Welcome

Physiotherapy & Occupational Therapy for Children

Kia ora, namaste, huanyíng, hello

Paediatric occupational therapists and physiotherapists help babies, children and young people to flourish and achieve their chosen occupations to the best of their abilities. Occupations can include anything from getting up in the morning to eating and drinking, riding a bike, playing with friends, or writing a story at school.

We use fun, engaging activities to help children succeed in meeting the daily occupations of childhood: self-care, school and play. Our therapists are experienced, empathetic, practical and empowering. We are a family centred practice, providing an individualised approach focussed on your child and family goals.

We offer services for children aged 0 to 16 years who have a range of physical, neurological, cognitive, social, sensory, emotional and developmental needs. We provide a number of different services tailored to your child's needs as well as providing coaching for families and caregivers.

Our therapists at Paediatric Occupational Therapy are experienced, empathetic, practical and empowering. We partner with paediatricians, speech language therapists, and other specialists to provide a collaborative service for children and their families.

Our vision is to provide quality, best practice therapy services for families and children, and to maximise potential and build fulfilling lives, as a team.
Our mission is to, in partnership with families, provide high quality, best practice therapy services that maximize each individual child’s potential and participation in life activities.

Our values
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What we do

Help children with a range of conditions


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Children aged 0 to 16 years with:

Attention Deficit/ Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders (ASD)
Developmental Coordination Disorders
Delays in Development
Difficulties with Information Processing
Fetal Alcohol Spectrum Disorder
Neurological Conditions (Cerebral Palsy, Traumatic Brain Injury)
Other Specific Syndromes
Prematurity
Specific Learning Disabilities
Sensory Processing Difficulties
Social & Emotional Difficulties

Use the Occupational Performance Model


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Our practice is based on the Australian and Canadian Occupational Performance Model. We use occupation based and task analysis assessment, for example, the COPM and PRPP.

Our assessments are based on the family and child's goals. We assist with differential diagnosis, and work closely with paediatricians, physiotherapists, psychologists, and speech and language therapists.

Perform assessments


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Interruptions to development from birth, including sensory, motor and cognitive function
Organisational and functional skills
Play skills
Sensory processing
Motor skills
Information processing
Visual perceptual skills
Daily living and self care skills
Learning and school participation

Assessments are carried out in a number of different settings, eg home, school, preschool or clinic based.

We draw on a number of evidence-based theories and practices to develop and frame our interventions, including:

    Neurodevelopment (Bobath) Information processing (Perceive, Recall, Plan and Perform model—PRPP) Sensory processing and integration Occupational performance (Occupational Performance Coaching) Attachment and relationships (newborn behaviour observations, Touchpoints) Respiration (Mary Massery) Musculoskeletal, Posture and Movement

Multidisciplinary assessments


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Occupational Therapist, Paediatrician, Speech and Language Therapist, Physiotherapist. Multidisciplinary assessments are recommended for:

  • Autism spectrum disorder
  • Attention deficit/hyperactivity disorder
  • Congenital conditions
  • Neurological conditions (e.g., cerebral palsy)
  • Developmental coordination disorder (DCD)/dyspraxia

Physiotherapy assessments


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Physiotherapist assessments are integral to our practice. Paediatric physiotherapists manage a range of conditions including:

  • Torticollis
  • Balance and coordination
  • Neurophysiological
  • Plagiocephaly
  • Musculoskeletal
  • Pain management
  • Hypermobility
  • Toe walking
  • Respiratory conditions
  • Developmental delay

Occupational therapy assessments


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Assessments are based on the Australian and Canadian Occupational Performance Model looking at a child holistically and the child's ability to do everyday tasks at school, home and play. They may include the following assessments:

  • Neuro development
  • Play skills
  • Sensory processing
  • Information processing
  • Visual processing
  • Self-care and independence skills
  • Emotional regulation and social skills
  • School participation: learning, handwriting, friendships
  • Routines and daily living tasks, organisational skills

Therapy interventions


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Coaching and establishing goals:

We listen and support the goals you want your child to achieve
We listen to your child's hopes and dreams
We give parents the skills and knowledge to "do therapy" everyday
We enable you to overcome the everyday barriers for your child

Task Analysis & Strategies:

Our assessments and task analysis enable us to build bridges, remove barriers and provide strategies for you and your child to reach their goals
When working with babies and children we use fun, engaging activities to help them succeed in meeting the daily occupations of childhood: self care, school and play
Following assessment, strategies are put in place to enable children to master tasks that are difficult for them.
Strategies are specific to your child's behaviours which are identified through PRPP assessment
Instructional methods are used to address behaviours; incorporating cues, prompts, strategies and preferences

