Saturday, April 20, 2013

Hip Helpers

It has been a while since I have suggested "hip helpers" for a client, but this past week I am SO glad that I did! My 15-month old client has low muscle tone and is able to propel around only by scooting with one leg up as the other is rotated down to the floor along with one fist propping/pushing off. He has too much sensory sensitivity in his hands to crawl. As a result of this scooting position, he is having difficulties sitting with his legs in front, side-sit, ring sit, criss-cross sit, or standing; he appears to be in pain and have over stretched ligaments. He even sleeps with both hips externally rotated. This is where the help of the product "hip helper" came in. It is similar to lycra biking shorts, except for the seam is sewn between the legs in order for the legs to stay together. See the product at:

Hip Helpers Home

Wearing them helps align the childs hips. As an OT working on fine-motor skills and core strengthening with this client, this has allowed me to keep him aligned and balanced in sitting so that his arms are free to both manipulate a toy instead of one hand propping on the floor. Since we just started using them, I am hoping that each week this toddler will figure out where midline is and improve bilateral integration... and after that the sky is the limit!

Check out the site therapists/parents, because you might think this is for your little one!

Friday, February 8, 2013

Infant massage

As an occupational therapist who works with infants and toddlers, I have seen first hand how great infant massage can be! This article highlights this:

Infant massage: Understand this soothing therapy -

Seven years ago, I went through training to become a certified infant touch & massage instructor (CITMI). I did this so that I could teach parents of my clients how to massage their babies. Sometimes when a child has multiple disabilities and medical problems, there is minimal things that a parent can do to truly bond with their baby. When you teach those parents how to massage their infant and how to read the signs of their baby (respiration, state of arousal, emotion, etc), all of a sudden the parent seems to feel more competent as a parent that they could provide a source of enjoyment for this baby who has so many medical needs. Also, for some children it shows that touch doesn't have to mean pain. Medically fragile infants have been poked with needles and tubes so much that they may become aversive to touch if not exposed to a pleasurable touch as well.

For babies with development delays massage can be beneficial too. The massage can loosen tight muscles as well as stimulate floppy muscles. The massage can aid in "body in space" awareness which can then lead to the child achieving motor milestones such as rolling over to the tummy and back.

Massage can be just as important for typically developing infants, especially if they tend to have constipation or reflux. When I was going through the training, my daughter was 2 years old; she really enjoyed me practicing the various massage strokes on her arms, legs, and tummy. She would even come ly on my lap and say "saj me mama"... a great measure of bonding and success!