Sunday, January 6, 2013

How ABM Works For Cerebral Palsy

Gotta love Facebook.  Before beginning ABM and now that we are currently doing it, I have found such great support and information from an ABM Facebook group for parents, caregivers and practitioners.

This week, a practitioner (who is also a grandma to a child with CP) posted this about how ABM works with Cerebral Palsy.  I wanted to share it  :)


HOW ABM WORKS FOR CEREBRAL PALSY
By Lisa Shusterman, Ph.D.


“Cerebral palsy is a disorder of movement, muscle tone or posture that is caused by injury or abnormal development in the immature brain. In general, cerebral palsy causes impaired movement associated with exaggerated reflexes or rigidity of the limbs and trunk, abnormal posture, involuntary movements, unsteadiness of walking, or some combination of these. (The Mayo Clinic)
Cerebral palsy comes from a problem with the brain – not the muscles. That is why the Anat Baniel Method (ABM) techniques that I use make a positive difference.
A typical child (without Cerebral Palsy (CP)) learns about the world through random movement. When you look at a typical baby, the baby is moving constantly and with ease. By doing so, the baby learns what works and what doesn’t work in order to function.
Unlike a typical baby, a child with CP has limited random movement, so he does not easily and does not naturally learn about himself and his body in space. Because he does not learn about his body and how it moves in space, his brain’s map of his body is incomplete. This leads to difficulty matching his intended movement to his actual movement. Because a child’s intention and resulting action do not match, he experiences himself in the world in a way that is less organized than the typical child. His sense of the world and how to be in the world are compromised.
For example, a child with CP may move both his legs together, not separately, because spasticity forces the two legs to always move together. So, his brain does not get the feedback from two legs moving independently and randomly that helps the typical child learn that he has two legs. Without a brain map of two separate legs it is difficult for a child with CP to learn how to turn, how to sit, how to balance, how to deal with gravity, and how to walk.
In my ABM lessons, I give the child with CP the ability to learn the information that a typical child gets automatically. I help his body move in ways that are akin to random movement and thus mimic the natural way of learning. This movement improves the signals that are sent to the brain and facilitates the brain to do what it is naturally designed to do, make sense of the world.
Recent scientific research supports this theory. We now know that the brain learns by making new neural connections. Changes and new neural connections take place in the brain when it is able to receive and make sense of information. The Anat Baniel Method is designed to awaken the brain so these changes can occur.
How does ABM cause this awakening and make the brain a better learner?  The elements of ABM–such as movement with attention, slow movement, movement with variation and flexible goal–stimulate the brain through the signals these movements send to it. The brain goes, “Hey, this is different. I want to pay attention to this movement.”  This painless/struggle free awareness is transformed into new brain pathways.
In my work with children with CP, I always start from where the child is currently functioning. A child cannot learn when he is forced to do movements that are not connected to where he already is. So each gentle movement is something he can recognize, relate to, and perceive as something interesting. It’s close enough to his current functioning that his brain can naturally integrate it.
ABM is different from the physical therapy (PT) most kids experience. PT repeats movements that may have no meaning to the brain whereas ABM is all about providing meaning to the brain and allowing natural learning to occur. As an added benefit, the techniques are so subtle and comfortable, the person with CP has a chance to relax – a rare occurrence for many people with CP.

Wednesday, December 26, 2012

Our ABM Journey

Doing a ''movement lesson"
with our wonderful
practitioner, Naomi
About 6 weeks ago, we began our journey with ABM (the Anat Baniel Method).  We are seeing such great progress in so many little areas.  We are excited to see where this journey continues to lead.....

You can follow our journey on our other blog, "Carson's Essentials".  Essentials is named after the 9 'essentials' or pillars of the ABM Method.

Friday, October 5, 2012

Enthusiasm as a Skill



Grumpy man on his 2nd B-day
For 13 weeks now, Carson has been battling with sinus congestion that has left his energy depleted and him crabby.  Thankfully this last week, we've seen some small breakthroughs and really hope we are on our way to recovery.

