Category Archives: Physical Therapy

Best Children’s Books on Disability

By: Sarah Peabody, Physical Therapist

According to the Center of Disease Control, developmental disabilities affect 1 in 7 kids in the U.S. and 1 out of 9 children under the age of 18 receive special education services. Explaining a disability to children can be difficult for many reasons. The children’s books below each have a unique way of illustrating what really matters. These books are a great addition to any home, school, library, or waiting room.

With inspiring messages and an emphasis on strengths, they help all children understand kids with different needs. These powerful messages share stories and celebrate victories of all kids in spite of a range of different disabilities. If you are struggling to find a way to start a conversation with a child or a child’s sibling, friend, classmates, or family, these are a great way to start conversations about disability and inclusion!

Books about kids with physical disabilities:

  • Hip, Hop, Hooray for Brooklynn Bunny: This book is great for encouraging children to persist in achieving long-term goals and to cooperate with wearing an orthopedic brace. This book focuses on the whole child working toward a positive outcome over time. Whether it’s jumping rope, or wearing a brace, the message of this book is to keep trying.
  • Danny and the Merry-Go-Round: One day while watching kids play and ride a carousel, Danny becomes frustrated by his inability to participate. It’s not easy to join in because he is living with cerebral palsy. Luckily, a little girl befriends him and they embark on an adventure. It’s a touching story, made more powerful for its way of showing children with disabilities that they are valuable people.
  • Meet ClaraBelle Blue (The ClaraBelle Series): Written by a mother of a child with cerebral palsy, this book celebrates differences by illustrating how much we all share in common. ClaraBelle’s favorite line is “I’m ClaraBelle Blue and I’m just like YOU!”
  • My Belly Has Two Buttons: This book was written for children who use feeding tubes, and the main character is excited to show and teach everyone he knows about it.
  • Ben’s Adventures: This series was written by a parent with a son with cerebral palsy. Ben shows that despite his disability, he can dream, he can play, and he can interact and have meaningful experiences.

Books about kids with autism:

  • Looking After Louis: The story of Louis, a boy with autism in a general education class, is told from the perspective of one particular classmate. This is a great book to explain to young children how autism can affect behavior and promotes understanding of others.
  • Andy and His Yellow Frisbee: When a girl notices that Andy spends most of his recess spinning a frisbee by himself, she befriends him despite his trouble connecting with others. It’s a great story, told through the shoes of Andy’s older sister, providing a great perspective on Autism that even the youngest kids can understand.
  • Ian’s Walk: Ian is nonverbal.  His older sister Tara takes him on a walk and is embarrassed that he does things out of the ordinary including staring at the ceiling fan in the drugstore and putting his nose against the bricks by the post office. But when he wanders off on his own, she must try to see the world through his eyes in order to find him.

Books with a focus on inclusion and coping with a disability:

  • We’re All Wonders: This story shows how one child copes with his own differences, and other’s reactions to them. The reader will find comfort in Auggie’s imaginative tactics and his positivity about being able to change the way others see him.
  • Susan Laughs: This book celebrates the similarities and differences between children with and without disabilities, and encourages acceptance and tolerance of differences. It’s not until the end of the book that Willis reveals Susan uses a wheelchair. It’s a simple, yet powerful, way to show how people aren’t defined by the barriers they face.
  • My Sister, Alecia May: This book is written from the perspective of a younger sister of a child with Down Syndrome. Although Alecia May can be hard to be around, she is a lot like other 6-year-olds. Rachel appreciates the unique qualities of her sister and learns to stand up for her when others tease her. A great book about inclusion!

Books about kids with a learning disability, anxieties/worries, and more:

  • Hudson Hates School: This book is a useful introduction to dyslexia for children. It reassures children that dyslexia should not be a barrier to success if it is properly recognized and managed.
  • Eagle Eyes: This book focuses on a child who has ADD/ADHD and learning difficulties.  It acknowledges the difficulties that Ben experiences at home and school because he has trouble controlling how he moves and thinks. The hallmarks of ADHD are discussed as well as ways to cope with them.
  • When My Worries Get Too Big: This is a great book that makes it easy for kids who struggle with anxieties to not feel so alone. The included stories are fun, engaging, and filled with encouragement to help kids come up with their own calming methods when anxiety issues arise.
  • I’m Not Weird, I Have Sensory Processing Disorder: If you have a child that struggles with sensory processing disorder (SPD), this book will help your child relate to the main character as she describes what it is like for her each and every day. This is a great resource to explain to others what it feels like living with sensory issues that affect them constantly throughout the day.
  • Whole Body Listening Larry at School: This is an excellent book to teach the concept of whole body listening and following directions. The story begins with two new students attending school who have trouble listening and following along with the class schedule, social cues, etc. Larry helps them by teaching them how to listen with “their whole body”.

