iPad app for Visual Skills and Letter Reversals: “LetterReflex”

If you are raising or working with a child who frequently reverses letters, numbers, or words when writing, then the LetterReflex iPad app may be for you. (It is also available for iPhone, but I would recommend using it on a larger screen due to the nature of the games).

LetterReflex: app for helping kids who struggle with letter reversalsI was recently asked to review this app for the American Occupational Therapy Association (AOTA), and have included a snippet of the article below:

AOTA: Briefly describe the LetterReflex app.
Christie: LetterReflex is an app that uses kinesthetic learning to address visual perceptual issues related to commonly reversed letters, numbers, and words. LetterReflex consists of two programs: Tilt It and Flip It. Tilt It contains ten levels and is easier to experience than it is to explain. Basically, it’s like a digital version of “Labyrinth”, except the focus is on learning and understanding letter orientation. In level one, the user is shown a screen that is divided into four quadrants which correspond to four commonly reversed letters: q, p, d, and b. Letter quadrants relate to which side of  the line each letter’s circle is located (left or right), and which part of the line it connects to (top or bottom). Voice prompts encourage users to tilt the device in order to roll the ball toward a particular letter. This teaches them to discriminate between left and right as it relates to the orientation of these commonly reversed letters.
LetterReflex: app that helps kids who struggle with letter reversalsLetterReflex: app that helps kids who struggle with letter reversals

Flip It contains ten levels and is much easier to explain…LetterReflex: app that helps kids who struggle with letter reversalsLetterReflex: app that helps kids who struggle with letter reversals

This is a just a preview of the post on AOTA’s blog. Click here to access the full article, with answers to questions such as how I would use this app in therapy, what age group it is best for, how I would improve the app, how children responded when I tested this app with them, and more.

I hope you’ll check it out and let me know what you think!

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How to Sneak Fine Motor Skills into Gross Motor Play

Welcome to One Thing Thursday, where we share one thing you can do to boost your child’s development!

. . . . .

Parents and teachers often ask me how they can incorporate more fine motor practice into their child’s or student’s day.

Well, try this one thing:
Sneak fine motor practice into their gross motor play!

Many kiddos I work with struggle to sit still, focus, or follow adult-directed tasks, and their fine motor development suffers as a result. That’s why they’re getting OT! Asking them to sit at a table and transfer color-coded clothespins from one paper plate to another for a few minutes? Forget about it! Not gonna work for these movers and wigglers.

When many of my kiddos participate in a gross motor obstacle course at the beginning of their session, I usually make sure to include a fine motor station. This allows me to “chunk” the fine motor activity into smaller pieces in order to facilitate things such as improved attention to task, decreased frustration, and improved overall success with the activity. Plus the other gross motor stuff often serves as a positive reinforcer for them so they know that as soon as they finish their fine motor station (as much as they may hate it), they’ll be able to go do all that fun stuff again! Don’t get me wrong — the ultimate goal is to improve their attention and skill in the fine motor department and eventually get them comfortable and functional working at tabletop. But we’ve gotta meet kids where they’re at if we want to help them move forward. And, hey, we want it to be FUN!!

Don’t forget that fine motor development requires a stable “base”, which means kids need a strong set of abs, back/side muscles, neck muscles, and shoulders to support the development of refined skills in the hands and fingers. So, really, kids are working on the foundations of fine motor development even when they engage in gross motor play. It’s a win-win!

Below is one example of a fine motor/gross motor obstacle course several of my preschool students recently completed during individual school-based sessions.

OC 1

The obstacle course included the following stations:
1. Climb up the tall side of the blue blocks
Fine Motor Relation: Upper body/core strength; bonus of working on motor planning for those who struggle with it
2. Swing on trapeze and kick down foam blocks
Fine Motor Relation: Hand, forearm, and shoulder strength to hang; core strength to lift legs and kick; bonus of working on attention, timing, and providing vestibular input while swinging
3. Jump on trampoline
Fine Motor Relation: Core strength; neck strength; shoulder and wrist stability if holding therapist’s hands and bearing weight down into them while jumping; bonus of providing proprioceptive and vestibular input to calm and focus the mover or alert the sluggish child
4. Crawl through tunnel
Fine Motor Relation: Shoulder and wrist stability; neck strength; bonus of working on motor planning and bilateral coordination for those who struggle with it
5. Sit on hippity hop ball while using tongs or kiddie chopsticks to place all poms of one color into bucket (Find 50 ways to play with tongs by clicking here, and one tip for facilitating good grasp on tongs here.)
Fine Motor Relation: Hand and finger strengthening; practicing grasp pattern for crayon, pencil, or scissors; core stability while sitting on ball; bonus of providing vestibular input if bouncing and challenging visual scanning and discrimination to find desired color
6. Re-set foam blocks for trapeze by setting them up so they are lined up evenly spaced next to each other and “sit” just above the little white line (just like letters when they are written on paper)
Fine Motor Relation: Upper body strength to lift blocks; bonus of working on motor planning to raise them up and visual perception to accurately place them next to each other and on the line
*Repeat obstacle course until all colors of poms have been placed in the bucket while using the tongs. This means they get to go around the obstacle course four or five times, depending on how many colors of poms are included. It also provides a natural ending point for the obstacle course and eases the transition for many students because they know it’s “all done” when there are no more poms left. Minimizing tantrums during transitions is always good!

