Category Archives: occupational therapy

Indoor Parks for the Winter

By: Kelly Nesbitt, MOT, OTR/L, Occupational Therapist

As the winter creeps up, my client families have been worried about their children not getting “their energy out.” It is a time when recess is moving from outdoors to indoors and fun trips to the park are being replaced with play at home. Not to mention with the sun setting after 4:30 PM, parents are a little weary of having kids play outside in the dark. 

So how do we make sure that our kids get the needed movement, play, and sensory input when the days are too short and invariably too cold to go outside? 

Besides indoor sensory activities that you can do at home (see previous post on Indoor Toddler Activities), here are a collection of indoor sensory parks in the Chicagoland area. These gyms have indoor swings, equipment, and sensory play that can help support your child in the winter months (or year round) when playing outside may not be possible.

These recommendations are based upon input from other therapists, clients, and online research. Sites have not been individually inspected on-site by the author.

We Rock the Spectrum

OT Overview

  • What is it?: A “gym for all kids” that  “is committed to providing a safe, nurturing, and fun environment to foster learning, exploration and safe sensory experiences.” We Rock the Spectrum is owned by a speech pathologist whose mission is to provide a safe space for all children to play and explore. We Rock the Spectrum is a large gym facility that hosts both open play times, respite care, birthday parties, and classes. We Rock the Spectrum is specifically designed for children with special needs, especially those on the Autism Spectrum! Open for children in infancy to 13 years old. All children must be accompanied by an adult and wear socks. 
  • Why an OT likes it: We Rock the Spectrum has a handy graphic of all their pieces of equipment and what sensory input they provide! 

General Information

  • Where: 553 East Dundee Road Palatine, IL
  • Hours: Open gym typically runs 10am-7pm during weekdays, but hours may vary, please check website for details. 
  • Amenities: This gym has a lot of the same swings and equipment seen in therapy gyms- There is a zip line, swings, crash pit, weighted blankets, trampoline, tunnel, platform swing, hammock swing, monkey bars, and bolster swing. 
  • Pricing: There are drop in prices as well as memberships. $14/child, $12/siblings for open play. You can get membership cards (5 visits for $60, 12 visits for $120, etc.) See website for full conditions and price listings. Unlimited monthly packages are available too.
  • Contact

ColorWheel Playhouse

OT Overview

  • What is it?: Owned by parents of a child with Autism Spectrum Disorder, ColorWheel Playhouse aims to be “a place where kids with all ranges of abilities could come together and find joy and smiles on our Color Wheel of happiness.” ColorWheel playhouse is a facility that has a large gym, can host classes and birthday parties. Classes include a variety of topics such as bully prevention, CPR, karate demonstrations, fire safety, and much more. This facility is specifically designed for children with special needs! 
  • Why an OT likes it: ColorWheel Playhouse has various different areas in which your child can choose what kind of input they are needing; there is an “Action Room,” designed to get your child the heavy work (push, pull, carry, climb, etc.) types of input to their muscles and joints that has a calming effect. There are various types of swings so your child can get the needed vestibular input (movement input from swinging back and forth, spinning, and jumping). Also there are arts and crafts/sensory bins available if your child needs a quiet moment to themselves. I also enjoy that the owners have a child with Autism, so the staff understands a child on the Spectrum and all potential needs and challenges. If birthday parties are challenging for a child, ColorWheel Playhouse offers themed birthday party packages at their facility. 

General Information

  • Where: Sandpiper Plaza, 2000 Army Trail Road, Hanover Park, IL
  • Hours: Open play hours: Tuesday through Saturday 10am-6pm, Closed Sunday and Monday.
  • Amenities: This facility has a rock wall, ball pit, monkey bars, log swings, rope climbing wall, cacoon swing, trampoline, zip line, an arts and crafts table, and sensory bins.
  • Pricing: Open gym: $10/child, $9/addition child. Punch cards and monthly memberships are available as well; See website for full conditions and price listings.
  • Contact: 

Ball Factory

OT Overview

  • What is it?: Ball Factory is an indoor gym that has specified areas for babies, toddlers, and young kids to explore and play. Children up to 12 years old are permitted to play with their parents present. Ball Factory aims to make play comfortable for all ages, they have equipment and toys suited for babies to 12 year old kids, as well as comfortable seating for parents and senior discounts available for when grandma and grandpa want to visit! There is even a cafe inside where you can grab a bite. This facility is designed for all children, of all ages and abilities. 
  • Why an OT likes it: I personally love the variety of equipment available at this facility- everything from ball bits, climbing structures, to push toys. I would recommend this facility for my clients that cannot get enough pretend play with cars and other vehicles, since there are kid-sized vehicles to drive around (and get vestibular and heavy work input as they pedal and push their cars around). I also love that this facility encourages family members not to just sit on the sidelines and watch their children play- but to get in on the action! Adults are allowed in all the play areas and there are comfortable seating options so that moms, dads, grandmas, and grandpas can play with their children, then rest and recharge. After all, a place with fun equipment is great, but made into an amazing experience for a child when their loved ones join in play with them. 

General Information

  • Where: (there are 2 sites!)
    • Naperville: 864 S Route 59
    • Mount Prospect: 1042 S Elmhurst Road
  • Hours: Sunday-Thursday 10am-7pm, Friday-Saturday 10am-9pm
  • Amenities: Ball Factory has many fun areas for your child to explore that is age and abilities appropriate:The “Imagination Playground” has large soft blocks for children to play with, the “Tot Area” has padded equipment, cushioned toys, balls, and a small play structure with large, soft, Lego blocks. Based upon pictures from the website, there does not appear to be any indoor swings. However, there is a “Pedal Tractor Area” with pedal tractors with loaders, trailers, tractors, and fire trucks. There is also a pretend play gas station for all of the vehicles to refuel! Other pieces of equipment include a ball pit, maze, multi-story playground, ball blasting area (soft balls shot out of air-cannons), baby slides, interactive play floor, and super slides!
  • Pricing:  
    • Children over 12 months (Monday-Friday) are $12.95, Weekends are $15.95. Children 6-12 months (Monday-Friday) are $10, weekends are $12. 
    • Children under 6 months are free. 
    • The Ball Factory also offers 5 visit passes that are $55. 
    • They also have fun discounts such as “PJ Play” in which children cost $8 for the last hour of the day and “Happy Hour Play”, in which children are $10 after 3pm  (Monday-Thursday).See website for full conditions and price listings.
  • Contact:

Urban Air Trampoline and Adventure Park (Naperville)

OT Overview

  • What is it?: This massive facility has all kinds of activities such as go-karts, “Wipe Out” styled obstacles, ropes course, etc. This facility offers Open Play hours where you can explore the building’s fun activities- such as an indoor trampoline park and climbing gym. There are so many activities available for open gym play as well as special events such as birthday parties. This facility is not specifically tailored to children with special needs, but may be suitable for these children with adult supervision and support. 
  • Why an OT likes it: This facility would be perfect for some of my clients who love coming to OT to get intense crashing, pushing, pulling, and are “thrill seekers!” Some of my clients are obsessed with Wipeout and American Ninja Warrior- and Urban Air looks like a place where those “adrenaline junkies” could pretend they are competing in American Ninja Warrior themselves. 
  • Special Note: Some activities at Urban Air may be a little more intense than the previously mentioned indoor playgrounds. I think this facility would best suit children who are more independent in their play and need just supervisory support to engage in novel gross motor activities. While these activities certainly do offer opportunities for heavy work and vestibular input (especially trampoline course, ropes course, zip line, climbing structures, rock walls, etc.), children with motor delays and/or are sensitive to intense movement input may have difficulty engaging in all of the activities offered. That being said, there are so many activities at this facility, that you are bound to find something for kids of all abilities to be able to participate in.  Please see the website for pictures to make your own assessment if these activities would be fun for your child. Consult your child’s Occupational Therapist if you are unsure if they would enjoy a certain activity. 

