Blog, Chirosecure Live Event August 20, 2021

“Car Seat Crazy, Colic & Chiropractic” – Monika Buerger

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Hello everybody. And welcome to the ChiroSecure’s Look to the Children’s show. I am Dr. B and this is Elizabeth. Say hello Elizabeth. So we are here to bring you a, um, a cool many lectures of this week on car seat crazy, chiropractic and Colic. And we are going to spin colic from a different angle. Aren’t we Elizabeth? We sure are. So Lizabeth, um, has asked me mom that, uh, next time I get her a cool outfit to wear because she’s tired of being seen in their diaper. So I apologize for that everybody. So Elizabeth has been sit here with me and make sure I do my job, right. Um, and we’re going to have a little bit of fun today. So car seat crazy, colic and chiropractic. How are we going to spin this around? You’re going to see in just a few minutes, but first of all, I want to thank ChiroSecure for giving us this platform, um, and giving us a way to share this information with you, um, and all the, all the amazing chiropractors out there.

So, uh, thank you, ChiroSecure for that opportunity. So we were going to go to, uh, let’s Jimmy jam and look at w we got on the next slide coming down the pipeline. There we go. Thank you, ChiroSecure. All right. So why did I tie together colic and car seat crazy. Wow. We’re gonna find out just a minute. So first of all, I love to ask this question when I lecture live and one day maybe in the, hopefully not so distant future Elizabeth, and I’ll be able to go on the road again, but colic, I want you to remember 3, 3, 3, or I should say 3, 3, 3, 3 colic. The definition of colic. It’s so funny. I asked chiropractors, do you think we affect, we have the ability to affect college and everybody raises their hand, like, yeah, yeah, yeah, yeah, yeah, yeah. And then I turn around and ask the question, what is colic?

And I see these still faces just like a donut. So the definition of colic is inconsolable crying for three hours or more a day, three days a week for three weeks. That is the definition of colic. The definition of colic isn’t necessarily a GI issue. Um, but it’s kind of morphed into that. Colic means GI issues and spitting up and GERD and things like that. And constipation not necessarily, not necessarily. So, um, so we’re going to see, um, a little different spin on that today. So let’s Jimmy jam and get started. So some associations with colic, my slides got a little goofed up here and I’m going to need my old lady reading glasses. Um, dietary considerations, cows milk is a big one. Um, that’s associated with colic, uh, neural behavioral, neuro developmental challenges later on in life. So lots of times we see college as one of the, um, factors that, um, as associated later on with neurodevelopmental challenges, um, very difficult temperament as a baby.

Now keep that one on your back brain burner for just a minute. As we dive into how this relates to the car seat, um, hyper responsivity to sensory stimulation, this is where we want to dive in today with regard to colic and the stipular system. Those of you that have heard me, uh, lecture over the years know that I, I have a fetish for a few things. One of them is a Steeler system. One of it is a bagel, the bagel Turner’s Vegas nerve. Um, so we’re gonna talk about the vestibular system in particularly today, uh, GERD, gut dysbiosis, obviously, um, migrants. My grants have actually, um, been highly associated with, um, colleague. So, and there is this association that if mom had migraines, we might see more colicky symptoms in babies. Now I don’t have time to dive into the whole rabbit hole between all of those connections with migraines and the gut and colic, but there are a lot of, um, a lot of interacting overlapping factors there.

And, um, we’ve shown that there are studies that show that B2 riboflavin helps with migraines, which can also help a colleague. So just a tidbit there and dysmaturation of the autonomic nervous system. So we’re going to dive into hypersensitivity of the vestibular system chiropractic and colic bada boom, bada Bing, bada bang, bang. Let’s do it. So the simplest system of, here’s a paper that came out earlier this year with it. It was a chiropractic study, um, and looking at kiddos with colic and the vestibular system. So that’s what I wanted to cover today. So let’s look at, I want to look at five factors that this paper looked at with regard to colic and vestibular function. So they asked parents, they took 120 symptomatic colicky babies and 117 asymptomatic. And they asked the parents by particular questions. And we’re going to look at those questions in just a minute.

So let’s, well, let’s do that right now. How about that? So what are these five questions they ask? All right, number one, does your baby calm down and or fall asleep when they’re riding in a car? Now, a lot of parents are used to taking the fussy baby out in the car and that puts them driving around forever long and that calms them down and puts them asleep. But what they have found with quote unquote, colicky, babies, remember colleague is just this inconsolable crying. I shouldn’t say just cause it leads. There’s a lot of, um, consequences as a result of, uh, these inconsolable little fiddle farts. But with, with those that, um, had quote unquote colic, they did not console necessarily when riding in the car. So that was one of the questions. Another question was, um, does your baby calm down and fall asleep when they’re held against mom or dad’s chest?