Don’t you wish you got to do this when you were in preschool?!

OC 4OC 2 OC 3Some other good fine motor or pre-writing activities to incorporate into obstacle courses for young ones include lacing beads, pushing puff balls into small holes, placing toothpicks into the small holes of a spice container, operating shape sorters or puzzles with pegs, assembling Mr. Potato Head, or building Mat Man one body part at a time as they go around (see short video of kids building Mat Man by clicking here).

So the next time you think there’s no way you can possibly get your kiddo to work on fine motor skills, or you think you just don’t have time for it, remember this! Squeeze fine motor practice into their gross motor play and you might just be surprised at how effective it is. Let your child be your guide when it comes to the appropriate level of fine motor challenge. Have fun!

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Diaper Rash Home Remedies

Mama OT: Diaper rash home remedies

Diaper rash is miserable. It’s a totally common irritation of the skin in the diaper region that can be caused by a number of factors such as a too-tight diaper that inhibits air flow, a soiled diaper left on too long, antibiotics being taken by baby or nursing mother (which is then passed to baby), too many acidic foods/drinks that irritate the skin on their way out, sensitive skin, etc.

Our 18-month-old recently experienced an unfortunate encounter with the worst diaper rash of his life and, after several days of treating with our go-to diaper cream, it became apparent it wouldn’t be going down without a fight. I decided to reached out to our community of Mama OT Facebook fans and asked people to share their best diaper rash home remedies.

Diaper Rash Home Remedies

You guys really delivered. What a thread of suggestions! And some even sent MamaOT private Facebook messages so you could go into more detail. Love it! Thanks to you all, our little guy is now rash-free and back to his silly old self.

So, you wanna know what people shared about how to cure bad diaper rash without using traditional diaper cream? I’ve listed them below, looked into why they work, and have even found a few twists to throw in there. Keep reading to the bottom to see all the great (and some totally unique) ideas. Be sure to like MamaOT on Facebook so you can participate in our community and, please, if you have any other suggested home remedies for diaper rash, leave a comment so we can learn from you!

Please remember this is NOT medical advice. These suggestions were provided by readers. Each individual is responsible for doing his or her own research before implementing any home treatment program. Keep an eye out for diaper-area yeast infections or other secondary infections. Follow common guidelines for home treatment and contact your pediatrician if you are at all concerned about your child’s diaper rash.

Diaper Rash Home Remedies:

» 2 Tbsp Baking Soda in the bath: Combats acidity.
» Plenty of time with a bare bum: Allows skin to breathe and eliminates moisture.
» Lanolin: Acts as skin/moisture barrier, has healing properties, can be applied to broken skin whereas diaper creams cannot.
» Coconut oil: Soothing properties, apparently can also be used to treat yeast because it kills the Candida yeast cell’s nucleus (can also be used for cradle cap and at least two dozen other things).
» Breast milk: Fights infection, soothes skin, can be used in nearly five dozen other ways as well. Watch out for yeast infections though.
» Culturelle: A probiotic that basically neutralizes the gut, combats acidity.
» Oil (olive, grapeseed, etc.): Creates protective barrier, soothes skin.
» Cornstarch: Absorbs moisture. Can mix with petroleum jelly to create paste to block out moisture. However, recent knowledge discourages the use of cornstarch on diaper rash because it can allow bacteria to grow. Look into it more before trying this one.
» Oatmeal in a nylon stocking in a bath: Put it in the bath like a teabag, soothes irritated skin.
» Regular flour (not enriched): Sprinkle it on the rash, combats acidity. Use browned flour to really knock it out.
» Motherlove diaper ointment: Contains olive oil and beeswax, safe for cloth diapers, also good for nursing moms.
» Boudreaux’s Butt Paste: Unique skin protectant formula.
» CJ’s BUTTer: Soothes skin, can also be used for eczema, rug burns, healing of circumcision, and more.
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iPad App for Fine Motor Skills: Dexteria

There are a TON of apps out there that claim to be educational in some way, but are there apps that are designed by experts to specifically help fine motor skills?

