Services

For more information, please contact us via the contact form,

schedule a consult call, or call/text (214) 500-0126.

If you are ready to book your initial evaluation, please click the button below.

We create spaces and environments where every child's communication is heard and valued.

Pediatric Physical Therapy

Developmental pediatric physical therapy focuses on addressing the unique needs of infants, children, and adolescents who experience delays or challenges in their functional movement and participation development.

Adaptive Gymnastics

Adaptive gymnastics involves modifying traditional gymnastics skills, progressions, & equipment to accommodate individuals with physical and cognitive disabilities and neurodivergent people, ensuring their participation in gymnastics activities.

You have questions? We have answers.

What is Adaptive Gymnastics?

Adaptive gymnastics is designed to make gymnastics accessible and enjoyable for individuals with diverse physical, cognitive, and sensory abilities. This approach includes modifications to skills, equipment, and teaching techniques to meet the specific needs of participants. These modifications might include specialized apparatus, adjusted lesson plans, and personalized coaching strategies to support each individual's abilities and goals. The primary aim is to create a supportive and inclusive environment where every participant can engage in gymnastics activities, build skills, and experience the physical and social benefits of the sport.

Benefits:

  • Enhances motor skills and coordination

  • Builds physical strength and flexibility

  • Provides opportunities for social interaction and teamwork

  • Fosters self-confidence and personal growth

  • Promotes sensory integration and regulation

  • Encourages active participation in physical activity

  • Supports the development of life skills, such as following instructions and working in a group

  • Creates an inclusive and supportive environment that celebrates diverse abilities

    Adaptive Gymnastics Options

    1:1 Adaptive Gymnastics or Adaptive Trampoline Lessons: We offer personalized 1:1 adaptive gymnastics and trampoline lessons to cater to the individual needs of each child. These sessions are customized to enhance gymnastics skills, build confidence, and develop motor abilities in a supportive and engaging environment. They can serve as a support or addition to your child’s therapy services, helping them progress in their gymnastics journey.

    Adaptive Gymnastics Class (4:1 Ratio; Student to Teacher): Our Adaptive Trampoline Class is designed for children with physical and cognitive disabilities and neurodivergent children. With a low student-to-teacher ratio of 4:1, we ensure personalized attention and a safe, inclusive space for all participants to enjoy the benefits of trampolining. (This class is provided in partnership with The Rock of Sports & Performing Arts)

If you would like to participate in Adaptive Gymnastics, please contact us for more information via the contact form, schedule a consult call, or call/text (214) 500-0126.

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What is Pediatric Physical Therapy?

Pediatric physical therapy focuses on addressing the unique needs of infants, children, and adolescents who experience delays or challenges in their functional movement and participation development. Physical therapy is designed to optimize motor skills, movement patterns, and overall physical function to support a child's unique growth and development.

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What can physical therapy address?

At Balanced Creations Therapy & Trampoline, our developmental pediatric physical therapy services cover a wide range of conditions and concerns, including but not limited to:

Motor Delays: Addressing delays in gross motor skills such as rolling, sitting, crawling, standing, and walking, running, jumping, hopping, skipping, navigating stairs and environments.

Neurological Conditions: Providing interventions for children with neurological conditions such as cerebral palsy, spina bifida, and developmental coordination disorder.

Orthopedic Conditions: Managing musculoskeletal conditions such as torticollis, plagiocephaly, and toe walking.

Genetic Disorders: Supporting children with genetic disorders that impact their physical development and mobility.

Sensory Integration and Executive Functioning: Addressing sensory processing and motor planning difficulties that affect a child's ability to participate in daily activities and movement.

Balance and Coordination: Improving balance, coordination, and postural control to enhance functional mobility and participation in activities.

Through individualized assessment and treatment plans, our developmental pediatric physical therapists work collaboratively with families to achieve meaningful goals and support each child's unique journey to reaching their full potential through child-led play-based sessions in a neurodiversity-affirming environment.

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What can I expect at the physical therapy initial evaluation? 

This is a one-on-one, in-depth evaluation consisting of an age-appropriate analysis of posture, balance and coordination, flexibility, strength, mobility skills, transitional movements, quality of movements, motor planning, gait/walking quality, and higher-level gross motor skills, if appropriate. You will receive a written report with observational and standardized results outlining your child's strengths and areas that could be improved with physical therapy, demonstration and collaborative education on purposeful play-based activities to be completed throughout the day specific to your child and home, a detailed home exercise program complete with pictures and videos specific to your child and their gross motor goals (as needed), a list of developmentally appropriate toys specific to your child and their goals (as needed), and ongoing concierge support via phone/text/email to ensure success.

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Do I need a referral to begin services?

No, a referral is not required to get started with our services. In the state of Texas, a physical therapist can evaluate and treat for up to 10 business days without a referral. If physical therapy services are expected to extend past this period, Balanced Creations Therapy & Trampoline will reach out to your primary care provider to obtain a referral for you.

Additionally, our Developmental Playgroups are considered wellness services and do not require physician approval to attend.

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Do you take insurance?

