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Ten Therapy Tips For Parents in the Fast Lane

April 18, 2011 in Ask the Occupational Therapist, Featured, Insider Insight by Dr. Tiffany Showalter

Do you ever feel like you live in your car? Are you dashing to soccer practice, ballet classes, and the baseball field while trying to fit in your home program for your child’s fine motor skills?  Well, keeping a few simple items in your car or in your home, you can work with your child on hand strengthening, using both hands together, hand-eye coordination, grasp, and in-hand manipulation. These skills are important building blocks for handwriting, cutting, and other school related fine motor tasks. Try using a large Rubbermaid container with a lid to hold the items to make them easily transportable.
Materials:

  • Large piece of felt
  • Felt letters or shapes
  • Plastic containers with lid, Kool Whip or margarine
  • Plastic jar with screw top lid
  • Jumbo pop beads
  • Bubble wrap
  • Large uncooked macaroni noodles
  • Shoelace
  • 10 pennies
  • 10 clothespins
  • Old magazine

Activities:

  1. Place felt on vertical; for example, back of car seat or attached to wall. Let child make pictures, designs, or words using the felt letters and shapes. Good designs to try include making houses, people, the child’s name, or spell the signs that you pass along the way.
  2. Remove the lids of the plastic containers. Have your child pour macaroni noodles between the two containers, trying not to spill.
  3. Child removes and then replaces clothespins around the edge of the plastic container by pinching/squeezing the pins with their index finger and thumb.
  4. Pull apart and then assemble pop beads.
  5. Pinch bubble wrap between index finger and thumb to make popping sound.
  6. String the macaroni on a shoelace.
  7. Place lid on plastic container. Child picks up pennies on at a time and slides them into slit cut into lid one at a time. Next, have child use only one hand to pick up approximately three pennies, one at a time, while continuing to hold each of them in that one hand. Next, have child place them into the bank one at a time without dropping.
  8. Tear pages out of an old magazine. To make it more difficult, tear out pictures of blue things or things that start with the letter “A”.
  9. Place pennies and macaroni in jar. Remove screw top lid. Have child fish out the pennies or macaroni and place it into the other plastic container, leaving one in the container. If this is too difficult, only place macaroni in the jar and do not sort the items.
  10. Tear strips out of the magazine, scrunch up using one hand, and then toss at the open plastic container to make a basket.

Disclaimer:  I hope you enjoyed reading this article.  Please remember you are reading this information of your own free will and are taking the information at your own risk.  The author is the legal copyright holder of this material it may not be used, reprinted, or published without my written consent.  This information is for entertainment and informational purposes only and is not intended to provide or circumvent medical, legal or other professional advice.

Making videos instructional rather than mind numbing

January 17, 2011 in Ask the Occupational Therapist, Featured, Insider Insight by Dr. Tiffany Showalter

By: Dr. Tiffany G. Showalter, OTD, OTR/L

Have you ever noticed how many children with autism absolutely love watching videos? They can be heard reciting dialogue or even observed imitating behaviors long after the experience is over. This ability makes sense as it has been suggested that individuals with autism see things in “pictures”. I recently had a parent report that her child has motor planning issues when it comes to participation in gross and fine motor tasks, but has learned every dance that they do on Sesame Street. Wouldn’t it be a great idea if we could teach children using what they love the most?

Maybe we can! Video modeling is a teaching method used to develop and strengthen a variety of skills from communication to self-help. The targeted behaviors that the child is to learn are videotaped as a neuro-typical child performs them. Next, the child watches the video and is given the chance to memorize, imitate, and generalize those behaviors.

Some examples include computer animated learning or video instruction. I recently attended an Autism conference in my area where I participated in a session on this incredible method of instruction and was doubly excited to learn the incredible amount of research supporting it. My session described how researchers at a local state university were using IPODs to video tape and then show to children with difficulties in a variety of areas. Their success was remarkable and has inspired me to consider writing a mini grant proposal at the school where I work to try it out myself. I have also learned u-tube has a ton of videos already available for use.

I also attended a session on using video instruction to teach printing upper and lowercase letters. After watching the videos myself I have been hooked and using them since with great results for children regardless of disability.

