Tips for Raising Smart Kids

Someone shared an interesting infographic with me recently about how to raise smart kids. I wanted to post it here not because I believe there is a “formula” for turning kids into geniuses, but because I think it’s a good conversation starter.

As an occupational therapist, I like that it addresses the fact that there are certain childhood occupations (i.e., meaningful activities that kids engage in) that can enhance brain function and learning. Conversely, it also demonstrates how other childhood occupations can negatively impact development.

But the most interesting fact presented in this graphic is the final one.

Check it out:

Genius Infographic

Isn’t that interesting? I know from experience that this is true — many kids I’ve known who are smart and “know it” do not possess the same work ethic or adaptive skills (such as dealing with failure) as those who are also smart but rely on their work ethic to help them succeed.

This was especially true in my career as both a competitive gymnast and gymnastics coach. More often than not, the gymnasts who were praised for their immense talent from an early age (like the “smart kids” group) were more likely to drop out of the sport or become extra lazy and whiney when it got “hard” than those who were known for their good work ethic (like the “praised for their effort” group). The gymnasts who had less talent (even if they were really good gymnasts) but a better work ethic were more able to successfully overcome adversity – such as injuries or poor scores – and ultimately step up to the challenges of the higher levels. I saw it in the beginner levels. I saw it in the higher levels. I saw it in the college ranks. And I saw it as a coach.

What do you think about this? Have you ever seen this play out in real life?

(This infographic was produced by OnlinePsychologyDegree.net)

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From Rattles to Writing: A Parent’s Guide to Hand Skills [Book Review and GIVEAWAY!]

This month’s featured product is a handy book called From Rattles to Writing: A Parent’s Guide to Hand Skills, by Barbara A. Smith. Not only am I reviewing this book because I think it’s AWESOME but I am also giving away FIVE FREE COPIES between now and this Wednesday, May 8th! Read on…

This book, "From Rattles to Writing: A Parent's Guide to Hand Skills", is a total go-to resource for parents and ANYONE who works with kids ages birth to five.

Barbara is a fellow occupational therapist who has worked with children for many years and is passionate about giving parents the tools they need in order to promote their child’s overall development. I first heard about this book several months ago and was hoping to get my hands on it, so when her publisher (Therapro, Inc.) offered to provide me a promotional copy of the book for review, I was ecstatic! I knew I would love this book before I even got my hands on it.

In the introduction, Barbara states that From Rattles to Writing is written to help parents and educators foster the skills children need in order to read and write (p. v).

But don’t kids just learn those skills on their own? you may ask. Good question. Barbara acknowledges this and suggests that educating parents and developing kids’ foundational developmental skills are more important now than ever due factors in our modern society such as the difficulties associated with seemingly infinite options for toys and educational products, advances in technology, higher expectations for gross motor development and competitive sports at younger ages, the push for academic achievement and handwriting at younger and younger ages, and the changes in kids’ learning environments in general.

It’s true. As a pediatric OT myself, I see this so clearly as I work with “undiagnosed” three-year-olds who don’t have a pincer grasp (a 1-year-old skill), first graders who can’t efficiently hold a pencil (a 3 to 5-year-old year skill), or second and third graders who have difficulty reading, writing, or participating in ball play because their eyes are unable to visually track objects without moving their head (a pre 1-year-old skill).

I often find myself so frustrated by the fact that many of these difficulties likely could have been prevented if parents knew what to look for and how to help in those early years!!! Why isn’t there a go-to resource for parents when it comes to fine motor development??? I often ask myself in desperation.

Now there is — it’s called From Rattles to Writing.

From Rattles to Writing is like the What to Expect When You’re Expecting of fine motor development for ages birth to five years.

Here’s what I like about this book:

1. It’s easy to navigate. At just about 200 pages in length, this book is designed to be used as a reference tool and is not necessarily meant to be read in one sitting. Much like What to Expect, It’s divided into age groups with one chapter per age group: Infants (divided into 0-3 months, 3-6 months, 6-12 months), Toddlers (divided into 12-18 months, 18-24 months), Two Year Olds, Three Year Olds, Four Year Olds (with teaching methods and adaptations to help the almost-5-year-old who is ready to read and write prior to Kindergarten), and a concluding chapter that provides some suggestions for children as they move into Kindergarten and First Grade. I’ll admit, as soon as I received this book in the mail, I immediately opened to the 18-24 Months chapter so I could read up on my own son’s development and get some ideas for the home. I then flipped back to the Newborn chapter and found some great ideas to use when Baby Number Two comes along this summer! Like I said, this book is easy-to-navigate and can be conveniently picked up for just a few minutes at a time.

2. It’s holistic and well-rounded. Of course a book written by an OT would be well-rounded! Because fine motor skills do not develop in isolation from other developmental skills, Barbara also incorporates discussion and activity ideas involving cognitive, sensory, visual-perceptual, social-emotional, language, and gross motor development. I absolutely LOVE this and it is probably one of the main reasons why I will be recommending this book to everyone I know who raises or works with kids.

