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How Reflex Integration Therapy Supports Children’s Development

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What is Reflex Integration?

 

Reflex Integration therapy is a type of therapy designed to help children improve their motor control, balance, and cognitive functioning by integrating primitive reflexes. These reflexes are automatic movements that babies are born with, and they are essential for survival in the early stages of life. However, as children grow and their nervous system develops, these reflexes are meant to fade naturally.

When these primitive reflexes remain active after the appropriate developmental period, they can disrupt a child’s ability to perform everyday tasks. This is where Reflex Integration therapy comes in—it helps children reorganize their nervous system by reducing the impact of these retained reflexes, which can improve their motor skills, balance, and overall functioning.

How Do Primitive Reflexes Affect Kids?


Primitive reflexes are involuntary movements that we all experience as babies. Examples include the Moro reflex (startle reflex) and the rooting reflex (turning the head when something touches the cheek). As children develop, these reflexes should naturally disappear and give way to voluntary movements and coordination. However, if they do not integrate properly, they can lead to challenges in:

 

  • Motor Control: Retained reflexes can cause difficulty with fine and gross motor skills, affecting activities like writing, tying shoes, or riding a bike.
  • Balance and Coordination: Children may struggle with activities requiring balance, such as running, jumping, or swimming.
  • Cognitive Functioning: These reflexes can affect focus, attention, and other cognitive functions necessary for learning and processing information.

 

How Reflex Integration Therapy Can Help


Reflex Integration therapy targets these retained reflexes through a series of gentle exercises and activities that encourage the brain to reorganize itself. The goal is to help the child gain better control over their movements, improve their balance, and enhance their ability to process information efficiently. This therapy is particularly helpful for children who have developmental delays, learning disabilities, or motor coordination issues.

By working with a trained therapist, children can learn to integrate these reflexes, leading to:

  • Improved motor skills and coordination
  • Enhanced focus and concentration
  • Better balance and posture
  • Increased confidence in physical and academic activities

 

When is Reflex Integration Therapy Needed?


This therapy can benefit any child who is having difficulty with motor control, balance, or coordination due to retained primitive reflexes. Some common signs that a child may need Reflex Integration therapy include:

  • Trouble sitting still or focusing in school
  • Struggling with tasks requiring fine motor skills, like handwriting or using utensils
  • Difficulty with gross motor activities such as running, jumping, or climbing
  • Poor posture or uncoordinated movements

 

How Carolina Therapy Connection Can Help


At Carolina Therapy Connection, we specialize in helping children with a range of developmental challenges, including motor coordination issues and learning difficulties. Our therapists use Reflex Integration techniques to help children reorganize their nervous system and improve their physical and cognitive skills. If you’re interested in learning more about reflex integration and how we incorporate this approach into therapy, including intensives, please feel free to reach out to us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

 

Understanding Therapeutic Listening for Kids

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Helping Children Manage Sensory Processing Challenges with Therapeutic Listening

Does your child ever seem overwhelmed by everyday sounds, textures, or busy environments? Maybe loud noises cause distress, certain clothing feels unbearable, or transitions lead to emotional meltdowns. Watching your child struggle with sensory processing challenges can be tough, but there are supportive, evidence-informed tools that can help.

Therapeutic Listening is one such approach. This gentle, non-invasive intervention uses specially designed music to support sensory processing, emotional regulation, and overall well-being in children.

What Is Therapeutic Listening?

Therapeutic Listening uses specially designed music and sound frequencies to help children’s brains process sensory information more effectively. When children listen to this targeted music, they strengthen their brain’s ability to organize and respond to sensory experiences.

This approach supports children with a variety of challenges, including sensory processing difficulties, anxiety, ADHD, and autism. The music in Therapeutic Listening is not ordinary, it actively stimulates the brain and promotes stronger sensory integration. As a result, children often feel more comfortable, regulated, and balanced in their everyday lives.

How Does Therapeutic Listening Work?

When your child listens to carefully designed music, their brain responds to specific rhythms and frequencies that support focus, attention, and emotional regulation. These sound patterns help calm the nervous system and support children who struggle with stress, overstimulation, or difficulty concentrating.

Therapeutic Listening helps children develop stronger emotional control and reduces feelings of overwhelm. It also helps them stay calm and regulated in situations that might otherwise trigger anxiety or sensory overload. This non-invasive approach does not rely on medication or complex procedures.

