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Hello
Thursday. Um, third Thursday in February. I am your host today for the amazing look to the children’s show, um, by a ChiroSecure. So I’m Dr. Monika Buerger, and we’re going to have a little fun today. What I want to do is first of all, I want to thank our secure for always giving us an amazing experience, um, and always having the backs of chiropractors, um, around this amazing country. So thank you ChiroSecure for giving this opportunity to share our story and our information on, um, these little fiddle farts for this show. So today I want to kind of go over how to help you build a milestone, awesome family and pediatric practice. And what I mean by that is really how to foster building generations of, um, family members into your practice and what, what are some simple things we can do from the get-go when you first evaluate that little baby in your office?
A lot of questions I get is okay. I’ve educated my patients on the power and, um, of chiropractic the amazing power chiropractic has they, I see them through their pregnancy. They bring that little fiddle fart into me when they’re first born, um, for their initial well-check. And then how do I educate them? How do I, um, get them to understand that the importance of monitoring that little fiddle fart on a wellness type basis? So let’s cover some of that and then maybe let me give you some, um, other milestone tips as we go. So, first of all, I had to add this to my slides today. Um, so this is what happens when you work with little fiddle parts in your practice. A lot of my practice is dealing with those that have neural developmental challenges and neural developmental delays. Um, so they come initially start care.
They’re non-verbal, they don’t engage in social skills. They don’t have interest in coloring, drawing, things like that. So this happened yesterday in my office, this is a little fiddle fart I’ve been working with, uh, that was at that lower level of function. And now his gained interest in coloring and drawing, which is huge, which actually ties into our topic today of milestones. Um, so he wanted to draw a picture of me. And so this is a picture of me. And the first thing that everybody says is, what do you think? They nailed my hair. He nailed what my hair looks like. So yes, I looked like a peacocks on the times, but, um, this is the fun you can have in your practice when these little ones start coming. Um, and you get to experience these things. So yes, this is a picture of me.
And so I had to take a picture of his picture, which I will keep in my memory bank forever, probably. So again, this is some fun you could have. I just wanted to share that because the hair is definitely spot on. So let’s look at some, I just want to go through four typical milestone patterns that we want to, um, be mindful of. So what’s happening is, um, some really great, amazing things in the chiropractic profession is that a lot of people are looking to chiropractors as their family care, um, physician as their portal of entry. So a lot of families are bringing their little fiddle parts to us, and that’s an endearing term that I use, um, has as their wellness provider, as their main provider with that though comes the responsibility of knowing, um, if that child is progressing on track or if maybe there are maybe some developmental concerns that we want to be mindful of.
So milestones are, um, some things we should be, we should know. And I want to remind you that the milestones you have fine and gross motor skill milestones, as well as social engagement and language milestones. So it’s not just gross motor milestones that we should be mindful of, but that’s what we’re going to kind of hammer today. And I’m just going to go through four key ones. There’s more than that. Um, so one of the ways that I used to explain to my parents when they first bring little baby baby’s born, they bring them to you. They want you to check them after the birthing process. Awesome. Okay. But how do we foster care from there? And how do we explain the importance of that? Well, this is one of the things that I use and I put Elizabeth right there. She’s sitting up for me.
So what I, what I do is I use this marionette puppet kind of graphic or image for them when we have, so the first part of this little show today, what I want to do is to give you some tips of how to communicate with parents. And then we’ll double back and talk about some things that we should know as practitioners. Okay. So what I’ll do with parents is I’ll bring my spine in and I’ll show, you know, that like a marionette puppet, if we have subtle, um, what we call misalignments or subluxations of the spine, where the spine is suddenly a skew, a vertebra, too. What it does is it pulls this abnormal tension, like a marionette puppet on the muscles attendance. And so you might have one side that’s tighter than the other, but what can happen is, as I say, mom or dad, have you ever like had a sore muscle or you, you know, you pulled your muscle and you, when you move a certain way, it’s like, ah, that’s kind of tender that hurts.
So you avoid moving in that pattern, that direction, um, or it just prohibits you from moving that way at all. Well, you’re a little one can have the same type of thing going on. If they have these subtle misalignments in the spine, it may put tension in places where they either cannot get into these positions or they’re uncomfortable. And so they’re going to avoid getting these positions. So what’s the big deal. The thing is these movement positions, what we call movement milestones are significant for actually building exercising areas of their brain. So communication between the body and the brain and the brain to the body. And this is so critical for laying the foundation of neurodevelopment for you, a little one, and these foundations are going to be needed for later on learning attention and behavior. Now, initially I don’t get too much into the neurology behind all this because I don’t want to overwhelm them.
