Fort Myers occupational therapy
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.
There are many established benefits to giving children regular household chores. From an occupational therapy perspective, this holds especially true for children with special needs.
Some of the known upsides include:
- Establishing routine. Having chores on a set schedule can help reduce anxiety, improve focus and even avoid meltdowns. Many kids on the autism spectrum, for example, feel more secure when they know what to expect next. Chores assigned at the same time each day or day of the week or after certain activities can make for smoother transitions. Visual schedules can help with this too.
- Teaching valuable life skills. This includes learning the task itself but also responsibility. Children with developmental delays and other conditions may need more practice with certain things and sometimes modifications are necessary, but never assume they can’t just because of their diagnosis. Talk to your occupational therapist if you have questions.
- Contributing to the family. No matter what a child’s abilities, there are always ways to help out. It also gives children confidence and a sense of accomplishment.
- Development of fine and gross motor skills and sensory integration. Chores require use of either big muscle groups (gross motor skills) or careful hand-eye coordination and finger manipulation (fine motor skills). These are things our Fort Myers occupational therapy team is probably working on with your child. Chores are a good way to practice and reinforce those skills.
Happy New Year from all of us at FOCUS Therapy!
To ensure this year goes as smoothly as possible, we’re publishing the 2020 FOCUS Therapy Scheduled Office Closures list in advance.
Typically, our Fort Myers therapy clinic’s schedule mirrors that of the Lee County School District. In other words: If the schools are open, we’re open. If schools are closed, we’re closed. Keep this in mind anytime there are severe weather closures, etc. (particularly during hurricane season!). Obviously, this doesn’t apply to the summer schedule, but where there are deviations, your child’s therapists should alert you in advance. Please don’t hesitate to ask if you have any questions!
Scheduled 2020 FOCUS Therapy Office Closures
- 4/10/20 – Good Friday
- 5/25/20 – Memorial Day
- 9/7/20 – Labor Day
- 11/26-11/27 – Thanksgiving and the Friday after
- 12/21/20-12/25/20 – Christmas Week
- 1/1/21 – New Year’s Day
(Note: We will be open during spring break, March 16-20th and Friday, July 3, 2020.)
The FOCUS Fort Myers occupational therapists have years of education and experience in developing goals and a plan-of-care for our pediatric patients, with the goal of promoting the highest level of functioning in everyday life. But as parents, you don’t need a degree to carry these lessons over with at-home occupational therapy exercises. There are many ways you can help strengthen your child’s skills and development with occupational therapy exercises – most with items you probably have around the house, if you need anything at all. The idea is not just to improve your child’s development of independence and life skills, but to have fun and spend quality time doing it.
Some of the strengths and skills you can target with occupational therapy exercises at home include:
- Body awareness
- Visual perception skills
- Language skills
- Muscle strength
- Direction following
- Texture exploration
- Emotional regulation
Because every child is different, it’s important to discuss your plan for at-home occupational therapy exercises with your child’s FOCUS occupational therapist, to ensure safety and the best results.