San Diego: (619) 692-0622
Santee: (619) 749-7059

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San Diego Centers for Pediatric Speech, Occupational & Physical Therapy

San Diego: (619) 692-0622

Santee: (619) 749-7059


Torticollis & Plagiocephaly

blog baby torticollis plagiocephaly

Congenital Muscular Torticollis (CMT) is the third most frequently occurring musculoskeletal condition in infants, with a reported incidence of 0.4% to 1.9%. Torticollis literally means “twisted neck.”  CMT is usually present at birth or develops soon after. A child with torticollis typically laterally tilts their head to one side an

d rotates their head to the opposite side. You might notice that a child with torticollis always seems to be looking in the same direction. They might even cry or resist when you try to turn their head to the other side.

blog head torticollis plagiocephaly.jpg

The cause of CMT is unknown; however some believe that it is related to the baby’s position in the uterus prior to birth. Torticollis is more common in children who are part of multiple births (twins, triplets, etc.).
If the torticollis has been present for some time, the child may even develop changes in the head shape, such as flattening of the skull on one side. This is known as positional plagiocephaly. Over 80% on infants who present with CMT also demonstrate plagiocephaly and cranial asymmetries (Cheng 2001).

Therapy Methods

At Kara Dodds and Associates, we realize that children benefit from a variety of therapy methods and approaches. As such, our team of multi-disciplinary pediatric therapists obtain advanced courses and trainings and specialize in neurological and developmental delays. Therapy is delivered in a one-to-one setting but also in small groups in a systemic, structured, but play-based teaching approach. Our specialized therapy methods include -

  • Picture Exchange Communication Systems (PECS) is using a series of visuals to teach a child to initiate by giving a picture to a communicative partner.
  • Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) is a tactile-kinesthetic approach that uses touch cues to clients articulators to help guide them through a targeted word or phrase.
  • Kaufman Speech & Language Protocol: is a way to teach children with apraxia of speech the easiest ways to say words until they have increased motor –speech coordination.
  • Hanen Center: (More Than Words) teaches techniques on how to use visual systems for transitioning, requesting, understanding the schedule or “what’s” next, how to shape echolalia speech patterns and more in everyday activities.
  • TalkTools: is a muscle-based oral motor programs designed to promote speech and improve oral motor (lip, jaw) by utilizing oral placement tooks (chewy tubes, z-vibes, horns, whistles) to improve verbal output, feeding, and speech production skills
  • DIR/ Floortime: is a developmental, individuated relationship based (www.circlestretch.com) programs that are used to improve social connects between children and communicative partners.
  • Social Thinking: Developed by Michelle Garcia Winners her programs target social skills programs with techniques used based on "ILAUGH" model (www.socialthinking.com)
  • The SCERTS® Model -Social Communication, Emotional Regulation and Transactional Support (www.scerts.com)
  • Social Stories: developed by Carol Gray, these method uses visuals and individual stories to teach social skills or appropriate expectations of behaviors through visual models www.thegraycenter.org), and Video Play Modeling.

Funding / Insurance Options

We accept a variety of plans to cover your child’s therapy needs. We bill and work with insurances directly taking the hassle out of it for families. We accept:

  • Tricare (Health Net Federal Services)
  • Kaiser
  • Easter Seals of Southern California
  • San Diego Regional Center (in home or center based)
  • PPO plans including: Anthem Blue Cross, UHC, Blue Shield, Coventry, and more.

We will take the lead on determining coverage and finding the best options available with your plan. Call today at 619-692-0622 for more information.

Ready for a fun therapy environment, that truly cares about your child and your family?

Come experience the difference!

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Mission Valley Center

Kara Dodds & Associates - San Diego
7840 Mission Center Court, Ste. 200
San Diego CA 92108

(619) 692-0622

Monday through Friday: 7:45am6:30pm
Saturday: By Appointment Only

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Santee Location

Kara Dodds & Associates - Santee
8840 N. Magnolia Ave Ste 220
Santee CA 92071

(619) 749-7059

Monday through Friday: 7:45am6:30pm
Saturday: By Appointment Only

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