Tiny Tim's Children's Centre, Coventry -

Occupational Therapy Case

The child presents as a lively two year old who has a diagnosis of spastic right sided hemiplegia. The child likes to play with a variety of toys and is able to walk unaided indoors and is able to express them self verbally by using a mixture of gestures and reaching for what they want.

Parental Concerns

  • Limited use of right hand for play and self care
  • Difficulties with balance

Goals of Therapy

The occupational therapist observed the child playing and moving around the therapy room. Following clinical observations it was possible to decide on ideas for treatment. The main aim was to increase the amount of time they were using the right hand for play. Together with the parents three specific goals to work on were agreed;

  1. For the child to be able to pull up his trousers using both hands;
  2. For the child to be able to stand symmetrically and play a keyboard using both hands for a minimum of two minutes and
  3. For the child to be able to throw a ball using both hands to knock over skittles a minimum of three times. Ideas for activities to achieve the goals were suggested and tried out in the therapy sessions and at home. A number of sessions were planned in the diary and parents reported back to the occupational therapist at the session each week so that ideas could be modified accordingly and new goals set.


Over a number of four weeks the child made some good progress. The parents reported that the child is using there right hand more spontaneously at home and more frequently. Occupational therapy continues on a twice monthly basis and therapy goals are regularly reviewed.

Treatment Times

Tuesday 9.30am - 5pm
Wednesday 9.30am - 5pm*
Thursday 9.30am - 5pm
Friday 9.30am - 5pm

*Wednesday Term-Time
9:30-10:30am - special needs only mothers and toddlers session in our Purple Planet soft play area.

10:30-11am - Music and Movement group in the Physio room.

Did you know?

We can help improve the quality of life for these children by increasing mobility, self esteem and reducing pain.

Our Therapies

Remedial and Neuromuscular Massage, Physiotherapy, Bowen Therapy, Reflexology, Occupational Therapy, Sensory Room, Therapeutic Play Sessions.
  • Tiny Tim’s is a unique place which fulfils a very real need. It is one of the few places my disabled son can receive the treatments he needs in such a calm, caring environment. The Bowen therapy in particular has relaxed him to the extent that he is able to cope much more easily with some medical interventions. Plus he can now have his hair cut without anxiety.

    Parent of Disabled Son
  • My little boy Oliver has been coming to Tiny Tim’s for a few months now and the change in his development has been amazing to watch his confidence has grown so much under the guidance of his physiotherapist everyone is extremely patient and kind. Big Big thank you to everyone at Tiny Tim’s.

    Kerrie & Oliver Wise
  • Since Rylee has been Seeing Marie for regular Physiotherapy, he has come on so well, I would be left lost without the support of Tiny Tim’s and I am sure that Rylee’s progression would not have been so great without it.

    Parent’s of Rylee
  • Our two year old daughter Elise, suffers with Downs Syndrome. This carries with it a variety of difficulties for her physically and mentally.

    Attending Tiny Tim’s has had a significant effects upon Elise. The charity, through its staff has developed and delivered a programme of exercises and massages that have helped strength her lower body and legs this in turn has help her to begin walking. Through the professionalism, friendliness and caring staff, she has become more co-ordinated and confident giving her greater mobility.

    We were told by NHS staff that nothing more could be done to help our daughter but, due to the dedication and resourcefulness of the staff at Tiny Tim’s, the ‘official’ prognosis had been proven incorrect, something we are extremely grateful for.

    Without the support, help and encouragement of the Tiny Tim’s staff and them being prepare to do what others would not do, our daughter is developing into a wonderful and confident little girl.

    Parents of Downs Syndrome daughter
  • My son William has recently been for a physio assessment and they said that he had made a significant improvement (20% better) since coming to Tiny Tim’s for massages and physio sessions. I am absolutely thrilled and so very grateful that this Charity is able to provide such an imperative service for my son. William really enjoys these sessions as well, so physically and emotionally this is of huge benefit to him. Thank you so much.