Our highly skilled and trained pediatric therapists work with children from birth to 18 years of age who are diagnosed with orthopedic and neurological disorders. Our therapists assist children in the development of muscle strength or tone, the reduction of spasticity, the minimalization of bone fractures and  skeletal deformation/ post-surgerical issues which affect rolling, crawling, walking, climbing and running.


We offer many different programs for pediatrics, and believe that both the therapists and families commitment and communication regarding the child's health is key to their success.




  • Cuevas MEDEK Exercise
  • Early Intervention
  • Aquatic Therapy
  • Developmental Activites
  • Standardized Motor Testing
  • Wheelchair Skills
  • Safety and Prevention Programs
  • Neuro-Developmental Treatment

Areas of Expertise:

Vital's pediatric physical therapists work with children on their gross motor function. Gross motor function is a child's ability to use their large muscle groups to coordinate large body movements or maintain a steady posture such as rolling, sitting, standing, running, jumping, throwing, walking and pushing a wheelchair.

  • Balance/Coordination Activites
  • Gait Training
  • Mobility Training
  • Safety and Prevention Programs
  • Postural Re-training(Scoliosis, Kyphosis, etc.)
  • Kinesio Taping
  • Torticollis
  • Orthotic and Assistive Device Consultation


  • developmental delays
  • post-surgical conditions
  • burns
  • spina bifida
  • traumatic amputations
  • cancer
  • severe hand injuries
  • multiple sclerosis, cerebral palsy, and other chronic illnesses
  • birth injuries or birth defects
  • sensory processing disorders
  • traumatic injuries (brain or spinal cord)
  • learning problems
  • autism/pervasive developmental disorders
  • juvenile rheumatoid arthritis
  • mental health or behavioral problems
  • broken bones or other orthopedic injuries

According to The American Occupational Therapy Association (www.aota.org), children with the following may benefit from occupational therapy:

Pediatric Occupational therapy concentrates on enhancing and improving children's development in visual and manual coordination.  Early play skills such as block construction, scribbling, manipulating shape puzzles, pegs and beads form an important foundation for a childs learning in school.


Vital's occupational therapists also treat children who need help in developing self help skills and feeding.

For a child who has oral-motor or feeding concerns, occupational therapists may co-treat with a Speech-Language Pathologist.


  • Delayed Language Development
  • Aphasia
  • Voice Disorders
  • Pragmatic Disorders
  • Dysarthria
  • Traumatic Brain Injury
  • Augmentative and Alternative Communication





Our Speech Language Pathologists have knowledge to properly diagnose and treat patients ranging from infants to geriatrics. Throughout Evidence Based Practice, Speech Language Pathologists work with a team to develop supportive and comprehensive treatment sessions. Our therapists incorporate cultural and linguistic factors into their approach. Sessions focus on implementing techniques that best promote functional communication. Current therapists work with but are not limited to the following deficits and disorders:

  • Literacy
  • Dementia
  • Stuttering
  • Swallowing/Feeding
  • Apraxia
  • Selective Mutism
  • Hearing Loss


Developmental Therapy is a specialized therapy which focuses on the whole child's development-

physical, cognitive, communication, social/emotional and adaptive/self help skills.


Developmental therapists use standardized testing tools to assess the child's level of development. Based on test results, a personalized developmental treatment plan is designed to address the areas of concern for the child's optimum learning.


Illinois' Early Intervention Service System serves children under 36 months of age with disabilites or developmental delays, or who are at risk of substantial delays.


Illinois has a statewide, family centered service system to find and help children who are eligible for early intervention services as defined in Part C of the Federal Individuals with Disabilites Education Act.

Children eligible for early intervention services are experiencing delays in at least one of these areas:


  • cognitive development
  • physical development (including vision and hearing)
  • language and speech development
  • psychosocial development
  • self help skills


Children diagnosed with a physical or mental condition with a high probability of resulting in developmental delays or with certain family circumstances which put them at risk of substantial delays are also eligible.

This information is provided by the Department of Human Services of Illinois.

For more information on Early Intervention and it's changes, please refer to the link below:




  • Improves respiratory function
  • Supports land goals
  • Incorporates global goals (i.e. vocalization, oral motor skills, play skills)
  • Is a relaxing and calming environment to perform therapy excercises.
  • Provides sensory input
  • Child is in a natural recreational environment
  • Improves balance, strength and endurance
  • Improves gross motor skills

Benefits of Pediatric Aquatic Therapy:

Aquatic or Pool Therapy is a non-traditional environment for children to perform land goals and have fun at the same time. Water is used as a weightless medium to promote the patient's flexibility, range of motion and increase strength.


The pool is always between 92-98 degrees Fahrenheit.

Medical Precautions

To Ensure we are taking all neccessary precautions, please let your treating therapists know immediately if you have any of the conditions listed below:


• A documented or anecdotal risk of aspiration; orders reading “Thickened Liquids only” or “Nothing by Mouth”


 • Any area of opening such as PEG, NG, G-tube, colostomy, urostomy or ileostomy bag, a large are of open or non intact skin, especially poorly healing wounds

• A rash or skin condition (contact dermatitis, eczema, psoriasis); a chlorine or other halogen sensitivity


 • Environmentally communicable condition (head lice; athlete’s foot)


• An infectious respiratory disease (cold, flu, tuberculosis), An infection of the skin or an antibiotic-resistant infection (MRSA, VRSA);  A stool-borne infection (Hepatitis A; E-Coli)


• Significant cardiovascular disease or respiratory compromise (low vital capacity; low ejection fraction)


 • A low T-cell count (or other sign of immunocompromise)


• Instability of ligament or capsule (ACL tear; history of shoulder dislocation)


• Ventilation tubes for ears; prone to ear infections


• Autonomic dysreflexia


• Orthostatic hypotension


• Active joint inflammation (rheumatoid arthritis, hemophilia)



Vital's Illinois State Licensed Clinical Professional Counselors and Clinical Social Workers are trained to work with special needs children, adults and families.

Our Counselors are able to counsel/address the following during sessions:

The Benefits of Counseling:

  • Improves communication between family members
  • Individuals/Family members can address the difficulties they are facing in a constructive and safe environment
  • Counselors can show parents of children with developmental delays new approaches to parenting
  • Counselors can put patients in touch with great resources that can further help them in their situation
  • Families with children who have developmental delays
  • Individuals with developmental delays
  • Transitioning process from Illinois Early Intervention Program into School System
  • Families seeking mental health services (psychotherapy)
  • Development concerns
  • Parenting skills for a child with developmental delays

Patient Resources

Monica Dziarmagowski

Director of Pediatrics


For every cancellation with less than 24 hours notice or no-shows, you will be charged a

$35.00 cancellation/no-show fee.


Cancellation fees must be paid prior to, or at the time of your next scheduled appointment.



Consistent Cancellations with notice:

If your child's therapy sessions are consistently being canceled due to any reason, your child's scheduled therapy may be canceled and you child may be discharged from therapy.

Consistent cancellations are defined as missing 30% or more of your child's scheduled therapy sessions.


After a total of 3 no-show appointments or cancellation with less than 24 hour notice, your child's scheduled therapy time may be cancelled and your child may be discharged from therapy.


No-show appointments are defined as the therapist or office not receiving a call prior to the appointment and your child not showing up for the scheduled appointment.


If you are 10 minutes late for your child's appointment, your child will still be seen but you will be charged a $15 late fee. If you arrive more than 20 minutes late, your appointment will be a cancellation and you will be charged a $35 cancellation fee.