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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Reusable Baby Food Pouches: Squishy Snak Paks! [Product Review]

baby food pouchesI love baby food pouches! They are practical, healthy, and easy-to-use. I first discovered them when my son was eight or nine months old, and it made picnics in the park and coffee dates with Mommy so much easier…and less messy! Not only that, baby food pouches also taught him how to drink from a straw (he never mastered the bottle or sippy cup, so that was a huge accomplishment). Like I said, I love baby food pouches. You can read my review of them here for more info and ideas on how to use baby food pouches to promote the development of baby’s feeding/oral motor skills.

The bummer about baby food pouches though is that, at $1-$2 per pouch depending on where you get them, they can get expensive over time (although WIC does cover the ones that are 100% fruits and veggies, which is most of them).

So you can imagine my excitement when I received an email from Michelle at Squishy Snak Paks, letting me know she has created REUSABLE baby food pouches!! Michelle — a stay-at-home-mom to four little ones (the two youngest being twin boys) and self-proclaimed “Mompreneur” — created this product to allow her toddling twins to be able to enjoy her homemade purees while still being able to be independent. She graciously agreed to send me a free two-pack so I could try them out and let you, dear readers, know what I thought.

First, the specs. Squishy Snak Paks:

  • baby food pouchesare made of non-toxic plastic and are free of BPA and Phthalates.
  • are durable and safe for freezing.
  • are dishwasher safe (place opened end on a prong on the top rack and put the cap in the silverware basket).
  • hold up to 1/2 cup puree.
  • come with a heavy duty zip seal (Michelle has had no reports of Squishy Snak Paks bursting open while being used or transported in, say, a diaper bag).
  • baby food pouchesfit perfectly with baby food dispensing spoons, which are little spoon tips that screw onto baby food pouches so you can have portable puree-on-a-spoon (read my post about them here). You have to make sure there are no lumps in the puree, though, so that it will dispense through the little hole in the spoon without clogging.

Next, ideas for use. You could use Squishy Snak Paks with your infant (at least 6 months old/able to eat Stage 1 puree) or toddler by:

  • filling with store bought puree (Stage 1 or 2), yogurt, applesauce, etc. for increased convenience when eating with your little one outside the home.
  • filling with homemade smoothie if baby is not ready to drink from an open cup.
  • baby food pouchesfilling with homemade puree that is just straight-up fruits and veggies (recipe listed below!) in an effort to help your little one get more fruits and veggies without all the flavor they dislike. Hello, blueberries, apples, and broccoli! Have you seen those crazy combinations in the store?. You could even throw some quinoa or oats into that blender/food processor to give it some protein/added fiber. Just be sure the freshly-made puree gets consumed within the hour or goes in the fridge in a sealed container and is consumed within 24 hours. This may be a REALLY good option for those of you with kids who are picky eaters. You could send them to daycare or Grandma’s house with this and know they’ll still get fruits and veggies.
  • making a large batch of puree and freezing portions in an ice cube tray, much like you can do with regular homemade baby food or expressed breast milk. When you are ready to use, simply place two frozen cubes in the Squishy Snak Pak, set it in a bowl of warm water to defrost, or just put it in your diaper bag and go. This is definitely the most efficient and cost-effective way to do it!

Michelle shares three quick and tasty recipes on the Squishy Snak Pak website (Apple & Pear with Cinnamon, Avocado & Banana, Blueberry & Banana), but I was excited to experiment with my own basic recipe.

Mama OT’s Pear Spinach Puree for Squishy Snak Pak

baby food pouches

All I did was toss a pear, a handful of spinach leaves, and a tiny bit of water into the food processor to help keep it smooth. I pulsed it for several seconds until it was smooth enough to dispense (much like a Stage 2 puree) and then went to work scooping it out. I scooped with a spatula from the food processor to a baby-sized bowl, then to the Snak Pak one spoonful at a time until the bag was full.This recipe made about one and a half bags full, and my 15-month-old LOVED it!

baby food pouchesbaby food pouchesbaby food pouches

I knew he liked it because he kept signing for “more”!

baby food pouches

I was brave enough to try some and, I’ll admit, it was good. Tasted like pear applesauce and I couldn’t even taste the spinach or feel its texture. Would definitely recommend this combo!

