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Back to School: Attention, Focus, and Weak Core Muscles

January 18, 2019Tri-County TherapyBlogoccupational therapyOTpediatric therapyphysical therapysensory processing
Back to School: Attention, Focus, and Weak Core Muscles

Back to School: Attention, Focus, and Weak Core Muscles

As we have passed the Holidays, and days filled with moving around exploring outside and playing all day have been replaced with sitting at a desk for a large portion of the day. Has your child’s teacher mentioned that he is not able to focus? Maybe your child is abnormally fidgety or restless? Has the teacher told you that she notices your boy not running after his friends during recess? These symptoms may all be related to poor core strength. 

Core strength comes from the muscles of the trunk, including the abdominals and erector spinae among others! Whether running or sitting, these muscles are working all day to keep us upright. When these muscles are weak, children often have to use other methods to keep themselves upright such as propping up on the desk with their elbows or they will end up slumping over the desk. These children may also be seen fidgeting, seem tired, or sit in a “w-sit” position with their legs while on the floor. It is especially hard for a kiddo with trunk weakness to pay attention in school because he is just trying to find a way to stay upright! In addition to problems in the classroom, kids with core weakness often avoid large gross motor movements and play, such as running, jumping, skipping, or hopping because they are just too challenging.  

If any of these symptoms describe your child, call your pediatrician and request a visit with your local pediatric physical or occupational therapist! A Physical or Occupational Therapist will create a plan of care to address the limitations caused by core weakness to improve your child’s ability to participate both in the classroom and on the playground! 

 

Tri County Therapy, Natalie Holman, Physical Therapist, PT, Greer, South Carolina 

Natalie Holman, PT, DPT 

Physical Therapist  

Tri-County Therapy

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner,

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner,

 

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Back to School Slump: Backpack Safety

January 11, 2019Tri-County TherapyBlogoccupational therapyOTpediatric therapyphysical therapysensory processing
Back to School Slump: Backpack Safety

Back to School Slump: Backpack Safety

The size of textbooks and amount of homework required of children starting in younger grades has increased to an alarming amount! Large amounts of work in multiple subjects will require students to carry large and heavy books with even larger backpacks. A heavy backpack may lead to consequences such as muscle strain of the neck, shoulders or back; numbness or tingling of arms; and tripping or falling because of altered balance on stairs or in narrow hallways. Below are some ways that we can keep our developing kids from slumping under the literal weight of all that work: 

 

What to look for when CHOOSING a backpack:  

Wide, padded straps 

Chest and/or waist straps  

*Remember, that although a roomy backpack may seem better for those bulky text books, this means there will be more room to pack heavy things! A medium-sized bag can help prevent over-filling. 

Tri County Therapy | Physical Therapy, Speech Therapy, Occupational Therapy, Pediatric Therapy, Greenville, Charleston

How to USE a backpack:  

  1. Adjust the height of the shoulder straps so that the bottom of the bag falls roughly 2 inches above the waist – a backpack should fit snuggly and not hang low. 
  2. Use both shoulder straps, hip and chest straps to help distribute weight evenly.  
  3. Do not allow your child to carry more than 10-15% off his or her body weight. For example, if your child weighs 60 pounds, his backpack should weigh absolutely no more than 9 pounds.  
  4. Place the heaviest items closest to the child’s back. 
  5. Watch your child pick up the backpack off the ground and put it on. If he or she struggles to pick up up or put it on, the backpack is likely too heavy.  

 

If you’re wondering where to start, ask your child how his/her backpack feels soon after the start of a new school year. With different work loads or a new backpack, you may need to make some adjustments to avoid pain and injury. 

 

Red Flags: If your child is experiencing back pain/numbness or weakness in arms or legs, please call your pediatrician to determine if further follow-up is necessary. 

For more information on backpack safety, please visit websites such as The National Safety Council, the American Academy of Orthopedic Surgeons, the Pediatric Orthopaedic Society of North America, Kids Health Nemours, and healthychildren.org.

 

Tri County Therapy, Natalie Holman, Physical Therapist, PT, Greer, South Carolina 

Natalie Holman, PT, DPT 

Physical Therapist  

Tri-County Therapy

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner,

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner,

 

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Back To School: Schedule & Behavioral Supports

January 4, 2019Tri-County TherapyBlogoccupational therapyOTpediatric therapyphysical therapysensory processing
Back To School: Schedule & Behavioral Supports

Back To School: Schedule & Behavioral Supports

Schedule and behavioral supports are often utilized within the classroom and in speech, occupational, and/or physical therapy.  Having tools in place may lead to a more successful session and learning environment.  These types of supports may be implemented into everyday life in order to increase the likelihood of having the desired behavior occur and be completed.  Below are a few of our favorite behavioral supports! 

