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Helping a Dream Come True!

Total Pediatric Therapy is passionate about helping our patients achieve their greatest potential mobility in any way possible.  Mobility can come along in many forms of opportunity.  This weekend, Total Pediatric Therapy headed to Utah and was able to participate in the adventure of a lifetime to help a patient of ours reach a lifelong goal.

Anthony Castle (A.C.) is an amazing individual.  A.C. has Duchenne’s Muscular Dystrophy, which is a progressive neuromuscular disease.  While his mobility has progressively become more limited, his drive and passion for adventure certainly has not.  Anthony lost his ability to walk as a teenager and now relies on a power wheelchair for mobility.  His medical care has become complex over the last few years.  One of his dreams was to hike through Bryce Canyon and the Zion Narrows.

Katie Prenovost, PT, DPT (Owner/PT), Brittany Zimmerman (PT) and Tyler Prenovost (Co-Owner) joined A.C. and a team of 20 others to help make Anthony’s dream possible.  The success of this adventure took the support and love of Anthony’s remarkable family, a crew of 5 Firefighters from the Little Tujunga Hotshots out of California, two Physical Therapists and a network of friends and family that continue to advocate for and support Anthony on his journey.

Weeks prior to the trip, Katie and Brittany helped make necessary adjustments to Anthony’ hiking chair to ensure comfort and proper mechanics to promote safety for this journey.  During both hikes, they were able to transfer Anthony out of his chair for necessary stretching and tissue work to ensure he could tolerate the longevity and variability of the hiking to greater enhance his experience.

We are immensely proud of Anthony and grateful to be a part of his journey.  It reinforces that abilities come in many forms.  A.C.’s smile and drive to explore motivates us and we hope that other individuals with limited abilities will look at his journey and know what IS POSSIBLE.

For more information on Anthony’s journey:

Watch Carry On: Finding Hope in the Canyon | Prime Video (

For more information on Duchene’s Muscular Dystrophy:

Parent Project Muscular Dystrophy (PPMD) | Fighting to End Duchenne (

does my baby need a helmet

Torticollis and Plagiocephaly Awareness Day!

Torticollis is a condition in which a baby presents with tightness of their neck muscles.  Typically, we will see that the baby prefers to tilt their neck towards their shoulder (the tight side) and turn or rotate to the opposite side.

Plagiocephaly is a condition in which the skull becomes misshaped.  It is closely related with torticollis due to the asymmetry in the neck.

These conditions can begin from positioning during pregnancy and often worsen after delivery.  The sooner Torticollis and Plagiocephaly are identified, the greater success we have at treating them.  Muscles can lengthen and strengthen with intervention and head shape can be addressed with repositioning and the use of a cranial remolding band, in more severe cases.

Between birth and 6 months, a babies skull goes through rapid growth, making this an ideal time frame to treat head shape concerns.  It is also the most successful time frame to achieve full motion and strength of the neck.

If these conditions go untreated, they can lead to delayed and asymmetrical motor patterns and other long-term consequences associated with an abnormal head shape such as malalignment of the jaw, visual or auditory changes and safety concerns.

What to watch for:

  • Baby only turning their head one direction
  • Always sleeping towards the same side
  • Difficulty holding their head in the middle with tummy time
  • A neck tilt one direction
  • Flattening of the skull
  • Difficulty nursing on one side

*If you notice any of these concerns, seeking a Pediatric Physical Therapy consult and treatment is essential to ensuring the best outcomes!

Clinical Educator of the Year

Total Pediatric Therapy Awarded Top Clinical Educator of Year

Katie Prenovost, PT, DPT, is top Clinical Educator of the Year!

At Total Pediatric Therapy, we are passionate about helping our pediatric patients and their family's get results.  We also work with many physical therapy schools in providing an opportunity for their students to get hands on experience in pediatric therapy.

We often have the opportunity to work with many future physical therapists from Northern Arizona University's Physical Therapy Program. Our Director of Pediatric Therapy and owner, Katie Prenovost, PT, DPT, was recently awarded NAU's Clinical Educator of the Year! This was based on the students' nominating our clinic and by review of the professors at NAU. This is a very touching award to know that we are providing the best possible experience for these future physical therapists!

Here are a few of the comments that NAU instructors passed on to us from their students:

Katie is truly an advocate for her patients.

Katie shows so much compassion to her patients and goes above and beyond expected patient care.

Katie’s passion for her work is apparent in everything she does.

I genuinely believe she takes prides in her work as a clinical instructor and holds it in equal regards to her duties as a clinician and business owner.

Katie has displayed clinical excellence by teaching me the importance of building strong rapport with physicians, patients and families through consistent communication, education, and empathetic attitude.

Her vision is patient-centered, fulfills a need for the community, and advocates for the importance of physical therapy as a profession.

Katie consistently demonstrated qualities such as compassion, selflessness, service and desire to go the extra mile, which sets her apart.