Dynamic Movement Intervention (DMI)
Dynamic Movement Intervention or DMI is a comprehensive intervention that incorporates current research on neurorehabilitation, technologies, and methodologies. This therapeutic technique is used by physical (PT) and occupational therapists to treat children with gross motor impairments by improving and/or provoking a desired action with great emphasis on alignment, sensory integration, and function. The goal is to promote progress toward developmental milestones.
Who is DMI for?
Regardless of level of cognition and the severity of neurological impairments, children facing various motor delays, such as Down Syndrome, Cerebral palsy, global developmental delay, hypotonia, chromosomal abnormalities/genetic disorders, spinal cord lesions, or acquired brain injury, can experience positive outcomes from DMI motor intervention. This therapy aids in promoting neuroplasticity in the developing brain, offering benefits to affected children. Even those at risk, such as premature infants, can derive advantages from this treatment, as it fosters significant neuroplastic changes in their developing brains.
What happens during DMI?
Following a brief evaluation, the therapist will pinpoint areas of deficit to inform a treatment plan. Selecting exercises that target the child's neurological system at its highest level of skill, as well as those focusing on core and foundational milestones, the therapist designs a regimen. These exercises entail movements against gravity, progressively challenging support, facilitation of desired movements, and addressing postural and strength issues.
Throughout a session, the child engages in various exercises aimed at presenting diverse sensory and motor challenges. Each exercise is typically repeated approximately five times, with repetitions spanning multiple sessions until movements become ingrained, leading to enhanced balance and functionality. Exercises are adapted to the child's abilities, whether performed on a tabletop or on the floor.
DMI Therapy is often complemented by other therapeutic techniques and equipment, which are integrated into sessions to optimize alignment and improve overall outcomes.