Tag: occupational therapy

Classroom Seating Options for Students Who Struggle Sitting Still

School is almost here and teachers are working hard in classrooms to prepare and organize for the students coming back from summer vacation. After my 15 years of time as a pediatric occupational therapist working with parents, teachers and administrators, I believe that you could walk into any classroom and hear teachers asking students to sit still multiple times a day.

All children need movement and learn by interacting with their world through all of their sensory systems, including their vestibular system that processes movement and their proprioceptive system that processes input from actively using their muscles and joints. Each of us have different movement needs and thresholds, so some need or can only tolerate very small amounts of movement, while others have high needs and high thresholds for movement. Some children come from homes with environments that offer many opportunities for movement while some come from very sedentary home environments. Teachers will find a variety of these students in their classrooms and don’t have control over how a child’s neurological system processes sensory information nor what their home environment offers their sensory system to meet their sensory needs. But, teachers must still teach all these students with different needs!

The STAR Institute for Sensory Processing Disorder reports on their website that, “In a study of children born between July 1995 and September 1997 in the New Haven, CT area 16% of 7 to 11 year olds had symptoms of SPD-SOR (Ben-Sasson et al., 2009). That is the same as 1 in 6 children. An earlier study in younger children (Ahn et al., 2004) found a prevalence of 5%, which is 1 in 20 children.” Yes, with this prevalence, children with sensory processing or sensory integration disorders are in every school and every classroom.

I’ve collaborated over the past several years with parents and teachers to help address the needs of these wiggly students. I’d like to share the seating options that teachers are using to help students regulate their sensory systems and prepare to learn. When you initially present these options, remember that the novelty is exciting for students. Let them try it several times and watch how they react. For all students, the novelty will wear off. Some may never use them again in the year. For those who do use it, you may see it helping. Use these as tools in your toolbox, none of which are a magic wand to fix all concerns. You can always set boundaries and expectations around appropriate use, but keep in mind the purpose of these ideas is to allow students to try to self-regulate their sensory system to prepare for learning. Please remember that these are options to try a few times to see what or what combination works along with other sensory strategies.

I’ve linked some of the products we’ve trialed, but there are other options to research! I’d love to hear if you find other good products!

VIDEO: See Tera talk about classroom seating options for children who struggle to sit still with FOX 13 The Place here.

EXERCISE BALLS

Bounce, roll back and forth and activate muscles not used by sitting in a regular school chair (vestibular and proprioceptive input)! Exercise balls are easy to find and you can buy them fairly cheap. You don’t need to buy the highest quality. Yes, exercise balls will become victims of pencil stabbings, so find some good prices. I’ve found some for as cheap as $8-12 at places such as Ross, TJ Maxx, Wal-Mart, Target and Amazon. Be sure to look at height recommendations because small children will not be able to sit on too large of a ball independently. We’ve found that very young students or students with poor core strength or balance aren’t able to stay balanced all day without falling off the exercise balls or the wobble chairs below.

WOBBLE CHAIRS

Wobble chairs allow a student to move slightly while having a little more stability than an exercise ball. I first saw these in a classroom that had Hokki stools at the student computers. We assigned a wiggly student to sit on the Hokki stool throughout the day, which allowed him to follow classroom rules to not tip his seat back or get out of his chair during work time. Amazon also sells Hokki stools in two heights: 15″ Hokki stool, 18″ Hokki stool. The next year, we found these Kore chairs that were cheaper and they’ve been great for many students. Here is a link to buy single 14″ Kore wobble chairs from amazon.com. Amazon also sells the 14″ Kore wobble chairs in a set of 3 for a cheaper individual price. We’ve ordered taller Kore wobble chairs for taller students, although at 5’2″ with short legs, I fit most comfortably on the 14″ stool. Here is an Amazon link to the 18.7″ Kore wobble chairs for teens.

