iPad App for Fine Motor Skills: Dexteria

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

Yes!

Dexteria fine motor app

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

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

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

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

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

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

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

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

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

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An Appreciation of Occupational Therapists {Guest Post}

Please join me in welcoming Melissa Castino Reid as MamaOT’s newest guest blogger. When Melissa first shared her daughter Rachel’s story with me several months ago, I was moved beyond words. I signed up to join her “Bus of Hope” and have been following their journey ever since. I hope her story, struggle, and triumph will inspire, inform, and move you the way it has me.

. . . . .

In the summer of 2011, my beautiful, healthy daughter, Rachel, suffered a pair of strokes thanks to E. Coli at the tender age of four and a half. In order to walk, talk, and recapture her gross and fine motor skills once more, rehabilitation therapy has been a part of our new normal. In our journey as a family, a few things are quite clear: the parents and therapists are advocates, and we must work together actively and honestly if we hope to see our patient thrive and achieve comprehensive progress.

After the strokes hit, and Rachel’s condition stabilized, we moved from Children’s Hospital to Gillette Rehabilitation Center, located inside Regions Hospital in St. Paul, MN. I had never witnessed therapists first hand. They can be a unique brand of ingenuity, intellect, and inspiration. And most therapists who work with children know that fun has to be central to what is done in the sessions. I have a deep respect for Rachel’s main occupational therapists Lisa, Karen, and Leah. They have been powerfully instrumental in aiding Rachel in her recovery process.

The strokes left tremendous tone (spasticity) in both arms. I had no notion of what we had to do to get my daughter’s arms and hands working again. I’m sure I thought that a simple surgery would “make it all better.” Instead, I met Rachel’s first occupational therapist, Lisa, within the first week of living at Gillette. With her wide smile, blond hair, and twinkling eyes, she wanted Rachel to do one thing: push a button. That’s all. She accomplished this goal in about a month. Lisa also helped Rachel work on trunk control as she got her to lean on a bench, getting her hands to open and close as she played with shaving cream. From the start, all the therapists noted how hard Rachel worked, but like everything, she had good days and bad.

Stroke or traumatic brain injury recovery is laborious for the patient, but it’s not exactly easy for the family either. I always remember the joy I felt when I watched Rachel attain a goal, but I also won’t soon forget the fear that welled up inside if I didn’t see progress. One day, Rachel wasn’t pushing that button at all, and I had to step away and find a corner of the gym to let the tears fall. Lisa watched me walk away, carried on with Rachel as if nothing was wrong, and smiled at both of us with encouragement. I just wanted my healthy kid back so badly.

Lisa comforted me when the session was over. She and other therapists made it clear to me that I couldn’t measure success in increments of days. I had to widen the length to weeks, if not months. As a parent, standing at the bottom of grief’s mountain, I surely didn’t want to accept this. It meant that I had to be more patient than I already was. Guess what? My patience was shaky after nearly losing her.

But I needed these therapists on my side, so I listened to every word they said, sometimes smiling, sometimes crying. Another occupational therapist, Karen, was listening to my take on Rachel’s recovery, as I was learning how to gauge success, and she told me another thing I didn’t want to consider at the time: take pictures. My daughter’s face was so vacant since the strokes, so taking pictures was the last thing on my list. But over time, my cell phone camera captured the light returning in her eyes, ever slowly. With these pictures, I now have a way of measuring how much progress Rachel has made, trading shade for sunlit possibilities for my girl’s future.

After spending four months living inside a hospital, we left Gillette Rehabilitation Center in October of 2011. At that point in her recovery, her legs were moving just a bit, she verbalized here and there, but no words, and both her arms were tight and spastic, with her hands quite fisted. We were discharged to Gillette’s outpatient clinic in Minnetonka, and the slow recovery continued. Enter Leah, our new OT gal.

Leah was new on the scene, recently hired on. With her thin frame, long brown hair, and almond eyes, she is very comfortable in her surroundings for such a newbie. And while she’s young, I must confess she’s wiser than most her age. She took on Rachel with all her knowledge, all her curiosity, and all her Midwestern heart. We started where Lisa and Karen left off, helping Rachel to learn how to move the arms and hands to perform tasks. I shall never forget a moment with Leah early on where I was flexing my newly-formed advocate muscles.

