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Milestone Achiever of the Month

Milestones help measure the healthy development of a child. When a child continues to miss a milestone, Bryan Pediatric Rehab Services is here to help. Our team of physical therapists, occupational therapists and speech language pathologists provide children and their families with guidance, therapies and steps to reach their milestones. Not only that we find a way to make reaching milestones fun for each child! Each month we celebrate a patient that has made great strides due to their efforts and the care and support of our therapists.


Braxton keeps everyone laughing during his therapy sessions at Bryan Pediatric Rehabilitation.

Play is always part of his physical therapy sessions. He has fun on land and in the water. This ‘play’ time helps him improve his balance and movement.

His communication skills have significantly improved through speech-language therapy. When he started he made six sounds, used some sign language and Augmentative Alternative Communication (AAC). Now, he’s mastered 10 sounds, uses over 25 words in sentences, and is fluent in AAC.

At occupational therapy, Braxton works on eating and trying new food textures. His therapist also provides information to his parents so they can work with him at home.

Braxton’s favorite things are running into the crash mat, playing hide and seek, and floating on the yellow water mat.

Keep up the great work Braxton!


Noah is a four-year old with a diagnosis of Autism Spectrum Disorder. He has been seen by physical therapy, occupational therapy and speech-language therapy for over a year.

He has currently been working very hard in his speech and occupational co-treatment sessions. These sessions have been a great fit for Noah. He gets sensory therapy through occupational therapy which helps him to be able to sit and learn new skills including speech and language skills. Children with sensory processing deficits have trouble receiving and responding to sensory input from their environment. Noah is now using a Speech Generating Device to independently request preferred items. He is also engaging in fine motor/play task including coloring, simple puzzles, and shape sorter.

Noah loves the scooter, tickles and hugs!


Detrick started speech therapy when he was 3 years old. Instead of using words to communicate, he was using non-verbals and sounds. At first, it was really hard getting him to use verbal sounds in therapy.

After a while, though, we started to see some progress. He started pointing to objects in the room as his therapist named them—first just as an exercise in naming things, then as a way to express what he wanted or needed. Eventually, Detrick went from using non-verbals to using 3-4 word phrases! Now that he can communicate his basic needs more easily, he's been able to grow in so many other ways.

Now he's a regular dinosaur expert—he knows all of their names! And he can tell you about how much he loves playing with cars and playdough too..


Harriet is 17 months old and has Down Syndrome. She began receiving physical therapy when she was 12 months old. At that time she was able to sit up on her own, but was not getting into the sitting position, or onto her hands and knees by herself. Now she is standing up on her own in the middle of the floor, crawling on hands and knees and walking behind a push toy with assistance.

Harriet loves people, music, and playing with the bean bag animals during therapy.


We’re excited to share the work Owen is doing with his occupational therapist. Owen was born with a sensory processing disorder. This is where the brain to has trouble receiving and responding information through the senses.

Because of this, Owen could not concentrate on tasks such as getting dressed, brushing his teeth or going to the restroom on his own. He also had trouble playing with others and preferred to play by himself.

Owen’s occupational therapist is working with him to concentrate during tasks and decrease his hyperactivity. He’s making major improvements! Owen can now concentrate on tasks for five minutes without breaks. He can also get dressed, brushes his teeth and uses the restroom all by himself. Owen is making such big strides that he now shares his toys with his siblings and other children without meltdowns and would rather play with others than alone.

Keep up the great work, Owen!


We are so proud of the progress Bennett has made in physical therapy!

Bennett was born with a severe type of spina bifida (myelomeningocele), which has left him with no use of his legs and the lower half of his trunk. He works with a Bryan therapist to improve his arm and upper body strength, as well as his posture with core and neck exercises. This will prepare him to push himself in a wheelchair someday.

When he started therapy, he could not sit up without supporting himself with his arms and was unable to pull himself forward on the floor. Now Bennett is able to pull himself forward on the floor and is making progress on his sitting balance, rolling from his back to his stomach and getting in and out of the sitting position.

During therapy, he loves playing with all the toys, there isn’t one that he doesn’t like!!


Conner makes phenomenal progress with his speech.

When Conner started speech therapy, he was only using simple short phrases that were hard to understand. Conner met with a Bryan speech language pathologist to work on clearly saying longer phrases and sentences. Less than a year later, he is able to speak clearly in conversations and no longer needs therapy.

Way to go Conner!


Camden was born with Down syndrome and after birth he had to have surgery and was in the NICU for two weeks. He has been receiving therapy for a little over a year now. He works with a Bryan physical therapist, speech language pathologist and occupational therapist to improve his strength, balance and mobility for daily tasks.

