FAQ’S from the Tips, Grips & Kits for Handwriting Workshop

Tuesday, February 15th, 2011

On the evening of Wednesday February 9, 2011, POTS hosted an interactive evening that was both fun-filled and informative. Parents and teachers joined us to learn how to get children’s hands ready for writing and drawing with innovative and exciting activities from our toolbox and manual. Using a variety of creative multisensory activities, parents and teachers were instructed how to choose and utilize appropriate tools and materials to keep children enthusiastic about writing.

 Q: Is it ok for my child to use markers, or should I only offer crayons?

           A: All writing implements have their place. Crayons are great for helping children learn to modulate pressure appropriately. Children get more feedback from pushing on a crayon than a marker, which in turn helps them learn how much force to exert. Markers are particularly effective for children who apply so little pressure on the crayon that their work can barely be seen. When they use a marker, they get the satisfying result of vividly seeing the fruits of their labor, which keeps them motivated. Keep drawing and coloring activities fun and gratifying so children keep coming back for more.

 Q: My child generally does drawing/writing activities at the dining room table, but the chairs do not appear to fit him well, he moves around a lot and his feet dangle. What other options are there?

           A: It is extremely important for children to be seated properly at a table, particularly when doing fine motor activities, drawing, and writing. Poor posture limits the ability of the hands to do their best work and automatically places the child at a disadvantage. One option is to tailor your existing chairs to better suit your child’s size by placing a phone book or shoebox under his feet so that his hips, knees, and ankles are at a 90 degree angle. Alternatively, turn the entire chair around and allow your child to kneel at the table. Alternatively, the Tripp Trapp chair (www.stokke.com) is an ideal seating option for children. The seat and foot rest are both adjustable, making it an excellent choice for your growing child.

Q: My 5 year old child uses a fisted grasp when coloring/writing. When I place her hand on the crayon properly, she complains of pain. Why?

           A: By the time children are 4½ years old, they are expected to have a mature dynamic tripod grasp. In order to achieve that grasp, the small muscles within the hand must be strong and well developed. When a 5 year old child is consistently holds a writing implement with a fisted grasp and cannot sustain a tripod grasp, it indicates that there is weakness in the hands.

Q: Now that I have all these great games and activities to use with my child, how do I know how many repetitions of an activity I should do?

           A: Look for quality instead quantity. The goal is to improve your child’s performance by solidifying good habits. Practice an exercise 3 times with your child doing it properly with excellent posture and positioning rather than 10 times reinforcing a pattern that is less than ideal. Once you have achieved good quality, gradually increase the time/repetitions over which it can be maintained.

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

This entry was posted on Tuesday, February 15th, 2011 and is filed under Handwriting & Fine Motor Coordination.

A Close “LOOK” at Developmental Optometry

Wednesday, February 9th, 2011

What is a developmental optometrist?

 A developmental optometrist is an eye doctor who has completed two to three years of post-graduate training and is credentialed as a Fellow in the College of Optometrists in Vision Development, or F.C.O.V.D.

Developmental optometrists may also be called a behavioral optometrists or pediatric optometrists because of their roles in evaluating the impact of vision on behavior and learning.

My child has good vision, how do I know if he/she needs to be evaluated by a developmental optometrist?

A child may have “healthy” eyes and not require glasses, but still have visual problems. In addition to performing routine eye exams, a developmental optometrist will complete other tests to determine whether the patient has adequate visual function in order to perform daily tasks, such as reading, focusing back and forth between a printed page and the blackboard, and catching a ball.

 Symptoms that may indicate a need for a developmental optometry evaluation:

Headaches while reading or writing

  • Blurry vision when reading
  • Difficulty smoothly reading across a line
  • Skipping words or entire lines when reading
  • Difficulty copying from the blackboard
  • Avoiding reading and writing
  • Poor reading comprehension
  • Short attention span
  • Moving one’s head excessively when reading
  • Poor handwriting
  • Burning, itching, or watery eyes
  • Bumping into things
  • Holding books too close or too far
  • Squinting
  • Difficulty recognizing faces

What areas of vision are assessed developmental optometrists?

Binocularity: the ability of the eyes to work together to transmit information to the brain

Oculomotility (tracking): the ability to smoothly and accurately move the eyes, which is especially important for reading

Accomodation: the ability to rapidly re-focus the eyes when looking at something up close, then from a distance, and back again

What is vision therapy?

If the results of the assessment indicate that visual skills are too weak to support age appropriate activities, vision therapy may be recommended. Vision therapy typically includes a program of progressive “exercises” that address the child’s specific visual needs. They are usually performed in the doctor’s office once or twice a week. Frequent reevaluations are performed to closely monitor progress. Home exercises may be prescribed to facilitate more rapid progress.  

Why would my child’s occupational therapist refer me to a developmental optometrist?

Occupational therapists screen oculomotor control, assess and treat deficits in visual perception, or the ability to interpret and analyze visual information accurately, and visual motor integration, or eye-hand coordination. However, an occupational therapist may refer a child to a developmental optometrist if there is a cluster of symptoms that indicate that vision deficits are affecting a child’s functional performance at home or in school not attributable to postural control, fine motor, or visual-motor skills alone.

References: Scheiman, M. Understanding and Managing Vision Deficits: A Guide for Occupational Therapists. Thorofare, NJ: SLACK Incorporated, 1997.

 www.covd.org

 www.childrensvision.com

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

This entry was posted on Wednesday, February 9th, 2011 and is filed under Parenting.