Tag Archives: development

The Interactive Metronome

By: Kara Lyons, OT

blog12TIMING IS EVERYTHING
Did you know that precise timing is responsible for the synchronous interaction within our brain that connects physical movement and cognitive processes?

Why is timing important? To name a few, timing is responsible for a person’s ability to walk without falling, catch or throw a ball, jump, climb a ladder, play music, and speak without stuttering.

Research suggests that training with the Interactive Metronome, or IM, supports the interaction between critical brain networks, specifically the parietal-frontal lobes, which are often associated with general intellectual functioning, working memory, controlled attention, and executive functions (McGrew, 2002).

What is the Interactive Metronome (IM)?

The IM is a computer based interactive program that provides a timed rhythmical beat, or metronome, which works to pace an individual’s movements.

In this program, an individual synchronizes a variety of upper and lower extremity exercises to a precise computer-generated tone heard through headphones.

The IM responds to a client’s physical movement by providing real-time auditory and visual feedback in milliseconds, indicating whether they are in sync with the beat, or they are too early or late.

blogggg1What skills does the IM target?

• Improved timing, rhythm, and synchronization in the brain
• Motor planning, motor control, and bilateral coordination
• Attention, working memory, and processing speed
• Speech/language and social skills

Who could benefit from the IM?28321120_Unknown (1)

Pediatric population
Individuals with ADHD, Autism Spectrum Disorder, Sensory Processing Disorder, children with developmental delays or learning disabilities, cerebral palsy, auditory processing disorder, and dyslexia.
Adult population
Post brain injury, stroke, or concussions, adults with ADHD, Parkinson’s Disease, Alzheimer’s/Dementia, and amputees

How do you get started with this program?

• The first step is to be evaluated by an occupational, speech, or physical therapist that is also trained and certified as an Interactive Metronome Provider. You may find a provider in your area through the Interactive Metronome’s locator index.

• The assessment will consist of a comprehensive speech, occupational, or physical therapy evaluation, including an IM assessment, information sharing with the family and evaluating therapist, clinical observations, and other objective measures or evaluation tools (which may provide additional information regarding strength, coordination, fine and visual motor control, and/or speech and language abilities). At that time, the evaluating therapist will identify concerns expressed by the family and work to establish functional goals for the child.
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• The IM assessment provides data on the child’s current level of functioning, including their timing tendencies, attention to task, their ability to motor plan, sequence, or coordinate the movement patterns.
• The evaluating or treating therapist will determine if the client is appropriate for the program before customizing a treatment plan and program.

• REPETITION and FREQUENCY are critical for making lasting, functional changes in the brain.

• It is recommended that a client participate in the program at least 3 times per week for a minimum of 30 minutes of training per session.

THE IM HOME UNIT

blog123The IM home training unit is an option for families to meet the minimum recommended frequency or if the client is unable to attend therapy in the clinic setting.

To purchase and utilize the IM home program, a client must establish a relationship with an IM home certified therapist (also available through the IM Locator Index). The treating therapist will customize the child’s treatment plan, provide ongoing feedback, and adjust the plan as needed.

Overall, the IM is an excellent adjunct to traditional therapy services as it provides objective data (the child’s performance over time, measured in milliseconds) to support functional outcomes. If you are interested in the Interactive Metronome or feel it may be appropriate for your child, speak with your treating therapist.

For more information on the Interactive Metronome, including evidence to support the program, please visit https://www.interactivemetronome.com

To learn more about Interactive Metronome services at Easter Seals DuPage & Fox Valley and set up an evaluation contact us.

 

 

References:
McGrew, Kevin (2002). The Science behind the Interactive Metronome: An Integration of Brain Clock, Temporal Processing, Brain Network, and Neurocognitive Research and Theory. MindHub Pub, 2.

Throw Like A Pro

By: Cassidy McCoy PT, DPT

Baseball season is back, and summer is almost here, so let’s get out and get playing. Since Chicago is now home to the World Series Champions, here are some pointers to get your kids throwing like the pros.

baseball blog
Initial Position

1. Face the side so your non-throwing arm is facing the target.

2. Using your elbow or fingertips, line yourself up so you are pointing directly at the middle of the target.

 

 

baseball blog 1The Throw

1. The Wind Up: Bring your throwing arm up so your elbow is bent at a 90 degree angle and is in line with your shoulder. The majority of your weight should be in your back foot.

