Mom in Caymen Islands find success consulting w/ Dr Flores re: Flat Head Syndrome

We are elated to know we can make a difference in the lives of little ones- EVEN if they live on the other side of the world!

Dr Flores has made herself available for skype consultations with those that do not have access to specialists in the field of preventing and correcting flat head syndrome, aka positional plagiocephaly.  She has consulted with parents all over the U.S. and other countries including Luxenberg, Saudi Arabia and now the Caymen Islands!

Since her interview with CBS on Flat Head Syndrome and the release of her first book entitled ‘How to Avoid Flat Head & Delays in Baby’s First Year’, Dr Flores has proven to be one of the top experts on effective, safe and holistic techniques that prevent and correct malformed head shapes in infants while also improving upon the root cause of the head flattening.

Here is what a Mom in the Caymen Islands had to say about consulting with Dr Flores:

Physical Therapy Solutions deserves seven stars as far as we’re concerned! When my daughter was diagnosed by her paediatrician as having flat head syndrome I started combing the internet for information to educate us on what we could do to help her. This lead to finding a YouTube video in which Dr. Flores spoke about the issue. Noting her expertise from the video I looked up her practice and contacted them for an appointment.

However, there was once slight issue…we are in the Cayman Islands and they are in Santa Monica California. I decided to get in touch anyway to see if we could do a computer video conference via Skype. I was elated when they confirmed that they indeed could work with us via Skype.

The consultation was completed and with the advice and exercises suggested by Dr. Flores, our daughter is almost fully recovered from Flat Head Syndrome and Torticollis by our followup appointment just one month later. We are so thankful for Dr. Flores and her practice. Do not hesitate to contact them even if you’re on the other side of the world!Moms do everything for their child!

Dr Yvette Flores is offering video assistance to parents who are lacking resources in their area.  Download the FREE questionnaire the Dr Flores feels parents should share with their child’s pediatrician:

“The 10 Questions Every Parent Must Ask their Baby’s Pediatrician Right Away”

You can get your free copy at www.flatheadsolutions.com

To schedule a video session with Dr Flores, contact us directly from our website at babytherapysolutions.com or call us at 800-507-2634.  We are here to help!

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December 29, 2016. Tags: , , , . Early Head Start, Events, FYI's for New Parents, Invitations, Testimonials. Leave a comment.

New Book Prevents Flat Head

Dear Families,

As you may know, I’ve been working to publish my first book, focused on helping parents prevent permanent flat spots quickly and effectively. I’m excited to share it!

I am opening up a few slots each month this summer where I’ll be available for interviews. If you or someone you know would like a guest interview for their blog, media, group, or project, message me at contact@flatheadsolutions.com.

(To get a sense of topics I can speak about, you can visit flatheadsolutions.com.)

Best in health to you!
Dr. Flores

PS – Here’s a peek of the cover!

How to Avoid Flat Head & Delays in Your Baby's First Year

Available for instant download

April 30, 2014. Early Head Start, FYI's for New Parents, Gross Motor Milestones. Leave a comment.

Why Does My Baby Cry During Tummy Time?

October 29, 2013. Tags: , , , , , , . Early Head Start, FYI's for New Parents, Gross Motor Milestones. Leave a comment.

PT Solutions Has 100% Success Rate w/ Early Intervention for Infants With Flat-Head Syndrome

Check out our CBS 2 Feature on Dr. Yvette Flores, PT, DPT, aired on 4/30/13

May 1, 2013. Tags: , , , , , , , , , . Early Head Start, Events, FYI's for New Parents, Welcome New Parents!. Leave a comment.

Plagiocephaly Prevention

FAQ: Flat Head Syndrome aka ‘Plagiocephaly’

1. What is plagiocephaly, also known as flat head syndrome?
Plagiocephaly refers to a deformity of the skull in which one side is more developed in the front, and less developed in the rear. It generally occurs in newborns and infants. In severe cases, it can cause facial asymmetries; on the less developed rear side (flat side), the face & forehead can look more prominent, the ear can be positioned more forward than the other and the eye on that side can appear larger.

