GAIT AND POSTURE ASSESSMENT

In paediatric orthopaedics we see a lot of children with parental concerns regarding gait and posture. In a growing child, both the anatomy of the musculoskeletal system, as well as the gait changes as he/she grows. This may cause parental concerns as to whether this is within the normal range or not. There is also a degree of variability from one child to another. At our clinic we perform a thorough assessment taking a detailed history, as well as a clinical examination in order to identify whether your child is within the normal range. Children who present with what we call normal variants usually have no symptoms, but this is not always the case. At our clinic, the aim is to identify children that are within the normal range in which case, parental reassurance is offered and an occasional follow-up in order to ensure that they remain within normal physiological range. An example of a normal variant is intoe gait which is considered normal at a young age but if it persists this may signify pathology that would need assessment and possibly treatment by a paediatric orthopaedic surgeon. We see an increasing number of children with relatively innocent posture issues that may cause pain and occasionally functional problems. These children are referred to physiotherapy for assessment and a home programme treatment regime.

The physiotherapist will make an assessment of the patient and create a individual programme with strengthening or stretching exercises, advice on sitting positions and possible supports in sitting and resting.