Little Brother’s physical therapy begins!

Little Brother met his physical therapist today.  She said that kids with any kind of vision impairment have a hard time moving initially, so we will need to encourage movement in a variety of ways.   He has high-tone and tends to favor his left side for rolling, turning his head and holding things.  It also happens that his left eye is currently dominant.  We are trying to get him to use his eyes equally.  Physical activity (especially arms, legs & rolling) will be connected to his visual therapy progress.

But this was physical therapy and I thought I’d share the notes – they are interesting and might help someone out there.

Here’s the notes from our session:

limit standing: he will want to stand, but play with him other ways (also limit exersaucer); she strongly felt that standing and walking will be very easy for him, but that we need to focus on the earlier milestones first.

 

getting to sit: roll Little Brother to side first, then place hand on his hip, press down toward the floor and toward his knees/toes, while using other hand on his arm to help him pull up.  Eventually he should engage these muscles.

 

Watch for hand to come up, pushing on arm and trunk righting. Be sure to do left & right sides.

elbow should always be in front of his shoulder

 

The Moro reflex is an infantile reflex normally present in all infants/newborns up to 4 or 5 months of age as a response to a sudden loss of support, when the infant feels as if it is falling. It involves three distinct components:

  1. spreading out the arms (abduction)
  2. unspreading the arms (adduction)
  3. crying (usually)

 

Moro: when Little Brother arches, allow him to arch; then slowly bring him into a tucked position, including head and arms

 

rolling: roll across floor or bed 2-3 times left & right

 

help Little Brother to back:

helping him put head down & turn

have him track object with eyes to shift his weight

help him at his pelvis

work going to left side first

chin tucking

 

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