TLC-WA’s Paediatric Physiotherapist, Janine, assists babies, toddlers, children and teens dealing with a range of conditions affecting their movement, physical development, mobility, posture or ability to manage everyday activities. She works closely with families to understand the specific challenges they are facing and examines children to assess the primary causes of their difficulties. Based on her assessment, as well as each family’s needs and priorities, Janine tailors the most appropriate, clinical interventions to help the child develop skills and ultimately realise their full potential.

Treatment programmes vary depending on each child’s individual difficulties and may focus on anything from motor development, movement training and strengthening through to stretching, balance, posture, coordination, endurance and education.

Janine assesses and treats children struggling with a diverse range of concerns including:

  • Babies and toddlers experiencing developmental delays;
  • Infants struggling with congenital conditions such as pigeon toes and bow legs;
  • Developmental issues caused by premature birth;
  • Movement difficulties associated with specific diagnoses such as Juvenile Arthritis and Osgood-Schlatter Disease;
  • Rehabilitation from sporting injuries, trauma or surgery;
  • Challenges around strength and endurance during exercise;
  • Musculoskeletal pain;
  • Movement difficulties associated with disabilities such as Down Syndrome, Cerebral Palsy and Autism.

At TLC-WA, we offer Paediatric Physiotherapy, not only as a stand-alone service, but as part of an integrated therapy programme designed to address a child’s difficulties holistically. We treat children in a safe and nurturing environment and use evidence and play based approaches designed to make the process enjoyable for clients and their families.

Our Physiotherapy areas of expertise include:

Strength and Coordination

TLC-WA provides Paediatric Physiotherapy treatment to infants, children and adolescents experiencing movement difficulties or delays associated with general development, illness, trauma, disability and congenital conditions.

Common concerns relating to infants include an unwillingness to tolerate ‘tummy time’, delays in crawling, sitting independently, weight bearing on legs or walking, asymmetry relating to use of the arms or legs, persistent standing on toes or ‘toe walking’, walking sideways and walking with in-turning or outpointing feet.

Challenges experienced by children of all ages, as a result of trauma, developmental delay or disability, include excessive tripping or falling, fatigue, unwillingness to engage in sporting activities, decreased muscle tone, mobility difficulties and general clumsiness, unbalance or incoordination.

TLC-WA’s caring Physiotherapist works closely with families to tailor interventions that capitalise on the strengths and interests of each child, encouraging their development in an engaging and achievable way. Therapies can include the use of massage, music and dance based play, sensory movement play, strength building exercises and providing motivation to attempt activities unaided.

Balance and Posture

Concerns around balance and posture can present during infancy, through a baby being unable to sit upright, for example, or later on in childhood through children exhibiting difficulties participating in sport or other activities at school. This can range from an inability to sit on a chair or on the floor without slumping to difficulty keeping up with peers in areas such running, jumping, hopping, skipping, throwing or catching balls, manoeuvring through playground equipment and copying body positions from physical demonstrations.

Balance and posture issues can also manifest themselves in an inability to stand on one leg, being fearful of balancing above ground on apparatus such as a beam or frame, the need to regularly use hands to assist and stabilise, a dislike of ‘moving’ playground equipment such as swings or trampolines, difficulty navigating stairs, an ongoing inability to master a bicycle without training wheels and frequently bumping into items or tripping over when moving around.



TLC-WA took the difficult decision to close all face to face appointments for our clients from Tuesday 24th March 2020. This difficult decision was made in order to protect the health of our therapists, our clients and the wider community. All ongoing therapy will be provided via Telehealth for the foreseeable future. Those clients that have participated in Telehealth appointments this week found the new service delivery model, whilst different, was definitely beneficial. All our therapists will be contacting their clients asap by telephone to provide further information.

The NDIA have approved the use of funds for Telehealth appointments. Please follow the link for further information for participants  We are awaiting further information from Medicare and private health funds regarding rebates. For those clients with a Mental Health Care Plan for psychology services, will be able to access Telehealth appointments from Monday 30th March 2020. Those sessions will be bulk billed. Please call us on (08) 9301 1154 if you would like to access psychology services via Telehealth. We continue to await news for Telehealth rebates becoming available for speech pathology, occupational therapy and physiotherapy. We will update information as soon as it becomes available.

Please be reassured that we will continue to support and provide services for all our clients during these difficult and challenging times. If you have any questions please either email or call us on (08) 9301 1154 and please leave a message. We will respond to all enquiries as soon as possible.

Keep your distance, stay safe, stay well and we will all get through this together.

With best wishes,
Diana Chivers