{"id":4609,"date":"2021-03-16T16:04:01","date_gmt":"2021-03-16T23:04:01","guid":{"rendered":"https:\/\/healthykidshappykids.com\/?p=4609"},"modified":"2021-03-16T16:04:08","modified_gmt":"2021-03-16T23:04:08","slug":"preventable-complications-of-remote-learning","status":"publish","type":"post","link":"https:\/\/vps37072.inmotionhosting.com\/~healt472\/2021\/03\/16\/preventable-complications-of-remote-learning\/","title":{"rendered":"The Preventable Complications of Remote Learning (that no one is talking about)"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/healthykidshappykids.com\/wp-content\/uploads\/2021\/01\/BLOG_-Remote-Consequences-1024x576.png\" alt=\"\" class=\"wp-image-4610\" srcset=\"https:\/\/vps37072.inmotionhosting.com\/~healt472\/wp-content\/uploads\/2021\/01\/BLOG_-Remote-Consequences-1024x576.png 1024w, https:\/\/vps37072.inmotionhosting.com\/~healt472\/wp-content\/uploads\/2021\/01\/BLOG_-Remote-Consequences-300x169.png 300w, https:\/\/vps37072.inmotionhosting.com\/~healt472\/wp-content\/uploads\/2021\/01\/BLOG_-Remote-Consequences-768x432.png 768w, https:\/\/vps37072.inmotionhosting.com\/~healt472\/wp-content\/uploads\/2021\/01\/BLOG_-Remote-Consequences.png 1120w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>We\u2019ve all heard discussion around the potential negative consequences of remote learning, including:<\/p>\n\n\n\n<ul><li>Social disconnection<\/li><li>Academic loss<\/li><li>Socio-emotional &amp; developmental regressions<\/li><\/ul>\n\n\n\n<p>But what about the complications that no one is talking about?&nbsp;<\/p>\n\n\n\n<p>The ones that may be preventable?&nbsp;<\/p>\n\n\n\n<p>The ones that we as parents can actually do something about?<\/p>\n\n\n\n<p>Since we went into lockdown and remote learning began in March 2020, I\u2019ve seen some surprising trends in my patients\u2019 physical &amp; mental health &#8211; some predictable, some not.\u00a0These are based solely on my observations in my practice and may not be indicative of larger trends. But I would guess others are noting these, too. At least for my kids, and many of the kids in my practice \u2013 there are no plans to go back to school in person any time soon. There are many things out of our control as parents during this time, so let\u2019s take back control over the things we can.<\/p>\n\n\n\n<p>Remember, knowledge is power. And the first step in recognizing a problem is knowing to actually look for it.<\/p>\n\n\n\n<p>Some of your kids are back in school, and some are not yet. Even for those kids back in school in-person, many are in a hybrid model with a continuing significant amount of online asynchronous learning. The following are the top PREVENTABLE complications of online learning that I\u2019m seeing, their potential causes, and the solutions that you can implement now no matter what your child&#8217;s school looks like now and in the future..<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Functional\/Postural Scoliosis<\/strong><\/h3>\n\n\n\n<p>Functional or postural scoliosis results from a temporary cause and is different from structural scoliosis in children, which is often genetic of undetermined etiology. The type of scoliosis I am encountering more during the pandemic is functional scoliosis. Addressing this now can prevent long term posture problems, back pain and headaches.<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Sitting in front of a screen for prolonged periods with back hunched, belly pooched out, shoulders slouched, neck and head strained forward<\/li><li>Or WORSE, on screens while leaning sideways on one arm over your desk, slumped on the couch, or laying on your stomach on your bed or the floor<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\"><strong>SOLUTION:<\/strong><\/h5>\n\n\n\n<ul><li>Sit with feet on the floor, tummy muscles engaged, back straight, shoulders up but relaxed, head level with screen at eye level<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Weak Core<\/strong><\/h3>\n\n\n\n<p>I\u2019m seeing kids who can barely sit upright for a few seconds before they have to slouch because their abdominal muscles have become so weak. Weak core muscles can lead to back pain, balance problems, and difficulty doing pretty much any activity that kids enjoy (like riding a bicycle or playing sports). Weak abdominal muscles also make it harder to sit still, which may cause your kids to fidget even more in their seats than they already are.<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Pretty much the same cause as functional scoliosis<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Sit with tummy muscles engaged, back straight, shoulders back, head level<\/li><li>Consider a \u201cwobble cushion\u201d to engage core muscles while sitting<\/li><li>Keep back straight and tummy tucked in even when standing<\/li><li>Get up and <strong>MOVE <\/strong>during breaks. High-knees marching in place will get blood pumping and core working<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Weight Gain<\/strong><\/h3>\n\n\n\n<p>Between pandemic baking, pandemic boredom, and pandemic snacking coupled with a lack of movement, unhealthy weight gain is a real problem for many kids and adults. Obesity and diabetes are among the leading risk factors for serious COVID-19 illness. We do NOT want to come out of quarantine less healthy than when we started!