Archive for the ‘school based therapy’ Category

Communicating with Parents

Saturday, October 2nd, 2010

Parents are an integral part of the special education team. They know the most about their children strengths, weaknesses and personal preferences. Therapists and other school staff need to include parents in all decision making for children. Here are some tips on improving your communication with parents:

1. Always start off a conversation stressing a child’s strengths. No one wants to hear only negative comments.

2. Be very specific about your concerns for their child without using any medical terminology.

3. Do not be judgemental. If the child is the firstborn in a family, parents may not always recognize delays in the child’s development.

4. Be patient. You may be the first person to tell the parents that their child may need some extra help. Give them time to digest the information and schedule a time to talk again.

5. Allow plenty of time for questions. Make sure you have the time to address any questions the parent may have. Do not run off to your next scheduled appointment with unanswered questions.

6. Listen! Make sure you listen to the parent’s comment or concerns. They usually have the best insight into their own child.

To read more on communication, check out the article Let’s Talk: How To Communicate Effectively with the Special Educaiton Team.

Would love to hear from parents with any of their own tips on how to improve communication. Please comment.

Inclusive Sports Participation

Friday, May 8th, 2009

Adapted Physical Activity Quarterly reports on research indicating that persons with intellectual disabilities frequently join inclusive sports but do not continue with the inclusive sports overtime. Parents reported rejection by staff and other participants. In addition, parents felt there was a lack of contact and understanding of people with intellectual disabilities.

Physical activity for persons with disabilities is extremely important. It is disappointing to hear that parents find inclusive sports not appropriate for children with intellectual disabilities. School based occupational and physical therapists can be instrumental in promoting physical activity for the disabled. Try to schedule a presentation on inclusive sports for your community or school. Here are some tips to help any children with disabilities participate in inclusive sports programs:

1. First and foremost make sure that the sports program is accessible for the child. If not, offer some modifications that can make the program accessible.

2. Educate the coaches and volunteers on the child’s disability. If a coach does not know what to do this can make participation very difficult.

3. If any modifications require adapted equipment, make sure all sports staff know how to use it.

4. Offer suggestions on how to present the directions or rules in different formats instead of just verbally. Maybe the coach could provide written rules or visual demonstrations.

5. Inform sports staff that the child may need accomodations such as more time to complete a skill.

6. If a child requests additional help, perhaps assign a partner (peer or adult) to help.

7. Do not assume a child can not do a task. If possible and safe, always let them try first before determining that something can not be accomplished. Most likely, sports staff will be amazed at what children can accomplish.

8. Remind staff of safety precautions that be necessary for specific disabilities such as a visual or hearing impairment.

Based on your own expereinces, what have you done to support inclusive sports? Please comment.

Reference: Eva Hiu-Lun Tsai, Lena Fung. Parents’ Experiences and Decisions on Inclusive Sport Participation of Their Children With Intellectual Disabilities
APAQ, 26(2), April 2009.

Project ACES – Gets Kids Moving

Monday, May 4th, 2009

May 6th is the date for Project ACES (All Children Exercise Simultaneously). Project ACES was started to help celebrate in May for National Physical Fitness and Sports Month. The goal of the project is to encourage physical fitness through daily exercise and to live healthy lives. This is a great way for school based therapists to educate the school on the benefits of physical fitness.

It is simple to participate. Organize the event at your school (big or small crowd). Explain the details of Project ACES. Then, EXERCISE in any way for 15-45 minutes starting at 10:00am local time. You can get more information at http://lensaunders.com/aces/aces.html

Teacher Appreciation Ideas

Monday, May 4th, 2009

May 5th is Teacher Appreciation Day. Depending upon the types of children that are in the classroom try some of these ideas:

1. Give the teacher a basket of fidgets to use in the classroom as a sign of your appreciation

2. Offer to host a party. If the children earn enough rewards, have a therapy party for the class. All the kids can try out equipment, games and activities. (Check with your school administrator regarding liability issues).

3. Have a student(s) make their footprint on a poster, banner paper or t-shirt and write “You Lead, We Follow” on it

Anyone else have any ideas?

