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Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Talk Tummy To Me, Medical and health, 750 E Adams St, .

Follow along for expert advice on childhood development from pediatric physical therapists, exciting research we are completing at SUNY Upstate's B2UMP Lab, and the excellent pro bono service our DPT students provide to developmentally delayed children.

17/03/2022

Our SPROUT babies are the cutest clovers in the patch! 🍀

08/03/2022

Happy International Women’s Day!

Check out some of our strong little ladies at our probono clinic working on achieving their functional goals💪

01/03/2022

How should a parent encourage positive behaviors? Knowing that behavior has a purpose and is affected by other factors, you can help your child build the necessary skills to communicate more effectively. Here are some strategies to try.

1. Set clear expectations-- Positively state the appropriate behaviors you want to see. Instead of telling your child “Don’t’ stand on the table.” You might say “Please put your feet on the ground.”
2. Provide structure and consistency-- Young children need consistent schedules and ground rules. This helps provide a safe and predictable environment for them to learn appropriate behaviors over time.
3. Collect data-- Keep a log that documents challenging behaviors. Note when the behavior occurs, what your child is doing before and after it happens, and what is going on in their environment when the behavior takes place. If you see a consistent pattern of behavior, think about other ways you can help your child to get what they need.
4. Reinforce and name positive behavior-- Be sure to praise your child when you “catch” them behaving as expected. By naming the appropriate behavior for your child, you are helping them reinforce it.
5. Give words for emotions— teach your child simple phrases such as “I don’t like that!” or “Help me!”

More in the comments!

23/02/2022

Our .classof23 did a great job administering the BOT-2 on this unbelievably strong 7 year old girl!

The BOT-2 measures fine and gross motor proficiency, with subtests that focus on stability, mobility, strength, coordination, and object manipulation. The test is tailored to school-aged children and young adults among the ages of 4-21 years.

14/02/2022

Roses are red.
Violets are blue.
Our Valentine’s date is cuter than you.
Happy Valentine’s Day! 😍

11/02/2022

Winter Car Seat Safety Tips from the AAP:

❄️Bulky clothing such as winter coats and snowsuits should not be worn underneath the harness or a car seat

🧥Add a blanket over the top of the harness straps or put your child’s coat on backwards over the buckled straps after they are buckled up. If you have a coat on, your baby will probably need a coat and blanket!

🤏🏻Use the pinch test— if you can pinch the straps of the car seat harness, then it needs to be tightened!

❄️Use a car seat cover ONLY if it does not have a layer under the baby— nothing bulky should ever go underneath your baby’s body or between their body and the straps.

❌Never use sleeping bag inserts or other stroller accessories in the car seat— if the item did not come with the car seat, it has not been crash tested and may interfere with protection.

01/02/2022

To better understand how to address challenging behaviors, you need to understand the four possible functions of behavior.

S- SENSORY: the child finds the behavior self-soothing or satisfying. This might look like flapping their hands or rocking back and forth.

E- ESCAPE: the child wants to get out of their current situation. This might look like running away or destroying property.

A- ATTENTION: the child has a desire for the undivided attention of an adult or other child.

T- TANGIBLE: the child has a desire for attaining a particular object.

Stay tuned for some strategies to encourage positive behaviors!

25/01/2022

A behavior is defined as the way a person acts or conducts themselves. Behaviors can be almost anything we can see someone do or say. Behaviors can be desired (things you want the child to do such as asking for help), or not desired (such as tantrums and yelling out).

Challenging behaviors are defined as behaviors that can be threatening to an individual or people around them.

To begin to understand how to treat a problem behavior, the function of the behavior must be determined. This tells you why your child is acting that way. By observing your child and tracking his behaviors, a pattern that tells you why the behaviors happen may emerge.

Creating an ABC Chart is a great strategy! Track behavior using the following:
🅰️Antecedent: What just prompted this behavior? What was happening right before the behavior occurred?
🅱️Behavior: What did the behavior look like? Be as specific as you can – instead of writing “tantrum”, use words like “hitting, kicking, screaming, biting”.
🛑Consequence: How did I (or others) respond to this behavior? What outcome did it have?
🛑Function: Which of the functions of behavior does this fall under?

19/01/2022

Reading to your child is an important precursor to language and literacy development. It encourages vocabulary development, positive attitudes to reading, and strengthens emotional ties between the parent and child. In our littlest ones, reading offers opportunities for joint attention, or the sharing of attention by two individuals: parent and child.