CMT_edited-6

2. How does plagiocephaly happen?
Plagiocephaly results when repeated prolonged pressure is placed on one side of the back of the skull, causing that part of the skull to be pushed inward at the point of contact. This usually occurs during the most malleable period of skull development, from birth to 5 months of age and happens when a newborn/ infant prefers turning their head toward one side more so than the other. Over time, the back of the skull on the favored side starts to deform, typically appearing flat behind the back of the ear. As this part flattens, the front part of the skull (forehead) begins to bulge out, as if the whole side of the skull shifted forward from back to front.

picasion.com

3. What causes a newborn/ infant to favor turning their head to one side?
Tight neck muscles on one side typically cause a newborn/ infant to turn their head away from that tight side in an effort to get comfortable and avoid a ‘pulling sensation’ caused by turning their head toward any tightness. In severe cases, the positional favoring becomes habitual over time, which can then result in accelerated and severe head flattening.Head Flattening Diagram

4. How do I know if my child is at risk?
There are several distinguishable risk factors to help a parent determine if their newborn is at risk of developing plagiocephaly. If newborns are positive in 3 or more of the following risk factors, an early prevention physical therapy evaluation is recommended to help parents prevent plagiocephaly.

Risk factors include:

  1. First pregnancy/ delivery (intra-uterine constraint)
  2. Abnormalities of uterus such as shape, size or intra-uterine space (intra-uterine constraint)
  3. Awkward fetal positioning during last trimester such as breeched, transverse or diagonal (intra-uterine constraint)
  4. Multiple birth (intra-uterine constraint)
  5. Long Labor/ Difficulty pushing/ Baby positioned low for a long period of time or stuck in birth canal (intra-uterine constraint/ traumatic birth)
  6. Emergency C-section delivery (traumatic birth)
  7. Use of force or tools to remove baby from birth canal (traumatic birth)
  8. Premature delivery followed by a stay in the NICU (traumatic birth, premature ability to turn head- prolonged contact pressure on skull)
  9. Delivery greater than 40 wks (intra-uterine constraint)
  10. Larger than average head size and/or longer than average body length at birth (intra-uterine constraint)
  11. Newborn/ Infant sleeps well: > 6 – 12 hrs at a time without turning head side to side (prolonged contact pressure on skull)
  12. Newborn/ Infant has low tolerance for awake tummy time and so does not engage in frequent daily tummy time activities (prolonged contact pressure on skull)

5. What can I do to prevent head flattening in my newborn/ infant?
Review the above risk factors to determine if your child is at risk and if so, schedule an early intervention examination & consultation with a pediatric physical therapy specialist. The ideal age for this screen is 6 to 10 weeks of age. In severe cases, head deformation can be seen as early as 4 weeks of age but on average is seen by 12 weeks of age. If your child is not at risk, just remain mindful and make sure to alternate head position during sleep in combination with increasing bouts of daily awake tummy time for best practices.

6. What can I do to improve existing head flattening?

Time is of the essence as head flattening can get worse over time and more difficult to correct the older the child gets.  Physical therapy intervention is the ideal solution for helping parents correct existing head flattening as well as correcting the ‘root cause’ of the flattening, and the sooner the better.

Initiate Physical Therapy early Successful Correction of Head Flatness w/ PT alone Likelihood of needing helmet therapy
4 wks to 12 wks old: IDEAL AGE 90 – 100% success rate Not likely
4 mos to 5 mos old 75% – 100% success rate Possibly but depends on severity of plagiocephaly & root cause
> 5 to 6 mos old 50% -100% success rate Likely but depends of severity of plagiocephaly, root cause & habitual favoring

There is a significantly high success rate improving head flattening with physical therapy alone if initiated within 4 wks to 12 wks old because there is greater compliance with sleep positioning techniques, minimal to no habitual side favoring has formed yet and the overall ease of stretching exercises is greatest when the child is smallest.  If therapy is initiated past 4 to 5 months of age, the success rate of just physical therapy alone decreases but depends on how severe the flattening is and how severe the cause of the flattening is.  Habitual favoring tends to develop from here on out, which is extremely difficult to correct.  The older they get, the more engrained their habitual preferences become, and the harder it is for therapists and parents to correct due to resistance.  In cases of moderate to severe head flattening in infants older than 5 months, helmet therapy is usually recommended along with physical therapy.

