Articles by Month: February 2019
Many parents think of crawling as the simple progression between head up/rolling and standing up/ walking. But as our FOCUS Fort Myers pediatric physical therapists can explain, crawling is in fact a major motor milestone requiring strength, coordination and motor planning. It is the first step toward independent mobility, which in turn will open new worlds and discoveries as well as lead the way to increasingly more complex movement.
Crawling is one of those skills that requires a child to use both their mind and body. The muscles in the arms, shoulders, neck, back and core need to be strong enough to support one’s weight. Vision is also key, as both eyes are needed to focus on a single target. Mentally, a crawling child is working to memorize facts and build navigation skills (“How can I get past the chair and around the coffee table to get to the toy box?”)
Although every child develops at a varying pace, most babies learn to crawl by about 6 and 10 months. Some babies breeze right on past crawling and go straight to pulling up and walking (read more below about our physical therapists’ take on this). So while each baby is different, we do encourage parents to ask their pediatrician or one of our FOCUS Fort Myers pediatric physical therapists if your baby hasn’t shown steady progress in becoming mobile by the time they reach 12 months. It may also be worth asking if early intervention is needed if his or her “crawl” tends to involve dragging one side of the body.
Premature babies (aka “preemies”) born earlier than the 37th week of pregnancy, are more likely to survive today even compared to the 1990s – and they are more likely to have less severe disabilities. That’s according to research published in the British Medical Journal. Globally, about 15 million babies every year are born before the 37th week, placing them at higher risk for conditions like cerebral palsy, delayed language, speech and motor skills. Study authors further concluded preemies who receive early intervention therapy have a much better chance of catching up to their peers.
Preemies are already starting out behind the curve. The earlier a baby is born, the higher the risk of serious illness and disability. The U.S. Centers for Disease Control and Prevention reports preemies who survive those early weeks and months in the NICU (neonatal intensive care unit) may still struggle with breathing trouble, intestinal/digestive problems (including feeding and swallowing) and developmental delays. About half of all children born more than eight weeks early or at a very low birth weight develop problems with language, learning and executive function.
As our FOCUS Fort Myers therapy team can explain, early intervention therapy involves a combination of separate but interrelated services, tailored to meet the specific needs of each child, with the core aim of helping a child develop skills that will allow them to reach their full potential. This generally includes some combination of speech and language therapy, feeding therapy, occupational therapy and physical therapy. Although many preemies benefit from this therapy up to age 5 and sometimes beyond, commitment to therapy now reduces the struggles preemies will face down the road.
Our FOCUS Fort Myers speech therapists must admit: We were a little heartbroken upon learning there would be no more Sweethearts Conversation Candy Hearts this Valentine’s Day (MISS U!). In addition to the fact they can be used in a bunch of fun kids’ speech-language therapy exercises, we had a great idea for a special speech therapy line: TALK 2 ME. I LUV SPCH. WORD UP. LETS LINGO. I HEAR U. SLPZROCK. Not to worry, though – our speech therapists have other ways of making you talk…
In the spirit of spreading the love (despite being candy heart-less), our speech therapists are sharing some of our favorite positive affirmations for kids. Positive affirmations are the kind of declarations that go a step beyond praise and shine a light on something that is special and inherent in that child. Instead of simply, “Nice work!” we say, “You are a hard worker!” Instead of, “Good job on that one!” we say, “You are so brave to try new things.” Rather than just, “Cool picture!” we might say, “You have such a creative mind!”
Praise and compliments obviously are great too, but positive affirmation is more specific. It shines a light on something that is both inherent and special to that person. It acknowledges the challenge and validates the effort. Positive affirmation can help a child gain the confidence to keep going – even when it gets hard. Research shows that children who receive regular positive affirmations will believe, internalize and be motivated by it. In speech therapy, we often see them excel farther and faster.
The positive affirmation boost is backed by extensive research. One analysis published in the Annals of Behavioral Medicine found that children with cancer who practiced self-affirmation were overall more optimistic and coped better, achieved goals faster and ultimately had better health outcomes. Another study by psychology professors Carnegie Mellon University found that when people are under pressure, they can actually improve their ability to problem-solve by using positive self-affirmations. And a brain scan study published in the journal Social Cognitive and Affective Neuroscience established that people who practice self affirmation had higher activity levels in areas of the brain associated with reward.
As FOCUS Fort Myers occupational therapists, we help children with disabilities overcome impediments to independence, adapt to the world around them (or adapt the world to them) and acquire the tools necessary to navigate each day. One key component of this is learning appropriate socialization – particularly with peers. Through play-based approaches, our clients learn to recognize personal space, read body language, handle greetings, manage unexpected interactions, participate in conversations, take turns, avoid conflicts and understand and express their emotions.
Problems with socialization for children with disabilities can be compounded when peers’ reactions are overwhelmingly negative. To be fair: It’s natural for any child to be curious, hesitant or possibly even scared when encountering notable differences for the first time. Every parent has at least one story about the time their child said something mortifying in pointing out another person’s differences (usually very loudly, in public, and in a line where there is no quick escape). But the truth is: They’re still learning socialization skills too. It’s a teaching moment.
Talking to your kids about peers with disabilities increases understanding and acceptance, encourages inclusion and can even help reduce bullying (to which children with disabilities are especially vulnerable).
Long-practicing occupational therapists in South Florida know it wasn’t so long ago children with disabilities were far more isolated from society in daily life. The 13 percent of Americans with disabilities were often taught in different classrooms, denied accommodations allowing them access to the same facilities and arbitrarily boxed out of many career choices. The good news is that’s changing, most recently with the U.S. Department of Education’s new policy statement on inclusion in early childhood programs. The DOE policy declares unequivocally that inclusion of children with disabilities from a young age offers maximum benefit and should be every district’s goal.
That means if he or she is not already, your child will soon have daily interaction with at least one peer who has a disability. Helping them understand differences – and framing those differences in a positive way – can make a big difference.