Visual Timer

Tri County Therapy | Visual Timer, Physical Therapy, Occupational Therapy, Speech Therapy

Tri County Therapy | Physical Therapy, Occupational Therapy, Speech TherapyVisual timers are very beneficial in helping make participation in necessary activities more tolerable.  Visual times are valuable to help with transitioning, as they provide a “warning” to children with transition difficulties that a task is going to begin or end shortly.  Visual timers can also help with staying on task while completing non-preferred activities or act as a timer to let a child know when her preferred activity will end.  There are many types of visual timers, you can use the timer on your phone, a digital timer, a kitchen timer, etc. 

First-Then Board 

Tri County Therapy | Speech Therapy, Occupational Therapy, Physical Therapy, Greenville, Charleston

A First-Then Board is utilized to help children complete specific tasks or activities. This strategy visually displays two pictures. The “first” is usually a picture of a non-preferred activity and the “then” is a picture of a preferred activity.  For example, “first”, you will complete your work (non-preferred activity); “then” you will get toy (preferred activity).  You can draw pictures, use pictures found online, or take actual pictures of objects to create an individualized First-Then board.   

Visual Schedule 

Tri County Therapy | Speech Therapy, Occupational Therapy, Physical Therapy

Visual schedules provide a checklist to children so that they know what is coming next in an activity or a day.  For younger children or children with Autism who thrive on structure and routine, visual schedules aid in transitions.  A visual schedule can promote independence as your child can look at the schedule to see what is next versus relying on you to tell him.  Additionally, visual schedules reinforce memory and mental organization.  You can take actual pictures of your child completing a task or use pictures found online.

 

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner, 

Ginger Liner, MS, CCC-SLP 

Lead Speech Language Pathologist

Tri County Therapy

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner,

Tri-County Therapy, West Ashley, South Carolina Speech Language Pathologist, SLP, Speech Therapy, Viginia Liner, Ginger Liner,

 

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Sensory and Motor Toys: 2 to 3 Years

December 29, 2018Tri-County TherapyBlog2 years24 months3 years36 monthsfine motorgift ideasoccupational therapyOTpediatric therapyphysical therapysensory processingtherapy toystoys
Sensory and Motor Toys: 2 to 3 Years

Best Toys for Sensory and Motor Development

2 to 3 Years

Are you wondering what toys to get your child for the holidays that she will love AND promotes sensory and motor development?! We have the perfect ideas for you!

Typically, 2 and 3 year old children are becoming more independent and want to do many tasks on their own! They like to experiment with all their emerging skills. In order to complete many self-help and school-related tasks, fine motor development is very important at this age. My top toy pick? Fine Motor Tool Set!

Tri-County Therapy Occupational Therapy Charleston SC

Sensory and Motor Tasks:

Hand muscle development/strengthening needed for handwriting

Grasp development for writing utensils

Grasp development for self-care tasks, such as buttons, zippers, and snaps

Separation of sides of the hand and sides of the body

Bilateral coordination for manipulation of tools with one hand and stabilization with the other

Scissor skill development

Force modulation skills

Upper extremity coordination

Crossing midline skills/integration of both sides of the brain by transferring objects across midline

Tactile processing by transferring objects in various textures such as shaving cream, rice/bean bins, or water

Visual perceptual skills: visual discrimination, sequential memory, figure ground, form constancy

Tri-County Therapy Sensory Bin Fine Motor Greer, SC

Bonus Ideas!

Spatial Concepts: on, off, in, up, down, over, under, next to, behind, in front, top, bottom

Social:  requesting, protesting, eye contact, turn taking

Colors: twisty dropper to mix food coloring for color identification

Quantitative Concepts: one, some, all, many, few

Qualitative Concepts/Attributes: big, little, colors, bumpy, smooth, sticky

Simple Directions: put on, get the pink one and give to me

Counting

Written By: Carleigh Brawley, MS, OTR/L

Pediatric Occupational Therapist

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Sensory and Motor Toys: 18 to 24 Months

December 22, 2018Tri-County TherapyBlog18 months2 years24 monthsgift ideaslanguageoccupational therapyOTpediatric therapyphysical therapysensory processingtherapy toystherapy tunneltoys
Sensory and Motor Toys: 18 to 24 Months

Best Toys for Sensory and Motor Development

18 to 24 Months

Are you wondering what toys to get your child for the holidays that she will love AND promotes sensory and motor development?! We have the perfect ideas for you!

