Paediatric Physiotherapy

Robyn Tacon Physiotherapists Inc.

Robyn Tacon, Jatan Patel and Nandi Ndaba

Qualifications:

  • Advanced General Movement Assessment for premature and full term babies
  • MAES Trained Therapist
  • NDT Advanced Baby Treatment
  • NDT Advanced Dyskinesia
  • Neuro-developmental Therapy (NDT)
  • BSc Physiotherapy (UCT), BSc OT (Stellenbosch), BSc Physiotherapy (UCT)

 

Key areas of interest:

  • Assisting children to enhancing musculoskeletal posture, movement, strength and endurance so that their gross and fine motor skills as well as balance and co-ordination can develop
  • Facilitate play based learning skills
  • Assist in the development of independence in functional activities of daily living
  • Provide, source and adapt specialised equipment
  • We have a special interest in working with children who have genetic disorders or neurological difficulties such as cerebral palsy and rheumatological difficulties such as hyper-mobility syndrome

Our approach and values 

As we have a passion for children, our goal is to provide therapy to infants, toddlers, children and adolescents based on each child’s individual needs so that they can physically develop in the most functional manner. This is important to us, as the correct muscular and skeletal development will have a long lasting and positive impact on the body into adulthood. 
 
We feel it is important to provide families and/or individuals with hope regarding development, potential and achievable outcomes.
 
We strive to see each child reach their full potential, irrespective of their difficulties or circumstances and to work together with the family, school and other health care professionals to reach this goal.  
 
We aim to provide a service of a high standard by having fully equipped therapy rooms, continuing with our education through courses and workshops on a regular basis and participating in weekly team tutorials. 
 
 
 

Paediatric Physiotherapy 

Paediatric physiotherapists are trained to understand and treat a wide range of childhood conditions, ranging from musculoskeletal to cardiorespiratory and neurological problems. Children learn through play, thus, activities are designed to make therapy fun. Treatment is evidence-based, committed to optimising a child’s movement, which is achieved by gaining the best muscle and joint function available in the growing body. Physiotherapists work to achieve correct skeletal modelling, muscle activation, muscle balance, joint position and overall alignment or posture. 

Most children develop in a typical manner. When they move or play, they automatically develop their senses and motor skills. However, in some children, their development is delayed or follows an atypical pattern for various reasons. These children would require additional assistance to develop the correct muscle usage and therefore appropriate motor milestones.  

 
 
 

Paediatric Physiotherapists treat:

  • Low Muscle Tone – The child with low tone has muscles that are slow to initiate a muscle contraction, contract very slowly in response to a stimulus, and cannot maintain a contraction for as long as his peers. This can often associated with hyper flexibility and hypermobility of the joints. 
  • Developmental Delay – Any significant lag in a child’s physical, cognitive, behavioral, emotional, or social development, in comparison with norms. This is when a child has difficulties in reaching age appropriate milestones.
  • Premature Infants – Children born prior to 40 weeks gestation. Intervention is best as early as possible, though therapy is still beneficial when the child is older. 
  • Genetic Conditions/Syndromes – A disorder or condition caused by an absent or defective gene or by a chromosomal aberration. For example Cystic Fibrosis or Down Syndrome.
  • Congenital Conditions/ Complications – Conditions resulting from problems during pregnancy or at birth. For example Congenital Torticollis or Fetal Alcohol Syndrome.
  • Orthopaedic/Musculoskeletal Conditions – Conditions affecting the skeleton, muscles and connective tissue system. For example Muscular Dystrophy or Dislocation/Fractures.
  • Neurological Conditions Disorders or conditions associated with an undeveloped or injured nervous system – central and peripheral (brain or spinal cord injury), resulting in physical and cognitive challenges. For example Cerebral Palsy or Traumatic Brain Injury. 
  • Coordination & Balance Disorders – Children who struggle with tasks requiring complex weight shifts and coordinated movements, often told they are ‘clumsy’; can include neurological reasons. For example Developmental Coordination Disorder or Dyspraxia.
  • Respiratory Conditions – Conditions affecting the lungs and breathing ability. For example Asthma or RSV.
  • Postural Problems – Concerns regarding habitual sitting and standing posture; slouching; leaning; lethargy; low endurance. For example Scoliosis.
  • Rheumatologic Conditions – Conditions presenting with chronic inflammation and/or rheumatologic markers. For example Juvenile Rheumatoid Arthritis or Ehlers-Danlos Syndrome.
 
 

When to seek help:

Children are not just small adults.  Along with anatomical, physiological and psychological differences they are also growing very fast meaning timely intervention is essential to ensure the best possible outcome.  The way a child uses their muscles will have a direct effect on their growing skeleton and therefore muscles working ineffectively or in an imbalanced manner will change the shape and alignment of the bones as growth occurs. This is known as the modelling and alignment of the bones and may have long term consequences such as poor posture, back pain or repetitive injuries to name a few. 
 
When a child fails to achieve a milestone it can affect the remaining milestones as well as movement patterns later on in life. Milestones can often be achieved with treatment and specific play exercises that are designed around the child’s specific developmental needs.

Paediatric Physiotherapists

Robyn Tacon

Robyn Tacon

Occupational Therapist

more info

Jatan Patel

Jatan Patel

Occupational Therapist

more info

Nandi Ndaba

Nandi Ndaba

Occupational Therapist

more info

Contact Us

083 695 1432
info@impacttherapy.co.za
2 Blinkblaar Avenue, Witkoppen, Sandton, Johannesburg