Celebrating 2 Years at Whole Health![]() This July will mark 2 years as part of the team at Whole Health for Dr. Tessa! To celebrate she is offering initial consultations normally $85 for only $45 and donating the proceeds to a local charity as a thank you to the community. Book for yourself or your kids and be a part of giving back to the Brighton area. Click here to book your initial consultation with Dr. Tessa or call the office to book. Did you Know?Did you know Dr. Tessa grew up in a small town in Southern Ontario called Simcoe, On. She was raised on a dairy farm and speaks Dutch since her parents and 3 of her 6 siblings were born in the Netherlands. She loves playing sports- currently beach volleyball and ultimate frisbee with her husband. Her son is her biggest fan and comes to most of the games. She understands the importance of taking care of your body to prevent injury and allow your nervous system to function optimally and therefore gets adjusted weekly or biweekly as well as regular massage therapy and athletic therapy. She has been in practice for over 5 years and loves continuing to learn more. She is doing an upcoming course on postnatal core rehab and is looking forward to sharing this information with new and experienced moms alike. Click here to learn more about her upcoming course and stay tuned for more information! Tips for Getting Rid of HeadachesDid you know chiropractic care is a safe and effective way to get rid of your pain without having to take Tylenol or Advil everyday? There are lots of ways to adjust which we will determine based on your health history and comfort levels. Dr Tessa uses Thompson technique (or the drop table), activator adjustments and diversified (or manual) adjustments. Click here for some stretches to help with your headaches and learn about the different types of headaches and some tips to help prevent them! Whole Health Pro Tip![]() Sore feet, hips, low back or knees? Orthotics may help! It’s sandal season and we offer custom orthotics built right into Birkenstock sandals. This way you can stay cool and comfortable all summer long. Most insurance companies cover orthotics as long as you have a prescription from your medical doctor or podiatrist. Read here for more about the benefits of orthotics. Give us a call if you have any questions and we would be happy to help! Summer Colouring Contest![]() When your little ones come for their Chiropractic appointment or for your appointment, grab a colouring sheet from our front desk. Simply share their creation on social media tagging @wholehealthbrighton, @drtessavanlee @ohdahlyla for your chance to win one of three $20 gift certificate to Oh Dahlyla Ice Cream and Treats across the street! The more entries = more chances to win! Contest closes July 31st and winner will be announced August 1st.
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![]() Did you know that headaches are experienced at least 1x per year by 50-80% of the population. About 15% of people experience headaches for more then 15 days in a month! There are many ways to treat headaches but identifying the root cause and removing that is the most important. Some tricks for preventing headaches depends on the type of headaches.
Neck Stretches to Help with Headaches![]() Start feeling great! If you have any questions or concerns please reach out to me or your health care provider. Do not begin an exercise routine without consulting with your health care provider to make sure it is right for you. Headaches in Children ![]() Did you know that around 80% of children 13 to 15 years old experience headaches? This can lead to decreased social activities, poor academic performance and increased absenteeism from school. Research has also found a link to more severe headache syndromes later in life. Identifying the root cause of headaches at an early age is important to help reduce future episodes and help improve overall quality of life. Causes of headaches in children include:
Identifying the type and cause of headaches in children is important. Chiropractic care can help reduce frequency and improve overall quality of life. Care is safe and effective for children of all ages (even babies)! Your chiropractor will identify the root cause and help improve overall function of the nervous system to allow your child to be their best self. Resources
1. Bryans, R., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R., ... & White, E. (2011). Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of manipulative and physiological therapeutics, 34(5), 274-289. 2. Kienbacher C, Wober C, Zesch HE, Hafferl-Gattermayer A, Posch M, Karwautz A, et al. Clinical features, classification and prognosis of migraine and tension-type headache in children and adolescents: a long-term follow-up study. Cephalalgia. 2006;26(7):820–30. 3. Couch JR, Lipton RB, Stewart WF, Scher AI. Head or neck injury increases the risk of chronic daily headache: A population-based study. Neurology. 2007;69(11):1169-1177. 4. Scher AI, Midgette LA, Lipton RB. Risk factors for headache chronification. Headache. 2008;48(1):16–25. 5. Vohra S, Johnston BC, Cramer K, Humphreys K. Adverse events associated with pediatric spinal manipulation: a systematic review. Pediatrics. 