Three critiques of Squishy Snak Paks: 

  1.  I wish there was a cleaner or more efficient way to get homemade puree from the blender/food processor to the bag. Not sure if a funnel would make things easier or trickier at this point.
  2. I wish they stood up like the store bought ones when they are filled. This is a minor critique, but I like being able stand them up when I put them in the fridge as opposed to laying them on their sides. Like I said, a minor issue.
  3. The Snak Pak does include a “fill line” so you know how much puree to put in there. However, my husband and I both missed it the first time because it is pretty faint and kinda blends in with the pattern on the bag. I also found that my bag overflowed a little even though I respected the fill line. Maybe it depends on how thick your puree is. So just be careful when filling and zipping your Snak Pak.

Would I recommend this product?

  • YES! Whether you are savvy enough to make your own puree, or you throw in something that’s store bought, I think Squishy Snak Paks could be a great addition to any family who wants their baby or young toddler to be able to eat healthfully while minimizing mess and maximizing portability. You can add on a dispensing spoon for the baby who can’t yet suck from the spout, you can use a Snak Pak to teach your baby or toddler to drink from a straw without spending a fortune on individual baby food pouches, and you can freeze large batches of puree in order to increase both the variety and volume available to you.

You can order Squishy Snak Paks by visiting Michelle’s website, http://squishysnakpak.com. They come two-at-a-time and would be a great gift for stocking stuffers, baby shower gifts, or even baby birthday gifts. Stop by and check them out!

baby food pouches

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Get Ready for Info on Sensory Processing Disorder (SPD)

This weekend I had the distinct privilege of attending the 15th annual international symposium on Sensory Processing Disorder (SPD). It was held in my hometown of Sacramento, CA, and I was honored to be in the presence of some of the greatest leaders in the field of SPD research and intervention.

In a nutshell, Sensory Processing Disorder (SPD) occurs when the brain misinterprets sensory information (like touch, sound, smell, movement) and either over-responds, under-responds, or excessively craves it to the extent that it interferes with a person’s ability to function in his or her daily life. These difficulties with sensory processing also frequently contribute to motor-based problems that end up delaying the development of age-appropriate fine motor skills (small muscle groups: hands/fingers) and gross motor skills (large muscle groups: legs, shoulders, trunk).

sensory processing disorderThe most well-known speaker at this weekend’s conference was Dr. Lucy Jane Miller, an amazing woman who has devoted her life to helping children with issues related to sensory processing. She is the author of Sensational Kids: Hope and help for children with sensory processing disorder and No Longer A SECRET: Unique common sense strategies for children with sensory or motor challenges, and she has co-authored many other books and prestigious research articles on the topic of SPD. Dr. Miller is also the leader of the STAR (Sensory Therapy and Research) Center in Denver, Colorado, which is a unique place for children and their families to engage in intensive sensory-based treatment and education in order to help them more successfully participate in daily activities (such as self-care, eating, playing, and participating socially) and increase their quality of life.

As anticipated, this conference built upon my current knowledge about and experience with sensory processing disorder. Ten lectures over the course of two eight-hour days? Yeah, I learned A LOT!

And I bet you’d like to know some of what I learned?

Well, you’re in luck.

This conference, of course, has reinvigorated my passion for everything sensory, and over the course of the next several weeks, I will be sharing some juicy tidbits that I hope you will find helpful for yourself, your own children, or other children you work with. While I won’t be able to write blog posts about every single thing I learned, I will be sharing many helpful sound bytes throughout the weeks via Twitter and Facebook. So make sure you’re following me on Twitter (@mamaotblog) and you’ve become a fan of MamaOT on Facebook (http://facebook.com/mamaotblog) so you don’t miss out on some really great info.

