear (Infants may at times be required to remove their nappy), to allow us to look at the presenting problem (However, for a Juvenile or Adolescent patient, they can wear small shorts, if it makes them feel more comfortable).

The assessment and developmental assessment will then be dependent on the age of the child, the child’s needs, and the presenting focus of consultation.

For a new born child the assessment is outlined as part of the paediatric neuromotor assessment.

As an example, for an adolescent patient, they will then be asked to perform simple motions, a mixture of postures, motions and training patterns (dynamic assessment), along with some specific investigations and screening methods that will be performed, and necessary measurements taken. To help us gain information and understand their posture, body shape and movement capacity, and then interpret this in regards to their presenting complaint and goals. Identifying key links in their case for record and re-evaluation.

Then when required, a detailed passive examination, along with some specific investigations will be performed. If required, additional examination, and questioning will take place. A diagnosis will then be discussed, and if appropriate at this point, treatment will begin.

For treatment, we provide a seamlessly layered combination approach, of education and therapeutic application. This includes education of anatomy, development patterns, movement patterns, asymmetry patterns and pain theories, asymmetry therapy theories, performance attributes, manual therapy, pediatric osteopathy (children’s osteopathic treatment), posture advice and training, lifestyle advice, hydrotherapy guidance, dietary overviews, and dynamic exercise therapy with motor control training and paediatric physical rehabilitation (children’s rehab).

All of these work together to provide a uniquely structured approach, towards the aim of restoring their brain’s interpretation, or ‘mapping’ of their healthy functioning body, giving them back the control!

After treatment intervention, they will be re-assessed to ensure efficacy, and to optimize, the development of therapeutic strategies, for precision care and training.

Guidance for aftercare will also be provided, which assists by aiding to establish and prioritise lifestyle and training components, which can be initiated independently. As an adjunct in achieving their goals.

Working to form, a preventative methods, stopping or slowing of progression of asymmetry, correction of current asymmetry, stopping or slowing of progression of pediatric scoliosis, reduction of pain, improved quality of life, improve exercise mechanics, improve breathing, encouraging mobilisation and flexibility and stabilization of correct postures, maintenance of the achieved corrections, education including attempts for correction of normal activity postures and training of activities of daily living (ADL’s).

During this process and any subsequent assessments and treatments, an ‘appropriate adult’ with ‘parental responsibility’, will need to accompany the child to their appointments. The appropriate adult, is also welcome to have another adult individual present, to act as a supportive chaperone, if required.

When asymmetry and scoliosis is suspected. We recommend when appropriate, obtaining images of their Spine and Trunk, prior to attending the Initial Consultation when possible. The Images would need to be recent, performed in Standing Posture, Whole Spine X-Rays, ideally in 2 views. These views would be Posterior-Anterior View (P/A View) and Lateral View (Sagittal View). These images would need to be accessible for your Clinician. We can provide some known imaging centres to assist with this process if required.

We recommend a Child’s first visit is a First Paediatric Consultation. The Initial Consultation will last 90 minutes (1.5 hours), and all follow up appointments for treatment will last 30 minutes, unless a 60 minutes treatment is required.

Next Steps

If there are any other questions, or, you wish to book a consultation with Michael Parr the consulting osteopath and physical rehabilitation specialist in in Cambridge, based at Elementary Health. Please don’t hesitate to call or email.

Elementary Health white logo on transparent background

Cambridge Osteopathy
& Physical Rehabilitation Clinic

Elementary Health

- Previously -
8c Romsey Terrace
Cambridge
CB1 3NH