No. Our goal to help your child be their unique self without limits, especially without limitations placed by insurance providers regarding number of visits and when those visits can be utilized.  As an out-of-network provider there are no requirements to qualify for therapy, waitlists, prior authorizations, or session caps. All costs are known upfront; those unexpected bills months after rendered services won't happen here!We do not accept insurance, however can take HSA/FSA as payment. We will create a superbill or invoice upon request if you wish to submit for reimbursement through your insurance however reimbursement is not guaranteed.

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Do you offer home visits?

Yes! We are a mobile provider and bring purposeful play-based and child-led development to you! In-home visits are available for Aledo, Annetta, Willow Park, Hudson Oaks, Weatherford, Azle, Texas. If you're ready to book an in-home visit you can do so via our online booking website. If you're outside of the above areas we are happy to help, please contact us via the contact form, schedule a consult call, or call/text (214) 500-0126.

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Where are your clinic locations?

We offer physical therapy and developmental/therapeutic playgroups services at two locations: The Rock of Sport and Performing Arts (76087), and Springbox Farms (76087).

For more information, please contact us via the contact form, schedule a consult call, or call/text (214) 500-0126.

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What form of payment do you accept?

Payment is due at the time of service.

Credit card (Visa, Mastercard, Discover, and American Express), debit card, and HSA/FSA cards are accepted.

Cost of services:

Please contact us for pricing via the contact form, schedule a consult call, or call/text (214) 500-0126.

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What age range do you work with?

We cater to children of all ages, typically ranging from infancy to 18 years old. However, we are also equipped to serve adult individuals who may benefit from our services.

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What are your hours of operation?

Our hours of operation vary depending on the day of the week and the facility location. Generally, we schedule treatment sessions between 9:00 am and 4:00 pm Wednesday, Friday & Saturday at The Rock of Sports & Performing Arts, and 10:00 am -6:00 pm on Tuesday & Thursday at Springbox Farms. For specific availability and scheduling questions, please feel free to contact us directly if you need more help. For availability and scheduling inquiries, please contact us via the contact form, schedule a consult call, or call/text (214) 500-0126.

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How long will it take for my child to achieve their goals?

It depends. For more wellness based preventative care, typically, we see families for approximately 2-4 sessions. In some cases, with musculoskeletal concerns and/or gross motor delay with a co-occurring medical diagnosis, the length and frequency of services can vary. We individually create care plans and frequency of services to meet the needs of each child and the family's values. When families are committed to the process, we usually see steady improvement. Families who get the best results are those who work diligently and patiently with their child daily and focus on purposeful play-based activities throughout the day — change is hard and progress is rewarding! If there is a functional plateau or if the situation worsens, we refer to another provider either in addition to our services or instead of our services.

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Resources for Parents and Clinicians

Title of post in Black with orange highlight on specific words and a faded picture of underneath a trampoline while someone is jumping

The Connection Between ADHD and Primitive Reflexes: How We Use Trampoline and Gymnastics to Support Integration

September 04, 20244 min read

The Connection Between ADHD and Primitive Reflexes: How We Use Trampoline and Gymnastics to Support Integration

Introduction: Primitive reflexes play a crucial role in early development, laying the foundation for more advanced motor skills and cognitive function. However, research shows that when these reflexes are not fully integrated, they can contribute to challenges such as ADHD. In this post, we’ll dive into a recent systematic review and meta-analysis exploring the relationship between ADHD and primitive reflexes. We’ll also share how Balanced Creations Therapy & Trampoline leverages trampoline and gymnastics activities to support reflex integration.

Summary of the Study: A systematic review and meta-analysis titled Attention Deficit Hyperactivity Disorder is Associated with (A)symmetric Tonic Neck Primitive Reflexes offers a comprehensive look at the link between ADHD and non-integrated primitive reflexes, specifically the asymmetric tonic neck reflex (ATNR) and symmetric tonic neck reflex (STNR). The study analyzed data from four articles, encompassing 229 samples, and found significant positive correlations between ADHD and these reflexes.

  • Key Findings:

    • The correlation between ADHD and ATNR was moderate, with a summary r value of 0.48.

    • Similarly, the correlation between ADHD and STNR was also moderate, with a summary r value of 0.39.

    • Factors such as behavioral assessment tools, sex, and specific primitive reflex tests influenced the strength of these correlations.

The authors concluded that ADHD symptoms are closely linked to the non-integration of ATNR and STNR, suggesting a need for further research to explore the causality of this relationship.

Connecting the Research to Practice: At Balanced Creations Therapy & Trampoline, we see firsthand how the integration of primitive reflexes is crucial for children’s physical and cognitive development. Trampoline and gymnastics offer unique opportunities to address these reflexes in a dynamic, playful environment.