Topics I look forward to sharing with you are (in no particular order): 
• Basics of sensory processing and SPD
• ”Sensory Diet” vs. “Sensory Lifestyle”
• SPD and Autism
• What happens in the brains of kids with SPD as it relates to sensory processing, why this causes them to behave the way they do, and what we can do about it
• Sensory-inclusive playgrounds for kids with SPD and autism
• Emotional regulation as it relates to sensory processing
• ”Picky eating” and sensory sensitivity in kids with SPD

I hope you’re as excited as I am. And, hey, if you’re not interested in reading about SPD stuff, don’t worry, I’ll still be blogging about other topics over the next several weeks as well. I just wanted to give you a heads up so could prepare yourself (because that’s what we pediatric OTs do, right?).

Looking forward to sharing with you!

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Coming Soon…Photo Friday!

Throughout my week as a mom and a pediatric therapist, I have the opportunity to take lots of pictures of fun things my kiddos and I do together. I totally wish I could write a full blog post about each successful (or, I guess, unsuccessful) thing we do, because I want to get those ideas to you so you can try them out with your little ones. As reality would have it, tending to my family and working a full-time job aren’t so conducive to extensive blogging.

So…

That’s why I’m creating Photo Friday! 

Photo Friday starts THIS WEEK!, and it will include a photo or two of an activity or idea that can help boost your child’s development. It’s a quickie. I’ll throw in a sentence or two about why it’s helpful, and then you can take it into your world and try it at home. Please give me feedback on my ideas — I love hearing how they go over with other kids!

I also like to share photos of fun, therapeutic activities on my Pinterest account, so make sure you’re following Mama OT on Pinterest so you can have access to all the good stuff I share, but don’t have time to write about. My Pinterest home page will give you access to all my boards and can be found by clicking here. If you are only interested in therapy or mommy stuff, you can choose to only follow those boards (don’t worry, I won’t be offended!).

You can follow “the therapist in me” (click here to follow), “Handprint/Footprint Art” (click here to follow), “mommy stuff” (click here to follow), and “pregnancy stuff” (click here to follow).

See you Friday!

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Tips for addressing throwing behavior

Let’s be honest: isn’t it annoying when cute little babies or toddlers start throwing stuff? And you can’t even reason with them!

throwing

Here are five reasons why babies or toddlers might exhibit throwing behaviors, and what you can do about it.

Reason #1: Developmental stage.
From about 9-12 months, it’s totally developmentally appropriate for babies to throw things in order to see what happens when they land. This is a normal part of their cognitive development. They are learning about cause and effect and are often fascinated by the sounds different objects make when they fall. However, 9-12 months is also about the time babies start to test limits, and they often do this by throwing food or utensils during feeding time.

What you can do about it:
Label and describe to your baby what’s happening when he or she tosses that baby spoon on the kitchen floor. Talk about the quality of the sound (loud, quiet, etc.). Describe the mess it made (gooey, sticky, oatmeal or spaghetti sauce all over the floor, etc.). Describe where it went (under the high chair, next to your chair, etc.). Explain what you’re going to do with the spoon now that it’s on the floor (rinse it off, get a new spoon because this one is dirty, etc.). Set limits if the throwing is becoming a problem (such as, “If you throw the spoon one more time, we’re going to be all done.”), and offer them other toys that are fun, noisy, and okay to throw instead (such as rattle balls). All of this will help them start to understand more about cause/effect, which is a huge pre-requisite for higher level problem solving skills needed in the toddler years.

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Reason #2: Seeking sensory input.
Some little ones who are past the 9-12 month cause/effect phase will still throw because they’re seeking a lot of “heavy” input into their joints and muscles (you know it when you see it). One way they can accomplish this is by throwing stuff. Blocks, toy trucks, dolls, you name it. If they can pick it up, they’ll throw it. Watch out…and duck.

