Children experiencing neuromotor dysfunction may demonstrate a wide range of clinical characteristics. These can include changes in muscle tone, muscle length, muscle performance, loss of balance, and corresponding difficulty with movement. In order to comprehensively care for these patients, we offer a neuromotor program with a variety of therapy options:
Early intervention for babies with or at risk for Cerebral Palsy: Research tells us that babies diagnosed with or who are at high-risk for cerebral palsy benefit from participation in active, task-specific motor interventions. Successful motor interventions include child-initiated movement, environmental enrichment, and task-specific training. These treatments have shown positive results with older children with cerebral palsy so similar treatments used with younger infants may have an even better change during their early development. Research tells us that therapies should begin as early as possible to get the best result. Providing early, task-specific treatment at a young age could reduce a baby’s motor delays and support a higher level of independence in everyday activities and improved quality of life. Learn more about the Cerebral Palsy Program.
Functional Movement in Infants: When questions come up about a baby’s motor skills, our therapists can provide valuable information regarding risk for abnormal neuromotor outcomes including cerebral palsy. Our therapists are trained in the administration of the General Movements Assessment, Test of Infant Motor Performance, and Hammersmith Infant Neurological Examination. We share the information from these evaluations with the baby’s care team and the information helps guide the baby’s treatment plan. Early identification of motor delay as well as beginning therapies early are important to promote optimal development for each baby. Our therapists work with the family to identify meaningful goals that guide the episode of therapy.
Constraint Induced Movement Therapy/Bimanual Integrated therapy (CIMT/BIT): CIMT and BIT are interventions that have ample evidence to support their effectiveness for children with hemiplegia. Children who participate begin with wearing a constraint on their uninvolved upper extremity (CIMT). Then they end with therapy using both limbs (BIT) to promote the functional use of both limbs. Learn more about Constraint Induced Movement Therapy/Bimanual Integrated therapy (CIMT/BIT).
Hippotherapy: This specialized program is offered in conjunction with Cincinnati Therapeutic Riding and Horsemanship. The horse’s movements are used to facilitate active responses and child engagement in order to improve functional outcomes of the child. Research indicates that hippotherapy can be used to improve postural control and balance, self-competence and functional performance. Learn more about Hippotherapy.
Motion Analysis: Patients with diagnoses such as cerebral palsy, joint hypermobility, or muscular dystrophy may benefit from an analysis of their biomechanics (oxygen consumption, joint range of motion, load placed on joints, muscle activity, and joint strength) during a range of activities. These activities include walking, reaching, sitting, and standing. The results of a motion analysis are reviewed by a multidisciplinary team of therapists, engineers, and physicians. The team works together to establish a surgical or therapy plan of care. Learn more about the Motion Analysis lab.
Neuroprosthesis Clinic: A neuroprosthetic is an alternative approach to traditional orthotics and bracing. Electrical stimulation and accelerometry are used to automatically create a muscle contraction during functional tasks like walking or reaching. This is a new and advanced approach for the management of muscle inactivity from disorders like cerebral palsy, spinal cord injury, or traumatic brain injury. Learn more about Neuromuscular Electrical Stimulation (NMES) / Neuroprosthetics.
Orthotic Management: Splints or orthotics may be recommended when a child needs to maintain or improve range of motion in order to prevent a deformity, or when a child requires external support or immobilization. In OT/PT the splints used can be ready-made or they may custom built for a child. A schedule for wearing and caring for the splint, and exercises to perform while wearing it, will be established by the child’s therapist. Learn more about upper extremity and lower extremity neuromotor treatment.
Post-surgical rehabilitation protocols for SEMLs, SDR: Therapy is a required component of recovery after surgical procedures like single-event, multilevel surgery (SEML) or a selective dorsal rhizotomy (SDR). Post -surgical therapy occurs at a high frequency and typically continues over the course of a 12 month period. Our team is leading the US in the development of best practice therapy protocols this area. Learn more about Post-surgical rehabilitation protocols for SEMLs, SDR.
Serial Casting: Serial casting is a specialized technique used together with therapy to provide increased range of motion of a joint(s). Using an evidence-based approach, our six-week program for casting of the lower or upper extremities aims to improve range of motion in children and adolescents with cerebral palsy or other injuries impacting joint movement of the ankle, knee, hand and/or wrist. Our family-friendly approach means we stay in close contact with parents/caregivers to assure the process is progressing as planned, and to maintain optimal comfort for the patient. Learn more about Serial Casting.
Upper Extremity Neuromotor Training/Lower Extremity Locomotor Training: These programs highlight our center for advanced technology. We use state of the art rehabilitation technologies to target motor function in order to improve functional outcomes for our patients. Examples include Armeo, Amadeo, Pablo, Rejoyce, H200, Lokomat, Vector, and Tymo. Children enjoy interactive virtual environments and robotics during therapy visits. The upper extremity program targets improved use of the upper extremity to enhance functional performance. Our locomotor program is designed to improve mobility in patients. Learn more about Upper Extremity Neuromotor Training/Lower Extremity Locomotor Training.
Vision Assessment: Visual impairments require the expertise of therapists who can complete the diagnostic test, Cortical Visual Impairment (CVI) Range. This tool examines behavioral characteristics, evaluates visual skill, and assists therapists in identifying strategies for improved functional vision at home and in the community. Learn more about Vision Assessment.