dear Arifa,

in my country ( Holland) people have access to all kinds of treatment. But that does not mean that everybody is always being treated.
We, paediatric physiotherapists first ask our patient his/her problems and possible goals for treatment.
Ex. I want to play footbal,
I want to be able to hold a pack of cards etc etc.
If the patient is too young, you ask the parents and goals could be....
I want my child to help me when I pick him/her up to spare my back,
I want him to learn how to brush his teeth and hold the toothbrush......

By then assessing the possibilities and steps you have to take to reach these goals, you get completely new and functional goals to work for. It can make you discover that you can "make up" new functional "games" to keep your therapy varied and fun.

On the other hand, is treatment always necessary?
I doubt it....... You could arrange to assess the child properly (ROM etc) give him/her a therapy break and look what happens......

Hope this helps a little.

Keep reading on the matter.
Motor Control 3rd edition Shumway Cook and Woollaccott Lippincott Williams & Wilkins Home Page is a definite must to keep up with the newest science about motor control.

kind regards
Esther de Ru