Child development care is our new Specialty which provides early intervention services to At risk Infants, High risk babies and to children’s with development delays/ disabilities, learning difficulties, behavioral problems
and preschool failure.
Our aim is to reduce childhood disabilities through comprehensive individualized early intervention programme approach to encourage development of essential life skills. We strive to ensure your
child’s physical, cognitive, communication, social, emotional & sensory growth.
Our multidisciplinary team act as a agent of change in child’s critical early years of life, aiming to achieving optimal functional efficiency
for an improved quality of life through the normal developmental channels.
Developmental delay can be because of prenatal insult, head trauma or Rh incompatibility, or due to insult during birth, such as cerebral hypoxia and cerebral hemorrhage. High risk children are those who have:
| ➤ Traumatic Birth History |
| ➤ Family History of Genetic and Metabolic Disorders |
| ➤ Birth Hypoxia. |
| ➤ Low Birth Weight (Lbw) |
| ➤ Very Low Birth Weight (Vlbw) |
| ➤ Premature |
| ➤ Hyperbilirumia |
| ➤ Inter Uterine Growth Retardation (IUGR) |
| ➤ Neurological problems – HIE, Periventicular leukomalacia etc |
| ➤ Epilepsy and Infantile spasms |
| ➤ Birth Infections- Rubella, CMV |
| ➤ Brain infection |
| ➤ Children Born to Mothers above 35 Years of age |
Early Intervention
Early Intervention comprises of multidisciplinary services provided to children from birth to 5 years of age to promote child health and wellbeing, to enhance emerging competencies, minimize developmental delays, remediate existing or emerging disabilities, prevent functional deterioration, and promote adaptive parenting and overall family functioning.
Early intervention services are concerned with all the basic & brand new skills of babies develops during critical early years of life:
Physical - (Reaching, Rolling, Crawling, And Walking)
Cognitive - (Thinking, Learning, Solving Problems)
Communication - (Talking, Listening, Understanding)
Social/Emotional -(Playing, Feeling
Secure And Happy)
Self-help -(Eating, Dressing)
| ➤ Best time to refer is at the earliest sign of a delay. |
| ➤ Brain develops most rapidly during the first three years of life, providing a brief window of opportunity to detect Developmental delays in children and address them before they become barriers to healthy development. |
Developmental Milestones
Developmental milestones are the skills that children learn as they grow or develop. Children normally reach these milestones at predictable ages, give or take a few weeks. It is very important to understand that development in all areas is dependent on each other; child learns and develops through early experiences of life.
| ➤ Young children learn and develop differently. One baby may walk earlier than another, while another baby might talk first. Often, these differences will even out. But, some at risk children will need extra help |
| ➤ Many at times babies are born with physical and neurological problems, leading to delayed development, childhood disabilities and lifelong handicap who requires to early intervention services. |
Developmental Screening
Developmental Screening is an essential part of child development care programme. Screening provide a quick and simple way to monitor development of At- Risk infants, High Risk and IUGR Babies followed by detailed developmental assessment.
| ➤ Earlier a developmental delay or disabilities are detected, better the prognosis of child. |
| ➤ Physical, Cognitive, Communication, Social, Emotional & Sensory development is monitored: a child is weighed and measured, growth is charted. Screening provide crucial opportunities to screen for developmental disorders, to monitor and chart a child’s social, emotional, and cognitive development. |
Developmental delay can be because of prenatal insult, head trauma or Rh incompatibility, or due to insult during birth, such as cerebral hypoxia and cerebral hemorrhage. High risk children are those who have:
| ➤ Traumatic Birth History |
| ➤ Family History of Genetic and Metabolic Disorders |
| ➤ Birth Hypoxia |
| ➤ Low Birth Weight (Lbw) |
| ➤ Very Low Birth Weight (Vlbw) |
| ➤ Premature |
| ➤ Hyperbilirumia |
| ➤ Inter Uterine Growth Retardation (IUGR) |
| ➤ Neurological problems – HIE, Periventicular leukomalacia etc |
| ➤ Epilepsy and Infantile spasms |
| ➤ Birth Infections- Rubella, CMV |
| ➤ Brain infection |
| ➤ Children Born to Mothers above 35 Years of age |
We Treat
We Treat : Development Disabilities
| ➤ Cerebral palsy |
| ➤ Down Syndrome |
| ➤ Autism |
| ➤ ADHD |
| ➤ Sensory Dysfunctions |
| ➤ Polio |
| ➤ Birth Defects- Spina bifida, CTEV, Arthrogryposis, |
| ➤ Global Developmental Delay due to:- Neurological problems, Brain infections, Muscular Dystrophies, Infantile spasm, Mental retardation, |
| ➤ Genetic disorders- Fragile X, Angelman’s syndrome etc |
| ➤ Metabolic disorder- PKU, MPS, , Urea Cycle Disorders -Homocistunuria |
How We Treat
OUR PROGRAMME INCLUDES:
Ortho Rehab is the major component of Physiotherapy anywhere. Here at NMHC apart from Conventional Physiotherapy which includes pain relief, range of motion exercises & strengthening, we use different techniques of Manual Therapy used internationally like Mulligan Mobilization, Maitland Mobilization, and Kalten borne for different joint & soft tissue pathologies.