How Can Therapeutic Listening Help My Child?

Improves Sensory Processing

Children with sensory processing challenges often struggle to filter distractions, which can make it hard to focus or stay calm. Therapeutic Listening trains the brain to process sensory input more efficiently and respond appropriately to different sensory stimuli. It also helps children tolerate a wider range of sounds in their environment.

Enhances Emotional Regulation

Children with anxiety or emotional regulation challenges often benefit from Therapeutic Listening because it supports calmness and grounding. Listening to structured music helps children manage their emotions and reactions, making stressful situations easier to handle.

Boosts Focus and Attention

Therapeutic Listening supports improved focus and attention, especially for children with ADHD or other attention-related challenges. The music actively engages the brain and helps children stay present and attentive.

Supports Overall Well-Being

Therapeutic Listening goes beyond improving focus or reducing stress; it supports a child’s emotional and mental well-being. When children feel regulated and balanced, they interact more positively with others and experience greater success at home and school.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we offer Therapeutic Listening as part of our sensory integration therapy services. Our licensed therapists create individualized plans that help children build regulation skills, improve focus, and feel more confident in their daily environments.

If your child struggles with sensory processing, emotional regulation, or attention, we’re here to help. Contact us to schedule an evaluation or explore our pediatric intensive therapy services on our website.

Astronaut Training

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Astronaut Training: Boost Sensory Processing, Balance, and Coordination Through Fun Activities

Have you ever wondered how astronauts train to thrive in space? Well, it turns out that some of the movements they experience in space, like spinning, swinging, and flipping, can actually help children improve their sensory processing, balance, and body awareness!

 

What is Astronaut Training?

Astronaut Training is a specialized therapy designed to help children, especially those with sensory processing issues, balance challenges, or developmental delays, enhance their sensory integration. The program uses fun and exciting activities that simulate the sensations astronauts feel in space, such as swinging and rotating.

These activities focus on strengthening the vestibular system, which controls balance, coordination, and spatial awareness. As children engage in these exercises, their brain learns to process and respond to sensory input more effectively, leading to improved focus, body awareness, and overall coordination.

How Does Astronaut Training Help Kids?

 

  1. Sensory Processing: Many children, especially those with sensory processing disorder (SPD), find it challenging to understand and react to sensory input from their environment. Astronaut Training helps them process sensory information better by integrating sensory experiences through movements like spinning and rotational activities. This leads to smoother, more efficient responses to sensory stimuli in everyday life.
  2. Balance and Coordination: Balance and coordination are essential skills for physical development. The rotational movements and balance activities in Astronaut Training help children strengthen their muscles and improve their balance, which leads to better coordination in other areas of life, such as sports or simple tasks like walking or running.
  3. Body Awareness: Astronaut Training activities also focus on improving body awareness, or the ability to know where one’s body is in space. Through exercises that involve flipping, spinning, and swinging, children gain a better understanding of how their bodies move and function, enhancing their ability to control their movements and interact confidently with their environment.
  4. Focus and Emotional Regulation: This type of therapy is great for the body and the mind. Astronaut training’s structured yet playful nature helps children improve their focus and emotional regulation. They learn to control their impulses and better manage their emotions, especially in response to sensory challenges.

 

Who Can Benefit from Astronaut Training?

Astronaut Training is particularly helpful for children with conditions like ADHD, autism, sensory processing disorder (SPD), or motor coordination difficulties. It provides an effective, fun, and engaging way to work on skills that are often areas of concern for these children. By integrating sensory activities in a structured and enjoyable way, children can experience growth in their physical, cognitive, and emotional abilities.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we understand how important it is for children to receive the support they need in a fun and effective way. Our team of skilled therapists uses innovative approaches like Astronaut Training to help children improve sensory processing, balance, and coordination. We create a supportive environment through personalized therapy sessions where children can thrive and gain confidence in their physical and sensory abilities. If you’re interested in learning more about Astronaut Training and how we incorporate this approach into therapy, including intensives, please feel free to contact us to schedule an evaluation. You can also use this link to explore our pediatric intensive therapy services.

 

Promoting Early Language Development (1-3 Years Old): A Guide for Parents

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Effective Strategies for Promoting Early Language Development in Toddlers (1-3 Years)

As a parent, one of the most exciting milestones you’ll witness is when your little one starts to babble, form their first words, and eventually begin to combine words into sentences. Children between the ages of 1 and 3 experience a tremendous growth spurt in their language skills, and you, as a caregiver, play a crucial role in nurturing this development. Incorporating simple, everyday activities into your routine can foster your child’s communication abilities while strengthening your bond.

