23 Sep 2008

graduating to a "big girls" carseat

Today I went out and bought Ciara a front facing car seat. She is over 9kg (20lb 5.5oz to be exact) and I'm sick of lugging the baby seats everywhere. Unfortunately it will be a while before Enya graduates to the "big girls" car seats as she is still around 7.6kg (16.7lb). We haven't tried out the new car seat yet but it seems so much easier to get in and out of than the infant car seats. With only one infant car seat lying around the house now we are going to have fights, both girls love to play around with the straps and clasp on it ;-).

We also attended the Vojta course today with Enya being used yet again as a model/practice object. I like to participate in these training courses as:
1) I know as a physio how important hands on practice is, preferably on real patients, as it is only through experience that you learn to do the techniques properly. I'd rather they practiced under the eagle eye of Mrs W.(our physio and the instructor) than on some hapless kid out in the community.
2) By watching I pick up quite a few tips on correct techniques and tricks to use when Enya tries to weasel her way out of a position.
3) They always do a very thorough assessment and discuss all the problems identified in just as much detail.

Unfortunately today it hit me hard. We were hoping that Enya would be finishing up with PT soon, but the problems identified today make that unlikely. On a gross motor level she has some patterns of movement equivalent to her ACTUAL age i.e. 13 months, BUT she is being held back by her poor abdominal tone which means that her rotation is limited and she has an extreme lumbar lordosis (hollow back) in standing and crawling. This is impacting on her crawling, stability in standing and even on the shape and positioning of her feet (narrow feet always pointing outwards). We have been working on her abdominals for what seems like forever now and it seems to me that it is extremely unlikely we will fix this problem in 3-5 weeks like was originally suggested.

I know I have lots to be thankful for considering where we started from, at the beginning of treatment both girls were considered very high risk for CP, but after a year of daily Vojta torture sessions I'm more than ready for a break!

This is exactly like just before the discharge from hospital: when people started talking about discharge, what was routine became unbearable and torturous. The final weeks dragged depressingly slowly by. I'm filled with the same kind of impatience and frustration now. I just want it to be finally over so I can enjoy my daughters without having to dread the daily torture sessions.

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