11 Benefits of Playing with Bubbles

bubble forming

Bubbles are one of my absolute favorite things to use when playing with kids, especially those virtually indestructible Gymboree bubbles I mentioned yesterday (read post here). And since I recently began a new job in a new city where I have to start up a new relationship with every single kiddo on my caseload, I’ve been using bubbles with almost all of them on the first day because, let me tell you, it is a fantastic way to break the ice!

Not only is bubble play an easy way to have fun with a new little friend, it’s also a fun way to work on a host of developmental skills, such as:

  • Fine motor skills. Kids have the opportunity to practice pinching the skinny wand, coordinating two hands to hold the bottle and dip, holding the blower with a pencil-like grasp, opening and closing the bottle, and using hands in different ways to pop the bubbles (poke with index finger, “squeeze” to grab bubbles with the whole hand, use two hands to clap the bubbles).
  • Visual tracking skills. Follow where the bubbles go. Some are fast and some are slow. And some will even glow!
  • Hand/eye coordination. It takes serious practice to link up what the eyes and hands are doing in order to accurately dip and blow with a wand.
  • Sensory processing skills. Bubbles are wet. and slimy. and sticky. They feel funny. And the physical act of blowing can be a very effective sensory-based way to help children “organize”, calm, and focus their bodies.
  • Oral motor skills. Obviously. Blowing bubbles is good exercise for little mouths, but it can hard work! Bubble blowers (like the tube-shaped ones) are easier than bubble wands, and kids won’t inhale bubble solution if they decide to suck instead of blow out. Skinnier tube blowers are typically easier than fat ones. And blowing at bubbles that have already been blown and are sitting on the end of the wand can also be easier than straight-up blowing through the wand.
  • Social and communication skills. Kids can ask or sign for “more” and establish eye contact when doing so. And if playing in a group, they can practice taking turns and keeping personal space between their bodies so they don’t bump into or knock each other over.
  • Gross motor skills. What an easy way to get kids to reach way up high, stand on their tippie toes, squat, jump, run, stomp, and kick.
  • Following directions. You can give them directions on how to pop the bubbles with each turn (clap them, poke them, squeeze them, jump on them, etc.) either one at a time or by telling them a popping sequence (first poke, then squeeze, then clap). Or they can follow the directions to a turn-taking sequence (first Johnny pops, then Caitlin, then Danny). The possibilities for directions are endless.
  • Identifying body parts. Pop with your finger, your elbow, your knee, or your nose!
  • Speech skills. I’m not a speech therapist, but I know that /b/ and /p/ (those formed in the front of the mouth with the lips) are early speech sounds that are naturally used during bubble play. A few examples include “Bubbles!” “Bye-bye bubbles!” and “Pop!”
  • Language and cognitive skills. You can teach toddlers and preschoolers how to understand and describe where the bubbles are and what they’re doing by pointing things out when they happen. “The bubbles are going up (or down)” “They’re going fast (or slow).” “There’s a bubble in front of (or behind) you.” “I see one next to you.” “There’s one above (or below) your head.” “It’s to your right (or left).” “That’s a really big (or little) bubble.” “Go pop the biggest (or smallest) bubble!”

Babies often love to watch others blow bubbles and think they’re so interesting, and bigger kids love to play with them in all kinds of creative ways. So grab your bubbles and get ready for some beneficial fun, fun, fun!

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The Best Bubbles in Town

I have a secret about bubbles that I’ll share with you: Not all bubbles are created equal.

Those “Miracle Bubbles” you find on the shelves of practically every store, while cheap, are quite honestly not worth it. The bubble solution is thin, it only produces a few bubbles when blown, and the bubbles typically pop quickly after being blown. It’s really hard for kids to get the most fun and benefit out of bubble play if you have crummy bubbles.

So, here’s what you’ve gotta do. Go to Gymboree (you know, the kids’ clothing store that sells amazingly cute but ridiculously expensive clothes) and get some bubbles. They should have them in every store across America…they look like this:

Gymboree’s bubbles are amazing. They are the best bubbles in town! I mean, really. You have to see it to believe it. They will literally hang in the air like that floating bubble scene from Charlie and the Chocolate Factory and they are capable of staying intact for several minutes even after they have landed on the ground. They are non-toxic (though that doesn’t mean they’re safe to drink) and they come with a bubble blower that puts those thin plastic wands to shame. Multiple holes surround the end of the blower and you know what that means? Lots and LOTS of bubbles…that hang in the air and invite kids to poke, clap, squeeze, chase, or simply watch as they leisurely float down, downnn, downnnnnn.

If you want a greater variety of bubble blowing devices, then head over to the Dollar Tree and pick up a bubble pack that you can pick apart just to get to the various blowers that accompany that teeny tiny bottle of five-cent bubbles.

Bubbles are an amazing thing to have on hand for kids of all ages – from babies to school-age kids – and tomorrow I’ll tell you why they are so good. So head on over to Gymboree to get your magic bubbles, and I’ll see you tomorrow!