What you can do about it:
Offer them a replacement item. Instead of chucking puzzle pieces or shoes, how about beanbags, balls, or stuffed animals? This will provide similar sensory input in a safer way. Direct their throwing by encouraging them to throw toward a target of some sort, such as into a laundry basket or cardboard box. You can easily make weighted stuffed animals for throwing by ripping the seam, inserting a reinforced bag of sand or rice, and then stitching back up. Not cool with them throwing things, period? Encourage them toward other activities that provide “heavy work” to the shoulder/elbow/wrist joints such as safely crawling up and down surfaces of various heights (steps, short slides, pillows, etc.), hanging on bars, pushing things around the house (heavy diaper box, laundry basket, etc.), or walking like a bear. Make a game out of it when you can so it’s both fun and functional.

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Reason #3: Communicating that they’re “all done”.
The most logical way for babies to get rid of something they’re finished with is to toss it, right? Makes sense. Most babies don’t begin handing items to adults in order to indicate they’re finished until about 18 months (but some can learn sooner with the strategies listed below).

What you can do about it:
A) Be physically present with the child and tune in to their cues that indicate they are all done before they get to the point of throwing.
Does their eating slow down? Do they start playing with their food? Do they start to drink more slowly out of their bottle or cup? Do they look around the room and show less interest in their toy just before they throw it? This requires you to be physically present with the child so you can intervene just before they begin their pitching practice. As you see them nearing their throwing threshold, you can either ask them or tell them that they’re all done (“Oh, are you all done?” or “You look like you’re all done.”). Then reach out your hand (or stop their hand from throwing), get the item from them, and thank them for it.

B) Teach them the baby sign for “all done”. It basically looks like they are shaking both of their hands at the same time (click here for video). This gives them a more functional and mature communication tool to be able to use in times like this. Teach it to any other caregivers as well so they can be aware of what the baby means when they sign it, rather than just thinking baby is being funny and then they miss the cue and all of a sudden baby starts throwing stuff.

Here’s a sample:
Baby: Slows down eating at end of meal, starts to play with spoon in high chair and motions to throw it
Mom: Stops baby’s hand. “Oh, are you all done?” (Models baby sign for “all done” while saying it)
Baby: Signs “all done”
Mom: “Okay, give the spoon to Mommy.”
Baby: Slightly moves hand toward Mom
Mom: Takes spoon and says, “Thank you! All done.”

You can do this with spoons, food, toys, and more. If you practice this interaction on a regular basis, your little one will start to understand the routine (remember cause/effect from earlier?) and should begin to initiate the sign or words for “all done” without needing to be prompted by an adult.

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Reason #4: Communicating that they’re frustrated.
This can be especially true when they’re playing with their toys. Baby’s first year is typically littered with toys that are pretty straight forward — you shake it, it makes noise; you push it, it lights up. But toys for the late baby/early toddler years are not quite so simple. Shape sorter, blocks, and basic puzzles are great for their development…not so good for their frustration, though. The common response? Throw it.

What you can do about it:
A) Again, be physically present with the child and tune in to learn what their pre-throwing cues are. How long do they struggle with a toy before they toss it? One attempt? Several attempts? Don’t jump in right away. Let them struggle and problem solve. Give them a chance to try. But don’t let them get to the point of throwing. Once they are close to that threshold, then you can jump in and either ask them if they need help or tell them that they do (“Oh, do you need help?” or “It looks like you need help.”). Then help them figure out whatever it is they’re trying to do and give them a chance to contribute to the problem solving process, such as letting them do the final push into the shape sorter or the final slide over of the puzzle piece to fit it in the slot.