I just want to give them some basics. So we use this marionette puppet. You know, if you’re pulling on one string, you’re pulling on one area, but the other side of the body might not. Um, it had more, it might have more Slack and this becomes an imbalance of the body in balance of the body equals imbalance of the brain. So, so what I will do is I’m going to go to this side right here. So then what I will show them is so every time I move my neck or head or arm on my left side, I am building up and exercising the right side of my brain. And when I move my right side, I’m in exercising the left side of my brain or building that up. So optimally, we want to build a balanced brain, then body and a whole brain functioning so that when the demands that your little one’s going to need, particularly around first or second grade, we start to see more demands needed at school and so forth that now little can, we can operate from a whole balanced brain and body level.
So what I want to look for is I’m checking a look Henley right now, and I’m noticing some stress patterns and strains and what we call subluxations and from the, this could be from being scrunched in utero or from the birthing process, but we’re gonna work to de-stress her body right now, so that as she develops, she can go through these movement patterns. But what I want to do is I set up a whole, um, over, especially the first two years of life. These different movement patterns are very significant because they are going to work different parts of our brain. So what I do is I like to, um, watch them over the years of their development, especially those first two years and check them on a regular basis to make sure that they’re meeting these, what we call motor milestones, that their body can, is comfortable enough and can move in these positions in order for them to carry out these movement patterns that are creating brain development.
So, first one we look at is at rolling. Okay. So I’m very given very simple explanation of why we want to now not just check Kinley right now after the birthing process and make sure we clear out any restrictions or subluxations, but how we want to make sure that as we go month by month by month, so you might create a wellness plan and that may look like twice a month for your office or once a month, depending on your wellness plans. But the reason why we want to create this milestone wellness practice is because you are going to watch for these milestones to come into play again. If they, if they, um, have subluxation patterns and that restricts them from getting there, then we catch them right away. Then I look for any, you know, potentially concerns that she’s not being able to engage in these movement milestones.
And we get, we address them in a preventative mode. So we basically prevent the train from derailing and going off the tracks. Okay. And you set the stage right there. So with that said, we want to look at, and again, we’re just going to go over for today, rolling as one of them between about, about the agent with milestones, with movement, milestone patterns you need to give or take a month or so on. Either side, these aren’t really hard concrete. The other thing to be mindful of is a lot of parents these days, they think faster is better, right? Why aren’t they walking by 10 months? That’s a big question I’ve been getting lately. They’re 10 months old and they’re not walking yet. It’s okay. They shouldn’t be really, really, if we look at decades ago, it around 18 months, if they weren’t walking by 18 months is where the concern became a, it became a concern.
So 10 minutes, we shouldn’t even be there yet. So we need to also explain that to the parents faster is not better. So I want to make sure that Kenley is free of subluxation patterns so that she can also do these movement patterns appropriately because there is a definitely a proper way. We want these movement patterns to roll out, to play out. So Rollings one of them by three months of age, we want them to start to roll from the pelvis app as a corkscrew pattern through, through the trunk, not as a log roll pattern. One of the things that we should understand as primary portal entry docks is that movement patterns, a proper movement patterns are associated with, um, things like neurodevelopment delays and particularly autism and the th the type of movement pattern. So we want to be able to pick up, are they doing these movement patterns and are they doing them properly?
And there’s a paper by an author called title bomb. And he looked at some of these movement patterns. And how later on that child may have been labeled with autism. Now, we don’t want to put that. We don’t want to start there with parents. What we want to do is we want to explain to them that we’re looking and we’re going to create a family wellness protocol for little Kinley so that we can make sure she hits those motor milestones properly. So back to rolling three months of age through the pelvis, through the trunk and around now, let’s think about this from a clinical perspective. If we have lumbar and pelvic subluxations that are restricting movement, another big one are going to be so as muscles, these are areas we really want to keep, um, healthy and subluxation free in order for that little fiddle part to be able to get in that movement pattern.
The other thing I want you to take into consideration with rolling, um, is the speed annoyed is, uh, mimics the pelvis. So don’t just get honed in on the pelvis. Look at the entire spine. Look at dural tension, look at the Spinoza. So three, three to four munches rolling from the pelvis forward through the trunk and a corkscrew pattern about six months, six months, ish, you’re going to, they’re going to go from the shoulders and that’s going to initiate the role and through the pelvis and around. Okay. So again, it’s not just being able to hit that motor stone. It’s the quality of it. Okay. So that’s about, so that’s your three to six month window that I want to look at as a key milestone, then they will get some core trunk stability gain that by tummy time and by rolling, and then they should be able to sit independently starting about six months of age.