2. Step forward with the leg opposite your throwing arm (toes pointed forwards) as you begin to bring your arm forward gradually shifting your weight into the front foot.

3. The Release: Should occur as your arm comes over your head, slightly higher then the forehead.

 

The Follow-Through (End Position)baseball blog 2

  1. The majority of your weight should be in your front foot, with the heel of your back foot, or the entire foot, lifted off the ground.
  2. Your arm should fully move diagonally across your trunk ending at the hip/leg opposite of the throwing arm, with your trunk rotated so your shoulder are facing forwards (towards the target).

Visit our website for a list of summer community based therapy programs such as Physical Therapy to work on the fundamentals of sports, emphasizing coordination, timing, physical fitness and fun! Click here for more info.

Tips For Fitness-Focused Activities: Run, Golf, Bike & More

Fitness-focused activities are a great complement to a child’s therapy sessions, and an opportunity to work on therapy goals while also participating in an athletic or recreational activity.  By encouraging involvement in new activities for children of all abilities, they are learning the importance of health and wellness at a young age.

Playground-39

The benefits of fitness-focused activities are far-reaching and can impact a child in many ways.

“We all need to challenge ourselves in order to reach our potential. Our job as therapists is to to see that potential in others and encourage kids to try activities that are outside their comfort zones, so they will truly be all they can be.  Any fitness or recreational activity that interests a child is worth pursuing for the benefits it provides physically as well as emotionally, cognitively and socially.”  – Laura Znajda, PT, C/NDT

Physical Wellness
Children of all abilities should participate in athletic and/or recreational activities as physical fitness is important for ALL.  Physical fitness, as defined by the American Physical Therapy Association, is “a dynamic physical state – comprising of cardiovascular/pulmonary endurance; muscle strength, power, endurance and flexibility; relaxation; and body composition – that allows optimal and efficient performance of daily and leisure activities.”

Just because as individual has a disability, does not mean that physical fitness is any less important.

Building Confidence
Participating in activities outside of a child’s comfort zone help support their emotional development.  Trying something new can be intimidating and challenging. Keep the focus on what makes the activity fun and avoid getting caught up in the competition. Every child approaches new activities differently, but it’s ok to remind them that no one is good at everything.  No one!  You can help temper frustration by celebrating every improvement – no matter how small, and sharing your own example of a time that practice and persistence led to success.

Socialization
Physical activities take many forms and are a great opportunity to increase peer interactions, build friendships and promote health and wellness for the whole family. Embrace a child’s interests and find ways to involve friends and family.

Setting Goals and Staying Motivated
Community based therapy programs and special recreation can target individualized therapy goals. For example, a child with hemiparesis might be working on running in order to use both sides of her body more fluidly, as needed for natural arm swing while walking. A child with sensory processing challenges might be building the strength needed for wall climbing so that he can include this activity in his weekly routine to assist with state regulation.

Motivation comes from finding ways to turn therapy activities into games with friendly competition, involving the whole family and plenty of cheering!

Therapy activities include dynamic warm-ups which may include animal walks, relay races, and jumping games; a progressive walk/run/bike program building up to increased time running/biking and increased overall distance; client-specific strengthening and agility tasks to target weak muscle groups and to promote the symmetry of movement required to efficiently run or ride a bike; and stretching to promote muscle flexibility and adequately cool our bodies down.”
– 
Laura Basi, Physical Therapist


How to Get Involved

Look for organized activities in your community that help bridge the gap between individual therapy and daily life.  Here are some examples of upcoming events at Easter Seals DuPage & Fox Valley that present ways for skills to carry over into home, school and the community.

May 6, 2017              
Run for the Kids: Superhero Hustle 5K Run/2 Mile Walk
Easter Seals DuPage & Fox Valley, Villa Park, IL
This superhero themed run/walk is a family-friendly event for all ages and abilities.
Register here

  • Set a goal to run the race, roll or drive the distance in a wheelchair or take a few unassisted steps across the finish line.

    Participants of the Hustle for Health community based therapy program are training to run all 3.1 miles of the race independently.  The Hustle for your Health program began because many children struggled with the 1-mile run in their school P.E. class. A 10-12 week training program is intended to target running pattern and cardiovascular endurance so that participation in community run/walk events becomes a reality.

