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

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

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

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

First, the specs. Squishy Snak Paks:

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

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

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

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

Mama OT’s Pear Spinach Puree for Squishy Snak Pak

baby food pouches

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

baby food pouchesbaby food pouchesbaby food pouches

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

baby food pouches

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

Three critiques of Squishy Snak Paks: 

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

Would I recommend this product?

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

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

baby food pouches

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10 Holiday Gift Ideas for Preschoolers

The holidays are here and it’s time to start putting together your list for the preschooler(s) in your life…but where to start?! Don’t worry. I’ve got you covered. Below you’ll find ten fun holiday gift ideas for preschoolers from ages three to five years. These gifts will be sure to help that little learner have fun and develop new skills all at once. Of course there are tons of fun toys out there for preschoolers, so I hope this post will help you get started as you dive into the world of gift giving! Find out even more toy ideas for preschoolers by clicking here.

And if you’ve also got younger kiddos to shop for as well, be sure to check out my holiday gift ideas for babies and toddlers!

gift ideas for preschoolers

1. Beginner multi-piece puzzles-Challenge those hands and eyes as they work together to flip, turn, and slide pieces around in order to make them fit together.

2. Easel and supplies- Engages kids’ creative and sensory side while developing strong muscles in the arms and hands to help prepare their bodies for writing. The best easelshave chalkboard and whiteboard surfaces, with the ability to attach paper over them. Some of my favorite easel supplies include dry erase crayons(they are AMAZING!), colored chalk(break into small pieces to encourage age-appropriate pinch grasp, learn more here), finger paint, washable paintpaint cups with brusheseasel paper, and of course an art smock.

3. Pretend play sets- Ideal for this age group and great for developing symbolic play, fine motor, social, and language skills. Some examples include kitchen sets (the Melissa & Doug Corner KitchenLittle Tikes Deluxe Wooden Kitchen and Laundry Center, Little Tikes Deluxe Wooden Kitchen and Laundry Center, pretend food to cut, etc.), doll houses, doctor/vet set, and costumes for pretend play.

4. Tricycle- Coordinate those legs and strengthen that core to support the development of fine and gross motor skills!

5. Bouncing toys- Beat cabin fever during the cold months by giving kids a chance to move and jump while staying inside the house. Great for sensory seekers. Go-to bouncers include mini trampoline with handle, hippity hop ball, and Rody the hoping horse.

6. Lacing beads- A classic in fine motor development.

7. Gymboree bubbles- Best bubbles on the planet. Five times more bubbles with each blow of the wand, and they float for minutes on end. Lots of developmental benefits to playing with bubbles (find out here). Fun for preschoolers, but also perfect for toddlers and baby play groups as well!

8. Fine motor games- Strengthen those little hands as they prepare to become writers! Some of my favorite fine motor games for preschoolers include Ants in the PantsHi Ho Cherry-O, Hungry Dog/Monkey/Bunny, Lite Brite, and Pop Beads.

9. Books- Bring books to life and enhance preschoolers’ reading comprehension by asking them questions and involving them in the story. Check out books with rhymesstories, and silly ideas.

10. Play dough kit with accessories- Sensory, fine motor, language, and imaginary play all in one. So many options to choose from: Creations Caddy, Fun Factory, basic rollers and cutters, big barrelPrettiest Princess Castle, Dr. Drill and Fill, Star Wars kitSesame Street Lunch Box Fun, Cake Making Station, or simply a big pack of colors.

*Many of the links in this post to recommended products 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!

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Switch Out Your Toys {One Thing Thursday}

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

toys

Do you ever look at your child’s toy box and think, “We really need some new toys”?

Yep, been there.

I know it’s tempting to put all the toys out there and give them lots of things to play with. But what’s the problem? The toys get old. Your child gets bored with them. You get bored with them. And from a  learning standpoint, your child’s brain kinda stops being challenged after engaging with the same toys over and over again. Practice is good, but too much of the same means their brain doesn’t have to create new “motor plans” in order to figure out how to engage with a new or unfamiliar toy.

So try this one thing: Divide your child’s toys into two or three groups and rotate them every week or two. This will keep your child’s brain stimulated and it will keep you from feeling like you need to go to the toy store and load up on new stuff for your little one.

While there are certainly times when new toys are necessary (like when they are ready to move from infant to toddler toys, or they have graduated to preschool toys), many of your child’s toys can last for longer than you think. And you know what happens when you bring out that box of toys that you’ve been hiding for the past few weeks or months? It’s like Christmas…for you and for them!

So try picking out some toys for the week, and switch things up on a regular basis. You might find that you get more creative with what you offer as “toys” (like bowls, mixing spoons, strainers, and other things around the house). It will be good for both you and your child!