DISC CUSHIONS

The disc cushions are inflated with air and allow a student to slightly move while sitting, rocking and wiggling in a regular school chair. Students who are concerned with being different can use these without standing out. We bought an Isokinetic brand on amazon.com.

ROCKING CHAIRS

We tried a wobble chair with a student with some slight motor difficulties with balance and core strength, but after multiple falls off the wobble chair, we realized we needed another option. We ordered this rocking school chair just for him. He used it the rest of the year without any falls, but was still able to get the movement he needed. We are ordering more of these, especially for the younger students who struggle staying on the exercise balls or wobble chairs without falling. This student also preferred to have a disc cushion on his rocking chair! (Remember that you need to trial the options to see what works!) We bought a Zuma rocker brand. The cheapest price I found to buy more just recently was at worthingtondirect.com. You can also buy them here in packs of 2 on Amazon: 15″ height and 18″ height.

RESISTANCE BANDS FOR FEET

We bought the green medium-resistance Thera-Band on amazon.com to tie around chairs and desks for students to kick while they are sitting. We ended up wrapping the resistance band around the desk legs closest to the chair. Stacking chairs was difficult when the resistance band was around the chair legs and then the band would get lost, so this option seemed to be the best. Some students kick, some rest and swing their feet back and forth, and others pull with their hands while kicking with their feet. The resistance against active movement gives the students proprioceptive feedback (input into muscles and joints) that might otherwise be sought out with hitting, pushing or kicking other objects or students. I recently found some similar resistance band, CanDo brand, that was a bit cheaper on schoolspecialty.com.

POSITIONING AT DIFFERENT LEVELS

Some teachers got really excited and even rearranged their classrooms to rotate through different seating levels like this. (Notice that wobble chairs are still an option in this classroom also.) The desk legs were adjusted to allow for different heights for sitting on the floor or sitting in a seat. (I didn’t even realize this was possible with the desk legs until after I saw this classroom!) Remember that there is no equipment or expense involved to allow a student to stand at their desk or lay on their tummy to work. Many teachers have small couches, beanbags and pillows to allow this.

SECLUDED AREAS

Some children need an escape from the multi-sensory environment of a school classroom. Offer quiet corners, under a teacher’s desk or behind a bookshelf or filing cabinet. One teacher told me about a student who created her own secluded area with a few chairs blocking her off from the classroom while she sat on the floor in the corner. She then hung jackets over the backs of the chairs to help block out the extra sensory input that was too difficult to process before returning to her desk.

WEIGHTED LAP PADS, BLANKETS OR BACKPACKS

Laying a weighted lap pad or a backpack across the student’s legs provides deep pressure input, which tends to be calming. You may find certain students that want to wear their backpack while sitting at their desk. They may be seeking this calming input into their shoulders. If it’s too difficult to sit in a chair while wearing it on their back, give them the option to wear it on their shoulders frontwards.

One student preferred to either wear his backpack or lay the heavier weighted blanket across his lap while sitting. Another young elementary student had a hard time keeping his hands to himself or from taboo play inside his trousers, but with a weighted lap pad, these behaviors decreased significantly.

We used our local Comfort Weighted Blankets company for the weighted lap pads and blankets. I love having a local company that uses the softest fabric in our own choices.

SPINNING OFFICE CHAIRS

I know, I know… What teacher would really allow this? But, I’m only writing about my crazy sensory processing OT ideas if they’ve successfully been implemented in a teacher’s classroom. So, I promise that it has really worked!

Some children have very high movement needs and spinning is a highly intense type of vestibular input (movement) that meets vestibular needs faster than less intense movement. So, one option is to allow a student to spin in the office chair. Teachers most likely have a spinning office chair at their desk that isn’t always being used. Students that don’t have high movement needs will NOT want to spin in the chair or they will only be able to do so for a very short period of time.