Okay. Or cradled in the crook of their arm? Yes or no. Um, so they, the kiddos that were diagnosed with colic question number one was a no, they did not calm down while riding in the car question, number two, they were not necessarily consolable in that fashion as well. Question number three, when your baby’s falling asleep, cuddle against your chest, you cannot lie them supine in the crib without them waking up and crying. So they take it from here and be able to lie them down that would tend to with those [inaudible] group, wake them up. And again, they went into, into inconsolable crying when question number four, when they’re asleep, um, baby can wake up with a scream and showing symptoms at that Moro startle reflects. That was a consistent finding with those in the colleague group. And question number five. Um, the baby is much more comfortable lying in an inclined position than in a Crip.

And so we all, um, especially with that in pine position, that’s something that we’ve looked at, um, regularly with GERD and colicky symptoms and so forth because when we lay them flat, there’s more chance of the reflux happening. So I think this connection between GERD and reflux and colic, it just kinda morphed into one. But what we want to look at is what do all of these questions also have with regard to vestibular hypersensitivity? So that vestibular system is us being up, being able to be comfortable and upright against gravity and feel comfortable in our environment. Um, we don’t have gravity where anti-gravity, when we’re in mom’s tummy, right? And then we pulled out we’re into this world. Now, all of a sudden we’ve got to adapt neurologically to gravity and what that feels like. And if, if that can’t happen, then that little fiddle heart may be hypersensitive to the feel and the way their brain is, um, experiences their environment against gravity.

So they took 120, um, symptomatic kiddos and they score them. Basically, they got 1.4 if for each one of these questions. So each one of these questions that was positive for that particular child, they got scored on it on a scale from zero to five out of those 120 all of them. But, uh, two we’re either a, um, scored between a three and a five. So all of them had positive findings, but two, then they had 117 control group and 89% of them scored zero or 89, excuse me, 89 out of 117 scored zero. And the rest scored between a one and three. None of them scored on a four or five with these, with this specific scoring questionnaire. So the colleague group underwent chiropractic care. Yes. Okay. Twice a week for two weeks. So essentially just for adjustments and from the paper, it sounds as though they used a, um, activator type device

And the way the paper reads is essentially they were, um, using this device, I’m going to refer to it as an adjustment, but they were using this device on the upper cervical spine. Okay. And which is going to have a huge regulatory input of a stimulator information into the brain. But in the paper, they stated as to relax the upper cervical muscles. So essentially this activated device to the upper cervical spine to relax those upper cervical muscles. Okay. Now of course we know when we’re subluxated, those muscles are going to be tighter. So again, if they’re using that device, they’re doing an adjustment appear. And so what they found was, again, two adjustments a week for two weeks, they found that, um, rescoring the specific questionnaire, 111 of them went to a zero score, zero symptoms of, of this, of colic, his symptoms. Um, and, um, so there, the Steeler score went to zero and their colicky symptoms were abolished nine of them. Their vestibular score went down to the one to three range and they’re calling symptoms diminished. So what is the moral of the story here? Is it a GI issue maybe because that upper cervical spine is going to have a lot of involvement and, uh, and gastrointestinal bagel tone, et cetera, or is there a neuro expressive behavior of collagen is symptoms of crying associated with hypersensitivity to vestibular input.

So I want to take these questions and kind of guide go through of how that fits into this hyper vestibular tone. First one, when they’re in the car, when, when, when there’s movement happening and we have hypersensitivity to movement and busted tone that can, um, create anxiety and a feeling of fear and lead to crying. So that movement isn’t calming. Like it would be with a little fiddle part that does not have hypersensitive to movement and vestibular tone, the stipular input, um, a lot of kiddos that, um, like to be cradled and so forth and walked around and bounced. If they have a hyper vistibular tone, they’re not going to like that movement. So again, that does not console their quote unquote colicky symptoms. Um, when they’re lying flat. Now the, the, the change in head position, the moral reflex is sensitive to vestibular and proprioceptive input and some realms.

They, they associate that with being a vestibular based reflex. When we drop that kiddos head and they have a star reaction, and then they become inconsolable, that would be firing that vestibular system. So it stands to reason when you are, um, putting him in, lying down in, in these positions and taking them from here, by the way, when you have them here and cradled in, in the neck, in the neck of your arm and aren’t moving and they seem to be fine. If you have their head at a little bit of a tilt about a 30 degree, 30 degree tilt, it changes the input to the semicircular canals. So it’s more calming to that Pasteur system. So thus they will like that position as long as there’s not movement associated with it, then you take them and change that position and change up ellizabeth classic baby, that pulls hair, but you’ve changed that input to the semi-circle canals.