Books geared towards siblings:

  • Sara’s Secret: This book explains the story of a grade school-aged child that has a brother with a severe disability. The main character struggles with not wanting her classmates at her new school to find out about her brother in fear of being teased. It is a beautiful message of acceptance and inclusion as the main character delves into her emotions and realizes the bond between she and her brother despite his difficulties, which is not any secret to hide.
  • We’ll Paint the Octopus Red: A great resource for those who are awaiting the arrival of a new baby brother/sister who has a disability (this book specifically geared towards Down Syndrome). It also has a great message that with help and patience, their sibling will be able to overcome any obstacle.
  • Leah’s Voice: Parents and educators can use this book as a great resource for teaching siblings, friends, and classmates about autism, inclusion, and acceptance. Although the focus is on a sibling with autism, its important message on the acceptance of differences and treating everyone with kindness is for all children.
  • Views from Our Shoes: This book includes numerous stories of siblings that share their experiences as the brother or sister of someone with a disability with a wide range of various difficulties. Their personal stories introduce young siblings to others like them and allow them to compare experiences.

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

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.

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.

 

How Physical Therapy Supports Children with Down Syndrome

By: Joanne Pygon, PT, MS, PCS

Physical therapy plays a crucial role in helping a child who is diagnosed with Down syndrome (DS) reach their highest potential.  What that therapy looks like through a child’s life changes as he/she transitions from newborn to teenager.  Hypotonia, weakness, cardiac and respiratory issues are some of the challenges a PT will address.

0 – 24 months:  The physical therapist (PT) is one of the first healthcare professionals to work with a parent and their child to help build a strong foundation of strength and movement.  Depending on the medical complications a child faces, the PT works regularly with the child to build strong muscles so he/she doesn’t develop compensation that can affect their abilities later.

Vitiello_Cody_1

The parents or caregivers will have activities to work on daily to help their child reach gross motor milestones.  The child may need special braces for their feet to improve alignment so that muscles can maintain length to function efficiently.

Compression garments such as a SPIO, Benik or an abdominal binder, may be considered to aide postural alignment and respiratory function.  Aquatic therapy can be beneficial if a child enjoys the water.  This gives him/her an opportunity to be challenged in new and fun ways, while also building strong swimming skills and an enjoyment of water for future exercising.

2 years – 5 years:  During the preschool years physical therapy continues to address higher level gross motor skills.  It may be appropriate for a child to be involved in group therapy sessions where peers motivate each other, along with providing social and communication opportunities.

Easterseals has groups like Mighty Movers, Build Your Muscles, Build Your Brain (TAAP), Get in the Game and more that enhance a child’s gross-motor skills. Most children start in a school program upon turning 3 years old.  PT is provided in the school to address issues that interfere with academic success.  This might be enough therapy for a child or the parent may choose to continue private therapy depending on the child’s needs and goals.  If the child has orthotics (foot braces), then a PT should be following the child periodically to check for fit and continued need.  During this time, families can explore park district programs in their area, especially gymnastics classes or swimming in order to build balance, strength and coordination.

Easter Seals Screen Grab 12.jpg

5 – 10 years:  Throughout these years, a child involved in community-based programs could seek PT consultations.  Some children may enjoy a summer PT group to build strength and confidence such as our rock climbing group.  Biking can also be a great opportunity for fitness and socializing.  There are several “learn to bike” programs in the community and a PT can help a child develop this skill.  Many children become involved in swimming and this becomes their life long fitness.

Jake mom machine.jpgTeenage years:  Encourage physical fitness, which is important for any teenager or young adult. Hopefully as the child faces the challenges of being a teenager, they have confidence in their abilities and can continue to be a part of a sport community, like a swim team, running group, or special rec team.  The child may need to check in with their PT a bit more to update home programs, as growth may affect their posture.  While braces may not be needed anymore, foot inserts may be necessary to support his/her feet in the best possible position.

 

Most importantly, set high expectations and enjoy all the gifts children bring to families!

For more information on our Down Syndrome services, visit http://www.easterseals.com/dfv/our-programs/downsyndrome.html.  To get started or learn more, call us at 630.282.2022.