Family, fun, friends, fitness, future:

  • Riding a bike or scooter
  • Using the playground
  • Meal times: eating and drinking
  • Walking and crawling
  • Playing with friends, toys and games
  • School: writing a story and packing your bag
  • Exams: special conditions
  • Relating to others
  • Dressing, toileting and washing self
  • Interests and hobbies
  • Managing self, including emotions and regulation

Specific programmes


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We use evidence based theory and practice, including Neurodevelopment, Information processing, Occupational Performance, Sensory processing and Sensory Integration.

We develop individualised, specific, practical and achievable programmes. Programmes may include visual and behavioural strategies, handwriting skills, access to assistive technologies, independence in self-care, social skills or friendship groups, and school readiness.

Orthotic clinics & adaptive equipment


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We work closely with a highly experienced orthotist—SSD Ltd to provide othotics assessments and equipment.

The orthotist and a physiotherapist or occupational therapist perform neurophysiological and musculoskeletal assessments, prescription and fitting of neurophysiological devices and orthoses, to help:

  • Postural control
  • Proprioceptive feedback loop
  • Alignment and correction
  • Pain management
  • Muscle strengthening

Equipment may be used to enable your child to participate in everyday tasks, for example: adapted cutlery, seating, curriculum adaptation, pencil grips, specific toys to facilitate play etc.

Community


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We liase with other professions, teachers and carers to ensure your child's strengths and needs are understood by all.
We link parents and families with community organisations. For example, appropriate leisure and extra curricular activities.

Who we are

Arul Hamill, Paediatric Occupational Therapist

New Zealand Registration (NZROT 1988)
Australian Registration (OT Australia 2013)
Founding member of the International PRPP instructors Network (2014)
Member of Occupational Therapy New Zealand/ Whakaora Ngangahau Aotearoa

Experience

Arul has over 25 years of Paediatric experience. She worked in Child Development teams from 1991 to 1999 before running a Private Practice from 2003 and worked with ACC and school learning support units.

Arul has experience working with children with Developmental delay, Syndromes, Cerebral Palsy, Head injuries including Shaken baby syndrome, Prematurity, Learning disability, Neurological conditions, Equipment support, cross cultural support and working in the community including clinic, home and school.

Specific training

Arul had many years of training, including the following courses:

Neuro-developmental Therapy
Foundation Bobath, Baby Bobath and Advanced Baby Bobath certification
Sensory Integration theory and Practice
Perceive, Recall, Plan and Perform PRPP assessment and Intervention of Information Processing
Sensory Profile
SOS (Sequential, Oral Sensory) Approach to feeding
If you can’t breathe, you can’t function. Lifespan lab course (Mary Massery PT)
Newborn Behavioural Observations (NBO)
Occupational Performance Coaching (OPC)
Upper Limb Performance Assessment (ULPA)
Autism Diagnostic Observation Schedule (ADOS)

Workshops, teaching and clinical supervision

Arul has taught, educated and supervised in New Zealand and Australia, including the following events:

Kidsplus Geelong Australia:
 Integration coaching into practice with families of children with cerebral palsy
Down Syndrome Conference:
 Learner profile with Down Syndrome
Recreate:
 Understanding ADHD, ASD, cerebral palsy, fetal alcohol spectrum disorder, and anxiety
Ministry of Education, Rotorua:
 Using coaching skills within our practice
Play Workshop:
 Parenting place
Perceive, Recall, Plan and Perform Workshop, Introduction and stage 1:
 Co-presenter with Wendy Burrows, ADHB
Clinical Reasoning Workshop:
 Paediatric Occupational Therapy and Kidsplus, Geelong, Australia
SPACE (Parenting Place):
 Mother and Baby Programme
Paediatric OT Intensives:
 Training of therapists

Lucy Charles, Paediatric Occupational Therapist

British Diploma of College of Occupational Therapy (DipCOT 1986)
New Zealand Registration (NZROT) 1993
Member of Occupational Therapy New Zealand/ Whakaora Ngangahau Aotearoa

Experience

Lucy has 22 years of Paediatric experience in the UK and NZ with children aged from 0 to 16 years who have a range of physical, neurological and developmental needs.