7. Does my child need to get a helmet to correct head flattening?
According to pediatric cranial specialists, the helmet does its best work when placed on a child anytime between 5 months to 8 months of age. Children diagnosed with moderate/severe to severe plagiocephaly at 5 months of age are recommended to do helmet therapy if they didn’t start PT yet, started PT late or progress with PT alone has been minimal. However, children that are 5 months of age, demonstrating consistent improvements in head shape with early physical therapy and repositioning, have the option of waiting one to two more months to see how much more progress can be made before considering helmet therapy.

8. Can head flattening return or worsen again?
Yes but that depends. If your child completed helmet therapy early with no physical therapy intervention, the underlying cause of the flattening can still be present; habitual favoring can still be an issue and flattening of the same spot can re-occur. The skull is pliable (moldable) up to 12 months of age, at which point it begins to harden. After 12 months of age, there is a high likelihood that any residual flattening will carry over into adulthood.

9. Can I see a physical therapy specialist without getting a referral from my child’s pediatrician?

Yes. In the state of California, patients do not need a physician’s referral or prescription to complete a physical therapy evaluation. If your child is a candidate for a physical therapy program, your physical therapist can work with you to request your pediatrician’s signature on their report of findings & recommendations, which then serves as a prescription for PT.

10. Can I request to have my child participate in a program of physical therapy from my child’s pediatrician?
Yes. At any given time, parents can always insist on a physical therapy evaluation and treatment program. Your therapist will need to submit strong evidence that warrants physical therapy intervention in order for your pediatrician to sign off on a program of care after the initial evaluation.

11. Does plagiocephaly affect brain function?
No. Plagiocephaly has not been associated with affecting brain or cognitive development.

12. Does plagiocephaly affect anything serious aside from being cosmetic?
Significant cases of plagiocephaly are usually associated with neck muscle imbalance: tightness and/or weakness of neck muscles on one side, resulting in the positional favoring. We have seen one newborn case where one eye was closed/ shut due to the extreme head deformation. In this case, the newborn was able to open his eye after 2 weeks of initiating physical therapy. In other severe cases, we have seen TMJ asymmetries where one side of the jaw didn’t open as wide as the other, affecting ability to latch on when feeding. The most common health limitations seen in toddlers and young children with persistent neck muscle imbalances & misshapen heads are gross motor developmental delays: delayed acceptance of tummy time, delayed rolling, crawling, asymmetrical crawling, delayed walking, asymmetrical walking and premature favoring of limbs on one side of the body.

13. Can early prevention and physical therapy prevent gross motor delays?
Absolutely. Physical Therapy head & neck specialists can improve neck and body muscle imbalance before the child starts to develop asymmetrical gross motor movements and preferences. Your physical therapist should design a comprehensive program of improving head shape, correcting the underlying cause and preventing gross motor asymmetries and delays, to be completed within 3 to 5 months with the end result being: normalized head shape, facial symmetry, body symmetry, full neck muscle balance and age-appropriate gross motor function.

There is a significantly high success rate improving head flattening with physical therapy alone if initiated within 4 wks to 12 wks old because there is greater compliance with sleep positioning techniques, minimal to no habitual side favoring has formed yet and the overall ease of stretching exercises is greatest when the child is smallest.  If therapy is initiated past 4 to 5 months of age, the success rate of just physical therapy alone decreases but depends on how severe the flattening is and how severe the cause of the flattening is.  Habitual favoring tends to develop from here on out, which is extremely difficult to correct.  The older they get, the more engrained their habitual preferences become, and the harder it is for therapists and parents to correct due to resistance.  In cases of moderate to severe head flattening in infants older than 5 months, helmet therapy is usually recommended along with physical therapy.

April 16, 2013. Early Head Start, FYI's for New Parents. Leave a comment.