Easy Indoor Activities for Energetic Kids

By: Laura Donatello, PT, DPT

When heavy rain and snow hit, it leaves kids indoors for the day with a lot of energy to burn. While playing in the snow and rain can be fun, freezing temperatures and wet, icy conditions have us stuck inside. Instead of reaching for the remote or the Ipad, here are some fun activities you can do with your child to satisfy their energetic needs.

Push-Pull Activities

This total body strengthening activity targets shoulder stability as a child pushes an object at or below shoulder height with straight arms, core to change direction, and lower extremities to power forward.

Push/Pull Activity Ideas:

  1. child and laundry
    Image from 3.bp.blogspot.com

    Hide some of your child’s favorite toys in a large open room. Have your child push a laundry basket around the room, and fill up the cart with toys. You can place toys at various heights, encouraging your child to stand on their toes, climb a couch cushion, or squat down to retrieve a toy. Pay attention to the type of flooring in the room. When using a plastic laundry basket, carpet will generally be more challenging to push against, and hardwood/tile will be easier.

  2. Have a race to see how fast he/she can push the basket to the end of the hall to retrieve a toy, and back. Races can be against siblings or parents, or be in the form of a relay race.
  3. Tie a string to the basket to make this a pulling activity.

Obstacle Course

The possibilities are endless with obstacle courses. You can encourage your child to help create, set up, and clean up the course. Maybe incorporate your child’s favorite play scheme; he/she has to navigate the course to place a puzzle piece in the puzzle, feed their favorite doll, or animal. You can add multiple activities together, or just focus on a few. There are many gross motor skills that can be incorporated such as walking, jumping, balancing on one foot, and hopping.

Obstacle Course Ideas

  1. olympics.jpgLay out couch cushions on the floor for your child to step on, jump over, or climb through. Maybe even jump from cushion to cushion.
  2. Navigate a hopscotch course made out of tape on the floor. This can be modified into many different patterns such as a few boxes in a row, column, diagonal, or in a traditional hopscotch pattern. Your child can walk, jump, or hop from square to square.
  3. Crawl or squat under a string tied across two chairs.
  4. Walk on a bubble wrap road, walk across a taped line, or both!
  5. Crumple up old newspapers and grab a laundry basket to play newspaper basketball. For a balance challenge, have your child stand on a cushion or one leg to make a basket.

Exercise Dice

04_Bodhi2.jpg
Photo by Patti Mendoza

Create a six-sided dice out of cardboard and tape. On each side draw or print out a picture of a different activity such as clapping, jumping jacks, running in place, jumping, heel raises, and dancing. You can also create another dice with numbers on each side to determine how many times or seconds to complete an activity for.

Whatever activity you choose, be sure to have fun with it!

Easter Seals DuPage & Fox Valley enables infants, children, and adults with disabilities to achieve their maximum independence, and to provide support for the families who love and care for them. If you have questions on your child’s development and need an evaluation, contact us at 630.282.2022.

 

Is My Child Delayed?

By: Cassidy McCoy PT, DPT

It can often be challenging to determine whether or not your child is delayed. Some children may not exhibit difficulties in all areas, or the signs may be subtle. Common signs of a gross motor delay include but are not limited to: difficulty using both sides symmetrically, inability to sit independently between 6 and 9 months, and inability to independently walk between 12 and 18 months. However, not all signs of delay are as apparent as others.

15_Brady PembrokeOther signs that your child may have a physical delay, particularly with school aged children, is their ability to keep up with their peers. These children may appear clumsy on the playground, or stay away from obstacles that are difficult, such as climbing walls and monkey bars, or parents may receive reports their child is having difficulty with activities in P.E. class. Also, the child may be less motivated, or outright refuse, to be an active participant in extracurricular sports.

What should a parent or caregiver do if they think a child is delayed?

  1. Schedule an evaluation.

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Pediatric physical therapists utilize standardized assessments to accurately determine if a child is developmentally delayed. These assessments include all aspects of gross motor development including strength, balance, and gross motor skills. The resultant score of the assessments is able to provide the parent with information including the percent of delay and the age equivalent. This allows for the parents, child, and therapist to determine an appropriate, individualized plan of care and direction for treatment. The standardized assessments are also a way to show improvement following an episode of care.

  1. If you have any questions or are unsure if your child is delayed, use available resources to help.

mttfc comMake the First Five Count is Easter Seals FREE online child development screening tool to help measure and keep track of your child’s growth and development.

