Are walkers bad for my Baby? What about other upright toys?

Quite often I have friends and patients who ask me about walkers, exersaucers, and Bumbo seats (along with a huge list of other infant toys). There is a lot of confusing information on the internet regarding these and some of it is very misleading from manufacturers. I hope that here I can clarify some of the information and give you some facts.

The place to begin is normal child development. When a baby is born, they have no curves in their spine and they have no understanding of the physical world. These things are learned and skills are earned through experience and exploration. Motor and mental development are often broken down into “milestones” which are a series of behaviors and skills that we expect children to have at different ages.

baby-84552_1920.jpg

Spinal development is completely formed through activities. Tummy time causes the little one to lift their head up, forming the cervical (neck) curve. The curve in the lumbar spine (low back) is formed when the child begins to rock and crawl. The muscles and bones of the spine develop in response to these activities and the basis of the adult spine is formed.

The same activities that help to form the curves in the spine stimulate the brain and help your child develop a sense of where they are in space (proprioception). Crawling, scooting, pulling up, walking, and tummy time help in vestibular (balance) and sensory development. Movement stimulates a circuit called the Reticular Activating System which links motion to the cerebellum and helps the brain to learn posture and balance (and a whole lot more!).

Walkers:

FullSizeRender (5).jpg

Walkers are one of the most dangerous babysitters. A 2006 study looked at ER data from 1991-2001 and found 197,200 ER visits related to walkers. This study does not take into account those who saw a pediatrician, other health care practitioner, or stayed home for self-care. Walkers allow little ones to move quickly and often they can tip when they encounter the edge of a rug, door sill, or staircase.

Actual physical injuries aside, it is important to take into account the mental and motor developmental delays associated with walkers. As we mentioned above, many skills are dependent upon motion and experiencing the environment. It is easy to see how a parent may think that a walker is a great way for their little one to experience the world. However, this is a false environment. In a walker, children cannot see their feet which changes how the brain develops proprioception, children do not have to learn balance, and their future gait (walking) patterns may be affected.

In 1999, a study was performed with 109 infants where some were placed in a walker and others were allowed to play on the ground. By a landslide, the walker infants sat, crawled, and walked later than the other group. It is also important to note that the walker group also scored lower on the Bayley scales of mental and motor development.

In 2004, Canada banned baby walkers.

Upright Bouncers:

baby-84549_1920

Upright bouncers like the Jolly Jumper are very hard on the developing spine of the infant. The stress of being held prematurely in an upright position, when the bones and muscles have not developed the proper strength can damage the infant spine. Spondylolisthesis can occur in the lumbar spines of infants in these types of devices from the repetitive stresses delivered through an undeveloped spine. Spondylolisthesis occurs when the front part of the vertebra (which stacks) is separated from the posterior elements which surround the spinal cord and most often occurs at the lowest bone in the lumbar spine.

 

Exersaucers and Bumbo chairs:

These upright devices promote abnormal postures and can lead to the altered formation of the curves of the spine. For example, when an infant is placed in a Bumbo chair, their pelvis often tips backward, thrusting the ribs forward, and promoting anterior head carriage. This is a reversal of the curves we see in a normal spine- indicating that increased spinal stress is present when children sit in these positions.

While the Exersaucer is much safer (less likely to tip) than a Walker, it still promotes weight-bearing through the spine in an abnormal and premature way and should be used with caution.

What is the take home? Children need to experience their environment in order to learn. It is essential to have a lot of exploration time for our infants and little ones. The development of their brains and bodies depend upon it. As a Doctor of Chiropractic, I am committed to sharing knowledge with parents so that they can  make informed decisions regarding their children.

References:

http://consults.blogs.nytimes.com/2010/02/22/the-dangers-of-baby-walkers/?_r=0

https://www.ncbi.nlm.nih.gov/pubmed/10533994

https://www.ncbi.nlm.nih.gov/pubmed/16510623

http://articles.chicagotribune.com/2012-03-15/health/ct-met-bumbo-posture-20120315_1_physical-therapists-developmental-benefits-babies

http://pathwaystofamilywellness.org/The-Outer-Womb/maximizing-infant-development.html

The Place Between Breaths

The past week has been a very stressful one for me, personally. I am having a lot of things going on in my family and have been relying heavily upon meditation, journaling, and exercise to elevate mood and keep myself centered. These are techniques learned through trial and error and through many different teachers that have come to be a solid basis of self-support for me.

