Tummy Time

If you watch a typically-developing seven- or eight-month-old child for an hour, you will see them move and assume a wide range of positions. There is an amazing amount of variety in their movement. Variety is important – we want our children to be comfortable and able to play in sitting, on their back, on their side, on their tummy, just to name a few. Though children who are in that seven- to ten-month-old range may have the ability to try out these different positions, it is just as important to give our young infants experience in a variety of positions.
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Tummy time is a great position to put your infant in when they are awake during the day. It helps children to strengthen the muscles of their neck, back, hip and shoulders and it gives the babies a different view their environment. The practice of lifting their heads and chest off of the ground, shifting their weight to reach for toys and rotating their heads to follow a familiar person or object are the building blocks to more advanced gross motor skills. A study has shown that increased time spent on their tummy may be associated with greater gross motor skills in four-month-old children.1 Tummy time also reduces the amount of time that your child spends with pressure on their head, which can reduce the likelihood of deformational plagiocephaly (flat-head syndrome).

You can start working on tummy time when you bring your baby home from the hospital. By the time your child is three months old, he or she should be on their tummy for a total of one hour a day. By the time they are five or six months old, it should be at least 90 minutes of supervised tummy time.

Tummy time can be challenging because it is exercise! Here are some tummy time tips:
Place something interesting to look at in front of your child when they are on their stomach. Very young children (ages 0-3 months) are most interested in toys that are black, white and red. These toys have a lot of contrast and are easier to see.
Place a child-friendly mirror in front of your child. Children ages 0-4 months may be more interested in faces than toys, so use their reflection to keep them entertained while spending time on their stomach.
Use a timer! Start in small increments – place your child on their tummy for two minutes while they are engaged in a toy. As they get comfortable for two minutes, increase to three or four minutes. Every minute of tummy time helps.
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Use a rolled up towel roll under your child’s chest for more support. This gives your child a little bit of a boost when they working on lifting their head and chest off of the ground.
Practice tummy time when your child is awake and supervised
Don’t get discouraged. It can take time for children

Remember, “Back to sleep, tummy to play.”

About Rose McLean

Rose McLean, physical therapist and owner of the Chicago Pediatric Therapy & Wellness Center, has been specializing in pediatrics since 2004. Upon graduating from Northwestern University in Chicago, IL with her doctorate in physical therapy, she began her career at Cincinnati Children’s Hospital. After several years, her love of the city brought her back to Chicago, where she continued to grow in experiences with outpatient clinic evaluations and treatment and home visits through the Early Intervention system. To continue her expertise with young children, she obtained her NDT (Neuro-Developmental Treatment) certification as well as her infant specialty in NDT the following year. Her continuing education has focused on Kinesiotaping, serial casting, fabrication of splints and orthoses, gait analysis and wheelchair and equipment recommendations and fitting, to name a few. Rose’s passion is working with children of all ages and abilities while getting to know each child’s motivations to make her sessions fun, playful and challenging! In working in the pediatric therapy industry, she began to notice a missing educational and inclusion piece for children with and without special needs and their families. In the creation of the Chicago Pediatric Therapy & Wellness Center, she not only wanted families to have a center where multi-disciplinary communication and therapist collaboration for each child was a priority, but she also wanted recreational and educational programs available for families to access outside of their one-on-one therapy sessions. In this way, not only can families network with each other and build a stronger community, their children can apply and learn in a safe and fun yet still therapeutic environment with their peers.
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