General Information

  • Where: (3 Illinois Locations)
    • 1955 Glacier Park Avenue, Naperville, IL
    • 67 Ludwig Drive, Fairview Heights, IL
    • 19800 South La Grange Road, Mokena, IL
  • Hours: (Varies by location, please see website for site specific hours)
    • Naperville Open Play hours:
      • Sunday-Wednesday (10am-8pm)
      • Thursday (No Open Play hours)
      • Friday and Saturday (10am-11pm)
  • Amenities: Urban Air definitely offers the widest variety of obstacle courses (rope wall, Wipe Out course, tubes playground, dodgeball, warrior course, ropes course, strapped-in zip line), bumper cars, go-karts, trampolines, and much more!  There is a Kids Under 7 area with little-kid appropriate trampolines. 
  • Pricing: Endless Play Memberships are available as well as birthday party prices. See website for full conditions and price listings.
  • Contact

I hope these ideas will help jump-start your planning for outings for the winter months! If you have any questions or concerns about any of the aforementioned facilities, please contact the facility. Also, ask your child’s Occupational Therapist about what types of activities would be most beneficial.

For more information on occupational therapy at Easterseals DuPage & Fox Valley, visit http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/occupational-therapy.html. 

Supporting Children with Sensory Disorders while Traveling

By: Kelly Nesbitt, MOT, OTR/L, Occupational Therapist

When a child with sensory processing disorder goes on vacation, it may be difficult for their bodies to go into that “relax and restore” mode. Children with sensory processing disorders are constantly “battling” with their environment in many of the following ways:

  • Every sound is too loud and hurts their ears
  • Smells are abrasive and can cause them to gag or vomit
  • New tactile sensations send them into a panic
  • Changes in their normal routine can make them extremely anxious
  • New sights and movement in their environment can startle them

The following are some tips that may help support a child with sensory issues during a summer vacation so they may have a relaxing experience.

Visual Schedules

An example of a visual schedule.

If your child benefits from knowing what to expect in the day, it may be useful to set up a visual schedule revolving around your vacation. This can include the steps you will need to complete going through the airport. (Travelers Aid Chicago has resources to make a visual schedule specific to O’Hare airport).

Some children may also just benefit from going over what to expect on their vacation. You can help them prepare by saying, “We are going to the airport and this is what to expect…”  or “We will be on vacation for 4 days. During those days we can do these activities…”

Long Car Rides

3 kids in the car, reading a map, eating and wearing headphones.

Children that are constantly on the move may find it extremely difficult to sit still during long car rides to their vacation destination. Often times kids who are always “on the go” benefit from heavy work activities that involve pushing, pulling, and carrying. These activities give input to the joints and muscles which can be very regulating. Here are a few heavy work ideas specifically for car rides: 

Squigs are toys that can keep children busy on long car rides.
  • Squigs on the windows: I suggest this for children who need something to keep their hands busy with push and pull component to get heavy work. These small plastic suction cups stick perfectly to car windows and to each other. Children can build and make a picture with them on the windows 
  • Pop TubesThese toys also provide an opportunity for children to push and pull when you are cooped up in the car.
  • Animal walk breaks at rest stops: Just as you need to get out and stretch your legs during a long ride, your child with sensory difficulties will need this break too! At rest stops, take advantage of the opportunity to move by doing silly activities that promote heavy work: walking like a bear, jumping like a kangaroo, playing on a playground if the rest stop has one. 

What to Pack

Girl sitting in a suitcase

Here’s a list of sensory supports that may help your child while you are on vacation. Make sure to consult your occupational therapist about which items may be most beneficial for your child.

Girl wearing headphones.
  • Noise cancelling headphones: Some children benefit from wearing headphones if they are easily overwhelmed by the loud noises of crowds. Noise canceling headphones can range anywhere from $20 to upwards of $200. These might be handy for kids that would get overwhelmed by crowds, traveling on an airplane, or seeing a firework show on the 4th of July. 
  • Comfort item: Bringing a stuffed animal or blanket that your child finds soothing may be beneficial for when they become anxious or overwhelmed while on vacation. You could even add soothing aromatherapy scents such as vanilla, lavender, or chamomile to these comfort items for an extra sensory “treat.” (Always make sure your child tolerates and likes the scent prior to adding it to their comfort item. If the smell is too bothersome to them, they may not want to be around it anymore!) 
  • Weighted blanket or stuffed animal:  Some children with sensory processing difficulties find compression comforting. A weighted blanket or stuffed animal may provide some calming input and tell their body to relax. Weighted items are now available at most stores or online. Click here to read more about the benefits of weighted blankets.
  • Fidgets:  These are small items that kids can fiddle with in their hands to keep them busy and focused when they may feel overwhelmed. Fidgets can be bracelets, putty, pop tubes, etc. 
  • Identification bracelets: Sometimes when a child is overwhelmed, they may run away from the group. Because of this, it may be a good idea to make a bracelet with your phone number on it so that you can be reached in case of an emergency. Options include beads with numbers on them, temporary tattoos that you can specially order with your phone number on it. There are even cute “Disney-themed” buttons and tattoos with emergency contact information that you can specially order. Here are some examples of number bracelets and  temporary tattoos or you can design your own ID bracelet

The Benefit of Breaks

Children are working very hard to stay regulated and calm when they are being bombarded with all this new sensory input that comes with a vacation. They may just need a little break. It is absolutely okay to take some time in your hotel room or find a quiet spot for your child to regroup. Sometimes just a quiet room with a preferred toy or sensory tool is just the break that your child needs in order to enjoy the rest of their vacation.  

You can help your child create a “calm down corner” in your hotel room or wherever you are staying. This spot does not need to be complicated – it can be a little corner of the room with pillows, blankets, and some of the items previously listed in “What to Pack.”

This can be their special area in which they can retreat to take a break if they become overwhelmed and enjoy a moment away from whatever input is overwhelming them.

This is not a punitive space to send them to when they are behaving badly or being uncooperative. This is a calm space that you can offer them a break in or they can elect to go to when needed. Just as you may go sit by the pool after a busy day on vacation to relax and recharge, your child with sensory processing difficulties may need their own unique space to do the same.

Unexpected Meltdowns

Girl who is upset hugs her mom.

Children with sensory processing difficulties can have meltdowns when they get too overwhelmed by the sensory input in their surroundings and/or if they become too fatigued. As well prepared as you may be, you can’t anticipate or prepare for every meltdown.