His energy really perked up yesterday!  Carson had a good day!  Carson's only independent mobility so far, is while on his back on the floor, he kicks and rocks to his side so much that he turns himself in circles.  He might not 'go anywhere' but he just loves to move himself and it is hilarious to watch.  He had a renewed sense of energy yesterday and his circles were even more exaggerated.  It was great to watch.


Loves playing on the ground!
THEN, he chose to surprise me and our PT, Lori, with rolling over to his tummy!!!!  We have not witnessed him completely-independently rolling in forever!!!!!  I had to contain my scream of excitement as to not startle him  :)

On top of that, Carson was extremely verbal yesterday!  Even daddy was commenting all night on his talking.  Even twice during dinner, I would say "mmm mmm good", and he would repeat with a similar "mmm mmm mmm" version.  It was so wonderful to hear.

>>>>>My point of this post, other than just to brag..................

I have been reading a book called "Kids Beyond Limits" by Anat Baniel.  She is the founder of the Anat Baniel Method.  It is a therapy that is very different from other 'alternative therapies' out there.  We are attending a one-day workshop with Anat soon and then we are going to try out ABM sessions with a local practitioner   

What hit me hard this morning, was reading the '9 Essentials' chapter on Enthusiasm (her work is based on 9 Essentials that she's found with working with those with special needs).  She goes on to say that she isn't just talking about the Enthusiasm that comes naturally from really enjoying something, or being a fan of something... She is talking about "Enthusiasm as a skill that you can develop within yourself, one that you will apply in the service of helping your child overcome his limitations.... Enthusiasm as a skill is your ability and your willingness to acknowledge as important, the smallest of changes in your child, and for you to experience joy, internally celebrating those events or actions..... In that respect, Enthusiasm is not about paying compliments.... nor is it about clapping your hands to applaud something your child has accomplished .. but developing your ability to create and amplify your own internal experience of deep delight and appreciation for your child's tiniest changes and improvements."


This paragraph knocked me in the head and in the heart.... though my response isn't exactly what Anat was trying to convey, never-the-less, my heart was moved.  For many parents of special needs kiddos, it can be an internal struggle to outwardly brag, praise and share, the tiny accomplishments of your child.  Sometimes its due to fear - fear that your child will regress, fear that others with expect those accomplishments to become bigger accomplishments setting unrealistic expectations at that time.  Sometimes there is a sort of 'sadness' in only being able to find joy in the small things, instead of being able to rejoice in the 'typical milestones' of your friends.  Whatever the reason, I know that I struggle, and a few of my SN mommy friends, struggle with sharing and bragging about the "smallest of changes in my child".  

Then I think of God my father.  It is clear to me, that God rejoices, has enthusiasm for his children, even in our tiniest of changes and accomplishments.  The Bible says He delights in us!

So, reading the wise words of Anat of not just outwardly praising Carson, but working on the 'skill' of experiencing deep delight and appreciation for the 'tiniest changes' - and remembering that God delights in me his child, even in the little things.... I want to work on sharing my Enthusiasm!  I find its easier to post prayer request needs on Facebook, with my 'community', then it is to share the small accomplishments in Carson's life.... I am planning to change that.  So be prepared Facebook friends, lots of Enthusiastic sharing about Carson is to follow!!!  :)

Monday, September 3, 2012

His Compassion's are New Every Morning

Tonight I was trying to remember Carson's first week of life...  we spent that time at the NICU at Providence Hospital.  I was admitted to the hospital for a few days following my c-section and then spent the rest of the week in a family sleeping room on the same floor as the NICU.  One day, Kevin and I had a meeting with Carson's neonatologist Dr Knox, a nurse, a social worker and another person whose role I don't recall. During that meeting, we were told that as 'well' as Carson had been doing, because of different problems with his breathing, carbon dioxide levels, and just the amount of brain damage he suffered, they didn't expect him to live long.  They were recommending we go home on hospice care, and just enjoy every minute we had with him.  After that, we met with a wonderful pediatric hospice care provider Judy, and made arrangements to go home.  We stayed in the NICU for a couple more days after that meeting.