1. Model Simple, Repetitive Language

Language development begins with exposure; repetition is key to helping young children understand and start using words. By consistently repeating words, phrases, or sounds, you provide a model for your child to mimic. For example, when your child points to a ball, you could say, “Ball! Throw the ball.” By using the same word or phrase in similar contexts, your child will start to associate words with their meanings.

Tip for Parents: When playing, model simple sentences like, “I see the car. The car is red,” and repeat the words often to help your child start using them on their own.

2. Expand on Your Child’s Vocalizations and Verbalizations

Children naturally start to make sounds and babble, and it’s essential to expand on these early attempts at communication. If your child says “ba-ba” while playing with a ball, you can develop by saying, “Yes, that’s the ball!” or “Throw the ball to me!” This teaches your child to use more complex sentences and promotes vocabulary growth.

Tip for Parents: Note your child’s attempts to communicate, whether it’s a sound, word, or gesture, and repeat it with added detail or context to reinforce language skills.

3. Use Gestures to Support Understanding

Before children develop verbal skills, they often rely on gestures to communicate. By supporting these gestures with corresponding words, you help children make the connection between their physical actions and the words that describe them. For example, if your child raises their arms to be picked up, you can say, “Up! You want to go up!” This helps them link gestures with language.

Tip for Parents: Encourage your child to use gestures such as pointing, waving, or clapping, and always reinforce those gestures with words to help them connect physical actions with language.

4. Joint Attention: Share the Moment

Joint attention refers to the shared focus of two people on an object or activity. It’s an essential part of early language development because it helps children learn how to communicate about things they’re interested in. Whether it’s a toy, a picture, or a family pet, showing your child that you’re both looking at the same thing helps build their understanding of communication and strengthens your connection.

Tip for Parents: Use eye contact, point to objects, and narrate what’s happening in your child’s environment. For example, “Look at the dog! The dog is running!” This reinforces language development and creates meaningful moments of connection.

5. Engage in Interactive Activities

Interactive activities, such as reading, singing, and playing, are vital for boosting language development. Picture books are especially effective for introducing new words and concepts. Singing simple songs with repetition, like “Twinkle, Twinkle, Little Star,” helps your child learn words through rhythm and melody. Turn-taking games also help develop social communication skills.

Tip for Parents: Incorporate songs, books, and games into your daily routine. For example, during bath time, you can sing a song like “Rub-a-dub-dub, it’s time for a scrub!” to make the experience engaging and language-rich.

6. Narrate Actions and Label Objects

Narrating actions involves describing what you or your child are doing in the moment. This could be anything from “You’re putting the blocks in the box” to “I’m washing your hair.” It helps children understand the connection between words and actions and enhances their vocabulary.

Tip for Parents: Label everyday objects around the house, like “This is a spoon” or “The dog is running.” The more words your child hears, the more likely they will begin using them themselves.

7. Reflect and Support Your Role

Early language development takes time and practice. As a parent, it’s essential to reflect on your child’s progress and feel confident in your role as their primary language facilitator. Incorporating the above strategies into everyday activities will help ensure steady development, but remember that every child develops at their own pace.

Tip for Parents: Keep a journal of your child’s language milestones and celebrate each step along the way. If you have any concerns, discuss them with a speech-language pathologist (SLP) for guidance and support.

How Carolina Therapy Connection Can Help with Early Language Development

At Carolina Therapy Connection, we specialize in early language development and offer programs designed to support parents and caregivers in nurturing their children’s communication skills. Our team of speech-language pathologists (SLPs) provides one-on-one coaching sessions and tailored guidance to help you implement effective language strategies in your everyday routines.

Whether through interactive activities, practical tips, or personalized support, we’re here to empower you as your child’s primary language facilitator. If you’re interested in learning more about Early Language Development and how we incorporate different treatment plans into therapy, including intensives, please feel free to contact us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

 

Baby Bootcamp (Birth-1 Year)

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Baby Bootcamp: Enhancing Early Communication for Infants (Birth–1 Year)

The first year of a baby’s life brings remarkable growth and development, especially in communication. Early language experiences form the foundation for future speech, learning, social interaction, and cognitive development. At Carolina Therapy Connection, we prioritize early communication skills, which is why we offer Baby Bootcamp, a specialized early intervention program for infants and their families.

