New Year, New Goals!

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We all look forward to setting new goals and New Year’s Resolutions, and getting healthy is usually at the top of that list! What about our kiddos?

Research shows that 16-33% of children are obese. Obese youth are more likely to have risk factors for cardiovascular disease, such as high cholesterol or high blood pressure and pre-diabetes. Children and adolescents who are obese are at greater risk for bone and joint problems, sleep apnea, and social and psychological problems such as stigmatization and poor self-esteem.

These are sad and disheartening statistics.

What can we do to help? Encourage your children to exercise! Children need 60 or more minutes of aerobic physical activity each day; strengthening and bone strengthening activities at least 3 days/week.

Examples: running, biking, jump rope, push-ups, etc.

Some kids need more help.

My child was not the star athlete and it was hard for her to keep up with her peers. She didn’t have strength, endurance or confidence until starting Physical Therapy!
— Parent of 9-year-old girl

Below is a list of skills to be on the lookout for when you are helping your child stay healthy. If you checked yes on any of these items, your child may benefit from Physical Therapy Intervention.

Check List for Potential Need for Physical Therapy Intervention

  • Seems weak, low muscle tone. 
  • Difficulty catching him/herself if falling.
  • Frequently slumps, lies down, and/or leans head on hand or arm while working at his/her desk.   
  • Difficulty learning exercise or dance steps. Needs more practice learning skill than peers.
  • Fatigues easily.   
  • Difficulty following several steps for instructions for doing motor tasks.
  • Difficulty simultaneously lifting head, arms, and legs off the floor while lying on stomach (“superman” position).   
  • Has difficulty hopping, jumping, and skipping, going up/down stairs.
  • Often sits in a “W sit” position on the floor to stabilize body.
  • Reluctant to participate in sports - prefers sedentary activities.
  • May appear ambidextrous, frequently switching hands for coloring, cutting, writing, etc.; does not have an established hand preference/dominance by 4 or 5 years old.   
  • Clumsy, stiff, awkward, does not know how to move.
  • Compensates for “looseness” by grasping objects tightly.   
  • Tendency to confuse left-right orientations/body sides.
  • Falls frequently.   
  • Likes to spin in circles.
  • Difficulty getting dressed and doing fasteners, zippers, and buttons.
  • Avoids activities that challenge balance, has a fear of heights, poor balance during motor activities.
  • Difficulty throwing/catching/kicking, jumping, climbing.   
  • Bumps into furniture or people, knocks things over, trips, appears clumsy
  • Difficulty with holding pencils, handwriting, scissors, etc.   
  • Avoids playground activities.

The above items demonstrate possible areas of lack of strength, coordination, motor planning, balance, proprioceptive, and vestibular processing deficiencies. Physical Therapy will help address the underlying condition, and lay the framework for developmental success.

“The weekly Physical Therapy, as well as the daily home exercise program, have helped my son tremendously. The therapy exercises have been instrumental in correcting his issues with balance, increased his muscle strength and overall coordination, not to mention the incredible gains in his self-esteem.
— Parent of 10-year-old boy

Help your child get started being more healthy today! Call 214.856.4653 to schedule an appointment.

IT’S TUMMY TIME!

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We have all heard, "back to sleep, tummy to play," but how much of the tummy to play is really happening? We know that sleeping on the back is the best position for babies to reduce the risk of SIDS, however, are our babies getting enough playtime on their bellies? This supervised playtime also known as 'tummy time' is very important for gross motor and cognitive development. Often, families will shy away from 'tummy time' because their babies get frustrated in this position rather quickly.

Babies spend a large portion of their day on their backs whether they are sleeping, riding in car seats, playing in bouncy seats, or swings, etc. All of these apparatuses place the baby in the same position or, as we PTs call it, the “supine position.”

This position places stress/pressure on the back of the baby’s head and can lead to flat spots or Plagiocephaly. Recent estimates state that more than 1/2 the babies under 1 year of age will show some type of Plagiocephaly or flat spots. In addition, increased time in the supine position can potentially delay gross motor skills such as rolling, crawling, walking, etc.

In order for a baby to master rolling from their belly to back, they first need to learn to push up while on their stomach. Once this skill is mastered, they can move to rolling, then sitting, crawling, etc. If one of the early gross motor skills is delayed, it can delay others down the road.

Another important aspect of 'tummy time' for babies is that it helps them develop cognitive skills, otherwise known as thinking and reasoning skills. When the baby plays on their stomach, they are able to manipulate toys and play in their environment differently than they can while lying on their back. It gives them a different view or perspective of the world.

Parents often wonder how old their baby should be when doing 'tummy time.' Babies can start tummy time at day one. There are many different ways to do tummy time depending on their age and temperament.

Here are just some ideas of the varying ways tummy time can be performed:

  • Place baby on their belly on parent's chest
  • Place baby on their belly across parent's legs
  • Place baby on their belly on mat, blanket, etc.

While on their belly, place yourself or objects (toys with noise or that have a music component are a good choice) in direct field of vision of baby. Initially the baby will need help propping up and you will want to support them at the arms. You can fold a small towel or receiving blanket and place under the baby's chest to raise them up a bit. This may help them lift up. Or you can use a Boppy pillow or a specifically designed 'tummy time' play mat. These mats help raise the baby up so they can see and interact more. Recommendations: Usually start out for just a few minutes (maybe just 1 initially—this is hard work!). Gradually increase the time and frequency as the baby tolerates. Never leave the baby unsupervised.

