Tiny Tim's Children's Centre, Coventry -

Physiotherapy Case

Child S is a delightful two year old little girl with delayed development. Her mum contacted Tiny Tim’s when S was one year old, following a recommendation from her Health Visitor. S had attended NHS physio led “Tummy Time” sessions at nine months of age and she was on a waiting list for further assessment by the Children’s Community Physiotherapy and Occupational Therapy Service but mum was keen to have some therapeutic support during the waiting period.

On assessment, a full medical history was provided by mum whilst S played. She was under the care of a hospital paediatrician, from birth for a left sided torticolis, central hypotonia and delayed gross motor skills and she was waiting to be picked up by a community paediatrician. Mum’s main concerns for S were her difficulties in sitting on the floor and in her high chair and that she was not crawling. Her torticolis was much improved and S was able to hold her head in midline, with no tilting.

The physio assessment looked at S in a variety of positions, observing which movements she could achieve by herself, which patterns of movement she used and how much effort she had to use. S’s posture was observed when she was moving and when she was still. Her balance, strength, movement and co-ordination were checked. The physio explained what she was looking for and checked that what she was observing was a true reflection of S’s abilities.

Play, singing and musical toys were used to make the session enjoyable. Assessment findings were shared with mum, and explained, to ensure she understood what physiotherapy was aimed at helping S to achieve.

Main findings of assessment:

S had low muscle tone around her neck, shoulders and upper body which made it difficult for her to hold her head up when she was on her tummy, to roll from her back to her tummy and to sit up by herself. Her arms were weak and she was unable to push herself through her arms, to move about when she was on the floor. She was more comfortable if she was placed onto her tummy but she was stuck and soon got upset. She was easily frightened by noise and was very sensitive to different textures which she avoided touching. S often rocked her head from side to side.

Initial physiotherapy goals:

  • To strengthen neck muscles, enabling S to hold her head with more control when on her tummy and in sitting.
  • To strengthen shoulder girdle muscles and teach S how to pivot to either side.
  • To strengthen arm muscles to enable S to push up on straight arms onto her hands.
  • To develop sitting skills.
  • To learn how to move into sitting from lying and back down to lying again.
  • To introduce a variety of textures and noisy toys, with care, to broaden S’s experience and improve her tolerance.

S attended for weekly ½ hourly sessions with goals incorporated into play. Mum led all the activities with guidance from the physio, helping her to gain confidence in her own handling skills, making therapy a little easier at home.

Short term outcomes:

Treatment began in April 2013 and within 6 weeks S had:

  • Developed head control in prone
  • 50% improvement in pivoting
  • Able to push up onto hands when lying on tummy
  • Able to maintain sitting on mat whilst pushing on right hand

Although her NHS appointment came through, S continues to attend Tiny Tim’s and is now able to crawl at speed, move into standing and to step when her hands are held. She is more tolerant of a variety of noises and enjoys touching most textures.

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.