How We Use Trampoline and Gymnastics for Reflex Integration:

  • Asymmetric Tonic Neck Reflex (ATNR): ATNR is triggered when the head is turned to one side, causing the arm on that side to extend and the opposite arm to bend. This reflex should integrate around 6 months of age, but when it persists, it can significantly impact a child’s physical and cognitive abilities.
    Signs and Symptoms of a Retained ATNR:

    • Gross Motor Challenges:

      • Difficulty rolling and crawling

      • Lack of balance and stability

      • Instability and clumsiness, often appearing robotic when running or crawling

      • Mixed laterality (not having a clear right- or left-side dominance)

      • Difficulty crossing the midline

      • Challenges following multi-step movement instructions

      • Frustrations and difficulties in sports

    • Fine Motor Challenges:

      • Struggles with eye-hand coordination

      • Handwriting difficulties

      • Poor speech production

    • Visual Skills Challenges:

      • Difficulty with binocular vision

      • Challenges with spelling and reading skills

      • Poor visual-motor skills (e.g., handwriting, dressing, feeding)

      • Difficulty copying from paper or a whiteboard

      • Challenges with visual tracking and following a moving target

      • Fatigue during reading

      • Difficulties with math

    • Auditory Skills Challenges:

      • Challenges with processing auditory information

    • Attention and Concentration Challenges:

      • Poor speech and language development

      • Difficulty concentrating and maintaining attention

      • Lack of focus and attention

  • Trampoline Integration: We incorporate activities that encourage cross-body movements and eye tracking on the trampoline. These activities help diminish the reflex and promote more integrated movement patterns. Specific activities include:

    • Running on the spot

    • Walking along the lines of the trampoline

    • Single-leg balance on the trampoline

    • Hitting, catching, and throwing balls while jumping

    • Assisted rolling

    • Jumping turns in seated, quadruped, and standing positions

  • Gymnastics Integration: We use a variety of gymnastics skills that specifically target ATNR integration, including:

    • Army crawling under mats and through tunnels

    • Hands-and-knees crawling under mats and through tunnels

    • Running and walking on a balance beam

    • Balancing on different surfaces, such as a balance beam or mat

    • Log rolling and cartwheels

    • Bear crawls and push-ups

    • Leg kicks and marching with opposition (e.g., opposite arm and leg movements)

    • Any skill that requires opposition

    • Climbing ladders, leaps, and turns

These activities help engage both sides of the body and encourage coordination, balance, and reflex integration, which are essential for addressing a retained ATNR.

If you're noticing any of these signs or challenges in your child, don't hesitate to reach out. Call us today to schedule a free 15-minute consultation or your initial session.

Stay tuned for our next blog, where we discuss the Symmetric Tonic Neck Reflex (STNR) and how it impacts development.

View the research article by clicking on the link below:

https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1175974/full?mcp_token=eyJwaWQiOjEwMTM5MTA4MjM0ODUzNSwic2lkIjozNzA0MTc5MDEsImF4IjoiMDQyYWY0MTIxYzgxN2VjMWY5OTljNTRhNjgxNDU5N2MiLCJ0cyI6MTcyNTIxNzU0NywiZXhwIjoxNzI3NjM2NzQ3fQ.xznS4-DjP-aZRUvzQwH3QgB8rDC0qgxb4QLuQlUXXDk

Hello, I'm Dr. Sigourney Weathers. With a Doctorate in Physical Therapy and a passion for gymnastics, trampoline, and community, I'm here to shake up the traditional approach to pediatric physical therapy and wellness.

With over 30 years of experience in the gymnastics community, including 15+ years as a coach and judge, and 10+ years specializing in inclusive and adaptive gymnastics, I bring a wealth of expertise to my practice.

During my career, I noticed a gap in the system—clients completing therapy but still seeking ongoing recreational support and community. Determined to bridge that gap, I founded Balanced Creations Therapy & Trampoline.

At Balanced Creations, we're not just about therapy; we're about fostering a sense of belonging and empowerment. Our goal is to provide a space where individuals of all abilities can thrive and continue their lifelong health and wellness journey.

Through personalized programs and integrated techniques, including therapeutic trampolining and gymnastics, we're redefining what it means to achieve optimal wellness.

Outside of my professional endeavors, you can often find me spending quality time with my family, staying active through workouts, and indulging in my hobbies, including aerial silk and, of course, trampolining.

Dr. Sigourney Weathers, PT

Hello, I'm Dr. Sigourney Weathers. With a Doctorate in Physical Therapy and a passion for gymnastics, trampoline, and community, I'm here to shake up the traditional approach to pediatric physical therapy and wellness. With over 30 years of experience in the gymnastics community, including 15+ years as a coach and judge, and 10+ years specializing in inclusive and adaptive gymnastics, I bring a wealth of expertise to my practice. During my career, I noticed a gap in the system—clients completing therapy but still seeking ongoing recreational support and community. Determined to bridge that gap, I founded Balanced Creations Therapy & Trampoline. At Balanced Creations, we're not just about therapy; we're about fostering a sense of belonging and empowerment. Our goal is to provide a space where individuals of all abilities can thrive and continue their lifelong health and wellness journey. Through personalized programs and integrated techniques, including therapeutic trampolining and gymnastics, we're redefining what it means to achieve optimal wellness. Outside of my professional endeavors, you can often find me spending quality time with my family, staying active through workouts, and indulging in my hobbies, including aerial silk and, of course, trampolining.

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