So the next time your child demonstrates a problem with using good manners at the table, washing their hands, or tying their shoes, why not try video modeling?

Disclaimer: I hope you enjoyed reading this article. Please remember you are reading this information of your own free will and are taking the information at your own risk. The author is the legal copyright holder of this material it may not be used, reprinted, or published without my written consent. This information is for entertainment and informational purposes only and is not intended to provide or circumvent medical, legal or other professional advice.

What can I do when my preschooler is in a fine motor funk?

August 19, 2010 in Ask the Occupational Therapist, Insider Insight by Dr. Tiffany Showalter

Why are fine motor skills important anyway?

Grace is a hardworking kindergarten student who loves school…and why not? She enjoys and is successful at many activities that kindergarteners do everyday. She cuts out pictures from worksheets and glues them appropriately on paper. She colors within the lines and can write her name all by herself. During art, she molds clay into wonderful figures and she strings beads to make a necklace for her mommy. That’s all before lunch. At lunch, she opens her milk carton and uses her utensils effectively. After lunch, it’s off to the playground after she puts on and buttons her coat. Jenny uses fine motor skills all day long.

Why do some children have problems with fine motor skills?

Happy kidSome children may demonstrate difficulties or delays with fine motor development due to developmental delays or medical diagnoses such as Cerebral Palsy, Autism, or Down Syndrome. Other children may develop fine motor difficulties from a lack of opportunity and practice. Children are spending much less time playing with fine motor manipulatives and constructing crafts, instead choosing to play video games and watch television. This can result in poor development of the muscles in the arm and hand which further leads to handwriting and cutting difficulties when in school.

What can I do at home?

1. Provide lots of opportunities to engage in fine motor activities.

2. Utilize vertical surfaces. When a fine motor activity such as coloring or painting is taped to a vertical surface, it engages a child’s small muscles of the hand and promotes a good position in the wrist as well as improving the use of larger muscles in the arm and back. These large muscles provide stability while the small muscles provide refined coordination when performing fine motor tasks. Think about how hard it would be to thread a needle if you were riding a roller coaster! Using an easel, chalk board, or taping a project to the wall is the easiest way to provide a vertical surface, however with some creativity you can probably come up with some more interesting ideas. Other activities I often use include shaving cream on the bathtub wall during bath time, “painting” the fence outside with water, gripping the sponge while helping to wash the car, or playing with a Lite Brite.

3. Tearing and crumpling items in the home can be both fun and help to strengthen those small hand muscles. You can have your child tear pages from a magazine or newspaper and crumple them into balls. Next, the child could stuff crafts with the balls or toss them into a waste basket and keep score. Once your child masters this task, have the child try it using only one hand. Pounding, pinching, and rolling putty or Play Doh in the hands can also help strengthen the hands.

4. In-hand manipulation requires some of the most skilled fine motor movements. We use in-hand manipulation when placing coins into a bank, turning a pencil over to use the eraser, or lace a shoe. Your child can work on these skills by doing the aforementioned activities or by playing games like Connect Four, jacks, or similar games with small pegs or pieces that need to be inserted elsewhere.

5. Children are often provided with pencils, crayons, and markers before their little hands are ready for such items leading to development of inefficient pencil grasps and poor fine motor refinement with tool use when they get to school. To encourage proper development, try giving your child broken crayons, golf sized pencils, small pieces of chalk, and Pip Squeaks from Crayola.

Been there, done that. Is there anything else I can do?

Talk with your child’s teacher or contact your school’s occupational therapist for suggestions. You can also visit the American Occupational Therapy Association at www.aota.org for more information.

References

American Occupational Therapy Association, Inc.

Mary Benbow (1999), Fine Motor development, Columbus: Zaner-Bloser, Inc.

Disclaimer: I hope you enjoyed reading this article. Please remember you are reading this information of your own free will and are taking the information at your own risk. The author is the legal copyright holder of this material it may not be used, reprinted, or published without my written consent. This information is for entertainment and informational purposes only and is not intended to provide or circumvent medical, legal or other professional advice.

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