SusanPEDPT
60 posts
Jan 22, 2009
4:28 PM
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Question about how I choose treatment for child w/ torticollis also applies to all the children I see.
Here's how I look at the children every visit, just to give you an overview:
First I check all the motions on the list and rank. Do this every visit and always recheck to be sure still an issue after each release. (EG:Don't assume the leg lift is still limited after you do a twist )
The way I'm doing side bend now is as follows:
hold under armpits and keep shoulders parallel to floor.
move head and shoulders to left while rocking child onto left buttock - this measures how much they can elongate on the left side (or side bend to the right - which is the side that is shortening.
Compare with the same motion to the right = left side bend.
Next I rank all motions and zero in on the top 2 or 3 for intensive Rx. Also I am now holding most of the kids 2-3 minutes rather than 20-30 sec so that I get some nice lengthening as they go deeper into the position of ease.
You said you wanted to do MFR on the back. If I wanted to do MFR I'd only do it on the long side to make it longer still (the objective is to shorten the tight side as much as you can.
Every visit I recheck all motions. Sometimes the leg lift is balanced, sometimes it changes sides, but the twist always stays the same side. Also when in doubt as to side that's better in upper body, check lower body 1st and see which side the sacrum comes closer to perpendicular to the floor.
You mention
ed tightness in back where the thoracic spine is limited in motion on one side. Yes that is why we check the side bend. Also you may find the child goes deeper into the side bend with her trunk either flexed or extended a bit - go with the one that she relaxes better into.
For me Rx on subsequent vists is: check all motions, rank, pick top 3, treat, update home pgm for parent to follow which is 3 x day to do releases and also incorporate into how child held, identify what new available range is post treatment and give family suggestion for play activity to have the child actively move w/in that range.
Last Edited by on Jan 22, 2009 4:58 PM
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