It's one of those things that I never thought to consider until someone mentioned it. I had a combination of his WBV on Monday, "anything you're worried about?" No. And we left the appt, but my brain started thinking....
Then the next morning at speech-therapy, my son had had an especially twitchy morning, so I mentioned it to his SLP.
It's a neuro-twitch, is all I can think to describe it. You know when they're babies and their neuro systems aren't formed yet so things are just.... off. People mentioned it when he was a baby, but it was normal then. But it still happens. Happens so much that I've really stopped paying attention to it, except when it's a "bad morning", such as Tuesday, when he was having trouble with his spoon and cereal.
My son doesn't really "wake up"... he Juts out of bed instantly and then is in the room with you. It's not a slow movement; it's fast. So it's always made sense to me that he's a little unstable (aka, why he runs in to the table, or falls unexpectedly like he doesn't have his legs yet). When I have breakfast already made like most mornings, it would make sense to me that he's not really awake enough to work the spoon. I mean, he's been awake for like 2 minutes.
But he's twitchy.
Nearly every morning. Some are worse than others but it's Always. Every morning, for sure.
Some times after naps, if he's slept for a long time.
He has speech therapy 2x a week for articulation disorder at 8am. When he gets up at 7:15, by the time we get there at 8... he's still barely done much but have breakfast and get dressed. (I won't lie, sometimes we're up at 7:30 and 1/2 eating in the car, so he's even less awake by the time we get there). When I mentioned the twitch to his SLP, she said she's noticed it quite a lot. He can still tower the blocks and put puzzles together, but he's shaky. Not like MS shaky, just... like he's not awake and fully in control, yet.
SHE was concerned. She said she'd mention to the OT on-site that works with adults, mostly post-stroke, and get her advice on whether or not its normal for a 3yo to be shaky.
By the time he gets to daycare an hour later, it's righted. He's awake, he's, I'd say, 90% if not 100%. On the weekends, I'd say it takes him about an hour to get to 100% functional.
It's something that's never really crossed my mind. But SLP's concern in combination with that pedi appointment where you think for a moment of everything you'd ever ask a question about....
And then take in account his weird articulation where he only has back consonants and substitutes G/K for everything. Something neuro at all.... matters. Or at least is something to pay attention to. Maybe?