If your child has a meltdown while on vacation, first try to figure out what elicited the meltdown and remove them from the input that is too overwhelming for them. It may be helpful to go through all 5 senses: Was there a smell, sound, touch, sight, taste that they experienced that caused them to react? Were they in a loud, busy crowd for too long? Did the plan change too suddenly and without warning?  

Once you have removed them from whatever caused the meltdown (as best as you can), give them input to help calm them down. For some children, they like compression from big hugs or weighted blankets. Other children need to put on their noise cancelling headphones and have some quiet time. 

Sometimes children with sensory processing difficulties can meltdown because they are so tired from holding themselves together for so long in a new environment. As a clinician, I have an understanding of the experience, and know it must be exhausting to be bothered by what most people consider “normal” input, such as the sounds of people talking, the feel of your clothes on your body, or the smell of the pool on vacation.

It’s important for parents to understand that their child with a sensory processing disorder is expending a lot of energy processing input from their surroundings. They may need more patience and understanding when they are having a tough time with changes outside their normal routine. It may be helpful for parents to help children label when they are becoming agitated, by saying “It looks like you are not comfortable right now, can we take a break?”  

Summer vacation should be an opportunity for everyone in your family to rest and recharge. If you need help brainstorming what activities/preparations would be best for your child this summer, consult your occupational therapist for more insight into your child’s unique sensory needs.  

Read our previous blog on How to Plan a Sensory Friendly and Accessible Vacation

For more information about Easterseals DuPage & Fox Valley and our Occupational Therapy services, visit: https://www.easterseals.com/dfv/our-programs/medical-rehabilitation/occupational-therapy.html .

The Benefits of Weighted Blankets

By: Kelly Nesbitt, MOT, OTR/L, Occupational Therapist

Weighted blankets have become very popular in the past year, not only for children with sensory processing difficulties and Autism, but also with “neurotypical” adults. It’s hard to go online or browse the aisles of Walmart without seeing ads for weighted blankets touting an improved night’s sleep or improved mood. So what exactly is the hype around weighted blankets and why do they help children with Autism or other sensory processing issues?

What are weighted blankets?

Weighted blankets are usually big plush blankets filled with some sort of pellet to make it heavier (depending on what type of blanket you buy or make, they are usually filled with plastic, sand, steel shot beads, plastic poly pellets, micro-beads, etc.)

They can range in weight from a couple pounds to about 20 pounds and can be made out of just about any type of fabric imaginable!  Weighted blankets can be worn on the lap to help a fidgety child calm down in order to sit at the table for a meal with family, help ease anxiety during a car ride, or help lull a child to sleep.

Weighted blankets for children should not exceed 10% of their body weight for safety (weighted blankets should be a comfortable compression, not so heavy that they cannot be easily taken off by a child). These blankets are used for calming input to help a child “slow their body down,” not to be so heavy as to inhibit movement.

What’s the theory behind weighted blankets?

Weighted blankets can have a calming effect when worn over the body for the same reason that your child would seek a big hug when they are upset. This weight provides deep tactile input to the skin, joints, and muscles that tells your child’s brain to relax.

According to the American Sleep Association, deep tactile input provided from weighted blankets tells our central nervous system to switch from our “fight or flight” sympathetic state of being anxious and panicky to our “rest and recharge” parasympathetic state where our heart rates slow and we are able to calm ourselves down. Deep tactile input causes the body to release serotonin in the brain, a feel-good neurotransmitter that creates a sense of calm and well-being.

For children with Autism Spectrum Disorders or sensory processing difficulties, it is really hard to get their bodies to move from this “fight or flight” to “rest and recharge” state on their own. Occupational Therapists are trained in identifying strategies to help the central nervous system to calm through the use of movement, tactile, olfactory, visual, auditory, and proprioceptive input. Weighted blankets can be an effective modality to help accomplish this.

Store Bought vs. Homemade

There are a plethora of store-bought options for weighted blankets that range from relatively cheap to extremely pricey. Whether you purchase or make your weighted blanket should be based upon how much time you have available as well how much you want to spend. Both store bought or homemade options can have the same calming effect.

Regardless, like any other blanket, it should be washed occasionally. Make sure that the materials you purchase are conducive to being either machine or hand washed without destroying the blanket. For example, your blanket is filled with sand or rice, it would be a good idea to purchase a cover to go over the blanket so that it may be removed and washed.

Where to Shop

There are so many options for weighted blankets online and in store. Here’s a list of a couple choices that I have suggested to families in the past (ask your Occupational Therapist which companies they prefer and have had good experiences with).

  • Amazon: Amazon has a large selection of blankets that range from $50-$100. Be sure to check individual seller’s policies on returns and weight specifications.
  • Fun and Function: This therapy product website has weighted comforters, blankets, sleeping bags, and lap pads with fun designs and textures that are kid-friendly.
  • Support groups: Parent support groups on Facebook often either personally know someone who makes great blankets or knows what companies make the best ones for a fair price. (For clients at Easterseals DuPage & Fox Valley, ask your Occupational Therapist about weighted blankets created by Easterseals families that are low to no cost!)

How to Make Homemade Weighted Blankets

Because I am always a fan of saving a few bucks and getting a little crafty, I usually tell my client’s families to try making a weighted blanket on their own. If a family is up for it, I recommend buying a duvet cover and going to a craft store such as Joann Fabrics or Michaels to purchase filler material. The duvet can then be sown shut and you can place another cover on top of the filled duvet so that the outer layer can be easily washed.

Making your own also lends itself to making a blanket that would exactly fit your child’s interests. You can purchase durable, washable fabrics with your child’s favorite characters on it. There are also online instructions for how to make your own blanket, like this one from Quality Plastic Pellets. Make sure to remember the rule for the weight of the blanket… make sure it weighs at most 10% of the child’s body weight.

Aromatherapy and Weighted Blankets

For an extra calming sensory experience, you can even add aromatherapy scents to your weighted blanket. Of course, make sure that the child enjoys the scent and is not bothered by this olfactory input prior to adding it to the blanket. Scents such as lavender, vanilla, chamomile, and bergamot can have a calming effect and can help with inducing sleep. Aromatherapy oils can be purchased at your local drug store. Click here to read more about adding aromatherapy to weighted blankets.

Whether you want to buy or make your own, weighted materials can be trialed in therapy sessions to see if the child has a positive, calming response with its use. Your Occupational Therapist will collaborate with you to consider what textures your child can tolerate in fabrics, if the sound of the material inside the blanket could be irritating, and when it would be most beneficial for the child to use the blanket.

Choosing a weighted blanket can be both an art and a science; if you are interested in trialing a weighted blanket for your child, feel free to ask your child’s Occupational Therapist about it!

For more information about Occupational Therapy services at Easter Seals, visit: http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/occupational-therapy.html

Commonly Asked Questions About Down Syndrome

By: Kelly Nesbitt, MOT, OTR/L, Occupational Therapist

Down Syndrome, or Trisomy 21, is one of the more common genetic disorders in which children are born with 3 (instead of the normal 2) copies of chromosome 21.

