Archive for March, 2009

Your Therapy Source’s Sqworl Page

Monday, March 9th, 2009

Heard about Sqworl from Paul Hamilton’s blog. I just created a Sqworl page for Your Therapy Source. This is a visual look at all the places Your Therapy Source can be found on the Internet.

Sqworl could also be used for some of the students that you work with. If there is websites that the students always go to, you can create a Sqworl page for free. Once the student is on the Sqworl page, they can use the visual icons to pick where to go versus having to read links or use a search engine. The visual pictures are direct links to specific web pages.

Check out Your Therapy Source’s Sqworl page to get ideas.

Word Cloud for Pediatric Therapy

Friday, March 6th, 2009

Playing around on computer and created this Word Cloud on Wordle. Check it out.

Obesity and Motor Skills

Friday, March 6th, 2009

Here is another interesting topic to me. Just read some research from 2008 Neuroscience Letters indicating that obese and overweight children had decreased fine motor control when compared to normal weight peers. Fine motor skills were decreased more when postural challenges were present (standing on balance beam while doing peg activity.

In addition, Adapted Physical Activity Quarterly reports on recent research that concluded obese children scored significantly less than overweight or normal peers on the MABC in ball skills, balance and manual dexterity.

Pondering today if therapists consider this when evaluating overweight and obese children. If using standardized testing to determine eligibility, should it be taken into account that it may be “normal” for overweight children to score below age level? If motor skill deficits are noted along with decreased muscle strength, functional deficits, sensory issues and more how much motor skill gains can we expect if the obesity is not addressed simultaneously?

Reference: Eva D’Hondt, Benedicte Deforche, Ilse De Bourdeaudhuij, Matthieu Lenoir Relationship Between Motor Skill and Body Mass Index in 5- to 10-Year-Old Children
APAQ, 26(1), January 2009

Reference: Eva D’Hondt, Benedicte Deforchea, Ilse De Bourdeaudhuija and Matthieu Lenoira (2008) Childhood obesity affects fine motor skill performance under different postural constraints Neuroscience Letters
Volume 440, Issue 1, 25 July 2008, Pages 72-75

Great FREE Assistive Technology Resources

Thursday, March 5th, 2009

Heard about this on Twitter – The Wisconsin Assistive Technology Initiative (WATI) is now offering free access to many of their superb resources. There is a free 337 page book entitled Assessing Student’s Needs for Assistive Technology. There are numerous resource guides, forms, assessments and more all for free.

Functional Physical Training and CP

Wednesday, March 4th, 2009

Recent research in Pediatric Physical Therapy reports on thirteen children with cerebral palsy who participated in functional physical training 2x/wk for 9 weeks resulting in significant improvements in ambulation, aerobic endurance, and walking distance.

This might seem obvious but I think therapists need to be reminded frequently what works time and time again – aerobic training results in improved functioning. Sometimes therapists can go off on too many tangents when working with kids. Sticking to the basics, muscle strengthening, practice and aerobic training gets results.

Now how to apply this study to school based therapy. Most children do not receive PT or OT 2x/week. Although, many receive PE or APE that many times. Try consulting with the PE teachers and help to create stations that work on aerobic conditioning. Also, try offering parents suggestions to do at home with aerobic stations that are simple to set up. Get the child motivated to participate. Create a chart – when 18 sessions are reached award that child with a prize. Any other ideas? Please comment.

Reference: Gorter, Hetty PT; Holty, Lian PT; Rameckers, Eugène E.A. PT, MRes; Elvers, Hans J.W.H. RI, MSc; Oostendorp, Rob A.B. Prof Dr (2008) Changes in Endurance and Walking Ability Through Functional Physical Training in Children with Cerebral Palsy [Research Report] Pediatric Physical Therapy:Volume 21(1)Spring 2009pp 31-37

Location for Blog

Wednesday, March 4th, 2009

Please go to www.YourTherapySource.blogspot.com for our updated blog. After testing out a few blogging tools I liked a different one the best. Any special needs or pediatric therapy professional should take a look. You will get activity ideas, latest research, technology info, articles and more a the blog or our website www.YourTherapySource.com.

Yet Another Use of Velcro

Tuesday, March 3rd, 2009

Here is a three year old girl working on hip external rotation, weight shifting, eye foot coordination and crossing midline. There is Velcro strap on her feet with Velcro coins on the cards on the floor. She is matching the cards on the floor in front of her to cards to the left and right of her. Try for active range of motion, crossing midline, coordination or as a precursor activity to donning/doffing shoes and socks. Need more activity ideas for pediatric therapy? Check out www.YourTherapySource.com.

Preschoolers and Physical Activity Time Tip

Monday, March 2nd, 2009

Pediatrics reports that children in preschools with high quality scores, less fixed playground equipment, more portable playground equipment, less media time and larger playgrounds experienced more moderate/ vigorous physical activity per hour and fewer sedentary minutes compared to other preschool children.

That seems like a simple way to increase physical activity time in any preschoolers we may be working with to develop gross motor skills. Perhaps suggest to the preschool director more portable playground equipment i.e. balls, jump ropes, etc rather than always relying on fixed playground equipment for gross motor time. This would help all children in the class. With our extensive problems with childhood obesity in this country, this simple addition to play time may encourage more moderate/vigorous activity in children which is a huge plus.

Does anyone else have any simple suggestions to increase physical activity time in preschoolers? We have several electronic books and articles at our website www.YourTherapySource.com to promote physical activity. We would love to hear from you and what you do in your therapy practice to encourage physical activity. Please comment.

Reference: Dowda, Marsha, Brown, William H., McIver, Kerry L., Pfeiffer, Karin A., O’Neill, Jennifer R., Addy, Cheryl L., Pate, Russell R.
Policies and Characteristics of the Preschool Environment and Physical Activity of Young Children Pediatrics 2009 123: e261-e266

Sensory Friendly Films

Monday, March 2nd, 2009

The Autism Society of America and AMC Entertainment are now offering movie showings in certain cities specifically for children with sensory differences. Basically, at specific times, movies will be shown with the sounds turned down, lights up and children are allowed to move around and even dance! This is an AWESOME idea.

Flat Feet and Motor Skills

Monday, March 2nd, 2009

Pediatrics reports on research indicating that flat feet in children ages 11-15 did not have a significant effect on 17 motor skills or athletic ability. The researchers do not recommend treating flexible flat feet for athletic performance.
That is a swift blow for all orthotists. This study was done on 11-15 year old children. I would love to see similar research in younger children.

Reference: Tudor, Anton, Ruzic, Lana, Sestan, Branko, Sirola, Luka, Prpic, Tomislav
Flat-Footedness Is Not a Disadvantage for Athletic Performance in Children Aged 11 to 15 Years Pediatrics 2009 123: e386-e392