Yes!

Dexteria fine motor app

Dexteria is an app that was designed in consultation with licensed Occupational Therapists to help develop fine motor skills, dexterity, and handwriting readiness in children and adults. It contains three “games” that are actually therapeutic hand exercises: Tap It, Pinch It, and Write It. I’ve used all three games over the course of the past month or so with kiddos in the clinic and in schools, and here’s what I think about each:

Tap It
photo (3)How it works
: User calibrates hand size on the screen, then must keep their thumb on the “anchor” button while following visual prompts to tap their fingers on the corresponding marks. Higher levels require greater speed, accuracy, and the use of several fingers at once. It’s kind of like Guitar Hero meets iPad (except without the cool music).
photo (2)Who it’s appropriate for: Older kids who have the ability to follow directions and coordinate the use of their fingers to at least attempt the first few levels
Who I’ve used it with: Older elementary students with learning disabilities, visual motor impairments, and high functioning autism
Skills addressed: Dexterity, coordination, visual perception/motor, attention, impulse control, timing, sequencing, proprioceptive processing (body awareness)
What to use it for: General dexterity, preparing students for typing, informally evaluating whether students have coordination and dexterity required for typing
Suggestions/critiques: Difficult to see the targets since user’s fingers block the view of them; I wish user could select which level they wanted start on; best to use on full-size iPad to accommodate hand size

Pinch It
photo (4)
How it works: User “pinches” crabs using index finger and thumb to make them disappear. Crabs are stationary in lower levels, begin to move around in mid-levels, turn red and multiply if pinched when red in higher levels, and move extremely rapidly while also turning red in highest levels. Quite an adrenaline rush!
Who it’s appropriate for: Kids who can utilize two photo (5)fingers to pinch and can at least imitate demonstration of how to pinch crabs
Who I’ve used it with: Students preschool-aged and older who are non-verbal or carry labels of autism, fine motor delay, visual motor impairment, learning disability
Skills addressed: Pincer as pre-requisite for pencil grasp, visual perception/motor, visual scanning, visual discrimination, attention, timing, impulse control, auditory processing (crabs make “crunching” noise when pinched and bother some students, child can adjust volume to appropriate level depending on sensitivity)
What to use it for: Fine motor warm-up, preparing students for pencil grasp, reinforcer/preferred activity during sessions
Suggestions/critiques: Make sure students curl their last three fingers (middle, ring, and pinky figners) into their palm while pinching rather than splaying them out; have them hold a small marble or crumpled piece of tissue under the last three fingers to help with this; try using iPad chopsticks to pinch crabs and promote more advanced fine motor skills; I wish user could select which level they wanted to start on

Write It
photo (6)
How it works: User can select upper case, lower case, or numbers to trace. Arrows indicate where to start and which direction to go for each step of the number or letter being traced. Dots sit along the tracing path and “ding” as they are touched. A warning noise sounds if the user goes outside the path. Any letter or number can be selected at any time. Pretty straight forward!
photo (7)Who it’s appropriate for: Children who are able to visually attend to the task (whether sitting, standing, or lying on their belly), isolate their index finger, and control their hand enough to trace the path
Who I’ve used it with: Students preschool-aged and older who are non-verbal or carry labels of autism, fine motor delay, visual motor impairment, learning disability
Skills addressed: Isolating index finger, visual motor integration, visual attention, appropriate starting position, sequencing, directionality (like b/d, p/q), pencil grasp (if using a stylus), auditory processing (sound effects bother some students, child can adjust volume to appropriate level depending on sensitivity)
What to use it for: Pre-writing warm-up, introduction to letters and numbers
Suggestions/critiques: Use an iPad stylus to practice pencil grasp (can even place an adaptive pencil grip on stylus); introduce capital letters before lowercase letters (capitals are developmentally easier for children to learn first); go back and forth between tracing on iPad and practicing pre-writing using real life manipulatives (e.g., writing in play dough, shaving cream, sand trays, or using crayons on paper); I wish user could adjust the width of letters and numbers (or work up to harder levels) to make it easier or more challenging

In general I have found the Dexteria fine motor app to be extremely useful in the clinic and school-based settings. I’ve seen that kids are naturally drawn to technology, so introducing fine motor activities on the iPad is a great way to get them engaged in fine motor work prior to doing so in “real life”. Touch screen technology shouldn’t serve as a replacement for working with hands-on manipulatives, so keep it up with the play dough, shaving cream, scissors, and tongs!

