Kaiden's physical therapy appointment started at 11:30 AM. I was updated with the ideas that were brought forth last session: walk in grass, walk in sand, etc.
We moved on to talk about how Kaiden's feet were doing since he had his casts removed. The therapist took Kaiden's feet and massaged on them, looked at them, and tickled them. He started out not wanting to have any stimulation applied to them. After a short bit of time, and both myself and the therapist coaxing, Kaiden started running around the living room and our bedroom barefooted. He stopped on the rug that lies just under the bed in the master bedroom and stared out at us. He then ran back towards us, yes, I said ran, and stopped on the carpet under the table in the living room.
There were many ideas shared about gaining movement in his feet:
*Fill a small plastic tub with either uncooked rice, beans or sand. Bury toys inside the material and have him dig around with his feet to pull out the toys.
*Have him pick up the washcloth with his toes
*Have him pick up anything with his toes
*Start allowing him to use a loofah and different materials with varied textures to stimulate his feet.
*Rub lotion on his feet and give him a washcloth to rub it in and off
*Have him kick a ball with grooves or a texture
*Take him outside to walk in the sand, grass, dirt or pool
Now, we have been told to give him a little while before he starts with a loofah or lotion. So, look at his feet before you make a move on doing any kind of therapy with the above mentioned options.
We went on to talk about the areas that I thought needed to improve out of him. The only obstacle I see him having is stairs. So, we were given more suggestions:
*Place a 2X4 under a blanket but on top of carpet or a rug. Have him step over it.
*Make Kaiden step over your legs.
*When walking on the sidewalk and stepping off the curb or walking up and down stairs, hold Kaiden's hands at his waist. This will make his hips work harder and strengthen them.
*Work on transitions between sidewalk and grass. Go back and forth to help with understanding transitional changes.
***MAKE SURE HE SEES WHAT HE IS DOING, AND REMIND HIM TO FOCUS!!!***
One of the therapist's observations was that she thought he probably did not need therapy more than once a month. She found that for only being out of his casts for two days that Kaiden was doing very well. A couple of the things she expected to see from him were bent knees and still walking on his tip toes. She was afraid his knees would still be bent from having been in the casts and not understanding the full weight of his own body. She was excited that he was not experiencing muscle tension in his hamstring. She was also excited to know that Kaiden had walked that out over a two week period of going into the second set of casts.
Now, he does not actually get stretched and pulled on, but we do receive helpful insight on how to retain stimulation and how to strengthen certain skills (ie: hip control and movement). I was told to start massinging the scar on the inside of his foot to help move around some of the scar tissue. It needs to be stretched so that it does not cause the tendon to be held taught. I was also told that we needed to keep up with gently massaging the toes and allowing Kaiden to use his motorized toothbrush twice a day.