A Fun Way to Help Kids With Low Tone Stand Up Straight: Stomp-Stomp!

Kids with hypermobility or low tone are often found standing in the most dysfunctional of positions.  Toes pointing in, feet rolled in or out, feet on top of each other: take your pick, because these kids will alternate between these wobbly choices and more!  Read How To Improve Posture In Children With Low Muscle Tone… Without…… Continue reading A Fun Way to Help Kids With Low Tone Stand Up Straight: Stomp-Stomp!

Why Joint Protection Solutions for Hypermobility Aren’t Your Granny’s Joint Protection Strategies

I spent almost 10 years working in adult rehab before I transitioned to pediatrics.  I still teach joint protection, but I teach it differently to hypermobile kids and their parents.  Kids rarely have JRA, or joint damage in general.  What they have in spades are serious degrees of hypermobility.  And the methods to use joint…… Continue reading Why Joint Protection Solutions for Hypermobility Aren’t Your Granny’s Joint Protection Strategies

Toilet Training? Your Child Needs the Right Shorts!

  In my first e-book, The Practical Guide to Toilet Training Your Child With Low Muscle Tone, I wrote almost a full chapter just on clothing management.  If your child needs you to pull clothing on and off, they are NOT fully trained.  And if they have clothes that make it impossible for them to…… Continue reading Toilet Training? Your Child Needs the Right Shorts!

Helping Children With Low Muscle Tone Manage Summertime Heat

I write a version of this post every summer.  This is because no other OTs are helping parents figure out why their little flowers are wilting. Puzzled parents ask me about their child’s sometimes dramatic reactions to playing outside in the heat.  Kids are melting like popsicles, tripping and whining.  Time to explain the way…… Continue reading Helping Children With Low Muscle Tone Manage Summertime Heat

Is Your Child With Low Tone “Too Busy” to Make it to the Potty?

Since writing my first e-book, The Practical Guide to Toilet Training Your Child With Low Muscle Tone, I have fielded a ton of questions about the later stages of potty training.  One stumbling block for most children appears to be “potty fatigue”.  They lose the early excitement of mastery, and they get wrapped up in…… Continue reading Is Your Child With Low Tone “Too Busy” to Make it to the Potty?

How To Pick A High Chair For Your Special Needs Child

My first Early Intervention home visits always involve seeing the child sitting in their high chair.  Why?  I learn a few very important things. I learn how the child is handled by the parent or caregiver, including whether they use the available strapping to secure them.  Many don’t, and don’t realize that it is part…… Continue reading How To Pick A High Chair For Your Special Needs Child

How Therapeutic Listening Enhances Motor Skills

My readers know that I am a huge fan of Quickshifts in treatment.  I have had some amazing successes with Quickshifts for regulation and modulation.  Their focus on combining binaural beat technology with instrumentation, rhythm, melody and tone makes these albums effective, and it eliminates the challenges of modulated music for very young or fragile…… Continue reading How Therapeutic Listening Enhances Motor Skills

How To Improve Posture In Children With Low Muscle Tone… Without a Fight!

With pediatric occupational therapy going on at home using parents as surrogate therapists, it isn’t helpful to ask a parent to do too much repositioning of children with low tone.  First of all, kids don’t like it.  Second, kids really don’t like it. I have never met a child that enjoys therapeutic handling, no matter…… Continue reading How To Improve Posture In Children With Low Muscle Tone… Without a Fight!

A Practical Guide to Helping the Hypermobile School-Age Child Succeed

  The JointSmart Child series started off in 2019 with Volume One:  The Early Years.  It is finally time for the school-age child to have their needs addressed! Volume Two:  The School Years is available now on Amazon as an e-book, filled with information to make life at home and at school easier and safer.  This…… Continue reading A Practical Guide to Helping the Hypermobile School-Age Child Succeed

Need a Desk Chair for Your Hypermobile School-Age Child? Check out the Giantex Chair

One of my colleagues with a hypermobile third-grader told me this chair has been a great chair at school for her child.  It hits a lot of my targets for a good chair recommendation, so here it is:  The Giantex chair. Why do I like it so much? It is a bit adaptable and it…… Continue reading Need a Desk Chair for Your Hypermobile School-Age Child? Check out the Giantex Chair

