Supporting Children with Special Medical Needs Through Physical, Occupational, and Speech Therapy

Tender Care provides skilled nursing services in a daycare-like environment.

Children with special medical needs often face unique challenges in their daily lives. Whether it’s due to congenital conditions, developmental delays, or injuries, the support of physical, occupational, and speech therapy can make a profound difference in helping them thrive. These therapies aim to improve mobility, enhance communication, and foster independence—key aspects in a child’s growth and development.

In this post, we’ll explore how each type of therapy addresses the specific needs of children and helps them overcome barriers to living fulfilling, independent lives.

Physical Therapy: Building Strength and Coordination

Physical therapy (PT) for children focuses on improving movement, balance, strength, and coordination. Whether a child is recovering from an injury, dealing with a neurological condition, or facing developmental delays, physical therapists work to help them reach developmental milestones and improve physical function.

What Physical Therapy Can Help With:

  • Gross Motor Skills: PT focuses on large muscle groups and movements, like crawling, walking, running, and jumping. For children with developmental delays, therapy helps them build muscle strength and coordination to achieve these milestones.
  • Movement Disorders: For children with conditions like cerebral palsy or Down syndrome, physical therapy can help improve posture, muscle tone, and joint flexibility.
  • Post-Injury or Surgery Recovery: Children recovering from surgeries or injuries, such as broken bones or joint replacements, benefit from physical therapy to regain their strength and mobility.
  • Balance and Coordination Issues: Children with neurological conditions, like autism or brain injuries, can struggle with balance and coordination. PT focuses on exercises to improve stability and movement patterns.

Therapists use play-based techniques, physical exercises, and specialized equipment to help children improve their mobility and build the strength necessary for everyday activities.

Occupational Therapy: Promoting Independence in Daily Life

Occupational therapy (OT) plays a crucial role in helping children with special medical needs perform everyday activities, also known as “occupations.” These activities may include dressing, eating, playing, writing, or engaging in school tasks. OT helps children develop the skills necessary to complete these tasks independently and successfully.

What Occupational Therapy Can Help With:

  • Fine Motor Skills: OT helps children improve their ability to use their hands and fingers for tasks like writing, drawing, buttoning shirts, and using utensils. Children with conditions like autism, ADHD, or developmental delays may need extra support in these areas.
  • Sensory Processing Disorders: Many children with special needs struggle with sensory processing, meaning they have difficulty responding to sensory input (e.g., touch, sound, light). OT can help children learn to tolerate sensory input and adapt to sensory challenges in their environment.
  • Self-Care and Daily Routines: For children with physical or developmental challenges, OT focuses on skills like dressing, grooming, eating, and personal hygiene, empowering them to become more independent in their daily lives.
  • Social and Play Skills: Occupational therapists help children develop the social and communication skills needed for play and interactions with peers, which is essential for building relationships and making friends.

Through adaptive strategies, assistive devices, and hands-on activities, occupational therapists help children develop the skills they need to participate in school, family life, and social activities, improving their independence and confidence.

Speech Therapy: Enhancing Communication and Swallowing Skills

Speech therapy (ST) for children with special medical needs addresses both communication and swallowing challenges. Whether a child has speech delays, difficulty understanding or expressing language, or issues with swallowing, speech-language pathologists (SLPs) create individualized therapy plans to support development.

What Speech Therapy Can Help With:

  • Speech Delays or Disorders: Children with speech delays or disorders may have trouble pronouncing words clearly, or they may not be able to speak at all. Speech therapy helps improve articulation, fluency, and clarity of speech, allowing children to communicate more effectively.
  • Language Skills: Speech therapy helps children develop both receptive (understanding) and expressive (speaking) language skills. For children with autism or language disorders, SLPs focus on improving vocabulary, sentence structure, and comprehension.
  • Social Communication: Children with special medical needs often face challenges in social interactions. Speech therapists work with children to help them improve their social communication skills, such as taking turns in conversation, interpreting body language, and understanding social cues.
  • Swallowing and Feeding Issues: Some children have difficulty swallowing (dysphagia), which can affect their ability to eat and drink safely. Speech therapists help children with techniques and exercises to strengthen muscles used in swallowing and ensure proper feeding.

Speech therapy for children focuses on providing tools to enhance communication and ease daily interactions, ultimately supporting a child’s ability to engage with others in meaningful ways.

The Importance of Early Intervention

For children with special medical needs, early intervention is crucial. The earlier a child begins therapy, the better the chances are for improving development and preventing further complications. Early therapy can help children reach key milestones, improve communication, increase independence, and boost self-confidence.

Many children with special medical needs may not receive the same opportunities for physical, social, or emotional development as their peers, which is why therapy can make such a profound impact. Through specialized interventions, children gain the skills they need to thrive in school, at home, and in their communities.

An Integrated Approach to Therapy

For many children, a combination of physical, occupational, and speech therapy is the most effective approach. Children with multiple challenges may benefit from an integrated therapy plan that addresses all aspects of their development. Working with a multidisciplinary team, therapists can collaborate to provide holistic care that addresses physical, communication, sensory, and emotional needs.