This would be an incredibly long blog post if I ran through all three, so we will zero in on meditation today.

****Disclaimer****
I have never trained formally in meditation, but I do practice regularly. Scroll all the way to the end for sources of additional information on meditation and resources to help you find your own path.

img_2803

Meditation is incredibly easy in concept and difficult in practice. It comes in different forms. It can be guided. It can be mediated by the inhale. It can focus on the exhale. It can even be focused around the space in between the breath- that little moment between inhalation and exhalation where stillness takes place. Below I am outlining 3 of my favorite kinds of meditation techniques.

Self-guided meditation (envisioning your greatest self)

I learned about this type of meditation at the International Chiropractic Pediatric Association’s Freedomfest in 2014. Dr. Joe Dispenza spoke about the power of the brain and about his book, You Are The Placebo. I am about 1/3 of the way through this book and am learning a lot about how we make our thoughts become a reality. But I digress…

Each morning, I take 9 minutes (the time between my alarm and my snooze) and meditate. Before my feet touch the ground. Before I check my email. Before I let the world take me away from the peace of rest. I meditate. I begin by remembering back to a time when I was truly, completely, sincerely joyful down into and out from the core of my being. Once I have that moment, I allow that feeling to surge through my body and make its way all the way from the crown of my head to the tips of my fingers and toes. Thus embraced in a moment of pure joy, I picture my physical self in total fitness. My best self. I choose the facial expression, the shine of my hair, the tone of my muscles- you get the picture. And I let these two things come together. The Joy and the Best Physical Self.

This lets me step backward and see myself as I truly am.

Some days this is incredibly easy and I can slip right into that state of joy and gratitude and wellness. Other days I have just found the joyful moment when the alarm sounds. No matter what, I accept what my practice was and take it forward into the activities of the day.

Meditation with Outside Guidance

A couple of years ago, I did a series with Deepak Chopra and Oprah about mindfulness. It was a series of guided meditations and journaling from Deepak. I had never done meditation guided by another person before- and have discovered that it is a great way for me to get to meditate when I am having a hard time finding my own quiet. Deepak has a ton of meditations (even on Spotify and Pandora) that you can listen to and follow along. He walks you through your meditation from what to do with your feet and hands to your breathing. It is incredibly helpful, especially for the crazy busy type A person. When I am having trouble stepping out of my life and into my heart space, I turn to  Deepak.

“To make the right choices in life, you have to get in touch with your soul. To do this, you need to experience solitudem which most people are afraid of because in the silence you hear the truth and know the solutions.”

– Deepak Chopra

Silent, Breath Focused, Meditation

I am not really sure how to describe this one. Breath focused meditation is exactly what it sounds like. You are aiming to find stillness with focus on nothing except the breath- be it the inhale, the exhale, or the pause. This is not to say that there will be no thoughts in your head and that you have to reach a place where you are totally blank. It means, that we acknowledge the thought and let it pass without our focus. I generally prefer to focus on the space in between the breath because otherwise I find myself trying to control the tide of my breathing. (Type A much?) I have found that this type of meditation does not at all come easily to me and that I do best with it after yoga or a good workout. As though I have to get out the physical energy before I can bring my focus internally. I have also found that practicing in a group/structured setting helps me with breath meditation. To improve my skills in this, I have visited many Buddhist temples for meditation practice.

I still find that I do my best meditation in nature (see the photo at the top of this post). Something about the stillness of the forest makes it easier for me to find my own stillness.

What all of this boils down to is this: We as humans have an incredibly hectic and chaotic way of life. We focus so much external energy that we often deplete ourselves. There are many ways to take care of yourself. Some people schedule resort vacations where they can recharge their batteries with sun, sand, and tropical drinks. Some people work out. Some people camp and hike. I would suggest, though, that we take a second to assess ourselves and make sure that we are taking care of ourselves routinely. Meditation is an excellent way to stay centered and focused.