B) Teach them the baby sign for “help”. Most kids I know must be taught to ask for help, and it comes back to giving them the appropriate, mature communication tools to be able to do so. To do the baby sign for “help”, simply flip one palm up toward the ceiling, place your other hand on top of it in a thumbs-up position, and raise both hands up a few inches. (Click here for video.) Younger kiddos may do any variation of this because it’s a little tricky, so you just want to focus on establishing a consistent, functional gesture to indicate that they need help.

Here’s a sample:
Baby: Starts to fuss while playing with toy and appears to be frustrated
Dad: “Do you need help?” (Models baby sign for “help” while saying it)
Baby: Establishes eye contact with Dad. Doesn’t yet know how to sign “help”, so Dad takes babies hands and helps her do it.
Dad: “Okay, Daddy helps.” Assists baby with toy/activity, allows her to finish the last step, and then cheers.

Again, teach this sign to all other caregivers so they can be on the same page and will be able to read the child’s cue prior to extreme frustration and throwing. Baby will develop an understanding of this routine over time and you should see a decrease in throwing behavior as a result. I’ve seen a lot of little ones stop throwing things simply because someone took the time to teach them how to ask for help.

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Reason #5: Seeking attention.
Babies learn in the first several months of life that their actions can influence the behavior of others. This is such a basic yet vitally important social skill. Additionally, kids often develop the desire to become the center of attention around 12-18 months of age. Some do it by being silly or performing a new skill. Others do it by throwing. As it turns out, this age often happens to coincide with the arrival of a new sibling or some sort of life change like a family move or transition to daycare or school. It’s not uncommon for kids’ behavior to deteriorate for a little while with big changes like these, particularly a new sibling. So now you’ve got a double whammy. There, I warned you.

What you can do about it:
A) Ignore the throwing behavior, but only as long as it’s safe to do so. If the child gets attention (whether positive or negative) when they throw, or they like the way you respond when they throw (a funny face, funny noise, etc.), they will keep doing it. So ignore it. I know, this is hard. But it’s often effective. Of course, if their throwing risks injury to a person or property, then you can’t just ignore it. That’s where you have to step in and be the parent (or other authority), and use your best judgment about the situation.

B) Provide plenty of positive attention when they are doing things you consider to be “good”. Maybe they are playing appropriately with their toys or doing a good job of helping clean up. Be sure to tell them you notice that! If they are old enough to understand “token systems”, consider involving them in a star chart or marble jar so you can catch them being good and give them a tangible way of understanding when they have done something good. Then they can work toward some sort of reward that you choose or at least that you agree with (a certain movie, play date with a friend, etc.). If they feel they are receiving adequate attention from you because of the positive things they are doing and being reinforced for, then the throwing-as-a-means-of-getting-attention should cease.

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As with most things in real life, there is rarely one “right” answer to addressing throwing behavior because the root causes of the behavior are often intermingled. For example, the child may be all done with their food or toy, but they are also seeking sensory input and attention. This means you’ll have to use your best judgment in order to problem solve how to best address their throwing behavior. If the behavior persists despite your very best efforts or seems extremely defiant, go ahead and mention it to their pediatrician at the next visit. He or she may be able to provide you with some helpful insights.

I hope you can use these suggestions as tools in your toolbox as you endeavor to train up your own (or someone else’s) child to the best of your ability!

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Coming Soon: “One Thing” Thursday

I’m excited to announce the newest addition to the MamaOT blog!:

“One Thing” Thursday

MamaOT

Every Thursday, I will feature one quick tip that you can implement to help improve some aspect of your child’s development. I will keep it as focused as possible so it’s short, sweet, and easy to use. The age range addressed will vary from week to week, so there will be something for everyone throughout the month.

Cool? Let me give you the back story real quick:

As a pediatric occupational therapist, I do my best to give my little clients’ parents ideas for how they can carryover their child’s therapeutic program throughout the rest of the week. Though it’s tempting to give them a bunch of ideas so they can leave their child’s session armed and ready to go for the next several days, I find it’s often more effective to only suggest ONE THING. Sometimes that ONE THING is very specific (e.g., give him a deep massage with lotion after bath time every night). Sometimes it’s pretty broad (e.g., find opportunities to engage her in fine motor activities that will continue to encourage development of her pincer grasp). And, yes, I’ve even referred a parent to Pinterest before for sensory and fine motor play ideas via Kid Blogger Network. God bless Pinterest.

