{
  "abstract": "Background Play is vital in delivering physiotherapy to children, especially those with medical complexities. This can create a motivating, engaging, and developmentally appropriate setting to achieve functional goals. Integrating a play specialist enhances participation, promotes movement and supports well-being.Aims To demonstrate the effectiveness of integrating a play specialist during a complex needs child’s physiotherapy session.Methods A 13 year old child (Child A) who is well known to the hospice was admitted for a routine supportive stay. During the admission of Child A, the physiotherapist and play specialist combined knowledge to order engaging mobility equipment. This included cones, a pop up football goal, basketball hoop and a beanbag throwing game. Purchasing adapted play equipment ensured that reduced grip strength, upper limb contractures or reduced hand function allowed Child A to participate regardless of their ability. Alongside this, we were able to incorporate bending down, reaching, and balancing exercises to support core stability, muscle strengthening and coordination, whilst having fun at the same time.Results Child A remained engaged throughout and had a successful joint session. Engagement was achieved by creating a fun and exciting environment. Over time, increased participation throughout these sessions has improved their mobility, strength and overall wellbeing. This improvement has encouraged independence with daily activities allowing a 13 year old to maximise their teenage years whilst living with complex needs.Conclusions By integrating play within physiotherapy sessions, we can optimise engagement, improve functional outcomes, and enhance overall therapy for these medically complex children. Play doesn’t have to be just a tool – it’s a manner of approaching therapy to make it effective and enjoyable for all involved.",
  "authors": [
    {
      "affiliations": [
        "Helen and Douglas House, Oxford, UK"
      ],
      "name": "Daisy Pearson"
    },
    {
      "affiliations": [
        "Helen and Douglas House, Oxford, UK"
      ],
      "name": "Chloe Kenworthy"
    }
  ],
  "title": "P-37 A case study to demonstrate the use of play in delivering functional physiotherapy for medically complex children",
  "uid": "06a476b2-314c-5cc0-b62a-051fc985c0ab"
}