We were talking about goals for Rachel, and at the beginning of our transition to Minnetonka, I was sensing this hesitation to push my daughter. In retrospect, all the therapists were probably trying to plot out a plan of action as they sized up their newest kiddo. So Leah asked me questions about specifics, and I think I was getting a little impatient because I was spitting out my answers.

“So what is your hope with this therapy? What do you expect?” Leah asked, looking at me directly.

“I expect a full recovery,” I said, with my palms up. “Yeah, a full recovery.” The silence after only punctuated the pull of war between us. I’m a hopeful parent; she’s a well-schooled, new employee, navigating the uncertain waters of this patient’s future. Who’s right? Who’s wrong? Or isn’t that what this is about?

After that conversation, all the therapists seemed to fall into sync, and Rachel’s recovery continued to take root in the new locale. Did that happen because I spoke truthfully and clearly what I wanted? Maybe. Or was this falling-into-rhythm thing going to happen in any case? Perhaps.

As parents of kids who require therapy, we must be clear in our expectations without being overbearing. And I’ve learned that therapists and parents must be honest about what we see in the present and the future. I’m sure that Leah swallows hard when I say to her, “I want Rachel to play baseball again with me,” smiling still as she taps it into her laptop. I have learned to be (more) patient, but I also never stop asking questions, halting a conversation with my raised hand, asking for clarity. As a result, I am able to create goals with their knowledge in my head, using it as a guide.

Currently, the left arm is almost fully functional. For now, the goal in occupational therapy is to put the left hand to work while engaging the (spastic) right hand whenever possible. For example, we are getting Rachel to use the left hand to hold and make marks with crayons and markers, feed herself with forks and spoons, and navigate her speech tablet. We ask Rachel to stretch out the right arm multiple times throughout the day. I (or my mom or my husband) often reach for her right hand and extend it fully, holding it for five to ten seconds. Sometimes, I will crank it like it is a well, asking if water will come out of her armpits. This gets a big laugh.

Another thing I’ve done is gone back to playing board games with Rachel. I had trouble with doing it at first. Again, I wanted the full, healthy girl to move her own game pieces, but she isn’t quite ready to do this yet. One of the therapists along the way suggested that I move the game pieces for her, still playing the game. I wonder if I wallowed in my sadness too long, sometimes, but then I just look at Rachel and say, “Wanna play Candy Land?” A big smile spreads across her face like a bursting sunrise. Lately, she is able to pick out her own game piece and place it at the start of the game. She can point at the gumdrop and candy cane on the board. All of this points to progress.

As we begin the new year, I can’t help but dream about the warmth of summer, picnics with Rachel, and a game of catch with a whiffle ball. Better yet, I can’t wait to go on walks, holding her hand as we stroll. My dreams may not come true as soon as I want them to, but therapists like Lisa, Karen, and Leah have taught me the virtues of patience and new measurements of progress.

If Rachel continues on this path with our help as parents and therapists, I believe a full recovery is possible.

. . . . .

"An Appreciation of Occupational Therapists". One mother's perspective on OT after her four-year-old daughter suffered two strokes and has been working hard toward recovery ever since. Melissa Castino Reid is a community college English teacher, mother, wife, and writer. She has written for the Star Tribune, Pioneer Press, Minnesota English Journal, and Hearing Magazine. She keeps an online journal about her daughter’s recovery from stroke called the Bus of Hope. In her spare time, she loves to read, spend time with family, and go for walks. Her new addiction is running and sugar free Red Bull. If you would like to read more about Rachel’s recovery, read Melissa’s blog at www.busofhope.org or send her an email at mcastino@hotmail.com and ask to be placed on the Bus of Hope. 

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Develop Fine Motor Skills with Toothpicks {Photo Friday}

Welcome to Photo Friday, a place where I share a photo or two of therapeutic tools and ideas that can help boost your child’s development. Please give me feedback on my ideas — I love hearing how they go over with other kids!

