Torticollis (Right Side)

Torticollis (Right side gaze, Left Side Weakness and Tightness)

Each day that the child does not have therapy, choose 1-3 exercises that I have described below for 20 minutes. You can break this up in two parts throughout your day. The stretches are important, but repositioning is going to be instrumental in addressing the torticollis and plagiocephaly conservatively (without a helmet).

Reminders

Hold each stretch for up to 3 minutes but start slow. Stretches should never be painful.

Select a handful of items/ toys he sees only during these 20 minute sessions to make them even more desirable and effective reinforcements.

Rocking, singing, looking in the mirror, and soothing noises help to babies tolerate the stretches.

Limit “container” use to no more than 2 waking hours. Anything that holds the baby other than a human is considered a container. The goal is to get the child to move freely on the floor or flat surface as much as possible.

Do not attempt to reposition at night. Restorative sleep is important for everyone involved.

Repositioning

Give him equal time in side-lying on his left side, tummy time and even his back

Use a rolled up towel to help him stay on his left side during side-lying.

Do the “Texas Tornado” roll using feet and ankles to stimulate the rolling movement in both directions.

Do “tummy time” in any position he will tolerate such as on your chest or on an inclined surface

Feed him in a way that he has to turn to the right to eat.

Move things in his environment to encourage right side movement, leaving no space unturned: living room, bedroom, car, floor time, etc.

Since he is with you while you are working from home, move him in a way that he has to turn to his right to look at you.

During floor time, position toys to his right side, and a little “upward” to encourage neck extension and rotation.

Standing Anterior Neck Stretch 1

Hold the child with one hand under his chest, fingers spread a little to support him. Cup his chin with your opposite hand, keeping his gaze straightforward.

Standing Anterior Neck Stretch 2

Hug the child underneath with one hand, and your opposite hand cupping his chin. Maintain his straightforward gaze. Doing this in front of a mirror is helpful.

Standing Lateral Flexion Stretch

Tilt the child to the right, placing your left hand over his abdomen, and your right hand with fingertips resting at his temples. Gently pull your fingertips in opposite directions. This one might be the most difficult for him, so try doing one of the others first, followed by this one, and then back to one that is easier.

Standing Rotation Stretch

Sit the child facing away, with your right hand cupping his left thigh, and the your left hand fingertips pushing his lower left jaw to the right. This is also helpful in a mirror where he can see himself.

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