Fort Myers occupational therapy
Learning to get dressed is an essential function of independence. But none of us is born learning to tie, button, or zip. For kids with developmental delays and disabilities, these skills can take longer. Our FOCUS Fort Myers occupational therapy team can help.
Developmental Progression of Buttoning and Zipping
Every child develops at a different pace, so there are no hard-and-fast rules for when a child should be able to master buttoning and zipping. That said, some general milestone guidelines are:
- Can unzip zippers with large tabs.
- Can pull a large zipper tab up if an adult holds the bottom of it tight.
- Can unbutton large buttons (1 inch or more).
- Can button 3 large buttons, though they may not do so in the right order.
- Can unzip and unsnap clothing while wearing it.
- Is able to close the front snap on clothing.
- Can button and unbutton while wearing front-opening clothing.
- Opens all the fasteners on any piece of clothing.
- Can hook and zip up on their own.
5 to 6 years:
- Can hook and zip up on their own while wearing the clothing.
Autism is a neurological condition characterized, in part, by restricted, repetitive patterns of behavior, interests, or activities. Someone with autism may insist on adhering to the same routines and rituals – and any attempt at changing the slightest element can set off a major meltdown. But the fact is: We live in an ever-changing world. As Fort Myers occupational therapists, one of our primary goals when treating children with autism spectrum disorder is to teach them flexibility.
Flexibility is the quality of being easily bent but not broken. It’s not a natural skill for any of us. Think about your reactions when events take a sudden, unexpected (and unwanted) turn. But the ability to be flexible is what allows us to move on from the big emotions of that and continue with the task or the rest of the day.
Change is just an inherent part of the world we’re in. Lots of kids with autism struggle with this – and often for seemingly very minor things. Helping them learn to get themselves “unstuck” is critical for functioning in daily life.
Big news, FOCUS Family: FOCUS Therapy is opening a second location in Fort Myers!
Our new FOCUS Therapy location, conveniently situated near FGCU, Gulf Coast Town Center and Southwest Florida International Airport (RSW), will allow us to expand our vital services (speech, occupational, physical & ABA therapies and ADOS testing) to hundreds more children in one of the fastest-growing communities in the country.
The new FOCUS Gulf Coast Office, located at 9961 Interstate Commerce Dr., Unit 150 & 160, will officially open its doors Aug. 9, 2021. This new facility will allow us the capacity to ultimately onboard an additional 20 therapists and treat 200 more children than our existing patient list. We’ve hired 10 new therapists to start, and will bring on more as we grow throughout the next year.
“Opening this new site is both extremely exciting and deeply humbling,” said FOCUS Owner/Founder Jennifer Voltz-Ronco. “I set out to fill a critical need in this community 10 years ago, at a time when there weren’t enough clinics providing pediatric therapy in Southwest Florida. There still aren’t. As the population in our area continues to grow at a rapid speed, the demand for quality therapy has expanded at an even faster clip. This brings us one step closer to ensuring all children in Southwest Florida have access to the therapy services they need to succeed.”
At our existing location on Royal Gulf Circle off Colonial Boulevard, we have a waitlist of 160 children. Similar waitlists are reported at other pediatric therapy clinics throughout Southwest Florida.
According to the National Institute on Deafness and Other Communication Disorders, roughly 9 percent of kids in the U.S. have a speech sound disorder. Further, about 5 percent of kids have a noticeable speech disorder by 1st grade. Now consider that in 2020, the U.S. Centers for Disease Control and Prevention reported approximately 1 in 54 children in the U.S. is diagnosed with autism spectrum disorder (ASD). That’s 1 in 34 boys and 1 in 144 girls, with diagnoses being reliably made as early as 18 months. There is a mountain of clinical evidence showing these kids can thrive – but only with access to intensive, early intervention therapies (speech therapy, occupational therapy and applied behavior analysis).
Whether we’re talking about a speech delay, down syndrome, autism, cerebral palsy, brain injury or other condition, the more assistance a child receives early on, the better their odds of school readiness, social engagement, academic success and long-term independence. That’s because neuropathways for young children are still developing, and young minds are little sponges for new knowledge. This ability of the brain to change, rewire, relearn and strengthen key connections is called neuroplasticity. It’s especially agile during early childhood, and that’s why we’re so adamant in preaching early intervention. It’s also why we couldn’t delay any longer in opening a second FOCUS Therapy clinic location.
“Children cannot wait for services this important,” Voltz-Ronco said. “This new Gulf Coast location of FOCUS Therapy is going to allow us to reach more kids in this community – and faster – benefiting not just themselves, but their families, the schools and our entire community as a whole.”
FOCUS offers pediatric speech therapy, occupational therapy, ABA therapy, physical therapy and ADOS testing in Fort Myers. Call (239) 313.5049 or Contact Us online.
More Blog Entries:
Therapy Isn’t a Quick-Fix – Why You Should Still Follow Our Course Until Successful, May 7, 2020, FOCUS Therapy Fort Myers Blog
Why FOCUS Therapy Celebrates With “Therapy Graduation” Ceremonies, Sept. 5, 2020, FOCUS Therapy Fort Myers Blog
Why did the man sit on the clock? …. Because he wanted to be on time!