 

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Activity Ideas for Kids: “No Time for Flash Cards”

Last week I asked you to tell me what ages and topics you wanted to learn more about here on MamaOT.com. I learned that many of you are looking for play and activity ideas for your little ones. To be honest, there are TONS of blogs out there (it’s overwhelming, really) that offer a multitude of ideas for creative crafts and activities for kids. And since MamaOT is a “Tips and Tricks” blog that sometimes features activity ideas (rather than focusing on them exclusively), I thought I’d share some helpful resources for those of you looking for a creative boost. I’ve decided to devote this entire week (how lucky are you?!) to telling you about some fantastic resources out there on the world wide web that have already put together fun lists of things to do with kids of all ages!

The first website you should check out is called No Time for Flash Cards: Learning and Play for Babies, Toddlers, and Kids. It can be accessed at www.notimeforflashcards.com.

No Time for Flash Cards (or NTFFC for short) is a fun blog that features tons of activity ideas for babies, toddlers, and kids. It has been around since 2008 and is run by a teacher/mom who loves to help other parents. You can search for activities based on:

  • AGE — infant, toddler (1-3), preschool (3-5), school-age (5+), big kid and parents (8+)
  • CRAFT — by theme and by age
  • ACTIVITY TYPE — cooking, fine motor, gross motor, math, pretend play, science, sensory, and songs

The philosophy of NTFFC is to make learning fun at home and in school…without the flashcards!

As a pediatric occupational therapist, I think the NTFFC blog is a great place to start for those who are looking for activity ideas that will engage kids’ brains and bodies without making them feel like they’re being “drilled”. The blog’s writers have backgrounds in literature, education, and crafting, so those are the kinds of ideas you’ll encounter. Though it’s not a site geared specifically toward reaching developmental milestones or sharing how to playfully work toward specific age-appropriate skills (such as fine motor milestones or handwriting development), I think you’ll find the ideas on NTFFC useful and practical, especially the page that outlines basic must-have craft supplies.

Here are some examples of activities featured on NTFFC (click on title for link to activity):

I hope you’ll stop by No Time for Flash Cards and try out some of the many fun ideas it has in store for you. Hopefully you’ll discover some new favorites. Let me know what you think of it!

Tomorrow I will be sharing another website I like that is filled with hundreds (maybe even THOUSANDS) of activity ideas for parents and kids to do together. Be sure to come back to check it out or, better yet, subscribe to MamaOT so you don’t miss out on future posts. See you tomorrow!

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15 toys for baby’s first year

[Looking for toy recommendations for older kids? Check out my list of toys for toddlers and toys and games for preschoolers.]

. . . . .

Is it not completely overwhelming how many toys are available for little babies?! How is a parent to know which ones are good and which ones are a waste of money? Yes, every baby has different likes and dislikes, so just because your little one goes ga-ga over a certain toy doesn’t mean mine necessarily will. But isn’t there a way to narrow down the choices?

Yes.

As a mom who is nearing the end of baby’s first year and as an occupational therapist who is always looking for toys that will promote children’s overall development (specifically their fine motor, cognitive, gross motor, oral motor, self-help, and language skills), I decided to take a look at today’s popular toys and create a list for you.

Here were my criteria in making this list:
1. The toy must serve at least two different purposes. Toys are expensive and we want to get the most bang for our buck, right?
2. The toy must be relevant for at least 3 months of baby’s life. Babies go through phases in what catches their attention, so we want toys that will outlive those fleeting interests.
3. The list as a whole must cover all major developmental skills babies are expected to acquire in the first year of life. As a bonus, the list should also include some toys that can be used even after their first birthday. How’s that for money-saving?

It’s worth mentioning that babies often find objects around the home to be more fascinating than store-bought, professionally crafted toys. An empty water bottle filled with dry rice or your favorite set of plastic mixing bowls will likely strike their fancy far more than a rattle that was tested in Fisher Price’s toy lab. Unfortunately, you can’t add a homemade rattle to a baby registry, so check out the list below to find out which toys can follow your little one right up to their first birthday.

Remember, too, that as great as toys are these days, YOU are your baby’s best teacher. Your interaction with baby is more valuable and life changing than any toy.  So don’t swap baby’s quality time with Mama or Daddy for time spent alone with the “perfect” toy. Engage and talk with your baby while he or she plays with and explores new toys, and watch how your bond with each other grows. It’s a win-win…got it?!

Alright, here we go!

1. Baby gym

You can literally use a baby gym from day one. Some are much more expensive than others, but you really don’t need a fancy one to serve your baby’s purposes. Ideally, you want a baby gym that has loops from which to hang plastic links and toys. Because newborns can really only see high contrast objects (particularly black & white) that are about a foot away, the baby gym should be bright, colorful, and high contrast. Make sure to place baby on her back, side, and tummy while in the gym (click here for tummy time tips). If your baby spits up a lot, the gym’s easy-to-wipe mat will make it a cinch to clean the spit-up without dirtying your floor, and you can disconnect the bottom and toss it in the wash whenever you want.

Add plastic links (toy #2) to hang toys closer to her eyes and hands so she can learn to reach and grasp. Put toys in various positions: placing them over the middle of the body encourages hands to come together at midline (a VERY important skill); placing toys to the side encourages rolling to the side and, eventually, rolling all the way to tummy. Don’t put the gym in storage once baby learns how to roll, sit up, and crawl — I guarantee you she will find new uses for this vertical play structure, some of which you never would have thought of on your own! Buy in most baby stores or find online here.

