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!
Category: low tone
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
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!
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
How To Correctly Reposition Your Child’s Legs When They “W-Sit”
Hypermobile kids, kids with low muscle tone, and kids with sensory processing issues are champion “W-sitters”. What’s that? If your child sits with their thighs rotated inward, knees bent, and their feet rotated so their toes point outward, you have a W-sitter. This sitting pattern isn’t abnormal if it is only one of many…… Continue reading How To Correctly Reposition Your Child’s Legs When They “W-Sit”
Does Your Older Child Hate Writing? Try HWT’s Double-Lined Paper
This paper has been more useful to older kids (6+) that I see for handwriting help than any other paper on the market, and almost any other tool Problems With Handwriting? You Need The Best Eraser , Great Mechanical Pencils Can Improve Your Child’s Handwriting Skills . Why? Regular lined paper, and almost all worksheets, are usually jam-packed…… Continue reading Does Your Older Child Hate Writing? Try HWT’s Double-Lined Paper
When Writing Hurts: The Hypermobile Hand
Many children resist doing their homework, but most kids say “Its so BORING!” not “My hand hurts too much”. If a child is complaining of pain, and they don’t have a joint disease such as JRA, the first thought is hypermobility. The good news is that there are a few fast fixes that can decrease…… Continue reading When Writing Hurts: The Hypermobile Hand
Safety Awareness With Your Hypermobile Child? Its Not a Big Thing, Its the Biggest Thing
Therapists always try hard to be optimistic when discussing their pediatric client’s future. Why not? Kids have amazing potential, and we aren’t fortune tellers; there are so many things that can go right. As therapists, we also should share the reality of how bad choices create unfortunate consequences. Among them are the long-term…… Continue reading Safety Awareness With Your Hypermobile Child? Its Not a Big Thing, Its the Biggest Thing
Stop Your Child From Chewing on Clothes or Toys
Babies love to munch on their toys. They nibble at book bindings, chew the heck out of their loveys, and some little ones really love to chew their pacifiers. As they grow, most children let go of this behavior. Chewing and biting for sensory exploration and state modulation diminishes and a child’s behavior evolves into…… Continue reading Stop Your Child From Chewing on Clothes or Toys
Should You Install a Child-Sized Potty for Your Special Needs Child?
I know that some of you don’t even realize that such a thing exists: a toilet sized for preschoolers and kindergarteners! Well, you won’t find it in Lowe’s or Home Depot on the showroom floor, but you can buy them online, and it is an option to consider. Here are the reasons you might put…… Continue reading Should You Install a Child-Sized Potty for Your Special Needs Child?
The Not-So-Secret Solution for Your Child With Motor And Sensory Issues: Dycem
In adult rehab, occupational therapists are regularly providing patients who have incoordination, muscle weakness or joint instability with both skill-building activities and adaptive equipment such as Dycem. In pediatrics, you see a predominance of skills training. Adaptive equipment shows up primarily for the most globally and pervasively disabled children. I think that should change. Why? Because…… Continue reading The Not-So-Secret Solution for Your Child With Motor And Sensory Issues: Dycem
Could Your Pediatric Client Have a Heritable Disorder of Connective Tissue?
Therapists see lots of hypermobile kids in clinics and schools. I see hypermobile children every week in their homes for private sessions, consultations and ongoing treatment through Early Intervention. My estimate is that at least 25% of kids over 5 and almost 50% of the younger kids I have treated have some degree of…… Continue reading Could Your Pediatric Client Have a Heritable Disorder of Connective Tissue?
Is Your Hypermobile Child Sitting In An Awkward Position? No, She Really DOESN’T Feel Any Pain From it
Hypermobile children end up in some impressively awkward positions. It can feel uncomfortable just to look at the way their arms or legs are bent. It can be an awkward position with any part of the body; shoulders that allow an arm to fold under the body and the child lies on top of…… Continue reading Is Your Hypermobile Child Sitting In An Awkward Position? No, She Really DOESN’T Feel Any Pain From it
Three Reasons Why Your Constipated Toddler May Also Have Bladder Accidents
Kids with chronic constipation are a challenge to train. It can often appear that withholding is the issue, and to be certain, fear and pain are real issues. But there are some physiological problems caused by constipation that contribute to bladder problems, and they aren’t always what your pediatrician is thinking about. The constant fullness…… Continue reading Three Reasons Why Your Constipated Toddler May Also Have Bladder Accidents