Restarting Torticollis Exercises & Chiropractic

So a year has passed since Kellyn was first diagnosed with torticollis. I mentioned previously that her PT was pleased with her improvement and gave us the OK to stop doing her torticollis exercises at home. However, I'm still not entirely satisfied with Kellyn's head positioning. I notice that she has a habit of slightly tilting her head on a regular basis. In addition, I have noticed her restarting her bad habit of curving her body into a c-shape. For the amount of time and energy poured into her treatment, I would have thought her head tilt and trunk curvature would have been entirely eliminated. Therefore, I decided to start doing her torticollis exercises with her again. I dedicate about ten minutes each morning to her exercises. Now that she's a very active and mobile toddler, its a lot more difficult to get her to cooperate with the exercises. I basically get her distracted with TV and run through our little torticollis exercise routine.

This slight right tilt is Kellyn's normal. It's obviously very mild, but enough for me to notice.

Torticollis Clinic Discharge

Kellyn had her third appointment with the torticollis clinic at Children's National Medical Center today.  And the physical therapist and nurse observed Kellyn's head positioning while walking around.  They also tested her neck strength and range of motion.  They thought she looked great and that she could be discharged from their clinic.  And the best news of all is that I no longer need to do her torticollis exercises.  Praise the Lord!  I will gladly welcome back the extra twenty minutes into our day that was previously consumed by these exercises.

Happy to spend more time playing instead of doing her dreaded torticollis exercises

Discharged from Outpatient PT

Yesterday was one of Kellyn’s outpatient physical therapy re-evaluations for her torticollis. The physical therapist officially discharged Kellyn from the program! After about five months of outpatient physical therapy, we are finally done. All the hard work is finally paying off. I’m so excited, relieved, and thankful.

Hat's off to Kellyn for getting discharged from outpatient physical therapy!

Range of Motion Exercise #3

Due to Kellyn's right torticollis, she has limited range of motion turning her head towards her right side.  This exercise will help increase her range of motion looking towards her right.  I like this exercise because I could sometimes get away with Kellyn not even realizing we're doing a torticollis exercise.   When babies are young, they often get pretty captivated by an interesting toy.  And since young babies are often too young to crawl, they can be pretty content just staying in one place and looking at something interesting.  Unfortunately, by the time your baby is mobile, this exercise may become near impossible to do since baby is unlikely to stay in one place for you.  I am including both a video demonstration and a written explanation of this exercise.

Video Tutorial:

Supported Crawling Position #2

I'm anxious for my daughter to start crawling in hopes that her torticollis will improve.  Other parents have reported that achieving this skill has made a difference in their child's torticollis.  Anyways, this is a pretty simple exercise that will allow your baby to become more comfortable being on the hands and knees crawling position.  It will also allow your baby to partially balance her body weight with one hand just like she would during crawling.  In the space below, I have included both a video tutorial and written instructions detailing this exercise.

Video Tutorial:

New Torticollis Exercises

I just wanted to do a post on some of the new torticollis exercises we learned for Kellyn at our most recent appointment at the torticollis clinic at Children's National Medical Center. Please note that my daughter has right torticollis. Since her torticollis is mainly attributed to her lack of neck strength on her left side, they are having us focus more on neck strengthening exercises.  I'm so thankful that they provided me with some new ideas, since Kellyn (almost twelve months) has outgrown many of her previously learned exercises.

I'm impressed with how her head righting has improved so much since the beginning of treatment.

Side Lying Stretch

I started doing this torticollis exercise once my daughter became too mobile and wiggly for the side lying stretch using the Boppy pillow . This version of the neck stretch seems to work much better for her now.  Below is my video demo of this torticollis stretch. I have also included step-by-step written directions for this exercise.  Please note this stretch is designed for the right sided torticollis.