This book, "From Rattles to Writing: A Parent's Guide to Hand Skills", is a total go-to resource for parents and ANYONE who works with kids ages birth to five.3. It’s informative without being too “heady”. Sometimes developmental resource books can get too little technical as they spout off scientific jargon. But because this book is written first and foremost for parents, it provides solid scientific and developmental information in easy-to-understand language. I like how Barbara incorporated technical terms (such as “crossing midline” or “motor planning”) into the text while clarifying them both in context as well as in definition boxes to the side of the page. I can imagine parents reading each chapter (especially the Infant chapters) and saying, “That’s so interesting!” or, “I never knew that!” Infant and child development really is so complex, yet fascinating.

4. It’s full of good ideas. The author provides sub-sections throughout the book related to Suggested Toys (developmental toys to purchase to encourage visual, sensory, and motor skills), Make Your Own (toys you can make or adapt using household materials), Fun Activities (play ideas to teach specific skills for certain ages), and Music (songs and dances to teach developmentally-appropriate motor and language concepts specific to certain age groups). Barbara inspired me to immediately create two items mentioned in her book: a VELCRO® bottle for fine motor skills and slimy spaghetti for sensory play (using this recipe).
Messy play is one idea from the book, "From Rattles to Writing: A Parent's Guide to Hand Skills". It's a total go-to resource for parents and ANYONE who works with kids ages birth to five.This velcro bottle is one idea from the book, "From Rattles to Writing: A Parent's Guide to Hand Skills". It's a total go-to resource for parents and ANYONE who works with kids ages birth to five.

5. It provides additional developmental info and resources in the back of the book. At the end of the book Barbara provides a quick chronological reference of visual motor skills developed in the first five years; an at-a-glance page with proper letter formation for capital letters, lowercase letters, and numbers (based on the Zaner-Bloser approach); a glossary of terms; and a list of additional resources for everything from baby sign language, kids’ cookbooks, books with more ideas for sensory and motor development, pre-writing books, visual motor skills, and more. The learning and idea-sharing doesn’t have to stop just because the book ended!

Doesn’t this book sound AWESOME?! Great for new parents (Mother’s Day is coming up!!), new OT grads, special education teachers, or childcare providers who work with kids on a daily basis. Don’t you want to get your hands on it?

Well, you’re in luck because Therapro, Inc. has agreed to partner with Mama OT to give five lucky winners a free copy of the book as part of a From Rattles to Writing giveaway! 

CLICK HERE TO ENTER THE “FROM RATTLES TO WRITING” GIVEAWAY! Enter this giveaway by clicking on the “Enter to Win” tab in the box above and then following the directions. Please let me know if you have any difficulties entering. It’s made to run smoothly, but sometimes there are hiccups in the system, and I don’t want anyone to be left out due to technical difficulties!

This giveaway will run from 12:00am PST on Monday, May 6, 2013 to midnight Wednesday night (12:00am PST, May 9, 2013). You can read the terms and conditions of this giveaway by clicking on the appropriate link in the entry box.

I really hope you’ll check out this book. It is an invaluable resource for anyone who works with kids. Best of luck in the giveaway!

*This post contains Amazon affiliate links, so if you click on them and wind up buying something, a small percent of your purchase will help Mama OT buy more diapers (at no extra cost to you). 

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Mama OT’s Product of the Month – May 2013

This month Mama OT is excited to feature the book From Rattles to Writing: A Parent’s Guide to Hand Skills as the product of the month!

From Rattles to Writing is written by Barbara Smith, a highly experienced occupational therapist who loves to educate and empower others. In addition to being an OT and an author, Barbara also blogs about how to make your own therapy supplies at http://recyclingot.blogspot.com.

Mama OT will be publishing a review of this book soon, so be on the lookout for my thoughts about this exciting new resource for parents of children ages birth to five!

*This post contains Amazon affiliate links.

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Handwriting mastery begins before the introduction of a pencil!

Please welcome Mama OT’s newest guest blogger, Katherine Collmer! Katherine is an occupational therapist and blogger who is passionate and knowledgeable about everything handwriting. She is here today to talk about the important yet often overlooked foundations of handwriting that are learned through play from the day a child is born. These foundations set children up for later handwriting success. Read on to learn more!

. . . . .

Hello, everyone! I am thrilled to be a guest blogger on Christie’s awesome site, Mama OT! It is an honor to have been included among the impressive authors and offerings you can find here.

Let me start by asking the question, “Why do we care about handwriting?”

Little Pencil free creative commonsPhoto credit: D Sharon Pruitt

The teaching of handwriting has been the topic of many blogs, conversations, educational debates and professional forums. Why bother? Aren’t the “hard” subjects like math and the sciences, as well as the foundational ones like reading and spelling, more worthy of a teacher’s time? Yes, these subjects certainly do warrant a place of priority in our children’s education. And, as we all know, reading is the basic skill upon which all others are built. It is at the heart of education.

