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Why is hip reconstruction surgery necessary? Children who have difficulty standing and walking are at increased risk of hip problems. The hip joint is made up of a ball and a socket. Reduced standing and walking can lead to the shape of the hip developing differently increasing the risk of the ball...

This resource has been designed to help you remember the exercises and advice the therapist went through with you whilst in hospital. The exercises should be done slowly and smoothly. Some discomfort may be noted whilst doing these exercises after surgery. If pain is limiting doing the exercises,...

Why does my child need hamstring lengthening surgery? Hamstring lengthening surgery can help get your child’s knees straighter. When the hamstring muscles at the back of the leg become tight children can lose the ability to fully straighten their knees. This tightness can develop due to overactive...

This resource has been designed to help you remember the exercises and advice the therapist went through with you whilst in hospital. The exercises should be done slowly and smoothly. Your child may have some discomfort whilst doing these exercises after surgery. If pain is limiting doing the...

This resource has been designed to help you remember the exercises your therapist went through with you whilst in hospital. The exercises should be done slowly and smoothly. Some discomfort may be noted whilst doing these exercises after your surgery. If pain is limiting doing the exercises, then...

This resource has been designed to help you remember the exercises and advice your therapist went through with you whilst in hospital. The exercises should be done slowly and smoothly. Your child may have some pain and discomfort doing these exercises after your surgery. If pain is limiting doing...

Why does my child need calf lengthening surgery? The calf muscles, at the back of the lower leg can become tight. This tightness can develop due to a combination of factors including over activity in the muscles relating to your child’s condition, growth and poor compliance with splints. When the...

This resource has been designed to help you remember the exercises the therapist went through with you whilst in hospital. The exercises should be done slowly and smoothly. Your child may have some pain and discomfort doing these exercises after surgery. If pain is limiting doing the exercises, then...

This resource has been designed to help you remember the exercises your physiotherapist taught and practiced with you. The exercises should be done slowly and smoothly. You may still have a bit of pain or discomfort doing these after your surgery or injury. If the pain limits your ability to do your...

This resource has been designed to help you remember the exercises your physiotherapist taught and practiced with you. The exercises should be done slowly and smoothly. You may still have a bit of pain or discomfort doing these after your surgery or injury. If the pain limits your ability to do your...

Positioning and seating The hip spica cast will finish just above waist level. This means that your child will be uncomfortable or unable to sit on an ordinary chair. A great alternative is to sit your child on a beanbag as you will be able to mould the beanbag to fit your child’s cast,...

You have been invited to attend an intensive therapy week with the metabolic bone disease team. This resource will give you an idea of what to expect from us throughout the week and what will be expected of you and your parents and carers. What is an intensive therapy week? During an intensive...

Your child has been invited to attend an intensive therapy week with the metabolic bone disease team. This resource will explain what is involved within the intensive therapy week. It will give you an idea of what to expect throughout the week and what will be expected of you and your child. What...

Will occupational therapy and physiotherapy be involved in my child’s treatment? After admission to the Burns Unit, your child will be assessed by the therapy team for any further treatment needs. Your child will usually be seen during their appointments for dressing changes or in their cubicle...

What is this information? This information helps to explain how the Physiotherapy and Occupational Therapy Service support your move into adulthood from early on, and what you and your family can do to prepare. It has been broken into sections – Ready, Steady, Go and Hello – so you to know what...

Before your operation Keep yourself as active and as strong as you can. Carry on doing your normal sports, walking and activities, unless you have been told not to by your doctor or physiotherapist. Talk with your parents and carers to see what every day activities you will need help with at home...

The most common causes of burns in children under 5 years old include: scalds from hot drinks and bath water hobs radiators hair straighteners irons In 5 to 16 year olds, flame burns are the most common. These are often from playing near fires or with flammable substances. Keeping children safe Your...

This resource is intended to provide you with information about growing pains. What are growing pains? Growing pains are pains, discomfort or aches that your child may complain of which occur mainly in the legs at night. They are mostly seen in children of the primary school age group. They are very...

Juvenile idiopathic arthritis and physical activity Our aim is to support all our children and young people with juvenile idiopathic arthritis (JIA) to enable them to regularly take part in physical activity. This may be PE (physical education) or extracurricular sport and includes contact sport. We...

This resource has been made to help you remember the exercises your therapist taught and practiced with you. The exercises should be done slowly and smoothly. You may feel some discomfort while doing these exercises after your surgery or injury. If pain limits your ability to do your exercises, then...