June 9, 2017              
Golf Outing in Partnership with Freedom Golf Association
Cog Hill Golf & Country Club, Lemont, IL
Enjoy 18 holes of golf and help bring the joy of golf to children with disabilities.
Register here

  • Try something new by learning the game of golf in an adapted golf clinic.

    The golf clinic welcomes children of all abilities to participate in the fun with adapted clubs and equipment and 1:1 training from expert golf coaches from Freedom Golf Association.

    To register for this golf clinic email spike@eastersealsdfvr.org by May 1.

September 17, 2017               
2nd Annual Bike for the Kids
Easter Seals DuPage & Fox Valley, Elgin, IL
Choose a cycling distance ranging from 12 – 100 miles or participate in a 2.5 mile family ride.  Adapted bicycles and trailers welcome!
Register here

  • Go on regular bike rides and train as a family throughout the summer.

All proceeds from these events support infants, children and adults with developmental delays and disabilities at Easter Seals DuPage & Fox Valley. For a complete list of upcoming events visit here.

Executive Functioning Skills: CO-OP Model Expanded

By: Laura Van Zandt, OTR/L

Recently I wrote a blog on how to develop and strengthen executive function skills using the CO-OP (GoalPlanDoCheck) model. I thought I’d take a moment and expand on a very important foundational skill.

“Do with me and not for me”

So often we have great intentions and we do for our children. This isn’t a bad thing; we want our children to succeed. It’s hard to see them struggling. When we do for our children we neglect one very important step in developing their executive function skills. We accidentally take away their ability to plan, prioritize, problem solve, manage their space/time/materials, and reflect.

If we do not expect our children to be an “active participant” in his or her life, then we take away the many opportunities to learn the daily life skills needed for adulthood and the ability for learning how to tackle and master challenges. Involving your child in daily activities and encouraging them to be an active participant builds a strong sense of competency and positive self-esteem. It helps provide the confidence that your child can do many things and learn to ask for assistance when things go wrong.

Getting your child involved doesn’t have to be an elaborate process. Take whatever you are currently doing for your child and give him/her a simple job with the task. If the child is used to doing “nothing” start very small. Any job, regardless of how small (e.g. hold the pillow and place it on the bed while you make the bed, put one or two dishes into the dishwasher, drop a few articles of clothes in the washer, raise his arms to put his shirt on, etc.) is a start.

The best therapeutic opportunities are often right in front of you. There are endless activities (e.g. cooking, laundry, shopping, bathing, etc.) that make up your day.  You can use all your little interactions for many opportunities to develop executive function skills. By taking a little more time, you can  get your child involved around the house. Instead of just doing, slow down and ask for help. You might find your child enjoys helping and you may even start making some new memories together!

Basi Family

By doing with your child, you have the opportunity to break down the task so your child can be successful. In the process your child then starts to learn that a goal (e.g. making a bed) has many steps to the plan (e.g. put on the fitted sheet, do opposite corners, put on the sheet, put on the duvet/comforter, hold open the pillow case and put in the pillow, place the pillows on the bed). When we do the goal sometimes we work with a team (e.g. you and your child) and sometimes we need to adjust our plan (e.g. having them help this time) and sometimes we check throughout the process (e.g. did we get all the pillows?). You should celebrate with your child by “doing it together” with praise, giving high fives, and other gestures of companionship that you and your child share together. In turn, your child feels productive and competent; driving a desire to learn more. Over time your child learns to feel “good” about doing, and the typical daily challenges that are now a major struggle start to melt away. The child becomes more eager to learn, rather than driven to avoid.

I briefly used GoalPlanDoCheck but let’s use the concept in two better examples. Let’s use the first example for getting your children ready for school and let’s use the second example to model tools you use to help yourself get ready. Both ways involve your children.

1) Helping Your Child Get Ready in the Morning

Goal– While first getting your child up in the morning, tell them “It’s time to get ready so our goal is for you to be at school on time.” Use the word goal so your child knows that is GettingReadyforSchoolyour expectation.