. . . . .

fine motor

If you have a child who struggles with developing an appropriate pencil grasp or fine motor skills in general, try playing with toothpicks. In this photo, the child who struggles with fine motor strength, grasp, and hand dominance had to unscrew the cap of the cinnamon bottle (bilateral skills to hold the bottle with one hand, unscrew with the emerging dominant hand) and then problem solve how to get them out. She then pushed the toothpicks into the play dough to make a porcupine (took a lot of strength). Then later she pulled them out (also took quite a bit of strength) and placed them one by one into the tiny holes of the cinnamon bottle while stabilizing the bottle with her other hand.

This is a simple task packed with therapeutic value and is great for the child who still holds the crayon/pencil with their whole fist or who has not yet established a hand dominance. Find more fun ways to play with toothpicks by checking out this Top 10 list from Embrace Your Chaos.

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Pumpkin Pie Scented Play Dough

November is here and there’s nothing like the smell of sweet pumpkin pie…in your child’s play dough!

Pumpkin pie scented play dough

Pumpkin pie scented play dough is wonderful because it brings a whole other sensory dimension into kid’s tactile play — smell.

Smell is unique because, unlike all the other senses, it is the only sense that goes directly to the brain. This means it travels faster and affects us more quickly than all the other senses. Smell is also strongly tied with memory, especially as it relates to emotions and circumstances. This is because the “smelling receptors” are closely tied to parts of the brain that are responsible for memory and emotion. Think about it: what happens when, for example, you smell cookies baking in the oven? You are immediately reminded of a person or time when you smelled them before (such as eating cookies at grandma’s house), and you will likely experience an emotion along with that memory. In theory, using smell as part of a learning experience could help kids better remember what they learn, especially if there is an emotion tied to the lesson (such as something that’s funny, sad, confusing, or scary).

Pumpkin pie scented play doughIn addition to triggering emotional memories, smell is also a useful sensory tool to help our kiddos who may have sensory issues. Sensory seekers may appreciate scented play dough because it provides greater intensity to the sensory experience. And the kids who always seems to be lethargic and slouching over will benefit from the scented experience because it provides more intense sensation which basically encourages the body to perk up and get with the program. So it’s a win-win. Just be sure all the kids know not to try and eat the play dough, no matter how good it smells (and it smells GOOD!).

Here are the ingredients for Pumpkin Pie Scented Play Dough:

• 1 cup water
• 20 drops of yellow food coloring
• 10 drops of red food coloring
• 1 cup flour
• 1/2 tablespoon oil (any kind)
• 1/2 teaspoon cream of tartar (find in the spices aisle at the store)
• 1/2 cup salt
• 1 tablespoon pumpkin pie spice
(Makes the equivalent of two four-inch balls of play dough)

Directions:

In a large pot, mix 1 cup water, 20 drops yellow food coloring, and 10 drops red food coloring. Add 1 cup flour, 1/2 tablespoon oil, 1/2 teaspoon cream of tartar, 1/2 cup salt, and 1 tablespoon pumpkin pie spice. Mix well with a wooden spoon. Cook on the stove over medium-high heat and mix continuously with wooden spoon for 3-5 minutes. Keep an eye on the consistency of the play dough and remove from heat as soon as it starts to become firm and is still a little sticky (it will stay hot and continue to cook a little once you remove from heat). Once it’s cool enough to touch, knead it and smoosh it until you’re ready to use or store. Store in an airtight container such as a ziploc bag, tupperware, or small plastic baby food container when not in use. As long as you properly store your play dough, it can remain good for up to a year or more.

I dare you to play with this pumpkin pie scented play dough without immediately craving a big slice of pumpkin pie!

Pumpkin pie scented play dough

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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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Easy Pipe Cleaner Bracelet

Bracelets are fun to make, but they can be really tough for kids who have poor fine motor skills. If a child wants to make a bracelet but is struggling with being able to use two hands together (bilateral coordination), has difficulty using their “pincher” fingers effectively (thumb and index finger), can’t seem to coordinate hands and eyes (visual motor), or is just downright clumsy, try having them use a pipe cleaner instead of a string.

