Showing posts with label gross motor. Show all posts
Showing posts with label gross motor. Show all posts

Wednesday, November 18, 2020

Norman and Jules 2020 Holiday Gift Guide

For those of you who know me, you know that I am passionate about supporting our local toy stores. For many of these stores, they have put their heart and souls into their store. Most importantly, these local stores end up knowing you and your children, they watch them grow up. If you are ever in Brooklyn, I can't stress how you should make sure to stop by Norman and Jules beautiful new store in Gowanus. It's between Park Slope and Carroll Gardens with many other stores and restaurants worth checking out. 

Working with Courtney, one of the owners of Norman and Jules, we have come up with this list of toys and products that will work on so many occupational therapy and developmental goals. For me, when choosing toys for my private practice, it's about finding ones that don't look like they are for special needs. Parents of the kids that I work with want their children to be able to play with the same kinds of toys that other children their age are playing with. Many of the items on this list are what I call investment toys because they will cost more but will last forever. Think toys that will not only last through your own children's childhood, but be passed down to their children. We were also mindful to try and pick products that would spark your child's imagination and encourage open-ended play. During this crazy time, kids are expected to follow so many new rules and play should about doing what they want and how they want to do it. 


Land of Dough-I am absolutely obsessed with the gorgeous play dough by this company.  It comes in the most beautiful and unique designs such as rainbows and space and galaxy. Whenever I pick some up for my daughter, I pick up two containers because she wants one to play with and one to keep all pretty. Not only is it totally unique and gorgeous, it is made from all natural ingredients such as beetroot, spirulina and organic jojoba and lavender oils. The dough comes in its own reusable, compostable bags making it easy to store and with a little wooden scooper. Playing with dough is great for encouraging sensory exploration, works on improving grasp strength and manipulation skills and improves bilateral and hand-eye coordination. Some of the things you can do with the dough is hide beads inside and have your child find them, practice making shapes, letters or numbers and practice cutting by rolling dough into "snakes" and have them snip into small pieces. 


Colour Me Crayons-one of the beautiful things about living in a place like New York City is being surrounded by people of every nationality and color. When I saw these crayons on Norman and Jules' Instagram feed back in the spring, I almost cried and then immediately purchased them for work.  This set of crayons comes with 12 vibrant skin colors so that every child can find the color that matches their skin. There are so many wonderful things about these skin-toned crayons. First of all, it is so important that when a child is asked to draw a picture of themselves that they have the option of finding a crayon that represents their skin color. Second of all, these crayons are triangular which encourages an appropriate grasp in young children. 


Goober Peanut Crayons-I am constantly on the lookout for different kinds of writing instruments, especially for the little ones that I work with. One of the most important things about introducing young children to crayons and other drawing tools is that they help to promote good grasping skills from an early age. What I love about these peanut shaped crayons is that they are a really good width and shape for little hands. The bean like shape is great for encouraging kids to grab them and then use a tripod like grasp. They are made from natural bean wax and all non-toxic ingredients so parents don't have to worry if your risk-taking little one decides to put them in their mouths. Another fun thing about the unique shape of these crayons are that they can stand up or stack on top of each other which your child will love! 


Eco Chains-I'm a sucker for any small manipulative toys, especially ones that are easy to throw in a bag to take on the go. Manipulative toys (think Legos and pop-beads) are very important for building up a child's hand strength and manipulation skills, which is crucial skills for the development of academic skills such as cutting, drawing and handwriting. Eco chains are colorful links that children can connect. In addition to working on grasp strength and manipulation skills, they are great for working on improving bilateral coordination, hand-eye coordination, spatial awareness and logical thinking. Add challenges by having your children make patterns or sort them by color and link them together that way. Like I already said, these are great to throw in your bag when traveling or out and about to keep your little ones busy and off a screen. 


Jumbo Weaving Frames-I have always been a fan of all weaving toys but often times they are too small for the kids that I work with which leads to frustration and eventually, they give up entirely. Right off the bat, this is what I call an investment toy. It's a bit on the pricey side but once you see it, you will understand the reason. The quality of both the frames and the fabric strips is off the charts awesome. They will be able to handle major wear and tear of your rambunctious little ones and last you for ages. The set comes with a square, triangle and circle frames and several multi-fabric strips. It also comes with 15 large, double-sided weaving activity cards for children to follow. The nice thing about this set is that kids can try and copy the designs on the cards or make their own designs. The Jumbo Weaving Frames are great for working on improving fine motor, grasping and manipulation skills, improves bilateral and hand-eye coordination, visual motor and visual perceptual skills and encourages executive functioning skills such as focus, attention and organizational skills. 

Make A Face-Moon Picnic makes beautiful wooden toys, including this Make A Face toy which I have used with my social skills group, The Meeting House, when we talk about feelings and emotions. Right now kids are experiencing all kinds of big feelings and emotions and don't always have the right words to describe them. For many kids, especially younger ones, talking about their feelings are difficult and often times embarrassing. In my social skills group, we start each session off with a feelings check in and this is something that I have suggested that the families of kids who are homeschooling or doing distance learning incorporate into their daily routine. If your child isn't quite ready to talk about it, this toy is a great tool to put in their work area and have them put together each morning. In addition to them becoming more aware of their feelings, children can work on improving their grasp strength and manipulation skills, improves hand-eye coordination and visual motor and visual perceptual skills. 


