Agenda NICU Outreach: Safe Sleep Going Home Program Halo Wearable - PDF document

4/24/2018 Welcome Special Kids, Special Care NICU Consortium Meeting SAVE THE DATE – September 19, 2018 7:30 am to 4:30 pm April 25, 2018 Supporting Positive Social and Emotional Development for Fragile Babies and their Families: An Infant Mental Health Approach for All Providers A special thank you to our grantors and sponsors Denver First Church, 3800 E Hampden Ave, Cherry Hills Village, CO 80113 Thank you to New NICU Consortium Fellows - Benefits Newborn Hope for their support of our Safe Sleep Going Home P rogram that • Continuation of the NICU Consortium Education Meetings/Webinars provides newborn wearable sleep sacs to the NICU for parents and our Family • Professional Education Certificate of Development for 2 Hours for each NICU Consortium Support Grant s Program. NICU Consortium Partnership Meeting – May 18, 2018 10 am to 12 noon University Hills Rotary for their support of the Safe Sleep Going Home Program Jefferson County Health Department, 945 Parfet St., Lakewood, CO 80215 HCP – Colorado Department of Public Health and Environment, Program for Children with Special Health Care Needs for their continued support of the NICU Consortium Educational Meetings /Webinar Special Kids, Special Care Inc. Offers Agenda  NICU Outreach: Safe Sleep Going Home Program  Halo Wearable Sleep Sacs for families in need are Huffington Post provided to NICU staff, public health nurses, and early interventionist to assist them with their education about Safe Sleep 9:15 am Dr. Jen’s Top 10 Fun and Easy Strategies for Primitive Reflex Integration,  Family Support Grants for Families in Need In Infants and Children  Cribs for Kids  infant crib, safe sleep video, sleep sac Jennifer Spiric, PT, DPT, Kids In Motion, Of Spiric Therapies, LLC  Respite care for up to 10 hours  In-home lactation support and consultation  Scholarships for families 10:30 am Benefits of Babywearing for Preterm Infants: With Special  Premature Infant Massage Classes Consideration for Their Safety  Baby carriers working with Babywearing International Brandis Rouch and Heidi Jakal, Contact Barbara: Specialcare@sk-sc.org Volunteers, Babywearing Educators Babywearing International of Denver Pediatric Physical Therapist Movement specialist Child-led therapist Dr. Jen’s Top 10 Developmental analyst Fun and Easy Strategies for Primitive Reflex Integration, In Infants and Children Mommy Jennifer Spiric, PT, DPT Kids In Motion Of Spiric Therapies, LLC Kids in Motion, of Spiric Therapies, LLC 1

4/24/2018 So what is a reflex?? Objectives 1. Review the concept of a primitive reflex Stimulus 2. Understand the importance of primitive reflex integration for ease movement and learning 3. Learn activities that you can start using today to help the infants and children you know and work with start to integrate Movement primitive reflexes into patterns that will help them reach motor milestones and learn age-appropriate skills in other areas of development. 4. Leave today with a written reference and basic instructions for home and clinic-based activities for reflex integration in infants and kids. A reflex is an unconscious, protective movement pattern based on sensory stimuli from the environment. Kids in Motion, Kids in Motion, of Spiric Therapies, LLC of Spiric Therapies, LLC And what are primitive reflexes? Primitive Reflexes are… • Unconscious movements • Based on genetic motor programs typical for all humans • Variable in their presentation, integration, and form • Foundational for coordinated conscious movements throughout childhood and adulthood • Related to all areas of development (motor, vision, sensory system, speech/language, cognitive, emotional, behavioral) • Permanent motor plans, but more or less visible/strong based on life events Kids in Motion, Kids in Motion, of Spiric Therapies, LLC of Spiric Therapies, LLC A few primitive reflexes Scrunch and Stretch (spinal galant) Suck- swallow- breathe Automatic gait Finger Walks (spinal perez) Rooting Protective extension Riding Horseback (spinal galant) Asymmetrical Tonic Neck (ANTR) Trunk extension Gentle Pull to Sit - at Wrists (hands pulling) Symmetrical Tonic Neck (STNR) Hands/toes grasp Airplane Game (hands supporting) Tonic Labyrinthine (TLR) Robinson Hands Grasp Reach and Roll (ATNR) Spinal Galant Leg Cross Flexion-Extension Bicycle Legs and Penguin Waddles (leg cross flexion extension) Pull to sit Foot tendon guard Cobra (spinal perez) Partner Straight Arm Pushes (hands supporting) Moro Bauer crawling Duck walks (Babinski) Landau Babkin Palomental Kids in Motion, of Spiric Therapies, LLC Babinski Spinal Perez 2