Take the ASQ-3 to look at key developmental areas: communication, gross motor, fine motor, problem solving and personal social skills. You will be asked to answer questions about things your child can and cannot do.

Take the ASQ SE-2 for a more in depth look at a child’s social and emotional skills. This survey includes questions about your child’s ability to calm down, take direction, follow rules, follow daily routine, demonstrate feelings and interact with others.

Also the CDC offers a developmental checklist that takes you through 2-months-old to 5-years-old. This checklists offers an easy to read guide if parents are concern that their child is delayed. They also offer a Milestone Tracker Mobile App for Apple and Android phones.

By detecting developmental delays early, you have the power to change lives and educational outcomes for children! If delays are identified, Easter Seals DuPage & Fox Valley can offer the support needed to be school-ready and build a foundation for a lifetime of learning. Learn more at eastersealsdfvr.org. 

Tips for Infants with Torticollis

By: Cassidy McCoy PT, DPT

Torticollis is the third most common congenital anomaly that affects infants. It is defined as a head preference, usually a head tilt with one ear close to the shoulder with head rotation to the opposite direction. This is typically due to a muscular imbalance/tightness through one of the sternocleidomastoids, a muscle that crosses the head and neck, or from positioning in utero.

Torticollis can affect the entire child. It is not just an issue of the head and neck.

Without intervention, an infant with torticollis can lead to multiple sequelae in an infant/child. The head preference can lead to the following, however not limited to:

  • Plagiocephaly – flattening of one side of the head
  • Lack of visual tracking to the involved side
  • Decreased use of the involved sides hand/arm
  • Shortening through the entire involved side including head, trunk and hips
  • Decreased midline skills
  • Decreased sitting balance
  • Imbalance of muscular strength between right and left sides

The biggest treatment intervention that can assist in “correcting” the affects of torticollis is positioning.

The following examples will be for an infant/child with a tilt to the right (right ear to right shoulder).

  1. Rolling: With a right tilt, your child will more easily roll over their left side to access toys
    1. Place toys or shake a rattle on their right side to encourage them to roll over their right side
  2. baby3Sitting: With a right tilt, your child will sit with more of their weight over the left side of their body.
    1. Place toys over to the left side to encourage the shift their weight over the right hip
  3. Face-Face Play and Crib positioning: Typically with a right tilt, the infant/child will prefer to look to the left.
    1. Position your body to the right side your child’s face to encourage them to look to the right
    2. Position them in their crib so they need to turn their head of the right in order to see the door/your face
  4. Carrying positions:
    1. Tilted carry: Hold your child facing away from you body, with their back against your chest, tilt them to the right. This will encourage your child to lift their head to the left, increasing strength of the left side and actively stretching the tight right side.
  1. Tummy Time:
    1. This is an important part of any child’s development, however, for children affected by torticollis, tummy time important for constantly stretching the muscle by lifting and turning their head.
    2. Toy placement in prone with a tilt to the right is the same as in sitting. Place the toys to the left to encourage weight shift over the right side of the body to reach and play with the toys using the left arm.

See my previous blog for more tips and trick on tummy time. If you have concerns about your infant’s development, contact our Intake Coordinator at 630.282.2022 to ask questions or schedule an appointment.

How to Help A Clumsy Child

By: Cassidy McCoy PT, DPT

Developmental Coordination Disorder (DCD) is a delay in motor skill development or a difficulty with coordinating movement that makes a child unable to perform common daily tasks. This delay is not due to an identifiable medical or neurological condition that would explain their coordination problems.

Children with DCD are frequently described as “clumsy” or “awkward”, but typically have normal or above average intellectual abilities. However, their motor coordination difficulties may impact their academic progress, social integration and emotional development.

DCD is commonly associated with other developmental conditions such as learning disabilities, attention deficit disorders, speech-language delays, and emotional/behavioral problems.

Meeting Challenges
Photo by Ann Mehrman

Children with DCD generally have difficulty with activities including, but not limited to, climbing up and down stairs, tying their shoes, riding a bike, or doing buttons on their clothing.

How does a child with DCD present?

Typical Presentation:

  • Decreased balance
  • – Decreased bilateral coordination
    • Skipping
    • Jumping jacks
  • Decreased ball handling skills
  • Decreased high level balance skills
    • Hopping
    • Balance beam walking
  • Decreased postural control
  • Decreased proprioception

Other areas of concern may be handwriting, executive function, and initiating social interactions.