What is Baby Bootcamp?

Baby Bootcamp is an intensive, parent-focused therapy program that supports optimal language development during the first year of life. The program serves infants, particularly those with medical conditions that may affect speech and language development as they grow.

Through Baby Bootcamp, parents learn practical strategies and gain the confidence to actively support their baby’s communication development. Speech-language pathologists (SLPs) lead the program and tailor it to each baby’s unique needs. Parents receive education, hands-on strategies, and daily coaching to help create a language-rich environment that supports natural communication growth.

 

Key Strategies for Encouraging Early Communication

 

  1. Verbal Modeling: Baby Bootcamp emphasizes frequent verbal modeling as a core strategy. Parents talk to their babies throughout the day using simple words, phrases, and short sentences. By narrating daily activities and experiences, parents help their babies connect sounds with meaning and build early language comprehension.
  2. Encouraging Babbling: Babbling plays a critical role in early language development. SLPs coach parents to encourage vocal play through fun, back-and-forth sound exchanges. These interactions promote early conversational turn-taking and strengthen a baby’s understanding that communication involves shared interaction.
  3. Using Visual Supports & Gestures: Babies understand gestures and visual cues long before they begin to speak. Baby Bootcamp teaches parents to use gestures such as pointing, waving, and showing objects or pictures. These strategies help babies link language with meaning and support early comprehension.
  4. Daily Routines as Learning Opportunities: Everyday routines such as feeding, diaper changes, and playtime offer powerful opportunities for language learning. Parents learn how to embed language-building strategies into these moments, strengthening joint attention and encouraging early social engagement.

 

Milestone Tracking & Personalized Feedback

Baby Bootcamp includes milestone tracking, which allows parents to monitor their child’s progress and identify any areas that may need additional support. Through regular assessments and personalized feedback from SLPs, parents can better understand their baby’s unique needs and feel empowered to provide targeted language interventions.

 

Why Early Language Development Matters

The first year of life is a critical period for language development, and the foundation laid during this time can significantly impact future language and communication skills. Children who experience delays in communication during this stage may face challenges in speech, reading, and social interactions later in life. By focusing on early intervention and active participation, Baby Bootcamp ensures that parents are equipped to help their children reach their language milestones.

 

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, our team of experienced speech-language pathologists is dedicated to providing individualized therapy programs like Baby Bootcamp. Our therapists work closely with parents to provide education, personalized strategies, and ongoing support to ensure that each child’s language development is on track. If you have concerns about your baby’s communication skills, our Baby Bootcamp can provide the guidance you need.

If you’re interested in learning more about Baby Bootcamp and how we incorporate this approach into therapy, including intensives, please feel free to reach out to us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

 

Understanding Gestalt Language Processing: Helping Kids Communicate with Flexibility and Meaning

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Exploring Gestalt Language Processing


Language allows us to connect with others, express our needs, and make sense of the world around us. For some children, developing flexible, self-generated language takes more time and support. One way individuals learn to use language is through Gestalt Language Processing (GLP). While this approach differs from what many consider “typical” language development, it can still lead to meaningful, spontaneous, and effective communication.

What is Gestalt Language Processing?

Gestalt Language Processing describes a way of learning language that focuses on whole phrases or “chunks” of language rather than starting with individual words. Children in the early stages of this process often use these chunks called gestalts as complete phrases or expressions.

For example, a child may say, “I want to go outside” or “Can I have that?” without fully understanding each word. Instead of building language word by word, the child learns and uses entire phrases as single units.

This pattern contrasts with a more analytic style of language development, where children typically begin with single words like “ball” or “want” and later combine them into longer sentences.

 

Why is Gestalt Language Processing Important?

Gestalt Language Processing represents a natural and valid way to develop language, though some children benefit from specialized support. Many gestalt language processors use echolalia, which involves repeating words or phrases they hear from others, television shows, or songs. For example, a child may repeat a line from a favorite cartoon or echo something a caregiver previously said.

Although echolalia often reflects meaningful communication attempts, listeners cannot always take these phrases literally. Communication partners often need to interpret the intent behind the words and act as “language detectives” to understand what the child wants to express.