My Weather Station-one of my favorite parts of a preschool classroom is morning meeting and for some reason, listening to kids describe the weather seems like such an important part of that meeting time. With so many children not in a traditional classroom this year, I know many families are trying to bring the classroom to them and Moon Picnic's My Weather Station is a great addition to any home classroom or learning pod. This fun, educational and interactive toy has 4 movable parts (great for working on fine motor, grasping and manipulation skills) and 5 weather symbols to display. Great for teaching kids about seasons, temperature and so much more while encouraging them to notice details about their environment. 


Rainbow Bowl Sorting Game-some of my favorite things are fine motor toys, rainbows and really well made wooden toys. If you don't know about the Grimm's toy collection, I highly recommend you find out about it. When my now 10 year old daughter was about 3 years old, a client gifted me with the Grimm's Rainbow and it's always had a prominent place in our house. When Covid hit, that rainbow went right into our rainbow and has been there since. I digress, this rainbow sorting toy is a truly great toy that will teach your little one so much. Not only will they learn about colors and shapes, they will do so in a multi-sensory way which is so important. This set comes with 2 trays that hold 6 colored bowls, a pair of large tweezers and 3 different shapes in each color that you can put in the correct that you use the large tweezers to sort the same colored fish, star and heart in matching bowl. Children work on improving fine motor and manipulation skills, improve hand-eye coordination, visual motor and visual perceptual skills and encourages focus and attention. 

Peekaboo Lock Boxes-this take on shape sorters is one of my favorite things that I have at my gym. First of all, it's absolutely beautiful and sturdy, making it perfect for the wear and tear it goes through with many kids playing with it. Like the traditional shape sorter, a child has to figure out where all the shapes go, but this has so many other aspects that are so great for your little ones development. There are 6 colored boxes with not only a place to put the shape in, but one side with a different fastener you have to open and close, and a clear panel so you can see through. It also comes with a tray that has 6 colored squares for each box to go into. So not only is your child learning about shapes, they are learning about colors, matching and developing critical fine motor and manipulation skills. There are also opportunities for open-ended play; after my kids put the shapes in or practice the different fasteners, I left them play with the blocks and have seen them make towers, buildings or whatever else comes to their minds. This is a gift that really checks off a ton of boxes and is worth every penny! 


Tegu Magnetic Wooden Blocks-these magnetic blocks have been part of my gift guides for years. They were also one of the first sets of blocks that I got my daughter years ago and they are still in absolutely perfect condition. When I first began working in private practice, I was working with a child with cerebral palsy who was interested in playing with blocks but didn't have the control to play with them successfully. I went on a hunt to find something that would work and stumbled upon the Tegu blocks and was intrigued by the magnetic aspect and if he would have more success. I won't ever forget the look on his face as he played with the blocks for the first time. I have been recommending these blocks for years and years and personally give them as gifts to so many of my friends and family who have babies. Great for working on improving grasping and manipulation skills, improves hand-eye and bilateral coordination and works on developing visual motor and visual perceptual skills, and encourages creativity and imagination. 

Alphabet Play Blocks/Numbers Play Blocks Set-if I had to choose one thing for you to buy out of
everything on this list, I would have to put these at the top of my list. Just like some of the previous toys, the alphabet and number blocks are considered an investment toy and will last forever. When I first saw these posted on Instagram, it took me all of 5 seconds to order them, even though I wasn't working with children in person. The alphabet blocks were the first new toy I introduced to my kids when I began working with them in person and they have been a a huge hit with kids of all ages! They love being able to find the object that matches with each letter, putting the letters in order and playing with some of the object blocks. They get kids excited to learn about letters and numbers and  can be used to encourage learning how to write. Grownups will be as excited to play with these blocks as their kids! 

Wobbel Balance Board-one thing I have noticed about the pandemic is that there is a definite increase in children's sensory seeking behaviors. Starting in March, our kids had to adjust to so many changes with the most drastic one being that they stopped going to school in person. Until the stay at home orders happened all over the country, our kids were used to a very stimulating and active life. All of a sudden, their lives went digital and Zoom school, therapy and playdates were the new normal. When I made the switch to remote therapy, one of the first things I asked many of my families to order was the Wobbel Board. I have had one for my own daughter for years and I wanted my kiddos to have more opportunities to move during their remote school day and to use during our online sessions. It's also been a really good tool for me to add more gross motor and motor planning activities into my virtual sessions. If you go onto their website, you can download and print out a set of activity cards which have been a big hit with my kids. 

Magnetic Fishing Set-I am including this after the Wobbel Board because I think this is a great toy that you can use while on the board. I use the Wobbel Board and other balance boards with my kids at work all the time and the most important thing is combining it with the right kind of toy or activity because maintaining their balance can be tricky and frustrating making them want to get off right away. This beautiful fishing toy is a perfect way to distract your kids from the "work". This adorable set includes a fishing rod with a moveable reel and three magnetic fish, an octopus and a shell for kids to easily catch. 
Whether you are on a balance board or just playing, this little toy packs a real punch with all the ways it can help with your child's developmental skills. Kids can work on improving bilateral and hand-eye coordination, improves grasping and manipulation skills and encourages focus, attention and organizational skills. 


