Listening beyond Motor Function: Amplifying the Voices of Children with Cerebral Palsy in Paediatric Physiotherapy
Bhaktee Raju RajputAbstract
Background:
Children with cerebral palsy are frequently engaged in rehabilitation programmes that prioritise motor performance and functional outcomes. In this process, children’s preferences, expressions, and non-verbal communication are often overlooked, limiting meaningful participation in therapy.
Aims and Objectives:
This article aims to explore how paediatric physiotherapy can amplify the voices of children with cerebral palsy by moving beyond motor-centred models towards participatory, rights-based therapeutic practices aligned with the United Nations Convention on the Rights of Persons with Disabilities.
Materials and Methods:
A reflective, practice-based methodology is employed, drawing on 15 years of clinical experience across general and paediatric physiotherapy settings. Observations from routine therapy sessions are examined to identify communication-responsive and child-inclusive practices.
Results:
Recognising non-verbal cues, incorporating alternative communication strategies and validating children’s choices were found to enhance engagement, autonomy, and emotional safety within therapy sessions.
Conclusion:
Listening to children with cerebral palsy extends beyond speech and motor output. When paediatric physiotherapists intentionally attend to children’s expressions and preferences, therapy becomes a space of empowerment rather than compliance, fostering dignity, participation and inclusion.