Children learn about their world through movement- by rolling, crawling, climbing and exploring the spaces around them. When a child has difficulty moving or accessing their environment, their opportunities for play and learning become significantly limited. Over time, this may contribute to delays or challenges in behavioral, cognitive or communication skills. 

Physical therapists are movement experts. In a pediatric setting, PTs play a crucial role in helping children build the strength, coordination and motor skills they need to safely and confidently explore their environment. 

What is Pediatric Physical Therapy and Who Does it Help?

Pediatric physical therapists work with children of all ages, abilities, and diagnoses to promote movement, foster independence and improve overall quality of life for both the child and their family. 

The most common reason a child is referred to physical therapy is a delay in gross motor development. For infants and younger children, this might include not yet meeting motor milestones such as rolling, crawling or walking. In older children, challenges may present as difficulty navigating home or school environments, climbing stairs or keeping up with peers during play or sports. 

Pediatric physical therapists support children from infancy through early adulthood, and often collaborate with other providers to help families navigate the transition to adult services as needed.

Common Conditions Treated by Pediatric PTs: 

  • Infant torticollis 
  • Muscle weakness or imbalances 
  • Toe walking 
  • Poor balance, coordination or motor planning
  • Gross motor delays
  • Sports-related injuries, injury prevention and return-to-sport programs
  • Concussions
  • Chronic pain
  • Joint instability or hypermobility
  • Post- surgical rehabilitation

What to Expect During a Pediatric PT Evaluation and Session:

After receiving a referral from a physician, families begin with an initial evaluation to assess the child’s current level of functioning. During this evaluation, the physical therapist will look at various measures to assess the child’s strength, development and functional mobility that is expected for their age. Based on these findings, the therapist will make a recommendation for the duration and frequency of ongoing PT sessions. 

The physical therapist works with the child and their family to create goals that are meaningful and specific to the child’s needs. Additionally, education is provided to the family and caregivers throughout the duration of care, to support home carryover and promote practice with new skills outside of the clinic.

Physical therapy sessions can look different for every child, depending on their interests, activity level and goals. Sessions often incorporate playful, engaging activities including obstacle courses, balance challenges or scavenger hunts. Therapists may utilize a wide variety of equipment including adaptive bicycles, partial-weight bearing systems, and more traditional exercise equipment like treadmills, stability balls and resistance bands.

Throughout each session, therapists deliver targeted interventions and continuously adapt activities to ensure they meet the child’s needs while progressing toward their goals. At the end of the session, the therapist typically will provide an update to caregivers and provide exercises or activities to practice at home. 

Why Home Practice is Key to Your Child’s Progress: 

Children make the greatest progress when skills practiced in therapy are reinforced at home. While weekly sessions are important, meaningful improvement happens through repetition in daily routines. Consistent home carryover, guided by the therapist’s recommendations, helps children to build confidence, strengthen new skills and reach their goals more quickly.

If you’re interested in learning more about pediatric physical therapy services and how CI Pediatric Therapy Centers can support a child in your life, check out our pediatric physical therapy service page on our website.


This article is intended for general informational and educational purposes only. It does not constitute medical, psychological, or professional advice nor does it establish a therapist-patient relationship. The content provided should not be interpreted as a substitute for professional diagnosis, treatment, or care.