Potty Training in the COVID-19 Age

  Parents are staying home with their toddlers and preschoolers now.  All day.  While this can be a challenge, it can also be the right time to do potty training. Here’s how to make it work when you want to teach your toddler how to “make” in the potty: You don’t have to wait for…… Continue reading Potty Training in the COVID-19 Age

Joint Protection And Hypermobility: Investing in Your Child’s Future

  Parents of hypermobile kids are taught early on not to pull on limbs while dressing them or picking them up.  It is less common to teach children how to protect their own joints. In fact, parents may be encouraged by their child’s doctors to let them be “as active as they want to be,…… Continue reading Joint Protection And Hypermobility: Investing in Your Child’s Future

Hypermobility and Music Lessons: How to Reduce the Pain of Playing

  Most kids want to learn how to play an instrument in grade school.  Most parents encourage some form of musical training for the benefits of musical training: social, coordination, attention and focus, even the suggested connection between math skills and musical ability.  Hypermobile kids can struggle with the physical demands of playing an instrument […]

How Using Dr. Karp’s Fast Food Rule Transforms Kids With Special Needs

Yes, I said the word transform.  I know that hyperbole isn’t always appropriate when you are a therapist (we try to hedge our bets with predictions), but I am willing to go out on a limb in this instance and say that learning this single Happiest Toddler on the Block technique will make a difference with…… Continue reading How Using Dr. Karp’s Fast Food Rule Transforms Kids With Special Needs

Are You a Trauma Survivor AND the Parent of a Special Needs Child?

First, let me say that trauma survivors can be among the most loving and active parents I work with as a pediatric occupational therapist. How do I know they are survivors?  Some parents share their histories openly, and some aren’t aware of what their actions and words reveal.  Occupational therapists that have worked in psychiatry…… Continue reading Are You a Trauma Survivor AND the Parent of a Special Needs Child?

How an Occupational Therapist Can Help The Siblings of Special Needs Children

  The parent of one of my clients recently returned from a conference related to her youngest child’s genetic disorder, and she told me that the presentation on helping the siblings of special needs kids really only offered one niblet of advice: “Try to give each sibling 10 minutes a day of “just us” time.”…… Continue reading How an Occupational Therapist Can Help The Siblings of Special Needs Children

The JointSmart Child Series: Parents of Young Hypermobile Children Can Feel More Empowered and Confident Today!

My first book, The Practical Guide to Toilet Training Your Child With Low Muscle Tone, was a wonderful experience to write and share.  The number of daily hits on one of my most popular blog posts  Hypermobility and Proprioception: Why Loose Joints Create Sensory Processing Problems for Children helped me figure out what my next e-book…… Continue reading The JointSmart Child Series: Parents of Young Hypermobile Children Can Feel More Empowered and Confident Today!

Why Injuries to Hypermobile Joints Hurt Twice

My new e-book, The JointSmart Child: Living and Thriving With Hypermobility, Volume I, is just about ready to launch.  One of the book’s major themes is that safety awareness is something that parents need to actively teach hypermobile young children.  Of course, physical and occupational therapists need to educate their parents first.  And they shouldn’t…… Continue reading Why Injuries to Hypermobile Joints Hurt Twice

Is Benign Joint Hypermobility Syndrome (BJHS) All That Benign?

  Many of the children I treat every year have some degree of hypermobility.  Some of them arrive on my caseload with diagnoses such as Prader-Willi syndrome or Down syndrome.  Their low muscle tone is understandable, and their hypermobility has been easily observable since birth.  Some of them are almost certainly going to be diagnosed…… Continue reading Is Benign Joint Hypermobility Syndrome (BJHS) All That Benign?

Hypermobility Or Low Tone? Three Solutions to Mealtime Problems

    Many young hypermobile kids, with and without low muscle tone, struggle at mealtimes. Even after they have received skilled feeding therapy and can chew and swallow safely, they may continue to slide off their chair, spill food on the table (and on their body!) and refuse to use utensils. It doesn’t have to…… Continue reading Hypermobility Or Low Tone? Three Solutions to Mealtime Problems