The recent statement by the Committee on Children With Disabilities concerning therapy services for children with motor disabilities provides useful information about how therapists function as well as prescription guidelines for pediatricians to follow. The publication is timely, because the number of children with motor disabilities remains at a steady level, and there is a strong demand for such services. Also, pediatricians in practice continue to have limited training, experience, and perspective in this area. Nevertheless, it is my view that the committee statement should have had a broader outlook beyond the single concept of treatment of the involved child.

I believe that, in addition, the pediatrician should be equally aware of the need for the family to have assistance in home management. The infant with motor disabilities often presents special problems in home care because of abnormal tone, posture, reflex behavior, and/or sensory deficits.5...

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