Archive for March, 2009

Water and Risk of Being Overweight

Monday, March 30th, 2009

Brain Gym proponents as well as some pediatric therapists have been promoting the concept that drinking water can help learning. One of the 4 components of the PACE program from Brain Gym is to drink water to provide energy for the brain. The current issue of Pediatrics reports on another benefit of water for school age children – preventing obesity. This study was done in Germany with 2950 students. The experimental group received four lessons to promote water consumption. Water fountains were installed and water consumption was measured. The results showed that the children in the water group decreased their risk of being overweight by 31% compared to the control group. There was no difference in body mass index. The intervention group drank 1.1 more glasses of water per day than the control group.

Reference: Muckelbauer, Rebecca, Libuda, Lars, Clausen, Kerstin, Toschke, Andre Michael, Reinehr, Thomas, Kersting, Mathilde Promotion and Provision of Drinking Water in Schools for Overweight Prevention: Randomized, Controlled Cluster Trial Pediatrics 2009 123: e661-e667

What’s Missing Tactile Game Video

Sunday, March 29th, 2009

Here is a fun activity that encourages upper extremity muscle strengthening, proprioceptive input and tactile input.

What more sensory motor activities? Check out 50 Sensory Motor Activities for Kids!.

Physical Fitness and GMFM Scores

Friday, March 27th, 2009

Developmental Medicine and Child Neurology published research on the relationship of physical fitness and Gross Motor Function Measure scores in children with cerebral palsy (45 with hemiplegia and 23 with spastic diplegia). The study results indicated no relationship between aerobic capacity and body mass index and sections D (standing) and E (walking, running and jumping) on the GMFM. There was a moderate to high correlation between short term muscle power, agility, functional muscle strength and sections D and E on the GMFM. The authors conclude that this correlation can help to guide treatment planning to improve motor capacity in children with cerebral palsy.

Again, we see that muscle power and strength correlate with function in children with cerebral palsy. Always keep this in mind when working with children with cerebral palsy – increasing muscle strength can translate into improved function. Give parents simple activities to carry out during the day that will help to maximize muscle strengthening i.e. stair climbing, heavy work chores, etc. Try making muscle strengthening fun for children. Foster games and activities that children will want to participate in instead of just basic therapeutic exercises.

I was surprised to see that body mass index and aerobic capacity did not effect motor abilities.

Visit www.YourTherapySource.com/playstrong for an electronic activity book on muscle strengthening through play. For simple activities to carry out during the day check out Therapeutic Activities for Home and School at www.YourTherapySource.com/therexbook.

Reference: OLAF VERSCHUREN, MARJOLIJN KETELAAR, JAN WILLEM GORTER, PAUL J M HELDERS, TIM TAKKEN Relation between physical fitness and gross motor capacity in children and adolescents with cerebral palsy Developmental Medicine & Child Neurology
2009 1469-8749 PN: 0012-1622 DOI: 10.1111/j.1469-8749.2009.03301.x US: http://dx.doi.org/10.1111/j.1469-8749.2009.03301.x

Team Blog for Pediatric Therapists

Thursday, March 26th, 2009

After the poll results from the last few weeks, we have set up a team blog for pediatric occupational and physical therapists. I think this is a great idea to share ideas, links, discussions and more. Be sure to visit. All you have to do is email us with your email address to approve you to write on the blog. It is super simple. Once you register, Google blogger is easy to use. So get posting and let’s all blog together!!!!

ARRA of 2009 – Stimulus Money for IDEA

Thursday, March 26th, 2009

The American Recovery and Reinvestment Act of 2009 will provide millions of dollars to help fund IDEA Part B and Part C. Therapists need to be informed regarding the distribution and purpose of this money. The goals of the IDEA Recovery Funds for Services to Children and Youths (early intervention through high school students) with Disabilities are four fold:
1. Spend funds quickly to save and create jobs
2. Improve student achievement through school improvement and reform.
3. Ensure transparency, reporting and accountability
4. Invest one-time ARRA funds thoughtfully to minimize the “funding cliff”
(must be able to sustain projects after the funding expires)

Here is an excerpt from the ED.gov fact sheet on the American Recovery and Reinvestment Act of 2009:

The IDEA recovery funds constitute a large one-time increment in IDEA, Part B funding that offers states and local education agencies a unique opportunity to improve teaching and learning and results for children with disabilities. Generally funds should be used for short-term investments that have the potential for long-term benefits.

Some possible uses for the funds that therapists should be aware of:
1. Obtain state-of the art assistive technology devices and provide training in their use to enhance access to the general curriculum for students with disabilities.