Lucy has experience working in Child Development Services, Mainstream Schools, Specialised Units and Private Practice with children with Attention Deficit/Hyperactivity Disorders (ADHD), Autism Spectrum Disorders (ASD), Specific Learning Disorders, Developmental Coordination Disorders (DCD), Sensory Processing Difficulties, Prematurity, Cerebral Palsy, Neurological Conditions and Global Developmental Delay.

Specific training

Lucy had many years of training, including the following courses:

Neuro-developmental Theory (Bobath)
Sensory Integration (Theory and Practice)
PRPP (Perceive, Recall, Plan and Perform) Information processing Assessment and Intervention
Professional Life Coaching (International Coaching Federation approved)
Occupational Performance Coaching (trainer programme)
Team Teach (Positive Behavioural Management)
Supervisor for Health Professional and OT Students (UNITEC)
Upper Limb Performance Assessment (ULPA)
Autism Diagnostic Observation Schedule (ADOS)

Supervision

Lucy is a trained supervisor:

Registered Supervisor, Occcupational Therapy Board of New Zealand
Coaching and Mentoring Health Professionals
Clinical and professional supervision

Workshops and teaching

Lucy has taught and educate in New Zealand and Australia, including the following events:

Kidsplus Geelong Australia:
 Integration coaching into practice with families of children with cerebral palsy
Recreate:
 Understanding ADHD, ASD, cerebral palsy, fetal alcohol spectrum disorder, and anxiety. See through your clients eyes
Auckland District Health Board (Starship Community):
 Occupational Performance Coaching co-presenter with Dr. Fi Graham
Ministry of Education, Rotorua:
 Using coaching skills within our practice
Australian Academy of Cerebral Palsy and Developmental Medicine:
 Co-presenter with Dr. Fi Graham on Occupational Performance Coaching
Play Workshop: Parenting place
Waitemata DHB and Ministry of Education:
 Co-presenter with Dr. Fi Graham on Occupational Performance Coaching
Clinical Reasoning Workshop:
 Paediatric Occupational Therapy and Kidsplus, Geelong, Australia


Annabelle Borrie, Paediatric Physiotherapist

New Zealand registered physiotherapist (2000 - current)
New Zealand Bobath Association membership

Experience

Annabelle is a physiotherapist who completed a Bachelor of Health Science (Physiotherapy) in 2000 at Auckland University of Technology. She has gone on to specialize in Paediatric Physiotherapy with over 13 years’ experience. The majority of her paediatric training took place in leading hospitals in London, including St Georges and Kings College Hospitals. Annabelle has also completed the Paediatric foundation Bobath course as well as being trained in the Neuro Sensory Motor Devekopment Assessment (NSMDA) and the Lee Method for DCD. She has specific interest in children with neurological disorders such as cerebral palsy, developmental delay, and traumatic brain injury as well as the orthopaedic management of children in the community setting.
Annabelle returned to New Zealand in 2009 and worked for the Central Child development team until June 2012. She has since worked on and off part time while raising a young family. Annabelle uses peer supervision and networking as well as reflection in order to initiate self-checking procedures always aiming to keep an up to date with her professional development ensuring she is constantly learning and evolving as a therapist. She has sound experience in supervising students in both the acute and community setting over the last 10 years.
Annabelle is passionate about physiotherapy and takes great pride in insuring she provides the best care for each individual child and their families.
Annabelle belongs to the following professional bodies: New Zealand Physiotherapy board, New Zealand Bobath Association.

Specific training

    Understanding normal movement for Paediatric Therapists, March 2016 Paediatric Bobath Foundation Course 2011-12 Auckland New Zealand Neuro Sensory Motor Development assessment (NSMDA) training for Physiotherapists—Yvonne Burns, April 2011 Paediatric Upper limb splinting workshop with A. Recordon and A. Coyle June 2011 Auckland Roslyn Boyd course, Quality of life, Participation and Activity, Preterm development, Auckland 2009 Paediatric Neurology Study days at Imperial College 3rd and 4th of April 2009 Paediatric evening lectures at Chelsea and Westminster Hospital October 2008 Posture and Movement Control course, The Movement Centre 1x Day on 02/09/08 Paediatric respiratory update, The Royal London Hospital 1x Day June 2008 Developing Early Communication Skills, Lambeth and Southwark SALT team June 2008 Paediatric Respiratory Care: Theory and Practice. Royal Brompton and Harefield Trust, September 2006 Injuries of the hip and groin: A one day workshop for physiotherapists. Tutor Professor Graham Smith. Dunedin Hospital, Reading, September 2006 Haematological considerations for the acute respiratory physiotherapist, APCP Critical Care Group Study Day, June 2006 Gait Analysis and Orthotic Management in Paediatrics': Eileen Owen Nov 2005 One day PICU course, Birmingham Children’s Hospital, October 2005 Paediatric update and Electrotherapy course. Sohil Hospital, Midlands, April 2005 Intensive Care update for physiotherapists. University College London – Middlesex Hospital November 2004 Kinetic Control: Movement dysfunction course. Auckland NZ, October 2002 (Dynamic Stability around the shoulder and Scapula) Exercise prescription for physiotherapists. Auckland NZ, September 2002 Diagnosis & Prognosis: Making your clinical examination more effective. Wellington NZ, August 2002 Kinetic Control: Movement dysfunction course. Auckland NZ, July 2002 (Dynamic Stability and Muscle Balance for sport and Ballistic Movement) Mulligan Concepts Course: NAGS, SNAGS, MWM’S. Whakatane Hospital NZ, March 2002


