Autism Family Resource

9 | Pediatric Physical Therapy for Children with Autism | Rhonda Schnabl


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The guest for the show is Rhonda Schnabl. Rhonda is a physical therapist who works in Lake Havasu City, AZ at Milemarkers Therapy. She has been a PT for 23 years and the human body continues to amaze her even after all this time of being a physical therapist. What is Physical Therapy?

  • Physical therapists work with individuals across the lifespan who experience illness, injury or conditions that limit their ability to move or participate in their daily life. You can think of them as movement experts.

What skills do PT's address?

  • Every practice is a little different depending on the clientele. In my practice, I typically see:
    • Babies who have torticollis (or a preference to look to one side) and flat head syndrome.
    • Kids who have a preference for toe walking
    • Kids who have difficulties with coordination
    • Kids who have a weak core (which affect so much)
    • Kids who have limited endurance
    • Kids who need bracing options to help them walk
    • Kids who have trouble catching a ball (ball skills)
    • Kids who are delayed in achieving gross motor milestones such as skipping, galloping and jumping.
    • Kids who want to learn to ride a bike without training wheels

How is it different from OT?

  • OT address skills that impact a persons major occupations (work, play, leisure, sleep, ADL's, IADL's, education).
  • PT's address anything related to movement and getting around to include positioning.
  • Both disciplines may find themselves doing similar activities (play) at times but addressing different overarching goals.

What things should parents be communicating with their PT?

  1. Pain
  2. Falls
  3. Medication Change

When should a parent seek out PT services?

  • When your child seems to be "lazy"
  • Your child isn't sitting by 9 months old.
  • If you child is unable to keep up with their peer physically, a PT assessment is recommended. therapy.
  • If your child is still toe walking after age?

Let's recap

  1. Physical Therapist address:
    1. Aerobic conditioning (endurance)
    2. Play
    3. Core strength,
    4. Bilateral Coordination
    5. Sitting and standing balance
    6. Locomotion
    7. Object control
    8. Motor control/motor learning
    9. Posture
    10. Strength
    11. Stretching
    12. The skills they work on or how they work on these skills
    13. Ball skills
    14. Running, galloping, skipping, riding a bike
    15. Sit ups, push ups, planks, body weight activities
    16. Balance activities
    17. Assessment of bracing needs
    18. Stretching and strengthening programs
  2. How it's different from OT
    1. OT's focus on Occupations (sleep, play, work, leisure, education, social participation, ADL's & IADL's) and implement therapeutic activities that address any of these target areas.
    2. PT's focus on movement and positioning
  3. Things to communicate with your PT
    1. Falls
    2. Medication Changes
    3. Pain

Resources:

TNolaro24 Toe Walking Orthotic

www.nolaro24.com

PureHeartsTherapy Blog and Service descriptions

https://www.pureheartstherapy.com/services

Milemarkers service descriptions and Physical Development Parent Checklist

https://www.milemarkers.us/physical-therapy

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