Developmental skills encouraged: tummy play, rolling, midline play on back or in sitting, reaching, grasping, hand-eye coordination, depth perception
Approximate age relevant: 0-12 months

2. Plastic Links

A set of plastic links is one of the most versatile toys for baby’s first year and only costs about five dollars. Add them to the baby gym as mentioned in Number One. Hang them from the overhead handle of baby’s car seat or stroller for on-the-go entertainment and to keep toys from flying out as baby gets older and begins to toss toys to the ground. Though these links aren’t soft like teething toys, babies love to put them in their mouths and explore the bumpy, wavy textures. These links are a must-have for both babies and their caregivers! Buy in-store at Target or online here.

Developmental skills encouraged: reaching, grasping, hand-eye coordination, oral exploration, oral discrimination, tactile exploration
Approximate age relevant: 0-12 months and beyond

3. Mirror

Some baby gyms include an unbreakable mirror, and you don’t necessarily have to buy a special baby mirror in order for your little one to develop a love of his own reflection. Use plastic links (toy #2) to hang a handheld mirror from the baby gym (toy #1)…see how all these pieces are starting to fit together? You can also place a full-length mirror on its side or place baby in front of a mirrored closet door to give him a chance to play with his reflection. Mirrors can also be used for motivation, distraction, or entertainment during tummy time and when learning to sit. Whatever kind of mirror you decide to use for your little one, just make sure it’s safe to use and is secured in a safe manner to protect both the mirror and the baby. Buy in most baby stores or online here.

Developmental skills encouraged: tummy play, head control, social emotional skills, self-awareness
Approximate age relevant:
0-12 months and beyond

4. Oball with rattle

I love the rattle OBall. Rattle and ball, all in one. It is amazingly diverse and somehow appeals to babies of all ages. It’s webbed design makes it easy for new babies to hold (thanks to the grasp reflex in the first couple months), and you can even hang it from the baby gym with a few plastic links so baby can bat it around and make it rattle. The fact that it is fairly symmetrical and doesn’t have another ball in the middle of it (like some other brands) means it’s easy to roll and bounce with your baby as she gets old enough to sit up and play with it…did you know that learning to roll a ball back and forth with an adult is a great way for babies to learn about the back-and-forth dynamics of communication? “Ball” is even a common first word for many new talkers. You can also hide the ball under a blanket and shake the rattles as baby learns that objects still exist even when she can’t see them (called “object permanence”). Additionally, the OBall’s flexible material makes it easy for a teething baby to chew on without hurting her gums or existing teeth (as opposed to some harder balls of similar design). This ball is bendable, easy to clean, and virtually indestructible. But the best part is its price: it’s less than five dollars and can be used for well beyond baby’s first year. What a deal! Buy in-store at Target or online here.

Developmental skills encouraged: grasping, midline play, transferring between hands, hand-eye coordination, oral exploration, auditory localization, object permanence, give-and-take interaction, joint attention, eye contact, pointing when rolls away, crawling
Approximate age relevant:
0-12 months and beyond

5. Sophie the Giraffe

Sophie is so hot right now. This miniature rubber giraffe is all the rage with today’s teething babies and after owning her for several months, I can see why. She is marketed as a toy that appeals to all the senses. Really, she’s a rubbery toy that is easy for babies to hold, squeaks when squeezed, and is a delight to chew. The thing Sophie has going for her over traditional teething toys is the fact that her legs are perfectly tailored for chomping with the back sides of the mouth as babies spend months preparing to pop out their one-year molars. But she’s also great for chewing with the front of the mouth as well. There aren’t many teething toys as diverse as Sophie. Not only that, but baby can announce your arrival in a public place by chewing on her surprisingly loud, squeaky haunches as you push the stroller through the grocery store and politely say to the people around you, “Sorry…he’s teething.” Because of her squeaky nature, Sophie can also be used as an interactive toy as you hide her under a blanket and squeak her hindquarters or as you squeak her in an effort to motivate your almost-crawling baby. Sophie runs a little on the pricier side, but, PLEASE, don’t be scared away by the price. Sophie is well worth it, especially for when baby is in full-fledged teething mode. Buy in specialized baby stores or online here.
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Developmental skills encouraged: grasping, hand-mouth connection, oral exploration, sound localization, object permanence, midline play, transferring between hands
Approximate age relevant:
0-12 months and beyond

6. Set of small bath squeeze toys

Many baby development websites will tell you to buy or make finger puppets and “perform” for your newborn baby in the first weeks of her life to help engage her and develop her senses of sight and sound. Finger puppets? Really? I don’t even know where to buy finger puppets. A set of bath toys, however, gives you instant access to an entire cast of characters (and voices). They will be useful not only for making a fool of yourself during those bleary-eyed newborn days of sleep deprivation, but also for engaging your little one during bath time as she sits in the tub and attempts to pick them up while they bob and float around evasively. Once she gets a hold of them, she’ll probably definitely want to put them in her mouth. Yep! They work great as teething toys too, especially Mr. Octopus with those long tentacles and that squishy head (maybe he and Ms. Sophie should hang out sometime). And, of course, bath toys can be used well beyond the first year as kids learn how to squeeze and squirt water with those all-important hand muscles.