Plan– Talk to your child about the steps. “First we need to go the bathroom so we can wash your face and brush your teeth. This usually helps wake you up so you can focus on getting dressed all by yourself. When you are getting dressed all by yourself, mom and dad will be downstairs making your breakfast. You need to eat your breakfast and then grab your lunch so we can get you to school. Don’t forget to double check your backpack and make sure you have everything you need for school or any after school activities.”

Depending on your child and the age of your child, you might simplify the plan. You might use visuals to help your child remember the plan. There are tons of different strategies that can worked within each child’s individual plan that are tailored to his or her specific needs and specific interests to ensure motivation. Depending on your child you might also need to use incentives to help with motivation and time management.

Do– Divide and conquer. Depending on your child’s age, he or she would not be expected to do all the pieces of the plan.

Check– Keep talking to your child. “Did we get everything? Are we on time? What helped us stay on time? What were time robbers?”

2) Modeling Tools You Use to Get Ready in the Morning

Children learn through modeling. This is a great way to begin introducing your child to this concept as well as teach through modeling different strategies.

Goal– While first getting up in the morning and working with your child, talk aloud to them. Talking aloud is not something that comes naturally and must be practiced; however, talking aloud is a great strategy for modeling the development of executive function skills. Tell them “It’s time to get ready so our goal is for you to be at school on time.” Use the word goal so your child knows that is your expectation.

Plan– Talk to your child about the steps; however, instead of listing the steps like we did in the first example, we are going to focus on you and tools that you use. This is important for kids who just seem disorganized, can’t get their arousal level just right, and just need help. Modeling is great to let them know we all use a variety of tools and that tools can be helpful. Here is an example of a conversation you might have while getting ready with your child:

“It’s time to get ready so our goal is for you to be at school on time. I don’t know about you, but mom is feeling really tired today. I have to get up earlier than you so that I can help you get ready. Do you know what helps me wake up so I can focus on getting ready? I start my morning with a shower. Sometimes the feel of the water on my skin wakes me up. Let’s try washing your face since we don’t have time for a shower.”

Notice how in this example, you discussed with your child a tool you use (shower) and provided them with an option to try. This is a great way to model. There are lots of other dialogues you can have with your child to model tools. This was just one example.

Do– Looks the same as in the first example; however, depending on the tool you may or may not be modeling. Do in the example above was telling your child and then providing your child with an example to do together.

Check– Remains the same. In this stage, we are actively involving our child to think and problem solve.

Have fun with it and know that you are working on developing and strengthening your child’s executive function skills. Executive function skills are developmental and must be taught. When working with your child, you are setting a path toward greater independence. Start simple and build gradually.

If your child is not used to doing much, start with a couple of activities a day. Pick a time of the day when you are not feeling rushed and your child is not feeling stressed. This will give you practice in how to guide, assist, and engage your child. Once it starts to feel natural, expand the “we-dos” into many daily activities. Do them together, giving him/her a little part to play, and gradually expanding his/her role to build more competence.

You are an important part in the development of your child. The more you can help your child think about what they do and why, the more they will be able to use that thinking in any problem solving situation. As my other blog concluded, the overall goal is to teach your child how to work through a problem using a planned approach instead of acting impulsively.

To learn more about Easter Seals DuPage & Fox Valley’s occupational therapy services visit: http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/occupational-therapy.html. 

Climbing and Bouldering Therapy: The Benefits to Rock Climbing

By: Laura Van Zandt, OTR/L

This summer, physical and occupational therapists are excited to provide therapy on the walls as part of our summer outreach program “Climbing and Bouldering.” The varied terrain offers countless opportunities for physical and sensory challenges.

Rock climbing has so many benefits for kids of all ages and abilities.15_Patrick_Krueger