Anyway…

I have found that giving families more than ONE THING to do each week can be overwhelming and impractical and, more often than not, families are less likely to carryover therapist suggestions when they are given too many ideas to choose from, no matter how fun or great they are. And, honestly, sometimes it’s even difficult for parents to try out that ONE THING. Factors such as limited time, space, energy, or finances can get in the way, and it’s totally understandable. I’m a parent. I get it. Raising a family is tough work. That’s why I try to keep it simple.

Similarly, I want to provide tips and tricks on this blog that are practical and easy to use. Sometimes a list of five or ten things is great. But other times ONE THING is enough.

That’s why I’m creating “One Thing” Thursday.

Be sure to stop by for next week’s first installment of “One Thing” Thursday. I’ll give you a clue…it’s about babies.

If you haven’t yet subscribed to the blog or followed MamaOT on Twitter or Facebook, now’s your chance! You don’t want to miss out on all the great tips and tricks you can use for those crazy, quirky, sweet, special children in your life.

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Foods to help kids focus in school

It’s that time of year again. School is about to begin (or already has for some of you) and the kids are (about to be) out of the house for much of the day…Yippee! said all the parents. This means it’s time to get back into the habit of packing lunches (Boo!) and sending kids off to school with a load of goodies to fill their bellies. But did you know you’re not just feeding kids’ tummies when you give them food? You’re feeding their brains and nervous systems too, and there are actually some types of foods that can be used to help increase kids’ attention and focus during the school day.

Vegetable Medley: 26/09/06

As you pack your child’s lunch, just remember to F.O.C.U.S.

F: Fiber and whole grains both help slow down the speed at which sugar enters the bloodstream. So when kids eat fiber and whole grains as part of a healthy snack and/or lunch, they are less likely to experience a spike in blood sugar levels, and this helps them avoid a “crash” in energy later on. More stable energy levels equal better potential for focus. Some kid-friendly foods filled with fiber and/or whole grains include plain popcorn, beans, avocado, hummus, almonds, bananas, whole wheat pasta, quinoa, brown rice, edamame, whole wheat bread (different than “multi-grain”, which is not whole grain), fruit with skin (like pears and apples), berries (especially blackberries), and oatmeal-based products (but watch out for the added sugar in things like oatmeal cookies that will cause that crash later on!)

O: Omega-3 fatty acids contribute to brain function and cognitive behavior and can be found in kid-friendly foods such as avocado, tuna, tilapia fish sticks, salmon, extra virgin olive oil, almonds, walnuts, pumpkin seeds, and macadamia nuts.

C: Crunchy and chewy foods are one of the best kept secrets when it comes to foods that help kids focus. Though it’s common knowledge among pediatric occupational therapists, not a lot of people know about it for some reason, so I’m telling you now! Foods that are crunchy or chewy can provide a lot of “heavy” input to the jaw because the muscles really have to work to break them down, and this particular type of sensory input helps increase focus and attention. Obviously you don’t want to go overboard and send your child to school with a jawbreaker candy or tootsie pop everyday, so try foods like crackers, pretzels/pretzel rods, peanut butter, cheese, nuts, granola bars, corn nuts, carrots, celery, broccoli, sliced bell peppers, snap peas, apples, fruit leather, or dry cereal (such as granola, Cheerios, or Chex/Chex Mix).

