Hi Pete.
It really does not matter what position your child is in
when you do a healing. You can work on the spine from the front
for example. You can do small universe by directing the energy with your mind, intentions. Your hands don't have to be an exact
distance from the body. Try doing the S.M. a few feet away. Energy knows where to go with your intentions. It is also a great way to practice your visualization.

Hope this helps a bit.

Gabby