Plagiocephaly: Early Intervention prevents, PT corrects the cause, Helmet improves shape

It is recommended to start physical therapy intervention as as soon as a parent or pediatrician detects a developing flat spot (plagiocephaly, brachycephaly).  It is equally important for pediatricians and OBGYN doctors to educate new moms that may have a newborn that is at risk for positional plagiocephaly.  Usually, pediatricians and OBGYN doctors refer these moms to a pediatric specialist for a consultation.

What are the risk factors?  Intra-uterine constraint (first pregnancy, multiple birth, breeched/ transverse positioning, intra-uterine fibroids, larger than average infant head or body size, > 40 weeks delivery) and traumatic birth history (infant head in birth canal for long period of time, use of vacuum/clamp, emergency c-section or premature delivery).

 “It is completely possible to identify newborns who are at risk for positional plagiocephaly and help the families of these newborns at risk,  prevent the flattening from ever happening. ”  Dr Yvette Flores

We recommend a physical therapy evaluation within the first two months of life.  Physical therapy intervention could be as short as 2 visits: the first visit is to evaluate and educate the parents on what to do, the second visit is to follow up after a month or so to make sure the parents are doing a great job and the child’s head is looking good.

Physical therapy intervention has a high success rate at improving and restoring head shape symmetry when initiated between birth to 3 months of age.  In severe cases, however, helmet therapy is recommended.

Helmet therapy is most effective when done between 5 months to 8 months of age, in conjunction with physical therapy.  Helmet therapy eliminates the challenge parents have of sleeping their child ‘off’ the flat spot by offering an environment where nothing touches the flat spot 23 hours a day.  Depending on the severity of the flat spot and the child’s age, the helmet is used for 2 to 5 months.

We typically don’t recommend helmet therapy earlier than 5 months because:

1) Physical therapy alone usually can guide the families to normal restored head shape

2) Initiating helmet therapy too early can result in the need for another helmet shortly after the child grows out of the first.

3) Helmets are costly with no guarantee that health insurance will cover it.  On average, they are about $4000 depending on which center you go to.  If we can help families save four thousand dollars with just physical therapy alone, we are all for it.

4)  If the underlying ‘root cause’ of the plagiocephaly isn’t corrected by the time the helmet therapy is done, there is a chance of re-flattening. Here is an analogy: take a piece of play doh, putty or soft clay.  Make a round ball out of it and place it on a flat surface such as a table.  After a few minutes, you will see that the round ball begins to flatten where it is in contact with the table.  The same thing occurs with infant heads which is impressionable from birth to 12 months: repetitive pressure on the same spot can cause re-flattening.  If the child still has signs of positional ‘favoring’ (prefers sleeping with head turned or tilted to the left), it is likely that the original spot that was rounded out with the helmet can get dented in again over time.

Bottom line:  Positional plagiocephaly can be PREVENTED by :

1) Simply educating new parents on preventative techniques: if your pediatrician or OBGYN doctor does not refer new parents for a physical therapy early intervention session, parents can take the initiative to schedule this session directly with a pediatric physical therapist that specializes in head and neck challenges.  We recommend doing this within the first 2 months of life.

2) As a new parent, find out if your newborn is at risk by looking at the risk factors listed above and seeing how many (if any) pertain to your pregnancy and birth history.  If you identify with even 2 items on the list, it is imperative that you learn preventative techniques to start applying right away.  Schedule a session with a skilled pediatric therapist to learn what you can do that is safe and effective.

If your child has an obvious developing flat spot in the back of his/her head….

*Tell your baby’s pediatrician that you would like to schedule a consultation with a pediatric physical therapist.  It is a smart idea to get the opinion of a physical therapist who specializes in head & neck challenges on your baby’s developing flat spot, to learn techniques you can start doing right away to prevent it from getting flatter, and to determine if you child is a candidate for a physical therapy (and helmet therapy) program.

A referral or prescription for a physical therapy evaluation is not required in the state of California (and possibly other states). Should your child benefit from a course of physical therapy, the therapist can then get the prescription from your pediatrician.