Collaborate with Teachers To Develop Multi-Sensory Lessons

Wednesday, April 15th, 2009

Traditionally, a classroom lesson is delivered as verbal or written material. The student relies on auditory and/ or visual input to understand the concepts. The student is expected to sit for extended periods of time and remain on task. For many of the students who receive related services, this can be a frustrating method of comprehending academic material. If a student exhibits deficits in auditory or visual input, failure may ensue. On the other hand, if a teacher uses a multi-sensory approach to teaching material this student may succeed. A multi-sensory lesson allows for a student to learn using the various senses of the body instead of just auditory or visual. School based therapists can play a large role in helping teachers to incorporate additional sensory input such as tactile, proprioceptive, vestibular and motor skills when presenting academic material.

Occupational and physical therapists have a strong understanding of the large role that sensory input and sensory output plays in a students life. By offering that expertise to teachers when planning lessons, all students receive the benefits of multi-sensory learning. In addition, the students who receive related services will be able to experience improved carry over of therapeutic interventions.

By employing multi-sensory strategies in the classroom, information is delivered to the brain from several sensory systems. This spreads the load on the brain over several systems which may result in improved memory. Students can improve problem solving skills and retain more information by touching, feeling and moving to learn a new concept When physical activity is included in the lesson plan, students are able to release energy, reduce stress, increase level of alertness and practice motor and coordination skills.

Here are some basic steps to follow when creating multi-sensory lessons.
1. Infuse lessons with physical movement whenever possible including proprioceptive and vestibular activities.

2. Offer suggestions to include tactile experiences for students such as Wikki Stix®, tactile paper, modeling clay and salt trays.

3. Promote kinesthetic activities such as air writing to reinforce academic concepts.

4. Encourage fine and gross motor activities to enhance the lesson. Provide manipulatives that promote fine motor skills. Offer suggestions on how to include gross motor skill practice such as jumping, hopping or skipping during the lesson.

5. Include bilateral coordination activities to improve ability for students to cross midline.

6. Encourage the use of assistive technology to transform traditional lessons.

When the lesson is complete, see if it includes sensory input from the following areas: auditory, visual, tactile, proprioceptive and vestibular. If all five categories are included, you have achieved an excellent multi-sensory lesson that will be most likely a benefit for all students.

10 Things to Do to Celebrate OT Month

Tuesday, April 7th, 2009

There is a lot of buzz going around about OT Month. Here are 10 suggestions to celebrate OT Month in a school or pediatric setting:

1. Host the Occupational Therapy Olympics – invite school staff, parents and students to participate in the OT Olympics. Try relay races to get dressed, get down objects using reachers, wheelchair obstacle courses, scooterboard races, sculpt objects with clay and more.

2. Have an OT Art Exhibit – showcase OT projects that the children have made. Hang up signs next to each projects describing what skills the child worked on to complete the project.

3. Create an OT Contest – For example – Put a bunch of beads in a jar. Guess how many beads are in the jar. The closest to the number of beads wins an OT t-shirt.

4. Create an OT Quiz – Distribute an OT quiz with many questions regarding what OT is and how it helps children. Every person who fills out the quiz gets a small prize.

5. Do an in-service on the benefits of OT to the school staff and parents.

6. Plan an OT Month Party! – Allow the kids to vote on a party theme such as fine motor, sensory or activities of daily living. Create games around that theme.

7. Volunteer for the Career Fair at the school. Educate prospective college students on what OT is.

8. Have an Adaptive Equipment and Assistive Technology Fair – demonstrate different types of equipment that OT’s recommend for students to school staff and parents.

9. Hang up a large poster in the hallway about occupational therapy.

10. If you do not have time for any of the above ideas here is the easiest – just ask to make an announcement over the loudspeaker of the school about OT month. Inform the school in a few sentences about occupational therapy.

Check out our motivational section on our website for certificates, awards and signs for occupational therapy.

Any one else have any ideas? Please comment.

Are Schools Exacerbating ADHD?

Wednesday, April 1st, 2009

Previously, I have discussed how important physical activity is for school children (podcast, articles and blog posts). In my opinion, physical activities are being ignored as a potential reason for decreased test scores and behavioral problems in school districts. When children are made to sit all day long, they will act out, be inattentive and their minds wander. Sedentary lessons ignore kinesthetic learners and students with bodily kinesthetic intelligence (Gardner’s Theory of Multiple Intelligences). This is for typically developing students. Now let’s consider students with ADHD and sensory seekers. It makes it even harder to pay attention and learn while having to sit still most of the day.