Okay. Six to eight months of age. Um, so they should be sitting independently and have that core control. Then they go from that into an all fours pattern. Okay. So they’ll start sitting core control, and then they’ll start that eight months or so they’ll kind of do this lateral shift, putting one arm out, um, and, and being able to brace themselves. And then they go from that and to all fours, that’s going to be about nine to 11 months being on all fours. So again, you’re setting up a wellness paradigm practice protocol in your office, like, okay, we definitely want to make sure that we check little Kinley after the birthing process. And then we want to make sure she’s able to get an extension and tummy time. And then, Oh, definitely. You know, by three months or so, we want to see if she started to even be interested in rolling, and then we’re going to make sure that rolling patterns appropriate from that three to six month window.
And then about six months, we want to make sure we’re seeing her baby will sit appropriately and then getting to the next stage on all fours that gets into play about nine to 11 months, they’d get on all fours. They rock back and forth. We refer to this as the pre crawling reflex. It’s, it’s really integrating what we call the sematic tonic, neck reflex S TNR. So we should see this between nine to 11 months, that needs to happen. It should happen before they get on all fours and start their cross crawl pattern. So again, these are, these are stages that we’d like to look at and we’d like them to be appropriate. And we like to see the little fiddle farts, at least on a monthly basis in order to make sure that they’re subluxation free and can meet these motor milestones in a proper fashion.
Of course, if they’re subluxated, if they have tension like this marionette, they may not be able to get into these proper movement patterns. Couple of key things I want you to think about is other than subluxations, I want you to really think of dural tube, tension, dural tube tension can really, um, play havoc with a couple of these key reflexes here. When baby’s rolling, that’s going to integrate the spinal Galot reflex, which is a key reflex for later learning attention behavior as is this STNR reflex. So dural tension can keep us from getting in those optimum positions, tethered oral tissue or tongue ties, uh, tongue lip bugle ties can restrict movement. Cause it’s a fascia restriction was like Woody here. Our marionette puppet pulling tension from cranium all the way down. Of course, subluxations are going to be there. And we have some trouble with may have some trouble with low tone kids.
So those are some hot button things I want you to think about as to why they can’t get into these positions. So use the marionette puppet as an example, and these tensions muscle and ligament tensions that because of the spine is subluxated putting abnormal tension in balanced tension from right to left imbalanced body is imbalanced brain in balanced brain, imbalanced body from side to side, they can’t carry out these motor milestones as chiropractors. We want to clear restrictions, clear the blocks so that they can get into these positions. And we want to do that by watching them on a regular wellness maintenance basis. This graphic is huge for you to use, um, with regard to showing how, when they move different body parts, it’s actually building brain, okay. Building areas of the brain. A couple of things. Again, you can, if they’re having trouble getting into this corkscrew really position again, especially the lumbar and pelvic spine, don’t forget this be annoyed.
Cause it mimics the pelvis. There’s a little trick you could do. You get them. Um, you can see where I’m putting one hand, basically the top leg is bent and you just gently pull that top like over. I’ll do it so you can see it. So top leg like this, okay. We want them to be able to roll in both directions. Cause ruling in both directions left side, right side of my body left side, right side of my brain getting exercised. So I gently put my hip, uh, my hand on one of, um, one of the, um, ileum that top leg is bent and I’m pulling, I’m just tagging a little bit on that bottom leg to get a little tension and you just hold them there until they will start to roll over one of the things we don’t want to see for the log roll.
Okay. Just a law roll. And then they fly over. We want that corkscrew role to show up. So that’s a little exercise we can give. Um, we can give to parents to do and roll them in both direction. Have the parents do in both directions? This, if they have trouble with dynamic sitting, if they’re getting some low tone or not getting in that position, I want to show you just a quick little video. Okay. So we want to also work on dynamic balance. All right. Um, and this is for any kiddo, but particularly the kiddos that are having trouble learning to their core, to sit on their own. Again, between six and eight months, they should be sitting independently and be okay with that. So we can do a few different things. One is you can start them again, lower on the lap. And again, the more core you support, the more stabilization they have, then you can work to not supporting them and then work their way up the ladder.
So to speak on the knees, again, more stabilization for the core, with the hands last without then you start walking a little bit. Okay. This is again, when we’re looking at those postural reflexes like ocular head writing, the lab and thing had writing, right? Correct. That’s where they tilt the side and the head should correct the Ryzen. So we’ve got to start fostering that because those postural reflexes need to take over those primitive reflexes. So you create a dynamic situation and by rocking and they have to stabilize more on a physio ball, um, do the sun of physio ball and how you support their core when they get to a good point and they can stabilize their own. Maybe you do. You stabilize the Physioball by rocking the physio ball and see how much they can control themselves. So again, we’re working our way up to dynamic sitting positions, um, and destabilizing positions.
