DEAR ERI COMMUNITY: 10 month old with mild right torticollis and moderate pectus cavum
I am an EI occupational therapist working with this family for 2 months now. I have only seen one other child with torticollis and that was in conjunction with a PT. I am the only provider for this family. He has full PROM and full AROM. His head tilt to the right has gotten better already primarily through ball exercises. His head tilt is at about 20 degrees still. He is just learning to sit and is not yet crawling. He is just starting to push thru straight arms. He tends to scoot on his back arching up onto his head and pushing with his legs. He rolls in both directions to get around too. Either arm tends to get stuck under him when he tries to scoot forward on his belly which is rare. His trunk posture looks good during assisted tall kneeling, and he can maintain quadruped with rocking when given support at his hips. In addition he has pectus cavum.
1) What are your experiences with infants with pectus cavum and progression of motor skills? Does pectus cavum affect upper body strength? Could this be affecting his progress in addition to the torticollis?
2) Since he has full passive and active ROM, do I just measure his progress with being able to do functional activities to both sides equally?
3). Is there cause for concern with the back scooting? About half the time he back scoots and half the time he rolls to get to a toy.