The Dexteria app for fine motor skills is made for iPhone and iPad (though I strongly recommend using on an iPad) and can be purchased for $3.99.

A few more perks of this app: You can email a student’s results to any email address (such as the child’s teacher or occupational therapist) to keep track of how they’re doing. Plus if you purchase the $3.99 upgrade you are then able to save multiple users’ info and data– this is HUGELY valuable for tracking students’ progress!

I hope you’ll get a chance to try out Dexteria with your child. Be sure to use it in combination with real life fine motor and sensory experiences for maximal developmental benefits!

*I received a complimentary single-user version of Dexteria in order to review it. However, all opinions expressed are totally and completely my own. 

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Use Fresh Food Feeders to Introduce Solid Foods to Baby

If you care for a baby who is relatively new to solids or is teething, then these these mesh fresh food feeders are for you!

Mesh fresh food feeder

I love them because:

  • You can introduce baby to new flavors, with a significantly reduced risk of choking. Some great foods to start with are soft foods like bananas, avocado, (clean right away so banana/avocado residue doesn’t dry and stick), cooked peas, cooked peaches, cooked sweet potatoes, cooked carrots, or cooked skinless apples. Then as baby’s jaw gets stronger, you can try foods like cooked chicken or raw skinless apples or pears. What a fun way to explore new flavors! 
  • The handle is easy for baby to hold while he chomps away.
  • The feeder snaps open in the center to allow easy access for inserting or removing food, but not in a manner that would allow baby to open it.
  • It provides opportunities for babies to explore sensory input all around the mouth, rather than just the front of the mouth like most teething toys. This is so important for oral development!
  • It can teach babies to move their tongue side-to-side (lateralization) as the feeder moves from one side of the mouth to the other while they chomp with their whole jaw. You may even be able to see that little tongue bending to the side that the feeder is on (so if the feeder is on the left side of the mouth, the tongue will move to the left, toward the stimulus).
  • It is an especially great resource if you have a baby who is constantly seeking things to put in his mouth more than your average baby (like mine was!).
  • It is one of many useful tools you can use to relieve teething pain…just add something cold or chewy in there such as frozen breast milk, frozen peas, watermelon, skinless apple, piece of bagel, etc. (You can give them a cold, wet washcloth for chomping if you don’t want to constantly give them food to gnaw on while they’re teething.)
  • You can use a pacifier clip to attach it to baby’s shirt or bib so it doesn’t fall on the floor if he drops or throws it.
  • You can use it to introduce foods to toddlers who are picky eaters, so they can try the flavor without having to deal with the texture or actually touch the food.
  • It is BPA free and dishwasher safe (check the details on your specific product just to be sure).

Mesh fresh food feeder

A few precautions or things to consider:

  • Always supervise baby while using the fresh food feeder.
  • The mesh allows juice to drip out (mostly into baby’s mouth), so be prepared for a small mess depending on what food you put in there.
  • Keep baby seated just like you would during regular feedings and don’t let him walk around while using it.
  • Be sure the snap closure is secure before giving to baby.
  • Wash as soon as possible after using, since some foods tend to dry or stick on the inside. FYI- The riper the banana in the feeder, the easier to clean.
  • Discard feeder if you notice any tearing and snagging in the mesh (that’s never happened to us, but it could…).
  • Don’t place any foods in the fresh food feeder that baby could potentially develop an allergy to before he is ready (such as strawberries or peanut butter before 12 months of age, check with your pediatrician for guidelines related to infants and food allergies).
  • If baby isn’t interested in the feeder, then he’s probably not ready for it. Wait a few weeks and try again later.
  • Always read the directions that come with the product before using.

These mesh fresh food bags can be purchased in most baby/toddler feeding aisles (such as your local grocery store, drug store, Target, Wal-Mart, Babies R Us, etc.), or you can find them online here.

Enjoy those food adventures, and let me know what you think of this product or what others ways you like to use it!

*This post contains an affiliate link. I was not compensated for this post.

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