Starfish Therapies

A pediatric therapy company operating in San Francisco and the greater Bay Area. We provide physical, occupational, speech and aquatic therapy services in the most beneficial and convenient setting for you and your child, including our clinic, currently located in Burlingame, your home, school or daycare.

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Torticollis – Can I Wait and See

April 7, 2019 by Stacy Menz

We have discussed torticollis a few times over the last several months.
We highlighted the 5 common signs of Torticollis. To recap, those are as follows:
  • Always looking in the same direction
  • Head tilting
  • Feeding difficulties
  • Flattening of the head
  • Facial asymmetry
As stated in the last article, torticollis has become more prevalent with babies spending more time on their backs. But there are things you can do to help prevent it.
We also looked at ways to prevent torticollis. To recap, some ideas are as follows:
  • Alternate feeding positions
  • Alternate sleeping positions
  • Alternate which side of the crib or car seat toys are placed
  • Tummy Time
  • Key is variety and symmetry
Now we will discuss the importance of early detection and treatment of torticollis and outcomes.
The American Physical Therapy Association Academy of Pediatric Physical Therapy published an updated evidenced-based clinical practice guideline for the management of congenital muscular torticollis. Early identification and treatment for torticollis with physical therapy is imperative for early correction, early identification of developmental delay and other asymmetry, and to prevent future complications.
The research found:
  • When treatment starts at <1 month of age normal range of motion returned within 1.5 months
  • When treatment begins after 1 month of age it can take 6 months to regain normal range of motion
  • When you wait until they are 6 months of age it can take 9-10 months to achieve full neck range of motion
Don’t worry if you haven’t done anything yet, just don’t put it off any longer!
Torticollis has been associated with:
  • Cranial deformation
  • Developmental dysplasia of the hip
  • Brachial plexus injury
  • Motor delays
  • Temporomandibular joint dysfunction
Therefore, the earlier identified, the earlier treated, and the better outcome for the infant.
We also recently talked about how to use a Therapy Ball for treating Torticollis!
If you have more questions, please come and see us, we would love to help!
Reference: Kaplan SL, Coulter C, Sargent B. Physical therapy management of congenital muscular torticollis: a 2018 evidence-based clinical practice guideline from the APTA academy of pediatric physical therapy. Pediatr Phys Ther. 2018;30:240-290.

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Filed Under: Blog, Developmental Milestones Tagged With: babies, education, gross motor development, Motor Smart Kids, physical therapy, plagiocephaly, Starfish Therapies, strengthening, torticollis

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Our family moved to the bay area 6 years ago, and Starfish Therapies have been a part of our family ever since. Everyone at the clinic is caring and warm. The owner always looks for ways to improve the clinic and the services provided. The therapists are patient, enthusiastic, and know how to motivate the kids to do their best. Even after moving more than an hour away from the clinic, we kept going back to Starfish for intensive therapy sessions every summer! We cannot thank Starfish Therapies enough for helping my daughter to get stronger and to become more independent over the years!”

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  1541 Old Bayshore Highway
  Burlingame, CA 94010


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  San Francisco, CA 94110


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  Palo Alto, CA 94306


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  30 Avenue Portola, Suite 200 C & D
  Half Moon Bay, CA 94018

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