Starfish Therapies

A pediatric therapy company operating in San Francisco and the greater Bay Area. We provide physical, occupational, speech and aquatic therapy services in the most beneficial and convenient setting for you and your child, including our clinic, currently located in Burlingame, your home, school or daycare.

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Small Changes = Big Differences

September 13, 2012 by Stacy Menz

I was just on vacation visiting my family while I recuperated and I was lucky enough to enjoy the beach for a few beautiful days.  Right before I flew home, I was able to walk about a mile or so on level ground without excessive fatigue in my hip.  At this point my protocol had me riding a stationary bike and using the elliptical a few days a week so my hip was getting the chance to build up some muscular endurance.  I was actually feeling pretty good about my progress.  Well, going to the beach gave me a chance to look at my progress again.  Yes, I was still doing really well but what I found was that just from walking about 200-300 yards across the sand (and mostly packed sand) to my beach chair and then back to the car (so 400-600 yards total), my hip muscles were exhausted that night.  In fact, they were still tired the next day and I had to take it easy.  It doesn’t seem like much of a change but adding the uneven surface to my walking, challenged my muscles in a way they hadn’t been challenged since the surgery and as a result they had to work a lot harder.

Now, relate this to your kiddo.  If they are walking all over your house without a problem and then you have them go to the park, well you may see some increased fatigue because they have to navigate different surfaces as well as be aware of their environment.  I know I’ve talked about feedback (reactionary) control and feedforward (anticipatory) control before but this is part of it.  When your child gets comfortable with one set of variables, such as walking on a hardwood floor in your house, they are able to be efficient with their movement because their body knows what to expect.  Now have them walk around the backyard or even some tan bark and if its a novel experience for them their body reverts back to reactionary where it has to figure out what will happen on this surface and then react to the changes.  After some time (usually not much for typically developing kiddos) their bodies understand what will happen and can anticipate and make changes efficiently.  For a kiddo that is not efficient yet, there will be more fatigue.

Just like with my hip, I was used to level ground and my hip muscles had become efficient at walking along surfaces such as the sidewalk.  When I changed to sand (even hard packed sand) my hip muscles had a new set of variables they had to react to and in the process of relearning how to anticipate, they fatigued themselves.

So, what’s my point.  I guess I am just trying to point out that making a small change can have a large impact on your child.  Sometimes we go for doing big sweeping changes to improve or progress their abilities when all it may take is something as simple as walking on the grass, or changing the size of the crayon/pencil they are using, or having them carry a toy while walking, or a million other seemingly small changes to challenge the body.

What has been your experience with this?

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Filed Under: Developmental Milestones Tagged With: coordination, education, exercise, kids, Starfish Therapies

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Our family moved to the bay area 6 years ago, and Starfish Therapies have been a part of our family ever since. Everyone at the clinic is caring and warm. The owner always looks for ways to improve the clinic and the services provided. The therapists are patient, enthusiastic, and know how to motivate the kids to do their best. Even after moving more than an hour away from the clinic, we kept going back to Starfish for intensive therapy sessions every summer! We cannot thank Starfish Therapies enough for helping my daughter to get stronger and to become more independent over the years!”

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  1541 Old Bayshore Highway
  Burlingame, CA 94010


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  Palo Alto, CA 94306


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  Half Moon Bay, CA 94018

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