Also newest & rarely used techniques like Muscle energy techniques, Myofascial Release techniques, Proprioceptive Neuromuscular Facilitation techniques, neural tissue Mobilization are used for muscle & soft tissue pathologies.
Orthopedic Rehabilitation at NMHC has new & most important additives like exercises for developing Muscular Endurance, Motor control exercises thus bringing the neurological component in Ortho Rehabilitation.
NEURO PHYSIOTHERAPY
| ➤ Screening of At Risk infants and high risk children for developmental delays/ disabilities |
| ➤ Detailed Assessment and Evaluation for specific developmental disorders. |
| ➤ Individualized Intervention Therapy Programme for specific delays and childhood developmental disorders. |
| ➤ Stimulate Normal Developmental Channels and promote Independent Functioning of the Child- IEIP, Home Environment Modification and Parent training programme. |
| ➤ Prevention of Secondary Disabilities and Maximize Child’s Residual Capacity. |
| ➤ Parental Counseling minimizes the need of future therapy and special education. |
PAEDIATRIC PHYSIOTHERAPY
| ➤ Strive to provide a high standard of assessment, treatment and care for babies and their families, whilst trying to maximize the potential and promoting development. |
| ➤ Focuses on gross motor skills including: posture, balance, coordination, and the effect of muscles and joints on these skills. |
NEURO DEVELOPMENT THERAPY:
| ➤ Neuro Development therapy NDT Focus on the precise therapeutic handling, including facilitation and inhibition, used to provide sensoriomotor cues that facilitates change in function. |
| ➤ NDT is a holistic approach dealing with the quality of patterns of coordination and not only with the problems of individual muscle function. It involves the whole person, not only his sensory-motor problems but also problems of development, perceptual-cognitive impairment, emotional, social and functional problems of the daily life as well. |
“Handling is graded input provided at key points of control on the child’s body…. and results in active control or movement”
SENSORY INTEGRATION:
| ➤ Sensory integration refers to “The neural process Through which the brain receives, registers, and organizes sensory input for use in generating the body’s adaptive responses to the surrounding environment. (A.JEAN AYRES (1972) |
| ➤ SI theory emphasizes that tactile, proprioceptive, and vestibular systems contribute to the development of muscle tone, automatic reactions, and emotional well being. Organization of different sensory information to produce a proper response. |
OCCUPATIONAL THERAPY
Focuses on children who are having difficulty developing fine-motor skills, visual-motor skills, perceptual skills, self-care skills, play skills or are having difficulty coping within
their environment.
SPEECH-LANGUAGE THERAPY
Focuses on the evaluation and treatment of children with a variety of disorders or delays in speech, language and Communication development. This includes pre-speech, early language, speech sound production, augmentative communication, Modeling, Reinforcement training, sign language use with speech fluency (stuttering) oral motor, chewing, sucking and swallowing development.
PLAY THERAPY
Play Therapy is based on the fact that child learns through natural medium. It applies to the children of 3- 11 years.
COGNITIVE THERAPY
COGNITIVE THERAPY is a psychotherapeutic approach that addresses dysfunctional emotions, behaviors and cognitive process.
IEIP- Individualized Early Intervention Programme
| ➤ VISUAL REHABILITATION |
| ➤ FAMILY COUNCELLING |
| ➤ BEHAVIOR MODIFICATION |
| ➤ NUTRITION GUIDANCE |
| ➤ HOME BASED TRAINING |
APPROPRIATE REFERRAL
Orthotics and Assistive Devices, Medical Assistance And Other Psychological Services
Are you Concerned
Are You Concerned About Your Child’s Development??
| ➤ If you are concerned about your child’s development, you are not alone. Whether you’re worried about your child’s use of language, ability to relate to others, or physical and mental developmental concerns it’s time to take action. |
| ➤ We offer parents and professionals important information about healthy development, how to monitor it, and how to know when a child has deviated from a healthy developmental path Red Flags |
| ➤ IF you find any deviation or delay in your child’s development then it may be a sign of childhood disability. For more information and assistance – Call For Appointment |