Wooden Swing Board-if you are fortunate enough to have the space for this, I say get it! I have something similar to this at the gym I work at but this one is so much better that I might have to replace it! Balance and coordination are critical for the development of so many other gross motor skills like jumping, running and learning how to ride a scooter and/or a bicycle. In addition this swing is great for working on improving body and safety awareness, motor planning and providing children with sensory input during these crazy Covid times. It can be used indoors or outdoors and your child should always be supervised! 


Sunday, November 15, 2020

2020 Holiday Gift Guide-Game Time!

Winter always means more indoor times and with concerns about another wave of Covid-19 cases as we enter the holiday season, I anticipate people will be spending a lot more time indoors as a family. There are only so many television shows one can binge and I get the sense that people are looking for ways to connect that don’t involve a screen given amount of time people are spending with remote learning and work. Now seems like an ideal time to re-evaluate your game closet and make sure you have some games that will keep the whole family entertained. Below, I share a handful of this year’s favorites. I am excited to have some amazing game suggestions from my colleague, speech therapist Jacki Barredo, that are geared towards older kids and have a speech and language twist to them. I have also tried to add a handful of board games that encourage movement as I think it's so important that no matter what happens with the pandemic, we keep kids active because it is proven that children learn better and are more emotionally balanced when their bodies are given the opportunity to get up and move. 


Wriggleworms-I am a complete sucker for any game that has some kind of grabber to pick up pieces so when I saw this game I was sold. For the little ones on your gift list this year, this is a simple game packed with fun ways to work on developing a variety of skills. The game comes with 20 stretchy worms in 4 colors and 2 different lengths and 20 cards (10 with numbers, 8 critical thinking and 2 size outlines). Kids spin a spinner and they either collect a worm of the same color or the number of worms that they land on. The goal of the game is to be the player to collect the larger number of worms. My favorite part is that they have to use the provided tongs to remove the worms from the game board which is a wonderful way to work on increasing grasp strength and improve manipulation skills. In addition to working on fine motor skills, children learn about colors and size, can practice working on sorting skills, counting and be introduced to early math skills. 

Share And Sparkle Game-The Rainbow Fish is a popular children’s book that teaches children about the importance of being kind, sharing and what it means to be a good friend. In this cooperative, educational game, children must work together to collect all of the Rainbow Fish’s sparkly scales so he can swim in the waves before they reach the shore. Cooperative games are a great way for children or families to learn that there is more to playing a game than winning or losing. In addition to working on improving play skills, children can work on developing fine motor and grasping skills, hand-eye coordination and visual perceptual skills. 


The Color Monster Game-based on one of my favorite children’s books about learning how to identify and understand feelings, The Color Monster game seems to be a much needed resources for young children during these crazy times. Children (and their grownups!) are feeling lot of big feelings and sometimes that can be very confusing. In this collaborative game, children work take turns rolling the dice to move the monster around the board to try and fill up the jars by matching the emotion tokens to the correct colored jar. In order to pick up an emotion coin, children have to share a memory or experience they had with whichever feeling they pick up (Happiness, Sadness, Anger, Fear or Calm). The game is finished when all the correct emotion tokens are in the correct jar. 


Don't Break The Ice-a classic children's game perfect for preschoolers, Don't Break the Ice is a two to four player game where the object is to keep Phillip the Penguin on top of the ice as long as you can while you tap out pieces of ice. Using a little mallet, kids tap out ice pieces but it requires thought and patience to choose a piece that won't make the whole board break. This game is perfect for the little ones in your life who are just starting to learn about turn taking. It also works on developing hand-eye coordination, bilateral coordination and can improve grasping and manipulation skills. 



Pancake Pileup-this game is a huge hit both at my sensory gym and with my kids at The Meeting House. What I love about Pancake Pileup is that you can play it in so many ways depending on your child's goals. This game has been a good one to play on my remote sessions to add a gross motor component. It is traditionally a relay-style game where kids pick a card and then try and be the first to stack their pancakes in the correct order; pancakes are on one end of the room and the plate is on the other. If you have several kids you can do a relay race where one kid picks up the first pancake, hands off the spatula to the next kid and continue until the card is complete. Pancake Pileup is great for working on improving visual perceptual skills, hand-eye coordination, sequencing and executive functioning skills such as focus, attention, organization and regulation skills. Additionally, you can improve gross motor skills by giving the kids physical challenges such as jumping, walking backwards, etc. 

First Orchard-one of the things I am hearing from many of my families is their concerns about their very young children missing out on critical opportunities to socialize and learn early academic skills. I am here to reassure parents of young children that there are so many other ways to support your children during this crazy time and the most important way is through play. If your toddler isn't going to school, collaborative games like First Orchard are great for teaching them about working together, color recognition and early counting skills. Together, children (and their grownups if necessary) work together to pick the fruits from the trees before the raven reaches the end of the path. First Orchard is similar to Hi Ho Cherry O but I am always a big fan of toys/products made from wood for sustainability. In addition to working on the aforementioned skills, First Orchard encourages fine motor and manipulations skill and hand-eye coordination.