So again, upregulating that vestibular input and they get there. And consolable, so if you look at these five questions and you show that in the car seat, they’re up in an incline, a bit of incline. Again, it changes the input into the lateral semicircle canal. So they’re not getting that much firing about the studio system. So these positions are more comfortable, but we’ve always taken them to believe that these positions are also associated with GERD. So I get pinged a lot on social media and so forth. Like I’ve done all the things that we’ve given probiotics and enzymes that had mom cut out dairy. And because dairy is very much associated with colic and cut out gluten and cut out the bad step, but we’re still having issues with this, this cranky fiddle, fart, colicky symptom, baby, and maybe even constipation, because when they’re in a stress paradigm, when they’re reacting to this hyper vestibular load and in a stress paradigm, that’s going to shut that down. So we may be barking up the wrong tree at times, you’ve done all those things already, and you’re still seeing this, these colicky, inconsolable gut issues, let’s think the Stabler input. So what are we going to do about it?

Moral of the story?

What are we, how are we going to figure this out? What are we going to do well, but I want you to, obviously we’re going to adjust them. Okay. So that’s number one. Um, and cranial work can be very calming too, but maybe we need to help regulate up, um, uh, exercise that vestibular system. So now it can handle that input better. So let’s take a look at some things that we might want to do there. First of all, that moral reflex, um, the moral reflex again, should integrate to the four months of life. Okay. And it’s going to need, um, a lot of tummy time. Tell me time might be a good red flag indicator for you here because kiddos that don’t like tummy time, they’re not receiving that vestibular input. So when we got this little fiddle farts and tummy time, and they have to go into cervical extension, we’re firing input from the cervical into the brain, firing up the Steeler system.

Again, if they’re subluxated and these are tight, they might not be able to get in those positions. Or those positions are uncomfortable. What would have been fun in that study is to look at the little kiddos if they like tummy time. And if they were able to get into this extension. So one of your red, one of your indicators could be that they don’t like tummy time. They like getting an extension, thus not exercising, maturing, helping to fire up that the Stigler system. Okay. And one of the reasons they might not like it is because they are sensitive to that input and it makes them crazy brain. All right. Just like the car seat makes them crazy. So we want to look at, is that more reflux hanging out? That could be an issue, but we want to look at some vestibular and proprioceptive input before let’s say they’re cranky and a car seat.

I get pinged a lot. Like, what do I do about these little fiddle parts? Mom does. Ain’t want to bring them in to get adjusted because they hate the car seat. They won’t even come to the office cause they’re their car seat. Crazy. Have them do a little bit of a stapler and proprioceptive input prior to getting in the car, to come to prep that system. If we give them a little bit of a Stabler input, it has about a four hour override window. So sometimes you get about four hours to get your stuff done. And proprioception input lasts about two hours. So maybe you have them on a physio ball and just do linear, gentle, rocking, and prep that system before they get in a car seat. Okay. Um, before you adjust them again, fire up the system a little bit in a way that they can handle it, that’s calming, do some deep joint compression.

Okay. Elizabeth, you ready for this? She loves the joint compression. We just take her wrist and we pump it a little bit difficult to do on something when it becomes plasticized. Um, but you just take their wrist and pull basically distract and compress and distract and compress, and you’d give them some squeezes up their arm. Okay. And you give them some squeeze and deep joint pressure and calm that system down. And then maybe a little weighted rank blanket in the car, over them, over their lap. It’s going to be grounding for them. Okay. So some tidbits for the car, some tidbits for sleeping, do these things prior to lying them down, calm the system down about, um, when we look at gravitational insecurity with gravitational insecurity is they don’t like to be in positions where their feet are off the ground because they don’t get that feedback.

And in a car seat, they don’t get any pressure up on their feet. Um, and so that you’ll see that with those kids that are hyper vestibular. So you might want to put something, um, to where they, they ha they can put pressure on their legs or pressure on their feet. So they could feel their feet more and know where they are in space. Okay. Less and less of that crazy brain inconsolable crying. Of course we want to adjust them. Absolutely. And like I said, the Stabler appropriate susceptive input can be golden to calm that system down and to prep it for any activity. This can also be golden to have parents do prior to feedings, because if the system is calm, they can digest better. And now we won’t add that added insult of maybe actual digestive issues dealing with these colicky symptoms. So hopefully this information was helpful.

And I want you to take a little different spin on looking at colic and how we see this dynamic of systems, right? Their behavior, their neuro expressive behavior, like in the car seat, like being laid down, um, not being consolable by walking around. What is that telling you may not just be the gut. We may need to look at other things as well. So, um, I’m going to wrap it up from there and thank you again, ChiroSecure for giving us this platform to get this amazing information out to all of you practicing docs. And next month, the first Thursday is the amazing Dr. Eric Kowalke I’ll be back on me and no, I don’t allow her to have Johnny jump up. She just likes to jump. We will be app the third Thursday of, uh, next month, which we’re in September already until then you guys have amazing rest of the summer. Um, and good luck to all of you out there as you embark on the new school year, we’ll see you next month.

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