However, it is important to note that handwriting and reading utilize the same skills for mastery, one of which is letter recognition. Visual memory and perception are the underlying skills required for letter recognition. The ability to automatically recall the formation of letters from memory without conscious thought allows the writer to copy and create content. But comprehension — of what we both read and write — cannot occur without an efficient working memory. Working memory is what we use to store information while we transfer it to paper or speech, or as we read a story. Working memory has limitations, however, that can get in the way when it comes to handwriting. Since it can only hold about 7 pieces of information (letters or words) for about 10 seconds or so at a time, a child can lose what he’s stored if he needs to spend extra time sounding out letters or digging deep to remember what they look like.

In that light, you might be interested to hear that studies have shown that children who are doing well with handwriting skills and letter recognition in pre-kindergarten achieve B averages in 2nd grade math and reading – while those children who did not perform well, attained C averages in 2nd grade. I will leave you with that food for thought as we journey through the developmental steps that lead to the mastery of handwriting.

From infancy forward, as children progress through the developmental stages, they are learning about parts and how they can manipulate them to make a whole. The letters of the alphabet are simply parts that make a whole. They are not learned as a single entity but as pieces that connect together to make them a letter. Babies and toddlers use their vision to guide their hands in the manipulation of shapes and forms, mentally sorting and labeling them. Letters are simply shapes and forms. As a child perceives the concepts of “separate” and “whole,” and as she experiments with shapes and sizes, she is developing her working memory skills. She collects information, stores it in her brain, and brings it back into her working memory once again as she repeatedly tries her hand at pulling things in and out, apart and together. As a child discovers the capabilities of her arms, hands and fingers, as well as the larger muscles of her body, she is getting ready for handwriting. And she does this all through PLAY!

PLAY PROVIDES THE FOUR BASIC COMPONENTS FOR THE MASTERY OF HANDWRITING:  Movement, Sensory, Vision, and Cognition. Although vision is actually one of our senses, I set it apart because it is the piece that works to make sense of the information that is gathered by all of our other senses. With that said, it is difficult to separate these four elements from each other since they are so intertwined. So, we will discuss them as pieces that fit together to make a “whole!”

baby girl in crib with hand to face1. Movement is a key component of a child’s learning. From the moment of birth, movement begins the child’s journey through her developmental stages. It connects the baby to the world around her. Playing with her arms and legs introduces her to bilateral integration, helping her to discover that she has two sides and that they can work alone or together. Babies are stimulated by light and sound, turning their heads toward you when you talk or at a mobile as it plays music. Tummy time offers opportunities to work on their visual skills as they push up and look out and around the room. Rolling over and crawling help them to experiment with their bodies and bilateral coordination.

Movement challenges children to “know where their body is”. Body awareness is simply our body map. It tells us where our head is, our arms are, and if we are vertical or horizontal. We can identify our position in space even if our eyes are closed. At the very epicenter of movement is the brain, activating neurons that link itself to the body parts that we want to move. As we move, the brain is gathering, analyzing, adapting and storing information. And all of this information is what we use to develop an accurate body map. And body awareness is one of the key facets in efficient handwriting skills!

Infant Playing2. Sensory processing that is accurate is also developed through movement activities. As I continue to emphasize the vital role that body awareness plays in a child’s success with handwriting (and just about every other educational endeavor), it is important to recognize the importance of accurate sensory processing. The information we receive through our ears, eyes, skin, joints, and muscles provides us with the ability to regulate our movements, recognize pressure and position our bodies.

Babies and toddlers most often seek out movement. As they turn their heads, roll over, push up and eventually pull themselves onto their feet, they are collecting information from all of their senses. They organize it and analyze it in order to use it again to produce and modify their movement strategies. The simple act of feeding – moving the mouth, tongue, and lips – facilitates the essential skill of feeding by offering opportunities to manipulate and experiment with their mouths. Lots of movement provides lots of opportunities to experience sensory input!

Girl Playing With Building Blocks3. Vision has been described as our most far-reaching sense. All of the collecting, organizing, analyzing, and storing a child performs during her movement adventures are done via her visual system. Although we think of our vision as simply being our eyesight, it is actually a much more complex system

Vision is a movement pattern (there’s that word again!). It is learned, the same as walking is learned, while we develop our motor skills. It helps us to make sense of those things that we cannot understand with our other senses (such as depth, distance, some of the balance piece and perceptions). It provides the foundation of information from which we can see the world as a whole, allowing us to organize and manipulate space.

As a child develops her motor skills, she begins to understand concepts such as up, down, behind, over and under. She figures out how things connect and go together. Visual processing skills provide insight into perspective, likenesses and differences, spatial relationships and how to use the both sides of our body – alone or together – as we develop our fine and gross motor coordination.

