Occupational therapy can help to improve a child’s motor, cognitive, sensory processing, communication, and play skills. The goal of pediatric OT is to enhance development, minimize the potential for developmental delay, and help families to meet the special needs of their infants, toddlers and school-age children.
Understanding child development delays
The first three years of any child’s life are a critical time for brain development. During this busy period of cognitive, social and physical growth, children learn so much about how to interact with the millions of new stimuli occurring each and every day of their lives. From learning to crawl, walk, speak, listen, grasp, self-feed, self-dress, and how to play with toys, children are tasked with learning a lot in a very short time and they are constantly absorbing how to appropriately interact physically, emotionally and verbally with the world around them.
Children who may be experiencing subtle-to-severe cognitive, social or physical delays will usually begin showing signs of these at any point between the ages of 0-4. If a child’s developmental delays are more subtle and nuanced, a pediatrician or infant and toddlers specialist may recommend a thorough battery of evaluations that includes an occupational therapy screening for concerned parents and caregivers.
Why is an OT evaluation recommended?
Occupational therapy is intended to treat a variety of problems associated with conditions resulting from birth injuries or defects, sensory processing disorders, traumatic brain or spine injuries, learning disabilities, autism, rheumatoid arthritis, mental or behavioral problems, orthopedic injuries, post-surgical conditions, injuries, and other chronic illnesses.
An occupational therapy (OT) evaluation is one that is completed by a licensed occupational therapist (OTL/R) to assess a child's gross motor, fine motor, visual motor, visual perceptual, handwriting, daily living and sensory processing skills. OT professionals use a group of standardized assessment tools, non-standardized assessment tools, parent interview and clinical observations to assess a child's performance.
The results of a formal OT evolution can help better determine things like how well a child’s hands work together, if the child processes what he sees, hears, feels, etc. and produces an appropriate response and even if the child is able to calm themselves or adapts to their environment. These types of sensory integrative issues can exacerbate the child’s development and be a reason for observed delays.
What to expect at an OT evaluation
The occupational therapist performing an evaluation on a child will determine a baseline for abilities and then perform play-based evaluations that include both standardized and clinical observations with the child performing functional skills. These vary by provider, but might include screening ball play, fine motor play, visual motor tasks, visual perception skills, gross motor tasks, self-care skills (eating, getting dressed), social interaction and visual processing skills.
Once assessments are completed, the OT will summarize all information gathered and present the clinical impressions and recommended treatment goals that will best address any identified concerns. Often, this report will a time frame for the recommended treatment plan before a reassessment is warranted. If routine occupational therapy is recommended, the length of time and expectations will vary based on your child’s individualized therapeutic goals.
How OT helps young learners
A child who may be exhibiting delays with developing fine motor skills – i.e. those involving the small hand muscles – can work with an OT to improve strength, motor control and dexterity. Without these skills, kids will have difficulty drawing, using scissors and stringing beads. These types of delays are detrimental, especially for elementary academics, because seemingly easy tasks like turning pages, writing, using a computer, may be that much harder.
Occupational therapists help children by working closely with them to learn skills that will foster independence and enable participation in daily activities, such as self-care, play and learning. An occupational therapist can also help to establish effective routines and break down information into steps that the child with delays will be able to follow.
Occupational therapists can also help children diagnosed with sensory issues. For example, hypersensitive children (those prone to feeling “sensory overload”) can learn to better self-regulate in uncomfortable environments or advocate for themselves when they need beaks or quiet accommodations to learn. To help sensory seekers (those who seek a higher level of sensory arousal and regulation), OTs focus on teaching them ways to self-regulate using activities like swinging, crashing onto huge bean bags, and jumping on trampolines in areas known as “sensory gyms.” Learning these skills and practicing them at regular intervals can help children be able to sit and focus when it’s time to learn.
Gross motor developmental delays can be addressed by the OT using exercises and activities to promote balance, coordination, strength, and endurance. These skills have a direct impact on how children walk, run, go up stairs, jumping, catching and other skills that will enable them to successfully participate in sports and recess activities – which are crucial elements for building social emotional strengths and self-esteem.
How to get an OT evaluation
While medical coverage may vary, many health insurance plans cover occupational therapy evaluations and services. Kinera Foundation provides occupational therapy (OT) services for children, teens and adults with disabilities and special health care needs.
If you are concerned about your child's development, or your child is showing signs of or has been diagnosed with a sensory processing issues, please call for a confidential meeting and evaluation: 443-249-3126.
