▶ CME does not teach basic motor skills such as rolling or crawling. Isn’t it important that my child master these skills?
The focus of CME is to provide stimulation of complex reflexive responses. This approach awakens the child’s innate desire to perform motor skills previously ignored. CME children often spontaneously fill in the blanks - mastering rolling, crawling, etc without significant prompting. Additionally, the home program may contain environmental prompts designed to promote the development of intermediary motor skills.
CME is actually less painful than many forms of traditional therapy. For example, because range of motion exercises are incorporated into functional activities no prolonged stretching is administered. However, CME is hard work and children often cry because of unfamiliarity with the movement or with the level of effort needed. It is important to note that although the child may be crying, they are also physically cooperating with the activity and are in fact, working very hard to successfully perform the exercises. Crying usually ceases upon completion of any given exercise. Over time most children learn to tolerate and even enjoy their CME sessions.
▶ My child wears leg/foot braces and/or uses a walker or wheelchair. Does this impact the CME session?
Bracing is not used in CME sessions as even the best bracing restricts body movement to some degree. Well fitting high-topped sneakers with nonskid soles are the footwear of choice. The child may resume wearing their braces after the session. Walkers are not used during the CME session as the focus is to develop balance and mobility solely through use of the torso, legs and feet.
No - although CME is appropriate in the vast majority of cases, the technique cannot stop the progression of degenerative diseases such as muscular dystrophy or spinal muscle atrophy (although it may help in prolonging existing levels of function). It also cannot restore function from paralysis resulting from spinal cord injury. Children with osteogenesis imperfecta should be evaluated on a case by case basis as they may be too fragile for CME. CME is highly effective in the treatment of cerebral palsy, PVL, IVH, brain injury, brain malformation, genetic anomalies, abnormal muscle tone, etc.”
Although it is impossible to predict how many sessions will ultimately be needed, meaningful progress should be visible within 6-8 weeks of treatment.
Yes – although CME is typically my treatment strategy of choice, it is not appropriate for every client. I am well-versed in traditional developmental therapies such as NDT. I am also proficient in bracing and adaptive equipment recommendations and design.
No – in order to keep costs affordable to all we do not bill insurance directly. Clients are provided with generic 1500 claim forms for personal submission. Depending on your particular coverage some or all of your sessions may be covered by your insurance on an out of network basis.
- Comprehensive evaluations with a full write up - $200.00
- 55 minute treatment sessions - $120.00
I have treated children with a variety of diagnosis including the following:
- Severe prematurity: 28 – 23 weeks gestation
- CP – spastic diplegia or quadriplegia
- Congenital Brain Malformation (various)
- Periventricular Leukomalacia (PVL);
- Intraventricular Hemorrhage – Grades I – IV
- Traumatic brain damage
- Spina Bifida and other orthopedic malformations
- Osteogenesis imperfecta
- Genetic Conditions such as Down Syndrome
- Degenerative conditions including muscular dystrophy, Charcot Marie Toothe, AIDS-related neuropathy, cancer, spinal muscle atrophy, etc.