It is hard to recall fully all the discussions and decisions Kevin and I had to make after that meeting.  I know at some point we had to discuss whether or not we would call 911, if Carson stopped breathing.  We had to discuss what forms of resuscitation and life-saving efforts we would allow to help save him.  We had to discuss whether to keep morphine in the home for our nurse to administer when Carson would be at a place of just needing pain management.  I had a piece of paper next to my bed, where I had to jot down 'thoughts' and 'wishes' of a funeral for him.

Tonight I recalled a lot of those discussions... it seems like so long ago, and yet feels like just yesterday.  Tonight I sit here watching the baby monitor... watching my son, sound asleep in his bed.  Cannot believe in less than a month, we are going to be celebrating his 2nd birthday!!!  Now, nearly two years later, our discussions have turned from resuscitation and morphine, to preschool, a bigger changing table and what sounds he is going to make next!

Sometimes in life, we are hit hard and have to hold discussions we never thought we'd ever have to... sometimes we have to make tough decisions, without knowing which way life was going to play out.

I think about how God says that He has plans and a purpose for each one of us... yet, we don't know what journeys, trials and hardships that will entail.  Bad things happen in this natural life, in our broken human state and in our sin-filled world... people die, our bodies get sick, people are abused and abandoned, we are betrayed and beat down, we lose, we fall... and sometimes it is hard to know what 'plan and a purpose' God has for us in all of that.

But then God reminds me through my memories of Carson's first week through now - - - that even when things are hazy, confusing, hard, heartbreaking - He will see us through - He will bring us along our journey - He will use all of the 'stuff' as part of our plan and purpose.  I just hope that this blog post will remind me during the hard times - that there can always be a 'two years down the road' in the situation... that what seems unbearable and earth shattering in the moment, that God will someday bring me to a place of looking back and remembering that His compassion's are new every morning!  Great is His faithfulness!

God's loyal love couldn't have run out, 
     his merciful love couldn't have dried up.
They're created new every morning. 
     How great your faithfulness!
I'm sticking with God (I say it over and over). 
     He's all I've got left.

~Lamentations 3:22-24 MSG~

Monday, July 9, 2012

Savoring the Moment

What is it that causes us to 'pause' in the midst of something potentially exciting?  Is it past experiences of disappointment that stop us from savoring the moment?  Is it the fear of heart break?  Is it concern for other's reactions?


Carson sitting up unassisted!
Today I met with Carson's speech therapist Julie.  During our last two appointments, she has been pointing out to me, all the ways she sees Carson 'talking'... duplicating noises, copying our inflection in our words.  Today, she even said to me - he is not non-verbal, he is pre-verbal.


I should have rejoiced in that moment... allowed my heart to soar in hearing our therapist say those words; having hope that Carson is on a journey to speaking.


But instead, I was hesitant.  Are the things she is seeing just a 'fluke'?  Will he continue to grow in his speech?  Is this really the beginning stages of him speaking?


I think today I was saddened by my own response.  I realize that there have been so many ups followed by downs, expectations and hopes dashed, progression then backsliding... that I wasn't able to savor that moment; and that saddened my heart.


As I was thinking about my reaction, the Lord brought my friend Tiffany to mind.  Recently, she experienced the most amazing thing - she saw the very strong heartbeat of her very healthy 12-week baby, growing in her womb.  After the tragic loss of many babies before this one, this first trimester has been very hard for her.... she has gone through many 'hesitations', many times that she hasn't been able to 'savor the moment', all because past experience has shown her that this dream that she is holding in her hands, could pass away.  But now, after seeing and hearing this baby's heartbeat, she can now rejoice in the fact that she is going to be holding her baby in about 6 months!  GOD IS GOOD!