Toddlers are on the move and their hand and finger control is getting better by the day! Toddlers enjoy problem-solving and like to do things with small objects. They are becoming more independent, but of course still need close supervision during play. My top toy pick for this age? Fill it up! Fine Motor Jars

Although Lakeshore recommends this toy for 3 to 5-year-olds, we think it is most developmentally appropriate and beneficial for our 18-24 month olds with adult supervision and guidance. See recommended activity ideas for this age range below!

 

Tri-County Therapy pediatric OT Fine Motor Skills

Sensory and Motor Tasks:

Grasping development for pencil grasp and buttoning

Problem solving: grade the task by switching the tops- first use the big hole with the pegs and then grade the task up by presenting all objects and containers at once

Visual motor integration skills

Mobility, coordination, and transitioning by placing pieces on raised surfaces, like couch or play set, to encourage child to climb

General strengthening by placing pieces on raised surfaces to encourage squat-to-stand

Trunk control and proximal stability by having child place objects in containers while maintaining various positions, such as quadruped, tall-kneel, or half-kneel

Vestibular processing by placing pieces on raised surfaces to encourage squat-to-stand and therefore, increased vestibular input

Oculomotor skills by encouraging visual fixation and saccadic eye skills (tracking) to locate desired pieces

Vestibular processing by having child sit in long sitting position with pieces positioned between legs and container positioned between feet to encourage calming linear vestibular input during reaching

Tri-County Therapy Pediatric Occupational Therapy Charleston, SC

Crossing midline/rotational skills by transferring objects across midline or rotating trunk to place into containers

Bilateral coordination skills by manipulation of pieces with one hand and stabilization with the other hand

Tactile processing by placing objects in various textures, such as shaving cream, water tables, or rice/bean bins

Proprioceptive and vestibular processing by incorporating pieces into simple obstacle course

Bilateral coordination by adding a string to string buttons around 24-months

Tri-County Therapy Child Occupational Therapy

 

Bonus Ideas!

Social:  requesting, protesting, eye contact, turn-taking

Quantitative Concepts: one, some, all, many, few

Qualitative Concepts/Attributes: big, little, colors, bumpy, smooth, sticky

Simple Directions: put on, get the red one and give to me

Written By: Carleigh Brawley, MS, OTR/L

Pediatric Occupational Therapist

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Sensory and Motor Toys: 12 to 18 months

December 15, 2018Tri-County TherapyBlog12 months18 monthsgift ideaslanguageoccupational therapyOTpediatric therapyphysical therapysensory processingtherapy toystherapy tunneltoys
Sensory and Motor Toys: 12 to 18 months

Best Toys for Sensory and Motor Development

12 to 18 Months

Are you wondering what toys to get your child for the holidays that she will love AND promotes sensory and motor development?! We have the perfect ideas for you!

One-year-olds are on the go! They enjoy exploring and cruising around the house. They like to experiment and get into everything so of course they still need us adults to keep them safe! My top toy pick for this age? Tunnels! This toy grows with your child! As he gets older you can add more play components to the tunnel to encourage praxis skills and sequencing. You can even pair it with visual motor or school related tasks as they grow.

Tri-County Therapy offers occupational therapy for children with sensory and motor delay

Sensory, Motor, and Coordination Tasks:

Reciprocal crawling

Bilateral coordination for integration of both sides of the brain

Proximal stability development through crawling

Hand-arch development influencing fine motor skills

General strengthening and mobility through transitioning in and out of standing

Reflex integration through reciprocal crawling

Development of viusal skills as child looks ahead to crawl from one place to another

Sequencing paired with a viusal motor task like stacking rings or stacking blocks

Environmental exploration

Vestibular and proprioceptive input through crawling and transitioning through various positions

 

Bonus Ideas!

Turn taking skills: take turns crawling through tunnel with another child

Language development: place farm animals at one side of the tunnel and have child go get an animal. When she returns say the animal name and make animal sounds together

Creative play: pretending to be an animal crawling through the tunnel (puppy dog or cat)

Written By: Carleigh , MS, OTR/L

Pediatric Occupational Therapist

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