My posts on proprioception and hypermobility have been popular lately, leading me to think that parents (and therapists) want more information on the sensory basis for their children’s struggles, and that often their treatments don’t include addressing their sensory processing issues. The Ehles-Danlos Syndromes (yes, there are more variants than just vascular and hypermobile!) are…… Continue reading Can You Use The Wilbarger Protocol With Kids That Have Ehlers-Danlos Syndrome?
Category: low tone
Potty Training Boys: Do You Teach Standing Up Or Sitting Down?
Training children for bladder control before bowel control is often easier for quite a few reasons: More frequent bathroom trips = more opportunities for success, digestion and diet issues don’t stall success, and urination is usually a painless, phobia-free, and quick experience. In general, families that hire me as a consultant are encouraged to…… Continue reading Potty Training Boys: Do You Teach Standing Up Or Sitting Down?
A Simple Strategy To Improve Your Child’s Posture In A Stokke Tripp Trapp or Special Tomato Chair
The Tripp Trapp chair: The one therapists often recommend. These well-designed seats can be wonderful for kids that need solid foot support. Even the best hip and chest strapping doesn’t always mean that a child is actively using their feet for postural control. You will never guess what the secret weapon is to keep…… Continue reading A Simple Strategy To Improve Your Child’s Posture In A Stokke Tripp Trapp or Special Tomato Chair
Should Hypermobile Kids Sit On Therapy Balls For Schoolwork?
They are everywhere; colorful therapy balls have migrated from the clinic to the classroom. You can buy a base or a whole chair with a ball attached. But do kids with hypermobility benefit from using them, or will they create more problems than they solve? Hypermobility in infants and very young children is common,…… Continue reading Should Hypermobile Kids Sit On Therapy Balls For Schoolwork?
Hypermobility and ADHD? Take Stability, Proprioception, Pain and Fatigue Into Account Before Labeling Behavior
ADHD is a disorder that is diagnosed clinically. This means that there are no brain examinations, no measures that are not behavioral, when determining whether or not to give a child this label. The younger the child, the less accurate behavioral measurements are. But the risks in quickly giving a child this label are significant.…… Continue reading Hypermobility and ADHD? Take Stability, Proprioception, Pain and Fatigue Into Account Before Labeling Behavior
Should Hypermobile Kids Use Backpacks?
It is back-to-school season here in the US. One of the items on shopping lists is a new backpack. But for kids with low muscle tone or hypermobility, backpacks can be more than a way to carry books and water bottles. They can be a source of pain, headaches, even numbness in hands and fingers.…… Continue reading Should Hypermobile Kids Use Backpacks?
Prevent Skin Injuries In Kids With Connective Tissue Disorders: Simple Moves To Make Today
Children with EDS and other connective tissue disorders such as joint hyper mobility disorder often have sensitive skin. Knowing the best ways to care for their skin can prevent a lot of discomfort and even injury. These kids often develop scars more easily, and injured skin is more vulnerable in general to another injury down…… Continue reading Prevent Skin Injuries In Kids With Connective Tissue Disorders: Simple Moves To Make Today
Hypermobile Child? Simple Dental Moves That Make a Real Difference in Your Child’s Health
As the OTR on a treatment team, I am the ADL (Activities of Daily Living) go-to person. Why then, do so few parents ask me what ideas I have about ADLs, especially dental care? Probably because OT as a profession has developed this reputation as the therapist either focused on handwriting or…… Continue reading Hypermobile Child? Simple Dental Moves That Make a Real Difference in Your Child’s Health
Can Hypermobility Cause Speech Problems?
As a pediatric OT, many of my clients have speech and feeding problems that are attributed to low muscle tone. Very often, that is where assessment ends. Perhaps it shouldn’t. Joint hypermobility can also create issues such as dysarthria, disfluency and poor voice/breath control. It isn’t only about oral muscles and muscle coordination for feeding.…… Continue reading Can Hypermobility Cause Speech Problems?
Problems With Handwriting? You Need The Best Eraser
A good eraser can make a frustrated child more willing to fix writing errors. A bad eraser confirms their failure as a writer. Occupational therapists in some schools hand out HWT pencils and a variety of pencil grips like candy, but many forget about how important it is for kids to erase mistakes…… Continue reading Problems With Handwriting? You Need The Best Eraser
Taping The Paper To The Table For Your Child? Stop!
