Whether you live in the city or the ‘burbs, you almost certainly use a stroller for your infant or toddler. Even parents who use slings or carriers for “baby wearing” find themselves needing a stroller at some point. Why are strollers a problem for children with low muscle tone? The answer is simple: sling seats and ineffective safety straps.
The Challenges of a Sling Seat:
Strollers, especially the umbrella strollers that fold up into slim spaces, have a sling seat, not a flat and firm seat. Like a hammock or a folding lawn chair, these seats won’t give a child a solid surface that activates their trunk. When a child sits in a sling seat, they have to work harder to hold their body in a centered and stable position.
Why is that important when you are transporting your child in a stroller?
Because without a stable and active core, your child will have to work harder to speak and look around. A child with low muscle tone or hypermobility that is in a sling seat may be inclined to be less active and involved, even fatigued from all that work to stay stable. It could appear that they are shy or uninterested, but they might be at a physical disadvantage instead. A collapsed posture also encourages compensations like tilting the head and rounding the back. Will it cause torticollis or scoliosis? Probably not, but it is certainly going to encourage a child to fall into those asymmetrical patterns. Kids with low tone don’t need any help to learn bad habits of movement and positioning.
Safety strap location and strapping use in many strollers is less than optimal.
There are usually hip and chest straps on a stroller. Some parents opt to keep them loose or not use them at all, thinking that kids are being unnecessarily restrained. I think this is a mistake for kids with low tone.
Good support at the hips is essential when a child with low tone sits in a sling seat. It is their best chance to be given some support. Chest straps are often not adjusted as the child grows. I see two patterns: Straps too low for an older child, and straps too high for a younger one. The latter issue usually occurs when parents never adjusted the straps after purchase. They left them in the position they were in from the factory. Make sure that the straps are tight enough to give support but not so tight that a child is unable to move at all. A child that is used to sliding forward may complain about having their hips secured so that they can’t slouch, but they will get used to it.
You may have to reposition a child with low tone from time to time as you go about your errands or adventures. They often don’t have the strength or body awareness to do so themselves. They could be in a very awkward position and not complain at all. Check their sitting position as you stroll along. Good positioning isn’t “one and done” with these kids, but doing it right will benefit them while they are in the stroller, and also when they get out!
Think about your high chair as well. Read How To Pick A High Chair For Your Special Needs Child and A Simple Strategy To Improve Your Child’s Posture In A Stokke Tripp Trapp or Special Tomato Chair.
Need more positioning information?
I wrote a handout pack for you!
My Infant Positioning handout pack isn’t just for therapists, although it will make any therapist new to Early Intervention a pro in about a minute! These single sheets are filled with the things that skilled therapists use to make clinical decisions about seating and teaching parents how to position their child. Grab a copy today on the best site for professionals and parents: Your Therapy Source . Just go to the “OT/PT Resources” section where all of my products are sold. Buy more than one and get a big discount on both!
Looking for information to make everyday life easier ?
I wrote a book just for you!
Filled with tons of information on seating and positioning, how to select the right chair for play and preschool, and how to help your child learn to get dressed and use a spoon or fork, it is the manual that parents have been looking for! Learn how low tone affects social and emotional development, and why every child with low tone faces a sensory processing challenge.
There are chapters on how to improve connection and communication with family, your child’s siblings, teachers, and doctors. Parents who know what to do and what questions to ask feel confident and empowered, not sidelined or misunderstood.
This unique book is available as a printable and click-able download at Your Therapy Source and as a read-only digital download OR a paperback (you know you want to highlight, underline, and write in the margins!) on Amazon.com
My book on toilet training the child with low tone is now in its second edition! I added an entirely new section on pre-training so that families and therapists can get going immediately! Check it out today on Amazon