Little Red Riding Hood Game-this is a great game to work on problem solving and logical reasoning with preschoolers and young school-age children. The point of the game is to get Little Red Riding Hood to grandma’s house by creating the correct path. There are 48-challenge cards and each one starts with a guide to how to place the pieces (Little Red Riding Hood, grandma’s house, trees and the wolf) on the board and fill in the path using the correct pieces. While they say this is a 1-player game, I think it would be a great game for kids to work on together in order to solve the challenge. In addition to cognitive skills, this game works on improving fine motor, grasping and manipulation skills, improves visual-spatial and perceptual skills and increases executive functioning skills such as focus, attention and organizational skills.


Mr. Mouth-I love when games from my childhood make a comeback and even more happy when said games end up being favorites for the kids that I work with. Mr. Mouth is great for older preschoolers and school-age kids to work on improving hand-eye coordination, visual motor and visual perceptual skills and a great game for working on executive functioning skills such as focus, attention, regulation and organizational skills. Be the first to get all of your bugs into the mouth. Sounds easy but you have to time it just right which can be tricky. For my younger kids who might be getting frustrated, I often let them practice by keeping the mouth open for the first round so they can get used to the game in order to build up their frustration tolerance. 


Kerplunk Sloths-the original Kerplunk (marbles) and Tumblin' Monkeys are two of my favorite games and also longtime favorites at work. When I went searching for the link to those games, I stumbled upon this newer version and obsessed is an understatement. Instead of marbles or monkeys, you have to collect the cutest little plastic sloths you've ever seen! Kids take turns rolling the die and removing the matching color stick. The rules actually say that the person with the least number of sloths at the end is the winner but I often let the child(ren) playing decide if they want to aim to get the most or the least number in order to determine a winner. Kerplunk Sloths works on so many developmental skills including improving fine motor and manipulation skills, improving visual motor and visual perceptual skills, encourages executive functioning skills such as focus, attention, planning and organizational skills. Younger children may need some assistance for set-up but in general, this game is appropriate for pre-school through school-age children. 

Spottington-for those of you who don't know about Eeboo, I highly recommend you get to know them. In addition to beautiful puzzles, pretend play toys and craft supplies, they have some of the most well-made, durable and creative games. I received Spottington in my monthly Sensory TheraPlay box last month and it's been a great game for my school age kids. One of my favorite things about this visual perceptual and visual scanning game is the fact that it comes with 7 double-sided interchangeable game boards so the game is never the same. The rules of the game are quite simple, which is another bonus, which makes it more fun for everyone. People take turns flipping over one of the 250 picture cards and everyone playing races to be the first one to find it. Once you find it, you place your token on it and call out "Spottington". The objects are various sizes and there be others that look similar so it really takes a lot of concentration. This game is great for working on visual motor, visual scanning and visual discrimination skills and improves executive functioning skills such as focus and attention. 

The Floor is Lava-with the recent success of the Netflix show, The Floor is Lava, this has become a game kids have gotten really into. I love this game, especially as we are looking at the possibility of a second round of lockdowns and shelter in place action, because it offers movement opportunities for our kids who are spending so much time on a screen. In this family game players must imagine that the floor is molten hot lava while spinning the color wheel to jump to the right foam pieces. The game comes with 25 different colored "safety stones" and 27 challenge cards. This gross motor game works on jumping, leaping, balance, coordination and motor planning. For younger kids, this could be a really fun way to learn about colors. 
Turtle Steps-another gross motor game that can be played indoors or outdoors. Kids who have gross motor delays often want to avoid movement at all costs possible so being able to do it through game can be a game changer for them. Turtle Steps works on balance, coordination and concentration and is appropriate for children 3 years and older. The game includes 3 large and 3 medium-sized turtle shell stepping stones, 24 activity cards with turtle facts and alternative ways to play the game. Through obstacle courses and challenges, kids can work on jumping, coordination and increasing body strength. Play by the rules it comes with or create your own game using the turtle shells. For those of you worried about space, the shells easily stack as to not take up too much space. Gross motor development and movement is important for building confidence, self-esteem and helps with children learning. During these crazy times where so many kids are doing remote school, it's so important that we provide as many opportunities for movement that we can. 

Boochie-another movement game that the whole family can enjoy indoors or outdoors. The first part of the game is to toss out the Boochie target and then try to land your ball and as close as possible. Kids will love that they get to keep score on the special wrist tracker that the game comes with that will throw out different throwing challenges each round. Kids may have to toss between their legs, behind their back, with their eyes closed and so much more. In addition to getting kids up and moving while they may be stuck inside this winter, it works on improving a variety of gross motor skills such as hand-eye coordination, balance, endurance, throwing skills and so much more. 


Sushi Go-one of my clients recommended this game to me and I am obsessed with it now. I actually just picked up my second game to play at home with my husband and daughter! This pick and pass card game is fast-paced and requires strategy and good planning. Each player gets 10 cards and is trying to score the most points by collecting and making a variety of sushi rolls. Sounds easy, but it gets tricky because you keep passing your cards between players who might end up taking the card that you need. This is great for older children who are working on executive functioning skills such as focus, attention and organization. It's also a great way to sneak in some additional math practice for your kids! 

