Frequently Asked Questions
You Asked - We Answer
Get your questions answered about SMILE Therapy in Vancouver
What is DMI?
Dynamic Movement Intervention (DMI) is a comprehensive intervention used by physical and occupational therapists to treat children with gross motor impairments. Visit the DMI website for more info: www.dmitherapy.com
Who is DMI for?
Children diagnosed with any type of motor delay, including conditions such as; Down Syndrome, Cerebral palsy, global developmental delay, hypotonia, chromosomal abnormalities/genetic disorders, spinal cord lesions, or acquired brain injury, may benefit from DMI motor intervention. Children at risk, such as those who are born prematurely, can also benefit from this therapy due to the strong neuroplastic changes that this treatment stimulates within the developing brain.
What happens during a DMI session?
After a brief assessment, the therapist will identify areas of potential growth, which will guide treatment. The therapist will manipulate the child to encourage novel movements in a more typical pattern. Exercises are repeated until these movements become automatic, which results in improved balance and function. Exercises are conducted on a tabletop or the floor based on the child’s abilities. DMI exercises involve movement against gravity, progressively more challenging support, provocation of desired movements, postural and strength challenges.
What is the focus of DMI?
Gross Motor Skills – Improving gross motor skills of children at least three months old.
Gradual Progression – Continuously increasing the challenge to encourage the child to respond with greater independence.
Alignment and Range of Motion – All exercises focus on optimal alignment and range of motion via functional movements.
Balance – Improving postural control is a common thread through most DMI exercises.
What age group do you treat?
We currently treat ages 0-10 years old.
What equipment do you use?
During therapy, we use specialized DMI equipment, including a therapy table, DMI box set, and various smaller tools to support your child’s progress. We also incorporate NMES/TASES/FES as part of treatment. As our clinic grows, we will be adding more equipment to enhance the therapy experience.
Why do you have a weight limit for DMI exercises?
To ensure safe and effective therapy for both your child and myself, it’s important that children receiving hands-on treatment are 45 lbs (20 kg) or under. Safe handling is a key part of therapy, and being transparent about your child’s weight helps me provide the best possible care.
If your child is over this limit, don’t worry – we can still work together! However, some hands-on activities may be adjusted or limited to ensure everyone’s safety.
What is the Intense Therapy Model?
The Intensive Therapy Model is a rapidly growing medical treatment for children living with neurological and genetic disorders e.g., Cerebral Palsy. Over the past two decades, there has been a shift toward Intensive Therapy and away from more traditional forms of therapy provided to children living with cerebral palsy and other genetic and neurological disorders. Intensive Therapy differs from traditional forms of therapy by increasing the frequency and intensity of children’s therapy sessions. Drawing from a wide variety of treatments such as occupational, speech, and physical therapy, the Intensive Therapy Model ensures that every child receives a combination of intensive therapies that are specifically tailored to the unique physical and intellectual challenges that are posed by neurological disorders.
Do you offer Telehealth Consultations?
Our Telehealth Consultations make expert guidance easily accessible from the comfort of your home. Whether you have questions about your child’s therapy, need support with specific challenges, or want to discuss progress, we’re just a video call away. These virtual sessions provide personalized advice and tailored strategies, ensuring your child continues to grow and thrive—no matter where you are. Flexible, convenient, and designed to fit your family’s needs, Telehealth offers a seamless way to stay connected with our experts.
For BC residents: Do you accept minitstry funding programs?
Yes, our physiotherapist (s) are on the RASP list and we accept At Home Program funding.
Do you offer Occuptaional Therapy (OT) and Speech and Language Pathology (SLP) services?
This is in the works! Join our waitlist!
How often do you run intensives?
Intensives are offered every week, depending on availability. Spots can fill up quickly, so if you’re interested, it’s a good idea to reach out early to reserve your preferred dates!
How long are sessions?
Standard sessions are 50 minutes long. For babies under 1 year old, 25-minute sessions may be available, depending on your child’s needs and tolerance.
What should I bring to my child's session?
For your child’s session, please bring any items that will help make them comfortable and engaged, such as:
- A personal iPad or communication device (if applicable)
- Changing (diaper) supplies
- Feeding equipment (if needed)
- Favorite toys or comfort items
- Clothing that is comfortable and non-restrictive, allowing for movement during therapy
What is the cost of sessions?
50-minute session: $160
25-minute session: $80 (typically offered for babies under 1 year old)
Do you do direct billing to insurance?
Unfortunately, we do not offer direct billing to insurance at this time. However, we provide receipts that you can submit to your insurance provider for reimbursement.
Do you offer home visits?
Unfortunately, we no longer offer home visits as we now have a clinic space. We’re excited to welcome you to our clinic, where we can provide the best care in a fully equipped environment.
How do I book an appointment?
Booking an appointment is easy! You can:
- Fill out our contact form on the website
- Send us an email at info@smiletherapyforkidsvancouver.com
- Call us at (604) 351-2720
What is your cancellation policy for weekly sessions?
To ensure fairness to all our clients and staff, we have a strict 24-hour cancellation policy. Cancellations made less than 24 hours before your appointment will incur a 50% charge. We understand that life happens and your child may get sick, but please note that repeated cancellations may result in forfeiting your spot. We appreciate your understanding as we strive to accommodate all families, and ensure our therapists and therapy assistants are compensated for their time.
What is your cancellation and deposit policy for intensives?
To secure your spot for an intensive, we require a 25% deposit upon booking. A second 25% payment is due 4 weeks prior to the start of the intensive, and the remaining balance is due after the intensive is completed.
In the event of a cancellation, the deposit is non-refundable. If you need to cancel or reschedule, please notify us as soon as possible so we can accommodate other families on our waitlist. We appreciate your understanding and cooperation.
Where are you located?
We are located at 233 Nelson’s Crescent #507 in New Westminster. After entering the parking garage, take the north elevator to floor 5 (not the retail elevator). Once you exit, head down the hall to the right.
Testimonials
Kind Words from parents
“Chelsea is an absolute wealth of knowledge when it comes to DMI therapy. Our daughter, who has cerebral palsy, recently experienced a setback—and within just three sessions, Chelsea had her not only walking again but moving with more confidence than ever before.
Beyond her professional expertise, what truly sets Chelsea apart is how seamlessly she fits into your family dynamic. She makes everyone feel safe, welcome, and truly heard. It’s not just therapy—it’s a whole-family experience.
I would wholeheartedly recommend Chelsea and DMI therapy to any family navigating challenges with movement. Invest the time—it will be so worth it for your entire family.
Congratulations, Chelsea, on opening such an incredible business. The impact you’re making is nothing short of life-changing.”
B.A.
Vancouver, BC, Canada
“I was so excited when I heard there was finally a DMI practitioner in Vancouver, and working with Chelsea has far exceeded my expectations! My daughter sees her weekly and we’ve also done an intensive with her. Chelsea is incredibly skilled and knowledgeable, striking the perfect balance between encouragement and challenge to help my daughter progress. Beyond her expertise, she understands my daughter’s unique struggles and tailors each session to her needs. She has also built such a sweet relationship with my daughter, even singing her favourite songs to keep her motivated and comfortable. It is clear in every interaction with Chelsea that she is deeply passionate about DMI and dedicated to making it more accessible for families. I’m so grateful for her care and expertise and could not recommend her enough!”
J.G.
Vancouver, BC, Canada
Come see what we can do!
Let’s talk about how we can support your child.
Contact us today to schedule an assessment and personalized treatment plan!