It took Milo more than 6 months to decide that flipping over was a worthy use of his time and energy. Even then, he rolled sporadically, and not usually in an obviously goal-oriented way. While we were mostly content to let him achieve gross-motor milestones in his own good time, it seemed he was getting a little frustrated, and having some body-part-organization/coordination issues, so we took him to a physical therapy assessment last week.
The therapist, Sandy, was fantastic. Milo loved her, loved all the fun stuff she did with him, and spent the whole appointment giggling and grinning (he also burned off enough energy to take a 2-hour nap afterwards, leading us to wonder if perhaps he could go to PT every day). Sandy identified three comparatively minor issues, all of which are contributing to Milo's very slight gross-motor delays. First, he has a mild case of hypotonia, meaning that his upper body muscle tone is weaker than that of his lower body. He also has a mild plagiocephaly, meaning a flatness on one side of his head. And he has a slight torticolis, or tilt in the vertebrae at his neck (please do not hold me to the accuracy of these fancy-schmancy medical terms. I'm a criminal defense lawyer!). In Sandy's opinion, Milo would probably figure out rolling, crawling, standing, and walking without much intervention, but some bodywork and physical therapy would help him get there faster, and with less frustration and more confidence on his part. Fixing the head and neck issues should also help him avoid problems as a teenager and adult.
Sandy left us with a bunch of fun exercises to work on with Milo at home, and he will also start seeing her every couple of weeks for a while. We feel great about this process, and are very happy to be working with such a caring and talented therapist.
In the week since we started doing the exercises with Milo, his gross-motor skills have exploded! He's suddenly sitting nice and straight for an indefinite period of time, and can turn and reach and pivot from a seated position with amazing stability and determination. He's twisting and turning all the time, and standing more stably when holding onto our hands. And really, really rolling, with purpose and direction like we've never seen before.
With this newfound mobility comes a whole new set of challenges for his parents, who have yet to undertake the task of childproofing our deathtrap house. We did get the crib mattress lowered yesterday, at least.
PS: a full report on CousinFest 2008 is coming soon, once I receive photos and videos from Grandma S-J and Aunt Jill. Milo had a fabulous Passover with Nathan and Ryan, and it was wonderful to get all the boys together.