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Activities to Help A Child with Low Tone

Muscle tone refers to the amount of tension present in a muscle. This is different than muscle strength, Low Tonewhich refers to the amount of power a muscle can generate. Low muscle tone means that the muscles are slow to activate and initiate movement, and have decreased endurance for sustaining contractions. A child with low tone may appear weak, floppy, and have poor posture.

If your child has low tone, here are some activities you can try at home:

  1. Yoga poses – Practice a variety of yoga poses each day. Superman pose and plank are good for developing core and upper extremity strength.
  2. Animal walks – Encourage your child to use animal walks around the house. These include bear walking, crab walking, and wheelbarrow walking.
  3. Lying on the belly – Whenever your child is playing a game on the floor, encourage them to play while lying on their stomach. This will support the development of back and neck strength.
  4. Carrying heavy items – Have your child help out around the house by carrying items that are heavy (but not too heavy!) such as a bag of groceries, a basket of laundry, or a watering pot. If it is too challenging for them to carry these items, try having them push them around the house instead.
  5. Climbing and swinging – Any activity that requires the child to lift both feet off the ground at the same time will help develop their core strength. This can include climbing a knotted rope or hanging by their arms from a trapeze swing while kicking a ball.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Laura Gilman

Laura Gilman

Laura Gilman is an occupational therapist with a passion for working with children. She received her Bachelor of Arts degree in Psychology from the University of Minnesota, and her Master of Science in Occupational Therapy from Washington University in St. Louis. While a student, Laura engaged in research and clinical experiences working with various populations in a variety of settings. Her desire to pursue work with a pediatric population became evident while completing an internship at North Shore Pediatric Therapy. Laura values the relationships that develop with the children and their families, and loves watching kids make progress and achieve their goals.

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Why It’s Important For A Baby Not To Skip Crawling | Pediatric Therapy TV

In today’s Webisode, a pediatric physical therapist shows how crawling is essential for an infant’s muscles and sensory input.

Read these useful tips on how to encourage your baby to crawl

In this video you will learn:

  • How crawling influences an infant’s muscles
  • What essential skills infants learn to master when crawling

Robyn

Robyn Ackerman, B.A. in Applied Behavioral Sciences has been in the education field for over 12 years. Her teaching experience includes: Special Education, Acting and Behavior Therapy. Robyn loves working in Social Media, online marketing and website development. Her biggest passions are spending valuable time with her growing family which includes her husband, two daughters and son.

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Heavy Work Strategies for the Busy Family

Young Boy Holding a Pile of LaundryLife can get heavy from time to time and everyone gets stressed out. Unknowingly, many adults cope with said ‘stressors’ by incorporating various self-regulating strategies into their daily routines. They may take a deep breath or find their ‘zen’ in a yoga class. Some may take pleasure in the simplicity of sipping a warm cup of tea, while other more physical individuals resort to running a mile or two. Yet others prefer to lounge under a tree to read an enchanting romance novel. Children, like adults, need to have the ability to calm their bodies and self-regulate. One way for children to gather themselves in times of stress is by incorporating “heavy work” into their daily routine. ‘Heavy work’ activities provide deep proprioceptive input into a child’s muscles and joints, and thereby help them self-regulate in the same way that exercise may help an adult deal with stress.

Here are some examples of preparatory methods that can be incorporated into everyday life and used before a child encounters a stressful situation such as a loud birthday party, busy school day, or long car ride.

Heavy Work Activities To Provide Deep Proprioceptive Input For Children:

  • Help Mom: The completion of many chores can help incorporate ‘heavy work’ into a child’s daily routine. Examples include: carrying laundry, stirring recipes, pushing a grocery cart, or carrying shopping bags from the car.
  • Relay races and other forms of exercise are wonderful ways to build endurance and self-regulate. Examples include: wheelbarrow walks, froggy jumps, bear crawls, army crawls, crab walks, skipping, galloping, yoga, swimming, and gymnastics.
  • Play Outside: Take a walk and pull a wagon full of goodies, push a friend or sibling on the swing at the playground, build a
    sandcastle at the beach, or help around the house with yard work.
  • Rearranging Furniture: Pushing heavy chairs and couches provides deep proprioceptive input to the major joints and muscle groups of the body. You could put a fun spin on the activity and make a fort using furniture and blankets right in your living room!

‘Heavy work’ strategies can be incorporated into everyday life no matter the context or season. The use of these strategies may assist your child with more independence and self-soothing when they are feeling upset. This will also allow them to strengthen their muscles, increase their endurance, and may just help you cut back on the time spent completing housework chores. For other self-regulating ideas, please contact a NSPT occupational therapist.

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Lindsey Moyer

Lindsey Moyer

Lindsey Moyer, is a licensed pediatric occupational therapist. She graduated from Western Michigan University in Kalamazoo, Michigan with a Bachelors Degree in Health and Human Services. A year later, she graduated with her Masters of Science in Occupational Therapy. While a student, Lindsey gained expansive knowledge of the field by working in a variety of settings with people of varying ages and disabilities. Lindsey’s interest and compassion for working with children and their families became apparent as she completed internships and independent studies focusing on educational, social, and physical development. One such internship was completed at North Shore Pediatric Therapy (NSPT). Lindsey loves supporting kids in the acquisition of skills needed to lead fun and enriching childhoods.