Breathe and Relax
Times are stressful. We’re all living with a pandemic, many of us have grossly adjusted our work schedules and many have lost work all together. We have been thrust into new roles as teachers, caregivers, and online facilitators. In addition to the increased time we are spending with families, we are feeling the stress of the circumstances. As counter-intuitive as this may sound, we can find relief from yes, our cellphones. Today there are a myriad of apps out there to help us learn to breath and relax all the while connecting us to a larger online community. Today I’d like to share three apps to get you and your whole family started in managing your stress, one breath at a time.
The first app I’d like to share is Insight Timer. I’ve been using the timed portion with the kids I work with to help guide us in a “Mindful Minute.” I let them choose the bells they want to start and end with as well as the music that plays during the space between the bells. They enjoy having that control and they are more willing to relax for a few minutes knowing they set it up. This free app also has meditations for parents and children focusing on relaxation, managing stress, concentration, and sleep.
The second app to get you back to feeling relaxed and in control is Calm. The visuals are beautiful and the natural sounds are like you’re completely immersed in nature. I like the Mood Check-In that allows you to log how you’re feeling and then you receive a recommendation for a meditation based on your response. They too have body scans and sleep meditations to take advantage of. Calm is also a free app.
And lastly, a little detour from the others, I like the app Colorfly. This app provides a variety of free pictures that you can color with a tap of your finger. They provide you several beautiful palettes to choose from. There’s a showroom where you can upload your finished item to share with others around the world. So go on, express yourself!
I hope you’ll take a few moments to check out these three wonderful apps. They are all free and easy to navigate through. They provide a variety of opportunities to step away from it all and relax the nervous system a bit. Feel free to share your thought on our Facebook page. We’d love to hear from you!
Certified Occupational Therapist Assistant
Playing outdoors is fun and important for children’s development and growth. Children use their senses to interpret the world around them. While outdoors, children are exposed to a calm and sensory-rich environment. Playing outdoors provides many benefits to children, including directly impacting the development of both fine and gross motor skills. Plus, outdoor play offers opportunities for much needed breaks from screens and blue light exposure—from computers, cell phones, pads/tablets and television.
“Hands-on play in the natural environment stimulate children’s senses through what they hear, touch, see and feel,” says Stacy Ringold, occupational therapist at Kinera Foundation, a local nonprofit in Queen Anne’s County that serves families with children who have disabilities and special needs. “By touching materials in nature, such as grass, leaves, sand and water, children enhance their tactile experiences. And, playing outdoors can help children feel calm and less overwhelmed, which may help with focus in the classroom school setting.”
According to the National Association of Early Childhood Specialists in State Departments of Education (NAECS-SDE), a child who plays and takes breaks outside is more likely to feel happy and less anxious, depressed and stressed. This correlates to students who have increased focus and less behavior problems in the classroom, and may help children diagnosed with attention deficit hyperactivity disorder (ADHD).
The Center for Disease Control (CDC) estimates from 2016 show that approximately 9.4% of children between 2-17 years of age were diagnosed with ADHD. Current treatments for ADHD include pharmacological and behavioral interventions, such as stimulant medications and therapies that address problem behaviors. Data from studies in 2011 show that participation in activities in open, outdoor environments can improve symptoms of ADHD, and positively impact a child’s memory, critical thinking skills and ability to learn.
“Outdoor play offers many cognitive benefits,” explained Ringold. “When children use their whole body by climbing, jumping and running they develop gross motor skills, build their strength, and increase balance and coordination. And when children explore nature by picking up flowers and rocks, they are helping to develop their fine motor skills—all of which impacts the ability of how they process and remember information.”
Playing outdoors provides so many benefits for children—from decreasing stress, increasing focus, to developing fine and gross motor skills, just to offer a few! Time spent outdoors encourages a healthy lifestyle, helping children form healthy habits for a lifetime. So, what are you waiting for? Go out and play!
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The Kinera Foundation is a 501(c)(3) non-profit organization committed to enhancing the quality of life for children, teens and adults with special needs and their families by providing parent support groups, social activities and events, access to therapies and treatments, while continuing to support inclusive and community programs. The Kinera Foundation Eastern Shore Regional Hub, with partners that include the Office of Genetics and People with Special Health Care Needs and Kennedy Krieger’s Maryland Center for Developmental Disabilities, provides a centralized, coordinated Hub of patient/family centered care. The Hub brings together providers, therapists, families and supporting agencies to ensure Children with Special Health Care Needs (CSHCN) have access to the level of care, services and resources they need. For more information visit www.kinera.org.
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