Developmental skills encouraged: visual tracking, reaching, grasping, midline play, transferring between hands, banging together, oral exploration, oral discrimination, hand strengthening
Approximate age relevant:
0-12 months and beyond

7. Set of small rattle balls

You can’t go wrong with these because, again, they are super diverse. The best, in my opinion, are the ones that all make different sounds (e.g., bell, rattle, coins), because babies can begin to learn the differences between them. They are small enough for babies to hold in one hand by the time they are sitting up, but large enough for them to slobber all over before they are able to sit up, without posing a choking hazard. The various balls can be used as motivators when learning to roll and crawl, and they are also lots of fun to put into (and under) cups and bowls once baby is old enough to use both hands to play with containers. Buy online here.

Developmental skills encouraged: reaching, grasping, midline play, transferring between hands, banging together, sound localization, sound discrimination, object permanence, visual tracking, joint attention, pointing when rolls away, crawling
Approximate age relevant:
0-12 months and beyond

8. Busy ball drop

Yes, this toy includes more rattle balls and, no, baby won’t be operating the ball tower from birth. These balls are smaller than the ones in the previous point, which makes them easier for younger babies to hold. However, all three balls sound the same, which is why I still feel the variety set in Number 7 is important. They can be used similarly to the earlier rattle balls but, once baby can sit up and play with both hands at the same time…watch out. She will be working on her ball dropping skills all day long as she figures out how to intentionally release the balls down the ramp and watches them go down, down, down, down, down. You can make the tower as short as you want in order to accommodate the beginner, or you can place it on higher surfaces (like the couch or coffee table) to provide an increased challenge for babies who are practicing their standing, squatting, cruising, walking, and kneeling skills as they retrieve balls that fall to the floor. Buy in most baby stores for as little as $5 (K-Mart) or buy online here.

Developmental skills encouraged: tummy play, grasping, reaching, releasing, hand-eye coordination, depth perception, midline play, transferring between hands, banging together, sound localization, visual tracking, sitting, standing, cruising, squatting, kneeling, walking
Approximate age relevant:
0-12 months and beyond

9. Board books

I cannot overstate the importance of introducing books to children early on. Lay on your back next to your newborn baby and flip through a board book filled with highly contrasting colors and shapes about a foot from his eyes. Prop the book open so he can look at it while laying on each of his sides. Engage him with a book during tummy time. Use books as part of pre-nap or pre-bedtime routines. Try books that have a sing-songy rhythm, a phrase that’s repeated over and over, or that aren’t too visually overwhelming. As baby becomes comfortable sitting with you to read and look through books, help him develop fine motor skills by encouraging him to assist you in turning pages and opening flaps. The key here is to make sure you enjoy (or at least tolerate) the books you read together because you will be reading them A LOT. A few fun ones include I Went WalkingBrown Bear, Brown Bear, What Do You See?Goodnight Moon; and Where is Baby’s Belly Button. Don’t forget to check your local library or garage sales for free or almost-free books before you go spending big bucks on something baby is probably going to bight a chunk out of before the end of year one.

Developmental skills encouraged: tummy play, midline play, sitting, reaching, visual scanning, turning pages, joint attention, pointing
Approximate age relevant:
0-12 months and beyond

10. High chair suction toy

Let’s face it, babies are crazy about putting things in their mouths. Sometimes it seems the only way you will be able to get them to use their hands rather than their mouths is by gluing their toys to the table. Well, thankfully, toy companies have got your back. I’m a big fan of these spinning suction toys that rattle and play music every time they’re spun. You can detach the suction base and hang the toy from a baby gym so younger babies can stare at them like a mobile or develop their understanding of cause and effect as they bat at it and activate music while laying on their backs. You can keep it detached and take it along as entertainment for the stroller or car seat. Or you can keep it all together and suction it to the high chair tray to help baby learn how to use something other than her mouth to play with toys. One tip: moisten the bottom of the suction cup in order to help it stick better and not go flying across the room after being aggressively smacked by an excited baby…I speak from experience on this one. Find these toys in-store at Babies R Us, Target, or online here.

Developmental skills encouraged: depth perception, reaching, hand-eye coordination, cause and effect, midline play
Approximate age relevant:
0-12 months and beyond

11. Soft, crinkly blocks

You’d be surprised at how early on babies get into these things. The colors and crinkly sounds are enticing to them (kind of like the sound of a potato chip bag being wrinkled) and their soft texture makes them easy for even a new baby to grab onto. Some blocks even have little bells in them for additional stimulation. Use them as motivation during play on the tummy, sides, and in sitting. As babies get older they can safely bite, chew, and slobber all over these blocks without a care in the world. Stack them up and let baby knock them over again and again until, one day, she learns how to stack one on top of the other all by herself. Buy them in-store at Babies R Us or online here.

