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.