Preferred Side and Flat Head
Exercise program for babies from four weeks of age who show signs of a preferred side. The program contains the same exercises as the program Tummy Time and Rolling and important additions and variations focusing on correcting a preferred side, the C-shape (banana shape), and a asymmetrical back of the head.
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29.00 USD
26.10 USD
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Program description
A preferred side is usually a harmless one-sided muscular imbalance in babies that can challenge motor development and in some cases lead to a one-sided flat back of the head. A preferred side shows up through a number of characteristic signs (see the overview here). Some babies show only a few of these signs, others show almost all of them.
The signs of a preferred side develop gradually and typically begin with your baby preferring to look to one side and/or bending their body more to one side (banana shape). Over time, it feels less safe for your baby to turn their head the other way, because they simply have not practised sensing the world in that direction as much. The muscles that move the head and body toward this side are therefore used less, and over time a difference in strength and mobility develops between the two sides. To restore symmetry and good quality in the motor milestones when a preferred side is present, it is necessary to support your baby specifically in the movements that are difficult, for example with targeted one-sided exercises.
When a baby has a preferred side, tummy time is also more difficult, and rolling from back to tummy usually only succeeds toward one side. When a baby is lying correctly on their tummy, with weight on both arms and the head lifted in the middle against gravity, all the muscles of the body are gradually strengthened, on the front, the back, and both sides of the trunk. If, however, there is a clear difference in strength between right and left, and your baby tips over to one side, rolls away to the side, or can only look to one side in tummy time, it becomes hard to lie comfortably on their tummy.
In this program you will learn how to support your baby on the path toward symmetrical development, stable tummy time, and rolling from back to tummy to both sides. The exercises are a combination of those for strong tummy time, targeted one-sided strengthening exercises, and small, simple changes in the way you lift and carry your baby. You will also learn how to relieve pressure on the back of the head as effectively as possible if a one-sided flat back of the head (plagiocephaly) has already developed.
The exercises are described in detail and arranged in a logical order. There are pictures and videos for each exercise so you can clearly see how to do them. All texts, images, and videos are adapted to the side combination you choose, so make sure to choose the correct program version.
Note: If your child can already roll from back to tummy, please choose this program instead: Belly Crawling.
This program is one of several in the category Tummy Time and Rolling – read about the differences in the program overview. Please find answers to frequently asked questions below. If you are still unsure which program is the right one for your child, you are very welcome to send an email to maria@develobaby.com.
Most common signs of a Preferred Side
- Mostly turns their head to one side, both when awake and when asleep.
- Tilts their head to one side.
- Lies in a C-shape/banana shape toward one side.
- Has a skewed/asymmetrical back of the head.
- Rolls only/mostly to one side from back to tummy.
- Pivots only/mostly in one direction.
- Falls/rolls from tummy to back only/mostly to one side.
- In tummy time, reaches for toys only/mostly with one hand.
- When lying on the floor on their side, lies only/mostly on the same side.

What is a Preferred Side?
A preferred side means that the baby prefers to use one side of the body more, both for motor and sensory tasks. This means that the muscles on the preferred side are easier for the brain to activate and that the baby’s sensory awareness is stronger on that side.
Once a preferred side is established, it will gradually amplify itself, because the other side remains more and more unused. This happens quickly because a baby will always choose the path of least resistance. They will not choose to turn their head to the left if there’s less resistance to the right and if smell, sound, light, etc. is easier to process to the right. It’s a simple “use it or lose it” situation!
The treatment for a preferred side is to strengthen the muscles and senses to the difficult side. This is done over time through daily exercises, all of which you find in this program. It is therefore important that you select the program in the correct version, i.e. choose:
- to the left for babies with favorite side to the left, i.e. babies who turn their head towards their left shoulder.
- to the right for babies with favorite side to the right, i.e. babies who turn their head towards their right shoulder.

What is a banana shape?
Many babies tilt their head to one side and sometimes also bend their whole body that way. They have what’s often called a “Banana shape”. Some people also call it a C-shape or a one-sided fixed lateral flexion. The side on which the body is shorter determines the baby’s banana shape direction, left or right. There is an entire section in this program with the relevant exercises for treating Banana shape.

What is plagiocephaly?
Plagiocephaly is an asymmetrical flattening of the back of the head, which is a very common side effect of preferred side, because the baby lies with the head mostly to one side. The degree to which the skull is flattened varies from baby to baby. Some babies have larger fontanelles (soft spots) and therefore a more malleable skull, while others can have a significant preferred side but not become flat.
If a baby has a preferred side and thus gets more pressure on one side of the skull, it is important to take measures to prevent plagiocephaly. The program also includes exercises and advice both on how to prevent and treat plagiocephaly.

What is Torticollis?
Torticollis is a more pronounced form of a preferred side in which the muscle on the side of the neck (sternocleidomastoid muscle) is injured. This occurs almost exclusively in babies who are born with a lot of traction (suction cup, cesarean etc.), but it can also occur in breech babies or in babies who had too little space in the womb (big baby, small mum). Torticollis is characterized by a strong tendency to turn the head to one side and tilt it to the opposite side.
The program Preferred Side and Flat Head is very relevant for babies with torticollis because torticollis always results in a preferred side in combination with a banana shape on the opposite side and, as a very frequent consequence of the favorite side, plagiocephaly. Also with torticollis, you should choose the program version according to side your baby prefers to look to (see section What is a prefered side?).
Note: If your baby has severe torticollis, I would recommend that you work with a skilled physical therapist alongside the home exercises in this program. Treating a preferred side with torticollis will take substantially longer than without. Therefore, professional support can be critical for both monitoring and motivational purposes along the way.

Frequently asked questions to Preferred Side and Flat Head
Frequently asked questions to exercise programs
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Disclaimer
All content on DeveloBaby.com is based on recognized professional standards in Denmark, and you can expect them to be in line with the advice you receive in the public health system. If you find that your child has pronounced sleep or motor challenges, or that there is a lack of effect from the general exercises, I recommend that you make an appointment with me, either in person or online, so that I can customize the program for your child. If your child is unwell, please always contact your health care provider or physician. Read full disclaimer…