The teacher who let a student spin in an office chair while fidgeting with paper clips found that the student participated more appropriately in the classroom, so allowed this everyday as much as he needed. The other students didn’t complain because they realized that they weren’t distracted by the student’s inappropriate behavior when sitting at his student desk and chair. Everyone functioned better! Some older students who let their teacher know they need a break and with prior approval, go into another room to spin in an office chair until their sensory system is ready to return to class and behave appropriately.

NOT JUST FOR KIDS!

Finally, you’ll realize that not just students want a variety of options for seating! I, personally, always prefer a wobble chair or exercise ball. This adult school employee realized that her back pain improved drastically by sitting on a disc cushion and wobble chair (after trialing some other expensive office chairs).

Thank you to all the great teachers and parents who have been willing to try out my crazy sensory OT ideas, then given honest feedback about how they’ve worked! I hope this will give you some ideas to brainstorm for your wiggly students! Teachers, I hope this is helpful and that your school will support these accommodations. Parents, this may be just what you need to take to your child’s teacher for support in the classroom. Talk with a pediatric occupational therapist for individualized guidance. Please share your experiences and any other ideas and products that are working for your students!

UPDATE: After ordering large quantities of this type of equipment at my school, the school secretary has told me that she prefers ordering from Amazon because of her familiarity with the ordering process, the lower shipping prices and the shorter shipping time. (Sometimes shipping prices can be so high that the order still costs more, even with a lower sales price.) I’ve added Amazon links if you also have these same concerns.

*Since writing this post, I have become part of the Amazon Affiliate Program. If you choose to buy any of these products on Amazon, I’d appreciate if you used the links through my website to help support the work I do at Yums Theraplay! Thank you!

Build Your Preschooler’s Skills with Purposeful Play

Thank you to my guest bloggers, Nancy and Jason, owners of Effortless Art Crayons, a Two Sparrows Learning Systems product. Effortless Art Crayons are a unique early learning crayon designed to support and improve young children’s grip and grasp. Watch your child’s joy and creativity grow as they use the Effortless Art line of products. You can check out all their products and learn more about their journey as young entrepreneurs at www.effortlessartproducts.com.

Now that the hustle and bustle of the holidays are over, we can all take a breath and settle into a more normal routine for our families. I don’t know about all of you, but our family flew right back into the craziness of work and school and we are still trying to catch our breaths! We are really trying our best to still fit in family time, but it’s so hard to find time for just having relaxed downtime with your kids, amidst all the practices, games, after-school activities, and driving here, there, and everywhere! Everyone is so busy and over scheduled as families lately that it is easy to forget to carve out time doing the simple, fun activities, like crafts, building forts, making block towers, and exploring together. These are so important for children’s development! Our son is three and this is such an important age to develop his fine motor skills, his problem solving, foster his communication skills, and experience activities that he can be creative with. I try my best, but I’m not perfect, and often my best-laid plans are left lying on the kitchen table!

I have decided that this year, my “New Year-Long” resolution is to find time each week, even if it is only 30 minutes, to spend with my son playing, creating, or crafting together. It’s winter, and even though we are a hockey family and spend plenty of time on the ice, there are still lots of times where we are stuck indoors, and it’s perfect for spending some time playing together.

Play is such an important part of learning and development. Children need purposeful play that helps them develop their fine motor skills, language skills, ability to interact with each other, and foster emotional regulation. Screen time or using an iPad, unfortunately, does nothing to help this. If you are looking for some easy, low-cost ways to have fun with your child and not break the budget while cooped up, dig out puzzles, blocks, Legos, and toys that encourage building and construction. Choose toys that encourage pretend play and help your children develop their imagination. Even if they are older, find new ways to use them. Can you see how fast your child can assemble the puzzle? What about pulling out two puzzle sets at once and seeing if they can assemble both correctly? Mel issa and Doug themed puzzles are great for this. What about building an entire city with blocks and Legos, and getting those Hot Wheels out (our son’s current favorite), and connecting the buildings with roads? Small warning…you may have to leave it up for a few days, so set it up somewhere where there is not a ton of foot traffic! (Links above in this paragraph are Amazon affiliate links for Yums Theraplay.)