There are common physical characteristics of children with Down Syndrome, such as upwardly slanted eyes, short fingers, small facial features, and a flattened nasal bridge. Children with Down Syndrome also may have varying degrees of intellectual disability, may develop heart conditions, and are at risk for visual impairments. Many children with Down’s Syndrome also have low tone (meaning that their muscles have less of a “taut” quality to them, making their joints appear “loose” or “floppy”).

Because of these physical and intellectual challenges that children with Down Syndrome live with, many children with Down Syndrome receive Occupational, Physical, and Speech therapies in order to address these concerns and make them as independent as Parker2possible.

That was the very medical analysis of Down Syndrome… but if you are a parent of a child who was recently diagnosed with Down Syndrome, you are not thinking of statistics, factoids, and medical jargon. You would be thinking, “What does this mean for my child?”

While I am not a parent of a child with Down Syndrome, nor do I pretend to be the holder of all the knowledge on Down Syndrome, I’ll try to answer common questions from my perspective as a Pediatric Occupational Therapist and a person who is proud to have friends with the condition.  

What services to I need to look into for my child?

Young children with a new diagnosis of Down Syndrome (under 3 years old) can qualify through Early Intervention Services through the state of Illinois. Early Intervention brings trained specialists into the home of eligible children with disabilities or delays and provides high-quality therapeutic intervention.

To start services, a parent schedules an evaluation through a Child and Family Connections provider closest to their home (featured in the link above). After the evaluator determines a child qualifies with a 30 percent delay in development in any area, or are at risk of developmental delays, he/she will set up An Individualized Family Service Plan (IFSP). The IFSP lists child and family strengths, needs, resources, priorities, and concerns. It also identifies services to be provided to your child.  

Many Easterseals therapists are trained and credentialed by the State of Illinois Early Intervention System. Parents can request an Easterseals therapist when qualifying for services and speaking with the EI Case Manager. 

Team members could include Developmental therapists, Occupational therapists, Physical therapists, Speech therapists, Audiologists, Social Workers, Nursing, Assistive Technology, and nutritionists, just to name a few.  These therapists can help your child with global strength, communicating effectively, sensory processing issues, fine and gross motor skills, and getting around in the community.

Once a child “ages out” of Early Intervention at 3 years old, many children with Down Syndrome continue to get services as needed through schools and outpatient based clinics, such as your local Easterseals.

Why would my child with Down Syndrome need Occupational, Physical, and/or Speech therapy?

I have worked with children with Down Syndrome as an Occupational Therapist for a number of reasons and most often to address the following:

  • sensory processing difficulties Jake mom machine
  • trouble with transitions
  • behavior management
  • feeding difficulties
  • handwriting
  • dressing
  • manipulating fasteners
  • bathing
  • social skills
  • global strength
  • participating in family and school routines
  • access to community activities
  • navigating their physical environment safely

I will refer children with Down Syndrome to Physical Therapy and Speech Therapy as well. Physical Therapists can help children with Down Syndrome ambulate and have sufficient strength to be able to crawl, squat down, skip, climb stairs, propel their walkers/wheelchairs or walk.

Speech Therapists can help a child with Down Syndrome improve articulation (intelligibility of spoken language), oral motor skills for feeding and speaking, pragmatic language skills, improving receptive language skills, and accessing augmentative forms of communication (picture boards or high-tech communication devices).

Will my child be able to go to school?

Yes! Whether it’s through an Individualized Education Plan (IEP) or a 504 plan, there are federal and state laws set in place that require schools to make education accessible to children with disabilities.  These plans set specific goals and help place children in the best environment at school to support their specific needs. Just because your child has Down Syndrome does not mean that they cannot have the same educational opportunities as their peers for K-12.

Can my child go to college?

College can be in the cards for your child. Click here for a list of some Illinois universities/colleges that have programs for adults with disabilities. 

Do children with Down Syndrome have friends?

Certainly! Children with Down Syndrome are sweet, funny, kind, and loyal friends. There are organizations that help give kids with Down Syndrome more exposure to similar-aged peers in the context of fun outings and school events.

I am proud supporter of Best Buddies International, whose mission is “to end social, physical, and economic isolation of the 200 million people with intellectual and developmental disabilities.” Best Buddies programs at elementary, middle and high schools pair students with intellectual or developmental disabilities with a similar aged peer and facilitate friendships between them!

My involvement in Best Buddies was one of the most positive experiences of my life and helped inspire me to become an Occupational Therapist. I am still friends with my high school buddies and we regularly keep in contact, even a decade later! Want to learn more? Visit https://www.bestbuddies.org

Do people with Down Syndrome date and get married?

Absolutely! I know people with Down Syndrome who are in long-term, committed relationships. There are even dating apps to help people with disabilities find that special someone.  Like all relationships, it’s important for people to set boundaries, expectations, and have mutual love and respect for one another, so why can’t people with Down Syndrome experience dating and marriage?

Can someone with Down Syndrome have a job and live alone?

Yes! There are job-training classes available through local community colleges and different companies that can lead to employment for people with Down Syndrome.

As for a living situation, people with Down Syndrome have a variety of options depending on their independence levels.

Options include:

  • living at home with family
  • living at a partially-independent living facilities
  • living in “shared living” arrangements in which adults with Down Syndrome can share an apartment with a roommate
  • living independently 

Additional housing resources are available through the National Down Syndrome Society.

Will my child have anyone like them to look up to in the media?

Of late, there are more actors with Down Syndrome in the media being celebrated! Some examples include:

    • Lauren Potter from “Glee” – Lauren Potter has amazing videos/PSAs and works a lot

      Lauren Potter glee
      Lauren Potter in her role as Becky on Glee.

      on advocating for people with Down Syndrome – I highly recommend following her on social media

    • Sarah Gordy from “Call the Midwife” and “Upstairs, Downstairs”
  • Born This Way – Reality show on A&E that follows the lives of young adults with Down Syndrome through their experiences in their careers, friendships, family, dating, and marriage.

What organizations are there out there to support my child?

There are a wealth of organizations in the Chicago area that are designed to help children with Down Syndrome, both medically and socially. Here are just a few!

How can I show my support for children with Down Syndrome?

In addition to getting involved with the organizations mentioned above, the simplest way to show your support is to wear mismatched socks on World Down Syndrome Day which is March 21, 2019! 

The goal of World Down Syndrome day is to raise public awareness and create a single global voice for advocating for the rights, inclusion and well being of people with Down syndrome

world down syndrome day

While it’s impossible to depict the complexities and life experiences of people with Down Syndrome as someone without the condition, I hope I gave a brief peek into what a child with Down Syndrome’s future could look like. The road ahead may seem daunting once a child receives the initial diagnosis, but parents should take comfort in knowing that there are many resources available to help during every step. The parents I work with have told me of both the amazing successes and the difficult days their child has experienced. 

When it comes down to it, a child with Down Syndrome is still a child who wants the same things in life as anyone else: to be loved and accepted. So let’s show our love and acceptance of people with Down Syndrome by wearing mismatched socks on March 21!

I think that actress Lauren Potter puts it best, “Someone once told me that different isn’t bad – different is just different!”

