Fort Myers OT
Bilateral coordination, sometimes referred to as bilateral integration, is a critical developmental skill with which some kids struggle. It involves using both sides of the body together, and can impact both fine and gross motor skills Children who have difficulty with bilateral coordination may be diagnosed solely with developmental coordination disorder, but it’s also closely associated with other conditions such as autism spectrum disorder, Down syndrome, cerebral palsy and other developmental delays and disorders.
As Fort Myers pediatric occupational therapists, we recognize there’s been an increasing awareness about what bilateral coordination is as well as what deficits might look like. A reported uptick in bilateral coordination deficits could also be partially attributed to COVID closures, as lots of kids lacked regular exposure to certain activities (PE class, playground time, etc.) that can help build these skills.
How Do I Know If My Child Has Poor Bilateral Coordination?
Some indicators of poor bilateral coordination include:
- Trouble cutting with scissors.
- Struggles with handwriting.
- Difficulty tying shoes.
- Having a hard time dressing themselves (pulling on socks, pants, and shoes).
- Trouble with fasteners, like buttons, zips, or snaps.
- Clumsy movements.
- Trouble catching a ball.
- Awkward clapping.
- Troubling using a bicycle pedal.
Parents should note there are actually three different types of bilateral coordination: Symmetrical, reciprocal and leading/supporting.
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.
When does picky eating become a disability? Fort Myers OT (occupational therapy) services for children may be necessary for picky eaters when severe aversions to certain foods morph into “problem feeding,” a significant hindrance to healthy growth and development.
Parents of picky eaters can easily feel consumed by mealtime battles. They aren’t alone.
An 11-year longitudinal study of 120 kids published in the journal Eating Behaviors revealed that at any given time, between 13 and 22 percent of kids were reported by parents to be “picky eaters.” (Other researchers have put the figure as high as 50 percent.) About 40 percent of picky eaters kept it up for 2 years or more. This was different from those who simply went through short-burst phases of strong dislike for one food or another.
Instead, as our Fort Myers OT providers have seen, truly picky “problem” eaters consume an extremely limited variety of foods, even requiring it to be prepared in certain ways. They tend to show much stronger dislike for most foods and throw major tantrums. Some simply refuse to eat.
“What we see is their pickiness is extremely restrictive,” said Fort Myers OT Krystle Hofstetter. “They’ll eat just two or three items – and that’s it.”
The good news is: We can help!
Many of our Fort Myers occupational therapists at FOCUS Fort Myers believe in a holistic approach to treating children with a wide range of delays and disorders. What that means is we focus on “the whole child,” and not just a series of symptoms or conditions – and treat with evidence-based therapeutic strategy and (hopefully, where it’s possible) avoid the need for pharmaceutical intervention. Part of this can involve essential oils, powerful plant extracts that have proven effective in a wide range of applications from boosting focus and attention to promoting relaxation and calming.
Often referred to as “aromatherapy,” (and many do smell very good), our occupational therapists wouldn’t bother to mention it if it were simply expensive potpourri. Far from a gimmick, the truth is there is real science to support the effectiveness of essential oils in numerous applications – from promoting healing in prematurely-born infants to helping a child who struggles with transitions calm and self-regulate.
Exploratory Study Promotes Essential Oils as a Benefit for Children With Autism
On analysis conducted by researchers at AirAse found that certain combinations of therapeutic grade essential oils applied topically every night for several weeks were associated with positive improvements in children’s behavioral, cognitive and emotional well-being.