All you need are some beads…

Pipe cleaner bracelet

…and a pipe cleaner.

Pipe cleaner bracelet

That’s it!

Pipe cleaners are a great string substitute because they stay in place and don’t flop around, thus reducing the amount of fine motor control needed to successfully complete the task. Their fuzzy texture and hard wire give more sensory input to the fingers, which is great for kiddos who have underdeveloped or newly emerging fine motor skills. And their thick, fuzzy nature encourages beads to stay in place so they don’t slip off if the bracelet-maker loses focus or accidentally fumbles with their fingers. What a great way to minimize frustration and maximize success!

Pipe cleaner bracelet

Pipe cleaner bracelets can also serve as a great fidget toy for the child who must always be touching, spinning, or jiggling something. They can play with it — spin beads, bend bracelet, etc. — while it is either on or off their wrist. Just make sure you’ve looped the pipe cleaner around the end enough times to know that the beads won’t go flying with all that fidgeting.

Pipe cleaner bracelet

I hope you’re able to grant a child the gift of bracelet-making with this simple pipe cleaner trick. What are some other ways you like to modify bracelet-making for kids? 

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eBook Review: 75 Ways to Have More Fun at Home

75 Ways to Have More Fun at Home

I recently had the privilege of reading a great eBook called “75 Ways to Have More Fun at Home”. The author, Anna Luther, was a working woman who had three kids in three years (woah!). She quit her job and, though she never thought she would be a stay-at-home mom, she has realized it was the best decision her family ever made.

Anna blogs about all of this stuff – the good, the messy, and the funny – at My Life and Kids: Finding the Fun in Life and Motherhood. I’m a big fan of her down-to-earth, anti-supermom vibe. She keeps it real and isn’t afraid to admit that her house is a mess and, yes, there are days where she and the kids don’t make it out of their pajamas. Love it!

Anna is celebrating the release of her new eBook and she’s asked me to share some of my thoughts on it. After having read through it, I am totally game. This is great stuff.

As an OT, I want to share three of Anna’s ideas I loved (it was hard to pick just three…seriously, so much great stuff).

#45: Sticker Scavenger Hunt. This is a great one for fine motor, visual scanning, and understanding of positions in space when you give them clues about where the stickers are hiding (up/down, left/right, over/under, “hot”/”cold”, etc.).

#55: Obstacle Course. Obstacle courses can be set up inside or outside and you can use anything and everything in the environment to make them great. They are great for challenging kids’ gross motor skills and teaching them an understanding of sequence (1st this, 2nd this, 3rd this). Encourage them to incorporate animal crawls or wheelbarrow walks to help strengthen their upper body and trunk, both of which are necessary for strong fine motor skills.

#67: DIY Puzzles. Don’t throw out that cereal box until your kids have cut it apart and turned it into a puzzle! Great for fine motor and problem solving skills.

And as a mom of a boy who will someday love things that are disgusting, I absolutely MUST mention this one:

#3: Make Farting Noises. With a straw. Into your armpit. Say what?! Wait, it gets better. This one comes with video tutorial by Miss Anna herself. Now this you’ve gotta see.

Interested in finding out all 75 ways to have more fun at home? Well, you’re in luck. This eBook is hot off the (virtual) press and you can read more about it or instantly download it for $3.99 by clicking here.

I hope Anna’s eBook can serve as a great resource that will equip and inspire you to make the most of your time with your kids, whether you work full-time inside or outside the home. Check it out, and be sure to stop by her blog to leave her a note of encouragement or gratitude for a job well done!

 

 

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How to Bring “Big Body Play” Into a Kid’s School Day {Guest Post}

Ring around the Rosies

MamaOT is pleased to welcome its newest guest blogger, Jarrod Green. Jarrod is an early childhood development and behavior specialist, and he’s all about understanding how play and sensory-motor experiences impact kids’ learning, behavior, and overall development. He’s getting ready to speak at the 2012 conference for the National Association for the Education of Young Children (NAEYC) this November, so I’m very honored that he is here to share some of his insights with us!

. . . . .