For more information on the services Easterseals provides for children with Down Syndrome, visit: http://www.easterseals.com/dfv/our-programs/downsyndrome.html

March is Cerebral Palsy Awareness Month

By: Jack McGraw, Easterseals DuPage & Fox Valley client

jack1While many wear green on St. Patrick’s Day, you can wear green all month long to honor Cerebral Palsy Awareness Month. Why green? The color was chosen to reflect youthfulness and new growth, as well as hope for advancements in treatment and acceptance.

Cerebral Palsy is a disability that is caused by damage to the brain before or at birth. It mostly affects movement and fine motor skills but can have a large range of severity for children. Some children with cerebral palsy can walk or talk, while some may use a wheelchair or assistive technology device to speak like me.

Honestly, living life with a disability can be very challenging but I don’t let it stop me from having an awesome life! I have a lot of friends, a great family and have been a successful student. I graduated from St. Charles North High School in 2017 and am now a proud honors student at Elgin Community College. My communication device uses eye gaze technology and helps me type up essays and lecture notes.

I also love sports. I really, really love sports. While my disability has kept me from participating on teams with my friends, it hasn’t stopped me from being a huge fan. I had the privilege  of being a team manager for football, basketball and volleyball while in school and those were very special experiences. I really felt like a part of the team and got close to some of my teammates.

jack2I have been going to Easterseals since I was a little boy. I have done Physical, Occupational and Speech therapies. Easter Seals has helped me to be as independent as I can be and my therapists have always listened to me and asked me what I want to be working towards in therapy. They have been a great support to me and an asset in my life.

People with disabilities aren’t really very different from people that don’t have disabilities. We enjoy a lot of the same things and want to be treated fairly like everyone else! Having a disability is hard, but I haven’t let it stop me yet! Life is good!

Editor’s Note: Easterseals DuPage & Fox Valley offers many resources for children with spastic and non-spastic cerebral palsy and their families including physical therapy, occupation therapy, speech-language therapy, assistive technology, inclusive day care and parent-to-parent support.

Treatments and therapies can benefit a child with cerebral palsy by helping him or her gain the strength and mobility needed to take first steps, speak first words and maximize their independence.

For more information on cerebral palsy and therapy service at Easterseals DuPage & Fox Valley, visit http://www.easterseals.com/dfv/our-programs/cerebralpalsy.html.

Indoor Play Activities for Toddlers

By: Kelly Nesbitt, MOT, OTR/L, Occupational Therapist

These cold wintry months make us want to bundle up and stay indoors. It’s so hard to keep adventurous little ones entertained on a beautiful day where you can go to the park, let alone a day when you’re stuck inside. It can be especially hard for children with sensory processing difficulties to not go outside and get the necessary input their bodies need to stay calm and focused through climbing, jumping, and tactile exploration. But you don’t have to sacrifice a fun day with your toddlers and young children just because it’s freezing out!

When it comes down to it, a child will love any game in which they have special playtime with a parent or caregiver. But if you’re having a little trouble thinking of some ideas to get you started on a fun indoor day, here are a few activities for your toddler that will help them get the sensory input they crave while having a whole lot of fun!

  1. Build a fort

Make a princess castle, bear cave, dragons lair, or just a creative hideout. You can use whatever material is around the house (cardboard boxes, blankets, pillows, comforters, sheets draped over furniture) to make a fort. Help the younger toddlers (1 year olds) assemble the fort and play games like peek-a-boo as they climb in and out of their fort.
Young toddlers can also take child-safe flashlights into their fort as part of their peek-a-boo game or to play hide and seek with parents.

22_Zach and Amelia Judson

Older toddlers (2-3 year olds) can help you construct the fort as a great way to express their creativity and imagination. Encourage them to play house with their dolls/stuffed animals in their own little home. Or maybe you can join in an imaginative game with them (Be a dragon that is “attacking” the castle that your valiant knight defends with pillows, be a neighbor that brings a snack to your little one’s “home,” or pretend to be the Big Bad Wolf who blows their house down and create a pillow pile for the Little Pigs to dig out of).

Benefits of the Activity: I love having kids build a fort because it gives their body tactile input (input to their skin about the texture and pressure of the pillows and blankets). Also this type of activity helps them build visual perceptual skills needed to stack pillows to get them to stay up and not fall. Finally, children get proprioceptive input (pressure into their joints and muscles as they pick up heavy pillows and push them around). OT’s frequently call this type of input “heavy work.” Proprioceptive input is calming input that helps children who are always “on the go” slow their bodies down and have a better understanding of where their bodies are in space.

  1. Painter’s tape mazes/hopscotch

Jimmy2Use painter’s tape to make shapes on hardwood, tile, or linoleum floor. Older kids can pretend that the circles out of tape are stepping stones in the river that they have to jump between without falling in the water. Kids may even enjoy making a little maze on the floor that they can walk on top of. You can even make squares to make a hopscotch pattern on the floor and practice jumping and balancing on one foot. Finally, make a path on the ground to use as a road for toy cars or animals!

Benefits of the Activity: This activity helps children build gross motor skills through coordinating their body movements to jump in/out of the hopscotch squares and develop visual tracking skills as they have their cars “follow the road” in a tape maze.

  1. Sleigh Rides

Pile pillows in a laundry hamper and place a blanket underneath to make the laundry hamper slippery on hardwood, tile, or linoleum floors. Your child could then climb in and enjoy a fun sleigh or car ride as you pull them around. Make a game out of it by stopping at the “grocery store” and picking up pretend food as you pull them around.  Need your child to burn off a little energy? Have them push a basket around and pick up toys or push around a sibling, if they are able to.

Benefits of the Activity: This game gives their body tactile input (as they are squished by textured pillows in the laundry hamper) and some vestibular input (movement input and understanding of where they are in space) as they are pulled around. Once again, this activity provides proprioceptive input if the child pushes the hamper around the house!

  1. Sensory Bin Hunt

shockSensory bins can be made out of just about any material and is a fun way to help your child explore different textures. Take any large Tubberware or small to medium sized storage bin and fill with whatever sensory materials you child might like exploring (uncooked bowtie pasta, macaroni, beans, and cereal are a few of my favorite not-too-messy options). Don’t want a huge mess to clean-up? Put a fitted sheet underneath the sensory bin that will catch all the little pieces that might spill out during play. That way you can just bunch up the fitted sheet and throw pieces in it away when your child is done playing. Hide little cars inside the sensory bin and help your child dig through to find it. Pretend to give Barbies a bath in this pretend bathtub, play puppies and dig to hide a bone in the bin, or just allow your kid to play with funnels, tubberware, and serving spoons in the sensory bin.

Benefits of the Activity: This activity is a great way to introduce tactile input to the hands as they feel the different shapes, sizes, and textures of the items in the sensory bin. Want to add an extra challenge that OT’s would love? Have your child close their eyes and search around the bin with their hands to find a hidden treasure. OT’s describe the ability to distinguish between the properties of different items with the skin as tactile discrimination. See if your child can feel the difference between the macaroni you filled the bin with and the pennies you hid for them! If they have their eyes open and are searching the bin for their treasures, this activity helps children develop good visual scanning skills.

Note: Children should be supervised during sensory bin play to prevent choking if children place small pieces in their mouth.