So these are some things we can, we can just show parents at home. Again, we’re being active in fostering this optimal development by creating a wellness program for these little fiddle parts of our practice. This is particularly important. If you have family members that have had a little one who already is in a, in a neural delay, delayed situation or on the spectrum. Again, we know that, um, those on the spectrum, um, have been shown to have poor, um, motor we’re. They’re looking at that actually as the indicator in early indicator of a possible label of autism. So parents are concerned if they’ve already had one child that’s delayed now have another baby, you are going to monitor them on a regular basis. And this is going to help you foster, um, creating a brain based wellness program in your offices to where you’re really going to not need to do a lot as far as always getting new patients in because you’re seeing these families for years to come generation after generation.
Um, so those are some things I want to share with you. Um, I didn’t put in here, I met you, sorry. If they have trouble getting on all fours, um, and rocking, you can trap them between, between your legs, okay. Trap them your legs and hold them up a little bit. And that just gives them again, more core control to get on all fours, um, or just have parents hold them and stabilize their pelvis, um, and get them on a floor and then gently rocking back and forth. Uh, so hopefully you can see that, um, the, um, so again, trap, uh, have them on their all fours stabilize their pelvis. Okay. Or like I had them here instead of between my knees here, I’ll have my legs flat. Baby is between my legs to get my legs kind of squeezing them a little bit, to give them some support, to get into that all forced position.
And then by nine to 11 months, that’s when you want them there and gently rocking to help integrate the STNR B flex. This is a ha the other thing that has been really great is those that I mentor, we made, I made a, what I call a quick screen milestone, and here’s your going to gross motor fine motor social and language. Um, just quick screens as you are in the room with these little fiddle farts, I had them for, um, all ages, year one, two, three, four, and five. They’re all separate ones to use as a screening tool. So you have that there in front of you. Okay. Little fiddle part’s coming in. They’re two to three months old. These are some things I want to kind of check real quick to see if they’re hitting those milestones. But the other thing that has been fabulous is using a handout like this, to give to parents and say, okay, mom, dad, what we’re going to do is I have this in Kelly’s file.
Oh, look, she’s doing great. She’s hitting all these milestones now, next month, when she comes in, we’re going to look to make sure that she’s hitting this, this and that in the proper fashion. If she’s not, obviously we’re going to check for subluxations and anything, other red flags that might come up and we’re going to conquer it before it becomes an issue. And I give the parents this handout and they love it because they’re like, they’re engaged in their child’s care and their child’s progress. Um, and we’re on the same page and they can look and then they can say, Oh, she, she did hit this. Or like, Hey doc, I don’t think, you know, she’s getting there, you know, and that may be an indicator for you to say, you know what, we’re going to need to up care for a little bit, maybe for the next month we’re going to up care.
Uh, you know, I want to see her weekly or twice a week for a few weeks until we clear these subluxation patterns. We see these milestones coming on board, and then we can back off again. So you’re being active, they’re being active and it’s really kind of, um, it’s, it’s really keeping them on track to keep their appointments as well. So, um, so we see that, you know, this is ages one through six in this particular hand, it goes up to the first year, and this has been extremely helpful for parents to stay engaged. And, um, they they’re really excited to, to be engaged with you in the of their child. So what I did was I, I got so much great feedback on that handout and it’s become a way for doctors to really foster this wellness, um, milestone family practice, um, and to kind of pivot that message from a pain brace to a brain-based wellness paradigm.
So if you want that handout, I will send it to you actually. Um, as part of my, thank you for listening to me and as my thank you for Kira secure for always supporting us. So just text this number. If you text this number, um, you can, uh, we’ll, we’ll put you in part of our community outreach programs and, um, send you that free handout to give to your practice members as well. So again, I want to thank all of you for being a part of this amazing profession and looking out, um, looking out for the little photo farts you don’t actually have. You can text the word, Whoa. Um, when you text this message, you can text the word wo or text any message you want. You can even text how much you like my hair. Maybe there’s a theme going on here because that initial picture, and now we have this monkey and maybe it’s a hair thing.
So you can text me any, any word you want. But if you text that number, I will know that you want that handout and we will get it to you. We’ll be happy to get it to you again. Hopefully this helps you build a milestone family wellness practice for generations to come. Um, and we move those kiddos forward in the healthiest fashion we can. So, um, until next month, I wish you all an amazing month of changing lives. Changing the future. Again, ChiroSecure, thank you for helping us share our message and get this word out to everybody else. And, um, Erik Kowalke will be with you the first Thursday of next month, and I’ll be back the third Thursday of next month. What a, hopefully a surprise guest. We’ll see you then
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