  • Strengthening and endurance: Climbing walls require strength and flexibility to
    successfully maneuver. Kids develop hand and finger strength as they grasp and hang onto holds of all different shapes and sizes. Some of the holds are tiny and don’t have much to grasp. Making your way up a climbing wall also requires a great deal of core strength and leg strength as your hold yourself in space. All that movement and use of your arms, legs, and core will help develop endurance for other gross motor activities.
  • Sensory processing: Kids get great proprioceptive input (sensory input to the muscles and joints) and vestibular (movement-based) experiences as they power themselves up and over while using the different holds as well as glide back down to the floor from the top of the wall! For kids who experience gravitational insecurity, rock climbing can be an extreme challenge but can be graded to meet their needs. For example, kids who are reluctant to climb high up on the wall can work on moving from side to side first. Children who also experience tactile sensitivities could also be help by all the proprioceptive input into their hands to help desensitize prior to working with different textures.
  • Motor planning and visual spatial/perceptual skills: Climbing is an awesome way to help kids develop motor planning skills. Indoor rock climbing is a great puzzle just waiting for your child to solve! The holds are all different shapes and colors. Most climbing walls also have colored tape markings that show climbers different paths they can take up the wall. This makes it easy to give a child instructions (e.g. “step your right foot on the blue hold” or “find the next hold with green tape next to it”) to challenge their abilities. Also, climbing walls usually have “routes” with
    a variety of difficulty levels, making it easy to adjust the activity depending on the skill level of the child.

    15_Brady Pembroke

  • Bilateral coordination: When kids are rock climbing, they must use both sides of their body together, usually in an alternating pattern — right hand and right foot move up to the next level, followed by the left hand and left foot. Also, kids have to learn how to differentiate between the movements on either side of their bodies. They stabilize themselves with one foot/hand while motor planning how to grasp onto and step on the next holds with their other foot and hand.
  • Confidence: Allowing kids to move outside of their comfort zone in a safe and controlled environment will undoubtedly help to build their confidence and promote development of positive self-esteem.

If you think your child might benefit from this outreach group, please visit our website for more information on Climbing and Bouldering Therapy and check out other Community Based Therapy Programs for Summer 2017!

The World is “Lighting Up Blue” for World Autism Month

By: Laura Bueche MOT OTR/L

Every April 2, in conjunction with the international autism community, Autism Speaks spreads awareness of autism spectrum disorder with its Light It Up Blue Campaign. Thousands of organizations around the world, such as Easter Seals DuPage & Fox Valley participate in this event to spread education, resources, and awareness for greater understanding and acceptance of Austism Spectrum Disorder (ASD).

Source- (1)
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What is Autism Spectrum Disorder?

Autism, also known as autism spectrum disorder (ASD), is a neurodevelopment disorder. It refers to a wide range of conditions characterized by challenges with social skills, repetitive behaviors, speech, and non-verbal communication. The Term “spectrum”
reflects the wide variation in challenges and strengths possessed by each person with autism.
https://www.autismspeaks.org/what-autism

08_Kai_JudyThere is no known single cause of autism, but increased awareness and early diagnosis/intervention and access to appropriate services/supports lead to significantly improved outcomes.

In 2016, the Centers for Disease Control and Prevention issued their ADDM autism prevalence report. The report concluded that the prevalence of autism had risen to 1 in every 68 births in the United States – nearly twice as great as the 2004 rate of 1 in 125 – and almost 1 in 54 boys.
http://www.autism-society.org/what-is/

Signs and Symptoms

People with ASD often have problems with social, emotional, and communication skills. They might repeat certain behaviors and might not want change in their daily activities. Many people with ASD also have different ways of learning, paying attention, or reacting to things. Signs of ASD begin during early childhood and typically last throughout a person’s life.

Children or adults with ASD might:

  • not point at objects to show interest (for example, not point at an airplane flying overhead)
  • not look at objects when another person points at them
  • have trouble relating to others or not have an interest in other people at all
  • avoid eye contact and want to be alone
  • have trouble understanding other people’s feelings or talking about their own feelings
  • prefer not to be held or cuddled, or might cuddle only when they waAutism Diagnostic Clinic 2 - Richard Howent to
  • appear to be unaware when people talk to them, but respond to other sounds
  • be very interested in people, but not know how to talk, play, or relate to them
  • repeat or echo words or phrases said to them, or repeat words or phrases in place of normal language
  • have trouble expressing their needs using typical words or motions
  • not play “pretend” games (for example, not pretend to feed a doll)
  • repeat actions over and over again
  • have trouble adapting when a routine changes
  • have unusual reactions to the way things smell, taste, look, feel, or sound
  • lose skills they once had (for example, stop saying words they were using)

https://www.cdc.gov/ncbddd/autism/facts.html

Meet Some People With Autism

Pierre https://www.youtube.com/watch?v=fnCzF2JdDWM

Max https://www.youtube.com/watch?v=IA5FHPUeWpQ

Lesey https://www.youtube.com/watch?v=GWPf9toT_3M

Cullen https://www.youtube.com/watch?v=EryEs1gIu4s

Ellie https://www.youtube.com/watch?v=56VCxks8jGA

Autism Diagnostic Clinic at Easter Seals DuPage & Fox Valley

Early detection and intervention is the best way to help children with Autism Spectrum Disorders and other developmental disabilities gain greater independence.  If you are concerned about your child’s development inquire about our medical diagnostic and autism diagnostic clinics.

