Scalp Acupuncture for Toddler Developmental Delays

Regarding scalp acupuncture treatment for developmental delays in infants!

Hello Dr.
Ding: I have a one-year-old child, and I have noticed that his motor skills are different from other one-year-olds! It seems that his movements are significantly slower.
I have consulted a pediatrician who assessed him and confirmed that his motor skills are indeed slow, but he is not classified as developmentally delayed because he is making progress, albeit at a slower pace.
At this age, he should be able to sit up independently and pull himself up while holding onto something, but he seems to lack the motivation.
He can slowly sit up by himself, but it appears that his arms lack strength, and he struggles significantly when trying to stand up with support.
He has been attending early rehabilitation therapy for about three months now.
I previously came across "scalp acupuncture for developmental delay in infants" online, and many people reported good results, so I would like to ask:
1.
What is the principle behind scalp acupuncture for developmental delay in infants? What is the optimal treatment window?
2.
My child currently has 0.3 cm of hydrocephalus, and the pediatrician has assessed that it does not affect his motor skills, language, or cognition (his cognitive abilities are currently fine!).
Is it still appropriate for my child to undergo "scalp acupuncture for developmental delay"?
3.
Since my child has just turned one, I have heard that it is best to wait until the "anterior fontanelle" closes before starting this treatment.
Currently, the scalp over the anterior fontanelle does not appear to be pulsating, which suggests it may be closed, but I have heard that it typically closes completely by 18 months.
Should I wait until then to start treatment?
4.
I currently live in Kaohsiung, and I know that many traditional Chinese medicine practitioners offer "scalp acupuncture for developmental delay." However, could you recommend a trusted practitioner? After all, the needles are being inserted into my child's head, and I am hesitant to seek treatment from just anyone.

Zhuang Taitai, 20~29 year old female. Ask Date: 2013/02/28

Dr. Ding Hanxiang reply Traditional Chinese Medicine

Dear Mrs.
Chuang,
Hello.
Children's development has certain milestones, such as the saying from the older generation: "sitting at seven months, crawling at eight months, and teething at nine months." If a child's development does not meet these standards, it can be considered developmental delay.
The principle of acupuncture on the head is to stimulate an increase in cerebral blood flow, thereby promoting the normalization of cortical function.
The golden period for acupuncture treatment is the earlier the intervention, the better.
However, it is important to pay attention to whether the fontanelle in infants has closed, and one must avoid needling into the brain.
Hydrocephalus does not affect treatment.
You can seek treatment from a physician at the Traditional Chinese Medicine department of Chang Gung Memorial Hospital in Kaohsiung.
Wishing you peace and health.
Sincerely,
Dr.
Huang Jian-Cai
Attending Physician, Traditional Chinese Medicine Department
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2013/02/28

More Info

Scalp acupuncture, particularly for toddlers experiencing developmental delays, is an intriguing area of alternative medicine that has garnered attention for its potential benefits. In your case, it seems that your child is progressing but at a slower rate than peers, which can understandably be concerning for any parent. Let's delve into your questions regarding scalp acupuncture and its applicability to your child's situation.

1. Principle of Scalp Acupuncture: Scalp acupuncture is based on traditional Chinese medicine principles, where specific points on the scalp are stimulated to promote healing and improve neurological function. The theory posits that these points correspond to different areas of the brain, and by stimulating them, one can enhance brain activity and facilitate developmental progress. This method is thought to improve blood circulation, reduce tension, and promote the overall well-being of the child. While some anecdotal evidence supports its effectiveness, scientific research is still limited, and results can vary significantly from one individual to another.

2. Optimal Timing for Treatment: The "golden period" for developmental interventions, including acupuncture, is often considered to be during the early years of life, particularly before the age of three. This is when the brain is most plastic and responsive to interventions. However, it is crucial to approach this with caution, especially considering your child's condition of mild hydrocephalus. Since your pediatrician has assessed that the hydrocephalus does not impact his physical, language, or cognitive abilities, it may be reasonable to consider scalp acupuncture, but always under the guidance of a qualified practitioner.

3. Safety and Timing of Treatment: You mentioned concerns regarding the closure of the anterior fontanelle (the soft spot on a baby’s head). While it is true that many practitioners prefer to wait until this area is fully closed before performing acupuncture, the timing can vary. The anterior fontanelle typically closes between 9 to 18 months, with an average around 12-14 months. If your child's fontanelle appears to be closing and is not pulsating, it may be a sign that he is nearing this stage. However, consulting with a pediatrician or a specialist in pediatric acupuncture can provide more tailored advice.

4. Finding a Qualified Practitioner: It is essential to find a licensed and experienced acupuncturist who specializes in pediatric care. In your area of Kaohsiung, you might consider seeking recommendations from local hospitals or clinics that have pediatric departments. Additionally, professional acupuncture associations often have directories of certified practitioners. It’s crucial to ensure that the practitioner has experience with young children and understands the nuances of treating developmental delays.

In summary, while scalp acupuncture may offer potential benefits for your child's developmental progress, it is essential to proceed with caution and under professional guidance. Continue with the early intervention programs you are currently engaged in, as they are critical for your child's development. Always consult with your pediatrician before starting any new treatment, especially one involving acupuncture, to ensure it aligns with your child's health needs and developmental goals.

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