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Swimming- A Fun and Beneficial Sport

Swimming is a great sport and pastime, particularly for children with sensory processing difficulties, as the waterBoy in swimming pool provides a multi-sensory experience for the body. Swimming also addresses a variety of skills, ultimately improving your child’s sensory processing, strength, endurance and coordination.

Proprioceptive/tactile processing: The feel of water on the body gives proprioceptive input, the input to the muscle and the joints, and gives a sense of where the body is in relation to other body parts. The constant sense of the water against the skin provides deep proprioceptive input and helps with developing body awareness.

Vestibular processing: Somersaults under water or headstands at the bottom of the pool provide vestibular input, as the body is responding to the changes in head position and assisting with balance to complete these tasks.

Auditory processing: The pool environment typically provides a loud and vibrant auditory experience, as children’s laughter and happy shrieks are heard while they play in the pool.

Strength: Moving the body against water when swimming is a workout for the muscles! The water provides natural resistance for muscles, which in the long run, builds up overall body strength.

Endurance: Not only does the resistance of the water against the body make the body stronger, it also assists with endurance. As the muscles become stronger, they will be able to endure swimming and other activities for longer periods of time.

Coordination: Swimming strokes are very complex. The brain must take in all of the sensory information from the environment and act quickly to move the arms, legs, torso and head in a coordinated fashion to produce the movement.

So many children find swimming exciting and fun, and love spending summer days at the pool. Parents can also appreciate spending time at the pool knowing that this activity is not only fun, but also good for their child!

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Dana Pais

Dana Pais

Dana Pais, OTD, OTR/L is an occupational therapist who obtained her Masters of Occupational Therapy (MS) and Doctorate of Occupational Therapy (OTD) at the University of Illinois at Chicago. During her doctoral studies, she spent time working in Lima, Peru at the Centro Ann Sullivan del Peru (CASP), a center for families and their children with cognitive and physical disabilities, where she provided intervention for many children and their families in the areas of low vision accessibility, independent living, school inclusion and supportive employment. Her interests include sensory processing and its impact on daily life and managing visual deficits. She is passionate about helping children reach their full potential in every aspect of their lives.

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10 Activities to Improve Balance

Balance is a great skill to help your child progress with their gross motor skills, leisure activities, and activities of daily living.

The following activities are various ways you can work on improving static and dynamic balance for improved performance in activities such as sports, games, self-care, and many more!

  1. Stand with one foot on the ground while the other foot is resting on a stool in front of the other foot. This is the primary skill in working towards balancing on one foot. If this is too easy, replace the stool with a ball that your child has to rest his or her foot on. Then, progress to just standing on one leg. To make it more challenging play a game (such as catch, zoom ball or balloon tennis) while balancing.
  2. Stand on top of a bosu ball. A bosu ball is an exercise ball cut in half with a flat plastic surface on the bottom. If your child gets really good at standing on top of the bosu ball, turn it upside down so that the ball is underneath and he or she is standing on the flat side. Once this is mastered, play catch while standing on the bosu ball.
  3. Stand on a balance board. A balance board is a flat surface made of wood or hard plastic that has a rounded or curved underside. This can be a very challenging activity just to stay upright!
  4. Simply stand on one foot! Make this into a contest with the whole family and see who can maintain their balance the longest.The person who wins gets to pick a family activity.
  5. Put two lines of tape on the ground and practice walking on a pretend balance beam. The space between the two pieces of tape could start large (6 inches) and progress to 4 inches apart. If your child steps out of bounds, he or she has to start again. By employing a balance beam that is flush with the ground, this will decrease any possible fear of falling. Once this becomes easier, utilize a real balance beam to work on more challenging balance skills.
  6. Sit on an exercise ball while playing a board game at the table. Don’t let your child put his or her feet on the ground while playing unless they need to make sure they don’t fall.
  7. Play hopscotch only while jumping on one foot. No switching feet is allowed! This makes the game slightly more challenging.
  8. Sit, kneel, or stand on a flat platform swing. Once you child can simply balance, play catch, zoomball, or balloon volleyball while sitting, kneeling, or standing.
  9. Stand on a trampoline with just one leg on the surface. To make this even more challenging, invite someone else to walk on the trampoline (or jump) while trying to keep your balance!
  10. Try any of the above activities with your eyes closed. Balancing with your eyes closed is significantly harder than having your eyes open. Therefore, if your child has mastered all of the above activities, make it one step harder to keep them challenged!

The possibilities are endless! Get creative and make these activities easier or harder depending on your child’s progression of skills.  By working on balance, your child will learn to use their muscles properly in order to adjust to changes in movement. This will set them up for success in playing games and sports with their peers! As always, ensuring your child’s safety during these activities is very important. Utilize pillows, mats, and adult supervision when practicing these activities.

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Lindsey Miller

Lindsey Miller, OTD is a pediatric occupational therapist who graduated from Illinois Wesleyan University with a Bachelor of Arts degree in Psychology and Washington University in St. Louis with a Clinical Doctorate in Occupational Therapy. During her time in graduate school, Lindsey's research focused on the participation of adults with physical disabilities at work. Clinically, she has experience working with children with a variety of limitations, such as autism spectrum disorder, cerebral palsy, spinal muscular atrophy, brachial plexus injuries, sensory integration disorders, and orthopedic injuries. Lindsey has had several volunteer and internship experiences working with infants and children in hospitals, outpatient clinics, and schools. Her special interest area is providing sensory integration therapy. Lindsey is very passionate about helping children gain the tools and skills they need so that can live full and productive lives.

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