Healthy Snack4. Cognition by definition is the “mental action or process of acquiring knowledge and understanding through thought, experience and the senses”. Cognition is the culmination of putting movement, the senses, and vision to work. It is the process by which we initiate, produce, modify and reproduce our movements. Once again, an accurate body map plays a key role in the development of accurate movement patterns. From sucking on a bottle to shaking a rattle to scribbling with a crayon, the ability to know where our body parts are and how they work give the brain accurate information from which to make decisions. It can determine the amount of pressure to put on a pencil, the direction in which to draw a letter and the space that is needed between words. Movement makes it happen.

A child’s journey through the stages that develop movement patterns, sensory processing skills, vision skills, and cognitive skills introduces her to opportunities to develop fine motor grasping patterns, trunk control, balance skills, and visual-motor proficiency. As she plays — from infancy through kindergarten — she is experimenting with holding a rattle, a cube, a ball, a crayon, and a pencil. She is making her mark on chalkboards, papers, in shaving cream and, most likely, on the walls! She is finding ways to communicate with us through handwriting…and in the process she is developing the cognitive skills she will need to learn her letters and read and write.

I hope that I have piqued your interest in handwriting mastery and the thrill of learning it through play! Thank you for reading and I look forward to your comments and feedback!

. . . . .

Key West 2010 Driving the CorvetteKatherine Collmer, M.Ed., OTR/L, is a pediatric occupational therapist who is hopelessly in love with handwriting! She owns and operates a small clinic that specializes in just that, where she brings fun, movement, and play into the mix. She currently lives on Cape Cod, in Sandwich, MA, USA, and is kooky when it comes to walking her Welsh Pembroke Corgi, Ron, along the beach. Of course, she is even kookier when it comes to her husband, John, as they travel across the US looking for adventure! She enjoys reading mystery novels (especially the British ones) and writing her long-winded blogs. Cross-stitch is high on her list of relaxing activities, right before playing games on her iPad!

Find out more about Katherine and her passion for handwriting at www.handwritingwithkatherine.com.

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Mama OT’s One Year Anniversary Giveaway!

{This giveaway is now closed}

MamaOT.com turns one year old this month!

It has been QUITE the year, filled with fun posts, new bloggie friends, and important real-life lessons learned along the way. I truly believe this blog has made me a better mom and pediatric therapist over the course of the past year. I am more more observant, aware, and passionate about my dual roles than ever before, and I have you, dear readers, to thank for that.

So, in honor of Mama OT’s one year anniversary and as a big THANK YOU! to all of you supporters, I want to give you free stuff! That’s right, Mama OT is offering a special One Year Anniversary Giveaway!

Enter MamaOT.com's giveaway for a chance to win a "Baby Pack" or "Big Kid Pack". Entries valid through 12am Pacific Time on 3/26/13.

You can enter to win ONE of the following giveaway packs (but not both):
1. Baby Pack: for infants to young toddlers
2. Big Kid Pack: for toddlers to preschoolers

Both giveaway packs consist of items that have been mentioned or promoted throughout the first year of Mama OT via blog, Facebook, or Twitter. Some items in each pack are pretty unique, and all are designed to further your child’s development in one way or another. I hope the contents of each giveaway pack will benefit any of you who work with and care for children (parent, therapist, teacher, childcare provider, etc.).

The Baby Pack consists of:
-Plastic Linksfeatured in this blog post
-Rattle OBall: featured in this blog post
-Ring Stacker: featured in this blog post
-Reusable Baby Food Pouch (2-pack): featured in this tweet/Instagram
-Mesh Fresh Food Feeder: featured in this blog post
-Pullover Bib (2-pack): featured in this blog post
Enter MamaOT.com's giveaway for a chance to win a "Baby Pack" or "Big Kid Pack". Entries valid through 12am Pacific Time on 3/26/13.

The Big Kid Pack consists of:
-Gymboree Bubbles with Wand and Tray: featured in this blog post and this one and also this one
-Kiddie Tongs and Colored Poms: featured in this blog post and this tweet/Instagram
-Beads: featured in this blog post and this tweet
-Pipe Cleaners: featured in this blog post and this Facebook post
-Dry Erase Crayons: featured in this tweet/Instagram
-Play Dough (4-pack, also includes play dough scissors, rolling stick, and shape/number stampers): featured in this blog post and this one and also this one
-Scissor Tongs (2-pack): featured in this tweet/Instagram
Enter MamaOT.com's giveaway for a chance to win a "Baby Pack" or "Big Kid Pack". Entries valid through 12am Pacific Time on 3/26/13.

CLICK HERE to enter Mama OT’s One Year Anniversary Giveaway.

Be sure to leave a comment at the bottom of this post stating which giveaway pack you would like to win. And, hey, if you want to say something nice that you like about the blog, that would be okay too!

Mama OT’s One Year Anniversary Giveaway begins at 12:00am PST on Sunday, March 17, 2013 and ends at 12:00am PST on Tuesday, March 26, 2013. So what are you waiting for?! Enter for your chance to win, already!

Pssst, don’t forget to tell your friends to enter so they have a chance to win, too. Spread the love by sharing the link to this blog post (http://wp.me/p2GnLU-Jm) or sharing the Facebook link (http://bit.ly/WrR5HT).