Whichever way you decide to do tummy time is unique to each family. What works best for one baby may not work for another. Don't give up if your baby gets frustrated (most do), try again and/or try a different technique and they just might surprise you. They may even take a good nap for you after their work out!

Whether this is your first baby or even your tenth and you would like a little refresher on how to help your baby with this important developmental skill, Tummy Time, please call or email me at 214.856.4653 or DRSHELL@PLAYWITHAPURPOSETHERAPY.COM.

Enjoy those babies!!!

Check us out on www.playwithapurposetherapy.com for more ways to help foster your child’s development!

Shoe Talk…Shoe Talk...Shoe Talk…

Is it time to go shoe shopping? Proper foot support is necessary for correct spinal alignment, weight bearing to support bone growth, coordination, balance, and of course gait (a.k.a. walking).  If your kiddos are hounding you for new pair of speed racer cleats for football, a pair of light-up Star Wars shoes or even a pair of snazzy glass slippers here are a few things to remember…

First – Take a peek at their feet! No 2 feet are exactly the same!

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If your child has a flatfoot appearance or has high arches, frequently trips or falls, has challenges with balance/coordination, walks on toes or has awkward walking/running, he or she may be benefit from more foot support. Orthotics are devices placed inside the shoes with the purpose of restoring the natural foot function. During our orthotic evaluation we will look at how your child walks, runs, stands, and how his/her muscles and joints are working to ensure your child has a solid foundation to keep those feet moving.

Second – Hit the stores & get them measured for the correct size (don’t forget to measure for width). On average, a child will go up a half of a shoe size every 3 to 6 months.  A few of my favorite shops are Stride Rite, New Balance & Run On…although what you buy is much more important than where you shop!

Third – Pick out the proper shoe based on your child’s foot type!

Example: A child with a flat foot appearance will need more arch support in all activities whether running, walking, cycling, playing sports, climbing, etc.

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                                                                       Cute, not very supportive                  

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                                                    More arch & heel support for better alignment           

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                                                               Slips off easily, not ideal for play​

My best advice when deciding on which shoes to buy for the kiddos is simple…put the kids in closed toed tennis shoes that offer arch/heel support (laces are wonderful for extra support around the ankle & they can practice their fine motor skills). Children with ligamentous laxity may benefit from high top tennis shoes to promote less risk of injury for ankle sprains/strains. Summer is over so leave those crocs & flops by the pool!

If you have questions or would like for me to take a peek at your child’s feet, call Dr. Michelle McCarthy, DPT, at 214.856.4653 or email drshell@playwithapurposetherapy.com.                                                                                                                                                                                                      

Happy FEET & Happy KIDS!

Back to School, How Heavy is the Load?

 
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It is estimated that nearly 40 million U.S. students will carry a backpack this school year. With backpack use among children so widespread, how can parents ensure that their children stay safe and healthy while carrying their load? Just how heavy should your child's backpack be? How can you tell if your child's backpack is too heavy? Could carrying a heavy backpack cause health problems for your child?

How Heavy Should Your Child's Backpack Be: Why All the Concern?

Heavy backpacks can and do cause serious and sometimes lifelong injury to children. A recent survey of children who use backpacks by the Backpack Intelligence Program found startling results. Almost 3/4 of the students polled reported experiencing three or more of the warning signs that their backpack was too heavy.

How Heavy Should Your Child's Backpack Be: Signs Backpack is Too Heavy

Does your child complain of back pain? Does he walk bent over to try and carry the heavy load in his backpack? Could your child's backpack be too heavy?

Five Warning Signs developed from the Backpack Intelligence Program

  1. Struggling to put on or take off the backpack
  2. Pain when wearing the backpack
  3. Numbness or Tingling
  4. Red Marks
  5. Noticeable changes in Posture

*Shelley A. Goodgold, a physical therapist who developed the Backpack Intelligence Program to raise awareness of how backpacks can cause injuries in children, offers parents several signs they can look for to determine if their child's backpack is too heavy.

How Heavy Should Your Child's Backpack Be: Professional Weight Recommendations?

The American Academy of Orthopedic Surgeons has introduced some guidelines to help parents make sure their children avoid injury from carrying a backpack that is too heavy. A child's backpack should weigh no more than 15% of their total body weight. That means if your child weighs 100 pounds, their backpack should weigh no more than 15 pounds. If you have a question about whether or not your child's backpack is within safe weight limits, get out that bathroom scale and do the calculations.

Medical Problems Caused by Heavy Backpacks

Backpacks that are too heavy can cause a whole host of medical problems. During the many growth spurts of childhood and adolescence, bones and the tissues of the body are especially susceptible to injury. Carrying a backpack that is too heavy can cause a curvature of the spine, inflammation of growth cartilage (apophysitis), permanent changes to posture, compression injuries, nerve damage, stress fractures in the spine (spondylolysis), muscle fatigue, chronic low level trauma to the shoulders, neck and back and impaired shock absorption.

What Can Parents Do?

So what can parents do to help lighten their child's backpack load? Have your child use a backpack with two wide padded shoulder straps. Teach your child how to properly pack their backpack. Make sure your child knows and follows proper backpack carrying techniques. Parents can also have their child use a backpack with wheels. Parents should monitor and periodically weigh their child's backpack load. Talk with your child about how and why it's important to keep the weight in their backpack within safe limits.