The newly-hired therapy company (partially) began in-home visits with Ryan last Thursday. All therapists have not come yet, but one did. It was the Physical Therapist, and she has made two visits thus far. I must say, it is nice to have the help once again. I can do so much more with another person assisting. As some of you might remember, we have been without this service for several months now due to the unethical administrative practices (in my informed opinion) of the earlier company, Capital Home Health Care (CHHC). Errrr…. I’m still fuming about how they treated Ryan.
My approach to professional therapy, as before, is to have Ryan limber before the therapist arrives. This way we can work on more complex therapy. So, I have him spend at least an hour on the ActivCycle for both his arms and legs. Then I stretch and range him for about thirty minutes. When the therapist walks in, he’s good to go.
One of the positions we put him into is to have him seated on the edge of the exercise table (or exercise ball) with his feet on the floor. Imagine yourself getting out of bed in the morning, sitting on the edge of your bed. I get behind him to support his back and head. The therapist (in front) provides input by pushing down on his knee, really planting his feet to the floor. It is important — for neurological input — that I keep his head neutral as much as possible.
On Thursday I noticed Ryan was making an effort to keep his head up. So, I let go. I wasn’t expecting it, so I didn’t time him, but he maintained head control for at least a full minute on several occasions. His head would bob, but he would make corrections and recover. He would tire eventually and his chin dropped to his chest. This let me know he must have some sense of where he is in space, even if it might not be cognitive. It’s a big deal.
On Saturday, I was more prepared. Not as prepared as I should have, though. I really am angry at myself for not video recording. I’ll do this next time.
We put him in the same position (seated with feet on the floor). I positioned his head and let go. We began timing him.
At four minutes, on the dot, his head dropped. Sure, his head was wobbly at times. But, he made corrections and kept it upright.
Can you believe it? Four Fuddrucking minutes!