![]() For example, a child with a fracture or sprain – there is a localised injury in one area of the body. ![]() For me, this is when the condition is simple and it is easy for the child and parent to follow the instructed programme of exercises. There are many examples of where hands-off therapy is absolutely indicated. Hands-off therapy, is typically review appointments with advice to parents on activities they can encourage their child to do. Hands-on physiotherapy is a treatment session where the therapists handling helps guide the child’s movements in order to encourage and assist the child to move in new ways. Well, in the context of Children’s Physiotherapy a simple explanation of hands-off, is where the predominant input is through review appointments and provision of a programme of exercises for parents to do with their child, or where a therapist provides activities where the child can practice a functional activity. So, what do we mean by “Hands-on vs Hands-off” They summarise that a combination of hands on, and hands off therapy is best – sounds sensible! Gwendoline Jul and Ann Moore wrote about this in the context of musculoskeletal physiotherapy in 2012 (1) and referred to the changes being related to socioeconomic factors, societal needs and desires (what do we want), as well as an increase in knowledge and evidence base. I have worked as a Children’s Physiotherapist in many different settings, in specialist children’s hospitals, smaller general hospitals, in the community and now as an Independent Physiotherapist and have seen trends come and go, as they do in all areas of business, fashion and life.
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