Container Syndrome

Written by: Cassandra Saenz, Therapy Project Coordinator/ Assistive Technology Paraprofessional (TPC/AT Para)

With the summer just a few weeks away, it’s a good time to remember how important freedom is for our children, developmentally, cognitively, physically and emotionally.

There are many “containers” we tend to put our children into, perhaps to keep them safe while we are doing something, but that can lead to some serious consequences.

Some containers include strollers, bouncers, infant swings, car seats (when used to hold a child outside of the car), molded support seats, and highchairs (when used other than feeding). While these can be useful to provide support during a specific activity, children should also be given frequent opportunities throughout the day to have the freedom to move.

Positioning is important. 

Imagine sitting in a stroller or car seat for several hours and you are semi-reclined. Your eyes are looking up at the top of the walls and ceiling. You would miss all the action of what is happening around you. Your vestibular system is developing and will be associating “upright” with that reclined position. This means that when you actually are upright, your vestibular system will tell you that you’re falling forward. Your core muscles aren’t getting the opportunity to strengthen to hold you up. Your movements are restricted, and your arm and leg muscles can get tight.

Instead of putting them in a container, lay a blanket on the floor or outside in the grass and place your child on their stomach. This allows their neck muscles to be activated to lift up their head. The child can freely move their arms and legs and change positions. They are able to explore different ways of moving including rolling, crawling, and pulling to stand.

Ways to combat or prevent container baby syndrome:

• Limit time in a container to 10-15 minutes as much as possible.

• For every 10 minutes spent in a container, spend double that on the floor.

• If the child falls asleep in the car seat or stroller, move them to their crib as soon as possible. Having them sleep in an inclined position can increase the risk of SIDS and head flattening.

• Consider using a carrier to take your child for a walk, instead of a stroller. It allows the child to move their arms and legs and strengthen their neck muscles. It also lets them see things from an upright angle and be close to you.

• Have a place where the child can play freely such as in a playpen or gated off area with frequent opportunities for them to spend time on their stomach and back. They will still need to be supervised but will have the freedom to change positions and explore.