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  • Team
    Hospital are to provide individualized quality care to San Diego youth and to motivate them to reach their full potential while having fun doing it Jennifer Jennifer Gleim has been a physical therapist since 1994 and has worked at Rady Children s since 1995 Jennifer specializes in the areas of pediatrics orthopedics torticollis Ilizarov wound care and foot orthotics Jennifer s goal is to help patients return to their previous level of activity or sports as quickly as possible Jennifer Jennifer Harris has been a physical therapist since 2001 and has worked at Rady Children s since 2002 Jennifer has special talent in the areas of developmental pediatrics including treating children with neurological congenital and orthopedic impairments as well as in adolescent orthopedics including children with sports injuries and post surgical needs She has taken many continuing education courses in pediatrics and orthopedic treatment Jessica Jessica Garfin has been a physical therapist since 1999 and a therapist at Rady Children s Hospital working with adolescent athletes since 2005 Jessica has taken numerous continuing education classes to improve her orthopedic and sports training skills such as classes on shoulder and knee sports injuries a year long class that focused on orthopedic manual physical therapy and many Pilate classes Jessica also worked with semi professional female soccer players male ice hockey players and professional female volleyball players to help them rehabilitate from their injuries She loves working with young athletes as they are very motivated to return to their sport Joan Joan Connolly has been a physical therapist since 1985 and has worked at Rady Children s since 2006 She has experience in treating children with cerebral palsy spinal bifida developmental delay torticollis plagiocephaly and Down Syndrome She was a physical therapist for California Children s Services for nine years Joan s goal is to help parents help their children Julie Julie Klus has been a physical therapist since 2003 and has worked at Rady Children s since 2009 Julie specializes in the areas of developmental acute care rehabilitation and orthopedic pediatric physical therapy She also has experience in geriatric rehabilitation She is currently pursuing holistic health studies to complement her physical therapy skills Karen Karen McCord has been a physical therapist since 1985 and has worked at Rady Children s since 1995 Karen specializes in the areas of spinal defects arthrogryposis neonatal intensive care torticollis durable medical equipment splinting orthotics developmental delay early intervention and rehabilitation Karen is certified in childbirth education Katherine Katherine Keller KC has been a physical therapist at Rady Children s Hospital since 1999 KC specializes in the areas of pediatrics and orthopedics and is currently the PT at MDA clinic at Rady Children s KC has played softball volleyball and soccer in high school as well as volleyball at a Division II University where she went to the NCAA Division II National Tournament KC enjoys running and completing in half marathons She enjoys working with children helping them achieve their goals Katrina Katrina Saunders has been a physical therapist at Rady Children s since 2003 Katrina received her master s degree in physical therapy from Chapman University She is a certified licensed physical therapist Katrina s goal is to help others to do more than they thought they could do Kelly Kelly Randich is a physical therapy department lead at Rady Children s working closely with the 360 Sports Medicine multidisciplinary team to help young athletes make a safe and rapid return to sports and activities Kelly has experience in the treatment of general orthopedic sports medicine pediatric pre postnatal and neurological patients Kelly treats a variety of diagnoses from neurologically involved to orthopedic patients She has taken a variety of continuing education courses and attended the APTA conferences Each of these have helped her to continue to grow as an evidence based clinician who values the importance of keeping up with the newest research on therapy services Kelsi Kelsi Compton Griffith has been a PT since 2005 and has worked at Rady Children s Hospital since December 2014 She is fluent in Spanish and has work experience in pediatric inpatient and outpatient settings early intervention and skilled nursing facilities Kelsi s background also includes experience as a primary PT at a pediatric chronic pain clinic Her goal is to get more involved in the community expand her proficiency in sports orthopedics and facilitate more PT involvement in the treatment of chronic pain Larry Larry Berman has been a physical therapist since 1987 and has worked at Rady Children s since 1999 serving the needs of North County San Diego youth Larry has special talents in the areas of orthopedic and sports medicine exercise and manual therapy Larry s goal is to provide comprehensive and quality care to children and adolescents in our community Linda Linda Morgan Lodin has been a physical therapist since 1976 and has worked at Rady Children s since 1988 Prior to arriving in San Diego Linda worked in Japan and Brazil establishing pediatric physical therapy departments Linda has experience working with all ages and diagnoses She specializes in treating children with neurological or genetic disorders Linda is certified in infant massage Lindsey Lindsey has been a physical therapist since 2013 and has worked at Rady Children s Hospital since 2014 Lindsey has experience in a variety of pediatric settings including outpatient inpatient rehabilitation and acute care She has special talent in the areas of developmental delays torticollis oncology and neuromuscular and orthopedic conditions Lindsey s goal in working at Rady Children s Hospital is to provide high quality care for children and their families in order to maximize their functional abilities while making exercise fun and enjoyable Luci Luci Schmeiser has been a physical therapist since 2010 and has worked at Rady Children s Hospital since 2011 She is local to North County San Diego growing up in Escondido Luci competed at the national level in Track and Field while attending school at Cal State San Marcos Luci specializes in working