  1. Bath time Painting

bathtub crayonsHave a fun water day indoors by playing in the tub! Encourage some creativity and early fine motor fun with fingerpaint soap or bathtub crayons that are easily washed away with water. I found fingerpaint soap at the Dollar Store or in the dollar section at Target.

Benefits of the Activity: This activity promotes tactile exploration as children feel the different textures of the fingerpaint, the temperature of the tub, the pressure of the water around their bodies, and the splashes of the water as they play. Bathtub crayons also provide a play-based opportunity to practice developing an age-appropriate grasp and fine motor development.

**Note: Children should be supervised at all times in the bathtub. Check that fingerpaint soaps are non-toxic and safe.

  1. Puppet show

Use premade puppets or make your own puppets with socks. Show your young toddlers how to play with a puppet (make the puppet say “hi” or give your little one kisses). See if they can imitate what you do! Help set up a little “stage” for a puppet show by draping a sheet over 2 chairs and encourage your older toddlers to put on a show for family and friends!

Benefits of the Activity: This activity promotes imitation through play. A child’s ability to imitate actions is a function of motor planning. Motor planning is the ability of the child to have an idea of what to do, plan the steps needed to accomplish this task, and successfully execute this plan. This activity also promotes imaginative play and helps children receive tactile input as they put sock puppets over their hands and move their hands to make the puppet talk.

  1. Food Stamps or Food Necklaces

orange stamping
Photo from: https://mom.me/toddler/11835-toddler-talk-orange-stamping/

Make stamps out of fruit and veggies and make some artwork! Help prep vegetables and fruits you have around the house by cutting them in half. Apples, potatoes, bottoms of celery stalks, and broccoli make great stamps. Set up an area where your kids can get messy (maybe roll out wrapping paper on the kitchen table or floor and place paper on top to make clean-up easy). Provide some non-toxic finger paint or maybe shaving cream with food coloring and get stamping! This activity not only helps little ones express their creativity, but it also exposes them to new foods in tactile exploration.

Older toddlers might also enjoy making food necklaces. Use yarn or other types of string and help your child string on Cheerios, Fruit Loops, or macaroni onto their necklace.

Benefits of the Activity: Not only does your child receive tactile input through the different textures of food, but it’s a perfect opportunity for your child to play with foods that they usually don’t eat (if your child hates broccoli, it’s helpful for them to just be exposed to it in a context in which they don’t have to eat it, just play with it!)

An Occupational Therapist will tell you that repeated exposures to non-preferred foods helps children become more comfortable with different foods. Finally, children who string Cheerios/Fruit Loops onto string have the opportunity to practice their fine motor skills as well as visual motor skills (can the child identify where the hole in the cereal is and thread the food onto it?)

  1. Silly Instrument Play

Lay a blanket on the kitchen floor and lay out pots and pans. Have your little one use wooden or metal spoons to play on their instruments. (Adults may need earplugs during this game!) Join in the silliness and be the leader of a parade around the house. Sing songs with your little one and practice marching.

Benefits of the Activity: This game provides your child with proprioceptive input as they bang on pots and pans. Your child also works coordinating movements (can they swing their arms to hit the pot). Older toddlers can work on gradation, which is the ability to grade force of movements (can your child hit the pan softly so a quiet song, then hit the pan really hard to produce a loud sound?)

  1. Obstacle Course Adventure

Make a climbing obstacle course around the house using pillows, blankets, and sofa cushions. Help your child climb a pillow mountain or make a “garbage pile” of pillows in which you can hide a toy that your child can climb around to find.

Benefits of the Activity: Similar to a fort activity, obstacle courses provide a great opportunity for tactile input as they move around the cushions and blankets and proprioceptive input as they push/pull pieces to crawl through the obstacle course. This activity also works on body awareness, the ability of the child to feel where they are in space in order to effectively move their body around obstacles. The more a child is allowed to crash and push equipment around, they develop a better sense of where their body is in space.

  1. Dress-Up Play

Pull out old clothes, hats, shoes, sunglasses, socks, and scarves from way back in your closet and have a dress-up day. Older toddlers may enjoy having a fashion or talent show in your living room.

Benefits of the Activity: Not only do kids get to use this as a way to pretend to be just like their heroes (you), they also get practice dressing skills they will need when they are older. Young toddlers may have difficulty putting on different pieces of clothing (which is pretty age-appropriate), but they can work on pulling off pieces that they are all done with playing, such as pulling off a t-shirt, socks, shoes, and pants/skirt.

  1. Indoor “Camping”

Make a tent out of sheets and chairs and drag in a sleeping bag or pillows to make your tent cozy. You can bring in flashlights, story books, toys, and/or some homemade s’mores made in the oven (recipe link below).  See if your little one can use their flashlight to find different pictures in the story you read to them.

Oven S’mores Recipe: https://www.thespruceeats.com/easy-baked-smores-3052398

Benefits of the Activity: Making a small space out of pillows and sheets creates a great opportunity for children to receive tactile input. Some children find small spaces calming because they get “squished” between pillows. Getting “squishes” is a form of deep tactile input, which is very calming for some (think of a big hug or being swaddled). If this sounds like your child, use the tent as a safe retreat in which they can bring their favorite story and get a big hug from a loved one. Finding pictures with a flashlight while reading a story promotes visual scanning. Best of all, reading a story together gives you both the perfect opportunity to bond and spend quality time together.

There are limitless activities you can do inside that can help support sensory play and help children with sensory processing difficulties get the input they need. Feel free to use the ideas above or come up with your own play ideas!

For more information on occupational therapy at Easterseals DuPage & Fox Valley, visit http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/occupational-therapy.html. 

Top Developmental Toy Ideas

By: Laura Van Zandt, MS, OTR/L and Sarah Peabody, Physical Therapist

Play is an essential piece to optimal child development as it contributes to the cognitive, physical, social, and emotional well-being of children. Walking through the toy aisle can be overwhelming, but it is important to choose a toy that is age-appropriate, promotes healthy development, and encourages positive behavior. View our favorite holiday toy selections below!

babyGifts for Infants:

  • Activity mat – Activity mats are great for promoting tummy time. Some have mirrors attached which helps the infant to lift his or her head up and engage in the mirror. Tummy time should start as early as possible for 3-5 minutes a couple times a day, building up the length and duration as the baby grows. Tummy time is essential to help your baby build the strength needed for rolling over, sitting up, crawling, and walking.
  • Black and white toys – For young infants (birth – 3 months), toys with high contrast are the most appealing, as their vision has not adapted to seeing colors yet. Around 5-6 months of age, bright and colorful toys are appropriate as infants will likely be able to see the full spectrum of colors.
  • Mirrors – These are a great resource for visual engagement.
  • Colorful rattles, O-ball, a textured toy – Toys that children can reach for and grasp are great to promote fine motor development. Toys that appeal to multiple senses are ideal for infants and promote positive sensory development. Infants enjoy exploring the feeling of new textures.

Gifts for Toddlers – The toys listed below help kids learn to understand patterns, problem solve, and develop competence and confidence.