January 15, 2012. Tags: , , , , , , , , , , . Early Head Start, FYI's for New Parents. Leave a comment.

7.5 month old with resolved torticollis

February 28, 2011. Early Head Start, Testimonials. Leave a comment.

I am #9418 who signed the Positional Plagiocephaly Petition

Ever since the Back to Sleep Campaign and the recent fear-induced note from the FDA about sleep positioners, specialists such as myself have been concerned about our efforts to provide needed education and awareness to new parents. I came across a fabulous effort on behalf of the moderators of the yahoo group: Positional Plagocephaly. They are having parents sign a petition to create much needed awareness by the American Academy and American Board of Pediatrics. I agree with this petition and have signed it myself!

I have posted the petition below for your review as well as the link, should you decide to add your voice to this cause.

Sincerely,
Dr. Yvette Flores, PT, DPT
—————————————————

To: American Academy of Pediatrics Task Force on Infant Positioning and SIDS, and The American Board of Pediatrics

John Kattwinkel, MD, Chairperson
John G. Brooks, MD
Maurice E. Keenan, MD
Michael Malloy, MD

And

To: The American Board of Pediatrics,

Prior to the 1992 Implementation of the Back to Sleep Campaign, it was estimated that 1 in 300 babies had varying degrees of cranial asymmetry {abnormal head shape}. As of today, it is estimated that 1 in 60 babies have a cephalic disorder, known as Positional Plagiocephaly. The numbers are increasing in epidemic proportions globally. We respect the American Academy of Pediatrics commitment towards the quality of health for our children. However, we as parents feel the Task Force on Infant Positioning and SIDS has not fulfilled its duties with educating the public or the medical establishment on the complexities of this campaign.

The American Academy of Pediatrics’ stand has been a supine sleeping position to reduce the risk of Sudden Infant Death Syndrome. The AAP has only recently released a statement of the importance of “tummy time.” The recommendations in this statement do not indicate an effective course of treatment – or serve as standard medical care – for Deformational or Positional Plagiocephaly.

Deformational and Positional Plagiocephaly is characterized as follows:

PLAGIOCEPHALY- significant flattening of the right or left skull, typically accompanied by ear misalignment and facial asymmetry

SCAPHOCEPHALY – Long and narrow head shape

BRACHYCEPHALY – shortening of the head due to flatness,increased head height, often accompanied by an under bite.

Suggested Manifestations of Cranial Asymmetry are as follows:

torticollis- Face turns to the right or left with a head tilt
Misaligned ears,
Nose pushed to one side,
Unilateral cheek prominence,
Bossing of the forehead,
One eye appearing larger than the other.

Head shape abnormalities are believed to cause:

Migraines,
Temporomandibular Joint {TMJ} Syndrome,
Eyesight problems, and
Severe Psychological Consequences

We as parents will continue to place our children in a supine sleeping position. We are asking the American Academy of Pediatrics to implement a policy requiring our children’s doctors to carefully evaluate every child at birth for cranial abnormalities, and follow up at every well-baby checkup thereafter. We are asking the American Board of Pediatrics to offer various options for treatment when these abnormalities are present.

The phrase, “It will round out,” is simply not true in most cases. Aggressive repositioning is not always successful. We as parents would like to be given a referral to an educated specialist, in a timely manner. The ideal timeframe for maximum correction is between 3 and 6 months. We as parents do not want babies with perfectly round heads. What we expect is recognition and response to the rise of documented disorders related to the “Back to Sleep” campaign.

Sincerely,

——————————————————

To sign the petition yourself, go to: http://www.petitiononline.com/0799/petition.html

November 24, 2010. Tags: , , , , , , . Early Head Start, FYI's for New Parents. Leave a comment.