Many teachers and parents think of outside time as a chance for kids to “burn off some energy” or “get their wiggles out.” But those phrases overlook the benefits children get from active, energetic play.

“Big body play”- play that involves actively and energetically using your whole body – isn’t just something you let kids do so they can concentrate on learning afterwards. Big body play is a treasure-trove of learning experiences in and of itself.

In big body play, children learn to…

  • control their bodies, their senses, and their feelings;
  • cooperate with peers, and take responsibility for themselves;
  • recover from physical (and emotional) bumps and scrapes; and
  • stretch their brains by taking risks and trying new things.

It’s easy to talk about “burning off energy”: after active play children tend to be calmer and better-regulated for awhile. But “burn off energy” is a negative phrase, because it implies that physical energy is a bad thing that needs to be disposed of.

Instead, think for a moment about food. All kids need to eat. Some kids need to eat a lot, some only eat a little. Some kids like lots of different foods, some only like a few. Some do better when they snack through the day, some eat just a few big meals. But nobody can do good work when they’re hungry, and if you don’t get enough food (or the food that’s right for your body) you’ll be grumpy and fidgety and distracted. The same is true of big body play. Kids may have different needs in terms of quantity and type and frequency of active play, but all kids need SOME active play. Finding the right big body play “diet” will help each child be healthy, happy, and self-regulated.

Some children are naturally inclined to run and climb, and don’t need input from adults. But many children benefit from access to a wide variety of options for big body play (so that they can choose what fits them) and the support of an involved adult (so they can feel comfortable taking risks).

Here are some creative big body play activities that an adult can play with groups of children or individuals:

1. Crash Mat. One of the all-time biggest hits. Fold up a tumbling mat and stand it on end. One at a time children run as fast as they can and slam their bodies into the mat, knocking it to the ground with a terrific bang! To add some variation, you can call out body parts (“Hit it with your head!”) or styles (“Run backwards!”).
*Pro-tip: 4 and 5 year olds may be able to stand in line; younger children may just need a clearly-defined area to stand in. A second adult can help regulate the kids who are waiting, if the group is large. The group will ALWAYS be large.

2. Tiger Stripe Races. For a game that takes less effort for the adult, grab one black marker and one orange one (washable, please), and find yourself a nice open place to sit. Any child who runs all the way around, say, the whole climbing structure gets a stripe on their arm. (Roaring is optional.) Occasional calls of “Faster, tigers!” will keep everyone moving. Some kids will do so many laps, there’ll be no more room on their arms!
*Pro-tip: It’s easiest to give a black and orange stripe simultaneously by just holding both markers side-by-side. It’s easiest to give the stripes at all if kids are wearing short sleeves.

3. Tickle Tree. “I am the tickle tree! If you come near, I will tickle you, with my tickling leaves, and my tickling branches!” Kids will gigglingly zoom by as you reach your waving arms to tickle. It’s like tag, but you don’t have to run! And it’s a great one for self-regulation: if children don’t want to be tickled, they just don’t come within arm’s reach.
*Pro-tip: Choose your spot strategically. If you plant yourself (pun intended) in an open space, kids will just gather in a ring around you, which is no fun. Choose a narrow passage somewhere, with just enough clearance for kids to scoot by out of your reach. They’ll run by every time.

4. Rope Games. The classic, of course, is Tug-o-War. You can get a bunch of children on each side, but it works surprisingly well to have a teacher on one side and all the kids on the other. Calling something like, “Don’t you pull me to the fence! I’m gonna pull you all to the slide!” will help them stay organized. Younger children (2’s and 3’s) have a hard time pulling in the same direction as each other, so for them it works well to tie one end somewhere solid. You hold the other end, and the kids hang on in the middle and pull every which-way. I like to shake the rope while shouting, “You kids you! You give me back my rope!” Be careful not to let the rope get too close to the ground—any kids who get on top can get flipped off it. Ropes can also be used to climb up slides, to haul heavy things (see below), and to construct ad hoc swings.
*Pro-tip: A long, cotton-fiber rope is the most versatile and comfortable to use with children. Synthetic-fiber climbing ropes are excellent, but expensive. Hemp-fiber ropes are a good sensory experience, but difficult to tie knots in. Don’t use cheap plastic ropes from the hardware store; they can injure hands.