Taco Cat Goat Cheese Pizza-this game recommendation comes from speech therapist extraordinaire, Jacki Barredo. I’m a huge fan of card games because they are easy to store and can easily be taken on the go to keep your kids entertained and this definitely fits that requirement. Pass out all of the cards to all the players and take turns flipping your cards over while saying taco, cat, goat, cheese, pizza (in that order). When the card and the word match, players race to slap the cards and the winner takes the pile. Be sure to keep your eyes open for three special action cards. This is definitely for older children on your gift list and great for working on sequencing, organization, focus, attention and really great for working on regulatory skills. 


Hearing Things-another recommendation from my speech therapist colleague, Jacki Barredo, geared towards older children (10 and older). After the online viral "whisper challenge" sensation, Hasbro created this game. One player puts on a pair of speech-cancelling electronic headphones and the other player is required to say the random phrases on the card. The player only earns the card if they correctly figure out what the other one was saying.

Buildzi-one of my absolute favorite games, and has been for years, is the dice game Tenzi. It’s been a favorite for my kids and has been on my gift guide for years. As I have spent the last few months trying to freshen up my game selection, I stumbled on Buildzi and had to test it out immediately. It has quickly become a favorite of my kids, particularly my older children. One of the things that I love about this companies games is that they all have more than one way to play it making it less likely your child will become bored with it. When playing Tower Buildzi, kids have to look at a card and replicate the tower on the card; this can be done individually or against a friend to see who can build it the fastest without it falling down. When playing Block Card Buildzi, each player gets 8 cards with different shapes and they have to build a sturdy tower using the random shapes.
Buildzi is amazing for working on developing a variety of visual skills such as visual motor, visual perceptual, visual discrimination and visual tracking skills. It also works on improving executive functioning skills such as focus, attention, organization and improving frustration tolerance. If you have a child who has difficulty with teamwork, this is a great game, particularly the Block Card version, to work together with a sibling or a peer to strategize the best way to build a tower. 

Rummy Tile Board Game-Rummikub is a favorite game amongst many of my family and friends. Whenever my sister comes to visit (remember when one could freely travel???), we spend hours playing it. While I have the original version, I thought this version would be more appealing to kids. Rummy Tile Board is a great game for older children who need to work on developing or improving their executive functioning skills. Kids have to take turns placing numbered tiles in runs (4, 5, 6 and so on) or in groups (same numbers, different colors). The first person to use all of their tiles wins. This fast-paced game works on sequencing, pattern recognition, focus, attention and organizational skills. Like many of the more complicated games I introduce my kids to, I always play the first few rounds together so I can make sure they truly understand the rules and answer any questions they might have. I find that this builds their confidence and motivates them to try something that may be tricky for them. 


Morphy-another one of my favorite games for the older kids on my caseload. The goal of the game is to collect the most number of discs by finding a disc with that is different by one quality. The game comes with 60 discs that have a color, pattern and a center circle hole that varies in size. Start with a green disc with stripes and a large center circle and you can move it to an orange disc with stripes and a large center circle or to a green disc with dots and a large center circle. Morphy is a fast-paced game that works on improving visual motor and visual perceptual skills, visual discrimination, visual tracking, pattern recognition, sequencing and improves executive functioning skills such as focus, attention, organization and self-monitoring. 





I had so much fun putting this game gift guide together. As I have already said, parents are looking for as many opportunities to get their kids off of a screen and what's better than getting the family together to play games. I worked really hard to find games that grown-ups would enjoy playing and not just feel obligated to. There are so many great games out there but it can be really hard to sift through them all. One of the things that I was mindful about with this list is that a variety of skills could be worked on when playing them. 

I highly recommend going to your local toy-stores and see what they have; they are often a wealth of information and know what is most popular. Some of my favorite local toy-stores that have an amazing selection here in the New York City area are Lulu's Cuts and Toys in Park Slope, Little Things Toy Store in Park Slope, Stationery and Toy Store on the Upper West Side, Mary Arnold Toys on the Upper East Side and Fun Stuff Toys on Long Island. While it's always been important to shop local and small businesses, they are really relying on it this holiday season. 

There are so many more games out there and if you are looking for something specific for your child or someone you are looking to buy for this year, I'd be happy to help you find the perfect game. I am only a click away and love hearing from you all. Also, if you have any game suggestions, please send them my way! I am always looking for new games for work and home. 

Sunday, September 6, 2020

Successful Online Sessions are Possible!



It's been a while and every time I go quiet with blogging, I promise myself I will get better. The good news is the reason I took a break from blogging was because I was actually busy with work. The gratitude I feel for being busy during this crazy time is immeasurable. I love what I do and to be able to continue even remotely felt like such a gift. In July, I was able to slowly go back to my New York City office to see a handful of kids in person, but the majority of my caseload has been remotely and will continue that way with this new school year. 