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/team/ (2015-03-26)
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  • Evaluations
    Urgent Care Programs Services Physical Therapy Evaluations Physical Therapy Evaluations Physical Therapy Team Evaluations Services Developmental Milestones Patient and Parent Education Frequently Asked Questions Resources Treatment Terminology Locations Evaluations Pediatric Evaluations Physical therapy evaluations require a referral from a physician and a prescription The evaluation starts with a review of the child s history including 1 Prenatal status and possible complications 2 Birth history 3 Medical problems or complications 4 Current medications 5 Previous hospitalizations and surgeries or injuries 6 Gross motor milestones Evaluation of the child s gross motor skills is play based and may include the following depending on the needs of the child Standarized testing including the Peabody Developmental Motor Scales II Alberta Infant Motor Scales Brunincks Oseretsky Test of Motor Proficiency and Gross Motor Function Measure Assessment of Range of Motion ROM including strength muscle tone reflexes posture balance gait and functional ability Parts of the evaluation are done with hands on activities while others are done by observing the child moving in the environment and interacting with toys or equipment or with the family At the end of the evaluation the therapist summarizes the findings and makes recommendations for follow up care to the family Orthopedic Evaluations A Subjective Exam Patient profile age and activities now and before injury When how the injury occurred Signs symptoms and complaints What makes it better what makes it worse B Objective Exam To determine exact cause source of pain Establish baseline to monitor progress 1 Observation posture movements which may contribute to the pain problem 2 Range of motion to compare motion of involved vs uninvolved joint 3 Strength to compare strength of involved vs uninvolved joint 4 Palpation to check for tenderness over specific sites i e ligament tendon 5 Special tests to determine specific area involved

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/evaluations/ (2015-03-26)
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  • Services
    Strengthening Stretching Facilitation inhibition techniques TAMO treatment of movement disorders Sensory body awareness Infant massage Functional training including balance and gait training Fabrication of aquaplast splints for the lower extremities Torticollis treatment Lymphedema management Physical therapy is based on goals established at the time of the evaluation and also includes the following Parent participation during treatment sessions and through home exercise programs Ongoing assessment of needs for adaptive equipment and orthotic devices including consultation with the appropriate vendors and physicians Ongoing modification of goals which are function related child and family oriented and developmentally appropriate Frequency and duration of therapy is determined by your physician with input from the physical therapist Sports Medicine Orthopedic Therapy Our therapists work with young athletes in the 360 Sports Medicine program at Rady Children s to help them make a safe and rapid return to sports and activities They also work with other physicians in the community to develop individualized treatment plans Therapy programs may include the following Sport specific training Spine stabilization core strength programs that address the unpredictability of sport Dynamic balance training using a variety of balance boards balls and foam rolls Progressive resistive exercises PREs using weights resistance bands and cords and body weight training Total Gym Treadmill stair steppers and stationary bikes Progressive plyometric training closed kinetic chain Soft tissue mobilization Joint mobilization Gait analysis and gait training Assessment and casting for foot orthotics Pilates Physical therapy also may include use of the following modalities Microcurrent Iontophoresis Ultrasound Moist heat or ice Taping including Kinesiotape and McConnell taping techniques Treatment is based on goals established at the time of the evaluation Progress is monitored and goals are updated and modified as needed Frequency and duration of treatment is determined by your physician with input from the physical therapist Inpatient

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/services/ (2015-03-26)
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  • Developmental Milestones
    Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Physical Therapy Developmental Milestones Physical Therapy Developmental Milestones Physical Therapy Team Evaluations Services Developmental Milestones Patient and Parent Education Frequently Asked Questions Resources Treatment Terminology Locations Developmental Milestones Physical therapists help children develop their gross motor skills These skills are required to control the large muscles of

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/developmental-milestones/ (2015-03-26)
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  • Patient and Parent Education
    Community Programs Child Maltreatment Programs International Services Support Groups Services Search All Find a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Physical Therapy Patient and Parent Education Physical Therapy Patient and Parent Education Physical Therapy Team Evaluations Services Developmental Milestones Patient and Parent Education Frequently Asked Questions Resources Treatment Terminology Locations Patient and Parent Education We strive to educate patients and parents about developmental issues in children and the signs that may indicate that need for an evaluation by a physical or occupational therapist Click on the links below for doctor reviewed articles Movement Coordination and Your Newborn Movement Coordination and Your 1 to 3 Month Old Movement Coordination and Your 4 to 7 Month Old Movement Coordination and Your 8 to 12 Month Old Movement Coordination and Your 1 to 2 Year Old Rady Children s Hospital San Diego 3020 Children s

