Megan had her first appt with the OT yesterday. First of all, we once again had proof that even at this very young age she's ornery. The child was diagnosed with Wry Neck at her last Ped appointment because she refused to turn her head anyway but left, remember? Well the specialist walks in the room and sees Meg sitting on my lap as she demanded she be held rather loudly just moments ago. When he came in she did have her head tipped down to the left - left ear towards left shoulder although not as prounounced as it used to be. Then he lays her down on the exam table and what does she do? She turns her head COMPLETELY to the right - I mean seriously, I didn't even think heads went quite that far around...ALL the way to the right - to look at the wall she had been peering at previously.
The doctor said "Huh. So we need to migrate all her mobiles and whatnot to the left side so she peers left."
I said "What? She had a left preference up until, like right now."
We talked about how she used to predominately look left and how if she's inclined or upright her tendency is to tip to the head left (ear towards shoulder) but that since we moved everything per the Peds direction to the right side she's gotten around to whiping her head from side to side. He laughed and said "well if you notice her start to develop a new preference to the other side you'll have to move all the stuff back to her left for a bit. Just keep moving it around."
The main gist of her appointment is this - whatever side she's favoring is thought to be mild enough that we did not need to order ultrasounds or 'real' phyical therapy, etc yet. We have to work with her on excercises and carry positions that help move her right ear towards her right shoulder, as well as getting her chin to her left shoulder. She also has to give up the whole "I refuse to sleep on my back" thing. We're going to bid the car seat as crib farwell tonight since Logan is sleeping over Grandma and Papa's for his monthly "me" time. We expect it to be a long, loud night. Essentially this thing she has against being flat down has contributed to her tight neck muscles - the weight of her head pulls her to a side and she's favored the left...which may also have been a side preference dating back to the womb.
We go back in Feb for follow-up. If there isn't enough improvement by then we'll do the ultrasound and actual PT appointments.