4/24/2018 1. “Scrunch and S tretch” 2. “Finger Walks” (spinal galant) (spinal perez) For older children: For infants (any age) and For infants (any age): Tips: children:  Use the soft pads of your Use the same motion as Lay infant on his side, so that head fingers, not finger tips. In a tummy-lying (prone) or seated described for infants. Invite the is in line with body and top  Make sure you are walking position, walk your fingers up the child to “feel” the movement shoulder and top hip are pointing along spinal muscles, NOT two muscles along the spine, from first cycle (7reps each side), up at ceiling. Gently bring top the spine itself. diaper line (sacrum) to base of then “join” the movement shoulder and top hip together and skull (occiput). Keeping your  If infant or child is ticklish or second cycle (7 reps each side). apart in an accordion motion, 7x fingers on the infant or child, flinches, go more SLOWLY . each side. Remember to hold for 2- switch directions to walk fingers out to elbows along backs of 3 sec in each end position. Look for shoulders. Use flat hands to “wipe” shirt or skin to wrinkle and then from shoulder blades to diaper line stretch. Older infants should gentle (sacrum). Start over. Complete 3 lift and lower head in response to cycles in a row if possible. movement. Complete several Complete several times daily. cycles daily, per tolerance of the infant. The movement should be *Adapted from Brain Gym Spinal very enjoyable. Walks 4. “Gentle Pull -to- Sit” 3. “ Riding Horseback” (hands pulling) (spinal galant) For infants (2 months and older) and children: For infants (who can sit with Pull gently at the infant/child’s WRISTS support at waist) and children: (just below the thumb). Look for chin to tuck and elbows to bend actively pulling to start movement. Sit the child on your leg and gently lean the child to one side and then Tips: the other. Pause on each side so the child uses his own muscles to  If chin tuck is tricky, start on a pillow, return to upright. Look for one side incline, couch arm, etc. to give a gravity advantage. to “scrunch” or wrinkle skin/shirt. Increase the amount of lean as the  Excellent activity for children who have child gets stronger. difficulty with speech and Challenge: straddle your leg or communication delays, frequently hit their head when falling backward, have seated on top of a large ball with difficulty sharing, have difficulty adult holding the child’s waist or pouring or scribbling/writing. **Infants should tuck their chin and actively pull to thighs. sit by age 4 months (adjusted age). Children of all Try pulling to sit at a variety of ages should instinctively tuck chin, pull by bending  different angles for babies and children both elbows, and sit up when they feel the input with low abdominal muscle tone or at both wrists. babies with torticollis. 6. “ Reach and R oll” 5. “Airplane Game” (ATNR) (hands supporting) For infants (any age) and For infants (who can hold their head up while on children: Tips: tummy and push up onto straight arms): Try rolling the child up into a Hold the infant face- down and practice “landing” Encourage rolling several times hands on a variety of surface types. Gently rock the blanket “burrito” infant’s body forward and backward or side -to-side in a row with arms reaching Encourage rolling down soft and make sure she keeps arms straight with weight forward. inclines or hills. shifts. Dangle a toy in front of an infant to encourage forward reach. For children: Encourage child to hold a small ball Help the child lay facedown over a large ball and or stuffed animal overhead while practice reaching arms to the ground as the ball rolls her body forward. Rock the ball forward and rolling to encourage arms backward or side-to-side and make sure the child overhead. keeps arms straight. OR Encourage the child to walk Remember to roll sometimes hands forward off the edge of a couch or toddler bed. OR Hold the child at the ribcage and legs and toward the Right side and encourage wheelbarrow walking (make sure the sometimes toward the Left side. child does NOT arch through low back). 3