Early Head Start

 Early Head Start: A Preventative & Corrective Program for Infants & Toddlers with Congenital Head & Neck Challenges By Dr. Yvette Flores, PT, DPT 

Congenital head & neck challenges can be detected by a PT specialist as early as the first day of life. However, infants with a head & neck challenge typically don’t show obvious signs until 3 months of age. Such signs are a positional favoring such as turning or tilting the head one way more than the other way. The most obvious sign frequently seen at 3 months of age is a developing flat spot in the back of the head. If left un-treated, this flat spot can worsen pretty rapidly to the point of requiring use of a pricey, corrective helmet to improve the head shape. More and more pediatric specialists are now recommending the Early Head Start program to identify infants at risk, prevent or correct head deformation, and correct the root cause of the neck challenge within the first 6 months of life.There are several markers that place a newborn at risk. Knowing these signs allow Pediatricians and new parents to screen for risk and follow the Early Head Start 3-step program, if warranted. Such signs are: a clear favoring turning his/her head one way, tilting his/her head to one side, or a developing “flat spot” in the back of the head. These signs are most obvious when the infant is asleep in a car seat/ stroller, or when the infant is tired or not feeling well. Sometimes, parents notice these signs before the physician does, and when brought up with the physician, are instructed to alternate head position during back sleeping. Traditionally, parents are also given a handout on a couple of neck stretches to do at home. If parents are not successful with their attempts to follow the handout, they are then referred to a physical therapist for proper instruction. Today, parents are referred directly to a PT specialist for successful early intervention, thereby minimizing head deformation, need for a costly helmet, need for extensive physical therapy and/or need for invasive measures such as surgical release of the tight muscles.

The Early Head Start program is designed to detect newborns & infants at risk, identify the cervical muscles involved, and initiate the steps to full correction and recovery. Step #1: Early identification allows for early intervention. Step #2: Early intervention prevents head deformation, tighter neck muscles, and habitual favoring. Step #3: A course of physical therapy will help to ensure complete resolution within the narrow window of time available for full correction, should an infant already exhibit head & neck challenges.

The bottom line: The Early Head Start program saves families hundreds if not thousands of dollars in medical expenses, ensures healthy head and neck development, full range of motion, strength, normal symmetry, and promotes age-appropriate gross motor skills.

The Early Head Start 3-Step Program

Step #1: Identify markers for risk (birth to 12 weeks old)

Unusual positioning in utero or lack of adequate space in utero, especially during the last trimester, is a common marker for risk. The most popular examples include: breeched positioning, diagonal positioning with head down under pelvis, multiple births, first time Mom (possible small uterus), and baby has a larger than average head size. Another common marker is a traumatic birth. Popular examples include emergency C-section, cord wrapped around neck, vaginal delivery with a very long labor, baby getting stuck in vaginal canal, use of a vacuum or other aggressive means to remove baby. A premature birth followed by a stay in the NICU, can also be an identifying marker for a congenital head & neck challenge. Lastly, if your baby appears to have a strong dislike toward tummy time, especially after the age of 3 months, there is a chance that he or she has a congenital head & neck challenge.

Step #2: Early Intervention (birth to 12 weeks old)

Receive instruction and tips on (1) how to alternate head position during naps and sleep time to prevent flattening of the back of the head, (2) how to introduce and build up daily tummy time for symmetrical neck and back strengthening, (3) how to maintain a symmetrical head position, especially when in a carrier such as the car seat or stroller, and (4) recommended tools such as car seat head positioners and sleep positioners, to make your efforts easier.

Step #3: Physical Therapy Program (initiate between birth to 5 months for optimal results)

A course of physical therapy (PT) is the best conservative approach toward full correction. The ideal age range to start PT, which yields the best prognosis for full correction of a head and neck challenge, is between 8 weeks to 16 weeks old. If a baby has unaddressed head & neck challenges greater than 32 weeks, the window for full correction is significantly narrowed and the likelihood of a longer PT program and need for helmet therapy is higher. On average, full correction of the underlying cause can be achieved within 4 to 12 sessions. More may be needed, depending on the severity of your baby’s condition and the success of the instructed home program. A PT program entails neck stretches for tight muscles, strengthening exercises targeting weak neck muscles & back and core muscles, manual therapy of soft tissue and joint mobilization, and age-appropriate gross motor activities to maintain and improve upon symmetrical body balance and strength. A tailored home program will also be given on the first visit and modified as your baby progresses through his or her PT program.