2. Provide intensive district-wide professional development for special education and regular education teachers that focuses on scaling-up, through replication, proven and innovative evidence based school wide strategies

Keep in mind what the definition of assistive technology (Public Law 100-407) is: “Assistive technology is defined as an item of piece of equipment or product system either acquired commercially, off the shelf, modified, or customized and used to increased, maintain or improve functional capability for an invidividual with disabilities”.

Therefore, therapists should be thinking about and advocating for students with disabilities who may need adaptive equipment or assistive technology. Maybe now is the time to suggest to your administrator to purchase that Hoyer lift, gait trainer or some other large piece of equipment that has always been on your wish list. Perhaps there are many students on your caseload that would benefit from assistive technology software such as word prediction, text to speech or voice recognition. Maybe a smart board would help your students to me more involved in the lessons. These are simply just suggestions to get your ideas flowing. Now is the time to think and request.

Regarding professional development again get your ideas flowing. Maybe now is the time to get teachers on board for a specific handwriting program for the entire district to follow. All children would benefit. Perhaps suggest professional development on universal design resulting in less modifications being necessary for all students.

Take a proactive approach and provide your school administrator with a letter of justification for the equipment now. This may allow for your requests to be first on the list. Get moving though, some of the money is scheduled to be available within the upcoming months. And as our government states “spend funds quickly…”

Take our vote at the right side of the blog – What would you spend the IDEA stimulus money on???

References:
American Recovery and Reinvestment Act of 2009: IDEA Recovery Funds for Services to Children and Youths with Disabilities. Retrieved from the web on 3/25/09 at www.ed.gov/print/policy/gen/leg/recovery/factsheet/idea.html

Definition of Assistive Technology. Retrieved from the web on 3/26/09 at http://idea.ed.gov/explore/view/p/%2Croot%2Cstatute%2CI%2CA%2C602%2C1%2C

Another Assistive Technology website to share

Tuesday, March 24th, 2009

Heard about this on Twitter NICHY
TECHMATRIX – http://www.techmatrix.org/index.aspx . This is a great website to compare different products and do research on assistive technology. It is super easy and super informative! I always like that.

Developmental Coordination Disorder and Functional Skills

Tuesday, March 24th, 2009

Researchers in Taiwan determined that children with developmental coordination disorder (DCD) and suspected DCD perform significantly lower on the Vineland Adaptive Behavior Scales and School Function Assessment when compared to typically developing peers. This indicated that the children with DCD and suspected DCD exhibit inadequate functional skills at home and school.

Limitations of the study is that the sample was on Taiwanese children and all of the standardized testing was done with the Chinese version.

The study does give us information as to the degree of how developmental coordination disorder effects children in their functional activities.

Reference: TIEN-NI WANG, MEI-HUI TSENG, BRENDA N WILSON, FU-CHANG HU
Functional performance of children with developmental coordination disorder at home and at school Developmental Medicine & Child Neurology 2009 1469-8749 0012-1622
DOI: 10.1111/j.1469-8749.2009.03271.x US: http://dx.doi.org/10.1111/j.1469-8749.2009.03271.x

New Idea for Sensory Ball

Monday, March 23rd, 2009

Here is a new way to use a sensory toy. This is a spiky ball that can go on a child’s head so there is a hole in it. Stuff the inside with a cloth napkin or dish towel. Mark one counting stick (or coffee stirrer) with a piece of masking tape on it. The child puts all the sticks in the spiky ball. After all the sticks are in, the adult or another child, pulls out one stick at a time. How many sticks do you have to pull out before you reached the marked one? If more than one player, the winner is the first one to find the marked stick. This activity encourages fine motor skills, bilateral coordination and tactile input. Want more activities like this? Go to www.YourTherapySource.com.

Motor Skills and Function in Children with CP

Saturday, March 21st, 2009

Developmental Medicine and Child Neurology published research that compared children with cerebral palsy’s scores on the GMFM-66 and the Vineland over 3 years. The study results indicated that there is a significant relationship between what a child can do (GMFM)and what a child does do (Vineland). The relationship was more positive for GMFCS Level I children. Therefore, improvements in individual motor skills resulted in improved motor performance during personal and social skills. The authors recommend also focusing on environmental adaptations and mobility equipment.

This study is beneficial to justify why, at times, therapists recommend individual therapy sessions in an isolated setting outside of the classroom. If motor skills can be practiced and refined during therapy, then everyday functional skills should improve as a result as well especially in GMFCS Level I children with cerebral palsy.

Reference: MIRJAM VAN ECK, ANNET J DALLMEIJER, JEANINE M VOORMAN, JULES G BECHER
Longitudinal study of motor performance and its relation to motor capacity in children with cerebral palsy Developmental Medicine & Child Neurology 51:4(303-310) 2009. DOI: 10.1111/j.1469-8749.2008.03263.x

Imagination Playground

Thursday, March 19th, 2009

And I thought therapists carried a lot of stuff! Check this out. Where can I get one of these?