The Disability Physio

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Australia
Carlingford, NSW
The Disability Physio

NDIS Registered Mobile Physiotherapy Service in the Hills District and Western Sydney.

Experienced working with children and adults with Cerebral Palsy, Intellectual Disability and Neurological Disorders.

25/09/2025

💥 Hot take: Even if gold-standard RCTs showed DMI was no better than traditional PT…therapists and families are probably still going to use it.

✅ We can all agree there’s no high-level evidence for DMI or CME yet.
✅ Founders of these interventions should have a moral ans ethical duty to bring the evidence (and I hear more is coming, which is great).
✅ But therapists and families are still choosing to invest their time and money here.

For me, every child is unique. Our role as therapists is to partner with parents, be transparent, and explore what works for that child.

👉 But the question remains: if the evidence doesn’t support it… we should seriously consider why are highly skilled therapist using interventions like DMI over other interventions? What is it???

I’d love to hear your thoughts—drop a comment and let’s open this discussion up.

And if you want the link to the article, comment with an emoji about how you feel about DMI or CME.

And yes I have a DMI box set that's been collecting dust in my home for years 😂 I'll use it someday... I swear

15/09/2025

Botox has been the go to for years in cerebral palsy management. But what if there’s another option on the horizon?

💡 Hyaluronidase is gaining attention as a possible alternative, working differently, aiming to address stiffness at the tissue level rather than just blocking nerve signals.

This could mean fewer injections, longer-lasting benefits, and a shift in how we manage tone and mobility.

⚠️ Still early days, but as physios we need to stay ahead of emerging treatments.

👉 Would you be ready to explore hyaluronidase if it proves effective?

Drop “Future” below and I’ll send you the latest research.

18/06/2025

🎓 You spent years learning about musculoskeletal and neurological physiotherapy...

But no one taught you how to:

💬 Talk about lifelong disability with a family holding back tears
🧠 Communicate with a child who doesn't use words
🦽 Prescribe or adjust complex assistive tech without guessing
✍️ Write a funding report that decides whether a child gets what they need
🦵 Complete a musculoskeletal exam when tone, dystonia get in the way

You’re not underqualified — you were just underprepared.

And that’s not your fault.

This is exactly why I created my mentoring space.

So you don’t have to learn the hard way. So you don’t have to feel like an imposter every time you walk into a session.

👉 Drop “MENTOR” in the comments and I’ll send you details on my coaching options.

You can become confident, capable, and equipped to thrive in paediatric disability.
And you don’t have to do it alone.

13/06/2025

You’re standing there...
A parent looks at you and asks:
🗣️ “Do you think this AFO is any good?”
And suddenly, your brain goes blank. 😬

You’ve just stepped into the world of disability physio — and uni didn’t prepare you for this.
No real indepth lectures or tutorials (at least for me anyway) on wedging, toe plates, or subtalar positioning.

💡 This is NORMAL
And it’s why I put together some pointeres for reviewing AFOs – so you’re not left guessing, and can give confident feedback that actually supports progress.

✅ Alignment
✅ Fit
✅ Function
✅ Comfort

This is not about blaming or overthinking every design detail — it’s about learning to look deeper so you can start to get the cogs turning in your head and what you need to figure out next...

🔖 Save this for your next AFO review
💬 Leave me a commenton what else you would check in this same situaation
📲 Share with a physio still learning their way around AFOs

09/06/2025

We don’t stop being their physio just because the NDIS plan ends at 18!

Let’s talk about the quiet cliff adults with CP are falling off… and how WE can be the ones to change it. 👇

📉 Many lose access to specialist care
📉 Rehab disappears
📉 Complications begin to pile up

And yet — we know their history.
We’ve seen their progress.
We know what’s at stake.

🧠 Adults with CP are at higher risk of:

Chronic pain & fatigue (~80%)

Functional decline (25–30% in their 20s–30s)

Isolation, anxiety & preventable complications

We can change their future trajectory. But it starts with redefining our role from paediatric physiotherapist…
👉 to lifespan physiotherapist

💬 COMMENT “AGEING” and I’ll send you the full research paper behind this post.