Additional Services at Easter Seals DuPage & Fox Valley for Children & Young Adults with Autism Include:

  • Occupational therapy to learn daily life skills and help integrate sensory processing difficulties
  • Physical therapy to improve strength, endurance, and gait
  • Speech therapy to help children with ASD improve speech, articulation, language , and interaction
  • Assistive technology to give children a way to access language through technology devices
  • Social Work services to support families and provide behavior strategies
  • Parent Liaison services also offers parents support and are full of great recourses
  • Case Management services to help coordinate this complex network of caregivers and providers
  • Feeding Clinic and Nutrition Therapy provide families with feeding, digestive, allergy, food sensitivity, GI, and sensory related issues.
  • Easter Seals also offers families a variety of community outreach programs including: social groups, physical fitness groups, feeding groups, and aquatics.

To learn more about Easter Seals DuPage & Fox Valley’s Autism services visit our website.

Get Your Little One Walking

By: Bridget Hobbs PT, DPT

A child’s first year of life is so full of milestones… first smiles, first solid foods, and the first time s/he sits up on his/her own.  As the first year is coming to a close, many parents desire to see their little one taking their first steps around the time of their first birthday.  The typical window for children taking their first steps is anytime between 9 and 15 months, which is a big spectrum of time.

Below are some things that parents or caregivers can do with their child to help them get walking when they are showing signs that they are ready.

  • Set a good foundation for your baby. Walking involves strength from the entire body, not just the legs.  Believe it or not, creeping on hands and knees is an important milestone to achieve before walking.  Also, climbing over obstacles, such as couch cushions or parents’ legs is another good way to help build a solid core, or base for walking.  You can also help build strength in the core, arms and legs by teaching your child to crawl up steps. Try placing a favorite toy on the landing as motivation.
  • 01_Lucas_Vasquez2After a child learns to pull up and stand at the couch or coffee table, place toys away from their body so that the child has to rotate their body away from the support surface to reach for the toy. This technique will not only help build important rotator muscles in their trunk but will also gradually encourage them to stand with less support.
  • Once your child is standing supported holding onto furniture, have them practice little squat to stand movements. For example, motivate your child by placing a stacking ring at the height of their knees. While supporting them at their waist, encourage them to bend at their knees and hips to pick up the ring and then stand back up to help them place the ring on the stacking toy.
  • When your child is pulling up to stand, cruising side to side along furniture and starting to experiment with standing on their own, they are likely ready to start taking some steps. Hold onto one end of a hula hoop or small ring and encourage your child to hold onto the other side. While facing your child, encourage them to take a few steps while holding onto the ring for support.  You can also use a motivator, such as walking to pop bubbles or to grasp a puff snack as encouragement to get your child to talk some steps.
  • Weighing down a push toy, such as a small shopping cart or ride on toy will provide them the support they need to take forward steps. Often times these toys will move too fast, causing a child to face-plant forward if they are not weighted down, so place a gallon of milk or carton of orange juice in the shopping cart or ride on toy to help with this.

02_Josephine_Huard.jpg_waterIf your child is not showing any signs of pre-walking skills, such as pulling up to stand, walking along furniture or walking with hand held assist, and they are at the age when many of their peers are starting to walk, it’s always good to talk to your pediatrician about possible reasons why they are late to walking.

To learn more about  Physical Therapy and play-based therapy services at Easter Seals DuPage & Fox Valley, visit our website.

 

Recommendations for Pacifiers

By: Jessica Drake-Simmons M.S. CCC-SLP

Babies show a natural tendency to suck on fingers and thumbs from the time they are in utero.  Sucking provides comfort and is a natural way for babies to explore the environment.  Allowing a baby to suck on a pacifier can have the advantages of helping to sooth a fussy baby, providing a distraction and helping a baby fall asleep.   Additionally, pacifiers may help minimize reflux.  The Mayo Clinic suggests that a pacifier could help reduce the risk of sudden infant death syndrome when used at nap time and bedtime.

