I’m often asked by participants in my workshops to discuss external supports that I use to augment and extend my handling skills when treating the children in my pediatric physical therapy practice. We all learn tricks of the trade so to speak as we develop and refine our clinical skills throughout our professional careers. Over the years I’ve learned to utilize many supports that work very effectively to enhance a child’s functional ability both during and between therapy sessions. Let’s take a look and I’ll highlight some of my favorite external supports for you…

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© Kristen Birkmeier, MSPT

I am often asked my opinion, both by clinicians and parents, regarding the use of infant walkers.

Most likely the parents have been told by the infant’s pediatrician that they should not use an infant walker, and the parents are seeking a second opinion. This is how I  typically answer the question:

“I do not recommend use of infant walkers for babies until they are able to independently move in and out of sitting, creep on hands and knees, pull to stand with support, and cruise along furniture.”

By this time they have developed the core strength and muscular control of their arms and legs that is needed to safely and appropriately utilize an infant walker. Usually the baby pushes backwards in the walker for awhile, but soon learns how to move forward, move away from walls and furniture, and avoid obstacles.

I find that it is only a short time before the baby starts to take a few independent steps and there is no stopping them then! In my experience, when walkers, Exersaucers, and Johnny Jumpers are used with younger infants, it often causes increased [Please register or upgrade to access this training material. Thanks.]

© Kristen Birkmeier, MSPT July 2009