2007;119(1):e275–83. 6. Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Adverse events and manual therapy: a systematic review. Man Ther. 2010;15(4):355–63. ![]() Shoes are important for keeping our feet protected from injury and the heat and cold. But feet are also important to process sensory information from touching the ground, both flat and uneven surfaces. Like the rest of the nervous system and body, there is continual development of the foot occurs throughout childhood. There are 26 bones and 35 joints per foot that creates the highly flexible surface for walking on. Walking, like any milestone, happens at different times for different babies- a range of 8-18mo is common. Often babies will start walking with flat feet and feet turned inwards. This is due to the muscles and ligaments of the feet developing strength and stiffness as they adapt to being weight bearing and walking. Feet are used to explore, interact and investigate the environment until locomotion begins. At that point the shape, structure and function of the foot begin to adapt to being a weight bearing structure. ![]() So what type of shoes should children who are learning to walk wear? There has been lots of debate about this over the last few years about flexible or stiff shoes but the research is not very clear. Footwear choices may impact the structural development and function of the foot, including reduced motion in midfoot movement in stiff shoes versus walking barefoot. There is also different muscle activation between barefoot and shoed walking- this may be related to the weight of the shoe. The foot is wider when walking barefoot which may mean that more flexible shoes allow the foot to move in developmentally appropriate ways for the muscles and ligaments in the foot structured shoe inhibits this movement. Tips:
![]() What brands do you like for you LO feet? The Canadian Podiatric Medical Association approved Stonzwear footwear for children. This is a Canadian company that makes soft soled shoes as well as lightweight rain and snow boots. Robeez was awarded the Seal of Acceptance from the American Podiatric Medical Association, for promoting natural foot function. References:
1. Price, C., Morrison, S. C., Hashmi, F., Phethean, J., & Nester, C. (2018). Biomechanics of the infant foot during the transition to independent walking: a narrative review. Gait & posture, 59, 140-146. 2. Morrison, S. C., Price, C., McClymont, J., & Nester, C. (2018). Big issues for small feet: developmental, biomechanical and clinical narratives on children’s footwear. Journal of foot and ankle research, 11(1), 1-5. 3. Children’s Feet and Shoes. State of Victoria 2020. https://www.betterhealth.vic.gov.au/health/HealthyLiving/childrens-feet-and-shoes ![]() Why do Tummy Time? This is an important activity for babies and is believed to build the muscle strength necessary for head control, pulling up, reaching, crawling and other developmental milestones. This includes the muscles of the arm, shoulder girdle, and neck muscles. Tummy time has been associated with higher motor performance vs lower motor performance with frequent sitting in devices such as strollers while not moving, swings, and chairs. The Institute of Medicine recommends early obesity prevention from birth to five years old and stresses the need to increase infant physical activity and reduce time spent in movement restricting devices. Minimizing time in car seats when not travelling, swings, and other movement restricting containers and increasing floor time helps with physical development and prevents flat spots on the head (brachiocephaly/plagiocephaly). Back to sleep is the recommended way to sleep to reduce the chances of SIDS and many parents report being afraid to do tummy time due to SIDS. Supervised tummy time is an important part of the development of your little one and can be performed in many different ways. This can include: - Unrestricted floor play - On caregiver's lap - On caregiver's chest while reclined - Burping baby in prone position on caregiver's lap - Carrying baby in a prone position ![]() Did you know many parents report their little one does not tolerate tummy time? This makes total sense! If we had the choice to just relax on the couch vs workout most of us would choose relaxing. It's a lot of work to learn new skills and build muscles. Some infants may have some neuromusculoskeletal issues stemming from birth that make tummy time and being prone more uncomfortable. Being assessed by a chiropractor or other manual therapist may help alleviate this aspect of the discomfort. Some ways to make tummy time easier includes: - Getting down on the floor/eye-level with your little one - Having your baby do tummy time on a table (as pictured) to make it easier on your body or while you are eating - Try turning baby onto belly during every diaper change (even a few minutes at a time will add up) - Have bright coloured toys, mirrors and other things to keep your baby distracted and stimulated - Making faces, singing, talking, etc. How much tummy time is recommended? Studies show that getting 80+minutes per day in the prone position achieved greater success in acquiring milestones than infants getting less tummy time. The Canadian Paediatric Society suggests tummy time for about 10-15 minutes at least 3 times a day. This seems like a lot but it adds up quickly throughout the day! References:
