Developmental Delays- Will My Child Grow Out Of It?

Rebecca floor time with patientIt is such a beautiful and amazing experience observing your child grow and develop from infancy. The first time they smile, reach out for you, turn his/her head, each moment is a huge accomplishment! It is important to know that your child’s development is not a race. Each of these experiences has a huge impact on your child’s development of their nervous system and understanding of themselves, others, and their environment. Trying to rush your child through development interferes with their opportunity to fully connect their nervous system and body with his/her environment. The challenge is knowing when something is not quite right with your child’s development.

Most of the time your intuition is correct! You sense something is not quite right… BUT when you ask your pediatrician you can get the response of, “Don’t worry, they will grow out of it” or “They will catch up”.

Here are a list of “red flags” to look out for in relation to your child’s development:

  • Motor Patterns
    • Reaching each motor milestone later than recommended
    • Quickly transitioning from crawling to standing to walking
    • Skipping crawling
    • Displaying increased crying and avoidance during tummy time
    • Awkward or asymmetrical body movements (i.e. his/her leg stretched out during crawling)
    • Difficulty with running, jumping, climbing, catching and/or throwing
    • Difficulty isolating fingers to grasp and release objects
    • Limited fine motor skills to manage dressing fasteners, color, write, and/or cut
  • Social/Play Interactions
    • Appearing very blunted in his/her affect
    • Not reacting to your facial expressions and/or verbal interactions
    • Exhibiting delayed vocalizations and/or talking
    • Avoiding play/interactions with peers
    • Difficulties sharing or taking turn with others
  • Sensory Experiences
    • Avoiding movements- becomes distressed when head is tilt backwards, avoids playground equipment, etc.
    • Appearing clumsy or uncoordinated
    • Avoiding textures/tactile input- includes food, type of clothing or fabrics, messy play, etc.
    • Becoming distressed by loud, unexpected noises and/or everyday sounds (toilet flushing, vacuum cleaner, hair dryer, etc.)
    • Always appearing to be on the go, difficulty remaining seated, always seeking movement
    • Appearing very distracted when there are numerous things to look at
    • Bumping into walls or others without noticing

If you identify 1 or more of these delays in your child’s development, then occupational therapy can help! My Kids Therapy is an outpatient pediatric occupational therapy practice that offers a whole-person approach to therapy focused on promoting the growth and development of your child within his/her family.

Please contact us with any questions regarding developmental delays or to schedule an initial evaluation: 410-451-5700 or info@MyKidsTherapyMD.com

Get On That Belly!

tummy-time

One of the things that we are sure every parent of a new-born baby hears from several sources repeatedly is encourage tummy time, encourage tummy time, encourage tummy time! That is great, but not everyone really understands the reasons tummy time is so important. Without a doubt, tummy time is crucial and essential to a baby’s motor and postural development, as well as development of sensory processing skills.

Benefits of Tummy Time:

  • Provides a break from the baby’s typical supine positioning which occurs while sleeping and laying in carriers.
  • Prevents development of acquired Torticollis (abnormal or asymmetrical neck positioning due to tightness in unilateral neck muscles)
  • Increases head and neck control against gravity
  • Increases back strength
  • Increases arm and shoulder strength and stability
  • Facilitates understanding of movement (vestibular processing) as the baby experiences and learns movement of the head and body against gravity.

For motor development, establishing postural control of the head, neck, and back establishes the foundation for development of later motor milestones. This includes rolling over, crawling, pulling to stand, and walking. Motor delays can often occur if a baby does not receive sufficient amount of tummy time throughout his/her daily routine. As far as sensory processing is concerned, tummy time provides opportunities to develop vestibular processing, which is essential for the development of protective responses, body awareness, postural stability, balance, and self-soothing skills needed throughout life.

Recommendations for Tummy Time:

  • Initiate when your baby is awake/alert
  • Never leave your baby unattended during tummy time
  • Implement tummy time 2 to 3 times per day throughout your daily routine.
  • Encourage tummy time position for several minutes, increase duration of time as your baby begins to tolerate and enjoy it
  • Utilize talking, animated facial expressions, singing, and playing with toys to encourage longer tummy time sessions
  • Trial different semi-inclined positions to introduce tummy positioning. This includes:
    • Positioning your baby’s tummy on your chest, belly, lap, or on your thighs with your knees bent. Start with your body in an upright seated position and slowly lower to laying on your back on a flat surface.
    • Placing a towel roll or small playmat cushion under your baby’s chest

Difficulties with initiation of tummy time may contributed by digestive issues, colic, limited, strength, and/or poor postural control. DO NOT AVOID TUMMY TIME! If your baby consistently cries and avoids tummy time, we recommend scheduling an evaluation session with My Kids Therapy for consultation with one of our highly trained occupational therapists. Contact us at (410) 451-5700 or visit our website www.mykidstherapymd.com