Mama OT’s Product of the Month – May 2013

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

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

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

*This post contains Amazon affiliate links.

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Handwriting mastery begins before the introduction of a pencil!

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

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

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

Little Pencil free creative commonsPhoto credit: D Sharon Pruitt

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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How to Sneak Fine Motor Skills into Gross Motor Play

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

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

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

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

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

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

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

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

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

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

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

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Hide Puzzle Pieces to Promote Fine Motor Skills {Photo Friday}

Welcome to Photo Friday, a place where I share photos 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!

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Looking for a way to make puzzle time more engaging and challenging for both you and your toddler? Try hiding the puzzle pieces in a pillow case or small box with a lid.

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By hiding the puzzle pieces partly or fully from sight, you are kicking puzzle time up a notch by challenging your child’s tactile perception, tactile discrimination, and visual memory skills.

  • Tactile perception is challenged when your child reaches into the container without looking, and he must feel around to locate the puzzle pieces.
  • Tactile discrimination is challenged when he begins to feel around and try to identify the differences (a.k.a., “discriminate” the differences in shape, size, etc.) between puzzle pieces without looking. For example, the elephant piece is kind of round and fat, while the giraffe piece is relatively tall and skinny, and he must be able to remember and identify all of that through touch alone. Tactile discrimination is a HUGELY important part of the development of fine motor skills such as fastening buttons, coloring, and writing.
  • Visual memory is challenged when you ask your little one to “Find the elephant.” He must remember what the elephant looks like in order to know whether or not he found the matching piece once he pulls it out.

As we played this game earlier this week, my 16-month-old correctly selected seven out of eight puzzle pieces from the box or bag. At first I thought he was just lucky, but then he kept getting them right! You might be amazed at how proficient your toddler is at this challenge…I know I was.

You could increase this challenge for preschoolers and older by placing the puzzle pieces in a bucket filled with dry rice, beans, or pasta and then burying them so they are partly or fully out of sight. This challenges their tactile discrimination skills even further and is great for both the child who is sensitive to touch input as well as the child who craves it.

Try it out and have fun!

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Mama OT’s Top 5 Favorite Holiday Gifts from 2012

My toddler was so blessed by the fantastic gifts he received from friends and family this year for Christmas. While we really, truly appreciated all of them, I want to draw your attention to five in particular that touched my Mama OT heart. Maybe they will inspire you in your future gift-giving endeavors.

1. Personalized photo book
family book cover textfamily book textOne gift-giver went above and beyond by putting together a 8″ x 8″ photo album of objects and family members my son interacts with on a regular basis. He is in a stage right now where he points to everything he sees in print, so this was right up his alley. He likes to point to every single picture in the book as we name it for him, and he also loves to search for certain people or pictures as we ask him, “Where is _____?” He exclaims and points to Mama, Daddy, Nana (banana, his favorite food), and many others. This scrapbook-style photo album came ready-to-fill and now contains photos of familiar family members, toys, and animals. It has become his prized possession and he has been walking around the house with it EVERYWHERE! What a fantastic way to promote communication and relational skills while personalizing and capitalizing on a child’s love of books.

2. Toy phone
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Like many toddlers these days, my son loves to play with phones, especially if it belongs to Mommy or Daddy. So this gift is a perfect way to give him opportunities to expand his pretend play and language skills!

3. Push and go toy
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My little guy is still learning the concept of “push” when it comes to operating toys and container lids, so this is a great one to help him develop that cognitive/language-based skill while also encouraging his upper body strength as he pushes down on the driver’s head.

4. ABC Melody Maker

IMG_4976 textWe are in a big button-pushing phase and, boy, does this toy offer lots of buttons to push! And not only that, there are a variety of settings that will last us for at least a couple of years as they encourage skills such as visual scanning, visual and auditory memory, and following a sequence of verbal directions. Settings include the following: 1) music and sounds associated with each letter, 2) letter and number identification 3) find the letter/sound and 4) follow the sequence. Additionally, this toy also comes with a “music book” that shows how to play several different children’s songs on the “piano” by pairing a number (1, 3, 7, etc.) with real music notes, and then sequencing the notes number by number so you can play out the song. It’s so cool! I now know how to play Row Row Row Your Boat and Old MacDonald Had a Farm…score! Hopefully my little guy will learn how to play them someday, too.

5. Multi-bin toy organizer
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This couldn’t have come in more perfect timing. Our cardboard boxes that were filled with toys and shoved under side tables just weren’t cutting it anymore. Plus, my little guy is starting to understand the concepts of “clean up” and “put away”, so this gives him the opportunity to develop some more independence in these areas since he has easy visual and physical access. Just yesterday he decided he was done playing with his ring stacker and, without any prompting, he started putting all the parts back in the empty bin. I was so proud! In addition to the natural categorization of toys that comes with having several storage bins, you can further encourage clean-up independence by taking a picture of the toys that go in each bin and then taping each photo onto its respective bin. This way, each toy/bin combination has its own “parking spot” and your child (plus anyone else who helps with clean up) knows exactly where everything should go. Many pediatric therapy clinics use visuals like these as a way of enhancing children’s language and cognitive skills, so why not carry that strategy over into the home to help your own child as well?

Thank you to friends and family who so generously gave such wonderful holiday gifts. Wishing all you readers a safe and happy new year!