The long-term goal focuses on helping children move through the stages of gestalt language development and begin using more self-generated, flexible language. Children learn to mix and match phrases, break them down into smaller units, and gradually develop grammar skills that support independent communication.

 

How Does Gestalt Language Processing Work?

Gestalt Language Processing follows a developmental sequence that helps children understand how language parts fit together.

  • Delayed Echolalia: Children at the earliest stage benefit from exposure to a wide variety of meaningful language models. Communication partners actively model natural phrases throughout daily activities, giving the child many opportunities to echo and build a rich collection of gestalts.
  • Mitigation: Next, children begin to mix and match familiar gestalts to create new phrases. For example, a child who knows “Let’s go to the park” and “Take a ride in the car” may combine them to say, “Let’s go to the car.”
  • Breaking Down Gestalts: Speech-language pathologists analyze the child’s repeated scripts with input from caregivers and others who know the child well. Together, they help the child break these scripts into smaller parts, such as single words or short phrases like “red car” or “go park.”
  • Building Self-Generated Communication: Once children understand these smaller language units, they begin using them in new and flexible ways. As they progress through later stages, children move from echoed phrases to original language with more appropriate grammar and sentence structure.

Supporting Language in Natural Settings

Speech-language pathologists model simplified, functional language during everyday activities such as playing, eating, or walking. For example, a therapist might say, “I want the red ball” or “I’m going to the store” and encourage the child to try similar phrases independently.

Language growth also supports social and emotional development. As children gain communication skills, they strengthen their ability to connect with others, express emotions, and regulate their responses.

Caregivers play a vital role in this process. SLPs partner with parents and caregivers to teach practical strategies that encourage natural language during daily routines. This collaboration helps children continue making progress outside of therapy sessions.

 

Activities to Support Gestalt Language Processing

Engaging, play-based activities help children practice language in meaningful ways.

  • Storytelling and Pretend Play: Pretend play gives children opportunities to use language across different scenarios. For example, a child pretending to be a chef might say, “I’m cooking dinner” or “I need help with the soup.”
  • Interactive Games: Games that promote turn-taking and interaction, such as board games or card games, encourage children to use language spontaneously and flexibly.
  • Songs and Rhymes: Songs and rhymes provide repetitive language patterns that children can learn, remember, and later adapt to new situations, increasing confidence and communication flexibility.

 

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we understand children’s unique challenges in developing flexible, meaningful communication. Our team of experienced speech-language pathologists (SLPs) uses natural language acquisition techniques to help children progress through gestalt language development and develop functional, self-generated language skills.

We offer individualized therapy sessions tailored to your child’s needs. These sessions help your child build language skills through engaging and natural activities. Our team also works closely with parents and caregivers to ensure that the progress made in therapy continues in everyday interactions at home and in the community.

 

Understanding Speech Sound Disorders in Children: Helping Your Child Feel Understood

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Understanding Speech Sound Disorders: Articulation and Phonological Challenges in Children

Speech sound disorders are characterized by difficulty producing clear and intelligible speech. They can manifest as difficulty producing specific sounds (articulation disorders) or broader patterns of sound errors (phonological disorders). Both conditions can hinder communication, affect self-esteem, and impact social interactions.

What Are Speech Sound Disorders?

Speech sound disorders encompass difficulties producing speech sounds correctly or organizing them according to the rules of language.

  • Articulation Disorders: These involve challenges in physically producing specific speech sounds. For example, a child might substitute “wabbit” for “rabbit” or omit sounds altogether, such as saying “ca” instead of “cat.”
  • Phonological Disorders: These refer to predictable patterns of errors affecting sound organization and usage. For instance, a child might consistently simplify sound clusters, saying “pane” instead of “plane.”

Both types of disorders can reduce speech intelligibility, making it hard for others to understand the child.

Examples of Common Speech Errors

Children with speech sound disorders may exhibit errors such as:

  • Substitutions: Replacing one sound with another, such as “fumb” for “thumb.”
  • Omissions: Leaving out a sound, such as saying “bu” for “blue.”
  • Distortions: Producing a sound inaccurately, such as a slushy “s” in place of a clear “s.”
  • Phonological Processes: Using error patterns like fronting (“tat” for “cat”) or cluster reduction (“top” for “stop”).

How Speech Therapy Can Help

At Carolina Therapy Connection, we offer evidence-based treatments tailored to each child’s unique needs. Our team addresses articulation and phonological issues, helping children speak more clearly and confidently.