<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Not enough movement<\/li><li>Easy access to snacking all day long<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Get up and MOVE! Make exercise a family priority!<\/li><li>Cut the sugar and the snacking<\/li><li>Make every bite count &#8211; focus on nutrient-dense, healthy snacks filled with protein and healthy fats (not sugar!)<\/li><li>Stay hydrated \u2013 hunger can sometimes be confused with thirst<\/li><li>Teach kids to recognize their hunger and satiety signals, so that they don\u2019t snack out of boredom or stress<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Myopia (nearsightedness)<\/strong><\/h3>\n\n\n\n<p>Cool glasses may be fun to wear, but rapidly progressive nearsightedness is nothing to laugh at. Eye strain is a significant problem for your child\u2019s long-term vision and eye health.<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Staring at a screen for prolonged periods (for school and for fun), causing strain to vision muscles.<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Give your eyes a break! Use the 20-20-20 rule: Every 20 minutes while on screens for school or fun, <strong>STOP <\/strong>and look at something at least 20 feet away for at least 20 seconds.<\/li><li><strong>DO NOT <\/strong>immediately use school Zoom breaks to text, FaceTime, game, or go on social media.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Flat Feet<\/strong><\/h3>\n\n\n\n<p>While there is controversy as to whether barefoot walking is better for your feet than wearing shoes, one thing that I, and some of my podiatrist colleagues, are noticing is an increase in children with flat feet, ankle pronation and bunion formation which may lead to long-term foot pain that may require orthotics or surgical correction.<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Walking around barefoot all day long<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Wear household slippers or sandals with arch support (like FitFlop or Vionic for older kids and adults, and OluKai for all ages)<\/li><li>Exercise those arches with a tennis\/golf ball roll. While sitting with a straight spine, roll a tennis or golf ball back and forth under one foot, focusing on where your arch is. Do this for a few minutes and then switch to the opposite foot.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Cavities<\/strong><\/h3>\n\n\n\n<p>Many routines have fallen by the wayside \u2013 including regular brushing (at least for some kids, and ahem \u2013 adults). Some parents are shocked to find that their kids have multiple cavities at their first visit back to the dentist since quarantine.<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Getting out of your daily flossing\/brushing routine &#8211; because who cares about your breath when you&#8217;re at home?<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Floss &amp; Brush &#8211; <strong>EVERY DAY!<\/strong> Pay attention especially to your nighttime dental routine<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Sleep Issues<\/strong><\/h3>\n\n\n\n<p>Quality, restorative sleep is important any time \u2013 but especially now to help mitigate the stress of the pandemic and support memory and attention\/focus while our kids are remote learning. Bedtimes have creeped later and later for many kids, especially for our teens who may be up until the wee hours of the night on Discord or FaceTime with friends. I totally get that our kids are on screens more during the pandemic, as a necessity to stay in touch with their friends and maintain social connection. And I am more forgiving in screen time limits now for my own kids and the kids in my practice than pre-pandemic. As long as:<\/p>\n\n\n\n<ul><li>Screen time does NOT take the place of the daily essentials \u2013 like quality sleep, schoolwork, exercise, outdoor time, and family time<\/li><li>Screen time ends at least 1 hour before bedtime; and<\/li><li>Phones\/devices are kept OUT of the bedroom.<\/li><\/ul>\n\n\n\n<p>A <a rel=\"noreferrer noopener\" href=\"https:\/\/news.psu.edu\/story\/496770\/2017\/12\/05\/research\/screen-time-bed-linked-less-sleep-higher-bmis-kids\" target=\"_blank\">study<\/a> of 234 children between 8-17 years of age found that devices used at bedtime reduced the quality AND the quantity of sleep. Kids who watched TV or played video games before bedtime slept an average of 30 minutes less than kids who did not. And if kids used their phones or computers before bed, they slept a WHOLE HOUR LESS. Not only that, the use of any technology at bedtime was associated with a higher body mass index (BMI) in kids with a higher risk for obesity and pre-diabetes. And what was startling (at least to me!) was that the use of any type of technology (TV, video game, cell phone, computer) before bedtime, resulted in a much higher likelihood that kids would WAKE UP in the middle of the night to use their cell phone (like waking up to text someone!).