Carilion Children's Therapies

Pediatric Occupational Therapy (OT)

Our occupational therapists work with children with:

• Sensory processing
• Self-regulation
• Motor planning
• Bilateral motor coordination
• Core strength/endurance
• Fine motor skills
• Eye-hand coordination skills
• Visual perception skills
• Oculomotor skills

Our pediatric speech language pathologists specialize in treating the full range of speech, language, feeding, fluency, voice and pragmatic disorders associated with children. Our therapists use proven techniques to guide infants, toddlers and older children to a level of achievement based on appropriate goals. Our SLPs are certified by the American Speech-Language Hearing Association and licensed by the Virginia Board of Audiology and Speech-Language Pathology.

Our speech therapists will work with children with the following conditions:

• Aphasia (language loss due to brain injury)
• Apraxia (difficulty sequencing speech sounds)
• Articulation/phonological disorders (difficulty pronouncing speech sounds)
• Aural rehabilitation
• Autism spectrum disorder
• Cognitive-linguistic disorders
• Dysarthria (slow, slurred speech)
• Feeding difficulties: Feeding and swallowing issues including aversion, aspiration, oral-motor dysfunction, texture difficulties, and challenges transitioning from tube feeding to oral feeding
• Expressive and receptive language disorders
• Oral and written language difficulties
• Oral motor deficits (weak or uncoordinated mouth muscles)
• Resonance disorders
• Voice disorders
• Stuttering/fluency disorders

Our team also provides these additional services:

• Nasometry assessments
• Modified barium swallow studies

Our skilled physical therapists assess patients' skills to allow them to reach their highest level of independence to access their community and environment. They work to improve children’s motor development, strength, range of motion, endurance, balance, coordination and gait difficulties. Children are unique, so we develop a personalized care plan for each child to help reach their potential. We work closely with families to address their needs and to incorporate their goals into each child's treatment plan. We use proven processes to guide infants, toddlers and older children to a level of achievement based on appropriate goals. We coordinate with other primary care and specialty care physicians, schools, daycare centers and community service agencies. Our physical therapists are licensed by the Virginia State Board of Physical Therapy.

We provide diagnostic and therapeutic services for a variety of disorders, including:

• Autism spectrum disorder
• Brachial plexus injury
• Delayed gross motor skills
• Developmental delays
• Hypotonia
• Joint immobility
• Motor impairments
• Neurological impairments (developmental, traumatic, genetic)
• Orthopaedic impairments
• Patients undergoing hematology/oncology treatment
• Hypertonia
• Strength and endurance challenges
• Torticollis with or without plagiocephaly

Our team provides these additional services:

• Upper and lower extremity splinting and orthosis fabrication
• Neuro-developmental treatment
• Rehabilitation management
• Pre- and post-surgical mobility training and rehabilitation
• Specialized seating, positioning and mobility assessments
• Serial casting

Carilion Children's Therapies offers a number of specialized programs and clinics for pediatric patients.

Cleft and Craniofacial Clinic

Carilion Clinic’s Cleft and Craniofacial Center team is dedicated to treating children with congenital defect conditions that range from minor to the most complex.

Referrals: Contact Jessie Rose, clinical coordinator, at 540-526-1526.

Feeding Clinic

Carilion Children’s brings together an interdisciplinary team of specialists to offer a comprehensive approach to treating feeding and swallowing challenges. This team collaborates with the family to address critical nutritional needs, GI management, optimal growth, development, GI health and oral feeding skills of each specific patient.

Tone Management Clinic

Carilion Children’s Tone Management Clinic is a team of highly trained pediatric physical therapists and rehabilitation physiatrists.

Referrals: A referral is required from the child’s physician for physical therapy with a specification for Tone Management Clinic, as well as a referral to Dr. Ralph D. Brown, Jr. for Tone Management Clinic.

Phone: 540-985-9813 or Fax: 540-985-4066

Equipment Clinic

This clinic is made up of a team of specialists, including a physical therapist and assistive technology professional. This team uses feedback from the current treatment team to discuss with family what devices can allow a child to improve his or her independence and quality of life. Such devices include: specialty wheel chairs, medical strollers, standers, gait trainers/ walkers, and medical beds.

Referrals: You will need a physician prescription for a Physical Therapy Equipment Clinic evaluation and treatment.

Phone: 540-985-9813 or Fax: 540-985-4066

Car Seat Clinic

Any child over one year of age who cannot be safely positioned or secured in a standard car seat can benefit from our car seat clinic. Our pediatric physical therapist is a certified car seat technician and can help families solve issues associated with safely transporting your child with special health care needs.

Referrals: You will need a physician prescription for a Physical Therapy Car Seat Clinic evaluation and treatment.

Phone: 540-985-9813 or Fax: 540-985-4066

Hippotherapy

Carilion Children’s Pediatric Therapy is proud to offer therapy utilizing equine movements as a unique and beneficial treatment strategy for physical, speech and occupational therapy. We have developed this successful program in partnership with Healing Strides of VA.

Referrals: You will need a physician prescription for a physical, occupational or speech therapy evaluation and treatment.

Phone: 540-985-9813 or Fax: 540-985-4066

Aquatic Therapy

Aquatic Therapy is a skilled treatment method used by our pediatric occupational and physical therapists to enhance a child’s functional abilities. It can provide a supplement to more conventional occupational and/or physical therapy, using safe and effective methods to achieve the child’s goals.

Referrals: You will need a physician prescription for a physical therapy or occupational therapy evaluation and treatment.

Phone: 540-985-9813 or Fax: 540-985-4066

Infant Massage

Infant massage helps parents bond with and improve the health of their new baby. Carilion Children’s is proud to offer a two-week infant massage course for babies aged one week to one year. This course is taught by a certified infant massage trainer and pediatric physical therapist.

Location: Carilion Roanoke Community Hospital, Pediatric Therapy Department, Second Floor

Dates: Classes are held on Thursdays over a two-week period from 10-11 a.m. For the next available class, please call 540-266-6000 or 800-422-8482.

Cost: $30 (covers both classes). Pre-registration is required.