Developmental skills encouraged: midline play, tummy play, sitting, reaching, grasping, transferring between hands, releasing, hand-eye coordination, cause and effect, object permanence, oral exploration, sound localization, sound discrimination, depth perception
Approximate age relevant:
0-12 months and beyond

12. Ring stacker

A classic. You may be skeptical about how much fun this simple stack of rings can be for a 0-12 month old…I was too. But a new baby is fully capable of holding onto one of those rings with one hand (remember that grasp reflex?), and the red ring on top also doubles as a rattle. The circular shape encourages him to learn to hold with two hands in midline and, yes, they are also the perfect size for placing in the mouth. And remember this: babies learn new skills through repetition, repetition, repetition. Once they can use their hands to play while sitting up, they will figure out how to take the rings off one by one and, as soon as you replace them, they’ll take them off again…and again…and again. Similarly, they will steadfastly practice their new love of placing rings on the stick by taking off, putting on, taking off, putting on, taking off, putting on. Increase gross motor challenge by placing the toy on a raised surface. I’m telling you, this toy is a goldmine of fun, just you wait and see. Buy in most baby stores or online here..

Developmental skills encouraged: tummy play, midline play, transferring between hands, banging together, reaching, grasping, hand-eye coordination, depth perception, cause and effect, beginning understanding of size
Approximate age relevant:
0-12 months and beyond

13. Play table with removable legs

Play tables are a fairly recent invention in baby land, and the key here is to get one with removable legs. You can then detach all legs to make it a flat-on-the-ground toy for the baby who rolls and plays in tummy time, or you can only remove two legs (that are on the same side of the table) in order to make it slanted at a 45-degree angle for the sitting, crawling, and kneeling baby. Once baby is ready to practice pulling to a stand, add in those last two legs and you’ve got yourself one diverse, long-lasting toy (learn more ways to use a baby play table by clicking here). This toys encourages not only gross motor development, but also many different kinds of hand skills (reaching, pushing, sliding) and key words as well (like open/close, up/down, basic colors, and ABC/123). Buy in most baby stores or online here.

Developmental skills encouraged: tummy play, reaching, midline play, cause and effect, sitting, kneeling, standing, squatting, pulling to stand, cruising, turning pages
Approximate age relevant:
4-12 months and beyond

14. Baby tool bench

I know, this one seems ridiculous. Why would a baby possibly need one of these, right? Well, here’s the deal. When babies are learning to sit up by themselves, it’s helpful to put something in front of them that holds their attention so they can fix their gaze on it as they develop their balance. This particular toy has many different settings that allow for that. If baby isn’t sitting up yet, they can still interact with this toy while laying on her side or engaging during tummy time. But this toy is good for more than just baby’s viewing pleasure. It also includes levers, sliders, and spinners that reward baby for activating them. The specific terms used upon activation are actually ideal pre-academic keywords: up, down (important for pre-handwriting), turn and slide (important for pre-math). The best part, though, is the hammer! Though little babies won’t be using it until well after their first birthday, it is a great resource to have as they experiment with tool use (utensils and pencils are tools, you know) and gain stability in their wrists in order to become superstar writers! Buy in-store at Babies R Us or online here.

Developmental skills encouraged: tummy play, midline play, reaching, cause and effect, sitting, kneeling, sound discrimination
Approximate age relevant:
4-12 months and beyond

15. Push toy for sitting, standing, and walking

To be honest, I like this toy best for what it offers the pre-walking baby. As long as you prop the toy against a reliable surface so it doesn’t roll away, it’s great for the baby who can sit well or is experimenting with kneeling and standing. We OTs love getting kids to work on vertical surfaces (think: easel or chalkboard) because of how it forces them to bend their wrists back (called “extension”) as they play, something that is critical for good handwriting skills. Well, think of this toy as baby’s first easel. And when he’s tired of sitting to play, he can transition to a kneeling or standing position to engage with the buttons. However, it’s best NOT for babies to walk with this toy until they’re able to walk on their own, because it can teach them bad habits when it comes to balance and body awareness. Just make sure you keep your hands on your newly walking baby with this toy because it rolls pretty fast. Buy in most baby stores or online here.

Developmental skills encouraged: sitting, reaching, cause and effect, kneeling, squatting, standing
Approximate age relevant:
5-12 months and beyond

So there it is! Your list of 15 toys for baby’s first year. Riveting, isn’t it? The only major first year developmental skill missing is the pincer grasp (using thumb and index finger to pick up small objects), and I will let self-feeding take care of that one. Keep in mind that many of these toys can be found in any number of discount locations: used toy stores, garage sales, Craigslist, etc. Don’t pay full price if you don’t have to, especially if you don’t end up receiving them as baby shower gifts.

Remember that every baby has unique interests and will respond differently to various toys. I’m not saying your baby has to like all the toys in this list, and I’m not even saying you have to agree with me about how great any of these items are. You or someone you know probably have some favorites that didn’t make it on here. Glad you found something that works! But hopefully you now have a better idea of what kinds of purchases to make when choosing toys for your curious little bundle of joy.

Do your best to enjoy those bleary-eyed baby days and, remember, play is a child’s most important work!


*Disclaimer: Many of the links to recommended products in this post are affiliate links. That means if you click them and wind up purchasing the product not only will you get a great product your child will love, you’ll also be helping Mama OT pay back her grad school loans :-)It doesn’t cost you anything extra, and is very helpful for me, so thank you!

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Tips for early identification of autism

English: Subject: Quinn, an ~18 month old boy ...