5. Newspaper Crash. You know how the superhero The Hulk just smashes straight through walls? You can give kids that sense of power too! Two adults hold a sheet of newspaper tight like a wall, and kids take turns running straight through it! It’s a little scary the first time or two, but soon they realize it feels AMAZING. Of course, at the end of the game you’ll have accumulated a huge pile of torn up paper. Give the kids one minute to make newspaper balls, and then everyone gets to throw them at each other! Finally, bring out a trash-can and have everyone play newspaper basketball until you’re all cleaned up.
*Pro-tip: You’ll go through newspaper faster than you can believe. Lay all the sheets out flat before you begin, and start with a pile that strikes you as absurdly large.

6. “Hard Labor.” It surprises many people, but children love to work. Really! The trick is, the work has to be actually hard, and it has to actually be helpful. The easiest way is to give them heavy things to carry. Have the kids carry all the books you own outside for a “reading picnic,” then carry them all back in when you’re done. Have them fill buckets of water and carry them around to water all the trees and bushes. Have them carry gallons of milk from the car to the kitchen. Have them move large rocks or tree-stumps or tires to a new configuration on the playground. Once I asked the five-year-olds to move an adult-sized punching bag from one classroom to another; it took six of them fifteen minutes, but man did they feel good when they were done!
*Pro-tip: Success here relies on the children’s perception of the usefulness of their work. Don’t try to fool them with fake jobs—it’ll backfire! Find opportunities for genuine help, and then show them genuine gratitude.

7. Ring Around the Rosie. There’s nothing wrong with the classics! This one involves surprisingly sophisticated coordination: walking sideways, holding hands, matching timing with other children. But the falling down and the camaraderie are so fun that everyone stays motivated.
*Pro-tip: Do you know the second half? “The cows are in the meadow/Eating buttercups/Ashes, ashes/We all jump UP!”

8. Steamroller. Have all the kids lay down on their tummies side-by-side, as close together as they can. Then help the child on the end roll sideways right over the top of everyone else, smooshing them all underneath. Repeat with each child down the line. This is a great one for kids who want that physical touch with other children, but lack the social skills to pull it off (think of that child who is always hugging kids who don’t want to be hugged).
*Pro-tip: None! It’s as easy as it sounds!

9. Go Away Come Back! A child is sitting in your lap. “Go away, you!” you say. They stand up and take a step away. You pull them back to your lap, shouting, “No, come back, come back!” Repeat until you’re sick of it. This game is, needless to say, hilarious.
*Pro-tip: This is a great game for children to learn the intricacies of social interactions and irony in verbal communication. To help, make sure you are explicit about when you are and are not playing. Use an exaggerated voice when the game is going on, and give a clear “One more time and then we’re stopping” before you finish.

10. Jiggles. Have a child stand facing you, hold them with one hand under each armpit, and jiggle them forward and back as fast as you can. Start with brief, gentle jiggles, and ask if you should jiggle harder or longer—kids will tell you exactly what the right level is for them.
*Pro-tip: This works best at about three years old. With younger children you have to be more careful of injuring them; older children are too big to jiggle without wearing yourself out!

11. The Knock-Down Mat. For advanced players only! “This is the knock-down mat! If you come on the mat, I will knock you down!” Pretty self-explanatory. Don’t worry, you’re not body-slamming kids. You’ll naturally modulate it for each child—some you can bump pretty hard; others you’ll almost hold their torso and lay them down—depending on their needs. It’s a great activity for self-regulation—if they don’t want to be knocked down, they simply step off the mat. But some really DO want to be knocked down, and will come back over and over.
*Pro-tip: Make it clear that this is not wrestling—the grown-up is the only one knocking people down. Also, you probably want to limit the number of kids who can play at a time, until you get comfortable regulating their falls.

Good preschool teachers know that outside time isn’t recess, and it isn’t a time for teachers to stop attending to children. Use creative big body play as an opportunity for learning and interaction, and you and the children will both get the most out of it!

