Guest guest Posted May 20, 2000 Report Share Posted May 20, 2000 Quinn just turned 6 months old today. His plagiocephally is more describe as " sagittal plagiocephaly " for he has a long and narrow head shape, and his neck juts out past his neck. One of the things that I've noticed that I do not know about is the way he holds his head when he stands (assisted, of course) or sits (assisted, of course).... If you are at all familiar with the pictures in the files section, when he lays down on his back his head is longer in the back and tends to " push " in his chin towards his chest. What I've noticed is that his neck tends to do this in sitting and standing positions, too, though he CAN look up and straight out, he does not unless prompted (toy, snap, calling his name, etc.) BUT, is this developmental, am I just expecting too much from a 5 month old? He rolls over both ways, extends fully on his arms when on his tummy. Could his neck muscles just be used to being in that position? Or are they just not strong enough yet?? Sorry to ask so many questions.... any comments would really be appreciated! Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2000 Report Share Posted May 20, 2000 It sounds like both muscles in his neck are involved, Sternomastoid (sp). My daughter has tort on her left side, causing her to tilt her head to the left and to have her rotated right. I was asking my PT about why she can straighten up when she is looking down when I hold her in a standing position. He said that there head falls into alignment with their body because when the head is looking down the sternomastoid muscles are not being used. This would indicate that you child needs PT on both muscles to lenghten/stretch them out. You can do this by placing a rolled up towel under his head when he is on his back and having him look up to extend his neck (the hard part). When you see a tiny thread like vain (but its a muscle) show up on his neck (you'll have one on the left and one on the right), place your thumb and pointer finger around it and pinch slightly while going up and down the muscle. Don't forget to do both sides. Also, while his head is extended up if he turns slightly to the right his left sterno muscle will be more noticable and vise versa. Hope this help. Let me know. > Quinn just turned 6 months old today. His plagiocephally is more describe > as " sagittal plagiocephaly " for he has a long and narrow head shape, and his > neck juts out past his neck. > > One of the things that I've noticed that I do not know about is the way he > holds his head when he stands (assisted, of course) or sits (assisted, of > course).... > > If you are at all familiar with the pictures in the files section, when he > lays down on his back his head is longer in the back and tends to " push " in > his chin towards his chest. > > What I've noticed is that his neck tends to do this in sitting and standing > positions, too, though he CAN look up and straight out, he does not unless > prompted (toy, snap, calling his name, etc.) > > BUT, is this developmental, am I just expecting too much from a 5 month old? > He rolls over both ways, extends fully on his arms when on his tummy. > > Could his neck muscles just be used to being in that position? Or are they > just not strong enough yet?? > > Sorry to ask so many questions.... any comments would really be appreciated! > > Thanks! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2010 Report Share Posted January 28, 2010 There is a link, but it's nothing to be overly concerned about as far as I am aware. If there is a decently bad case of tortocollis in the mix (tort and plagio tend to go hand in hand) there can be developmental delays when looking at gross motor skills. PT will resolve tort, and will also help with meeting milestones, like rolling over, crawling and walking. Tort has also been linked to minor speech delays due to weakened muscles on 1/2 the jaw. There's nothing I've come across that indicates there is a link between plagio and a developmental delays in any serious fashion. Everything I've found or experienced comes back to tort, and can be over come with time and therapy. Most kids with plagio and mild-moderate tort don't experience any kind of delay at all. Personal experience, Elaine was behind her sister in gross motor skills by a min of a month. She was unable to sit unassisted until after 7months, never really rolled, didn't start to crawl until 9months and didn't walk until 13 months. Pretty much all of it I can relay directly back to her severe plagio and very tight/weak right side of her body, though you wouldn't know it now. At this point I haven't noticed much delay with speech. In general she is much harder to understand than her twin, but nothing at this point seems to be outside the norm. Hope this helps.Elaine (twin A), plagio & tort, graduated 06/09On Thu, Jan 28, 2010 at 6:35 AM, itsthreeforme <j_b_dickens@...> wrote: Hi...I am new to the board and am in the process of getting my son on the path to starting a DOC band. I am sure I will have numerous questions along the road, but one has been plaguing me lately, so I thought those with experience might be able to answer. I have read about a linkage between plagio and developmental delays and wondered what your experiences have been. I have been so sensitive with everything with this little guy so I thought some unbiased perspectives would be helpful. Thanks in advance for reading and your comments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2010 Report Share Posted January 28, 2010 has no known developmental delays. He is at least on track. His plagio was visually moderate. has always been developmentally advanced in many areas. No delays. He does have minor sensory integration issues. My guess is there is some connection with the SID and the otherwise advanced development. 's plagio is very mild and mostly untreated. Perhaps children with developmental delays spend more time on their backs and are more likely to develop plagio. Also, maybe they are more likely to have neck issues. -Kathy, mom to 20 months, 5 years itsthreeforme wrote: Hi...I am new to the board and am in the process of getting my son on the path to starting a DOC band. I am sure I will have numerous questions along the road, but one has been plaguing me lately, so I thought those with experience might be able to answer. I have read about a linkage between plagio and developmental delays and wondered what your experiences have been. I have been so sensitive with everything with this little guy so I thought some unbiased perspectives would be helpful. Thanks in advance for reading and your comments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2010 Report Share Posted January 28, 2010 I think if there are delays it is related to the tort and or lack of tummy time etc. more than plagio itself . My son is 8 mos and he is a bit delayed with motor skills, but I think it is mostly due to his personality, he has always been very content to sit and observe rather than try to move, and has always hated tummy time, and loves to sleep! he is much better now though , the PT says that tort makes it very difficult for them to do the tummy time so its no wonder he hated it. and she thinks his delay issues are from the tort and the lack of muscle tone. But hes developing normally just a tad behind. Its seems like more to me though becaaue my older son was always very advanced and walked at 9 mos, he could never sit still, they are just polar opposites. So anyway, I would not worry about plagio causing delays, but rather tort or any lack of muscle tone that might cause delays. le 8 mos From: itsthreeforme <j_b_dickens@...>Subject: Developmental QuestionPlagiocephaly Date: Thursday, January 28, 2010, 3:35 AM Hi...I am new to the board and am in the process of getting my son on the path to starting a DOC band. I am sure I will have numerous questions along the road, but one has been plaguing me lately, so I thought those with experience might be able to answer.I have read about a linkage between plagio and developmental delays and wondered what your experiences have been. I have been so sensitive with everything with this little guy so I thought some unbiased perspectives would be helpful.Thanks in advance for reading and your comments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2010 Report Share Posted January 29, 2010 I agree that delays can result from tort or not having enough tummy time. Tummy time is important for neck strength, and upper body strength. If they don't tolerate it try getting on the floor with the baby, using a colorful mat or blanket etc. My daughter didn't love tummy time, but she was naturally very strong, so all her milestones were on time or early. -christine sydney, 4 yrs, starband grad > > > From: itsthreeforme <j_b_dickens@...> > Subject: Developmental Question > Plagiocephaly > Date: Thursday, January 28, 2010, 3:35 AM > > > Â > > > > Hi...I am new to the board and am in the process of getting my son on the path to starting a DOC band. I am sure I will have numerous questions along the road, but one has been plaguing me lately, so I thought those with experience might be able to answer. > > I have read about a linkage between plagio and developmental delays and wondered what your experiences have been. I have been so sensitive with everything with this little guy so I thought some unbiased perspectives would be helpful. > > Thanks in advance for reading and your comments. > Quote Link to comment Share on other sites More sharing options...
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