Kumar DS, Perez G, Friel KM. Adults with Cerebral Palsy: Navigating the Complexities of Aging. Brain Sci. 2023 Sep 8;13(9):1296. doi: 10.3390/brainsci13091296. PMID: 37759897; PMCID: PMC10526900.

💾 SAVE this post to reflect later

📲 SHARE with another physio who works in disability – this deserves more attention

12/01/2025

Who’s responsible for 24-hour postural care? 😅

Here’s the truth: We, as physiotherapists, are in the perfect position to take the lead on this—and our clients deserve it. But I get it, figuring out where to start can feel overwhelming.

That’s where I come in! Ready to step up but not sure how? DM me, and let’s chat. Together, we can make postural care a priority and change the game for our clients. 💪

📩 Questions? Thoughts? Drop them below or slide into my DMs!

09/01/2025

🎯 Ever had that moment where NOTHING seems to work?
The wheelchair isn’t “right,” the splints are “off,” and the equipment just doesn’t work? 🤦‍♀️

👉 But here’s the hard truth: sometimes, it’s not the equipment—it’s the assessment. 💥

We’ve all been there (yes, me too!), but here’s the thing: blaming the client or the technology won’t fix it. Learning how to assess accurately will. 🙌

✨ Imagine this:
✔️ Completing the physical assessment correctly and confidently
✔️ Knowing your client needs
✔️ Picking and customising the equipment solution
✔️ No more second-guessing or blaming “faulty” equipment.

Don’t be that therapist who’s stuck in frustration. I’m here to help you master assessments so you can work smarter, not harder. 🧠💪

💬 DM me if this feels like you and let’s chat about how we can help you get the equipment RIGHT!

08/01/2025

📢 Are you tired of "supervision" that feels like proving you know everything rather than actually improving your skills? 😤

➡️ Frustrated by feedback that’s either too generic or doesn’t address your real clinical gaps?
➡️ Wondering if there’s a better way to grow into the confident, skilled physio you dream of becoming?

💡 Here's the truth: You don’t have to stick with uninspiring supervision that leaves you feeling unfulfilled. There are supervision options designed to transform your practice, target your growth areas, and make you LOVE learning again.

🔥 Imagine this: Supervision where you…
✔️ Identify real clinical gaps and tackle them head-on.
✔️ Gain expert insights tailored to your work with children and clients with disabilities.
✔️ Feel supported and inspired every step of the way.

🚨 Don’t settle! Tag a colleague who needs to see this! 🙌

🎯 Poll Time: What’s the most frustrating part of your supervision right now?
1️⃣ Not tailored to my needs.
2️⃣ Feels like a checklist.
3️⃣ No time to deep-dive into cases.
4️⃣ Other (drop it in the comments!).

💬 Let’s talk about what better supervision could look like for YOU! DM me or drop a comment if you’re ready to elevate your practice.

05/01/2025

Ask Me Anything working with children and adults with physical disabilities (Cerebral Palsy, Genetic Conditions, Central Hyptonia, Degenerative Conditions, Neuromuscular Conditions) 🤓🧐

Not sure what to ask?

Ask me about posture assessment, AFO and Footwear, Gait Analysis, Serial Casting or Frame Running!

Drop your question below in the comments or DM me! 💡😁

02/01/2025

What a week! We covered mistakes, tips, and mindset shifts. 💡

Thank you to everyone who liked,commented or messaged me. 🙌

Stay tuned—Week 2 has even more clinical gems coming! 🤓

31/12/2024

I used to see complex cases as obstacles. 😫

Now, they’re puzzles to solve. 😁

Here’s how I flipped that mindset 🤓 :
• Letting go of needing to know everything
• Breathe, breathe...and breathe
• Taking my time and not rushing!
• Leaning into expertise from others
• Knowing that I will grow from the challenge

Anyone else love a good challenge?”

Double-tap if you love a puzzle! ❤️❤️

30/12/2024

Let’s connect: What’s the biggest challenge you’re facing with a current client??

Share in the comments, and let’s see if I can point you in the right direction!

Address

Carlingford, NSW
2118

Telephone

+61410626878

Website

http://Www.thedisabilityphysio.com.au/

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