This resource has been made to help you remember the exercises your therapist taught and practiced with you. The exercises should be done slowly and smoothly. You may feel some discomfort while doing these exercises after your surgery or injury. If pain limits your ability to do your exercises, then...

This resource has been designed to help you remember the exercises your therapist taught and practised with you. The exercises should be done slowly and smoothly. You might feel some discomfort whilst doing these exercises after your surgery or injury. If pain limits your ability to do your...

This resource has been designed to help you remember the exercises your therapist taught and practiced with you. The exercises should be done slowly and smoothly. Some discomfort may be felt whilst doing these exercises after your surgery or injury. If pain limits your ability to do your exercises,...

This resource has been designed to help you remember the exercises your therapist taught and practiced with you. The exercises should be done slowly and smoothly. You may have some discomfort while doing these exercises after your surgery. If pain limits your ability to do your exercises, then...

This resource has been made to help you remember the exercises your therapist taught and practiced with you. The exercises should be done slowly and smoothly. You may feel some discomfort while doing these exercises after your surgery or injury. If pain limits your ability to do your exercises, then...

This resource has been designed to help you remember the exercises your therapist taught and practised with you. The exercises should be done slowly and smoothly. You may feel some discomfort whilst doing these exercises after your surgery or injury. If pain limits your ability to do your exercises,...

This resource has been designed to help you remember the exercises your therapist taught and practiced with you. The exercises should be done slowly and smoothly. You may have some discomfort while doing these exercises after your surgery. If pain limits your ability to do your exercises, then...

You will be reviewed by your consultant at approximately 8 weeks after your scoliosis surgery. At this appointment, the range of movement and posture of your spine will be checked. If you are struggling with feelings of stiffness or your consultant thinks your movement or posture could be improved,...

What is idiopathic toe walking? Idiopathic toe walking is a condition where a child walks on their tip toes with no underlying bone, muscle or joint abnormality. ‘Idiopathic’ means that there is no clear cause. Why does my child walk on their tip toes? There are usually 2 main reasons....

What is a pars defect? Pars defect is usually a small hairline crack on part of the spine called the ‘pars interarticularis’. This can remain stable and give no symptoms at all. Sometimes, it will cause the bone to gradually slip forward over the ‘sacral vertebrae’. This is...

Therapy exercises This material has been designed to help you remember the exercises your therapist taught and practised with you. The exercises should be done slowly. Some discomfort may be noted whilst doing these exercises after your operation or injury. If pain limits your ability to do your...

Swelling Swelling is very common in the first few weeks following an injury or operation. You can reduce this more quickly by frequently moving your fingers to improve blood flow, and by raising your hand above your elbow resting on pillows. Washing Do not get the cast wet as it may break or damage...

Introduction After an anterior cruciate ligament (ACL) rupture it is especially important that you regain the strength in your leg before any reconstructive surgery. What follows is an exercise program or ‘pre-habilitation’. Regaining the strength and movement in your knee before surgery will...

What are fine motor skills? Fine motor co-ordination involves the ability to control the small muscles of the body, in particular the hands. Children with osteogenesis imperfecta (OI) often have very hypermobile hands (bendy with a weak grip). They may find fine motor activities more difficult than...

You have been provided with a wedge cushion to improve your posture and help ease aches and pains. Posture wedge cushions help relieve pressure on your back by altering your posture. They are designed to be used on standard chairs at both home and school. How do I use the cushion? The anterior wedge...

What can I do to get the movement back in my elbow? Once your cast has been removed, your elbow can feel stiff and painful to move. It is important to start using your arm normally again as soon as possible. At first, there will be some restrictions on sports, and you should ask your…...

Once a burn wound has healed, scar tissue can form. This can reduce and restrict movement at your joints and stop you from doing normal everyday activities. This tightness is called a contracture. To help reduce the effects of this tightness a therapist will show you some exercises. What exercises...

What is amblyopia? Amblyopia, also known as a ‘lazy eye’ is when there is poor vision in one eye or sometimes both eyes. It occurs when normal visual development is interrupted in early childhood. What causes amblyopia? Amblyopia can be caused by: a squint (strabismus), when one eye...

It is important to continue to exercise your joints after a burn injury. If the skin over or near a joint has been damaged by a burn, it can become tight and eventually contract. A contracture is a lack of movement at a joint and this will happen if the exercises are not done regularly.…...

Fine motor co-ordination involves the ability to control the small muscles of the body, in particular the hands. Children with (osteogenesis imperfecta) OI often have very hypermobile hands (bendy with a weak grip). They may find fine motor activities more difficult than other children. They will...

