Physiotherapy: Service Provision and Advice

Postural Care and Management

Postural management is the use of specialist equipment and exercises advised by your Physiotherapist and Occupational Therapist. The aim of this is to promote good postural symmetry that aids motor development as well as provides comfort and minimises the risk of the development of musculoskeletal postural deformities. This is known to be a 24 hour approach.

As part of a child’s 24 hour postural management programme they may be provided with one or more of the following pieces of equipment:

  • Standing frames
  • Postural seating
  • Sleep systems
  • Walking frames
  • Orthotics/splinting (includes hand splints, foot orthosis and lycra)
  • Wheelchairs (provided by an external company)


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Annual Review Clinic

This clinic is designed to review every child within a special school on an annual basis. This clinic is run jointly between a Physiotherapist and Occupational Therapist (when appropriate). Within this clinic a number of physical assessments will be completed to allow us to create a comprehensive therapy report for parents, this will include relevant therapy goals. This clinic will be held within the Child Development Centre and therefore parents/carers are expected to attend. 

What to bring:

  • Any current orthosis
  • Mobility aids 
  • Suitable clothing for physical assessment e.g. loose fitting clothes or shorts and t-shirt
  • Parents to prepare discussion points they would like addressing 



​Gait Clinic

This clinic is designed for ambulant or newly ambulant children, it is currently run every three months. In this clinic the child/young person will be seen by a member of the Physiotherapy team who will assess a child walking and make appropriate treatment/equipment suggestions according to the assessment completed.​ This clinic is designed for children who do not need custom made orthotics.

What we provide:

  • Gait Analysis
  • Joint range of movement assessment
  • Provision of off the shelf orthosis or insoles



Tone Management Clinic

This is a specialised clinic for children who suffer with abnormal tonal changes that impacts on activities of daily living and functional activities. In the clinic a child will be seen by a Consultant Paediatrician and a Physiotherapist. A thorough assessment of joint ranges and functional movement will be completed, and treatment established. Most children seen in this clinic are reviewed annually. The child/young person will be referred into this clinic via their Occupational Therapist or Physiotherapist.

Treatment may include:

  • Botulinum Toxin injections
  • Tone management medication 
  • Referral to other services e.g. Orthopaedics
  • Serial Casting

If Botulinum Toxin injections are indicated as a treatment plan, clear therapy goals will be advised and agreed with the family. The child/young person will then receive a block of therapy to optimise the outcome success.



Orthotics Clinic

This clinic is run in conjunction with an external orthotics company. A child will be seen in clinic by an Orthotist and Physiotherapist. This joint approach allows us to provide the best orthosis to fit the child/young person's functional needs. The child/young person will be referred into this clinic by their Physiotherapist. 

The clinic runs every 2 weeks on a Friday between the hours of 09:00-16:00. 

What to bring:

  • Any current orthosis
  • Mobility aids if used
  • Suitable clothing (shorts where possible)

If clinically indicated we may provide: 

  • Custom Insoles
  • AFO's
  • KAFO's
  • GRAFO's
  • Shoe raises
  • Rocker soles 
  • Gaiters
  • Night/Resting splints
  • Helmets
  • Off the shelf orthosis



Neuromuscular Clinic

This clinic is run on a 3-4 monthly basis and is designed to review children with a confirmed Neuromuscular diagnosis. It is a joint clinic with the Consultant Paediatrician, Neuromuscular Advisor and Physiotherapist. Within this clinic the child/young person's progress and management will be reviewed, relevant assessments completed and allows parents an opportunity to discuss any concerns. 

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Inclusive Sports

For children to lead a healthy lifestyle they need to move as much as possible. It is recommended that children are active for at least 60 minutes per day to help keep their hearts healthy and bones strong- and if they have additional needs, this is just as important. 

There are several inclusive sports clubs and activities that are available in the local and surrounding areas of Peterborough. Please see the links below to some of these:



Two inspirational children within our service taking part in local activities. (Left: Adapted Cycling. Right: Horse Riding)
Disclaimer on these photo's, please do not copy. 

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The page was last updated on 22 October 2020 by paediatricpsychologicalservices.

Cambridgeshire and Peterborough NHS Foundation Trust
Elizabeth House, Fulbourn Hospital
Cambridge, CB21 5EF

T 01223 219400 (open 8:30am to 5pm)
F 01480 398501

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