Cris Barker, Paediatric Physiotherapist

New Zealand Registered Physiotherapist (2006 – current)
Member of Physiotherapy NZ
New Zealand Bobath Association Member

Experience

Christiana graduated with a Bachelor of Health Science (Physiotherapy) from Auckland University of Technology in 2005. She has specialised in Paediatric Physiotherapy for the past 12 years, working for the National Child Rehabilitation Service (Auckland), primarily in the areas of paediatric neurology and orthopaedics. Christiana also works part time at the Auckland University of Technology for the Starship Clinical Gait Analysis Service, responsible for 3D gait analysis data collection and interpretation.

Christiana has experience in the assessment and management of children with developmental conditions including cerebral palsy, traumatic brain injury, developmental delay, toe-walking and other gait disorders. She also specialises in serial casting for the management of paediatric equinus deformities in conditions such as cerebral palsy and idiopathic toe-walking.

Specific training

    Foot & Ankle study day, Physio NZ Auckland Branch; June 2018 Australasian Academy of Cerebral Palsy & Developmental Medicine Conference – Committee Member; Auckland, March 2018 Dyskinesia Workshop – Melbourne CRE; Auckland, November 2017 Rehabilitating Running in children & adults with neurological conditions; Christchurch, November 2017 Normal Movement course, NZ Bobath Association; Auckland, February 2017 Developmental Orthopaedics of the Trunk & Lower Extremity, Beverly Cusick; Auckland, October 2016 Paediatric Equinus Deformity Management, Beverly Cusick; Auckland, October 2016 Melbourne Clinical Gait Analysis course; Royal Children’s Hospital, Melbourne, August 2015 Toe Walking Management course, Lisa Persaud; Wellington, March 2015 Physio NZ Conference, presented on paediatric serial casting; Auckland, September 2014 Functional Electrical Stimulation workshop, AACPDM; Sydney, March 2014 Australasian Academy of Cerebral Palsy & Developmental Medicine Conference; Sydney, March 2014 Cerebral Palsy Movement Disorders workshop, Dr Iona Novak & Cathy Morgan; Auckland, May 2013 Supervisor Training course; Auckland, May 2013 Australasian Ponseti Conference; Auckland, March 2012 Bobath Paediatric Foundation Course; 2011/2012, Auckland Australasian Academy of Cerebral Palsy & Developmental Medicine Conference; Christchurch, March 2010 Clinical Gait Assessment course, Neuro Rehab Education Group; Auckland, 2008 Working with Culturally & Linguistically Diverse Families – Disability Awareness; Auckland, January 2019 Māori Cultural Perspectives Course; Auckland, June 2013 Culturally & Linguistically Diverse – Cross Cultural Training; Auckland, 2010


Gillian Irwin, Administration and Marketing

Gillian is the mother of two wonderful boys and works part-time for Paediatric O.T. Gillian has extensive experience in strategic marketing in the corporate world.

Jodi Davidson, Paediatric Occupational Therapist

NZ Registration (NZROT) 2005
Member of Occupational Therapy New Zealand / Whakaora Ngangahau Aotearoa

Experience

Jodi has worked in New Zealand and England, in acute hospitals for adults and children. She has worked with inpatients and outpatients with varied diagnoses, including traumatic brain injury, neurological conditions, orthopaedic conditions, spinal cord injuries, oncology, rheumatology and chronic pain syndromes.

Jodi is the mother of three young boys.


Lynette Hing, Paediatric Physiotherapist

New Zealand Registered Physiotherapist (1999 – current).
Member of Physiotherapy NZ.