1. van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJ, Engelbert RH. Risk factors for deformational plagiocephaly at birth and at 7 weeks of age: A prospective cohort study. Pediatrics 2007; 119:e408-18. 2. Canadian Paediatric Society: Positional plagiocephaly. https://www.cps.ca/documents/position/positional-plagiocephaly#ref2. Jan 9, 2021. 3. Zachry, A.H., & Kitzmann, K. (2011). Caregiver awareness of prone play recommendations. The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 65 1, 101-5 4. Gross, R. S., Mendelsohn, A. L., Yin, H. S., Tomopoulos, S., Gross, M. B., Scheinmann, R., & Messito, M. J. (2017). Randomized controlled trial of an early child obesity prevention intervention: Impacts on infant tummy time. Obesity (Silver Spring, Md.), 25(5), 920–927 ![]() Yoga is a mind body practice that combines stretching exercises and postures with deep breathing and meditation. It requires self awareness to successfully coordinate mindful movement of the body and breath. Yoga is low impact, intentional and easily modifiable type of exercise which makes it suitable during pregnancy. Benefits of yoga include reduction in perceived:
How do these things change with yoga? One theory is that slow and deliberate deep breathing, a major part of yoga, activates the parasympathetic nervous system, the rest-digest-heal system of our body. This is activated by stretching the lung tissue and the vagus nerve. Parasympathetic nervous system response creates decrease in heart rate, blood pressure, metabolic rate, and oxygen consumption. ![]() Women who performed yoga as little as 1 hour per week for 10 weeks showed significantly reduced low back and pelvic pain during pregnancy. Women also reported more comfort during labour and a shorter first stage of labour when performing yoga for 10-12 weeks versus standard care. A recent randomized control study showed that 1 hour of yoga, 3x a week starting at 26 weeks of pregnancy reduced pain intensity in the first stage of labour, lower frequency of induction, lower rate of caesarean section and a shorter duration of the second and third stages of labour. Chiropractic care can help improve low back pain, restore proper movement in the pelvis and low back. Prenatal chiropractic care is gentle, safe and effective for women. If you want to start yoga but are experiencing pain, contact your local chiropractor to learn more and have an assessment. Disclaimer: The advice provided in this article is for information purposes only. It is meant to augment and not replace consultation with a licensed healthcare provider. Consultation with a Chiropractor or other primary care provider is recommended for anyone suffering from a health problem.
References: 1. Babbar, S., & Shyken, J. (2016). Yoga in pregnancy. Clinical Obstetrics and Gynecology, 59(3), 600-612. 2. Martins RF, Pinto e Silva JL. Treatment of pregnancy-related lumbar and pelvic girdle pain by the yoga method: a randomized controlled study. J Altern Complement Med. 2014;20:24–31. 3. Chuntharapat S, Petpichetchian W, Hatthakit U. Yoga during pregnancy: effects on maternal comfort, labor pain and birth outcomes. Complement Ther Clin Pract. 2008;14:105–115. 4. Jahdi, F., Sheikhan, F., Haghani, H., Sharifi, B., Ghaseminejad, A., Khodarahmian, M., & Rouhana, N. (2017). Yoga during pregnancy: The effects on labor pain and delivery outcomes (A randomized controlled trial). Complementary therapies in clinical practice, 27, 1-4. ![]() Have you ever heard of the 4th trimester? This is based on the thought that babies are born 3 months early due to the increase in head/brain size as humans developed. This means that babies are born too immature and require 3 extra months of womb-like settings to help their development. This concept has been popularized by Dr. Harvey Karp, MD in his book “The Happiest Baby on the Block.” There is evidence that around 3 months of age, there is a bio-behavioural shift that occurs in infants. This includes more awake time during the day, longer periods of sleep at night, and more socially-oriented behaviour such as eye contact, smiling and cooing. Infants are more able to regulate themselves and become less dependent on their caregivers. So why do we simulate a womb-like environment for the 4th trimester? To get them to this bio-behavioural shift with minimized sleep impairment, parental exhaustion, and depression! In his book, Dr. Harvey Karp discusses how the rhythms inside the womb trigger a calming response. This response allows infants to switch off crying and switch on sleep. These rhythms consist of the 5 S’s to help soothe babies during the fourth trimester. These 5 S’s have been shown to significantly decrease excessive crying in infants under 4 months of age. 1. Swaddle- this recreates the tight-packed position inside the womb and decreases the startle reflex which allows for increased sleep. How to swaddle correctly: wrap arms snug, straight at their side. Note swaddling must stop when baby can roll. The DUDU method- down, up, down up. See link in bio for more information on swaddling! ![]() 2. Side-Stomach Holding baby in these positions will allow for the calming reflex to be activated. Back sleeping is the recommended safe position for sleeping, but to calm your baby try holding them in these positions or over your shoulder. 