Chapter 3: Counterpressure Strategies for Awake Time (Infant Repositioning for Plagiocephaly)
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- čas přidán 2. 08. 2024
- Are you worried your baby's head has a flat area on it? Have you noticed they always prefer to look or sleep with their head in one direction, or keep their head tilted to one side? This video series will teach you what to watch for in regards to plagiocephaly and torticollis, provide tips on how to start correcting the flat area using counterpressure, and offer suggestions on how to make tummy time easier. We will also discuss when and where to turn for additional help (see clinic links below).
Chapter 3 in this series will teach you how to use counterpressure during awake time to correct the flat area on your baby's head. These strategies can also be used to help prevent a flat area.
If you are in the Calgary, Alberta, area and feel your baby would benefit from an assessment with a physiotherapist specializing in plagiocephaly, torticollis, and repositioning, appointments are available at the following clinics:
milestonesphysio.ca/
lakeviewphysio.ca/
calgaryyouthphysio.com/
www.vidahealth.ca/
Lori Walker Krause, BSc.P.T., MCPA is a registered physiotherapist with over 17 years of experience treating infants with plagiocephaly, torticollis and a wide variety of developmental delays. For full bio and to book with Lori visit milestonesphysio.ca/
To everyone considering helmet please check sleep curve mattress for ur baby before going to helmets. Or you can just put ur baby in the position same as curve mattresses if u cant afford one
You mention this for those that have flatness on the side if it’s on the back of the head do we spilt side play 50/50?
yes, if it's symmetrical on the back of the head
Hi! My baby is 3 mos old and has torticollis and plagiocephaly. I took her for an OT eval where they told me to do as much tummy time as possible along with some stretches. Would you prioritize counterpressure over tummy time during her wake windows?
Hi, yes, I actually would, if necessary. I do a play circuit of tummy time, followed by supported side-lying for counter-pressure, followed by play on the back but still encouraging the head turning away from the flat spot. Counter-pressure is what changes plagiocephaly, tummy time just prevents it from getting worse.
Hi, can this work for a 16 months old? My baby has a mild displacement, and when I brought it up to my pediatrician she said it was going to fix itself as my baby grows. It did get better but its still there. Please help me.
Unfortunately, at that age, it is very difficult to change head shape, even with a helmet. As the head grows you should notice it less over time, particularly if it only affects one quadrant of the head (ie. just one side on the back or just the very middle of the back of the head).
My baby is 5 months old and has moderate plagiocephaly, can this work in him?
Did anything help for you?
7month baby applied this exersice ???than flat head be normal???
It is very hard to correct head shape at 7 months of age with repositioning and counterpressure alone, as they are generally not willing to be propped on their side to play. They are generally not sleeping in one position either, which is a good thing in terms of the head shape not likely getting worse. If you are concerned, I would book an assessment with your local pediatric physiotherapist.
Do you have any idea whether head shaping pillows help with plagiocephaly after 6 months. I’ve bought one for his pram, play gym and his bed. I am doing everything I can since 3 months he’s now 7 months and only a slight improvement.
Unfortunately, I have not seen the pillows be very effective. Ideally, at 7 months old, he should be on his head very little when awake, spreading his time between sitting and tummy time with brief periods on his back. At this age, most babies will not enjoy laying on their back for long, especially if they are sitting. If you are worried, definitely seek an assessment with a pediatric physiotherapist in your area.
Until what age of the baby can be corrected plagiocephaly?
Repositioning is most effective until 5-5.5 months or the baby is rolling consistently. After that, helmets are more effective (if the flat spot warrants it) and they can be started up to 9 months of age (after that even the helmets are much less effective).
My baby will be 3 months soon. She has plagiocephaly on her left side n flatness on the back. I'm repositioning her but it seems like the rest of head is also getting flatter n overall it seems elongated. Please suggest me what position should i put her so that the upper coner of her head moves to back of her head to make it round
Have frequent tummy time. Very important for strength and muscle control
Thanks 👍🏻
We did this but it did not worked for us. Sadly my son’s head still flat now that he is 1yr old. We started doing this around 3.5months. Sadly the place i am with they dont recommend helmet. They keep saying it will resolve on its own. But that is case to case basis, i guess. Repositioning, counter pressure and so fort didnt work.
Us parents should be given an option whether we want to go for a helmet or not.
I'm sorry that was your experience. Helmets should definitely be an option if the head shape is still concerning after 5.5 months.
How is your baby doing now?
Hi, my baby is 3 and half month and has a plagiocephaly on his right side, I have been applying counter pressure and holding him most of the time and it feels like his plagiocephaly turned now to bracheocephaly 10 days later!! I don't know if that means it starting to work or if I made it worse 😢
@floral hirra me from the future, believe me when I say it rounds out eventually! My son is now 19 months and nothing is wrong with his head so don't worry x
Hi Amira .. when you say it rounds out eventually, is it after counter pressure? Or shall I just let my child be without any such counter pressure handling? I am really worried. Please reply. He has just turned 3 months with right side flat head.
@@amirash8127 thanks Amira..did ur son have mild or moderate. My baby has moderate plagiocephaly
Hey there. Is there an update to how your baby's head is now?
Give baby lots of tummy time. 40 years ago, when doctors recommended tummy sleeping, flat head rare to none. None of my babies suffered with this condition, and held their head by one month.
My baby has a plagiocephaly on his left side. So what good position to my baby when he sleep?
Try and encourage him to have his head to the right as much as possible. When he is awake and you are watching him, you can prop him on his right side to play.