Therapy exercises This material has been designed to help you remember the exercises your therapist has taught and practised with you. The exercises should be done slowly. You may have some discomfort whilst doing these exercises after your operation or injury. If pain limits your ability to do your...

What is mechanical back pain? Mechanical back pain (MBP) is back pain which is related to movement or activity but with no underlying bone, joint or disc abnormalities. This is usually most common in children age 10 or over and is self limiting. Why does mechanical back pain occur in children?...

What happens when my child has been referred to physiotherapy? The doctor will send your referral to us after your clinic visit. Sometimes we may try to contact you directly by phone, otherwise you will receive a letter in the post to ask you to contact us to make an appointment. When will my...

Therapy putty Putty can be used to improve movement and strength of the hand, wrist and forearm. It can be formed into various shapes to complete exercises which will be tailored to you by your therapist. The putty must be used as shown. You will be provided with instructions about the number of...

Therapy putty Putty can be used to improve movement and strength of the hand, wrist and forearm. It can be formed into various shapes to complete exercises which will be tailored to you by your therapist. Use the putty as shown below. We will give you instructions about the number of times you need...

Therapy putty Putty can be used to improve movement and strength of the hand, wrist and forearm. It can be formed into various shapes to complete exercises which will be tailored to you by your therapist. The putty must be used as shown. You will be provided with instructions about the number of...

You have been provided with a wedge cushion to improve your posture and help ease aches and pains. Posture wedge cushions help relieve pressure on your back by altering your posture. They are designed to be used on standard chairs at both home and school. How do I use the cushion? The posterior...

Why do I need physiotherapy after the operation? Physiotherapy after surgery is important to in helping to prevent any breathing complications such as chest infections. This will help you feel better and prepare for discharge home. What will I do with the physiotherapist? The physiotherapist will...

What is Osgood-Schlatter’s? Osgood-Schlatter disease is a common cause of pain in the front of the knee. It is not a disease, but a condition or disorder. This condition is also referred to as ‘traction apophysitis’, meaning pulling on the growth plate causing inflammation. It is...

What should I expect after my plaster cast has been removed? For the first few days your ankle may feel stiff and sore to move. This is normal as the joint has been held still for a few weeks. There is usually some swelling present which will contribute to the pain and stiffness. You may…...

Teeth care for children and youngsters with neuromuscular conditions This information has been put together by the Neuromuscular Service at Sheffield Children’s Foundation NHS Trust and Charles Clifford Dental Hospital. We hope it will provide you with some useful information, resources and...

What is Perthes disease? Perthes disease is a childhood disorder which affects the top of the femur bone. The femur is the bone in your thigh. It affects the ball part of the ball and socket joint where it meets the hip. In Perthes disease, the blood supply to the top of the femur is…...

The Neuromuscular service based at Ryegate Children’s Centre provides care and support to children and their families with disorders of nerves, muscles and related conditions. We provide a specialist service to children, young people and their families who live in the city of Sheffield, South...

What is Sever’s disease? Sever’s disease is a common cause of heel pain in children and young people. This condition is also referred to as ‘calcaneal apophysitis’. The condition causes pain and discomfort in the heel where the tendon of the muscle attaches to the bone. There...

What is postural care? Postural care is a gentle approach aimed to protect and restore someone’s body shape through the use of the equipment for the day and night for people with movement difficulties and can include: specialised seating standing frames support in the lying position especially...

What is desensitisation? Some people who experience persistent pain will have increased sensitivity to things like touch, pressure, or temperature in the skin of the affected area. Desensitisation is an effective way to treat this increased sensitivity. Desensitisation techniques are used to...

Starting nursery or pre-school Young children with OI would benefit from the opportunity to attend nursery or pre-school. We advise parents to arrange a meeting well in advance of your child’s start date. People at the meeting should include key workers involved in your child’s care, and...

What is torticollis? Congenital muscular torticollis (CMT)  is shortening of the sternocleidomastoid (SCM) muscle in the neck. This causes a baby to hold their head tilted or rotated to one side from birth. Some babies may develop a harmless, fibrous lump within the neck muscle which usually...

What is epiphysiodesis? Epiphysiodesis is a surgical technique that is used to correct differences in bone length. When one leg is longer than the other, the technique is used to control the growth of the longer limb. It is a small surgery that uses either metal plates, screws, or drilling. Doing...

What is hemi-epiphysiodesis? Hemi-epiphysiodesis is a surgical technique that is used to gradually correct an angular deformity of a long bone, for example knock knees. It is a small surgical procedure that uses either metal plates, screws, or staples. An example of a metal plate can be seen in the...