Bumble Bee Physio are passionate about all children receiving the best neurological physiotherapy care. We have taken guidelines and adapted them, the ‘BBP way’ using our many years of differently abled superhero experience to challenge current concepts. One example of this is the Cerebral Palsy Integrated Pathway Scotland Guidelines (CPIPS). These guidelines assess range of movement in children with cerebral palsy, and are created with a huge database of children with CP. We recommend carrying out the CPIPS test on children with CP every six months or annually, depending on the child’s age and their ability and the frequency reduces with age.
We have adapted these guidelines to include more than the CPIPS values. We are CPIPS ‘Train the Trainer’ qualified and measure all of our CP superheroes’ ranges of movement in line with the CPIPS template. But we also have our own ‘BBP Orthopaedic Information Sheet’. The CPIPS Guidelines only include ranges of movement for flexor muscle groups, as these are more likely to become tight in children with CP. But from a multitude of experience, we know that some children can become tight in the extensor muscles, and we have added this to our own BBP guidelines. Most physiotherapists will not measure range of movement in extensor muscles, but, although rare, if these become tight it can lead to an inability to sit at 90⁰. This can have a drastic impact on the child and their family’s life and function. We measure our own superhero’s range of movements at least six months as a minimum, which is more often than the CPIPS guidelines recommends, because we know that superheroes grow and change a lot in a year. This is to ensure that every BBP superhero reaches their maximum potential, with nothing getting in the way!
We have adapted a number of other commonly used assessment values, outcome measures and guidelines. Although we carry out all items in recommended guidelines, we frequently add on our own specialised features so that every child, of every ability is assessed and monitored for all of their skills.