Chloe Isaacs - Pediatric Physical Therapist

06/27/2023

03/19/2023

03/05/2023

⭐ FREQUENTLY ASKED QUESTIONS ⭐

1) WHERE ARE YOU LOCATED?
Lexington, KY. I work full time for Marshall Pediatric Therapy. I'm located in the Richmond Rd office.

2)HOW LONG HAVE YOU BEEN A PEDIATRIC PT?
5+ years

3) WHY PEDIATRICS?
I believe that every child deserves to live a full life. Every child should be able to walk and play with their peers, and I'm very passionate about helping them achieve that. I believe in the impossible, and I'm here to defy all the odds for the glory of God.

4) WHAT TREATMENT METHODS DO YOU USE?
The methods I use depend on the child. Every child is different and will respond differently to different things. I work one on one with the family to help create the best plan of care for the child. The plan of care will involve a combination of neuromuscular rehab and therapeutic exercise.

I am certified in the following areas:
- DMI (Dynamic Movement Intervention) Level A with Level B pending.
-TMR-tots ( Total Motion Release) Levels A&B
- Infant Massage Level II

5) DO I NEED A REFERRAL?
Yes!

01/28/2023

Engourage! ♥

01/27/2023

🙌

(via Autism Little Learners)

08/12/2021

Kneeling is a critical gross motor milestone that kids use in many ways. It is a position that can be used for playing or as a transitional movement to get from one position to another, such as moving from the floor to standing. There are also a few different variations of kneeling, including short kneeling, tall kneeling, and half kneeling.

Kneeling is the first position that really emphasizes core stabilization. The feet, ankles, and knees are not required to do a ton of work in this position, but the hips, pelvis, spine, and trunk are used to keep the body from falling over. Strengthening the hips, back, and abdominal muscles gets a baby ready for standing and walking.

Short kneeling is the easiest of the kneeling postures, therefore is first to develop. In this position, a child sits on their bottom with knees bent. The feet are together and under their bottom. This is not to be confused with “W” sitting where the feet are outside of the hips instead of under the bottom.

After short kneeling, tall kneeling develops. In this position, a baby is bearing weight through their knees with their bottom up in the air. This position can be used to reach toys that are in the air or on a higher surface with or without using the arms.

Half kneeling is the most difficult of the three kneeling postures, making it the last to develop. A half kneel occurs when one knee is on the ground in line with the hip on the same side. On the other side, the leg is forward with the foot on the ground. This position is used to pull up to standing and is the mature transition from floor to stand without using arms to help. Some babies have difficulty getting into and playing in these positions. This can create delays in other gross motor milestones, such as standing, cruising, and walking.

08/11/2021

Whether you are a therapist, have a little one with developmental delay, or are simply working on purposeful play to promote motor development for your little one, side sitting is one of the best positions to play in.

Side-sitting is when infants can sit with both their hips rotated in the same direction - knees pointing in the same direction. It may initially start with upper body support, the same as sitting. This encourages upper body strengthening, protective reactions, strengthening of muscles on the side of our body (obliques), and hip joint mobility in infants.

Every gross motor movement is a culmination of planning, sequencing, and weight shifting. For littles to be able to transition in and out of positions, weight shifts have to happen in multiple planes.

Transitions are so essential to be able to develop and move and play. What do I mean by transitions? Moving from one position to another.

Lying on back to sitting

Sitting to kneeling

Sitting to standing

Side-sitting is KEY for these transitions. Think about it, how do you get up from bed? We turn to our side, push up to sit. Next time, pause for a second and see if you side sit or not.

08/10/2021

Introducing children to different textures is an important part of exploring their environment. Children can have difficulty processing textures or sensations. This is turn can cause impairments in motor development.

Introducing children to various textures, such as uncooked rice or beans, sand, shaving cream, hair gel, water, silk, or sandpaper, can increase the child's tolerance to different surfaces and allow them to explore their world more comfortably and readily.

08/10/2021

Note to self: Stop doing these 4 things! 1) Waiting and Seeing 2) Googling it 3) Compairing to other children 4) Feeling guilty about it.

Hi, I'm Chloe a full time pediatiric PT and a mother of one. Over the years, I've experienced many clients coming to me in tears and with guilt. Frustration built up in side of them as the problem only became worse and worse. And then, I also became that parent. Concerned about my daughter's speech development, I also was told to Wait and See more than once. Turns out, there was an underlying problem causing by child to be delayed in speech.

I believe in a mother's instinct. I also believe in the benefit of early intervention. That's why I created a Free Consult to help you distinguish if your child really needs physical therapy. Maybe it's tummy time trouble. Baby doesn't want to reach. Baby isn't walking yet. or more.

Just say "More Info" Below and I will personally reach out to you and set up a time to best call and consult with you!

08/09/2021

Crawling, in general, is so important for babies to explore their environment, which is how they learn. Crawling helps them explore new things within a timely manner. But why do therapists say it is so important to crawl on hands and knees instead of the many other types of crawling? Bottom scooting, army crawling, or other types of unique crawling patterns allow infants to access their environments. However, these patterns do not provide all of the benefits that crawling on hands and knees provides.