Here are some guidelines on how to read to your child:
📕From birth - 6 months of age: begin reading chunky board books, soft fabric books, or vinyl bath books. Babies at this age may come to recognize the book-sharing routine and enjoy your company and the sounds of your voice and words. Babies will primarily explore the books through their senses by grabbing and chewing on the book. They may not pay attention to the whole story, so take breaks when they get bored.
📗From 6 - 9 months of age: begin reading short, simple stories with colorful illustrations, continue reading board books. Babies at this age will continue to explore the books by looking, touching, and mouthing them.
📘From 9 - 18 months of age: Continue offering board books with simple stories. Stories with rhymes and phrases that repeat may catch your toddler’s attention. Around 12 months of age, you can start to ask simple questions about the pictures in the book such as, “where is the dog?” and watch to see if your baby points or gestures.

11/01/2022

Prader-Willi Syndrome is a rare genetic disorder that results in a number of physical, mental and behavioral problems. A key feature of Prader-Willi syndrome is a constant sense of hunger that usually begins at about 2 years of age. In Prader-Willi syndrome, a defect on chromosome 15 disrupts the normal functions of a portion of the brain called the hypothalamus, which controls the release of hormones. A hypothalamus that isn't functioning properly can interfere with processes that result in problems with hunger, growth, sexual development, body temperature, mood and sleep.

People with Prader-Willi syndrome typically have mild to moderate intellectual impairment and learning disabilities. Behavioral problems are common, including temper outbursts, stubbornness, and compulsive behavior such as picking at the skin. Sleep abnormalities can also occur. Additional features of this condition include distinctive facial features such as a narrow forehead, almond-shaped eyes, and a triangular mouth; short stature; and small hands and feet. Some people with Prader-Willi syndrome have unusually fair skin and light-colored hair. Both affected males and affected females have underdeveloped ge****ls. Puberty is delayed or incomplete, and most affected individuals are unable to have children (infertile).

In addition to having constant hunger, people with Prader-Willi syndrome have low muscle mass, so they need fewer than average calories, and they may not be physically active. This combination of factors makes them prone to obesity and the medical problems related to obesity, such as diabetes, high blood pressure, heart disease, and sleep apnea.

A multidisciplinary team approach is ideal for the treatment of people with Prader-Willi syndrome. Early diagnosis, early multidisciplinary care, and growth hormone treatment have greatly improved the quality of life of many affected children.

06/01/2022

The Soleus muscle is the decelerator of the body; it controls the momentum of the tibia. With decreased soleus activation, there are no brakes! In toe walkers, the soleus activity is decreased by 122%.
Due to an underactive soleus, the quads become more active to slow the tibia, therefore we often see our toe walkers using excessive knee extension during gait.

An efficient gait utilizes 10 degrees of dorsiflexion to facilitate passive force production. Shortening of these muscles during toe walking decreases the strength and contribution of the plantarflexor’s passive force production. Impaired calf muscle function causes an immediate compensatory reaction directed towards maintaining overall stability rather than speed. Therefore we see toe walking expends 53% more energy with the gastrocnemius muscles activated 76% more than in a typical ambulator.

Toe walking is neither an ideal nor efficient mode of human mobility. A child who toe walks is trying to meet a need that is worth the extra effort, dysfunction, and musculoskeletal damage. Our job as physical therapists is to find out what that need the child is trying to meet is. If we try to prevent the toe walking without meeting that need, then we limit our potential for success and invite recurrence of toe walking and its associated consequences.

04/01/2022

Nursemaid's elbow is a common injury of early childhood where a child's elbow is pulled and partially dislocates. The medical term for the injury is "radial head subluxation." Because a young child's bones and muscles are still developing, it typically takes very little force to pull the bones of the elbow partially out of place, making this injury very common. It occurs most often in children ages 1 to 4, but can happen any time from birth up to age 6 or 7 years old.

Nursemaid's elbow often occurs when a caregiver holds a child's hand or wrist and pulls suddenly on the arm to avoid a dangerous situation or to help the child onto a step or curb. The injury may also occur during play when an older friend or family member swings a child around holding just the arms or hands. Nursemaid's elbow is rarely caused by a fall. If a child injures the elbow when falling onto an outstretched hand or directly onto the elbow, it may be a broken bone rather than nursemaid's elbow.

Because moving the injured arm may be painful, the primary symptom of nursemaid's elbow is that the child will hold the arm still at his or her side, and refuse to bend or rotate the elbow, or use the arm.

A pediatrician, family medicine physician, emergency room physician or orthopedic surgeon can typically make the diagnosis of nursemaid's elbow based on how the injury occurred and the manner in which the child holds his or her arm. In most cases of nursemaid's elbow, the doctor will gently move the bones back into normal position. The medical term for this procedure is "reduction."

To prevent the occurence of this injury, parents should:
❌Avoid tugging or pulling on a child’s hands or arms
❌Never swing a child by holding the hands or arms
❌Never lift a child by holding the hands or arms

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