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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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8 ways to use a baby play table

baby play table

Baby play tables are a great invention. As far as I can tell, they came onto the scene fairly recently (relatively speaking), and I have been amazed at how versatile they are. I’ve used them with infants in early intervention therapy, and they’ve also come in handy for promoting my own son’s development during his first year of life. They have all sorts of cause/effect buttons that sing and light up while introducing baby to songs, shapes, spatial concepts (open/close, up/down), ABCs, and 123s. Many of these play tables (including the one pictured above) now come with English/Spanish modes so you have the option of exposing your baby to more than one language at an early age.

Unless someone purchases one for you, don’t bother forking over forty bucks for a brand new baby play table. You should be able to easily find a gently used one on Craigslist or at a second hand store for twenty dollars or less. Just make sure it has removable legs so you can use it in a variety of ways throughout baby’s first year.

Here are eight ways you can use a baby play table:

1. Remove all legs and tilt against a couch, wall, or other stable surface so the play surface is nearly vertical.

Developmental stage: Newborn to rolling (approximately 0-4 months).

baby play table

Interact with baby and talk to him about the lights, music, and sounds. Help baby lay on his side so he can look at and reach for the play surface. It’s important to get baby on his side while engaging, rather than just laying on his back and reaching over to the side. This is because when baby lays on his side, he is able to engage in “midline play”, which means he is being oriented to where the middle of his body is. Babies are not born with a midline orientation, and it is through midline play that they begin to develop a sense of symmetry (a balance between the right and left sides). If baby will not stay put on his side due to lack of strength or control, simply roll up a receiving blanket and wedge it behind his back. This side-lying position is also helpful for babies who have low muscle tone and find it difficult to engage in midline play while laying on their backs (as they would while playing in a baby gym).

2. Remove all legs and place flat on the ground.
Developmental stage: Tummy time to independent sitting (approximately 2-6 months).

baby play tablebaby play table

This gives baby some incentive to push up during tummy time. It also gives baby something to play with while sitting up, even if she isn’t so sure about using her hands quite yet. Stay close by your baby on this one. It’s easy for the tummy time baby to suddenly drop her head and bonk her face, and it’s just as easy for the new sitter to quickly topple forward…also bonking her face. If your baby is not yet an independent sitter, that’s okay. Just support her trunk with your hands from behind while she sits and plays. The higher up you support her (closer to her armpits), the less she has to work. The lower down you support (closer to the hips), the more she has to work. Assist her accordingly.

3. Remove only two legs so the table tilts at a 45 degree angle.
Developmental stage: Pushing up and shifting weight during tummy time to pushing up onto all fours (approximately 4 to 8 months).

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This is more stable than suggestion number one and, thank goodness, because now baby can reach out and clobber those buttons! The more advanced tummy time baby will find this fun and, again, it gives him an opportunity to engage in midline play no matter where he is around the table. As a therapist, I like this stage because it gives baby an opportunity to practice shifting his weight from side to side while on his tummy. He must shift his weight to one arm while he reaches out with the other. This is an important skill to learn before he can ever think about crawling.  The more weight he can bear on one arm while he uses the other to play, the closer he is to crawling! This position also requires quite a bit of trunk and neck strength, which is important for — again — developing the muscles necessary for crawling. And, of course, this position is also fun with the baby who sits independently and is now able to engage more freely with his hands while sitting.

If your baby isn’t really comfortable on his tummy or doesn’t weight shift yet during tummy time, try putting him on his tummy on an exercise ball and slowly zooming him forward to the point where he can reach the play surface. You can help him practice shifting his weight by slowly tilting the ball to the left side (only, like, an inch or two, not a lot) while he reaches with his right. And then tilt it to the right while he reaches with his left. Not comfortable putting your baby on an exercise ball? Check out my post with video about how to play with your baby on an exercise ball. Sometimes a demonstration is all you need to ease your nerves.

4. Remove all legs and place flat on one couch cushion (or an object of similar height).
Developmental stage: Pre-crawling to crawling (approximately 6 to 9 months). 

baby play tablebaby play table

This is a great intro to assuming the hands-and-knees position because it’s easier to sustain a semi-upright quadruped position than it is a fully horizontal one. It takes some of the weight off the arms so baby can venture into a pre-crawling position without needing quite as much upper body and core strength. It also teaches baby about moving up and down through space, as opposed to only moving horizontally all the time (rolling, scooting, etc.).

