What Our Patients Experience

↑ Function

Progress on the motor skills that matter for your child's daily life

↑ Independence

More of daily routine managed with less help

↑ Participation

Greater ability to join in play, school, and family activity

→ Prevention

Work aimed at limiting tightness and secondary joint change over time

The Diagnosis Is Not the Whole Story

A cerebral palsy diagnosis tells you something about how your child's brain developed. It does not tell you what they will be able to do. That part is built — through exercise, practice, the right equipment at the right time, and a family who knows what to work on at home.

Stiff muscles and tight joints (spasticity) or unusually floppy tone Delayed motor milestones — rolling, sitting, crawling, walking Favoring one side of the body, or a strong hand preference before 12 months Difficulty with balance, coordination, or walking on uneven ground Tightness that limits range of motion at the ankles, knees, hips, or elbows Difficulty with fine motor tasks — dressing, utensils, handwriting Feeding, chewing, swallowing, or speech clarity difficulties Fatigue with activities that peers manage easily

What Shapes Movement in Cerebral Palsy

Cerebral palsy affects every child differently. Understanding which factors are at play for your child is what makes therapy specific rather than generic.

Early Brain Injury

Cerebral palsy originates in an injury to or atypical development of the brain before, during, or shortly after birth. The underlying cause is medical and is diagnosed by your child's physician.

Altered Muscle Tone

Spasticity, low tone, or fluctuating tone changes how muscles respond to movement, which affects posture, gait, and endurance.

Secondary Musculoskeletal Change

Over years, altered muscle tone can limit joint movement and cause muscle tightness and contractures. Much of therapy is aimed at staying ahead of these changes as a child grows.

Balance & Postural Control

Motor planning and postural control differences affect stability, confidence, and the ability to move safely in busy environments.

Cerebral palsy is a group of lifelong neurological disorders that affect a person's ability to move, control muscles, and maintain balance and posture. It is caused by abnormal brain development or an injury to the developing brain, usually before or just after birth. It affects muscle tone, coordination, and motor control, and it is not progressive — the brain change does not worsen, though its effects on the body can change as a child grows. Physical, occupational, and speech therapy are a standard part of care, and at Root Pediatrics in Bozeman that care is delivered one-on-one.

Cerebral Palsy Therapy in Bozeman: Building Function, Not Chasing a Cure

Cerebral palsy is the most common motor disability of childhood, and it looks different in every child — from a child who walks independently but tires quickly to a child who uses a wheelchair full time. What the presentations share is this: movement is harder than it should be, and targeted therapy makes more of it possible.

Pediatric therapy at Root Pediatrics in Bozeman is delivered one-on-one by physical, occupational, and speech therapists. We do not diagnose cerebral palsy and we do not manage it medically — that belongs with your child’s physician. What we do is the functional work: strength, mobility, hand skills, communication, and staying ahead of the tightness that tends to build over years.

What Therapy Actually Targets

  • Gross motor skills — sitting, standing, transfers, walking, stairs, and endurance for a full school day.
  • Range of motion and tightness — the ankles, knees, hips, and elbows most affected by tone.
  • Balance and safety — postural control on real surfaces, not just clinic floors.
  • Hand function and daily living — dressing, utensils, handwriting, self-care.
  • Communication, chewing, and swallowing — where these are affected.
  • Equipment fit — braces, orthotics, walkers, and seating, re-checked as your child grows.

What to Expect at the First Visit

  1. Evaluation (60 minutes) — your history and priorities, a look at how your child moves, and assessment of tone, range of motion, strength, and functional skills.
  2. Findings in plain language — what we see, what is contributing, and what therapy would target first.
  3. A plan with real goals — written around what your family wants your child to be able to do.
  4. Home strategies — positioning, stretching, and play that carry the work between visits.
  5. Periodic re-assessment — goals and equipment fit reviewed together as your child grows.

Why Bozeman Families Choose Root Pediatrics

  • Full one-on-one sessions — your child’s therapist is present for the whole visit.
  • PT, OT, and speech in one place, coordinating directly rather than working in parallel.
  • Function-first goals set with the family, not from a protocol.
  • Coordination with pediatricians, neurologists, orthopedists, and schools.
  • Direct access — no referral needed for physical therapy in Montana.
  • Most insurance accepted, with benefits verified before your first visit.

Take the First Step

If you have questions about what therapy could target for your child, an evaluation is the place to start. Call or text (406) 219-5388 or request an appointment — Root Therapy and Wellness, 1283 N 14th Ave, Suite 101, Bozeman.