Many young children between 2 and 5, especially children with low muscle tone or postural instability, will struggle with bilateral control. In preschool, one way to notice this is to see the paper sliding around the table while a child colors. The common response of teachers (and parents) is to tape the paper down. Oops!…… Continue reading Taping The Paper To The Table For Your Child? Stop!
Hypermobile Toddlers: It’s What Not To Do That Matters Most
Do you pick up your toddler and feel that shoulder or those wrist bones moving a lot under your touch? Does your child do a “downward dog” and her elbows look like they are bending backward? Does it seem that his ankles are rolling over toward the floor when he stands up? That is…… Continue reading Hypermobile Toddlers: It’s What Not To Do That Matters Most
The Difference Between Special Needs and Typical Potty Training Approaches: Address Sensory/Behavioral Issues and Use Consistent Routines
After writing The Practical Guide to Toilet Training Your Child With Low Muscle Tone, I have been asked what was different about my book. There must be 100 books on potty training special needs kids. What did I do differently? Simple. I am an occupational therapist, so I have no choice but to use my…… Continue reading The Difference Between Special Needs and Typical Potty Training Approaches: Address Sensory/Behavioral Issues and Use Consistent Routines
Teach Kids With Ehlers-Danlos Syndrome Or Low Tone: Don’t Hold It In!
People who have read my blog are aware that I wrote a book on toilet training kids with low muscle tone, The Practical Guide to Toilet Training Your Child With Low Muscle Tone. Children that have problems with muscle tone or connective tissue integrity (or both) risk current and future issues with incontinence and UITs…… Continue reading Teach Kids With Ehlers-Danlos Syndrome Or Low Tone: Don’t Hold It In!
Want A Stronger Pencil Grasp? Use a Tablet Stylus
The trick? They need to use a short stylus and play apps that require primarily drag-and-drop play. Stop them from only tapping that screen today, because tapping alone will not make much of a difference in strength and grading of force. Why will drag-and-drop play work? The resistance of the stylus tip on the…… Continue reading Want A Stronger Pencil Grasp? Use a Tablet Stylus
Low Tone and Toilet Training: Learning to Hold It In Long Enough to Make It to The Potty
If your child can’t stay dry at night after 5, or can’t make it to the potty on time, there are a number of things that could be going wrong. I won’t list them all, but your pediatrician may send you to a pediatric urologist to evaluate whether there are any functional (kidney issues,…… Continue reading Low Tone and Toilet Training: Learning to Hold It In Long Enough to Make It to The Potty
Does An Atypical Pencil Grasp Damage Joints or Support Function In Kids With Hypermobility?
As a pediatric OTR, I am often asked to assess and teach proper pencil grasp. Once you start looking, you see a lot of interesting patterns out there. When a child clearly has low muscle tone and/or hypermobile joints, the question of what to do about an atypical pencil grasp used to puzzle me. I…… Continue reading Does An Atypical Pencil Grasp Damage Joints or Support Function In Kids With Hypermobility?
Strengthening A Child’s Pencil Grasp: Three Easy Methods That Work
When a child makes fast progress from a fisted grasp to a mature pencil grasp in therapy, parents notice. This isn’t easy to accomplish, but it is possible. I spent the first decade of my pediatric OT career thinking that finger exercises were the answer. Nope. Here are my three favorite strategies to…… Continue reading Strengthening A Child’s Pencil Grasp: Three Easy Methods That Work
Hypermobility in Young Children: When Flexibility Isn’t Functional
Your grandma would have called it being ” double jointed”. Your mom might mention that she was the most flexible person in every yoga class she attended. But when extra joint motion reduces your child’s performance or creates pain, parents get concerned. Sometimes pediatricians and orthopedists do not. Why would that happen? A measure…… Continue reading Hypermobility in Young Children: When Flexibility Isn’t Functional
The Practical Guide to Toilet Training Your Child With Low Muscle Tone: Potty Training Help Has Arrived!
My most popular post, Why Low Muscle Tone Creates More Toilet Training Struggles for Toddlers (and Parents!) inspired me to write a manual to help parents with potty training. There was nothing in books or online that really helped families, just a few lines about being patient and…… Continue reading The Practical Guide to Toilet Training Your Child With Low Muscle Tone: Potty Training Help Has Arrived!