Terms and Conditions: Entrants must be at least 18 years of age, possess a valid mailing address within the contiguous United States, possess a valid email address, and may only enter to win ONE (1) giveaway pack. Note that specific colors and brands of products may vary depending on availability. “Mama OT’s One Year Anniversary Giveaway” begins at 12:00am PST on March 17, 2013 and ends at 12:00am PST on March 26, 2013. Entries are not considered official if entrant has only commented on designated blog post but has not submitted entry via Rafflecopter. Entry is official when it has been submitted via Rafflecopter. Only one (1) winner will be selected. Winner will be contacted by email within 48 hours after the giveaway ends. If winner has not indicated giveaway pack preference by commenting on designated blog post prior to giveaway deadline, winner will receive giveaway pack of MamaOT.com’s choice. Please be responsible — follow manufacturer guidelines for each product and provide appropriate supervision when allowing child to engage with products included in giveaway pack. MamaOT.com is not responsible for any injury (or worse) that may occur as a result of engaging with products included in giveaway pack. If you have any additional questions, feel free to send an email to mamaotblog [at] gmail [dot] com. Thanks, and best of luck!

Don’t forget to leave a comment stating which giveaway pack you’d like to win, then CLICK HERE to enter the official giveaway site.

*This post contains affiliate links.

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What is Therapeutic Listening ®?

This weekend I had the opportunity to further my professional development by obtaining training in a therapeutic program I’ve been wanting to use since before I was a therapist: THERAPEUTIC LISTENING ®.

Answers to basic questions about the Therapeutic Listening program for children who struggle with sensory, attention, social, emotional, or basic regulation issues.

What is Therapeutic Listening ®?
Therapeutic Listening ® is an “evidence-based auditory intervention intended to support individuals who experience challenges with sensory processing dysfunction, listening, attention, and communication.” It’s not a stand-alone program. Therapeutic Listening® (“TL” for short) is one tool that can be used as part of a bigger-picture therapy program based in sensory integration, along with the use of a daily sensory diet (but I like to refer to it as a “sensory lifestyle”).

Basically, kids (or even adults) wear special headphones that play special music which has been “filtered” or modified in order to expose the nervous system to “low sounds” (below 1,000Hz, related to vestibular and postural functions), “mid range sounds” (1,000-4,000Hz, related to key speech sounds), and “high sounds” (›4,000Hz, related to attention, discrimination, and emotional subtleties) at various times throughout the music track. In addition to filtering, the music has also been specially crafted or selected based on the type and number of instruments used (percussion, bass, stringed instruments all affect the nervous system differently) as well as the rhythm (beat, pattern, repetition, tempo), melody, and even the physical space in which the recording was made. Music selections range from nursery songs to nature sounds to classical music to upbeat/pop songs and more.

What does Therapeutic Listening ® do?
Though Therapeutic Listening ® impacts kids’ nervous systems in MANY ways, here are five main highlights of what it does:
1. Influences kids’ extreme patterns of seeking or avoiding movement
2. Influences kids’ understanding and use of their body in space (including motor skills, timing, planning, and coordination)
3. Influences kids’ arousal and activity level so their “Engine” can be “Just Right”
4. Influences kids’ biological rhythms that they may struggle with such as sleep/wake cycles, hunger/fullness, bowel/bladder control, respiration, etc.
5. Influences kids’ ability to use and control their eyes in relation to their head and body

This program uses sound to address functional goals such as improved engagement, social participation, ability to tolerate transitions, communication, learning/academic performance, attention, self-help skills, tolerance for new foods and clothing textures, and even improved handwriting performance. According to the course instructor, most parents report their child’s first responses to TL include changes related to engagement and movement (vestibular: balance, spatial orientation, postural control).

How is the Therapeutic Listening ® Program structured?
In general, children listen to a particular therapist-selected CD for two weeks, at a rate of twice per day for 30 minutes each, with at least three hours in between each listening session. Because Therapeutic Listening ® is a HIGHLY individualized program, it does not follow a cookie-cutter approach. Every child’s plan will be different. Trained therapists use their clinical reasoning to choose and adjust music selections based on the child’s needs/history, the parent’s concerns, and the child’s response to each CD. It is highly dependent on clinical observation and open communication between parents and therapist. Music selections are divided into three categories (Engagement, Interaction, Discrimination) and children are assigned one of three “profiles” in order to guide the therapist in choosing music selections that will best address the child’s needs as they move through one or all three of the categories. Children typically spend a minimum of 12-16 weeks engaging in their individualized program; most will spend even longer depending on their needs and response to each phase of the program.

Who can benefit from doing the Therapeutic Listening ® program?
Everyone! Well…almost. Therapeutic Listening ® should NOT be used with individuals with schizophrenia, auditory-evoked seizures (which are rare), or during active ear infections (prior to 24 hours of antibiotics). It can be used (some with special considerations) for individuals with hearing aides, cochlear implants, Traumatic Brain Injury, Fetal Alcohol Syndrome, children under two, and even premature infants in the NICU (so cool!). As mentioned above, this program is meant to be used as part of a therapy program that utilizes additional sensory integration techniques to address bigger picture needs that influence a child’s ability to function in his or her daily life.