Our Treatment Approach

  • Progressive Strengthening — Graded strength work targeting the muscle groups that support sitting, standing, transfers, and walking.
  • Hands-On Manual Therapy — Gentle joint and soft-tissue work for tightness and restricted range, often paired with stretching a family can continue at home.
  • Progressive Balance Retraining — Postural control and balance challenges graded to your child's current ability, building toward safer movement in real environments.
  • Movement Retraining — Gait and transfer practice, motor planning, and repetition of the specific patterns your child is working toward.
  • Adaptive Equipment & Orthotics — We fit orthotics and braces and re-check them as your child grows, coordinating specialty fitting with outside resources where it's needed — plus recommendations for walkers and seating.
  • Fine Motor & Daily Living Skills — Occupational therapy for hand skills, dressing, utensils, handwriting, and the self-care routines that build independence.
  • Feeding & Communication Support — Speech and occupational therapy for chewing, swallowing, speech clarity, and communication — including communication devices where they help.
  • Family Coaching — Practical home strategies, positioning guidance, and what to watch for between visits, so progress carries into everyday routines.

How Root Is Different

Not all therapy is created equal. Here's why our patients get better results with Cerebral Palsy.

Conventional PTRoot's Approach Root Therapy
Session ModelGroup sessions or shared therapist attentionFull one-on-one session with your child's own therapist
ApproachStandardized protocol based on the diagnostic labelGoals built around what your child and family actually want to do
GrowthEquipment prescribed once and rarely revisitedRange, tone, and equipment fit re-checked as your child grows
FamilyParent observes from the waiting roomParents are active partners learning positioning and home strategies
TeamPT, OT, and speech run separately with little contactPT, OT, and speech coordinate directly when your child sees more than one

Function First

Goals are the things that matter at home and school — managing stairs, feeding themselves, keeping up at recess.

Built for Growth

Cerebral palsy is not progressive, but growth changes the picture. Care is re-checked over time rather than set once.

One Coordinated Team

PT, OT, and speech therapy under one roof, in contact with your child's physician and school.

5.0 out of 5
Knowledgeable PT's and very helpful in planning a program to get my balance problems resolved. I definitely recommend them.
— G.H. Google review · April 2026
5.0 out of 5
The staff is amazing and so kind. It's a great experience every time I go in. They're also very knowledgeable and do a great job explaining.
— S.W. Google review · April 2026
5.0 out of 5
I saw my primary care doctor for back and leg pain. She recommended I get physical therapy. I contacted Root Therapy and wellness. I was able to get an appointment in the next week. They did an evaluation and discussed a treatment plan. My providers were Kristi, PT, and Lindsey, PTA, they both were very respectful, explained every step and made sure I understood. Thanks to them I'm now pain free. I recommend them without reservation.
— T.M. Google review · May 2026

Frequently Asked Questions

Can therapy cure cerebral palsy?
No. Cerebral palsy is a permanent change in the brain. What therapy changes is function — strength, mobility, independence in daily tasks, and limiting the secondary joint and muscle changes that can develop as a child grows. That is a meaningful difference, and it is the honest goal.
When should therapy start?
As early as the concern appears. Especially with a known diagnosis of cerebral palsy, therapy can be beneficial to start as early as a couple months old. The developing nervous system is at its most adaptable in the first years of life, and early therapy also means positioning and range work begins before tightness has years to establish itself. We see infants, toddlers, and school-age children.
Does cerebral palsy get worse over time?
The brain change itself does not progress. However, its effects on the body can change — growth spurts, weight gain, and years of altered muscle tone can increase tightness or joint problems. This is why ongoing periodic therapy matters even for children doing well, and why we re-check range and equipment fit as your child grows.
My child has a mild presentation. Is therapy still worth it?
Often yes. Children who walk independently may still work on endurance, balance on uneven ground, running and playground skills, or hand function for school tasks. Care looks different across the range of ability — clinicians often describe that range using the Gross Motor Function Classification System (GMFCS) — and goals are set to your child’s actual starting point.
Will my child need PT, OT, and speech therapy?
It depends on how cerebral palsy affects them. Many children benefit from more than one. Physical therapy addresses mobility and gross motor skills, occupational therapy addresses hand skills and daily living, and speech therapy addresses communication and, where relevant, chewing and swallowing. We coordinate directly when your child sees more than one of our therapists.
How does this work alongside my child's medical team?
Therapy sits alongside medical management, not instead of it. Diagnosis, tone medications, orthopedic decisions, and surgical planning belong with your child’s physician, neurologist, and orthopedist. We coordinate with them, and we follow post-operative protocols when surgery is part of the plan.
Do we need a referral?
Not for physical therapy — Montana is a direct-access state, so you can schedule an evaluation directly. Some plans, including Medicare and Montana Medicaid, do require a physician referral for coverage; we check benefits as a courtesy and help coordinate a referral where one is needed — please confirm coverage with your plan as well.
How does this fit with school-based therapy?
They do different jobs and work well together. School-based therapy targets access and participation in the educational setting. Outpatient therapy addresses broader developmental and functional goals, usually more frequently. Many of our families use both, and we coordinate when it helps.

Reviewed by Hannah Haugen, PT, DPT —

Last updated

Questions about your child's cerebral palsy care?

One-on-one pediatric PT, OT, and speech therapy in Bozeman — function-focused goals, coordinated with your child's medical team.

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