3. Shush In the womb, baby can hear all the sounds that come along with blood flow, digestion, etc. This means they are soothed with shushing noises and other white noise vs total silence. 4. Swing In the womb the baby is suspended in amniotic fluid and is jiggling around as you walk and move. This is why rocking is so calming to them outside the womb. If the infant is calm, slow rocking will be fine, but if they are upset, they will need fast, tiny motions to initiate the calming reflex. Make sure the movements are small (less than 1inch back and forth) and you are supporting their head and neck while you move. 5. Suck This is described as icing on the cake of calming. This sucking action will help soothe them into relaxation. In-utero infants often swallow amniotic fluid in a sucking motion which helps soothe them and prepare for breastfeeding. These skills work best when done correctly. Make sure to practice swaddling when your little one is calm (it is much easier than with a screaming infant). How can a chiropractor help with this? Short answer- they don't. Chiropractic care is focused on the healthy alignment of the spine and the impact it has on your baby’s nervous system and its ability to function effectively. Why would infants develop dysfunction in the spine? Birth, no matter how baby was born, can be traumatic for babies and create misalignments in their spine which is what chiropractors check for and correct with gently adjustments. How well your baby’s spine and nervous system functions can help establish overall health in your child, not to mention parents’ well-being and connection with their newborn. Chiropractors can also offer advice on how to help get gas and burbs out, tricks on feeding, and how to help comfort a child in the first 3 months postpartum. If you have any questions, please feel free to reach out! To learn more about the 5 S's and Dr. Harvey Karp click here! Disclaimer: The advice provided in this article is for information purposes only. It is meant to augment and not replace consultation with a licensed healthcare provider. Consultation with a Chiropractor or other primary care provider is recommended for anyone suffering from a health problem.
References 1. Möller EL, Oort FJ, Rodenburg R. Effects of a Responsive Soothing Intervention on Infant Excessive Crying and Infant Sleep. Manuscript under review. 2018. 2. Infant development and developmental risk: a review of the past 10 years. Zeanah CH, Boris NW, Larrieu JA J Am Acad Child Adolesc Psychiatry. 1997 Feb; 36(2):165-78. 3. Whose clock makes yours tick? How maternal cardiorespiratory physiology influences newborns' heart rate variability. Van Puyvelde M, Loots G, Meys J, Neyt X, Mairesse O, Simcock D, Pattyn N Biol Psychol. 2015 May; 108():132-41. 4. Behavioral and physiological responsivity, sleep, and patterns of daily cortisol production in infants with and without colic. White BP, Gunnar MR, Larson MC, Donzella B, Barr RG Child Dev. 2000 Jul-Aug; 71(4):862-77. 5. Crying babies, tired mothers: what do we know? A systematic review. Kurth E, Kennedy HP, Spichiger E, Hösli I, Stutz EZ Midwifery. 2011 Apr; 27(2):187-94. ![]() What are custom orthotics for? The basis of orthotics is that by providing arch support and realigning the 26 bones of the foot and 33 joints it assists in leg and pelvic alignment, corrects structural deformities and prevents muscle and tendon fatigue. Your feet are the base of support for your whole body while you are standing and walking. The extra support provided through orthotics may help with: - Controlling biomechanical alignment - Correcting or accommodating deformities - Protect and support an injury - Assist in rehabilitation - Reduce pain - Increase mobility - Improve balance - Redistribute pressure As part of an orthotic consult, you will be assessed to see if custom made orthotics would benefit you. This includes a thorough history, observation, gait (walking) analysis, neurological and orthopedic testing. Orthotics may be beneficial not only to those with foot pain but also those with ankle, knee, hip or low back pain due to biomechanical and structural compensations that occur when dysfunction happens anywhere along the kinetic chain. If you are experiencing any of the following, orthotics may be right for you:
References
![]() Feeding as an infant is a complex activity coordinating the rhythmic processes of sucking, swallowing, and breathing. The ability to suckle in a newborn can be impaired to due to neurological immaturity (gestational age) or mild to severe neurological or musculoskeletal problems that may be caused by:
![]() As a chiropractor, we work with many of the biomechanical and neuromuscular problems that can lead to painful latch, difficulty sucking, clicking with feeding, increased air intake, difficulty latching on one side or preference to feeding one side vs the other, etc. Often chiropractic care or body work for infants is recommended to mothers as a gentle and safe way to address these issues. If you are struggling with anything related to breastfeeding or infant latch, contact your chiropractor to learn more! They will often have a wide list of resources and information to share with you. Biomechanical or neuromuscular problems that can occur:
![]() Disclaimer: The advice provided in this article is for information purposes only. It is meant to augment and not replace consultation with a licensed healthcare provider. Consultation with a Chiropractor or other primary care provider is recommended for anyone suffering from a health problem. References 1. Goldfield EC, Richardson MJ, Lee KG, Margetts S: Coordination of sucking, swallowing, and breathing and oxygen saturation during early infant breast-feeding and bottle-feeding. Pediatr Res. 2006, 60: 450-455. 10.1203/01.pdr.0000238378.24238.9d. 2. Glass RP, Wolf LS: Incoordination of sucking/swallowing, and breathing as an etiology for breastfeeding difficulty. J Hum Lact October 1994; 185-189. 3. Vallone, S. H. A. R. O. N. (2004). Chiropractic evaluation and treatment of musculoskeletal dysfunction in infants demonstrating difficulty breastfeeding. J Clin Chiropr Ped, 6(1), 349-366. 4. Hawk, C., Minkalis, A., Webb, C., Hogan, O., & Vallone, S. (2018). Manual interventions for musculoskeletal factors in infants with suboptimal breastfeeding: a scoping review. Journal of Evidence-Based Integrative Medicine, 23, 2515690X18816971. 5. Miller, J. E., Miller, L., Sulesund, A. K., & Yevtushenko, A. (2009). Contribution of chiropractic therapy to resolving suboptimal breastfeeding: a case series of 114 infants. Journal of manipulative and physiological therapeutics, 32(8), 670-674. ![]() GUEST BLOG by HANNAH GILLESPIE Benefits Of Sleep There are endless benefits to sleep and reasons it is so important. When your baby starts to sleep independently, is able to sleep long stretches at night and having good naps, this is when you start to see regenerative sleep. Regenerative sleep is important because this is when your body is no longer at a resting state, it is now restoring, repairing and growing. The Benefits for your Baby Development: The body and brain develop while your child sleeps, helping your child reach important milestones. Sleep also helps your child to have better concentration, making it easier to learn, retain information, and to promote better memory. Health: Sleep helps the body to fight infection, illnesses and viruses more easily, so your child is less likely to get sick and will recover faster. Healthy sleep lowers the risk of obesity, and also helps with diabetes. Poor sleep changes your fat cells. It also changes insulin disruption, making you crave food. Good sleep habits established early will help reduce the chance of them developing ADD or ADHA later in life. Behaviour: Your child will make better decisions when they get enough sleep and will be less impulsive. Children with good sleep habits have less behavioural outbursts or tantrums allowing them to make friends more easily, and maintain healthy relationships with others. When your child sleeps well it helps to grow the bond between the parent and child that will last a lifetime. When your baby sleeps well, so do you, improving overall well-being and helping you to develop that special bond. ![]() How sleep Affects Mom: When your child is getting up many times in the night it can feel like you are not getting any sleep at all. It feels as though you just closed your eyes and you finally fell asleep and your baby is awake again. When your baby gets older and still has poor sleep habits, especially over a long period of time, it can impact more than just making you feel tired. Sleep helps you think clearly and cope with stress. It is during sleep that your body sorts memories from the day. Lack of sleep can cause memory lapses, making some tasks harder to do and causing you to feel scatter-brained or foggy. For mom’s this is when you can’t even remember what you even did that day, when you last changed your child’s diaper, when you fed them last, or if you put something from the refrigerator in the cupboard by mistake. Another thing sleep helps is processing your emotion. You may notice yourself feeling more emotional, whether that’s being on the verge of crying, or easily angered if your child acts out. Getting a good night’s sleep can help you to feel more refreshed and energized but also help keep your mind and emotion in check to help you be a great mom. Mental Health: This is a huge aspect as to why sleep is so important for moms. In Canada, about 23 % of moms have been shown to have clinical postpartum depression or anxiety and 70-80 % of moms experience what is called baby blues at some point postpartum. Healthy sleep has been shown to lower the occurrence of depression, anxiety, and postpartum depression. Sleep makes you feel more motivated, gives you energy and allows you to feel good about yourself. When you are getting enough sleep this improves your mental health allowing you to bond easier with your baby. When your baby naps well and sleeps at night, it gives you