*Some of the links in this post to recommended products are affiliate links. That means if you click them and wind up purchasing through Amazon 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!

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Toddler Fine Motor Skills: Pipe Cleaner Colander {Photo Friday}

Welcome to Photo Friday, a place where I share photos 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!

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Looking for a way to work on fine motor skills and hand-eye coordination with your toddler? Or, here’s a better question…looking for a way to keep your toddler busy? Give them a colander and some pipe cleaners (both of which I found at the Dollar Tree), demo how to use it if needed, and let them go to town. You might be amazed at just how entertained they will be.

This activity is an ideal challenge for the child who is able to grasp objects with their whole hand or with thumb and index finger, but isn’t quite ready for more refined fine motor activities such as lacing beads on a string. As with many activities, taking the pipe cleaners out is easier than putting them back in, so it provides a natural grading of challenge for kids at a variety of skill levels. However, you might be surprised at how interested your little one may be at trying to place them back in the holes after they have been quickly ripped out.

Putting the pipe cleaners in encourages precise hand movements and higher level hand-eye coordination than lower level play skills such as stacking two blocks or placing pegs in a board. Encourage your child to hold the pipe cleaner with their fingers pointing toward the tip (toddlers aren’t expected to have a mature tripod grasp like the way adults hold a pencil at this point), as opposed to grasping with their fist and turning their arm in so the thumb-side of their hand is facing down.

Depending on your child’s age and skill level, you can add all sorts of educational challenges to this activity by involving your child in identification of colors, sorting and matching colors or sizes, and more. Try this activity out, save it for a rainy day, and prepare to (hopefully) be amazed by your toddler’s newfound fine motor skills!

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Santa Fine Motor Craft {Photo Friday}

Welcome to Photo Friday, a place where I share photos 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!

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fine motor

The Christmas season is in the air and, even though it’s not even December yet, classrooms are already filling with Christmas crafts.

For kiddos who need work on fine motor skills — especially cutting — try this basic Santa craft with card stock or construction paper. All it takes is to cut out one circle and some short, straight lines (which I know is still tough for a lot of little ones who receive OT). Use tape or glue to attach the appropriate body parts and provide the “just right” amount of assistance so the child is challenged enough to learn but not enough to become super frustrated.

This is a great activity for working on fine motor (obviously), visual motor (hand-eye coordination), sequencing (follow in order step-by-step), and body awareness skills (organizing body parts). It’s ideal for preschoolers and kindergarteners. Kids can draw a face, punch a hole at the top, and add a ribbon or hook to make their very own ornament!

fine motor

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Fine Motor Skills for Toddlers: Scarf in a Box

Toddlers are all sorts of curious, aren’t they? Opening cupboards, pulling books off of shelves, and digging through piles of freshly sorted laundry. Ahhh!

Enter: Scarf in a Box.

It’s not rocket science. And it’s not super original. But it is great for A) keeping busy little hands occupied and B) working on fine motor skills!

Pulling a scarf out of a wipes container is a great introduction to bilateral coordination (coordinating the use of two hands) and working on hand dominance (something that typically develops in the toddler to preschool years). While one hand pulls the scarf out of the opening, the other “helper” hand must push against the container and generate enough force to be able to keep it in place. If the helper hand doesn’t do its job, then it becomes much harder to get the scarf out of the box…of course, my little one figured out how to bypass this rule by using his little monkey feet to keep the box in place!

For this activity, all you need is a thin scarf and an empty container of baby wipes. I like the Huggies container because it has the rubbery opening to provide some resistance on the scarf.

You can teach your toddler to isolate the index finger to press the button and make the top pop open.

Ready. Set. Pull!

Time for a refill. Let’s put it in!

In addition to providing opportunities for practicing fine motor skills, the scarf box has also provided an incredibly natural, easy way for us to work on vocabulary and action words such as open/close, in/out, and pull. Plus, it’s been good practice for following one-step directions (such as, “Put it in!”).

This has become one of my 15-month-old’s favorite go-to activities in the past month. In fact, just the other day I found him sitting in his room — fussing and whining — because he had opened his own wipes container and pulled out at least 30 baby wipes in an attempt to find the “end” of them like he does with the scarf, to no avail. He was left surrounded by two huge piles of wipes and, well, it was hilarious.

Give this a try and see what your little one thinks of it!

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Use play dough as boundaries for cutting {Photo Friday}

Welcome to Photo Friday, a place where I share photos 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!

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cutting

For kids who have a hard time cutting anywhere near a line, try using play dough as a “road” for them to cut on. I used this on-the-fly earlier this week for a kiddo who has no concept of paying attention to lines when cutting, but he was able to follow directions to “keep your scissors on the road!”

Have them help you roll out the play dough and press it on the paper with their pointer finger…it sticks really well! (Wikki Stix work also, but not everyone has them just lying around and they don’t stick to paper quite as well.) You can adjust the width of the road to increase or decrease the challenge, and you can of course make any shape you want them to practice cutting. For more concrete guidance, try drawing the boundaries on the paper with marker so they have some guidance as to where to place the play dough in order to make their road. The more angles and curves, the trickier. You can also draw a thick line for them to keep their scissors on in the middle of the road. Try it out!

If you have more financial resources and prep time, you can also use glitter glue, puff paint, or craft foam to give kids physical boundaries for cutting. Find out how by clicking here.

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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!

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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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