Baby nico on swingThe problem with pacifiers comes when little ones become dependent on them.  As a speech-language pathologist, seeing kids more frequently in their toddler years and beyond, I see some of the detrimental effects that persistent pacifier use can cause.  The preferred oral rest posture is having the lips closed, tongue placed up against the roof of the mouth, a slight space between the teeth and nasal breathing.  This oral rest posture supports dental alignment and wide rounded dental arches. Prolonged pacifier use (or other sucking habits) can cause a child’s teeth to be misaligned or not come in properly.

A study from Van Norman, 2001 found that 60% of dental malocclusions were related to sucking habits.  When the shape of the roof of the mouth is changed and dental malocclusions are created, kids can develop articulation errors such as a forward tongue position for production of /s/ (lisping).  Obstructing the mouth with a pacifier can negatively impact babbling and imitation of sounds.  Additionally, there is a correlation between pacifier use and increased incidence of ear infections.  Frequent ear infections are a common cause of speech and language delays.

Guidelines to follow for pacifier use:

  • The American Academy of Pediatrics recommends waiting to offer a pacifier until a baby is 3-4 weeks old when breast feeding is well established.
  • Don’t use the pacifier as a first line of defense. Try other strategies such as changing positions or rocking the baby to sooth them. pacifier
  • Use the appropriate size pacifier for your babies age in order to help maintain correct jaw alignment.
  • Recommendations vary between 6 months and 2 years for when it is appropriate to discontinue pacifier use. It can be easiest to wean the pacifier by the time a baby is 12 months.
  • Use pacifiers that are rounded on all sides. This allows for a more natural position of the tongue during non-nutritive sucking.

For help with discontinuing pacifier use: http://www.orofacialmyology.com/StopPacifier

To learn more about speech language-pathology and Easter Seals DuPage & Fox Valley visit eastersealsdfvr.org

How to Promote Reading Awareness in Young Children

By:  Kelly Lopresti, Director of Child Development & Christopher J. Lopresti, Reading Specialist

Each year at the beginning of March, school children kick off National Reading Month by celebrating the birthday of the beloved Dr. Seuss. Teachers design contests, family literacy events, and even pajama and pillow days to provide cozy mornings of uninterrupted reading. With help from Read Across America, the goal is to motivate kids to read every day of the year.

What about the little ones? Some think young children can’t participate. With a little help, they can enjoy National Reading Month too.

Literacy skills begin to develop at birth. At the Lily Garden Child Care Center we know how important early reading can be to help a child’s later success with reading and writing.

Skills closely related to later success with reading and writing:

  • Writing letters or one’s own name—the ability to write single letters in isolation, or write their own name
  • Alphabet knowledge—the ability to name letters and the sounds they make
  • Phonological awareness—the ability to hear and manipulate the sounds of spoken language (such as hear the beginning sound of a word)
  • Rapid letter or number naming—the ability to quickly name letters or numbers
  • Phonological memory—the ability to remember spoken information for a short period of time
  • Rapid object or color naming—the ability to quickly name random series of colors or objects

readOne way to develop these skills, give the gift of reading aloud to your child.

There are several benefits of reading aloud to your children. From bonding with your children to helping them strengthen skills in writing, creativity, listening and more. According to Scholastic’s Kids and Family Reading Report, the frequency of children being read aloud to at home drops sharply after age 5.  It drops even lower after age 8.  Try these resources to keep your reading bond strong with your kids.

  • The more you read aloud to your kids the more they will love reading.
  • It builds their vocabularies.
  • It develops background knowledge that they will need to understand the meaning of texts when they read on their own.
  • It inspires a lifetime love of reading and is a great way to model making reading a part of their everyday lives.
  • It’s one of the best ways to bond with your kids.

What you read aloud can vary day to dayMix it up – short, long, funny, factual – it’s all good.    

tipLiteracy Coach Reading Tip:  Please remember to read boldfaced headings and captions to your children in preparation for their academic careers.  The information therein is often used as source material for higher order thinking questions and can be used to expand their knowledge.

