Swaddling

Swaddling your newborn is a common practice that may provide comfort to your infant. It is important to remember that care must be taken to ensure healthy hip development.

Your baby’s legs should be able to bend up and out at the hips. They should not be tightly wrapped straight down and pressed together.

This position places the hip joints in a vulnerable positioning and may lead to damage of the soft cartilage of the socket.

If you choose to use a sleepsack specifically designed for swaddling, please ensure it has a loose pouch/sack for your baby’s legs and feet.

Developmental Dysplasia of the Hips

Developmental Dysplasia of the Hips, or DDH, is a condition that affects the head of the femur (thigh bone) as it develops in the hip joint (acetabulum). DDH affects ~1 in 1000 babies, is more common in girls, babies who are breech, and those with a family history of DDH. 

Symptoms of DDH can vary, with some young babies showing no symptoms all. An ultrasound of the hip joint is often used to diagnose DDH.

Symptoms may include: 

• Hearing or feeling a "clunk" when moving the hips, during a diaper change for example

• Difficulty moving the thigh outward at the hip (hip abduction)

• Leg length discrepancy; the affected leg may appear shorter than the other

• Asymmetrical (uneven) fat fold (rolls) around the groin or buttocks 

• Limping or changes in gait in older children

•   A curve in the spine in older children

When detected early, DDH can be effectively treated with the Pavlik Harness, and less than 1% of children affected may require surgery. 

If your child has any of the above risk factors for DDH, or you have concerns with how your child’s hips move or feel, speak with your doctor.

For more information on DDH, visit:

https://www.aboutkidshealth.ca/Article?contentid=944&language=English

Car Safety

Buckle up, let’s talk about car seats and how to keep our most precious cargo safe!

We know that using a child safety seat properly can reduce the risk of injury or death in a car accident by 75%. Here are a few key factors in car seat safety to consider:

• Children under 1 year of age and less than 22lbs must be in a rear facing car seat

• Don’t rush to turn your child forward! Rear facing is the safest position in the car for children and toddlers, and some car seats allow for children up to 50lbs to remain rear facing. Check your car seat manual for more information. 

• Children over the age of 4 and at least 40lbs may be ready to use a booster seat and the car’s lap-shoulder belt. BUT it’s okay (and safer) to keep them in a child seat if they meet the manufacturer's allowed height and weight. 

• Children should continue to use a booster seat until they are at least 145 cm (4’ 9”) tall or 8 years of age, BUT do not use your car’s regular seat belt until it fits your child correctly. Regulations for use of booster seats vary by region so check your local legislation to be sure. 

•  All children younger than 13 years of age should ride in the back seat of the car. 

• Car seats need to be properly installed, and straps and belts used correctly, to be effective. 

Studies have shown that up to 90% of car seats are improperly installed!

When in doubt, consult a certified car seat technician. In the Halton area, check out www.hpcss.ca 

and 

https://www.haltonpolice.ca/services/safetysecurity/childseats.php for more information. 

More Car Seat Safety information is available at:  https://www.caringforkids.cps.ca/handouts/car_seat_safety 

Also check your provincial/state websites for local regulations. 

Disclaimer: We are not certified car seat technicians, and this information is not intended to replace manufacturers’ recommendations or that of a professional car seat expert. 

Toe-Walking

While it can be FUN to walk on tip toes during play, some children walk up on their toes all of the time. This pattern normally disappears within a few months of learning to walk, however if it persists past a child's third year, there may be a need for therapeutic intervention.

A physiotherapist can address any muscle tightness, joint stiffness, and muscle weakness that may be caused by toe walking through a FUN exercise program to prevent further impact on gross motor development.

If you are concerned, please contact us for an initial assessment, regardless of your child's age: info@fundamentalspt.com or through our website.