Unlike March and April when we were all trying to figure out this new way of doing therapy, I feel so much more prepared and ready for whatever gets thrown at us this school year. Not only do I feel more prepared, I have figured out how I can support parents and caregivers for these sessions to be more successful by setting up the environment. With the help of my daughter (illustrator) and my husband (graphic designer), I have created this infographic that I will be sharing with all of my families before we begin online therapy sessions. The suggestions made are not exclusive to therapy sessions and can be used to make distance learning and online extra-curricular activities 

1. Dress in therapy appropriate clothing-I know that we have all fallen into a clothing rut. Why really bother to get dressed if we are not going to be going outside. Keep in mind that kids do better with routine and consistency so if they are going to be on a zoom class or therapy session, they should get dressed just like they would for an in-person session or school. This is especially important for activities that will require them to get up and moving. I like to start most of my remote sessions with a gross/sensory motor activity and it's helpful if they are wearing shoes (if you are a no-shoe household, get a pair of inexpensive shoes that can be worn indoors). 

2. Plan to have a snack and use the bathroom BEFORE a session begins-another thing that I saw a lot of during my remote sessions was kids turning on the camera with a big snack in-front of them. These remote sessions make it much easier for snacks to be at our disposal whenever we want them. This is a huge distraction for kids during sessions, especially if they are presented with more challenging activities. Having that snack right there in-front of them is an easy way to avoid tasks. Typical therapy sessions last no more than 45 minutes so if your child says they are hungry, make a plan with them that there will be a snack waiting for them as soon as their session is over. As for the bathroom, we all know that when you have to go, you have to go but if possible, encourage your child to use the bathroom right before their session begins to avoid a pause in the session. My observation was that it quite tricky for the kids to regain their focus and attention afterwards. 

3. Set up a good work space-I know that space is something that can be quite limited, especially for my New York City based clients who live in apartments and you are juggling parents working from home and multiple children doing remote learning/therapy. I speak from my own personal experience with my 10 year old daughter. While in my head I knew this was going to be a long-term thing, my heart wanted something else so badly that I just threw her at a crowded table with too much junk. That disorganized table naturally led her to be disorganized with her supplies, papers, etc.. No matter what happens with NYC schools, my daughter will be home and we are starting the year off with a proper desk with her computer and only what she will need for school. This designated area will be her own space and will be the only place she will be allowed to do her work. In order for therapy sessions to be successful, do the same. Have a designated space, preferably a child sized table or desk with room around them for them to participate in any gross or sensory motor activities. 
**for kids who have a hard time sitting for long periods of time, consider a standing desk that can be adjusted for them throughout the day. 

4. Physical movement space is a must-kids have never been asked to spend so much time sitting in front of a screen and we forget how much natural movement occurs throughout a school day. Getting up from circle time on the floor to go to their tables, moving from their classroom to the lunch room and specials rooms are all things that will no longer be happening so we must create movement opportunities, especially when we see their focus is impacted. Whether your child will be in school or at home, make sure they are set up with space around them to get up and do some quick physical movement. Some simple movement activities that can be done throughout their school day: jumping jacks, dance parties, freeze dance, running in place or some simple yoga poses. 

5. Only have materials needed for school/therapy sessions on hand-going back to number 3, whatever work space you have set up for your child, only have materials that they might need for their sessions or that particular class. I can't tell you how much time was wasted during some of my sessions asking kids to put away their favorite stuffed animals, books or other toys. One of the things that I have learned and vow to be much better about this year is to send an agenda to my remote session parents at the beginning of the week with any materials that will need to be printed and what we will need for our sessions. If I know a child well enough and know that they will need markers or Legos during their session but having them out before they are needed will distract them from doing other activities, I will ask parents to bring them to them when needed.

6. Set up technology before the session begins-this is especially important for younger children and children who might not have a grownup right there to support them in the moment (working parents, parents/caregivers supporting other children). Make sure that the camera and volume are on and stay with your child until you are certain they are signed on and everything is working with their therapist or with their class. Another important thing, make sure your device is completely charged before your child's day begins and be sure to check on the battery level throughout the day. The more you use a device, the quicker it will go through a charge and if kids are in the middle of an activity and their device dies, it's very hard to come back and attend. 

7. Limit distractions-again, another much easier said than done expectation. But there are some easy things that can be done no matter what your remote learning situation looks like. If your child has a session or class, turn the television or music off and have them put away any toys that they might have in their eye sight. If there are siblings at home, try and have them occupied so they don't interrupt your child's session. Also, if your child needs your assistance during your session, try not to be on the phone as that can be a huge distraction for kids. 

8. Make sure a grownup is available for troubleshooting-one of the things I realized early on is that one of the most helpful things I could do as a therapist is set up an online session in a way that parents didn't have to be involved 100% of the time. This ended up being easier for older children but I did figure out that even for some of my younger children that as long as I was clear with what I needed for each session prior to beginning, things went smoother. My pre-schoolers did great because they had a grown-up assisting them for much of the session but for my older kids who were more independent, I worked it out with their parents or caregivers that they would be reachable via text if I needed something from them. 

I want to end this post with discussing the importance of routine and structure, especially during these uncertain times. Knowing what to expect from their day and what will be expected from them will help children feel more in control of things. If your child does well with visual instruction, set up a visual calendar for the week with when they will be going to school (online or in-person), what therapy sessions they have and any other extracurricular activities that might be involved with. If your child will be mostly remote learning, I can't stress the importance of adding body and brain breaks into their schedule. Whether it be having a dance party between sessions or doing some kind of obstacle course in your house, movement helps with learning. 