During therapy he loves throwing objects, anything that plays music, the basketball hoop, the pop-up toy and doing actions to songs.


Bobby was born without his corpus callosum. This is the structure in our brains that connects the left and right sides. Bobby has decreased use of his left side in his arm and leg. He works with a Bryan speech language pathologist, occupational therapist and physical therapist to improve his strength, balance and mobility for daily tasks.

Previously, he preferred to lean to his left in all positions and required assistance when sitting and was unable to do much standing due to this posture. Now he is working on transitioning in and out of sitting and standing as well as taking steps to the sides and forward. Over the past year, Bobby's posture has improved as well as his balance while sitting and standing.

During therapy he loves bubbles, playing with toys with doors and putting things in and out of containers.


Brielle was born with arthrogryposis, a condition in which she had limited movement in the womb and was born with contractures of her hands, fingers, hips, knees and feet. She spent 13 days in the NICU after birth due to difficulties with coordinating breathing and eating. During that time, she was on oxygen and a sleep apnea monitor. Brielle also had a bilateral cleft lip and palate and was born with a left rocker bottom foot and right club foot.

She has been going to physical therapy since she was two weeks old and started aquatic therapy last winter. She works on leg strengthening and flexibility, as well as mobility such as rolling. Brielle also works on moving in and out of sitting position and she practices standing and kneeling for weight-bearing.

Brielle loves playing with the toy piano, playing peek-a-boo and with the toy monkey. During aquatic therapy she enjoys splashing in the water and kicking.


5-month-old Benny began working with a Bryan physical therapist to treat his torticollis (a condition involving the neck muscles) and some abnormal back arching. When he first came to therapy, he would always lay with his head turned to the right and then tilted to the left.

Positioning and stretches are helping Benny to maintain proper head posture. Other therapies help counteract his abnormal back extending and arching. He works on head and trunk control and he practices motor skills such as tummy time, sitting balance and rolling. Benny is now able to turn his head equally to both sides and he no longer arches his back! He also can roll from his back to his stomach.

Benny has great support at home with his parents completing his therapy exercises and his brothers cheering him on. Benny loves playing with toys that make noise and even gives us a few laughs!


Ryker was born at 24 weeks gestation with bilateral grade IV intracerebral hemorrhages and has spastic quadriplegia cerebral palsy. He recently graduated from occupational and speech therapy, but continues to work with a Bryan physical therapist.

During therapy sessions, Ryker works on strength, balance, steps, and regulating pressures in his chest and abdomen. As he learns to controls these pressures, his balance and posture should improve.

Ryker is very bright and loves to play jokes and be ornery during sessions. He loves making animal sounds, blowing on the kazoo and aerobika device, seeing things fall down, bubbles.


Elliott was born at 29 weeks and was in the NICU for 54 days. He works with a Bryan rehabilitation therapy team consisting of a physical therapist, occupational therapist and speech language pathologist. He was initially seen at physical therapy for torticollis and plagiocephaly, but this has since resolved and he continues therapy to meet his developmental milestones. In occupational therapy, he is working on motor and sensory activities. Elliott works with his speech pathologist to bring new foods to his mouth for taste.

Some of his favorite activities during therapy are pushing over wedges, banging the toy hammer and using the wand to play the xylophone. He is also starting to throw balls, loves being upright and is very close to walking on his own.


Grace was 3 months adjusted age when she began physical therapy for torticollis and plagiocephaly. She kept her head tilted to the right and was unable to keep it in midline. This significantly limited her ability to look to her right. Now at 6 months adjusted age, she has full neck rotation to her right and is able to keep her head in midline for all positions. Her head shape has improved and will be getting a cranial remolding helmet. She is also meeting age appropriate developmental milestones with good muscle balance. She loves rolling over and playing with the rolling ball, pop up toy and rattles during physical therapy sessions.


Touch, smell, taste, repeat.

Liam is increasing the number of foods he eats to ensure a healthy diet by working with a Bryan occupational therapist. He has made great progress and set his own personal goal to try two new foods each day. He is determined to try half of the foods at Blue Sushi and have a main dish at each of the restaurants he goes to with his family.


At six months old, Skylar was not meeting her milestones, so she began seeing a Bryan physical therapist and speech language pathologist. When she first started, she had poor play and language skills, almost no vocalizations or facial expressions.

She is now a happy, energetic little girl, full of personality. Skylar follows instructions very well and is willing to try anything. During therapy sessions, she loves doing puzzles, working on jumping and playing with bubbles.


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