How to help

Because children with DCD typically have normal to above average cognitive skills, using a cognitive approach to improve their motor planning can help to ingrain motor skills to make movements more automatic. This cognitive approach helps by working on breaking down a motor skill into smaller pieces, as well as, having the child verbalizes the activity before performing, and reporting on the outcome of the attempt.

Example: GPDC

  • Goal: What am I going to do?
  • Plan: How am I going to do it?
  • Do it: Perform the skill
  • Check: How did the plan work?

Other Activities

Core strengthening is important for children with DCD. You must have a stable trunk/core to appropriately move your arms and legs. Improving core stability will improve balance, postural control, and proprioception, leading to improved coordination.

Some activities to improve core strengthening:

  • Heavy pushing: fill a laundry basket to weight it down and have you child push it across the floor. Carpet flooring will add extra resistance from friction.
  • Hannah_TClimbing: climbing up onto furniture or onto playground equipment while maintaining their abdomen off the surface and arms extended.
  • Wheelbarrow walking or planks: putting weight through extended arms will help to increase abdominal engagement and strength.
  • Standing on unstable surfaces: Standing on various surfaces such as: pillows, cushions, foam mat, or BOSU ball helps to improve postural control. They can perform a variety of activities on these surfaces including balancing with eyes closed, squatting to pick up a toy from the floor, catching/tossing a ball, or reaching up overhead for an object.

Click here to learn more about Physical Therapy programs to improve strength, balance and coordination at at Easter Seals DuPage & Fox Valley.

References:

  1. https://canchild.ca/en/diagnoses/developmental-coordination-disorder

All About Adaptive Bikes

By: Bridget Hobbs, PT, DPT

img_7454.jpgWant to see pure joy in a child’s face?  Put him on a bike!  Children of all abilities love the freedom, weightlessness and fun that bicycles (and tricycles) provide.  Just like children, bicycles come in all varieties and can be adapted for children with special needs.

Bicycle riding provides not only the physical benefits such as leg strengthening, increased balance, coordination and endurance, but also the social benefits of riding with family and peers.  Below are just a few examples of modified cycles that are made to assist children with special needs in their bike riding goals.

bike

Adaptive tricycle: The three wheels on this tricycle provide a wide base for increased stability which helps children feel safe not only when riding the bike, but when getting on and off it as well.  The high back and seat belt also provide proper trunk support to help a child stay upright and midline.  There are also Velcro foot holders to prevent feet from sliding forward.

Rhys

Tandem bicycles: Tandem bicycles allow for a parent to propel the bicycle with the option to turn the child’s pedals on or off, which enables a child to rest and enjoy the ride when they are tired. The tandem bicycle also allows for communication while simultaneously enjoying the benefits of exercise.

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Bicycle Trailer: A bicycle trailer is a good option for longer family bike rides where everyone in the family can be included.  The bicycle trailer allows for a lot of leg room and a child or adult can be easily transferred in and out of the trailer and positioned in many different ways.

cycle

Hand and Foot Cycle: A hand and foot cycle can be used for children who have lower extremity weakness, spina bifida, cerebral palsy or low muscle tone. This type of tricycle has the ability to be propelled with either arms and/or legs.   A benefit of this type of tricycle is that children can increase their range of motion in their arms as well as work on a reciprocal motor pattern of their upper extremities.

Your child’s physical or occupational therapist is a great resource to help you and your child learn what kind of bicycle or tricycle would be good for your child.   A few companies/websites that may be helpful in adapted cycles are below:

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Thanks to a generous donor, we are pleased to launch the Jonathan Goers Bike Club at Easter Seals DuPage & Fox Valley. This program was established to share Jonathan’s joy of biking with children who have developmental delays and/or disabilities and may not otherwise have the opportunity to ride or own a bicycle. The program will provide a child with an adapted bicycle free of charge.

Any family of a child with a developmental delay or disability is eligible to apply to this program. The bike must be returned to Easter Seals DuPage & Fox Valley if the child outgrows or no longer uses the bike. This will allow another child to enjoy the benefits of biking. Speak with your Easter Seals DuPage & Fox Valley therapist for more information on the application.

The first bike giveaway will be at our 2nd Annual Bike for the Kids event on September 17 in Elgin. Adapted bikes and trailers are welcome and all ages and abilities are encouraged to participate. Choose your distance from 100 Miles to the 2.5 Mile family ride. Learn more at www.EasterSealsDFVR.org/BikeForTheKids.