Why Aquatic Therapy is a “Must-Have” in Your Child’s PT Plan of Care!

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Our Physical and Occupational Therapy staff uses water and aquatic therapy in a variety of creative ways, to work towards functional therapeutic goals at home, as well as through our community partnership with the YMCA.

Avery TitleWater can generally be introduced very early, before 6 months of age, to encourage independence in skills. These skills include: erect sitting, transitioning to and from the floor, all fours and protective reaching. The resistive and buoyancy properties of water aid in body awareness, as well as neutralize low core stability and hypotonia using our baby pool program. Children who have retracted and tactile defensive postures and delayed protective reactions, especially benefit from the hydro-static pressure of the water and often learn to crawl in this medium.

Float MatThese skills can also be developed using a float mat in a typical aquatics setting, creating a moving seat on top of the water that relaxes and promotes participation in a non-stressful environment. The CDC has extensive research supporting the use of water in promoting health and mental health!

aquatic therapyFrom a very early age (6 months), children can be independent, mobile participants in a pool system at home or in a typical pool, by employing cost-effective products made by Waterway Babies. These products allow us to develop independent skills in the child with low tone or poor head control, before he or she is even sitting up on land. By introducing the neck float and water at this age, we typically avoid the fear of water associated with 12-15 month old children. This tool also develops a sense of body and spatial awareness through independence in the water, as well as core and tone development. Because the system is practical and easy to use at home, children do not lose water skills during winter months and for many, this is their only means of independence early!

Using our Transition to Wellness program in partnership with the YMCA, we are able to create diagnosis- specific goals, that ultimately prepare children with disabilities for water independence and a lot of fun. This is a particular effective medium for the child with hemiplegia or hypotonia, as the resistive properties of water activate the core muscle groups and work muscle groups that are typically in an abnormal neurological pattern. By using a decreasing flotation process, we are able to prepare children for inclusion in swim lessons through the YMCA and a lifetime of enjoyment of water activities, with the possibility of inclusion in water sports with their peers!

Meet Our Lead Pediatric Feeding & Speech-Language Pathologist: Melanie Coetsee

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Melanie Coetsee, SLP-CCC Lead Speech Language Pathologist

Melanie Coetsee, SLP-CCC
Lead Speech Language Pathologist

Melanie graduated from Erskine College with a BS in Biology in 1997 and received her Master of Speech Pathology from the University of South Carolina in 1999.  As our lead SLP Melanie has extensive experience in feeding therapy and has completed numerous oral motor and feeding conferences and is known in our area for her skills as a feeding specialist.  She is trained in The Beckman Oral Motor Assessment & Intervention, Talktools Sensory Motor Approach to Feeding, as well as the Talktools Oral Placement Therapy for Speech Clarity and Feeding.  Additionally, Melanie is gifted in working with clients with Down Syndrome, Childhood Apraxia of Speech and early language development.  She is also trained in Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) as well as the Kaufman Speech to Language Protocol for children with Apraxia of speech.

Melanie served as a school based Speech Language Pathologist prior to joining her husband in the pediatric home based setting five years ago.  While working for ten years at C.C. Pinckney Elementary on the Fort Jackson Army base, she was named Teacher of the year 2006-2007.  Melanie is passionate about learning and started the Midlands SLP Think Tank for Speech Language Professionals to have an ongoing avenue to share ideas and new approaches to providing therapy.

Melanie says, “I love being a part of “firsts” for so many children as they learn to speak and communicate.  Seeing a child say her first word after months of hard work, or accept food from a spoon after months of oral defensiveness, pre-chaining, and food play is so rewarding!”  She also shares that she truly enjoys the sense of community we have with our staff and the families we serve.  Every therapist on the Sprout Pediatrics team brings unique experiences and gifts to the table and desires to know more.  Sharing expertise and therapy strategies within our speech therapy team helps us positively impact more kids and families.

Melanie is married to Rhyno Coetsee.  They have been married for 15 years and have three boys, Noah (10), Landon (9) and Bennett (4).  She enjoys cycling, swimming, running and watching her boys play ball!