Guest guest Posted May 13, 2008 Report Share Posted May 13, 2008 Pediatric PT's for the most part are under the impression that brachiocephaly and plagiocephaly are an unfortunate sequelae of the 'back to sleep" program as well as a product of the multiple "seating" devices that are available to most families these days. Infants move from crib to bouncer chair to swing to car seat. Latest research shows that infants need 90 minutes of belly time per day, awake, to develope the prone skills that we are used to seeing of children who were belly sleepers. In my practice I see at least one of these shapes per week that requires a home program or PT intervention. Sometimes with torticollis but not always. I also look for hypotonia and reflux as clinically I see them as comorbities much of the time. Regarding neurodevelopmental pediatricians: if you can get an appt with one in 4 months keep it! There are not that many and our wait time in my clinic is one year. I find that this may not be the most informational visit if the ND Ped is used to seeing school aged children with ADHD and autism. One must find out if they have enough experience with the little ones. Typically they do not. Walsh, RPT Plan your next roadtrip with MapQuest.com: America's #1 Mapping Site. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2008 Report Share Posted May 13, 2008 I would agree that back to sleep and seating options are a big cause in many cases. After having a needy first child, I was glad the second was content laying/sitting alone. Looking back at pictures I think some of my son's misshapen head happened in utero. This might have been due to the weeks he spent with a double nuchal cord. My son had a very strong neck. (TG!) Even with time on his belly, repositioning didn't work. My question/concern is with all the babies you're seeing (1/wk), do you feel the communication to parents is sufficient? What will get peds more serious about this. Sadly a lot of people on this forum are being told " don't worry. " > > > Pediatric PT's for the most part are under the impression that brachiocephaly and plagiocephaly are an unfortunate sequelae of the 'back to sleep " program as well as a product of the multiple " seating " devices that are available to most families these days. Infants move from crib? to bouncer chair to swing to car seat. > > Latest research shows that infants need 90 minutes of belly time per day, awake, to develope the prone skills that we are used to seeing of children who were belly sleepers. > > In my practice I see at least one of these shapes per week that requires a home program or PT intervention. Sometimes with torticollis but not always. I also look for hypotonia and reflux as clinically I see them as comorbities much of the time. > > Regarding neurodevelopmental pediatricians: if you can get an appt with one in 4 months keep it! There are not that many and our wait time in my clinic is one year. I find that this may not be the most informational visit if the ND Ped is used to seeing school aged children with ADHD and autism. One must find out if they have enough experience with the little ones. Typically they do not. > > Walsh, RPT > Quote Link to comment Share on other sites More sharing options...
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