Crawling on your hands and knees does many things to help promote development of other gross motor skills. It strengthens the shoulder girdle, helps to develop the arches of the hand, and stretches out ligaments in the wrist and hand needed for fine motor skills. These changes help support the child as they begin to do more things with their upper extremities, such as pushing to stand, climbing, and, later, handwriting skills. Crawling on hands and knees also assists with strengthening the back extensor muscle group. Strength in these muscles is crucial for standing balance and control with walking.

Alternating movements occur when crawling on hands and knees, which helps the body learn to move in a “reciprocal” pattern. Humans walk in a reciprocal way, meaning their arm swings forward as they advance the leg on the opposite side. Crawling in this way will help with the transition to walking. This type of movement also makes both sides of the brain communicate, promoting cognitive development1. Crawling on hands and knees may also help develop body scheme, motor planning, visual perception, and eye-hand coordination.

Some infants may choose to bottom scoot because hands and knees crawling can be difficult. The human body wants to use the least amount of energy and get the most amount of movement for it. If the child has difficulty maintaining hands and knees, they may choose a more stable posture to access their environment.

Crawling in different ways can lead to decreased hip and core strength, muscle length abnormalities, and hip range of motion restrictions in the future.

08/08/2021

Current Status:

Working on this week's content for y'all!! The last couple of weeks have been insanely busy so I haven't been able to be on here as much as I'd like. My goal for this week is to do better at showing y'all my crazy life on stories and create at least 1 reel.

If you are in the Richmond, KY area and haven't scheduled your child's physical therapy evaluation yet but would like to, send me a DM! If you're unsure about rather your child needs PT we can do a free 15 min phone consult!

Say "I need a PT" below and I'll be in contact!

08/04/2021

It’s that time of year again. The kids are all back in school, all of their supplies have been purchased and now it’s time to check those backpacks. It’s about the time that the homework increases, the amount of book and binders needed increases, and so does the physical load on our kids.

When dropping your child off at school it is clear to see dozens of types of backpacks, worn in a multitude of ways…but what is the right way to prevent injury or pain? While a backpack is still one of the best ways to tote homework, an overloaded or improperly worn backpack gets a failing grade, according to the American Physical Therapy Association (APTA). An improper backpack use can cause pain and even injury, especially to children with young, growing muscles and joints.

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07/31/2021

🤸‍♀️MEET THE THERAPIST 🤸‍♀️

Hi Y'all! My name is Chloe and I have a passion for helping tiny humans thrive! I'm also a wife and a momma. When I became a momma almost 2 years ago, my passion for Pediatric PT only grew deeper as I learned it wasn't just the little ones I was helping, but also their parents.

Why did I chose PEDs?

As a child, I spent a lot of time in PT and developed an interest but when having spinal fusion and developing such a great relationship with my therapist, I knew PEDs was where my heart lived.

Rather it's poor strength or CP, my goal is to help your little one be able to live their life to the fullest potential. The word impossible isn't in my vocab because a child's brain can do amazing things when taught the right way. Small steps add up over time.

☀️FUN FACTS:

- I have 2 metal rods in my back.
-Fun earrings and cute hair accessories make the day better
- Fun, silly socks, are a daily in my wardrobe
- I grew up in the mountains of WV.
- Emma, my daughter, was a surprise.
-I have Hashimotos disease.
- In my spare time, I love reading about child development.
- A house isn't a home without a front porch.
- Tortilla Chips are addicting.
-I still struggle with PPD and PPA. No shame.
- I can kill a plant just by looking at it 🤷🏻‍♀️
- Coffee all day, Every day.

What's a fun fact about you?

07/30/2021

Most children learn to walk with their feet pointing straight ahead, however, when they walk with their feet pointed inward, this is called in-toeing, or pigeon-toed. According to Columbia Orthopedics, 2 out of every 1,000 children will in-toe. In-toeing affects boys and girls equally, and is often noted to both legs.

The most common cause of femoral anteversion is tibial torsion. Tibial torsion usually starts in-utero and disappears by the time the child is 5 or 6 years old. Femoral anteversion can also be started in-utero, and is usually corrected by age 9 or 10. Most of the time, in-toeing corrects itself with no intervention. Special shoes and braces used to be quite common in treating femoral anteversion, however, these have been proven to not be helpful in treating in-toeing.

Most of the time, in-toeing does not cause any problems with sports or leading a normal, healthy lifestyle. It has not been proven to cause arthritis in life, which is a common mis-conception. However, some children fall or trip more often when they are younger secondary to in-toeing. Physical therapy can help with balance reactions, safety awareness and strengthening to decrease the tripping and falling and help promote proper alignment.

07/28/2021

Parents often wonder if their children are happy and healthy. While most children will let you know if they are happy or not, determining a child’s health may require some more investigative work. A child’s innate athleticism, or lack thereof, may make a child appear more or less fit than they actually are. Here are some fitness standards pulled from standardized gross motor tests!

07/27/2021

Pediatric physical therapy is very different from many other physical therapy settings, which is to be expected since the patients are children who are constantly growing, developing and learning new skills. Parents are therefore often unsure of what their child’s physical therapy session will look like.

While the activities performed will be unique and individualized to your child’s specific needs, there are some common things that all children will experience during a physical therapy session.