  • Push toys – Ideal for the early toddler/young walking stage (bonus – with the one linked here, you can put objects into the push toy to weigh it down. Heavy work is great for building core strength!)
  • Sorting and Nesting Toys
  • Blocks, LEGOS, Magnetic Sets – Open-ended toys like these can be used in a variety of ways. Kids love to take things apart and add to structures at this age, and these toys will extend into the preschool years and beyond. This is also a great way to incorporate problem solving skills and provide opportunities for adult interaction into play.
  • Hand puppets – These are a great way to encourage interaction and communication in the young child.
  • Shape Sorters and Simple Puzzles– Shape sorters and early inset puzzles are great for toddlers. Interlocking puzzles of various sizes can be a great interactive toy for learning about all kinds of things. Look for puzzles that have large knobs for younger children or those that struggle with fine motor skills.  Puzzles are also great to help children develop their visual perceptual skills and become better problem solvers.

Gifts for Preschool Age Children:

  • doctorPlay sets – Play sets with little people, dolls, animals, etc can expand a child’s language and communication skills and help them make sense of the world by imitating adult behavior and encourages imagination.
  • Mini trampoline, scooter, tricycle – Improve a child’s gross motor skills and helps release their boundless energy.
  • Easel, markers & crayons – These are another great way for a child to use their imaginations and develop their fine motor skills.
  • Floor puzzles
  • Simple dress-up costumes – When kids play dress up, their imaginations really get to blossom. Instead of buying a specific cartoon/movie character dress up costume, buy a generic tutu or princess dress where a child can be multiple different characters all in one outfit.
  • Games- The nice thing about games is you can play them in a variety of ways. You don’t have to be stuck to the traditional rules. You can even use the games in pretend play. Here are just a few names of popular games used in therapy sessions: Pop the Pirate, Pop The Pig, Sneaky Snacky Squirrel, Scatterpillar, Jenga, Spot It, Hullabaloo, I Can Do That, Connect Four, Thumbs Up, Tricky Fingers, Boggle, Rush Hour, Gravity Maze, Quirkle, Blokus, Go Fish, Chutes and Ladders, and Dragon Dash.

Gifts for Elementary Age Children:

  • Dolls
  • Books – Reading will help advance a child’s language, vocabulary,  and social skills, while helping build coping feelings, and building their self-confidence levels.
  • Adventure/Building Toys – These are great for problem solving, critical thinking, and imagination.
  • Board Games – Don’t forget about the classic board games such as Sorry or Trouble that promote social interaction, turn-taking, and inclusion!
  • Bike

Never forget, a trip to the museum, theater, or special exhibit is a great gift too! Experiences can never be replaced with toys and the trip will stay with a child for a long time. Capture them with your phone or camera and you can pull them out to talk about and connect on a later date.

For more ideas, visit our Amazon wishlist that shares suggestions for multiple age range and child need. Most of the toys listed can be adapted in some way or used by children of all abilities.

If shopping online, remember AmazonSmile is a website operated by Amazon with the same products, prices, and shopping features as Amazon, but the difference is that when you shop on AmazonSmile, the AmazonSmile Foundation will donate 0.5% of the purchase price of eligible products to the charitable organization of your choice. Please choose Easterseals Dupage & Fox Valley to help support our cause.

We wish you a Happy Holiday and New Year!

General Tips for Selecting Developmental Toys for Children

By: Laura Van Zandt, MS, OTR/L and Sarah Peabody, Physical Therapist

It’s the most wonderful time of the year! Time to decorate your home with seasonal decorations, listen to cheerful holiday music, start baking lots of yummy goodies, spend time with friends and family, and shop for the perfect holiday gifts. This time of year can bring merriment and stress! Especially when considering gift ideas for children.

If you are buying a toy for a child, it’s important to select something that is based on his/her individual need. Every child is unique. Purchasing a toy for a child with special needs involves taking into consideration the child’s unique developmental profile.

IMG_2343Children who lack fine motor skills often have trouble doing things with their hands, like holding a crayon, so they might enjoy toys with large knobs or big levers that will enable them to grasp them more easily. Children with social learning difficulties or sensory processing difficulties might prefer toys that offer movement or heavy work.

Children with physical disabilities might enjoy toys that have buttons and don’t require a lot of fine motor manipulation. They might also enjoy more arts and crafts that allow them to just move their arms without having to worry about holding onto something.

Choosing a toy that is age-appropriate, promotes healthy development, and encourages positive behavior works best. Use these tips below to help guide you for buying gifts for your child, a niece or nephew or other child:

General Tips for Selecting Developmental Toys for Children:

  1. Spanning multiple age ranges

Finding a multipurpose toy that spans multiple age ranges is a great investment. Toys that are meant for several ages and stages of childhood will be kept around and cherished for a long time.  For example, this Shape Sorter, can be used in late infancy as you place the shapes in and out of the box with the lid open. As your child grows into the toddler stage and enhances their fine motor skills, he or she will learn how to manipulate the shapes and place them in the appropriate spot. You can then incorporate colors, shapes, etc. all into one piece as they advance even more. Another example is magnetic letters. A child can use these at a young age to learn letters and sounds and as they grow into elementary years use them together to make words.

2. Be cautious of age recommendations

Many toys have a suggested age range based on the safety and developmental appropriateness for a child. These recommendations are based on the developmental abilities of an average child and may serve as a starting point for you when selecting a toy for your child. A toy should be challenging, but not frustrating. Likewise, if a toy is too simplistic and beyond your child’s abilities, he or she will quickly lose interest. Children learn and grow at various paces, and what might be an appropriate toy for one two-year-old child may not be for the next.

3. Promoting Exploration and Imagination

17_LilyPennyMaddy2.jpgResearch has found that toys that do “too much” don’t encourage children to use their imaginations. Stuffed animals that talk and sing only prompt the child to press a specific button which takes charge of the play scheme. Instead, look for a toy like blocks. Blocks can be stacked up to build a tower, knocked down by a dragon, lined up to make a city, the list goes on and on. The more your child has to problem solve and use his or her imagination, the more your child will learn through play.

4. Think, Move, and Interact

This generation loves to be entertained with screens. Instead of getting that Ipad or other video console, look for toys that provide opportunities for cooperative play that encourage the development of social skills and positive behaviors like taking turns. Board games are a great example!

5. Sensory Considerations

Toys that are tactile or visual can often help improve how a child processes the information. Music, varying textures, flashing lights, and colors can all improve the sensory appeal to your child. It is important to know the needs of your child because what is appealing for one child may be overstimulating for the next.

6. Promoting Inclusion

Toys that promote groupwork and peer interaction with other children are great to promote social skills and improve self-esteem and overall quality of life.

7. Think outside the box.

Toys don’t always have to be used in the conventional manner. For example, that food puzzle might be a little hard for your child to sit still and focus to complete, however, maybe your child would be motivated to find the pieces hidden in a tactile bin or exploring the house on a gross motor adventure to find the food. For children with physical disabilities, many battery operated toys can be adapted for switches. Check out this blog for directions and this link for purchasing battery interrupters.

If you child is younger, can you use that ring stacker to look through the circles together at each other. Or maybe the rings fit on different body parts. If your child is older, think about using the toys within movement activities.

