Advanced, hands-on physiotherapy approaches that harness neuroplasticity to help infants and children achieve postural control, balance, and functional movement milestones.
At BridgesCare Dubai, our certified physiotherapists employ two of the most advanced paediatric motor therapy frameworks available: Dynamic Movement Intervention (DMI) and Cuevas Medek Exercises (CME). Both approaches focus on activating the child's nervous system through precise, hands-on challenges that stimulate neuroplastic change.
Whether your child needs to develop trunk stability, learn transitional movements, or progress toward independent walking, our team designs an individualized programme that integrates seamlessly with occupational therapy, speech therapy, and behavioural support when needed.
Schedule Your AssessmentDynamic Movement Intervention is an intensive, hands-on framework that elicits automatic postural responses through purposeful movement across multiple planes. The therapist provides the least assistance needed while the child learns to initiate protective reactions, midline control, and verticalization.
Through carefully graded reaching activities and midline-oriented challenges, DMI builds the trunk stability that underpins every functional movement. Therapists reduce support progressively, encouraging the child's nervous system to activate core musculature and maintain upright alignment independently.
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Dynamic perturbation exercises in sitting, kneeling, and standing train the brain to generate fast, automatic balance responses. Each session introduces precisely scaled weight shifts and light challenges that stimulate the vestibular and proprioceptive systems without compromising safety.
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Moving between positions, from lying to sitting, sitting to kneeling, or kneeling to standing, requires complex motor planning. DMI breaks these transitions into achievable steps, guiding children through half-kneel sequences and floor-to-stand progressions that build real-world mobility.
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For children working toward independent walking, DMI uses supported stepping drills, weight-shift practice, and vertical loading exercises. The therapist provides the minimum assistance necessary, allowing the child to develop the neural pathways required for reciprocal stepping and functional ambulation.
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Progressing from horizontal to vertical positions against gravity is a core goal in DMI. Through supported standing, tall kneeling, and controlled weight-bearing activities, children develop the confidence and muscular endurance to hold upright positions for longer durations.
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For families seeking accelerated progress, BridgesCare offers block-intensive DMI scheduling with multiple sessions per week over a concentrated period. This approach leverages neuroplasticity through high-frequency repetition, often producing measurable gains in a shorter time frame.
Learn MoreNot sure if DMI is the right fit for your child?
Get a Free Phone ConsultationWhether your child is learning to sit independently, taking their first supported steps, or building the balance needed for everyday play, our certified DMI and CME therapists are here with expert, compassionate care.
Cuevas Medek Exercises use gravity as the primary stimulus to trigger automatic postural reactions and build functional balance, strength, and mobility. Through rapid execution, high repetition, and progressive support reduction, CME drives neuroplastic change in infants and children with motor delays.
CME harnesses the force of gravity to provoke automatic postural reactions that the child has not yet developed. By positioning the child in progressively challenging postures and reducing external support, the therapist triggers innate motor responses that form the foundation for independent movement.
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Using rapid, controlled displacements in various planes, CME activates the child's involuntary righting and equilibrium reactions. These exercises are performed at speed and with precision, encouraging the nervous system to generate fast protective responses without conscious effort.
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CME exercises are designed to incrementally build muscle strength and stamina through active, weight-bearing positions. Each session gradually reduces therapist support, requiring the child to sustain greater loads and durations independently, directly translating to improved functional capacity.
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A hallmark of Cuevas Medek Exercises is the systematic withdrawal of support. Therapists follow a structured protocol that moves hand placement from proximal to distal points on the child's body, progressively demanding more independent control from the trunk, hips, and lower extremities.
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Through high repetition and speed-based execution, CME capitalises on the brain's capacity to form new neural connections. Each exercise is repeated multiple times within a session, reinforcing motor pathways and accelerating the acquisition of movement patterns that were previously absent.
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Families receive guided instruction on safe, simplified exercises to practise between clinic visits. Our therapists demonstrate techniques, provide visual guides, and offer regular feedback so that the benefits of CME extend well beyond the treatment room and into everyday routines.
Learn MoreWondering whether CME is suitable for your child's condition?
Book a Child AssessmentFrom the initial enquiry to measurable motor gains, here is what to expect when you choose BridgesCare for DMI or CME therapy.
Share your concerns with our physiotherapy coordinator. We discuss your child's history, current abilities, and goals to determine whether a formal assessment is the appropriate next step.
A DHA-licensed physiotherapist conducts a thorough evaluation covering gross motor function, postural control, reflexes, muscle tone, and developmental milestones. Functional video is recorded for baseline comparison.
Based on the assessment, your therapist designs a programme specifying the appropriate mix of DMI and/or CME exercises, session frequency, and measurable short- and long-term goals, all discussed with the family.
Sessions are delivered in our child-friendly clinic or at your home. Exercises are layered by difficulty with the least support needed. Caregivers are coached on safe home practice routines to reinforce gains between visits.