Therapy Techniques

  • The Cycles Approach targets one phonological pattern at a time in a structured cycle to gradually improve multiple speech errors.
  • Minimal Pairs Therapy: Uses pairs of words like “bat” and “pat” to help children differentiate and produce distinct sounds.
  • Phonetic Placement Approach: Provides multimodal (visual, tactile, and verbal) prompts and cues to assist in articulator placement and movement.
  • Traditional Articulation Approach: Focuses on correctly producing specific sounds through repetition drills and guided practice.
  • Auditory Bombardment: Exposes children to repeated examples of correct sound use to help them internalize patterns.
  • Modeling and Recasting: Demonstrates accurate sound production and corrects errors naturally during conversation.
  • Shaping and Scaffolding: Gradually builds complex skills by starting with more straightforward tasks.

Generalization and Confidence Building

The ultimate goal of speech therapy is to help children generalize their improved skills to everyday interactions. This involves:

  • Practicing target sounds in real-life situations, such as reading aloud or engaging in conversations.
  • Providing home practice activities with parental involvement to reinforce progress.
  • Encouraging self-confidence as children experience success in communicating clearly.

Why Choose Carolina Therapy Connection?

At Carolina Therapy Connection, our licensed Speech-Language Pathologists (SLPs) are dedicated to helping children overcome the challenges of speech sound disorders. We create individualized therapy plans that address each child’s needs while working closely with families to ensure lasting progress.

With our evidence-based approaches, we aim to improve speech intelligibility, enhance communication, and foster self-esteem. If you’re interested in learning more about severe speech sound disorders and how we incorporate different treatment plans into therapy, including intensives, please get in touch with us to schedule an evaluation. You can also use this link to explore our pediatric intensive therapy services.

 

Exciting News: Pediatric Physical Therapy Now Offered at Our Goldsboro Clinic!

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Pediatric Physical Therapy Now Available at Our Goldsboro Clinic

Carolina Therapy Connection is excited to bring Pediatric Physical Therapy to our Goldsboro clinic! This new addition allows families in the area to access specialized care designed to support the development of age-appropriate gross motor skills and recovery from injuries. Our dedicated physical therapist works with children of all ages, offering personalized care to help them reach their fullest potential. Pediatric Physical Therapy is essential for addressing physical challenges that can impact a child’s ability to move, play, and participate in everyday activities. From infants with developmental delays to older children with sports injuries, our services cater to a variety of needs, including torticollis, movement disorders, orthopedic conditions, genetic or neurological disorders, muscle imbalances, and poor coordination or motor planning.

How Can Physical Therapy Work with Infants and Younger Children?

For younger children, including infants and toddlers, physical therapy focuses on developmental milestones and early intervention. If your baby is not sitting, crawling, or walking on time or has been diagnosed with torticollis, physical therapy can provide targeted exercises to encourage proper muscle development and movement patterns. Additionally, we help children with developmental delays by enhancing their strength, balance, and coordination, ensuring they can actively explore their environment. Early intervention is critical in promoting physical and cognitive development during these formative years.

How Does Physical Therapy Benefit Older Children?

For older children, physical therapy supports recovery from sports-related injuries, orthopedic conditions, and other physical challenges. Our therapist works with young athletes to safely return them to play, stronger and more resilient than before. Therapy also addresses poor coordination and motor planning, helping children improve their ability to perform daily tasks and engage in activities they love. Children with genetic, brain, spine, or nerve disorders benefit from customized plans that focus on their unique needs, promoting functional mobility and independence. Whether it’s addressing muscle imbalances, recovering from an injury, or improving overall movement, we provide compassionate care to help older children thrive.

How Can Carolina Therapy Connection Help?

At Carolina Therapy Connection, we’re committed to helping every child succeed. Our Pediatric Physical Therapist is now seeing patients at our Goldsboro clinic and has immediate openings available. With no long waitlists, families can access care quickly and begin their child’s journey toward improved strength, mobility, and confidence. Contact us today to learn more or schedule an appointment—we’re here to help your child every step of the way!

Meet Anna, our Pediatric Physical Therapist in Goldsboro!

Anna is a licensed physical therapist who has experience working with kids of all ages. She believes in using play during therapy to help keep children engaged while working to meet their functional goals. Anna received her Doctorate in Physical Therapy from East Carolina University in the spring of 2024 and obtained her license shortly afterward. 