Compelling a child to complete tasks in a timely manner is a daily struggle for so many parents. This is especially true when your child has developmental delays and disabilities. As Fort Myers occupational therapists, we recognize that time management is not only an executive function skill that our brains will keep working on well into our 20s (!), but it’s also an abstract concept that’s tough for a lot of kids to grasp – to their parents dismay!
For the most part, schoolchildren aren’t taught time concepts until 2nd grade. Yet we often expect kids their age and even younger to “get it” when it comes to how time works and how to manage the time they have. “You have 8 minutes before we leave for school,” or, “It’s 20 minutes until bedtime.” And then we’re frustrated when they aren’t ready or have a meltdown at the transition. After all, you DID give them a heads-up!
The good news is, there are several strategies our occupational therapists can offer to help your child both grasp the concept of time and manage it better.
For many kids, learning to independently put on their socks and shoes is an important early childhood skill and major milestone. It’s an important indicator of emerging independence and self-care, and it also lays the foundation for planning and sequencing of more complex skills. But our occupational therapy team knows it can also be difficult to learn.
Several skills are required for one to be able to put on/take off their shoes and socks, including:
- Crossing midline
- Bilateral coordination
- Intrinsic and extrinsic muscle strength in hands
- Pincer grasp
- Hand-eye coordination
- Biomechanical postural control
- Forearm pronation and supination
All of this to say: It’s something that takes some baseline skills and practice! Children with delays, disabilities, injuries and other challenges may find it even more difficult to master if they struggle with:
- Poor finger strength (needed to manipulate items).
- Difficulty planning/sequencing (Step 1, Step 2, Step 3, etc.).
- Trouble with self-regulation (critical to persisting with a tough task).
- Limited interest in self care or independence.
In occupational therapy, we tend to see our mission as helping children succeed. However, we also recognize that it’s equally important to teach kids how to fail.
That may seem strange, but the reality is failure is an inevitable outcome for everyone at some point or another. The size of the failure may vary, but knowing how to better tolerate will reduce meltdowns, anxiety and social difficulties (which can exacerbate the initial problem). Perhaps even more importantly, kids who know it’s Ok to fail sometimes are less likely to give up – and more likely to try new things! Ultimately, knowing how to self-regulate and cope with failure sets your child up for success in the long-term.
This point was underscored several times by NBA great Michael Jordan, who throughout his career spoke about the importance of losing. Resilience and perseverance in the face of challenges are a huge part of what has much him a winner, he’s said.
“If you’re trying to achieve, there will be roadblocks. I’ve had them; everybody has had them. But obstacles don’t have to stop you. If you run into a wall, don’t turn around and give up. Figure out how to climb it, go through it, or work around it.”
Helping kids figure out ways to climb it, go through it and work around it are a huge part of what our FOCUS occupational therapy team does every day. Self-regulation is a big piece of that puzzle, particularly with children who are diagnosed with delays, disabilities and other challenges.
Dear FOCUS Therapy Families,
If ever a year could be described as a rollercoaster, it was 2020. FOCUS Therapy is beyond grateful for the families, therapists and staff who stuck with us through whirlwind months of office closures (in accordance with CDC guidelines), rapidly-expanded teletherapy services, scheduling upheavals and enhanced safety protocols. Our services are vital to patients’ health and development, and we’re committed to delivering no matter the obstacles. Still, our success has always hinged heavily on the dedication of our FOCUS families.
As a token of our thanks, this new year we’re gifting each patient a clean slate on their appointment cancellation record. Starting Jan. 1, 2021, cancellations for the prior calendar year will not count against you or adversely impact your child’s standing as a FOCUS patient.
One of the most important things we do as pediatric occupational therapists is help educate, support and strategize with parents to give kids all the tools they need to be more fully involved in the activities of daily living. Haircuts are a part of that – but a lot of kids extremely dislike them. There is ample research to support what many parents of children with autism already know: More than 96 percent of kids with ASD report hyper- and hypo-sensitivities to certain stimuli. That can make something seemingly simple like getting a haircut an overwhelming experience. Our Fort Myers OT team has tips to help you before your child’s next trip to the clippers.
By Rachel Revehl, FOCUS Therapy Parent
Earlier this year, prior to the pandemic, one of our son’s speech therapists from FOCUS approached me with what seemed at the time an absurd idea: Would we consider allowing him to do some of his speech therapy sessions via teletherapy? He’d be a great candidate, she said. She also thought it might help us with our busy schedule.
That last part was tempting, but…
“Um, thanks,” I replied. “But, I just don’t think that would work for him.”
Seriously, how could it? He would NEVER sit for a full session without a therapist physically in front of him, I thought.
Many of the children we treat at FOCUS have some sensory processing issues. These are difficulties organizing and responding to information that is “read” through the senses. Some kids are undersensitive (sensory seeking), some are oversensitive (sensory avoiding) – and some are both, depending on the sense and stimuli. When a child has trouble managing sensory input, it can have a significant impact on learning and everyday life. One of the things our Fort Myers occupational therapists frequently recommend to help children with sensory processing issues is called “heavy work.”
Heavy work is a strategy we use in therapy and recommend to parents to target a sense called proprioception, with the ultimate aim of:
- Improving attention and focus.
- Decreasing defensiveness.
- Helping to calm/regulate.
Heavy work can actually benefit all children, not just those with sensory processing difficulty. Our occupational therapists have found it especially helpful to have kids do heavy work just before or at the very beginning of our sessions.