*For more information, please visit our website: www.BabyTherapySolutions.com. If your baby has not been screened for a potential head & neck challenge and you would like our professional opinion, please contact us regarding our 15 minute complimentary screen. If you have been told by a physician or other infant healthcare provider that your baby has a positional favoring or developing flat spot, we recommend a PT initial evaluation as soon as possible. Please call to discuss details of this evaluation and schedule an appointment. Your pediatrician will get our report of findings and the next step, if any is required, will be determined. Physical Therapy Solutions is located at 2634 Wilshire Blvd, Santa Monica CA 90403. (O) 800-507-2634, (F) 310-774-3652.

Copyright © 2010. Physical Therapy Solutions. All Rights Reserved. Any duplication of this material without written permission is prohibited.

 

 

 

April 9, 2010. Tags: , , , , , , , , , , . Early Head Start. 3 comments.

New Parents: Self Help Tips to a healthy round head

Teach Tummy Time

Help your baby ‘accept’ and eventually love tummy time. Supervised tummy time as early as 3 to 4 weeks, using a boppy pillow or small towel roll under the chest is encouraged and an appropriate step toward developing strong healthy balanced muscles, full neck range of motion and a nice round head. Most babies fatigue quickly when first introduced to tummy time, and they let us know by showing discomfort and eventually crying. In the tummy time position, in order for a baby to see their environment, they have to actively lift up their head, using their neck extensor muscles. These muscles, along with other muscles responsible for helping a baby push their body up off the mat and eventually start crawling, are only strengthened when the baby is in the prone position. The more practice you give your baby, several times a day, the stronger these muscles get, and the sooner you will see your baby progress through developmental milestones.Alternate Your Baby’s Head Positions

When putting your baby down to sleep on his/her back, make sure to alternate the position of his/her head on a regular basis, to prevent any flattening on the back of the head. Because a baby’s head is so malleable up until about 12 months of age, any prolonged contact with any surface: crib, car seat or stroller can be enough to eventually cause the point of contact to deform, or flatten.Make Sure Your Baby is Looking AroundWhen holding your baby in an ‘upright’ position (head up), be sure to engage him/her to look as far as he/she can look over both shoulders. This will ensure healthy development of neck range of motion and minimize any favoring which can lead to other complications.

Physical Therapy Solutions
-Developmental delays (muscle weakness or tightness, causing child to be behind with gross motor skills such as sitting, crawling, walking)

-Gross motor delays seen in premature infants and multiple births (twins, triplets)

-Congenital head & neck challenges such as torticollis, plagiocephaly, and brachycephaly

-Soft tissue injuries, joint sprains/ strains or surgical repair as a result of an injury or motor vehicle accident

 -Juvenile rheumatoid arthritis in the ankle, knee or hip, making it difficult to develop and maintain normal walking patterns and stair negotiation

Specialized services also include parent education and instruction on home programs of positioning and exercise. Lastly, Physical Therapy Solutions offers community lectures and trainings by phone conferencing or in person, open to parents, caregivers, and the staff of baby centered businesses.

Yvette Flores is the CEO and owner of Physical Therapy Solutions. Yvette is a California-licensed Doctor of Physical Therapy who received her B.S. degree in Physiological Science from UCLA in 1996 and then went on to receive her Doctorate degree in Physical Therapy in 2002 from USC, rated the #1 Physical Therapy School in the nation by U.S. News & World Report. Yvette has been specializing in infant & toddler care for the past seven years and has been an active community lecturer and educator on various infant/ toddler topics over the past three years. She has written various newsletters and articles and works closely with Pediatric specialists such as Dr. John Graham Jr. of Cedar Sinai.

 is a privately owned physical therapy clinic in Santa Monica California. PT Solutions offers specialized services for children ages birth to three. Specialized services include: Gross Motor Skills evaluation and treatment for Musculoskeletal Challenges such as:

 

 

November 23, 2009. Tags: , , , , . Early Head Start, FYI's for New Parents. 2 comments.