The last thing I want to say is that we are all in this together and we are all doing the absolute best we can. This is not easy and none of us could have expected when 2020 started that life as we know it would come to a screeching halt and we would need to make all of these lifestyle changes. Parents, it's okay to feel overwhelmed and nervous about what lies ahead but know you are not in this alone. Find yourself a friend who you can vent to when necessary. Us parents need to support each other now more than ever. This is a whole new adventure and I too am nervous about what will be, but I also know that we all know so much more than we did months ago and that's making me feel a little less anxious for this new school year. 

Good luck to you all! I am here to answer any questions or provide any support I can this school year. I am only a click away and love hearing from everyone. 

Tuesday, April 28, 2020

So Much Screen Time

How are you all doing? I am sure many of us thought that by this point we would start seeing things go back to some kind of normal after nearly six weeks, right? Each day we're learning that our social distancing efforts are working, but it's hard not to wish that things were back to normal, especially when it comes to remote learning and therapy.

This has been an eye-opening experience for me as both a parent and a therapist and I've learned a lot in the last six weeks that will forever alter my expectations on parents (myself included).  I want to applaud each and every one of you reading this....you're doing an amazing job. You have been handed a giant bag of lemons and are making lemonade out of them. It's not always easy, but you are giving this your all and your kids are going to come out of this not only okay, but great.

One of the things I am hearing from the parents of the kids I work with is that the amount of screen time is almost unbearable. This is especially true for the younger children and those with sensory issues. So many of the kids that I work with were used to screen time being limited to weekends and special events so this is a whole new world for them and they are having a hard time with the adjustment. The thing that makes this so tricky is that some schools are requiring children to be on a screen for the entire school day with the exception of lunch while others have you check in a couple of times a week for meetings and then they expect you to get your work done at your own pace.

Today, I'm going to offer up some tips to help you and your children get through the rest of this remote learning adventure. Keep in mind that every child is different and what works for some won't work for others so try them and see what helps your day more smoothly. Let me be clear about one thing....nobody should be expected to do any or all of these. You are already being asked to do so much more than normal. If you pick one thing to focus on to help you and your child, that is enough. 

1. Make a schedule with your child each day so they know exactly what is expected from them. One of the first things I did when this whole thing started was pick up a dry erase board that we hung up behind my daughter Quinn's work station. Each morning, she signs onto her Google Classroom and writes down her flow of the day. This includes what assignments she has to get finished, any teacher meetups and any extra-curricular lessons that are scheduled for the day. By writing this down, we are finding that she has some control of her day and knows exactly what is expected of her. We also don't have to be on top of her to make sure she is doing what she needs to.





2. Keep a daily routine. This is certainly easier said than done on some days, but consistency and routine will help things feel as normal as possible in this absolutely abnormal time. Breakfast and lunch are at the same time in our house. We also try and build in times for movement for her throughout the school day. What's worked for us is that Quinn knows that every day at noon she has an hour to eat, read, play a video game, etc.. This is her hour to do what she wants (for the most part).




3. Make sure that your child is in a comfortable place with as few distractions as possible. I know that this might be hard in small living spaces and if you have multiple children, but limiting the visual and auditory distractions will help your child get the most out of their lessons. If your child has to be in their room at their desk for their remote learning, make sure that toys aren't strewn about making it more desirable to go and play with them while they should be in class. If possible, make sure all toys and distractions are out of sight before their school day begins. If your child is out in an open space where parents and siblings are also working, make sure they have a good set of headphones to block out as much noise so they can focus on what their teachers/therapists are saying.

4. Make sure your child is wearing comfortable clothes. I know there are some schools that are requiring kids to get into their school uniforms (which I think is a bit ridiculous) but if there is any way to make your kids feel more comfortable in those uniforms, that could help your child sit for longer periods of time. I know I am having a lot of trouble getting my daughter to get out of her pajamas each day but I have found that when she is dressed in real clothes, she has more energy (she won't agree with me but I see a definite difference)!



5. Schedule movement breaks. I can't stress how important it is to get a child up and moving throughout the day. I have already blogged about the importance of this but it's worth repeating that movement has been proven to do the following:
*Improves cognitive skills as they complete these activities. Be sure to up the challenge for them as they become more successful with them.
*Improves focus and attention which helps with the learning process. We must allow time for movement opportunities in order for our children to learn.
*Helps "turn on" your brain (this is proven!).
*Helps a child better focus and attend and also better organize their work.

There are so many ways to add movement into your child's daily schedule. Play a game of Simon Says, run up and down stairs if you have them, create an obstacle course early in the morning that they can escape to when they feel like they need to move. Challenge your child to create an obstacle course using stuff you have around the house. Here are some things you can have them do:
*Find something to jump over (see how many times they can do it in 30 seconds)
*Find something to jump on
*Find something to crawl over or through
*Find something to climb over

Also, use materials you already have in your house. Masking tape makes a great balance beam, colored paper makes great jumping spots and tables make great tunnels!