  • Chapter Books: Some read alouds go on for days and weeks because you may be reading a chapter a night of a longer novel or chapter book.
  • Picture Books: You may want to share a favorite picture book. Pick a former favorite of your child’s and revisit it.  They will love it just as much as they did when they were younger. Picture books are short 10-15 minutes. You can read picture books over and over again.
  • Poetry: Reading a short poem in the morning (or whenever you have time) can be a great idea. Find poems that relate to the season or what’s happening in their daily life.

Try one of these poems and see if your children like it.

Visit the below websites for a list of the top children’s book of 2016 and other resources.

Lily Garden Teacher’s Top Pickskeep-calm-and-love-reading

The Little Mouse and The Big Hungry Bear by Don and Audrey Wood -The pictures are amazing.  I also like that the big hungry bear is mentioned throughout the book but never pictured.   It is left up to the child’s imagination to picture the bear. -Jenni Moses

How I Became a Pirate by Melinda Long – It’s a story from a child’s perspective which the children can relate to. It’s a story about fun pirates! Every class I’ve worked with loves pirates and it’s something that holds their interest. Also, the author uses very descriptive words that really puts you in the story! -Katie Kwiatek

Harold and the Purple Crayon by Crocket Johnson – Harold lets his imagination go through art and his drawing! -Julie DeSalvo

We are in a Book by Mo Williams – I love this book! Mo Williams is such a creative author and I recommend all his work. The characters come to life well if you have a crazy imagination like I do or enjoy doing voices. Piggie reminds me of myself, so doing voices for Piggie and elephant is very fun. -Melissa Gonzalez

Go Away Big Green Monster by Ed Emberly – Toddlers love this book.  The children like to point to whatever facial feature is on that page.

The Bunny Rabbit Show by Sandra Boynton  – Toddlers love to sing along! -Christy Stringini

Naughty Little Monkeys by Jim Aylesworth -This book is about what happens when you leave twenty-six little monkeys home alone.  It’s a funny and colorful book that children want to read over and over again.  My son loved this book! -Kelly Lopresti

For more information about our inclusive daycare and our program philosophy visit: eastersealslilygarden.org.

Back to Sleep: Tummy to Play

By: Cassidy McCoy, PT

The Back to Sleep campaign rolled out in 1994 as an initiative to decrease the risk of SID, or sudden infant death syndrome. While this campaign has been successful in decreasing the incidence of SIDS, most people forget to finish the full sentence. Back to Sleep, Tummy to Play!

Placing your infant on their back during sleep times is safe practice, having your infant on their belly while they are awake (and being monitored) is very important for development.

Tummy time can promote:

  • Strong muscles in the trunk, arms and back, including strong neck muscles resulting in good head control
  • Development of appropriate spinal extension and rotation, which are both pre-requisites for walking
  • Initiation of exploring one’s environment, starting with vision and leading to reaching out for objects, rolling and eventually crawling

If a child remains on their back for a majority of their day it can lead to complications such as torticollosis, plagiocephaly or brachicephaly.  These issues can lead to developmental delay, including asymmetries with crawling and walking.

What if my child hates being placed on their tummy?

TakeThreePhotography_05202010-123
Photo from Take Three Photography

Use some technique to make it a little easier for them!

  • You lay in a recline or semi-reclined position and place your child on your chest. Being in a reclined position eliminates some of the resistance of gravity, making it easier for your child to lift their head. This can also be used as great bonding time with your infant.
  • Have your infant lay over a boppy pillow, so the pillow is under their chest with their arms and shoulders in front. This position is similar to having them lay on your chest, decreasing the resistance of gravity.

Making tummy time fun!                  

The more time your child spends on their tummy the more they will enjoy it.

  • Get down on their level! Position yourself to be in line with your child’s eye site
  • Place different toys on the floor that are motivating for your infant to play with, such as music toys or light up toys. The toys can be placed to either side of your infant’s head or directly in front of them.
  • Babies love looking at themselves! If you have a mirror or a toy with a mirror attached, place it on the floor in a position where they can see themselves.
  • Make sure you have enough space for your baby to explore. It starts with just lifting the head and will progress to turning 180 degrees on their bellies to crawling!

For more information on Physical Therapy and play-based therapy services at Easter Seals DuPage & Fox Valley, visit our website: http://www.easterseals.com/dfv/our-programs/medical-rehabilitation/physical-therapy.html