Side Sitting

Side sitting is one of our favourite seated positions, not only for infants, but children (and adults) of all ages! What is so great about side-sitting, you may ask? ⁣⁣

• It encourages a more upright posture than cross-legged or ring sitting⁣⁣

• It is an important developmental position for transitions (i.e. for a baby to get from sitting to 4-point)⁣⁣

• It optimizes hip mobility without putting the joint at risk⁣⁣

• It engages the core and trunk muscles ⁣⁣

• Facilitates cross-body movements ⁣⁣

⁣Perhaps the next time you and your child sit on the floor you might try this one out! Just remember to practice both sides to prevent any asymmetries.⁣⁣

Hands to feet

Around 3 months of age you will likely notice that your baby discovers their feet! Little ones love to explore their feet with their hands (and sometimes mouth), which is so cute to watch, but also a FUNdamental skill. Hands to feet:

• Encourages cross-body exploration when the opposite hand reaches the foot

• Provides early opportunities at grasping

• Engages the core to keep the legs up against gravity

• Stretches out your baby's hamstrings

• May initiate rolling from back to side or tummy

If you have any questions or concerns about your baby's gross motor development please reach out to info@fundamentalspt.com or through our website to book an appointment!

The Importance of Climbing

Not only is climbing really FUN, it is also a powerhouse FUNdamental skill for kids of all ages. Climbing improves upper and lower body strength, while also helping to build core strength which is essential for gross motor skill development, including co-ordination and balance. Visiting your local park or participating in a community gymnastics class is a way to encourage whole body strengthening through climbing.

Questions or concerns about your child’s gross motor development? Please book an appointment so that we can have FUN together!

Crawling

Crawling opens up a FUN new world for your little one and allows them to explore their surroundings. It also makes parents’ lives a lot busier! Crawling is a key FUNdamental milestone that helps to develop:

• Shoulder stability

• Hip strength

• Weight-shifting

• Pelvic mobility

• Trunk rotation

• Body awareness

• Interaction with the environment; optimizing social and cognitive development

Children typically start to crawl between 8-10 months. Is your child “bum scooting” or “commando” crawling? This can be perfectly normal, but sometimes these styles of crawling can indicate weakness or a delay in motor skill development. Crawling on hands and knees is key milestone in development and we always want little ones to master this movement, even if they have jumped ahead to other skills like cruising or walking.

If you have any questions or concerns about your baby’s gross motor development, please reach out to info@fundamentalspt.com or through out website. to book an appointment.

Tummy Time

Placing your baby on their tummy while they are awake and supervised is FUNdamental to their healthy development. Tummy time helps to develop core, upper extremity strength, and neck control, which are the foundation for rolling, crawling, sitting, and walking.

Here are some tips to help make tummy time enjoyable for you and your baby:

• You can start with just a few minutes of tummy time several times a day – for example after each diaper change. Work up to longer stretches as your baby feels more comfortable.

• Give your baby lots to see and look at while on their tummy; toys, a mirror, you!

• A roll placed under your baby’s chest can help them to feel more supported and comfortable when starting tummy time.

• Help your baby to get into a better position on their tummy by gently placing their hands under their shoulders

• Having your baby lie on a caregiver’s chest, either when sitting in a chair or lying down, is a great way to make your baby feel more comfortable on their tummy.

If you have any questions or concerns about your baby’s gross motor development, please contact us at info@fundamentals.ca or through our website.

Benefits of In-Home Physiotherapy

 Let us come to you! Why do we believe that in-home physiotherapy works well for children? 

• It is more fun! Children are most comfortable and relaxed in their home environment which makes the sessions more enjoyable and productive for everyone.

• It is practical! A big part of paediatric therapy is teaching family practical exercises and strategies to help your child reach their goals.  In your home, we can teach you the play-based exercises in your space AND with your toys/equipment, to help improve carry-over and optimal outcomes.

• It is feasible! Don’t want to bundle up your newborn and cart them out to a busy clinic? Perfect - we are happy to come to you! 

Want to  have some FUN with us?  Schedule an appointment today!