<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>Erratic sleep\/wake times<\/li><li>Screen time too close to bedtime<\/li><li>Blue light from screens that:<ul><li>Blocks melatonin production<\/li><li>Changes our sleep patterns with <ul><li>1) less deep restorative sleep<\/li><li>2) less REM sleep for memory &amp; processing the day&#8217;s events<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Consistent sleep\/wake times<\/li><li>Turn off screens 1-2 hours before bedtime<\/li><li>No phones\/devices in bedroom<\/li><li>Blue-light blocking glasses day and night<\/li><li>Nightlight mode on all screens<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Problem: Brain Imbalance<\/strong><\/h3>\n\n\n\n<p>Digital devices are changing our children\u2019s brains \u2013 and not necessarily for the better. Several studies have identified the link between excessive screen time and changes in brain function. Our children\u2019s brains are actively creating new connections (synapses), and just as actively pruning (getting rid of) connections that are less frequently used. During these critical periods of brain development in our children and teens, we want to ensure a rich diversity of offline and online experiences to create new, useful connections while getting rid of connections that aren\u2019t needed or useful. We don\u2019t want our children\u2019s future brain architecture to be molded solely by screen use. We want our kids\u2019 brains to make and keep the connections they need to be successful and thriving adults.<\/p>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">CAUSE:<\/h5>\n\n\n\n<ul><li>The <a rel=\"noreferrer noopener\" href=\"https:\/\/abcdstudy.org\/\" target=\"_blank\">Adolescent Brain Cognitive Development (ABCD) Study<\/a> has found that screen time can cause parts of the brain to shrink (cortical thinning), and also lower scores on thinking and language tests<\/li><li>Screen time can change the neurotransmitters that affect mood\/anxiety\/sleep (serotonin) &amp; focus\/attention\/motivation (dopamine) \u2013 leading to screen addiction and the physiological, psychological and socio-emotional harm that any addiction can cause<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/2167702617723376\" target=\"_blank\">Screen time can increase anxiety\/depression &amp; suicidal thoughts<\/a> in kids\/teens. Not surprisingly, the single most protective factor for our teens was IN-PERSON social interaction \u2013 something we\u2019re all sorely lacking these days<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/apa.14176\" target=\"_blank\">Screen time can lower connectivity<\/a> in the regions of the brain related to language and cognitive control. On the flip side, reading was correlated with higher connectivity in these same regions<\/li><\/ul>\n\n\n\n<h5 class=\"has-luminous-vivid-orange-color has-text-color wp-block-heading\">SOLUTION:<\/h5>\n\n\n\n<ul><li>Educate your kids about the potential consequences of excessive screen time \u2013 <strong><em>without<\/em><\/strong> judgment<\/li><li>Help your kids plan screen-free activities<\/li><li>Read an actual book<\/li><li>Play online games WITH your children. While playing, help them think about what they\u2019re seeing and doing on screen<\/li><li>Plan safe in-person social time with friends<\/li><li>Have screen-free family time (meals, car rides, exercise, games, etc.)<\/li><li>No devices in bedroom overnight<\/li><li><strong>Model the behavior you want in your kids<\/strong><\/li><\/ul>\n\n\n\n<p>While this is not an exhaustive list of the negative consequences of remote learning, it\u2019s a start. And I\u2019ll be here with you to the end.<\/p>\n\n\n\n<p>We\u2019re all in this together.<br>xo Holistic mama doc \u2013 Elisa Song, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We\u2019ve all heard discussion around the potential negative consequences of remote learning, including: Social disconnection Academic loss Socio-emotional &amp; developmental regressions But what about the complications that no one is talking about?&nbsp; The ones that may be preventable?&nbsp; The ones that we as parents can actually do<\/p>\n","protected":false},"author":1,"featured_media":4610,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_jetpack_memberships_contains_paid_content":false},"categories":[81,36,1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Preventable Complications of Remote Learning (that no one is talking about) - Healthy Kids Happy Kids<\/title>\n<meta name=\"description\" content=\"We\u2019ve all heard discussion around the potential negative consequences of remote learning. 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