Conclusion

Physical, occupational, and speech therapy can transform the lives of children with special medical needs by helping them develop critical skills and abilities. These therapies support a child’s growth, independence, and well-being, allowing them to engage with the world around them in meaningful ways.

Tender Care provides care for medically complex and fragile children from birth to 21 years of age in a daycare-like environment staffed with nurses, CNAs, and therapists. We are the first independently owned PPEC in the State of Florida with our initial center opening in 1988. This means we have an abundance of experience and knowledge in providing loving care to this special pediatric population. We have 6 Tender Care PPEC centers throughout Florida, with our newest facility located in Lake Park.

Lake Park Location

Our goal is to enhance the development of each child through collaborative relationships between families, physicians, nurses, and therapists. This holistic approach to care is carried out in an environment that allows the child to engage in social interactions with their peers. This results in thriving children, well-positioned to achieve their greatest potential. We also offer transportation at no cost and provide nutritious meals throughout the day. 

What sets us apart is that we care for and treat every child like family. We have passion in our hearts for our children and a desire to see them succeed.

We are so excited to have a table at this fair and can’t wait to meet all the families that attend.

You can follow us on Facebook, TikTok, Instagram, LinkedIn, and YouTube.

PPEC Offers Many Advantages…

To the child/family:

  • Centrally located nursing and therapy decreases intrusions into family dynamics at home
  • Increased socialization with other children
  • Decreased hospitalization
  • Personalized case management ensuring the best care for your child
  • Offers caregivers increased potential to return to work or school
  • Early detection of potential health problems by licensed professionals

To the payer:

  • Decreased hospitalizations through early detection and case management
  • Increased compliance with plan of care resulting in less utilization of health care benefits
  • An average savings of 40% to 50% compared to Home Health services

 

Common pediatric diagnoses that indicate a potential need for daily skilled nursing services:

  • Premature infants diagnosed with bronchopulmonary dysplasia, apnea of prematurity, oxygen and pulse oximetry dependence
  • Cerebral palsy with gastrostomy or jejunostomy dependence and/or seizures
  • Spina bifida with or without an Arnold Chiari malformation and shunt monitoring, and urinary catheterization dependence
  • Certain cardiac anomalies
  • Post-transplant status
  • Immunosuppressed status
  • Tracheostomy status (with or without ventilator dependence)
  • Failure to thrive
  • Chronic Kidney Disease
  • History of hypoxic-ischemic encephalopathy
  • Adrenal Insufficiency
  • Presence of a colostomy, ileostomy, urostomy, or vesicostomy

*This is not medical advice, always consult with your child’s doctor before making any changes to their lifestyle. 

Related:

Building Our Village: Bella’s Angels

In this episode, Deborah from Bella’s Angels, promotes the upcoming Access for All Abilities Showcase!

Tender Care’s 2023 Special Needs Resources Expo was a Success!

On April 1st, Tender Care had a successful Special Needs Resources Expo at our St. Augustine Center!
We had over 20 vendors, 6 food sponsors, $1000 worth of raffle prizes, and a multitude of attendees at the Expo. We also had a bounce house donated for the day, a fire truck, a sensory room, and face painting!

3 Reasons Socialization is Essential for Children with Special Medical Needs

Are you curious about how socialization is essential for children with special medical needs? We explain three benefits of the impact socialization has on these children.

Ep. 3 – Coping with Creations on Building Our Village [2024]

The Tender Care PPEC podcast, titled “Building Our Village,” is a compelling new series designed to support families of special needs care. This innovative podcast aims to create a supportive community by bringing together key resources and individuals dedicated to making a significant difference in the lives of children with special needs and their families. In this episode, Brianne, the Founder of Coping with Creations, explains her love for Tender Care and cup making.

Tender Care PPEC attended UF Spring Fling 2025!

Tender Care PPEC had the honor of attending UF Spring Fling!

9 Benefits of a PPEC Daycare for Children with Special Needs

Often see the acronym PPEC but don’t know what it means? Discover the meaning of PPEC, the benefits of a PPEC daycare, and how PPEC pertains to your special needs child.

Tender Care PPEC’s Incredible Spring Hill Tour

Tender Care PPEC’s Spring Hill tour shows the perfect place for your medically complex and fragile child. Our nurses, CNAs, and therapists are specially trained to take care of children with medical complexities. Tender Care provides a daycare-like environment so that your child can feel comfortable and at home.

Building Our Village: Family Network on Disabilities

In this episode, Glenesha from Family Network on Disabilities, shares her story, explains her role, and discusses how FND helps those with disabilities.

5 Myths about Hippotherapy for New Parents with a Special Needs Child

Are you a new parent of a special needs child interested in Hippotherapy and can’t distinguish the myths from the facts? We explain five of the most common myths about this therapy to put your mind at ease.

Tender Care is Attending Evening with Santa on December 5th at 5:30pm!

We are so excited to attend Evening with Santa on December 5th at 5:30pm! This event is hosted by UF Health Neurodevelopmental Pediatric Center, located in Jacksonville, FL. Stop by our table to learn more about Tender Care PPEC and what we do in the community!