English: Subject: Quinn, an ~18 month old boy with autism, obsessively stacking cans. Date: Late 2002. Place: Walnut Creek, California. Photographer: Andwhatsnext. Scanned photograph. Credit: Copyright (c) 2003 by Nancy J Price (aka Mom). This is an edited version of Image:Autism-stacking-cans.jpg. (Photo credit: Wikipedia)

We’ve probably all heard of autism by now. It’s a word that frightens and confuses many. The latest statistics show 1 in 88 children are diagnosed with autism, with a 1 in 54 rate for boys.

In case you’re not well-versed, autism is a genetically-linked, brain-based, developmental disorder that manifests in the early years of a child’s life, prior to age 3. It involves difficulties with communication, social interaction, and repetitive or stereotyped behaviors (such as rocking back and forth or insisting on lining up objects). Many children with autism also experience difficulties with sensory processing. This means they may demonstrate either an over- or under-reactivity to certain kinds of sensory input (like touch, sound, or movement), or they may demonstrate sensory seeking behaviors. Many present with a mix of all 3.

The cause of autism is unknown, and theories abound. Treatment options vary, ranging from those backed by scientific evidence to others informed by individual experience or media hype.

Regardless of your opinion on the cause or course of autism, one thing is for sure: early identification is crucial. The earlier a child can be identified as “at risk” or diagnosed with autism, the sooner he or she can begin early intervention treatments such as ABA (applied behavior analysis…”behavioral therapy”), occupational, speech, or physical therapy. When begun early enough (by age 3 or earlier), these treatments are often effective in helping children learn skills necessary to enhance their development, improve independence in daily function and, sometimes, lose their diagnosis by the time they enter kindergarten.

Early identification and intervention are key.

As an occupational therapist working in an early intervention setting, this topic is near and dear to my heart. Although I am a professional who works with these precious kiddos on a daily basis, I want parents and caregivers to know you don’t have to be an expert in the field of child development to identify a child who may be at risk for autism.

Below are three things to keep in mind to assist with the early identification of autism:

1. Head lag at 6 months of age. This means that, when the baby is pulled up from a laying-down position on her back to a sitting position, her head dangles back and she has a very hard time bringing her head forward to line up with her body. Babies typically develop the ability to keep their head in line with their body during a pull-to-sit test by 4 months of age. A very recent study has shown head lag at 6 months of age to be a significant red flag for autism. In this study, 90% of the children who were diagnosed with autism exhibited head lag as 6-month-old babies. Let me be clear: this does NOT mean a baby will for sure develop autism if she demonstrates head lag at 6 months. But it does mean she is at a higher risk. Watch the clip below to see what head lag looks like and click here to see what typical head/neck motor control looks like in the pull-to-sit test.

2. Lack of pointing at people and objects by 1 year of age. When a child points to an object (say, the big garbage truck coming toward the house or the picture on the wall), he is engaging in something called “joint attention”. This is important for the development of communication skills, and kids with autism often struggle with it. Prior to being able to point at objects, babies develop the ability to look where someone else is pointing. You’ll see them start to practice this skill by looking at your finger and then following the imaginary line it makes over to the object you’re pointing at. This skill is often expected to emerge by 9 months of age. It is a precursor to pointing and is also a big contributor to the development of joint attention.

3. See a developmental pediatrician. Unlike regular kids’ doctors, developmental pediatricians are trained to identify, diagnose, and recommend therapy services for children with a variety of developmental and behavioral challenges, including autism. Those who hold the official title of “developmental-behavioral pediatrician” can be few and far between, but you can search based on zip code by clicking here. If you can’t find any in your area, you can search for a regular pediatrician who has clinical experience working with children and families with autism. Still no luck? If you live in the state of California (the state whose system I am currently a part of), you can contact your local Regional Center directly to request a FREE developmental evaluation. Click here for a directory of the 21 Regional Centers throughout California.

As you can see, this basic 3-point list is not exhaustive. That’s because my goal is to inform you, not overwhelm you. For a more extensive list of the early signs of autism, click here or here.

The earlier these kiddos are identified, the sooner they can receive services, and the better chance they have at developing the skills they need to reach their potential…and isn’t that what we want for every child? Let’s work together to make sure that happens!

For further reading about autism, please visit the following sites:
1. www.autismsciencefoundation.org
2. www.autismspeaks.org
3. www.firstsigns.org

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Tips for helping you attune to your child {Guest Post}

Yesterday, Mama OT welcomed its first guest writer, Connor McClenahan. In his initial post, Connor explained why parent-child attachment “is arguably the most important task of parenting”, and how you can facilitate this attachment by “attuning” to your child’s needs and emotions. If you have not yet read Connor’s first post, STOP what you’re doing and READ it. Right now. You’ll be glad you did. (Read here).

In this next post, Connor presents two simple activities you can practice with your child and explains the skills he or she will develop as a result. These “drills” are meant to help you develop your ability to attune to your child which, as mentioned yesterday, is an important contributor to the development of attachment. So without further ado…

. . . . .

1) The Dance of Engagement

With baby: You’ll notice when you’re engaging with your baby that there are moments when she turns away. Let her turn away and don’t try to grab her attention. Wait for her to turn back to you, then welcome her with a smile. She’ll do this often as a way to self-regulate (to not get too overwhelmed by excitement).

With toddler: The same thing applies when your child starts to crawl. When she crawls away, be ready for her to turn her head to see if you’re still there – then welcome her with a smile!

