What paediatric physiotherapy involves
Paediatric physiotherapists work with babies, children and teenagers on gross motor development, coordination, strength, balance and mobility. Unlike physio for adults recovering from an injury, the focus is on helping a child reach developmental milestones and build the movement skills they need for daily life — rolling, crawling, walking, running, jumping, climbing, and joining in at school and in the playground.
Common reasons families see a paediatric physio include developmental delay, low or high muscle tone, cerebral palsy, torticollis (a tight neck in babies), toe walking, hypermobility, coordination difficulties, and recovery after surgery or injury. Sessions are usually play-based, because children learn movement best through activities that feel fun rather than clinical.
Signs a child might benefit from support
Every child develops at their own pace, but you might consider a physio assessment if your child:
- Is not meeting motor milestones (e.g. not sitting, crawling or walking around the expected age)
- Has a strong preference for one side of the body, or an unusual head tilt
- Walks on their toes persistently, trips or falls more than peers
- Seems clumsy, avoids physical play, or tires quickly
- Has difficulty with stairs, running, jumping or ball skills
- Has a diagnosed condition affecting movement or muscle tone
If you have concerns, it's worth raising them with your GP or child health nurse first. A physio can also assess without a formal diagnosis.
Suitable ages
Paediatric physiotherapy can start in the newborn period (for example, for torticollis or feeding-related positioning) and continue right through to the late teens. Early support is often valuable, but it's never too late — teenagers benefit too, particularly around growth spurts, sport and building independence.
What a first appointment looks like
A first appointment usually runs 45–60 minutes. The physio will:
- Talk with you about your child's history, pregnancy and birth, milestones and your concerns
- Watch your child move and play, and carry out a hands-on assessment of strength, tone, range of movement and posture
- Sometimes use a standardised developmental assessment
- Explain their findings and suggest goals
- Give you a plan, which may include home activities and a schedule for follow-up
Bring along any relevant reports, and dress your child in comfortable clothing they can move in. It helps to note down your questions beforehand.
Typical costs and NDIS funding
As a general guide, private paediatric physiotherapy in Australia typically ranges from around $180 to $230 per hour, though fees vary between clinics. Under the NDIS, therapy is delivered against the annual price caps set in the NDIS Pricing Arrangements and Price Limits, which are reviewed each year. Always confirm current fees directly with the provider, as prices change and this is a general range only.
For children on an NDIS plan, physiotherapy is usually funded under Capacity Building – Improve Daily Living. Children under 9 may access support through the NDIS early childhood approach. If your child isn't on the NDIS, you may be able to access some sessions through a GP's Chronic Disease Management (CDM) plan with a Medicare rebate, or through private health extras cover — check the details with your GP and insurer.
How to choose a provider in Cairns
This page features a range of Cairns clinics — including Revolve Physiotherapy, Allied Therapeutic Services Cairns, PhyxMe Physiotherapy & Rehabilitation, Proactive Physiotherapy and others across suburbs such as Cairns City, Bungalow, Edge Hill, Manoora, Whitfield and Parramatta Park. Ratings and review numbers can be a useful starting point, but they're only one part of the picture. When comparing providers, look at:
- NDIS registration status. If you're plan-managed or self-managed you can use unregistered providers, but if your plan is NDIA-managed you'll generally need a registered provider. Confirm this directly.
- Therapist credentials. Physiotherapists must be registered with AHPRA (the Australian Health Practitioner Regulation Agency). Ask whether the therapist has specific paediatric experience — not all physios work regularly with children.
- Waitlists. Paediatric services in regional areas can have long waits. Ask how soon your child can be seen and whether they keep a cancellation list.
- Telehealth and mobile options. Some clinics offer telehealth follow-ups or home/school visits, which can be handy across Cairns and surrounding areas.
- Fit with your child. A physio your child feels comfortable with will get far better engagement. It's fine to change providers if the match isn't right.
Questions to ask before booking
- Do you have experience with my child's age and specific needs?
- Are you AHPRA registered, and do you have a paediatric caseload?
- Are you an NDIS registered provider, and can you support plan-managed and self-managed families?
- What are your fees, and how do they align with NDIS price limits?
- What's your current waitlist?
- Will you provide reports and liaise with our other therapists, GP or school?
- Do you offer home visits, school visits or telehealth?
Taking the time to ask these questions upfront helps you find a provider who's the right fit for your family — and gives your child the best chance to thrive.