It appears as if this situation is only getting more dire than better. The Center on Education Policy as part of No Child Left Behind, reported in February 2008 that schools are shifting to more instructional time on English language arts (ELA) and math. This of course occurs at the expense of other subjects. The report shows that on average, schools have decreased recess time by 28% and physical education time by 35%.

Let’s now take a look at ADHD rates. According to the Centers for Disease Control and Prevention, the rates of ADHD have increased on average 3% per year from 1997-2006. As of 2007, 4.5 million children have been diagnosed as having ADHD. This brings us to the question is decreased physical activity time exacerbating ADHD symptoms? Some recent research helps to support the idea that sitting in school all day is detrimental to overall learning.

Neuroscience reports on a study of 20 children who did treadmill walking followed by cognitive testing. The results indicated that following 20 minutes of treadmill training, the children exhibited improved attention and academic performance. Research has also indicated a relationship between amount of time spent outdoors and improved attention in children with ADHD. To view even more research regarding this topic go to www.YourTherapySource.com/articles and click on the Bulk Up the Brain article.

So what can we do? Let’s join the No Child Left Inside (NCLI) this April. Go to the website to find the details and suggested outdoor activites for students of all ages and subject matter. Spread the word and let’s get all children moving and outdoors!

Need activity ideas for in the classroom or group activities? Check out our Sensory Motor Activity books.

Reference:
C.H. Hillmana,M.B. Pontifexa, L.B. Rainea, D.M. Castellia, E.E. Hallb and A.F. Kramera The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent children Neuroscience Volume 159, Issue 3, 31 March 2009, Pages 1044-1054

Center on Education Policy Instructional Time in Elementary Schools
A Closer Look at Changes for Specific Subjects
retreived from the web on 4/1/09 at http://www.cep-dc.org/_data/n_0001/resources/live/InstructionalTimeFeb2008.pdf

Centers for Disease Control and Prevention ADHD Data and Statistics retrieved from the web on 4/01/09 at http://www.cdc.gov/ncbddd/adhd/data.html

Taylor, A. Kuo, Sullivan COPING WITH ADD The Surprising Connection to Green Play Settings. Retreived from the web on 4/1/09 at http://www.cbf.org/site/DocServer/Coping_with_ADD.pdf?docID=13323

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Motor Skills and Function in Children with CP

Saturday, March 21st, 2009

Developmental Medicine and Child Neurology published research that compared children with cerebral palsy’s scores on the GMFM-66 and the Vineland over 3 years. The study results indicated that there is a significant relationship between what a child can do (GMFM)and what a child does do (Vineland). The relationship was more positive for GMFCS Level I children. Therefore, improvements in individual motor skills resulted in improved motor performance during personal and social skills. The authors recommend also focusing on environmental adaptations and mobility equipment.

This study is beneficial to justify why, at times, therapists recommend individual therapy sessions in an isolated setting outside of the classroom. If motor skills can be practiced and refined during therapy, then everyday functional skills should improve as a result as well especially in GMFCS Level I children with cerebral palsy.

Reference: MIRJAM VAN ECK, ANNET J DALLMEIJER, JEANINE M VOORMAN, JULES G BECHER
Longitudinal study of motor performance and its relation to motor capacity in children with cerebral palsy Developmental Medicine & Child Neurology 51:4(303-310) 2009. DOI: 10.1111/j.1469-8749.2008.03263.x

Great FREE Assistive Technology Resources

Thursday, March 5th, 2009

Heard about this on Twitter – The Wisconsin Assistive Technology Initiative (WATI) is now offering free access to many of their superb resources. There is a free 337 page book entitled Assessing Student’s Needs for Assistive Technology. There are numerous resource guides, forms, assessments and more all for free.

Location for Blog

Wednesday, March 4th, 2009

Please go to www.YourTherapySource.blogspot.com for our updated blog. After testing out a few blogging tools I liked a different one the best. Any special needs or pediatric therapy professional should take a look. You will get activity ideas, latest research, technology info, articles and more a the blog or our website www.YourTherapySource.com.