5. Remove all legs and place flat on two couch cushions (or an object of similar height).
Developmental stage: Crawling to standing with support (approximately 8 to 10 months). 

baby play tablebaby play table

This just about mimics the height the play table will have when you put the legs back on, but it gives baby something to hold onto, lean against, and push against as he transitions to learning how to play in a kneeling and half-kneeling position. Translation: baby’s hand won’t slip off the bottom of the play table and he won’t hit his face on the hard plastic on his way down. We want to avoid injury where we can, right? This is also the perfect height and place for baby to start experimenting with pulling to a stand and remaining in an upright position for more than a few seconds at a time. We’re getting ready for cruising and walking!

6. Stand table up on all 4 legs and have baby use with table wedged into a corner.
Developmental stage: Standing with minimal support to cruising (approximately 9 to 12 months).

baby play table

You’d be surprised at how much a newly standing baby leans into a play table…and how easily the table can slide or tip with that much weight being put on them. Once my little one reached this stage, I always felt most comfortable if I just wedged the play table into a corner so it couldn’t slide or tip. Of course, a baby this age still needs constant supervision because, as you will soon find out, those chunky little legs are still getting used to supporting all that baby weight and they have a tendency to unexpectedly give out. So stay close to your baby, keep a hand on her, and make sure she’s safe while you engage her with play and talk to her about all the fun stuff going on. Also, don’t be surprised if your baby pulls to a stand, plays for a minute, and then begins to cry…it’s probably because she can’t figure out how to get down! Help her problem solve and, over the course of the next few days or weeks, she’ll soon become a pro at using the table to stand up and squat down.

7. Stand table up on all 4 legs and place in an area where baby can access all four sides independently.
Developmental stage: Standing with minimal support to cruising (approximately 9-12 months).

baby play table

As baby becomes more comfortable in a standing position, he won’t need to lean against the table so much, so you can get it out of the corner and into the middle of the room! He’ll start to experimenting with taking a step or two to the side, which is the beginning of the “cruising” phase. He’ll also start to become better at pulling to a stand and squatting down to the floor when he’s all done. Don’t be surprised if he starts to become a dare devil and tries to see if he can take both hands off the table. Or better yet, he may become so engrossed in his play time that he will “accidentally” take his hands off without even realizing it…and then quickly put them back on as soon as he realizes what he’s done!

8. Stand table up on all 4 legs and place near another surface so baby can reach over and “walk” to it.
Developmental stage: Cruising to early walking (approximately 10-12+ months).

baby play table

It may take a while before baby gets up the guts to let go of the table AND step away from it. But oh the look of joy on his face when he does! Create safe opportunities for him to transfer between supportive surfaces, whether it’s a couch, a soft chair, or the very best thing — you! This is the beginning of the walking stage and it — in my opinion — is the best stage of all. Soon your baby will be saying good riddance to that play table in exchange for other, more exciting things to explore. You know, really safe things, like glass coffee tables, fireplaces, toilets, and garbage cans.

Always be sure to supervise and interact with your baby while he or she engages with their baby play table. And have fun!

baby play table

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Tips for addressing throwing behavior

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

throwing

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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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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Let Them Put a Triangle in a Round Hole {One Thing Thursday}

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

. . . . .

One Thing Thursday is back, and here’s the deal: I’m not gonna sugar coat this one. Here we go.

Dear Parents,

If you remember nothing else this week (or this month…or year…you get the point), please remember this ONE THING:

Don’t be afraid to let your child make mistakes. 

In fact, please allow them to make mistakes. Give them enough space so they have the option of making mistakes. Especially as young toddlers.

They NEED to learn from their mistakes. They NEED to learn that “if at first you don’t succeed, try, try again” is actually a real thing. They NEED to learn that if they mess up the first time, they can try again next time. They NEED to learn how to persist in a task even if they don’t succeed the first, or the second, or the third time.  They NEED to learn that if they can’t do something, they can ask for help rather than throwing a tantrum, having someone swoop in to do it for them, or simply giving up.

I have seen far too many little ones who, after being given the chance to engage in trial and error without an adult jumping in at the first sign of difficulty, have made tremendous strides in their cognitive and physical abilities. You should see the way these kiddos light up when they discover they can do something themselves. Could be learning to put on a shirt. Could be figuring out a shape sorter. Could be learning to cut with scissors.

Yes, every child is different and has varying capabilities. But the message is the same: give them a chance to try it by themselves. 

So the next time you see your child trying to put a triangle in a round hole (or engaging in some metaphorical equivalent) and you have the urge to jump in and immediately do it for them, hold your horses. Give them a second. Or two. Let them try to put the triangle in the round hole. Encourage them. Point them in the right direction. Give them a chance to look up to you and ask for help. Guide them to the right solution. And then if they need you to ultimately finish it for them, go right ahead. But please don’t deprive them of the process of problem solving and the rich learning experience that only trial and error can bring.

Let them put the triangle in the round hole.

And then see what happens.

I will thank you for it when they are older.

Respectfully yours,

Mama OT

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