Regular reassessments use video comparison, standardised measures, and caregiver feedback to track progress. The therapy plan is refined as your child advances, ensuring continued momentum toward each new milestone.
Our DHA-licensed physiotherapists bring specialist certification, years of paediatric experience, and genuine dedication to every session.
With over 15 years of clinical experience, Dr. Mahrukh is a dedicated paediatric physiotherapist committed to helping children reach their developmental milestones through specialised motor therapy approaches.
She holds certification in Dynamic Movement Intervention (DMI) alongside expertise in Neurodevelopmental Therapy (NDT), Suit Therapy, Hydrotherapy, and the advanced management of cerebral palsy, spina bifida, spinal cord injuries, and orthopaedic conditions. Her strong foundation in radiological assessment and manual therapy ensures accurate diagnosis and holistic care.
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View Full TeamCoverage for physiotherapy services varies by insurer and diagnosis in the UAE. While direct billing is not universally available, many providers have reimbursed our DMI and CME sessions. We supply all necessary documentation, including stamped claim forms, receipts, and clinical reports, so you can file with confidence.
Certain insurance plans process physiotherapy through a Guarantee of Payment arrangement. If your policy supports this pathway, our administration team manages the entire documentation process, from stamped forms to investigation reports, to facilitate a smooth and timely approval.
The Sanad Card, issued by Dubai's Community Development Authority (CDA), provides benefits for individuals with disabilities. BridgesCare delivers specialised support aligned with the Sanad Card's mission, including tailored rehabilitation, personalised therapy plans, early intervention, family guidance, and continuous progress monitoring.
Tip: Contact your insurance provider to confirm whether paediatric physiotherapy, DMI, or CME is included in your policy. Our admin team is ready to guide you through the reimbursement or GOP process.
Our physiotherapists hold formal certification in both Dynamic Movement Intervention and Cuevas Medek Exercises, ensuring specialist-grade care.
Every programme is tailored to the child's unique diagnosis, current abilities, and family goals — no generic protocols.
Our centre meets the highest regulatory standards for safety, clinical practice, and paediatric rehabilitation in Dubai.
DMI and CME therapy plans are integrated with speech, occupational, and behavioural therapy for holistic developmental support.
Parents and caregivers are active partners in every step, with hands-on coaching and take-home exercise programmes provided at no extra cost.
Choose from in-clinic sessions, home-visit therapy, intensive block programmes, or telehealth coaching to suit your family's schedule.
Our daughter was diagnosed with hypotonia at four months old, and we were told independent sitting might take a very long time. After starting the DMI programme at BridgesCare, she began sitting with minimal support within eight weeks. The progress has been remarkable, and the team made us feel like partners in every step of her journey.— Fatima K., Parent of a DMI Therapy Client
DMI (Dynamic Movement Intervention) focuses on eliciting automatic postural responses through graded, therapist-guided challenges with minimal assistance. CME (Cuevas Medek Exercises) uses gravity-based provocations and rapid support reduction to trigger innate motor reactions. Both target neuroplastic change, but they differ in technique, pacing, and hand-placement philosophy. Our team often combines elements of both based on the child's needs.
Both approaches can begin as early as three months of age, provided the child has medical clearance. Early intervention takes advantage of the infant brain's heightened plasticity, often producing faster and more significant motor gains. Our physiotherapists assess each child individually to determine readiness and appropriate intensity.
Frequency depends on the child's diagnosis, age, and therapeutic goals. Many families attend two to three sessions per week, while intensive block programmes may involve daily sessions over a three- to four-week period. Your therapist will recommend an evidence-based schedule during the initial assessment.
Yes. Both DMI and CME are widely used and well-suited for children with cerebral palsy, including those with spastic, dyskinetic, and ataxic presentations. Exercises are carefully scaled to the child's tolerance, with constant monitoring of alignment, comfort, and physiological response throughout every session.
Absolutely. Caregiver involvement is essential to sustained progress. After each session block, your therapist will demonstrate safe, simplified exercises for daily practice at home. Visual guides and video references are provided so you can reinforce therapy gains between clinic visits with confidence.
Yes. Our physiotherapy team routinely collaborates with speech therapists, occupational therapists, behavioural analysts, and school support staff. We share progress reports, align goals across disciplines, and participate in joint planning meetings to ensure every aspect of your child's development moves forward together.
Have a question that's not covered here?
Talk to Our Physiotherapy TeamOur certified DMI and CME physiotherapists are here to support your child's motor development with expert, compassionate, and individualized care. Get in touch today and we will respond within 24 hours.
Ready to explore DMI or CME therapy for your child? Fill in the form or reach out directly and our physiotherapy coordinator will guide you through the next steps.
R 03 European Business Center, Ground floor, next to DIP Metro Station, Dubai Investment Park
803, 8th Floor, Aspin Commercial Tower, near Financial Metro Station, Sheikh Zayed Road
+971-42620201 | +971-563336980
We respond within 24 hours. For urgent enquiries, call us directly.