8. Will the child make memories with it?

Giving experiences is becoming a new, more popular trend (for multiple reasons!). Taking time to explore local attractions can create long lasting memories and even new post-holiday traditions. Most businesses and even public libraries offer gift certificates to local attractions. This is a great way to really personalize a gift for your child.

9. Fun!

Last but not least, make sure the toys are engaging and fun. Do not force a toy upon a child. If they appear not interested in a certain toy, leave it for a few days and re-introduce it at another time. Keeping the toys fun will ultimately make the learning fun for your child.

Visit this blog next week, for more of our specific toy recommendations! You can also search our previous blogs for each year’s toy recommendations like here and here. Happy Holidays! For more information on Easterseals DuPage & Fox Valley visit eastersealsdfvr.org.

 

Preparing for Halloween

By: Laura Van Zandt, MS, OTR/L

Halloween is right around the corner! Most kids can’t wait to put on their costumes and make their way through the neighborhood. No child wants to be left out of the fun of trick or treating or holiday parties. Unfortunately for some children this often happen.s However, with some planning and preparation, children with sensory issues or other special needs, don’t have to be left out and can enjoy this exciting time of year.

article-calendarGeneral Tips

  • Create a schedule for special activities. Tailor the schedule to your child’s needs. Whether it’s a picture schedule or written schedule, using a schedule will help your child be able to anticipate what is coming up and feel calmer. Discuss the schedule regularly and provide information for each transition. Sometimes just knowing what’s next can help children with extra needs feel less anxiety.
  • Try using a social story that includes a pictures for your children to help visualize the day and better predict what will happen. You can click here for some sample stories.
  • Try having a code word your child can use if he or she feels overwhelmed and needs a break. When your child uses the code word, help them leave the situation for a few moments and discuss coping skills. Again, giving children some control during activities that may be overstimulating will reduce anxiety and enhance the fun.

Decorations

Decorations like fake cobwebs, scary jack-o-lanterns, hanging ghosts, and mist from fog machines can bother kids with special needs.

  • Consider taking your child to explore the Halloween section of a local big-box store. You can help your child get used to the various sounds and sights by pressing the different buttons on the various machines. You can also help them get used to the different sensations by touching the variety of decorations. This can be helpful to figure out which ones to avoid during the festivities.
  • If your child doesn’t like the smell or slimy texture of pumpkin insides, there are a ton of different ways to decorate pumpkins. You can use paint or permanent markers and stickers to decorate your pumpkins. Pinterest has a ton of ideas like using playdough, coloring with crayons, or using decorations.

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Costume Tips

Costumes can be really tricky for our kids. Remember, costumes don’t have to be expensive to be fun and enjoyable for the holiday. When trying to decide on the just right costume, it is important to think not only about the theme but also about how it will feel, fit, and even smell.

  • When you find the just right costume, some kids will benefit from washing it a few times to soften the fabric before wearing it the first time.
  • Some children might benefit from practicing wearing their costume before the big deal. This will allow your child to problem solve anything that doesn’t feel comfortable. You should practice walking and sitting while wearing the costume.
  • It might be helpful to wear comfortable clothes or pajamas under the costume.
  • Don’t overlook simple costume ideas. With pinterest now there are a ton of creative ideas that don’t have to involve store bought costumes. You can involve the whole family with themed costumes (this year my family is doing Rock, Paper, Scissors with our regular clothes and few adaptations).
  • For trick-or-treaters who use a wheelchair or need help walking long distances, you can get creative and decorate their equipment or wagon.
  • For parents who want help in designing or making costumes, there are several resources in bookstores and on the web. Some sites, such as Family Education, provide costume making instructions. Also, organizations, such as the Muscular Dystrophy Association (MDA) and The Bridge School, offer tips and examples of costume ideas. Charities, like Costumes for Kids, collects used costumes and offers them to physically disabled kids too.

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Trick or Treating Tips

Trick-or-treating can also be hard. Noisy crowds of kids and flashing decorations. Walking around the neighborhood. Walking at doors. Talking to unfamiliar people. Food sensitivities. Food allergies.

  • Do you know about the teal pumpkin? The Teal Pumpkin Project encourages people to raise awareness of food allergies and promotes inclusion of all children by offering an alternative treat for whom candy is not an option.
  • Go out at dusk or before the streets get very dark and crowded.
  • Only treat or trick at houses you know.
  • Map out and practice the route with your child ahead of time so it feels familiar.
  • Pull your child in a wagon or let your older child ride a bike to avoid having other kids crowd/bump into him or her.
  • Program a special Halloween message into a communication device for kids who need help with language.
  • Have some favorite calm down activities or toys ready in case it gets too much for your child.

Please comment below with any suggestions or strategies that have worked well for you. For more information on Occupational Therapy at Easterseals DuPage & Fox Valley and helping children with sensory needs visit: http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/occupational-therapy.html. 

 

How Speech-Language and Occupational Therapies Work Together

By: Danielle Maglinte, MAT, MS, CCC-SLP

Ryan - webYoung children go through many developmental stages before they begin talking. One of the first stages of development is shared attention. In a baby, shared attention looks like the baby turning her head toward mom when she hears mom’s voice or a baby looking into dad’s eyes when dad talks to the baby. As children get a little older, shared attention looks like mom holding up a toy, the child looking at the toy, then looking back at mom and smiling. The next step in developing shared attention is dad looking at or pointing to a toy, the child looks where dad looks or points, then he looks back to dad. These steps towards developing shared attention typically happen within the first 12 months of a child’s life.

When a young child reaches a stage of shared attention where they can follow a caregiver’s point and they can shift their gaze between the caregiver and the object, they start to develop back-and-forth communication. At first, this looks like a child reaching for an object to tell the caregiver “I want that.”

As back-and-forth communication with gestures continues to develop, the child starts to vocalize. In the beginning, these vocalizations are mostly babbling. As parents talk back when the child babbles, these vocalizations turn into jargon where a child sounds like they are speaking in sentences but not actually saying words. Some parents comment that it sounds like the child is speaking in another language. Over time, the child’s vocalizations are shaped into short, simple words, such as mama, dada, and baba for bottle. Children with speech delays often demonstrate limited shared attention. Working to develop strong shared attention will help a child learning to communicate.

One challenge for some children with speech delays is that they need to maintain a calm, regulated state so that they are available for interactions and can share attention with another person. Read more about self-regulation from OT Maureen here.

15_JJAzariahIf a child is focused on seeking sensory input, they may not have the ability to focus on social interactions, developing shared attention and speech with caregivers. Occupational therapy can help figure out activities and ways we can include these activities in everyday life so that a child can remain in a calm, regulated state so that she is available for social interactions. This may look like a child with limited eye contact running away and looking back to see if you are chasing him or a child who is quiet asking for “more” when you stop pushing the swing.

When a child stays regulated for longer periods of time, she will be available for interactions so that she can continue to develop strong shared attention, and move on to using gestures and speech to communicate. By working together, speech-language therapists and occupational therapists can help a family find activities, such as climbing, playing chase, swinging, and swimming  or others that help a child with speech delays stay regulated and available to develop shared attention and communication skills.

To learn more about speech-language and multi-discipline therapy at Easterseals DuPage & Fox Valley visit: http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/speech-language-therapy.html.