Katie is doing very well with her physical therapy. It is very helpful to have someone who knows Katie and her abilities and can immediately see her improvements over time and knows what needs to be worked on next.
Katie loves tummy time and spends about 97% of her time on the ground or in bed on her tummy. Her physical therapist is THRILLED. I have always heard about how important tummy time is for physical development, but she stresses that it is huge. Children that do not tolerate tummy time, even typical children, are often delayed in their crawling and walking.
Katie is a little delayed in independent sitting. The range for typical children is 5-8 months with most able at 6 months to hold themselves in sitting position for a few seconds. Katie is improving but today she turned 8 months and I wouldn’t yet call a few seconds of independent sitting (although I think it could be any day now). We are working with her by giving her a lot of practice in supported sitting both in her high chair and on the ground with support from my legs or light support on her shoulders. Today she held herself in sitting by holding my fingers.
I talked with her therapist about her sitting delay. Her therapist said if she could choose between all the things she is doing on her tummy vs her sitting she would choose her tummy activities. She said that sitting will come and not to worry. She said sitting is a more passive process. Once babies are able to sit sometimes they become so passive they have to be ‘forced’ back on their tummies to start moving.
Here are some pictures of her tummy activities that her therapist loves (and some things we need to work on).
Left-arm strength and twisting: she is much stronger on her left side.
Right-arm strength with good knee bend: notice how much weaker her right side is compared
to the first picture. We need to make her do this more often to
strengthen it up.
More left-arm strength but her hand needs to be palm down.
Double handed toy reach
Right hand fine grasping (pincher) practice with left arm support
Left hand fine grasping (pincher) practice
Just a cute one
Another cute one
One more cutie, with both arm support