Relational skill developed: “I don’t have to pull away from relationships or constantly engage – others are not demanding, nor neglecting. They let me be who I am.”

Self-skill developed: “I can do things on my own! I can be by myself and I can enter relationships without being anxious about anyone’s agenda for me.”

2) Follow The Child’s Lead

With baby: When baby is engaged with you, simply copy all facial expressions and sounds he makes as he does them! [Editor's note: Imitating baby's expressions and sounds is helpful not only for facilitating attachment, but also for developing his language and communication skills. What a deal!]

With toddler: When you are playing with him, follow his lead. Act as an assistant and promoter to his ideas and imagination, not yours! Do what he wants to do. Find enjoyment in his imagination!

Relational skill developed: “I am not eclipsed or neglected by others. Being intimate with another person is good and fun – life is better when shared with another.”

Self-skill developed: “My thoughts and my ideas are good and important! I am valuable, and the things I do are valuable”.

. . . . .

Connor McClenahan is a graduate student in clinical psychology at Fuller School of Psychology in Pasadena, CA. He lives in Montrose with his wife, Sherianne, and his 3-month-old son, Aidan. His favorite occupations include cycling, spending time outdoors, and helping with his wife’s awesome youth group.

For more information on attachment parenting, please visit http://attachmentparenting.org.

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7 tips for making tummy time a little less…um…miserable.

Ahhh, tummy time. If you’ve spent any amount of time around babies or grown-ups who care for them in the last few years, then I’m sure you’ve heard at least a little about this topic. Tummy time — as the name clearly indicates — is time awake that a baby spends on his, um, tummy. This trendy title is apparently a fairly recent addition to the vocabulary of American parents, as very few adults of my parents’ generation (parents who raised kids in the 80′s) seem to be familiar with it. This makes sense, since it wasn’t until the early 90′s that the “Back to Sleep” campaign was launched and, suddenly, babies nationwide found themselves on their backs for much of their early days, causing them to miss out on all that time that used to be spent lying on their tummies.

Tummy time is important because the skills learned while on the tummy are essential for later development. Think about it, most of the big milestones in the first year of life involve the prone position in one form or another (e.g., lifting and turning the head, rolling, pushing the chest off the ground, getting up to hands and knees, scooting, crawling). Tummy time also gives the back of baby’s head a break in an effort to prevent flat spots from forming (something called “positional plagiocephaly”). And, as an occupational therapist, I should mention that tummy time also contributes to the strength and skills needed in the upper body and hands for school-age tasks such as handwriting. Yes, it starts that early!

I remember when we took our son to his one-week checkup and, at the end of his appointment, his pediatrician told us that we could go ahead and start giving him tummy time every day. I knew what tummy time was (you put them on their tummy, duh!), but I didn’t really know what to do because Matthew HATED being on his tummy. He has wanted to move ever since day one, and being on his tummy that early on just reminded him that he wasn’t yet old enough or strong enough to crawl. He would cry and squawk and moan, and it just didn’t seem like putting him flat on the ground was the right thing to do at that time. But I didn’t know what else to do.

Then, when Matthew was two and a half months old, I started taking him to a tuition-free parent/infant education class offered through our local community college. I am so thankful for everything I learned there, especially when it came to helping Matthew actually enjoy tummy time! Who would’ve thought? Much of what you will find below is from what I learned in that class, with additional details taken from my own experience.

Many sources I’ve read seem to recommend that parents try to give their babies about 30-60 minutes of tummy time each day, whether that’s in one chunk or spread throughout the day in much smaller portions. That’s not very much time, if you think about it! However, rather than shooting for a concrete number of minutes spent forcing your baby to lie flat on the ground (which will likely end with crying and screaming, like it did with mine), your baby can instead proceed through the steps listed below in order to build up the strength and stamina she needs to be able to independently lie on her tummy and actually enjoy it! Here is a general guideline: start each step a few times a day, a few minutes a day, building up to step seven. Try not to let your baby cry during tummy time (though some grunting is normal when they are exerting themselves to try to “crawl” and move, like my baby did in this video when he was 2 weeks old), and do your best to engage him by getting down to eye level and talking or singing to him. Always supervise your baby during tummy time to make sure he is secure and safe. And, as mentioned previously, take these “steps” as suggestions rather than rigid requirements…let your baby (and your intuition) be your guide.

So, without further ado, I give you…

7 Steps to Independent Tummy Time:

1. Baby is held up to adult’s shoulder while being burped or carried.
 This is, of course, one of the most common first positions in which people hold babies so, CONGRATS!, if you’re reading this post then you’ve likely already accomplished step one. This really is the first step to helping a baby learn to be comfortable in prone. The higher up on your shoulder you hold the baby, the more strength required to keep that head up and steady.

2. Baby lies with tummy down on adult’s tummy/chest while sleeping or playing.  As
with step one, this is also a very common practice among parents and caregivers of new babies. And — might I add — one of the sweetest and most memorable practices that occur during those early days and weeks of bonding. My first postpartum tears (tears of joy!) were shed while my baby nuzzled and napped on me in this position when he was about a week old. Oh how I miss those days! If your baby is not yet comfortable being horizontal on your tummy (which he probably won’t be while awake), you can simply adjust how far you lean back/lay down while he rests on you. Now’s the time to kick back in your recliner chair or prop yourself with some pillows on the couch to get yourself into just the right position — anything for the baby, right?