For years my mom told me that I needed to meditate or at least take quiet time for myself. I brushed her off and coped in different ways. It wasn’t until I was sitting on the floor after work one day crying and feeling so far away from myself that I began to pursue meditation as a technique to come home to me. Now, my husband will sometimes look at me concerned and say, “Have you been meditating lately? You don’t seem like yourself.”

I hope you find something of use in this post that you can apply to your life- or even that it inspires you to research another form of self empowerment and fulfillment. If you want to chat about it or learn more about any of the practices that I do, please feel free to contact me through my website!

Resources:

Dr. Joe Dispenza‘s webpage where you can see his books. I also recommend following him on Facebook!

Some tips on meditation for beginners. They broke this down a lot more succinctly than I could!

Bold Tranquility is a Yoga Nidra meditation designed for women. I have had many patients rave about her work!

Deepak Chopra‘s website for a 21 day meditation experience (I love just about everything he does…)

So many more resources are out there! What is your favorite meditation practice or resource?

 

 

 

Don’t Quit.

img_31681This morning the last thing I wanted to do was put on my running shoes and hot the trails…but I did anyway.

Last night I went to an event at 7 Hills Running Shop to listen to Gina Lucrezi from Trail Sisters. She spoke to us about building community through running in our area. She spoke about camaraderie, empowerment, motivation, and safety. All aspects that help to build community and help to bring us all up together. Needless to say, I left very motivated to run and to build community- to be better.

When I got home, my husband and I were talking about losing our mojo. We both used to be pretty athletic- me with swimming and water polo and Robin with running. Over the years, though, we let work, school, and that word “busy” get in the way. We have stayed fit and do a race or two a year… but somewhere along the way we lost the mojo. We lost the hard core, run and sweat because it feels so good. And it is a hard thing to get back.

So. Don’t quit.

Find what makes you happy in fitness. Maybe it’s swim, bike, run like me. Maybe it is walking your dog or Zumba. Lift heavy things or bend wrenches. Whatever it is, find a buddy to join you and commit to each other. Use camaraderie to empower and motivate each other to push your goals.

Gina was incredibly inspiring to me last night, and I am on my way to getting my workout back.

What about you?

Do you need help to get started?

What gets you out and moving?

Let us know in the comments!

Make the World Your Gym

A very influential mentor to me, Dr. Kathy Dooley, has often said that it is important to make the world your gym. A chiropractor and educator in New York, Dr. Dooley has inspired me to push my limits and to “get assessed, get corrected” as she says. Her transparency in her blogging and in her life has helped me to realize that we have time for the things that matter to us, even if you have to be creative about it. For example… It is entirely too easy to say that there is no time to go to a brick and mortar gym, and what we need to realize is that the world around you can be the gym.

When you are making your choices on where to park, or if you should just walk to the store instead, realize that you are influencing your health. By parking further out. By refusing to use the escalator and using the stairs instead. By playing on the playground with your kids instead of sitting on a bench- you are making health choices. These have an appreciably small time difference from what you would normally be doing and can have an appreciably large impact upon your health.

Most of us spend too much time at a desk or on the computer, myself included, but I am inspired by the posts I see from Dr. Dooley and so I have started getting up more and moving more than I have in the past.

What can you do to get moving?

  • Set a timer at your desk and each hour spend 10 minutes walking or going through ranges of motion.
  • Choose the stairs- not the escalator or elevator.
  • When possible, walk or bike instead of driving.
  • Start your day with motion- whether it is a morning walk with the dog or some yoga.
  • Join a club that gets you out of your seat and out doing something active.
  • Swap out your traditional desk chair for an exercise ball.
  • Ditch the evening TV show for a sunset walk with a friend or partner.
  • Dance. Anywhere. Everywhere.dance-674752_1280

What are things that get you up and moving? Please share your ideas in the comment section, below!