When is Physical Therapy Recommended?
By: Abby Wrightson and Taylor Adkins

The big picture of what pediatric physical therapy can do is to help kids play on the playground with their friends to the best of their ability. We are trained to work with kids who may have bone and muscle issues, sports-related injuries, or varying neurodevelopmental diagnoses. We can help improve mobility and function in kids with diagnoses including cerebral palsy, Down Syndrome, arthrogryposis, muscular dystrophy, spina bifida, and other genetic conditions. Our goal as physical therapists located in Richmond, Berea, and Lexington Kentucky is to help every kid do what they love. We can help through strengthening, stretching, and providing the necessary equipment needed such as orthotics or walkers.
Tailored Therapy
For older kids, we want to make sure they have the necessary muscle strength and coordination to play with their family and friends. If a child is falling often, having difficulty keeping up with friends of the same age, or having difficulty climbing up and down stairs, physical therapy can help them have fun with friends while also being safe. As physical therapists, we also treat gait abnormalities such as toe walking.
For kids with more complex conditions, our physical therapists will always individualize each treatment to address your concerns. Goals may be more centered toward balance or “big-picture” functional skills like getting out of bed or walking to the car.
Developmental Delays
A very common issue we treat is developmental delay. This is when developmental milestones are not reached for whatever reason. Here is a general guideline of when we expect little ones to be reaching their milestones:
- Rolling – 6-7 months
- Sitting independently – 6-7 months
- Crawling – 8-10 months
- Pulling to stand – 9-11 months
- Cruising – 10-11 months
- Walking – 12-15 months
- Jumping – 24 months
Torticollis
Another common condition in infants is Torticollis. This occurs when there is a tightening of neck muscles that results in an infant tilting their head to one side and/or having difficulty turning their head to one side. Physical therapists can provide interventions to improve the flexibility of neck muscles and allow for further gross motor development.
How We can help
A good rule of thumb is if your child is 2-3 months or more delayed, it’s time to reach out to your pediatrician to get a physical therapy referral. Ask for a screening or evaluation as soon as you have concerns. The earlier we can treat concerns, the better. At HTP, we are here to help! Not sure if there is a concern? We offer free screenings where you can meet with a therapist who can offer recommendations! This can occur at any of our three clinics in Richmond, Berea, and Lexington, Kentucky. Have any questions? Give our clinic a call today at 859-353-3666!






















































![We’ve loved seeing your stories roll in over the past couple weeks and wanted to share one of our own, thanks to therapists Lauren & Maya and their friend Tiffany. ❤️
Last week, OT Ms. Lauren and ST Ms. Maya accompanied Tiffany on a HUGE adventure, attending the Special Needs Camp of Kentucky for activities, friendship, and growth ? Headquartered in Bath County, SNCKI is free to attend, with nearly 100 campers enrolled this year! Ms. Lauren shared her thoughts with the HTP team when she got home: “The other campers welcomed [Tiffany] with open arms, and she made so many new friends…A space where 76 teens/adults with disabilities of all kinds were free to just be them and make those connections with each other while having tons of fun. We have had moments that were trickier to navigate, but we did it together.”
One of the nights was family and community night, featuring a group dance and a talent showcase. ?Lauren said, “The amount of love and support in the gym was out of this world. For her mom to see that, to know that we’ve got her girl no matter what, means more than any treatment code or note I could ever write. She is already asking when she gets to come back…and even told her mom to ‘buy a new house at camp’? If you are not already, follow Special Needs Connections of Kentucky, Inc on facebook. They are doing such AMAZING things for our community here and deserve so much support.” ? We couldn’t agree more!
Therapy isn’t about treatment codes, billable hours, documentation, or recertification. It’s about the meaningful moments and the love we pour into these children every single day. This is why Hogg Therapy exists—to give every child the opportunity to experience a meaningful, joyful life. ✨ Thank you, Lauren and Maya for your support both in and outside of the clinic and for sharing this story! ?](https://scontent-iad3-1.cdninstagram.com/v/t51.82787-15/747807719_18212073508337241_9129116297997701917_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=108&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0FST1VTRUxfSVRFTS5iZXN0X2ltYWdlX3VybGdlbi5DMyJ9&_nc_ohc=YQTZF8KmrEEQ7kNvwFIY6CT&_nc_oc=AdoVE_Rvhy4T-HLjLvHiZLG9vBbtSeJ4Dbk2SLgM5xwrWDnipvYDUpl3pdnrjk8KfLA&_nc_zt=23&_nc_ht=scontent-iad3-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=yypZnItHQ1wu9BPG80WnoQ&_nc_tpa=Q5bMBQKScZUtLgnVkrZpgWU7j8e4isqw_-tDfM1TDiKnHDNU0er8DX7VrkaL2tZ3oRgXwmdNwwVSeFFhag&oh=00_AQGPM31xmth4-1QZoejaXgk9DeMHfaf7aarcfH5NeI2i4g&oe=6A8E5D8A)





![We’re sharing an occupational therapy success story from OT Mrs. Abby today! ? Meet Grayson! When he first started occupational therapy, everyday life felt hard. He was experiencing significant picky eating, struggled with daily routines and transitions, and had a difficult time managing big emotions.
Since then, Grayson has put in so much hard work. Through OT, he has built confidence, strengthened his self-regulation skills, and learned to take on new and challenging tasks with courage. Every small step has added up to something truly amazing! One of the biggest reasons for Grayson’s success has been the incredible partnership with his parents. They fully embraced therapy beyond the clinic by consistently practicing strategies at home through his Home Exercise Program (HEP). Their dedication, encouragement, and willingness to try new approaches have made all the difference.
Today, Grayson is trying new foods every week, navigating daily routines with greater independence, and enjoying more successful, joyful moments with his family. His growth is a wonderful reminder of what can happen when a determined child, committed caregivers, and a supportive therapy team work together.
?Congratulations, Grayson! We are so proud of everything you’ve accomplished, and we’re celebrating your amazing parents, too. Your hard work, perseverance, and teamwork are inspiring! ?
[This story & all photos shared with parent permission ??] #occupationaltherapy #hoggtherapypediatrics #hoggtherapy #feedingtherapy](https://scontent-iad6-1.cdninstagram.com/v/t51.82787-15/742695277_18211398901337241_3568386461214310976_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=100&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0FST1VTRUxfSVRFTS5iZXN0X2ltYWdlX3VybGdlbi5DMyJ9&_nc_ohc=IldVya9aWWMQ7kNvwFcVgtE&_nc_oc=AdqJCUGccT0c7197fhARAID-UgM5b-T3dTLdYUmRcFS1ZGMJ9iWnSt_J5mxDsVP1xjQ&_nc_zt=23&_nc_ht=scontent-iad6-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=yypZnItHQ1wu9BPG80WnoQ&_nc_tpa=Q5bMBQIp4QS73_qX1LxqoQpcGz7452HCiFycPVFKzed09_FZg2o2EFQkF8h-l_Z_u-BZn7I8G2fDpdstVw&oh=00_AQGPfzq8z_-kT2sw_iH85vi8mylL5yUXtTgZrFV1Wnoceg&oe=6A8E3C0E)


















