U: Giving kids unprocessed foods will help reduce the amount of trans fats and high fructose corn syrup they eat during the day, which means they will be more likely to eat fresh foods that will keep their energy at a balanced level and help them maintain their focus. Remember, “processed foods” are foods that have been altered from their original state, and they are EVERYWHERE. They often contain ingredients such as white flour, added sugar, added salt, partially hydrogenated oils (the trans fats), and high fructose corn syrup. Think of it this way: if a food can sit on a shelf for weeks or months on end without going bad, then it’s most likely processed. Conversely, unprocessed foods will “go bad” more quickly but will provide your child with healthier fuel to help their body and brain stay energized and focused during the school day. I know it seems impossible to feed a child food that isn’t processed (hello, mac ‘n cheese!), so be realistic with what you know your child will eat and go from there. Every little bit counts.

S: Food and drinks that require sucking can really help kids get focused and increase their attention. This is another trick pediatric occupational therapists keep in their back pocket that not too many people know about. Sucking through a straw or straw-like container can be a very “focusing” activity, so if you send kids to school with suckable fruit pouches and a pop-top water bottle or straw for their milk (how about a fun crazy straw?), you will be setting them up for school success!

BONUS FOOD: Protein. I couldn’t figure out how to fit protein into my tidy little acronym, so it’s just gonna have to hang out here by itself. But just because it didn’t make it into the top five doesn’t mean it’s not important! Protein contributes to stable energy levels (which contributes to focus and attention), so be sure to include kid-friendly protein in your child’s lunch with foods like hard boiled eggs, beans, nuts, quinoa, meat (the less processed the better), hummus, cheese, milk, yogurt (easy on the sugar!), or avocado/guacamole.

So there you have it. Don’t feel like you have to try all these foods at once or that you have to strictly follow these ideas. Find what works for your child and allow him or her to help you come up with ideas for new combinations of “focus foods” (like apples and cheese or peanut butter-filled pretzels). When you pack your child’s lunch in the morning (or the night before, if you’re really ambitious), do a quick scan of their lunchbox and ask yourself: 

Am I helping my child F.O.C.U.S.?

. . . . .

If you feel your child has significant difficulties focusing in school or you have specific nutritional questions about any of the above-listed foods, be sure to bring it up to your child’s pediatrician. He or she will (hopefully) be your best resource for addressing your child’s specific needs and pointing you in the right direction. And if your child already sees an occupational therapist, check with her or him for specific recommendations regarding your child’s particular sensory needs. This post is not an exhaustive list of foods because there are even more food- and drink-related ways to help kids stay alert and attentive during class, if you can believe it! Another post for another day, I suppose. But I hope this is a good start.

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MamaOT poll: What ages and topics do you want to read about?

As you know, my goal here at MamaOT is to provide helpful tips and tricks for those of you who care for children. Though I try my best to address a diversity of topics and age groups, I really want to know what you are interested in learning about so I  can best meet your needs. After all, this blog is all about you, the readers!

Would you mind taking 10 seconds to answer the two questions below so I can get a clearer picture of what you want to learn about? I will take your answers into consideration as I plan my next several months of blogging and do my best to equip you to meet your children’s needs.

Thank you so much!

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MamaOT and the “Top 10 Occupational Therapy Blogs”

Yesterday RehabAlternatives.com published a list of the Top 10 Occupational Therapy Blogs, and you know what? MamaOT.com was on there!

I am very honored to have been included in this list of amazing bloggers, one of whom has written a guest post here on MamaOT. Remember Abby Brayton-Chung? She recently contributed a post entitled, “5 things your school OT wishes you would do this summer”, and it was AWESOME. You can read it by clicking here.

To see the full Top 10 list, click here. You’ll find a range of blogs that cover a variety of topics, and they all revolve around one thing: the amazing field of occupational therapy!

Thanks so much to those of you who have read, emailed, shared, and pinned. Please be sure to leave a comment on the blog or email me at mamaotblog [at] gmail [dot] com if you are interested in learning more about a particular topic so I can work on putting together a post for all to see.

Looking forward to sharing more tips and tricks with all of you as summer winds down, baby season continues, and the school year gets ready to kick into high gear.

Have a great day!

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