13/11/2025
Beautiful summary and reminder to look at therapy through this lens.
In-depth clinical reasoning honours the complexity of childhood neurodisability—and the reality that child development is a journey, not a snapshot. It helps therapists and families look beyond a child’s current function to explore what’s possible, not just what’s present.
Rather than comparing children to age-matched peers, we ask:
✨ What skills are emerging?
✨ What supports could unlock the next step?
✨ What potential lies just beneath the surface?
This kind of reasoning embraces the full picture—motor, sensory, communication, emotional, and environmental factors—and supports meaningful growth over time. It’s not about predicting limits. It’s about discovering pathways.
Image copied from - Mayston et al 2024 The Bobath Clinical Reasoning Framework: A systems science approach to the complexity of Neurodevelopmental conditions, including cerebral palsy.. Dev Med Child Neurol 66(5):564-572. (Figure 4)