She offers a child-led approach to therapy, where she allows clients to play freely while simultaneously making the activities therapeutic to promote participation, build confidence, and address their deficits in order to make progress toward their therapy goals. She offers in-person sessions and is committed to helping clients and equipping their parents with the tools they need, so their child can advance their skills both in the home and during therapy sessions. 

For more information or to make an appointment, visit our website or call our office. We look forward to helping your child meet their gross motor milestones and improve their ability to interact with the world around them!

 

A Step in The Right Direction: PT-Approved Footwear For Your Kiddos!

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Choosing the right footwear for children can be a daunting task for parents, especially when considering the importance of comfort, support, and proper development. As kids grow, their feet undergo significant changes, and the right shoes can help promote healthy foot development, prevent injuries, and enhance overall mobility. Here’s a guide to help you find PT-approved footwear for your little ones.

Why Footwear Matters – Qualities of Good Kids Shoes That PT-Approved

Children’s feet are still developing, making it crucial to provide them with shoes that offer proper support while also allowing room to grow. Poor footwear can lead to a variety of issues, including flat feet, overpronation, and discomfort. Physical therapists often emphasize the following features in kids’ shoes:

  1. Arch Support: Proper mid-foot arch support is essential to promote natural foot development and prevent conditions like flat feet. Look for a shoe that flexes at the toe vs. mid shoe when you bend it.
  2. Flexibility: Shoes should allow for natural movement. A shoe that has a flexible toe/forefoot region enables kids to engage in physical activities without restriction.
  3. Adequate Cushioning: Ample cushioning helps absorb shock during activities, reducing the risk of injuries.
  4. Room for Growth: Kids grow quickly, so it’s important to choose shoes that allow for a little extra room without being too loose. A shoe with a wide toe box allows for extra growth and room for their toes to splay, which helps to provide a wider base of support and improve balance!
  5. Breathability: Shoes made from breathable materials help keep feet dry and comfortable, reducing the risk of blisters and fungal infections.
  6. Adjustable closure: Shoes with adjustable closures can be adjusted for a sung but comfortable fit. This helps provide the ideal support during movement without worrying about their foot sliding around in the shoe. Look for a shoe with velcro or laces/straps that can be adjusted for the perfect fit.
  7. Sturdy/solid heel cup: Shoes that have a sturdy heel cup provide solid support and stability for your little one’s ankles. In addition, they help to promote proper leg alignment while walking, running, and during general play activities! Look for a shoe that when you push on the back of the shoe it doesn’t collapse in. 

Brands that offer PT-approved footwear options:

1. New Balance

New Balance offers a variety of children’s shoes that are known for their excellent arch support and cushioning. Models like the Kids Rave Run v2 are lightweight, have moderate arch support for higher impact activities, and have a wide toe box that give the feet plenty of space!

2. Saucony

Saucony’s Kid’s Cohesion line features good arch support and a breathable upper. They’re designed for running and play, offering stability without sacrificing flexibility.

3. Asics

Asics shoes are known for their GEL cushioning system, which provides excellent shock absorption. The Gel-Contend series is a great choice for everyday wear and sports.

4. Stride Rite

Specializing in children’s footwear, Stride Rite offers shoes that prioritize foot health. Their shoes often feature rounded toes and flexible soles to promote natural foot movement.

5. Pediped

Whether you’re looking for sandals, sneakers, or boots, Pediped provides a variety of shoes that promote healthy foot development. Their Originals, Grip ‘n’ Go, and Flex designs have been officially recognized by the American Podiatric Medical Association (APMA) as being beneficial for children’s growing feet!

6. Cat and Jack and Walmart also have various cost effective options that provide adequate fit and stability. Use the tips above to find shoes that fit these criteria!

More tips for Choosing the Right Shoe

  1. Measure Feet Regularly: Kids’ feet can grow rapidly, so measure them every few months to ensure a proper fit.
  2. Try Shoes on in the Afternoon: Feet can swell throughout the day, so fitting shoes later in the day can ensure a better fit.
  3. Check the Fit: Compressive footwear may cause weakness, deformity, and mobility loss, so you want to ensure there’s about a thumb’s width of space between the end of the shoe and the longest toe. The heel should fit snugly without slipping.
  4. Look for Quality Materials: Choose shoes made from durable and breathable materials, such as leather or mesh, to ensure longevity and comfort.
  5. Involve Your Child: Allowing kids to choose their shoes can make the experience fun, but guide them toward options that meet their physical needs.

