Which therapy helps improve walking and mobility?

Question

Hello Doctor.

My 14-year-old child has been experiencing a problem since the time she began walking. While walking or running, her heels mostly do not touch the ground. As a result, she is unable to sit, jump, or stand upright properly. When she attempts to sit while placing pressure on her heels, it causes pain and discomfort, making the action difficult. Additionally, although she is able to speak, her pronunciation is significantly impaired and often difficult to understand. As she continues to age, there is concern that these symptoms may become more severe over time. What type of treatment would be most appropriate for these issues? Which specialist should be consulted for the proper evaluation and management of this condition? Kindly provide the best possible advice and direction.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern. Thank you for sharing the details about your daughter’s condition. It appears that she is experiencing a combination of neuromuscular and orthopedic challenges, which are also affecting her speech abilities. Based on your description, she may be suffering from a neurological or developmental disorder that is impacting both muscle control and motor coordination. This condition could potentially be a neuromuscular or motor disorder. A strong possibility is cerebral palsy, particularly the spastic type, which is characterized by: Walking on toes or failure to place the heels on the ground Difficulty with sitting and standing upright Poor motor coordination and increased muscle tone Speech difficulties, medically referred to as dysarthria

It is important to initiate speech therapy sessions to address her communication challenges. A qualified speech-language pathologist will guide her through targeted exercises and techniques to improve articulation and clarity of speech. Equally crucial is the initiation of physical therapy and occupational therapy: Physical therapy (PT): This will focus on mobility improvement, gait training, and stretching of tight muscle groups. Occupational therapy (OT): This will support the development of essential daily living skills, such as proper sitting posture, hand-eye coordination, and body balance.

Daily, consistent exercises aimed at stretching and strengthening will help her gradually learn to place her heels on the ground. As this has been a longstanding issue, present for approximately ten years, progress may be gradual. However, with regular therapy and consistent support, there is hope for meaningful improvement in both her mobility and speech abilities.

Please feel free to reach out for further assistance.

I hope this helps.

Thank you.