Conditions Treated:
Elaine provides specialist assessment, advice and treatment for a wide range of neurological, developmental, musculoskeletal (babies and young children) and paediatric conditions. These include, but are not limited to:

• Cerebral Palsy
• Complex physical disabilities including those with multi-sensory impairment
• Birth trauma related brain injuries
• Acquired brain injury (ABI / TBI)
• Motor delay as a result of a premature birth and / or early hospitalisation affecting development
• Gross motor delay / developmental delay
• Spinal cord injuries
• Peripheral nerve injuries
• Spina bifida
• Infective & inflammatory conditions affecting the brain: e.g. Meningitis and Encephalitis
• Neuromuscular conditions – Spinal Muscular Atrophies (SMA), Muscular Dystrophies, Myopathies, Charcot-Marie Tooth Disorder (Hereditary Sensory Motor Neuropathy), etc
• Microcephaly
• Brachial plexus injuries (Erb’s Palsy)
• Congenital, genetic, hereditary & chromosomal conditions
• Oncology – secondary complications resulting from the cancer and / or its treatment
• Rehabilitation following botulinum toxin injections, Selective Dorsal Rhizotomy (SDR), orthopaedic surgery, tenotomies (tendon lengthening), osteotomies, trauma to the brain and / or body
• Baby / infant musculoskeletal conditions – plagiocephaly, torticollis, talipes, toe walking etc

Services:
What to Expect - Assessment:
During the initial assessment, Elaine will establish:

• the concerns that you have for your child
• the nature of the difficulties that your child is experiencing
• a history of your child’s health & development to date, any previous & current medical, surgical and therapy interventions
• an understanding of your child’s physical abilities and challenges
• an understanding of your child’s wider developmental abilities and how these interact with their physical development
• what you would like your child’s physiotherapy treatment to achieve

Initial assessments last for up to 1 to 1½ hours depending on the complexity of your child’s needs.
This will be achieved through discussions with yourself and observations of your child.  As required and appropriate, there will also be a clinical assessment which could include any of the following, depending on the nature of your child’s difficulties:

• assessing muscle tone, joint ranges of movement and muscle length
• assessing muscle strength and functional muscle strength
• assessing for muscle imbalance and body asymmetries
• analysing your child’s posture in all the positions that are appropriate to their stage of development
• analysing how your child moves and their movement patterns

From the assessment, Elaine will establish the main difficulties that you child is experiencing and design a physiotherapy treatment and management plan (including recommended treatment frequency) individual to your child. This will be discussed with you and your child as appropriate.

Physiotherapy Treatment:
Elaine's services are tailored to the individual child's and family’s need, and include the following:

• Initial assessment
• Home exercise / activity programmes
• Physiotherapy treatment blocks (weekly, fortnightly)
• Monthly physiotherapy review and maintenance programmes
• Postural management advice 
• Advice to parents / carers regarding appropriate postural management equipment and physiotherapy adjuncts
• Assessment and reports for Education, Health & Care Needs Assessment (EHCP) and other report requirements.

Elaine will work alongside and liaise with NHS physiotherapists, other therapists or healthcare providers, teachers and school staff and child care providers.  

Where and When:
Location:
Hope & Motion Children’s Physiotherapy is provided in the child’s natural environments – homes, day care settings, nurseries or schools.   

Times:
Hope & Motion Children’s Physiotherapy aims to deliver a flexible physiotherapy service to meet yours and your child’s needs.  Please contact me to arrange a mutually convenient time to see your child.

Area Covered:
This is within a 15 mile radius of Hemel Hempstead, including St Albans, Harpenden, Berkhamsted and surrounding areas of Hertfordshire, Bedfordshire, Buckinghamshire and north west London. If you are unsure whether Elaine can come to you, please get in contact.

Additional costs for travel may apply, please see the Fees page.