So, yes, kiddos and teens with SPD, Autism/Asperger’s, developmental delays, Down Syndrome, Cerebral Palsy, visual motor/handwriting difficulties, ADD/ADHD, generalized anxiety, social anxiety disorder, difficulties with executive function, and even/especially those with no diagnosis or who don’t qualify for school-based services but clearly have needs affecting their learning or function in their school or everyday environment…all will benefit! After taking this training, I’m even thinking I need a bit of Therapeutic Listening ® intervention for myself! We all have our own issues, right?

What programs can be used in conjunction with Therapeutic Listening ®?
For those of you therapists who are reading this, you can certainly use TL in conjunction with interventions such as the Astronaut Training Program, Core Concepts in Action, Rhythmic Movement Training, Interactive Metronome, The Alert Program/How Does Your Engine Run, ZONES of Regulation, R.O.P.E.S. Program for improved executive function, and even Handwriting Without Tears. Any others I didn’t list that you would recommend?

How do I get started with the Therapeutic Listening ® program?
First you or your child must be under the supervision of a therapist trained in the use of the Therapeutic Listening ® program. Ask your child’s therapy provider about this or find a certified provider on the Therapeutic Listening ®  website by visiting www.vitallinks.net and then clicking Find a Practitioner (or just click here). Once you find a TL provider, discuss whether it would be a good fit for your child and your family. I’ll be honest — it’s a commitment. Two 30-minute sessions a day, seven days a week for at least three to four months? That kind of schedule is not for everyone, and there may be other ways to address your child’s needs and functional goals. Plus, just because it’s not right for you right now doesn’t mean it may not be great at some point in the future.

If you and your child’s therapist decide to begin Therapeutic Listening ®, you may have to purchase some equipment designed specifically to access the therapeutic benefits of the program. As mentioned before, the headphones are specifically designed for use with TL (find online here) and the music selections are customized for the program as well. Music can be played from CDs using a regular portable CD player (secured in a backpack or hip pack), or it can be accessed in the form of a Sansa clip that attaches directly onto the special headphones so you don’t have to worry about dealing with discs. Music should not be burned onto other CDs or compressed into separate MP3 files because it will affect the range of sounds transmitted in music and will compromise the music’s therapeutic effects. Many clinics or therapists may be able to work with families in terms of lending out parts of the program (such as the music) while expecting them to fund some of it themselves (such as buying their own set of headphones and CD player/Sansa clip). Talk with your therapy provider to find out more about their policies regarding this program.

Where can I find more information about Therapeutic Listening ®?
Visit the Vital Links website at www.vitallinks.net. Equipment ordering information can be obtained at www.vitalsounds.com.

If you have any further questions about how the Therapeutic Listening ® program works please leave a comment below, or contact a certified provider in your area (click here) and discuss your specific questions or concerns with him or her.

Happy listening!

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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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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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25 Tips for Preventing Injury in Infant Caregivers

25 tips for preventing injury in infant caregivers. Written by a mom who is also an occupational therapist.

Caring for a baby is tough. Really tough. It takes a huge physical toll on the body. And sleep deprivation makes the body even more prone to injury and physical break down. The fact is, preventing injury is a challenge.

If you’re in the trenches of baby care, you know the last thing you need is an injury that could have been avoided through the use of proper ergonomics and body mechanics while caring for the little munchkin.

Since occupational therapists can help people by teaching them principles of ergonomics and energy conservation in order to better perform their daily occupations (you know, all that stuff about using good body position and “lifting from the legs, not the back”?), I thought it might be helpful to address this commonly problematic yet rarely recognized topic as it relates to baby care.

So whether you are a parent, babysitter, nanny, family member, childcare worker, or someone else who cares for babies, we want you to stay healthy! Here are 25 of my top tips (many learned from from experience!) for preventing injury in those who care for infants:

1. Lift from the legs, not the back. Car seat transfers, play time on the floor, diaper changes. Everything. Use your legs. Especially if you’ve recently given birth. They are your back’s best friend.

2. Bend your knees when stooping over to place baby on a lower surface (crib, floor, changing table, etc.). This naturally shifts your weight backward a bit and takes some strain off your back.

3. Use a raised surface for changing baby rather than using the floor. Again, it’s all about saving your back. And many Pack n’ Plays now have changing tables attached to them for your convenience. The safest option is to use something with a safety buckle rather than changing baby on top of a couch or dresser, where he could potentially roll off.

4. Keep your wrists in neutral position when holding baby, rather than using extreme flexion. Notice the way my wrist is bent in the cover photo? Big no no. Over time, those wrists will pay…for some pain pills…or maybe even a splint.