6. Set up a sensory diet. Like most things, children's sensory needs are drastically different from one another. While some of your children are still getting their occupational therapy services, some are not so you may find that your child is presenting with regression in this area. You may find that your child is seeking more input than usual. This makes total sense given the amount of time your child is spending sitting in front of a screen (therefore fewer opportunities to play outside). Even if your child isn't getting occupational therapy right now, reach out to their therapist and ask them to help you set up a sensory diet that works into your schedule. A sensory diet helps kids get in a "just right" state so they can pay attention and learn. Activities in a sensory diet can help kids who are overreactive feel calmer and unrreactive kids feel more alert. By providing your child with appropriate sensory input, you will find their ability to focus and attend to tasks will improve. It will also help with their ability to handle more challenging activities that are being thrown at them and help with improving their frustration tolerance. 



7. Create a sensory box. This is especially important for older children who feel like their life is completely out of control right now. Like I have already mentioned, the sensory needs of each child are different so deciding what to put in a sensory bin will depend on what their sensory needs are. Here are a handful of common sensory box tools that help improve sensory processing skills in your child. If possible, have your child's occupational therapist go over with you and your child how to and when to use all of the tools. Please be sure to eliminate anything you worry about your child using. For example, if you have a kid who likes to put things in his/her mouth, I would avoid things like putty, kinetic sand or Mad Mattr. Here is a great kit you can get on Amazon that includes some of the following:
*Sensory/squeezy balls-I am a huge fun of the Schylling squeezy balls
*Bubbles
*Theraband
*Putty (my favorite is Crazy Aaron's Thinking Putty)
*Fidget toys
*Kinetic sand
*Mad Mattr
*Stretchy string
*Monkey noodles



8. Set aside a few minutes each day to talk about feelings/emotions. You are probably noticing that your child's emotions are all over the place these days. I know from personal experience that my daughter who is usually able to maintain her calm (for the most part) when she is challenged or confused is having a much harder time controlling her emotions. The most important thing we can do for our children is validate these big feelings they are feeling because it is totally normal right now. It is okay that they are feeling scared, angry, frustrated, sad or a ton of other feelings. Their lives have changed in ways that they may never forget and their parents, who are supposed to be able to tell them everything will be okay, can't tell them when this will end and their lives will return to normal. Make sure your children know how to identify their feelings. There are a lot of great children's books out there that talk about feelings including some of my favorites The Color Monster, The Way I Feel, Today I Feel (An Alphabet of Feelings), The Boy With Big, Big Feelings and My Mixed Emotions. I have learned through my social skills group at The Meeting House that children learn so much through these kinds of books and since the characters are struggling with similar things that children are, they are able to better talk about and problem solve through these tricky times.

9. Be your child's advocate. Parents have this unique opportunity to really see what is and isn't working for their children with this kind of learning. You are seeing things that are helping them be successful with remote learning but you are also seeing what isn't working. Please don't be afraid to reach out to teachers or school administration if you feel like you aren't being listened to. As parents, you have the ability to help your child be as successful as possible during this crazy time. If you find that your child isn't getting anything from hours and hours of online learning, tell their teachers. If you find that they are working better on their own schedule, make sure the teachers know that as well. Honestly, there is NO reason a child should be in front of a computer for hours on end being taught.

10. Know when you need to quit. This is incredibly important for both parents and kids. You are going to find that there will be days where your child has just had it and making them push through with all the screen time and remote learning will end up proving to be more stressful all around. It's also very important to keep in mind that once a child check's out, they are no longer going to learn. If you are finding that your child has had enough for the day, take control and tell them they are done and that you will let their teacher know. We need to make sure our kids know that we are just as concerned about their emotional wellbeing as their academics. Actually, this might be a time that we need to be more concerned with their emotional wellbeing over academics. Our kids are going to be okay if they don't finish all of their assignments every single day. We need to take the pressure off of them. Being on top of our kids all day, every day isn't good for anyone and will only cause tension at home to increase at a time where you need to be be maintaining the calm in our households.

11. Take time for you-the most important thing I have to say is that you must find ways to take care of yourself during these crazy times. We are expending an awful lot of energy on our kids, as we are meant to be doing, but we must find ways to take care of ourselves. Nail salons are closed, we can't get our hair done and we can't go carefree shopping these days. Find ways to take care of you for a small amount of time each day. For me, listening to my favorite podcasts or music while taking a daily walk does more than I can explain for my soul than I ever knew was possible. I am seeing things in my neighborhood and appreciating the little things more than I could have ever imagined. I know that this isn't always easy, especially if you are working and caring for your children full-time, but if we don't take care of ourselves, it becomes much more difficult to properly care for all the other people in our lives.

While this new way of life comes with many challenges, I do feel like we will all come out of this better parents, teachers, therapists, etc.. We will have a whole new level of appreciation for things that we took for granted just a few months ago. While we all long for things to return to normal, we must continue to learn and grow in the moment. I end each of my tele-therapy sessions telling parents how great their children are doing and thank them for their support in making each session go smoothly. I need them to know that we are a team and that I appreciate them.

I would love to hear from any and all of you with some things that you have learned through remote learning and therapy. I know that other parents and professionals would love to hear what's working for your family during this crazy time. I am always a click away and love hearing from all of you. One of the greatest things that has come out of this whole situation for me is that I have been collaborating with parents and professionals on a whole new level. I've always understood how important it is to work together in order for the greatest amount of improvement and success to happen, but have so much more appreciation for it these days.