3. Baby lies with tummy down across adult’s arms while playing or being carried. This one takes some practice, but the easiest way to accomplish this position is to place one forearm between baby’s legs up to the chest area, and then bring the other forearm down between the shoulder and ear that are closest to your own body. Confused?  Picture what it would be like to hold her horizontal with her back to you, and then “roll” her forward to her tummy while still holding her in the air. (As a bonus, this can also be a great position for calming down babies who are fussy or gassy.) You can practice with a baby doll or while standing in front of a mirror if you’re still feeling unsure. Once you get the hang of it, have some fun with it and turn on some music so you can dance with your baby while carrying her in this position! I’m a fan of any kids’ station on Pandora. Some favorites on my Pandora account include “Raffi”, “VeggieTales”,
“Yo Gabba Gabba!”, “Nursery Rhymes Radio”, and “Elizabeth Mitchell”. You can move
baby fast and slow, up and down, round and round…however she likes to move! Just make sure to stop for a few seconds every minute or so in order to allow her body to really register the movements (the body gets used to the continuous movements and sort of “stops” feeling it if it goes on and on at the same pace and rhythm for long enough).You can also try a variation of this hold by playing “super baby” with your little one!

4. Baby lies with tummy down on exercise ball, beach ball, big pillow, or adult’s shins. This is a great one because you can vary the angle at which your baby is positioned, thus determining how easy or difficult it is. A greater incline will be more comfortable for a baby who is just beginning tummy time (kind of like being up against an adult’s shoulder as a newborn), whereas a more flat position right on top of the ball, pillow, or shins will be more challenging and appropriate for those who are further
along in the process. Once you get your baby into a position on the ball that is comfortable for both him and yourself, you can begin to slowly roll him forward and backward, making sure that you keep a good grip on him and that he is okay with how far and fast you are moving him. While you can certainly place your hands on baby’s hips and position yourself behind him as you roll, it really is better if you can place yourself in front of him so that he knows where you are and can interact with you. If you don’t have an exercise ball, you can use a big pillow instead, placing baby’s chest at the bottom edge of the pillow and propping him uphill from there so that he is at an incline similar to if he was placed on a ball. And if you really want to get interactive with it you can lay on your back, bend your hips and knees at 90 degree angles, and place baby on your shins as you hold onto him and vary the angle at which he is positioned (this one is best for taller people, who have longer shins than us short folks). The more bent your knees (i.e., the smaller the angle), the more inclined baby will be and, thus, the more comfortable he will be as he’s starting out. You can turn it into a game by putting him on your shins and playing “elevator” as you slowly move him up and down as you sing or talk or do whatever you must in order to make it fun!

5. Baby lies with tummy down across adult’s legs, with adult either sitting in a chair or on the ground (leg position can vary). Believe it or not, I first discovered this position  as I desperately tried to soothe my son during his colicky months as a newborn (so glad those days are behind us!). Boy, am I glad that my mother showed me this trick — prone across her legs while supporting his head (which gets turned to the side), rubbing or patting his back, and maybe even offering him a pacifier. Worked like a charm when she used it on him. It wasn’t until my baby was several months old that I discovered this position could actually be used as a means of introducing tummy time. My favorite was to sit on the floor with my legs extended so that he could start to put his arms out in front of him on the floor. This transitions nicely into step six…

6. Baby lies with tummy down and upper chest positioned over a rolled-up towel on the floor with arms over the towel. You can also position the baby so her upper chest is over your leg instead of a towel, or you can sit on the ground with your legs in a diamond shape (so the soles of your feet are touching each other) and position her facing away from you so her chest is over the part where your feet come together. You can place a toy, book, mirror, or even another person in front of her in order to make this position more interactive. Some people also choose to use a Boppy pillow at this point to assist their little one with tummy time, but I personally was never able to get my baby to enjoy this position with a Boppy — all he wanted to do was use his feet to push himself forward, which led to him pushing his head straight down into the ground as he curled forward around the pillow! I think we ended up kind of skipping over this step because he just wanted too badly to crawl, and this position just frustrated him. Do what works for your baby…she’ll let you know if she likes it or not!

7. Baby independently lies with tummy down on the floor. Tada! Keep playing and challenging him and, before you know it, he’ll be pushing his little chest off the ground and getting ready to roll! (Check out this video to see a discovery I made with my little when he was 3 1/2 months old that helped him learn how to instantly push up while on his tummy. It’s actually pretty amazing.)

tummy time

Here are two easy-to-understand videos I’ve found on YouTube for those of you who are visual like me and like to see what you’re doing before you do it. A quick rant: I hate how “professionals” make it seem like it’s normal for babies to love tummy time and that it should be an easy thing for them to do. It’s not! There, I said it. Keeping that in mind, here they are: Five Essential Tummy Time Moves and Therapy Ball to Promote Tummy Time.  (Note that I am not officially endorsing or affiliated with the companies who produced these videos, but I do find them incredibly helpful.)

Best of luck in your tummy time endeavors!

*Photo credits for photos 4, 6, 8, 9, and 10.

 

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