5. Keep your thumb tucked close to your hand when holding baby. This minimizes strain on two major muscles and tendons that control movement of the thumb. Again, notice the terrible thumb position in the cover photo above. Don’t do that. Ever heard of the painful condition called “Mommy Thumb”? I’m sure you have if you’ve ever developed it. It officially goes by a more scientific name (De Quervain Syndrome) and frequently occurs in new moms/caregivers (though females are more likely to develop it simply based on anatomy of their thumb/wrist). It’s basically an overuse injury caused by poor ergonomics that is often treated with a splint, occupational or physical therapy, anti-inflammatory medication and, in severe cases, a cortico-steroid injection or surgery. But let’s avoid all that. Just keep your thumb close to your hand when you carry baby, okay?

6. Keep your back straight when holding baby up to your shoulder, rather than arching back. Less arch = less strain.

7. Keep your hips and body in a straight line when holding baby on your hip, rather than sticking one hip out to the side. Are you catching on that the cover photo pretty much shows you everything NOT to do when holding baby? The more symmetrically you can stand, the better for your body.

8. Carry baby with two hands in a tucked, face out position to minimize strain on your back and arms. It’s amazing how much pressure this takes off your own body. Plus it’s good for baby, too, as it gets her body ready for rolling!

9. Keep heavy items close to your body when carrying them. Car seats, strollers, diaper bags and, oh yeah, the baby! All are heavy, and the farther away they move from your body, the more strain it puts on your back and your joints.

10. Only take what you need when leaving the house. This is a tough one. We want to get everything out to the car in one trip. DON’T DO IT. Your body will thank you. The less weight you carry in one shot, the less likely you are to hold items in an awkward, injury-prone position, and the less likely you are to drop the baby. Kind of important.

11. Take breaks when carrying heavy items. Again, super tough. I get it. You want to get all the groceries in the house or the whole box of toys across the room in one trip. YOU DON’T HAVE TO BE A SUPERHERO! Put it down for a second. Take a break. No need to pull a muscle here. And if you’ve had a C-section and are on lifting restrictions for the first 6+ weeks…FOLLOW THEM! Period.

12. Use a hands-free baby carrier that provides symmetrical support and allows baby to sit above the level of your hips. The keys here are symmetrical support and above the level of your hips. Both are important for preventing injury to your hips and back. Some goods ones that meet this criteria (and are also good for baby) are Moby Wrap, Baby K’tan Carrier, and Ergo Baby Carrier.

13. Use good biomechanics when placing baby in your hands-free baby carrier. Yes, baby carriers are awkward when you first use them. Extra fabric is hanging off your front, you can’t see what you’re doing, and baby is flailing and practically sideways once you try to get him in. So have the carrier strapped on and ready to go, sit down while placing baby in the carrier, keep baby close to your body, sit while placing baby inside, try standing with one leg propped up on a higher surface such as bench or floor of car in order to situate baby, and maybe even insert baby while standing in front of a mirror so you can see what the heck is going on. Keep yourself safe. And don’t drop your baby.

14. Adjust height of handlebar on stroller so it’s at a comfortable level, around the height of your belly button. If the stroller handle is around the height of your belly button, that should put your arms just high enough to push forward without having to hike up your shoulders and overuse the muscles in your neck and upper back.

15. Push stroller with elbows relaxed (not stiff and extended) and wrists in fairly neutral position with thumbs wrapped around handle(s). Wrapping your thumbs around the handles naturally places your wrists in a more neutral position. This makes you less likely to push with the heel of your hand which, with repetition over time, could contribute to painful nerve compression and even the development of carpal tunnel syndrome. And all you wanted was to get out of the house and walk with your baby!

16. Use a nursing support pillow when breastfeeding or bottle feeding baby to minimize strain on back, shoulders, and wrists. Babies eat ALL. THE. TIME. Especially if they’re nursing (like, 45 minutes each feeding, every 3 or so hours). So save your joints and prop yourself. Two good ones are the popular Boppy Pillow and the not-as-well-known-but-very-good My Breast Friend Pillow (terrible name, great product, especially if you’ve had a C-section).

17. Delegate tasks to other family members, including children! Don’t be a supermom (or dad, or whatever you are). Let others help with carrying groceries, lugging the diaper bag, pushing the stroller, or carrying the baby. Conserve your energy and save your joints.

18. Be mindful of how you get baby into and out of the crib. You will face unique challenges depending on your height. But whether you are short or tall, keep baby close to you when placing in the crib, set him down in a side rolling motion (babies are stronger in this position so it’s easier for you), and pick him up in a similar side rolling position. And as an added bonus, this side rolling business is GREAT for preparing babies’ bodies to roll!

19. Minimize kneeling on the floor to change baby. This becomes especially more difficult as baby reaches birthday number one. But avoid it if you can, it’s hard on your back and your knees, even if you have no history of pain.

20. Wrap your arm around baby when holding to the side on your hip, rather than holding with arm under bottom and flexing wrist up. As always, let’s minimize strain on our joints, shall we?

