The Morning Rush:

Thursday, October 21st, 2010

HOW TO GET YOUR HYPER-SENSITIVE CHILD DRESSED IN THE MORNING

Morning routines are rushed and stressful in many homes, but if your child is overly sensitive to the feel of his/her clothing, getting dressed can be a torturous process for both of you. He/she may resist or literally fight you when it is time to get dressed. The good news is that your child is not trying to make your life difficult. For a child who is bothered by certain fabrics and textures, it can be uncomfortable, or even painful to wear articles of clothing that do not feel “right.”

Here is what you can do to make life run more smoothly:

  • Sweatpants, yoga pants, and leggings will feel a lot better than jeans
  • Sweatshirts, pull-overs, and t-shirts will be preferred to button down or collared shirts
  • Let your child approve clothing once you bring it home
  • Pre-wash clothing before wearing
  • Consider purchasing tagless underwear and shirts
  • Look for seamless socks online
  • If you cannot find seamless and tagless garments, cut out labels and tags
  • Give choices wherever possible to give your child a sense of control, such as giving your child two good choices  of outfits and letting him/her make the final choice
  • In order to minimize any conflict that may arise in the morning over clothing selection, pick out clothing the night before. Lay them out like a “person” so that your child can climb right in
  • Spend 5 minutes doing sensory preparation before getting dressed. Proprioceptive or “heavy work” activities are most calming and organizing:
  • Make a “sandwich” using pillows and blankets.
  • Roll up in blankets like a “hotdog”, give a few pillow squishes, and roll out of blanket quickly.
  • Jump on cushions or mattresses.
  • Play “Hide and Seek” under cushions and pillows.
  • Give bear hugs (child faces away from you).
  • Give slow back rubs or massages.
  • Layer spandex or Lycra exercise-type clothes under regular clothes for calming, evenly distributed deep pressure input

If your child is sensitive to temperature, dress him/her in layers so that he/she can remain comfortable throughout the day

Blog written by: Aviva Goldwasser, MS, OTR
Chaye Lamm Warburg, DPS, OTR, Director POTS

This entry was posted on Thursday, October 21st, 2010 and is filed under Getting Ready for School.

Organization 101

Wednesday, October 13th, 2010

Organization is a struggle for many of us as well as our children, especially children with Sensory Processing Disorder. Just as we teach other important life skills to our children, organizational strategies must be taught directly so that they can implement the strategies independently and habitually. Although children begin to learn these skills as toddlers by sorting and putting away toys, it is never too late to help your child build organizational skills. Initially, it may feel as though you are shouldering the bulk of the responsibility, but modeling and teaching good strategies from the get-go will do both you and your child a big service in the long run.  Here are some ideas to get started.

Posting a large family “calendar” in a visible area is a great way to model good habits for your children and keep everyone organized at the same time.

  • What events should go on the family calendar? Family outings, sports practices, club meetings, etc., especially those that require car-pooling so that Mom and Dad are not double-booked.
  • Make pictorial stickers of the events to place on the calendar so that preschoolers and beginning readers in your house can keep up
  • Color code the calendar by assigning each family member a color

Create individual after-school daily planners for each child to plan out homework time, play time, play dates, birthday parties and other commitments. This can be particularly helpful to carve out time for homework on days that have an after school activity. Working on the planning together with your child is an opportunity for you to teach time management.

  • Put Velcro on the back of small pictures depicting daily events to help children who are more visual, or those who struggle to write

Each child should have a daily planner where he/she has written the day’s homework and assignments. Check off each assignment as is it completed.

For specific ideas for organizing homework, check out the Homework Hassle Help blogs on POTSOT.com, posted October, 2008

A monthly calendar is important for listing long term assignments/projects and upcoming tests. Teaching your child to prepare in advance and break down big projects into small, manageable components is a critically important life skill.

Create a “Things to Bring to School Checklist” for each child that includes general materials, such as pens, pencils, and highlighters, as well as notebooks or textbooks for individual subjects. In order to ensure your child is prepared for class with everything he/she needs, display the checklist in an obvious location where he/she packs his/her backpack.

Color code your child’s classroom books, notebooks, folders, etc. so that he/she can easily recognize what subject materials are needed for in class work and homework.

Lighten your child’s load by regularly sorting through superfluous papers. Keep color coded files at home and have them file extra papers according to subject matter.

By: Aviva Goldwasser, OTR

This entry was posted on Wednesday, October 13th, 2010 and is filed under Getting Ready for School.

Using the Nintendo Wii in Occupational Therapy

Thursday, October 7th, 2010

Here we are in the beginning of Fall and some kids are in full sports mode playing soccer or baseball. While the weather is still nice we encourage our kids to get outside and play. But, soon Fall turns into Winter and the kids are inside looking for some ways to play and entertain themselves and they may ask “Mom\Dad, can we go on the Wii?”

Initially we may say “no” because we don’t want to encourage “screen time”, however with a little ingenuity and creativity the Nintendo Wii can be turned into a powerful therapeutic tool. The Wii and Wii Fit games come packaged with numerous activities for strengthening and aerobic activity such as yoga and running. They were designed to be played as you would naturally play any sport. This may become trite over time, so let’s change it up to be more innovative, dynamic and even therapeutic.

To work on shoulder or neck strengthening, try the Wii Fit board.  For the soccer game (in the balance game section) for instance, you can get on your hands and knees, place and push your weight over your hands and try to play the game that way. This encourages neck extension and shoulder strengthening. Still too easy?  Then put your feet\knees on a low chair or low stool and your hands on the board to maintain your full body weight on your hands for a harder challenge.

Looking to gain endurance, try the running game. Instead of running on the floor try standing on a mini trampoline and jump\bounce, or do jumping jacks for the duration of the game. Try sitting on a therapy ball and bounce for extra sensory input. Bouncing on a large ball works with many children who can’t run. You can even put the Wii in front of your treadmill and exercise while playing the game. You can really simulate those hills!

Can’t stand for long periods of time? Then place the Wii board on a chair and sit on the Wii board. Shift your weight from side to side to make the characters move.

If you are playing the Sports games such as baseball, boxing, bowling, you can increase the challenge by putting on wrist weights. Try to improve balance to play the games while standing on a Bosu ball or other unstable challenging surface. This way you are activating your core muscles as well as your shoulder and hand muscles.

There have been studies that indicate that exercising while using virtual reality systems, such as the Wii, tend to be more engaging, interactive, absorbing and FUN! Therefore, people are willing to spend more time and work harder at home exercise programs that include interactive games compared to those exercises that do not include such activities. Your child’s therapist can always recommend specific games and adaptations to meet your child’s individual needs.

So now when the kids ask “Can I play on the Wii?” you can safely respond yes knowing that with a little creativity and ingenuity they are getting a good therapeutic work out.

Gershon Kravetz MS\OTR\L

This entry was posted on Thursday, October 7th, 2010 and is filed under Boost Gross Motor Coordination & Rhythmicity.