the ability to have time for yourself, get things done around the house, or have a social life. This is huge for your overall mental health. ![]() How this helps the Family: Sleep helps the entire family as a whole. When the family is sleeping well, there is less fighting between children, parents, and between parents and children. When children are sleeping well, it allows more alone time for the parents and promotes a happy home life overall. Teaching your child to sleep independently can change your lives in so many ways. I can help you get there and help you respond to your child’s cries and to reassure them while teaching them the skills that they need in order to self soothe. Teaching them these skills early on will help them for their whole life. Let me help you get the sleep your family needs and deserves. Message me if you have any questions, I would love to chat with you. For more information about Hannah and Sleep Consulting, check out her website here! ![]() Postpartum is a time where there is continued risk for joint hypermobility due to hormones such as relaxin still present in the body and the hormonal influence of lactation. These hormones effect the ligaments and connective tissue which are being stressed by the biomechanical and ergonomic positions of childcare activities. Other things that can influence musculoskeletal pain postpartum include:
![]() Tips to Conserve Energy
Tips to Protect Joints and Promote Proper Body Mechanics
![]() Lifting the Baby Tips ✔When lifting a baby, scoop one hand under babies bottom and use your other forearm to support the body. ✖ By not lifting the baby under its armpits, you protect yourself from thumb tendonitis. ✔When baby is on the floor, bring baby close to your body and then stand up. Carrying the Baby Tips ✔ When baby is heavy, carry baby with one forearm under the baby’s bottom and the other arm to support the baby’s chest. ✖ Avoid carrying the baby on one hip because this stresses the pelvis and surrounding musculature. Instead try a sling with padded shoulders or a baby-carrier to support baby’s weight. ✖ Avoid carrying the baby in a portable car seat. Using one hand to carry it will put stress of pelvis, spine and surrounding musculature. Car seats also create hip flexion in the baby while in a stroller there is the option of a reclined or semi-reclined position which allows these muscles to stretch. ✔ Use a stroller instead of the car seat for mama ergonomics. Adjust stroller height so wrists are straight. ✔ Carry the baby manually. This has been shown to promote symmetrical head-shaping and strengthen the infants neck and shoulder muscles. The American Occupational Therapy Association, the American Physical Therapy Association, and the American Academy of Pediatrics highly recommend giving infants a variety of positioning experiences in order to get enough supervised tummy time throughout the day. Carrying a baby manually promotes the infant to practice modified tummy time. ![]() Bottle-Feeding the Baby Tips ✔Try a side-lying position for both feeder and baby (this is a gravity-eliminated position). This will allow feeder to pave the flow of the feed ✔ Have one arm supported by a pillow, palm up where the baby will lie head in hand and feet by the chair. Make sure arms are relaxed and shoulders lean against chair to discourage rounding of shoulders, slumping back and forward head posture. Hold bottle loosely in other hand (avoid tight grip and wrist flexion) ✖ Avoid a heavy, wide bottle Tips for Moms ✔ Use a foot stool to position knees bent, slightly higher than hips creating a semi-reclined position ✖ Do not cross legs or placing an ankle on opposite knee. This creates stress in the ligaments of the low back, pelvis and knee ✔ Have one arm supported by a pillow, palm up where the baby will lie head in hand and feet by the chair. ✔ Sitting semi-reclined may require a small pillow or rolled towel beneath the low back to allow for neutral spine position. This does allow baby to be secured with gravity on mom, which decreases the effort needed for mom to support baby ✖ Try not to lean forward as this increases stress on the back of the neck and upper back as well as rounding the shoulders. Aim for a more reclined position. ✔ When using the cross-cradle or football hold, support baby and forearm with a flat pillow underneath to promote neutral wrist and forearm. A rolled towel should be used as indicated to allow neutral positions Disclaimer: The advice provided in this article is for information purposes only. It is meant to augment and not replace consultation with a licensed healthcare provider. Consultation with a Chiropractor or other primary care provider is recommended for anyone suffering from a health problem.
References: 1. Roberts, D. (2011). Preventing Musculoskeletal Pain in Mothers Ergonomic Tips for Lactation Consultants. Clinical Lactation, 2(4), 13-20. 2. Hummel, P., & Fortado, D. (2005). Impacting infant head shapes. Advances in Neonatal Care, 5(6), 329-340. 3. Pendleton, H.M., & Schultz-Krohn, W. (Eds.) (2006). Pedretti’s occupational therapy practice skills for physical dysfunction. St. Louis, MO: Mosby. |
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