Hi Esther,
thanks for reply.
I´m not a specialized pediatric physio, just a fresh graduate. I studied in NL but now work overseas and there is no specific pediatrics training here. I work at an outpatient practise that treats mainly children but also adults with mainly ortho. problems.
The girl has been diagnosed (by physician & former physio, not me) with ´delayed milestone', not hypermobility. She´s just a little behind in gross motor skills, balance and walking but she´s improving.
We are currently waiting for special boots that will correct her gait pattern but until they arrive I would like to focus on promoting toe-off in her gait.
She is mainly walking in normal but fairly stable shoes, though we have also tried bare-feet several times which didn´t seem to make a difference.
She is generally hypotone and not as strong as she should be for her age, gait practise is the main focus during treatment but balance and coordination etc. are also included.
Hope this helps.
gr.
k.