Video Tutorial:

Strengthening Exercise for Torticollis

With my daughter's right torticollis, the right side neck muscles are tighter and stronger than the left side.  In addition to stretching the right side of her neck, we also do exercises to strengthen her left side. Both types of exercises are important in helping to lessen her torticollis.  The exercise below works to strengthen her weak, left side neck muscles by forcing her to work against gravity.  I have included a brief video tutorial AND written instructions in the space below.

Video Tutorial:

Side Lay-to-Sit Strengthening

This torticollis exercise is a great two-for-one exercise.  Since Kellyn has right torticollis, it helps her strengthen her weak left side neck muscles by working against gravity.  In addition, it helps her learn to more easily transition into different positions.  This will help her with her motor skill progression.  In this post, I will share both my video demo AND the written step-by-step instructions (with pictures) for this exercise.

Video Tutorial:

Torticollis Exercises on an Older Baby

I understand why most people say its ideal to catch torticollis before baby reaches four months old.  Torticollis treatment is often easier and faster, the earlier you catch it. My daughter is now eleven months and it is so much more difficult doing her torticollis stretches and exercises. She is very mobile and strong now and can easily wiggle out of many positions I attempt to put her in. The stretches are especially challenging, while the strengthening exercises are slightly easier to accomplish compared to the stretches.

Just realized one of her socks is missing. Whoops :)

Sitting to Crawling Position

As I mentioned before, babies' torticollis may improve once crawling becomes established.  That's why I spend time doing physical therapy exercises that encourage crawling.  This specific exercise will help my daughter become more comfortable moving from the sitting position to crawling position.  When babies first start crawling, they will often get into crawling position from the seated position.  So this exercise encourages that natural transition that babies will often make into crawling position.  I am including a video  and written directions (with pictures) below to demonstrate how I do this exercise with my daughter.

Video Tutorial:

Shoulder Stretch for Elevated Shoulder

Along with her right torticollis, my daughter often elevated her right shoulder.  This caused her torticollis to look a lot worse than it actually was.  Once I started doing this stretch with her regularly, I noticed that she did not raise her shoulder up as much or as frequently.  If your baby doesn't elevate her shoulder, then disregard this stretch. As you'll see below, I included a video tutorial and written instructions to show you how I do this stretch with my daughter.

Video Tutorial: 

Supported Crawling Position

You may be wondering, 'Why are you concerned about crawling? Shouldn't you be working on torticollis-specific exercises?'. By encouraging Kellyn to learn to crawl, I am indirectly treating her torticollis. Once she starts to crawl, she will hopefully be less likely to tilt her head. Before a baby crawls, she obviously needs to first be comfortable on all four's. This exercise focuses on becoming comfortable on hands and knees, which is a precursor to crawling. Below I have a video tutorial and written step-by-step instructions to show you this simple exercise.

Video Tutorial:

Range of Motion Stretch for Right Torticollis

In addition to a head tilt, many babies with torticollis also have limited range of motion in the neck to one side.  Kellyn's limited range of motion is to her right side.  Therefore, I stretch her head in the right direction.  In this post, I will provide both a video demonstration AND a written explanation of the exercise (with pictures).

Video Tutorial:

 

Range of Motion Exercise #2

Here's another simple range of motion exercise we learned at physical therapy that helps increase Kellyn's range of motion towards her right side.  Its very common to have limited range of motion to one side with torticollis.  Please note that these exercises are for her limited range of motion of head towards the right side.  Both a video tutorial and written step-by-step instructions are included for your convenience.

Video Tutorial:

Basic Neck Stretch for Right Torticollis

This stretch will help Kellyn tilt her head in the opposite direction that she's inclined to lean.  It also helps her stretch her tight right neck muscles.  This is one of her least favorite stretches. Please note that she has right torticollis.

1.  Take your left hand and hold down her right shoulder.

2.  Take your right hand and very gently bring her left ear towards her left shoulder.

Football Carry Stretch for Right Torticollis

The football carry stretch exercise stretches the tight neck muscle on the right side of Kellyn's neck that contributes to her right torticollis.  In this post, I included both a YouTube video tutorial and written step-by-step instructions below.

Video Tutorial: