Concept and practical aspect of PIMT

Theoretical bases of Pediatric Integrative Manual Therapy

The Pediatric Integrative Manual Therapy (PIMT) aims to integrate manual therapy and pediatric physiotherapy of development.

The manual therapy has shown in recent years a remarkable increase in the evidence through numerous scientific publications where its benefits have been objectified in numerous dysfunctions of the musculoskeletal system. Although its effects have been shown much more in the adult population than in the infant population, some of the benefits such as gain in joint range of motion or certain effects on inflammation and pain can be extrapolated to the children population. PIMT tries to develop means of evaluation and treatment for neonates and children whose anatomical characteristics require a methodological adaptation of the classical systems of evaluation and treatment in manual therapy. Manual therapy is necessary in different dysfunctions of childhood such as congenital torticollis and in areas as varied as orthopedics or pediatric neurology.

For its part, pediatric physiotherapy also relies on the support of studies that justify its evaluation and treatment systems. Reliable scales have been developed to objectify the neurodevelopment of children both in the population with neurological affections and in children without specific pathology. A considerable incidence of attention and learning difficulties in the pediatric population has also been observed in the literature in which sensorial and motor dysfunctions without objective neurological damage are verified by imaging tests. In these children, a possible non-optimal neurological maturation is suspected in which there are difficulties of balance, oculomotor or vestibular control, among others. PIMT proposes a pediatric physiotherapy pathway based on sensory stimulation, motor and postural patterns of ontogenetic construction in the baby and the stimulation of the automatisms that sustain the optimal functioning of the nervous system.

PIMT practice

The practice of PIMT integrates in an exceptional way manual therapy and physiotherapy of development. In other words, an understanding of the relationship between structure and function that was essential but unknown in pediatric physiotherapy.

PIMT allows the evaluation and treatment of different musculoskeletal disorders in babies and children that may affect their health, their development or future problems of learning and behavior. Unlike pediatric osteopathy, the neurodevelopmental evaluation of children and babies is an essential aspect as well as the integration of the family in the treatment through a well-documented work at home with which the best results are achieved.

In babies

PIMT allows a fine evaluation of the neuromotor and sensory development of the baby and the detection of articular, tissue or cranial alterations that may be interfering with its development.

With PIMT it is possible to treat in a very effective way colics, congenital torticollis, irritability, digestive alterations, cranial deformations, plagiocephaly, etc. With gentle but very detailed manual techniques and extremely effective.

Within the integrative vision, it is essential to help parents to stimulate the motor and sensory patterns that the baby needs at each stage. In this way the children will immediately use the ranges of movement and control gained in the session and ensure the result by the start-up of the function.

Thus, the intervention is balanced between the effectiveness of manual treatment and family education. A combination with surprising results.

Práctica TMPI bebés
TMPI niños

In children

PIMT allows a fine evaluation of the neuromotor and sensory development of the child, and the detection of articular, tissue or cranial alterations that may be interfering with their development, their learning, attention or behavioral difficulties.

Aspects such as coordination, balance, cerebellar function, the presence of primitive reflexes not well integrated, etc. are evaluated. All this integrated with the possible restrictions of joint mobility or of tissues that can be in relation.

The PIMT allows returning health and mobility to tissues and biomechanical systems, activating optimal motor patterns and educating parents to offer children the stimuli needed for their development.

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