21. Lick your palm and fingers before holding baby on your hip. Seriously. Do it. Much like licking your finger to turn a page in a book, this makes your hands a little more grippy and, let’s be honest, you’ve totally done grosser things for the sake of your baby. Yes, you have.

22. Switch sides you carry the baby on to give the other side a break. This one’s hard. We all naturally tend to carry on the right or left. But try to even things out. Your back, hips, and neck will thank you. Plus it’s also good for helping baby’s neck muscles develop evenly as she looks to both the left or right sides depending on which side you’re holding her.

23. Use a stool to obtain out-of-reach items rather than straining to reach up or standing on the counter. Don’t hurt your back or shoulders. Don’t fall off the counter. And ask for help if you need it.

24. Limit the amount of time you spend sitting on the floor with your back unsupported. It’s easy to just sit on the floor, legs criss-crossed, as you feed the baby, chat with friends, play with baby on the floor, or watch TV. Do your very best to sit in a supportive chair that allows your feet to rest flat on the floor. Or at least lean up against a couch or wall so your back doesn’t wear out. No need to walk like a granny after you’ve been sitting on the floor without any back support.

25. Rest when you can. I know. Yeah, right! But the body repairs itself during rest. Though “rest” can mean taking a nap (which I know is virtually impossible for most of us), it can also mean having some quiet time during the day or conserving energy simply by the way your hold or tend to the baby.

Please take care of yourself! I hope these tips will help keep you healthy and prevent injury as you care for the sweet, growing baby in your life.

*Some links in this post are affiliate links. This means if you click and wind up buying something through that link, you’ll not only get a great product, you’ll also help this mama pay the bills!

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4 ways to get babies moving

Babies need to move just like grown-ups do. The only problem is, they can’t. Sure, newborns can wiggle. And, yeah, pre-crawlers can roll. But it’s not the same as big time movement through space.

Did you know that a baby’s movement sense (called the vestibular system) lives in the inner ear and is developed by the end of the FIRST trimester of pregnancy? So before mama has even said good-bye to morning sickness, baby has said hello to the sense of movement. So cool!

That being said, babies are primed for movement the moment they are born! Ever noticed how happy and/or calm babies often become when they are carried, bounced, or swung? And the more comfortable they can become with being moved through various positions and directions in space at a young age, the more likely they will be to “integrate” those movement experiences in the brain so they can apply that information to later sensory and motor development.

So how do you help babies move before they are able to move and crawl on their own? Here are four ideas:

4 ways to get babies moving1) Wear your baby. Often touted for its ability to promote bonding with parents and free up a grown-up’s hands, wearing your baby in a sling or baby carrier also provides baby with lots of opportunity to experience the natural movement and rhythm of everyday life: walking, sitting, stopping, etc. Some baby carriers that are okay for baby’s body include over-the-shoulder slings, Moby Wrap, K’tan Baby Carrier, and Ergo Baby Carrier.

4 ways to get babies moving2) Play with your baby on an exercise ball. Pre-crawlers are fully capable of enjoying movement provided on an exercise ball! Not sure what I’m talking about? Exercise balls are a great way to introduce tummy time, especially for the baby who despises it (find out how by clicking here), and they are also a fun way to give baby the chance to bounce, rock, and roll back and forth. Not sure how to play with baby on an exercise ball? No worries, check out my post, “How to Play with Your Baby on an Exercise Ball“, and be sure to watch the video demonstration!

3) Dance with your baby. Turn on some music or simply hold your baby and waltz or spin around your house. Try holding baby in different positions such as airplane, cuddle out, or side lying (pictured below). Bounce, move, and spin while holding your baby and then FREEZE! every 30 seconds or so to give baby’s vestibular system and brain and chance to process all that movement and then “reset” in order to get ready for the next set of dance moves. Dancing with baby is actually one of my top 10 tips to help baby learn to roll! Check out all 10 tips for helping babies learn to roll by clicking here.
4 ways to get babies moving4 ways to get babies moving 4 ways to get babies moving


4 ways to get babies moving4. Let your baby bounce himself.
As a pediatric OT, I tend to shy away from recommending baby equipment such as swings, saucers, and jumpers because they can impede babies’ development by restricting their movement opportunities or placing their joints in compromising positions. However, I tend to be okay making exceptions when it comes to baby bouncers such as the one pictured to the right. The reasons I’m okay with them are 1) baby is the one who initiates the movement (as opposed to a mechanical swing) and, thus, is able to control and “integrate” the movement experience, and 2) these bouncers don’t necessarily place baby in a compromising position. Try not to let baby spend more than about 10 minutes at time in these bouncers, and check baby’s head to make sure a flat spot isn’t forming on either side from spending too much time with the head turned one direction while bouncing. If you notice a flat spot, mention it to the pediatrician at the next visit and be sure to encourage baby to spend time with his head turned both directions when in the bouncer and when spending time on his back. When used appropriately, baby bouncers such as these can be a great way to give those active babies (and you know who they are!) a chance to move their little bodies as they kick, bounce, and coo in delight!

Any other suggestions for ways to get babies moving?

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