Blog | Terapia Manual Pediátrica Integrativa (TMPI)

Oct 18

An essential key to the evaluation of manual function in the infant

In pediatric physiotherapy we usually differentiate the evaluation of the infant and the evaluation of the child. In relation to the use of hands and their assessment, it is not very clear what a baby is exactly. Let me explain. The neonate, the baby up to 4 months, the baby... read more →

Sep 09

Coordination, is it a problem for many children?

Since I have been working in pediatrics, I have seen hundreds and hundreds of children (many more boys than girls) with coordination problems. I remember a fairly recent case. A patient brought his 7-year-old son to me because he stumbled and was not good at sports. On closer inspection we... read more →

Jul 12

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A clinical reasoning that make us become closer, more human …

It was a few years ago. A patient came to my center with a rather complex health problem. These were non-specific pain that did not respond to clear anatomical patterns. In addition, there were associated psychosocial factors, which made the case even more uncertain. I tried to do my best,... read more →

Jun 21

Improving confidence in the pediatric physiotherapy practice: clinical reasoning

That morning I received an email from a pediatric physical therapist. She told me: “Iñaki, I don't feel safe. I did many courses but everything is mixed up in my head. I have the feeling of not knowing where to start with a child, and things get worse when the... read more →

May 27

Children with developmental coordination disorder (DCD) have problems with mathematics

Developmental coordination disorder (DCD) is defined in the Diagnostical and Statistical Manual of Mental Disorders (DSM) as a significant impairment in the development of motor coordination, which interferes with academic achievement or daily activities. The truth is that DCD is a diagnosis by symptoms and not by etiology. So, very different causal... read more →

May 02

Key questions to detect ocular torticollis

Have you ever seen a toodler or a child with a recurrent twisted head? What could be causing this abnormal head position? How can you tell if it is postural or visual? Torticollis is an abnormal head posture caused by ocular or non-ocular factors. Ocular torticollis (OT) is a compensatory... read more →

Apr 07

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A clinical reasoning in pediatric physiotherapy

Insecurity accompanies all clinicians. It may seem that we have everything under control or that we have enough training. But faced with the complexity of the healthcare user (patient), sometimes we feel unable to understand what is really happening, or we apply the usual, what we know works ... almost... read more →

Mar 17

The maternal voice, a powerful stimulus for our species from gestation.

This title may seem a little exaggerated. But if I told you that as early as 36 weeks of gestation, fetuses seem to respond to the maternal voice, or if I showed you that there are several indications in the literature that refer to an auditory learning of certain speech... read more →

Mar 02

Visual function in the service of movement, communication and learning.

Why is it important for early childhood professionals to know the basics of visual development? What babies perceive, recognise and use to communicate and learn is still under study. Understanding how sensory, motor and perceptual systems develop in typically developing children gives us a global view of human development. Each... read more →

Feb 03

5 key points in Manual skills assessment in children

Manual skills are essential in child development, in their participation in daily activities as well as their school performance. There is a high incidence of children with developmental disorders and it seems to be (give evidence) increasing. Difficulties in manual skills are a frequent sign of developmental delay. Some of... read more →