Swinging in a toddler swing
for the first time!
Here I am today - realizing I am living in the moment of fear, of uncertainty... wondering what our 'ultrasound of life' will hold.  I'm making a decision (at least for today), to SAVOR the words of our amazing therapist - that Carson is 'pre-verbal'... that Carson is showing us that he is on his way to speaking words... to have hopes that one day, Carson will deliberately call me mama, to say he loves me, to tell me his needs, to tell me what brings him joy, for him to one day tell me that he has given his life to Jesus. 


Are you holding back from savoring this moment in life, because your past experience leads you to fear?

Friday, April 20, 2012

From Death to Hope

During the last trimester of my pregnancy, facing the reality that Carson was not expected to live long after birth, God brought to me some amazing music... some that brought me to my knees... some that gave me hope... some that helped me grieve.  God truly spoke to me through music.  I created a CD of those special songs and that CD played in the operating room during my c-section.  As I laid on the operating table, I just soaked in the music that God has blessed me with.  Thankfully Carson came out kicking, screaming and breathing - and has been growing and thriving these last 18 months.  That CD has remained very important to me.

Today God opened my eyes up to something marvelous... today I was packing mine and Carson's suitcases for our month-long trip to Ohio, to receive therapy at Sara's Garden.  As I was packing, I played my "Carson CD" and sang my heart out as I was packing.  I was stopped in my tracks as I realized I was playing the same music that I had been using to prepare my heart for Carson's potential death, and now I was listening to the music while preparing for a trip of HOPE.  

What a great reminder today of God's goodness - His provision - His blessing - His hope.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For those of you that would like to partake in the musical goodness of Carson's CD, below are the songs!
  • 'Healer' by Kari Jobe
  • 'Attention' by Know Hope Collective
  • 'Beautiful' by Kari Jobe
  • 'Restless' by Audrey Assad
  • 'You Are For Me' by Kari Jobe
  • 'Be Still' by Kari Jobe
  • 'You Deliver Me' by Selah
  • 'Revelation Song' by Kari Jobe
  • 'I Know You're There' by Casting Crowns
  • 'My Beloved' by Kari Jobe

Tuesday, February 21, 2012

When the Answer is the Problem

Carson had a VP shunt put in right before he turned 3 months old, two days after Christmas, to help 'treat' his congenital hydrocephalus.  We have gone through so many ups and downs in regards to his shunt over these last 13 months... swelling around his valve because of the shunt placement, increased pressure in his brain and rapid head growth due to a shunt setting being to low, over-drainage of his ventricles causing the brain to pull away from the skull and causing bleeding around his brain.  Its been non-stop.  I think it would be impossible to count the number of MRI's Carson has had.  Carson has been exposed to so much radiation through CT scans and X-rays.... more radiation then I have ever had in my lifetime.


Every time we ride this roller coaster, we begin to feel that maybe surgery should be done to revise (replace) his shunt so that we don't battle with the ups and downs... the constant need to prepare ourselves, our schedules, our family life, our work schedules for surgery, just to have doctors change their minds... to constantly be wondering when Carson is cranky if it could be pressure building in his brain... to be constantly measuring his head for abnormal head growth.... to have to wonder how many surgeries he'll have in his lifetime because of his hydrocephalus.


So we desire surgery just to get an "answer" to the problem we are facing.  The issue is that a new shunt does not make the real problem, the hydrocephalus, go away.  With a new shunt and another surgery, we run the high risk of post-surgery infection, having the new shunt malfunction, over-drainage, increased pressure... a new shunt doesn't remove the risk, doesn't remove the worry, doesn't remove the issue....


The "answer" can quickly turn into just another "problem".....


Carson (few hours old)
So where do we go from here?  What do we do? How do we handle the constant ups and down?  I don't have those answers.


So what do I know?  I know is that God is good.  God loves my son.  God loves me and my family.  God has a plan and a purpose.  So....... as much as I want an "answer", right now I'll just have to continue to remind myself to fix my eyes on Him... the only true Answer to this crazy, overwhelming, discouraging, constantly scary situation.  Lord, when we are looking for an 'answer' to the roller coaster we ride, help us to look to you!


Are you looking for an answer in your life that might very well just be a potential problem?