***Special Tip for Little Ones: These recommendations are mostly for experienced walkers. If you have a baby who is just starting to learn to stand and walk, barefoot is best so they can gain strength and balance. If a new/early walker needs shoes for daycare or outdoor use, look for a flexible option with a wide toe box that fits securely on the foot (adjustable closure) without sliding off.***

How Can Carolina Therapy Connection Help? 

Investing in the right shoes for your children is crucial for their foot health and overall well-being. With the recommendations from physical therapists and a focus on supportive, flexible, and well-fitting options, you can help your little ones stay active and comfortable. Remember, the right shoe today can lead to healthier feet tomorrow!

 

Written By: Anna Seguin, PT, DPT

What is Toe Walking?

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Toe walking means that a child is walking and standing on tiptoes, and their heels do not make contact with the ground. Walking up on their toes can be a normal occurrence in children aged three and under as they continue to develop their ability to walk. Beyond that age, without any definitive medical reason, it is considered idiopathic toe walking (walking on toes without a known cause).

Toe Walking Causes

To understand, what’s not so simple about toe walking is the why behind it. There are many possible reasons that children might develop this pattern:

Developmental phase: A child occasionally walking on the balls of their feet can be part of normal development.  When children first begin walking, usually between 12-15 months of age, they often try different foot positions including walking up on their toes.  However, it is expected that typically developing children will only walk on their toes occasionally.

Neurological concern:

  • Sensory processing concerns: Children with sensory issues, including those on the Autism Spectrum related to the vestibular system, have a different awareness of their body position and feel stabilized during toe walking. The tactile system includes our sense of touch, pain, and temperature. Some studies conclude that children with differences in vestibular processing can also have tactile senses that exacerbate their toe walking. They may not like the feeling of the floor touching their feet, and toe walking minimizes this contact. Children seeking proprioceptive input toe walk because the gait prolongs stimulation of joint receptors and causes their muscles to tighten. The movement provides a calming input sensation for the child. (Williams 2010)
  • Cerebral Palsy: The most common cause of toe walking in those with cerebral palsy is spasticity, which can cause stiffness and involuntary muscle contractions in calf muscles, keeping their heels from touching the ground. Over time, without proper stretching and bracing, these muscles can become shortened, making it challenging to achieve heel contact. 

 

Idiopathic toe walking: Toe walking can occur because of an underlying anatomic or neuromuscular condition, but in most cases, toe walking is idiopathic without a discernible underlying cause. Idiopathic toe walking occurs in children between 3 and 7 years old and is more commonly seen in males than females. Idiopathic toe walking is not related to any specific diagnosis and can presenty of reasons, due to a variet including decreased stability and sensory involvement. For some families, toe walking may be a cosmetic concern, whereas it can cause pain or functional issues in other cases. (Ruzbarsky, Scher, & Dodwell, 2016)

Treatment

You may wonder how to stop toe-walking with your child. Therapeutic treatment depends on the cause, how strong of a habit it is, how tight the calf muscles have become, and what other changes have occurred in the child’s foot and ankle due to walking this way. 

Treatment can include:

  • Stretching: To improve muscle length, increase ankle mobility, and promote heel contact
  • Orthoses: Ankle-foot orthotic worn to keep the foot at a 90-degree angle and promote heel contact
  • *Turtle bracing: New bracing technique utilizing a removable, re-moldable, lightweight brace to achieve optimal ankle positioning, obtain and maintain ankle mobility, and promote heel contact
  • Serial Castings: Hard cast used to obtain and maintain a 90-degree angle at the ankle joint for extended periods (1-2 weeks at a time)
  • Night splints: Braces worn at night to keep the foot in a 90-degree angle and achieve prolonged stretch
  • Botox injections are most commonly used with those dealing with spasticity; they weaken their calf muscles and make them easier to stretch and cast.

A careful history, clinical exam, and selective diagnostic testing can be used to differentiate between different types of toe walking and determine the most appropriate treatment for each child. 

 

How Can Carolina Therapy Connection Help with Toe Walking?

Being evaluated by a Physical or Occupational Therapist can further help determine which treatment routes are appropriate for your child. Call us today at 252-341-9944 for a free screening! 

 

By: Taylor Saunders