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Our Approach

What is physical therapy?
Physical therapy (PT) helps children gain movement, restore function, and build confidence as they recover from an illness or injury. Physical therapists focus on improving walking, strength, endurance, and gross motor skills.

What is speech therapy?
Speech therapy focuses on improving a child’s speech production, voice quality, problem-solving skills, memory skills, reading and writing skills, and oral motor and feeding skills.

What is occupational therapy?
Occupational therapy helps children improve their independence by developing activities of daily living skills such as eating, dressing, grooming and bathing. Occupational therapists can fabricate splints and assess the need for adaptive equipment.

Children with the following diagnoses can benefit from outpatient rehabilitation services:

  • Cardiovascular and respiratory disorders
  • Communication disorders
  • Developmental delays
  • Genetic conditions
  • Head injuries
  • Neuromuscular problems
  • Learning disabilities
  • Orthopedic injuries
  • Sensory integration dysfunction
  • Spinal cord injuries

Physical Therapy Evaluation and Treatment Services

  • Active Assistive Range of Motion (AAROM)
  • Passive Range of Motion (PROM)/Active Range of Motion (AROM)
  • Developmental skills
  • Endurance training
  • Equipment Assessments/Training
  • Functional mobility
  • Gait/balance training
  • Home Exercise Program (HEP)
  • Manual therapy
  • Modalities as indicated by physical therapy
  • Neuromuscular re-education
  • Strengthening
  • Vestibular rehabilitation

Occupational Therapy Evaluation and Treatment

  • Activities of Daily Living
  • Age-appropriate play
  • Attention
  • Coordination
  • Decreased range of motion
  • Grasping items
  • Handwriting
  • Motor planning
  • Postural instability
  • Sensory issues
  • Visual motor skills

Speech Therapy Evaluation and Treatment

  • Evaluation and treatment of oral and pharyngeal swallowing function
  • Evaluation and treatment of speech sound production only
  • Evaluation and treatment of speech sound production with language comprehension and expression
  • Evaluation and treatment of speech sound production, language comprehension and expression, and oral and pharyngeal swallowing function
  • Hearing rehabilitation/hearing habilitation
  • Modified barium swallow study evaluation (downtown location only)

Our Locations

The Children’s Hospital of San Antonio Goldsbury Center for Children and Families
333 North Santa Rosa
Suite F1615
San Antonio, Texas 78207

Our Team

Marisa Castro, PT

Marisa Castro, PT

Pediatric Rehabilitation

Physical Therapist

Diana Gilman, SLP

Diana Gilman, SLP

Pediatric Rehabilitation

Speech-Language Pathologist

Rachel Guenat, PT

Rachel Guenat, PT, DPT

Pediatric Rehabilitation

Physical Therapist

Maria Sanchez, SLP

Maria Sanchez, MS, CCC-SLP

Pediatric Rehabilitation

Speech-Language Pathologist

Emily Skinner, OTR

Emily Skinner, OTR

Pediatric Rehabilitation

Occupational Therapist