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/patient-and-parent-education/ (2015-03-26)
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  • Frequently Asked Questions
    than others and this is normal If you feel your baby is extremely flexible or extremely stiff talk with your pediatrician Q My baby s head is flat on one side What causes this and do I need to be concerned A Plagiocephaly or flattening of the head is often caused by head positioning especially during sleep Bring it to the attention of your child s pediatrician so he or she can assess the cause If your baby continually keeps her head to one side in the crib try to reposition her head to the other side or rotate her position in the crib to encourage her to turn the other way Make sure to give her lots of time to play on her tummy when she s awake Q Will an excersaucer help my baby learn to walk A NO These devices will provide your infant with a place to play and many have a variety of toys to entertain your baby but using them will not help your baby walk any sooner Babies need the opportunity to experience standing and cruising without the support of an excersaucer to develop the balance and coordination necessary to walk on their own Q My baby loves to bounce in his jumper is it bad for him A Baby jumpers do encourage your baby to move but also promote movement patterns that are not useful in normal development including tiptoe standing and fast uncontrolled movements The exercise your baby gets does not promote the development of trunk and leg control or the balance needed for walking Additionally it may limit time your baby spends on his tummy developing the valuable skills for crawling About Toddlers Preschoolers Q My child is bow legged or knock kneed Should I be concerned A Probably not Children are normally bow legged when they first begin to stand Gradually as the muscles get stronger the bones begin to change and by about 18 months the legs are straight By ages 3 3 1 2 children often become knock kneed Again this will usually go away as the child continues to gain strength and walking patterns mature Q Rather than playing outside my 2 year old prefers to watch videos or play games on the computer Do I need to encourage my toddler to exercise A Yes Children need to experience different types of physical activities every day Computers will be an important part of our children s futures but research has shown that movement helps children develop thinking skills Giving your child the opportunity to play in a physically active way will promote physical fitness and development of more complex motor skills Q My younger child walked later and is not as coordinated as my older child was at the same age What s going on A Some children even within the same family are better at gross motor skills than others The child who excels at gross motor skills may be average in the development of

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/frequently-asked-questions/ (2015-03-26)
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  • Resources
    Find a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Physical Therapy Resources Physical Therapy Resources Physical Therapy Team Evaluations Services Developmental Milestones Patient and Parent Education Frequently Asked Questions Resources Treatment Terminology Locations Resources Physical Therapy in Children StopSportsInjuries org has the following tip sheets on preventing injuries in children Baseball www stopsportsinjuries org files pdf AOSSM Baseball pdf Concussion www stopsportsinjuries org files pdf AOSSM Concussion pdf Knee www stopsportsinjuries org files pdf AOSSM acl pdf Lacrosse www stopsportsinjuries org files pdf AOSSM Lacrosse pdf Running www stopsportsinjuries org files pdf AOSSM Running pdf Softball www stopsportsinjuries org files pdf AOSSM Softball pdf Soccer www stopsportsinjuries org files pdf AOSSM Soccer pdf Swimming www stopsportsinjuries org files pdf AOSSM Swimming pdf Down Syndrome www dsasdonline org www dsaction com Lymphedema Lymphedema Management at Rady Children s National Lymphedema Network Video Stretching the

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/resources/ (2015-03-26)
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  • Treatment Terminology
    on following normal developmental progression and on avoidance of abnormal movement patterns Most of our therapists incorporate NDT into their treatment and some have taken long term certification courses to become more skilled in this approach Strengthening Many children with delayed motor skills have weakness in some areas We provide strengthening through developmental skills One example is encouraging squatting to pick up toys to strengthen hip and thigh muscles Another example is working with a baby on her tummy on the ball to provide support while strengthening neck and back muscles Stretching The therapist will incorporate stretching into treatment when muscles or joints are tight Using play helps the children tolerate the stretches One example is having a child play sitting reaching forward for toys to stretch the backs of the legs We also use equipment to aid in stretches such as walking up and down an incline to stretch the ankles Facilitation Inhibition Techniques If muscles have too high or too low tone or if a child simply has difficulty using certain muscles the therapist will use a variety of hands on ways to help muscles work better Tscharnuter Akademie of Movement Organization TAMO A treatment technique developed by Ingrid Tscharnuter Therapists trained in this technique use gentle hands on techniques to help teach the child new ways to move Sensory Body Awareness Many children with delayed motor skills have problems with body awareness or with processing sensory information Some activities that address these issues include the use of weights taping or vests to give input use of deep pressure to increase body awareness different types of movement on swings or balls and or modifications to the environment Infant Massage A variety of specialized strokes may be used during treatment or taught to the parent to do at home

    Original URL path: http://www.rchsd.org/programs-services/physical-therapy/treatment-terminology/ (2015-03-26)
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