. . . . .

Jarrod Green is a child development and behavior specialist who consults with parents and teachers of young children in the Philadelphia area. He taught preschool for many years, most recently as head teacher in a 2′s and 3′s classroom at Temple Sinai Preschool in Oakland, CA.

In his spare time, Jarrod enjoys cooking exciting foods, training his dog to do silly things, and hosting raucous sing-a-longs with his piano and guitar and ukulele. For more about his professional practice, check out http://jarrodgreen.net

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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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Activity Ideas for Kids: “Productive Parenting”

This week on MamaOT we are focusing on expanding your activity repertoire so you can stock up on great ideas for how to play with the kids in your life!

Yesterday I introduced you all to a great kids’ activity blog called No Time for Flash Cards: Learning and Play for Babies, Toddlers, and Kids, which can be found at www.notimeforflashcards.com.

Today I want to introduce you to another site filled with hundreds and maybe even THOUSANDS of educational activity ideas for you do with your minis. It’s called Productive Parenting and can be found at www.productiveparenting.com.

Productive Parenting is a website (not a blog) filled with activity suggestions that have been submitted by professionals with Masters’ Degrees in Education, so you know they are developmentally appropriate activities that are, indeed, productive. You can search activities based on:

  • AGE — early/middle/late infant, early/middle/late one-year-old, early/middle/late two-year old, early/middle/late three-year-old, early/middle/late four-year-old
  • CATEGORY — daily living skills, exploring our world, fun with numbers, language/pre-reading, science adventures, sensory experiences
  • SKILLS LEARNED – attention span, balance, bilateral coordination, body awareness, cause and effect, classifying, concept development, coordination, counting concepts, creative expression, creative movement, emotional development, eye foot coordination, eye hand coordination, fine motor, grasp and release, gross motor, imagination, language development, listening, lower body strength, matching, object permanence, patterning, pre-writing, problem solving, rhythm exploration, role play, self concept, sensory development, sequencing, size and shape discrimination, smelling discrimination, social development, sorting, sound discrimination, spatial awareness, tactile stimulation, trust, upper body strength, visual development, visual discrimination, visual stimulation, visual tracking, vocabulary enrichment

Whew!

The unique thing about this website is that you can sign up to have them email you a “productive parenting” activity as many days of the week as you’d like, so you can start off your day with a bit more inspiration than that over-sized cup of coffee can give you. Very cool!

I do have two words of caution about using this website:

  1. Though all of the activities are educationally sound, I’ve found many can come across as “drill-like” (something that yesterday’s website really tries to avoid). While you shouldn’t drill your eleven-month-old on whether the stuffed bear is sitting “on top”, “next to”, or “under” the chair (a suggestion I received in my inbox the other day), those are certainly good concepts to incorporate into and emphasize in your everyday interactions with your sponge-like baby. My advice: keep the activity suggestions in the back of your mind and don’t take them so literally that you end up making learning un-fun for your little one.
  2. In the “pre-writing” skill area, there is an activity for middle one-year-olds called “Holding Crayons”. In it, they recommend giving the child thick crayons and then encouraging them to scribble while using a pincer grasp (pinching with thumb and index finger while resting crayon on middle finger). First of all, DON’T PUT THICK CRAYONS IN LITTLE HANDS! Thick crayons prevent little hands from developing the small muscles in the hands necessary for strong writing and fine motor skills. Secondly, DON’T MAKE A ONE-YEAR-OLD HOLD A CRAYON WITH A PINCER GRASP. It’s fine — actually, it’s expected — for a one-year-old to hold a crayon with a fisted grasp. Click here for an easy-to-understand image of the progression of handwriting grasp. Give kids regular crayons, trianglular crayons, or short crayons/crayons that have been broken in half (click here to read why).

Overall, Productive Parenting is a really helpful website for anyone looking for an easily accessible list of educational activities for kids under age five. It’s a great resource to help you find some favorite activities, and the fact that they can email you ideas on a daily basis is a huge plus. Check it out and let me know what you think.

Check back tomorrow to learn about a great kids’ activity blog that’s all about getting MESSY!!

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