Experience

Lynette graduated with a Bachelor of Physiotherapy (BPhty) from the Otago of University. Since graduating, she has specialised in Paediatric Physiotherapy. Lynette has gained a wealth of experience over the last 20 years from employment in a variety of sectors and organisations including education, private practice, Starship Children's Hospital, and ACC.

Lynette loves working with children and their families to achieve functional, meaningful goals in order to improve their quality of life and independence.

Specific training

    Mary Massery—If you can’t breathe, you can’t function, 2019 The use of proprioception in the facilitation of movement, 2019 Knowledge translation—theory into practice, Paediatric Occupational Therapy, 2019 Understanding Autism Spectrum disorders‐Tony Attwood and Michelle Garnett, 2019 First Aid in the School environment, 2018 AusACPDM conference, 2018 24 hour postural management, 2018 First Aid in the school setting, 2018 CPR (updated annually)


Ursula Gee, Paediatric Occupational Therapist

NZ Registration (NZROT) 2004
Member of the Australian Neuromuscular Network

Experience

Ursula has 13 years paediatric experience. She has worked in child rehabilitation and management from 2005 – current. This work has been within clinic, home and school environments.

Ursula has experience working with children and young people—traumatic and acquired brain injuries, cerebral palsy, neurological and orthopaedic conditions and developmental delay.

Ursula is highly committed to helping and supporting children and their families while working in a culturally sensitive manner.

Specific training

    PRPP (Perceive, Recall, Plan & Perform) Information Processing Assessment—Occupational Performance Model (Australia) Understanding Normal Movement for Paediatric Therapists WeeFIM accrediation Enable Level 2 Wheelchair and Seating and Postural Management accreditation Identification, classification and assessment of dyskinesia in children with cerebral palsy, for Paediatric Therapists


Wendy Ramsay, Physiotherapist

New Zealand registered physiotherapist
Wendy has many years of experience with paediatric and adult physiotherapy
Past Team Leader, Counties Manukau DHB Allied Health Team.

News

The F-words life wheel workshop

This is a practical in-depth one-day course was help on 16 May 2020, on Teleconference. The day was awesome! Too bad if you didn't make it. There will be one soon. Click here for the registration form

By Paediatric OT Ltd, 2019

Paediatric OT Tele-Therapy

We at Paediatric OT offer telehealth for all our clients. Tele-therapy is available via a secure, professional, online video conferencing platform. Your child's therapy can take place in the comfort of your own home. Therapy will be in the context of your child's familiar home environment.

Photo by Phong Duong on Unsplash

Multidisciplinary team assessments

We provide full neuro-developmental assessments for children from all over New Zealand. Your child can be assessed by an Paediatrician, Occupational Therapist, Speech, Physiotherapist and Language Therapist. Multidisciplinary assessments are ideal for Autism spectrum disorder, Attention deficit/hyperactivity disorder, Congenital conditions, Neurological conditions (e.g., cerebral palsy), and Developmental coordination disorder (DCD)/dyspraxia. For more information…

Photo used with parental permission

Rainbow Connection

A Special Performance of "Rainbow Connection" from Kermit the Frog. What a great song from a previous generation of children. Enjoy!

Vacancies

Want to be part of our team? We are looking for a NZ registered Occupational Therapist with experience in Paediatrics. Do you want to make a difference in the lives of the children and families we work with? Do you have want to work in a progressive team passionate about best practice and ongoing professional developmental? Are you a NZ registered Occupational Therapist or Physiotherapist with extensive experience in Paediatrics with a passion to keep learning?
We are looking for a NZ registered Occupational Therapist with extensive experience in paediatrics to work contractually in our progressive private practice of Occupational Therapists and Physiotherapists. The successful applicant will be able to build strong responsive relationships with children and their families, work in a multidisciplinary community of care with Paediatricians & SLTs, and be passionate about best practice and ongoing professional development. Applicants can submit their application and CV in confidence. Please include your professional qualifications and experience, and why you would like to work at PaediatricOT Ltd. For more information…

Photo used with parental permission

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Resources


Colleagues

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Moira Nelson

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Shamus Fairhall, Orthotist

Mosi Labs | SSD Limited

Dr Katie Tuck
Katie Tuck

The Kids Plus Foundation

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The Hearing House

The hearing house

Carolyn Simmons, Occupational Therapist

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The Parenting Place

Parenting Place

Clare Stanley

Kidzhealth

Fiona Kentworthy

Fi Graham, Occupational Therapist

Occupational Performance Coaching (OPC)

University of Otago

Auckland Medical Specialists

Organisations