Our son absolutely LOVES to do “projects” as he calls them. He loves to paint, color, draw, glue, cut, and create anything he can imagine with a paper plate, puffballs, and glue! I cherish these times as we make memories together, talk, laugh, and I get to watch his joy and eyes light up as he creates something new. With Valentine’s Day fast approaching, we have kept busy in the cold temperatures finding fun crafts that still practice fine motor skills. Check out our “I love you to pieces” hearts and our “Heart Man.”

I worry that these experiences are being lost and happening less and less, as iPads and video games are overtaking our children’s time and attention. Even something as simple as making paper snowflakes seems to have fallen away. As parents, we can’t forget how important these activities are for our children’s development and how much better they are than any app.

I recently completed a research project working to develop children’s fine motor skills. I worked with preschool students and saw incredible growth in our pre and posttests. “What did we do,” you ask? Well, we worked with play dough, painted, practiced picking up items with clothespins and tongs, used paint dabbers and stickers to practice making lines and shapes, and of course, colored with Effortless Art Crayons! You know, really high-tech things! Children’s pencil grasp and visual motor skills improved, which is a huge foundational piece for young children to progress to harder tasks, like writing letters and numbers, not to mention, increasing their independence!

Bottom line – all these activities are necessary for your children to experience if you want them to be ready to read and write. We may not think much of them, because it seems too simple. However, simple is truly better, in fact, simple is necessary. If you do not build your child’s foundation, they will have nothing to stand on when it comes time to learn to write, spell, and move onto more complex literacy skills.

Let your New Year’s resolutions ring out through the year! I hope you join me in making a resolution to focus on helping our children experience the fun of creating art, of being creative, of engaging in purposeful play. Try it out now starting with Valentine’s Day! Your children will most certainly love the time spent with you. Till next time!

The Effortless Art Family,
Nancy, Jason, and Crayon Kid

Nancy is a former special education teacher and currently is a university instructor in special education. The Effortless Art Crayons were born out of a need she saw for her students teaching in the public school system. Jason’s background is in product development. Their son, Crayon Kid, is their official product tester and crayon sorter.

Creative Ways for Occupational Therapists to Collaborate with Other OTs

I can’t wait to share this new, awesome resource for occupational therapists that Colleen Beck, from The OT Toolbox has put together! Colleen has generously offered to be my guest blogger and write about this new OT resource below:

As clinicians, occupational therapists strive to ensure best practice strategies while using the most recent evidence-backed information in clinical practice. It can be a challenge however, to enhance professional development. There are many reasons for this difficulty, including time, effort, energy, accessibility, and cost. When OTs struggle to advance as clinicians through traditional means, collaborating with other OT professionals can be a tool for advancing as a clinician.

Below you will find creative ways for occupational therapist practitioners to enhance professional development through collaboration with other Occupational Therapist professionals.

CREATIVE WAYS FOR OCCUPATIONAL THERAPISTS TO COLLABORATE WITH OTHER OTs

Facebook Groups- Connecting with other therapists can be as easy as logging on to your favorite social media platform. Social media communities like Facebook groups are a popular type of networking area. While online groups are an easy way to network with OTs from all over the world, there are challenges to this type of collaboration strategy. Questions that are asked of one another, may not be answered in a timely manner. Additionally, it can be a challenge to weed through all of the groups and social interactions happening on a platform whose entire intent is to promote “social interaction”. For many therapists, interacting on a social network may not be acceptable on-the-job activity.
Building groups on the job- Occasionally therapists are able to building and participate in groups on the job. A small group of therapists who meet for a weekly coffee meeting or lunch-time roundtable session can be a useful tool in enhancing professional development. When a group of coworkers meet for personal goal discussion, collaboration works as a team building strategy, too. There are downsides to this strategy, however: Many times, a therapist is the only clinician working in a setting. It can be struggle to find access to on-the-job mentor opportunities in some situations.
Twitter Parties- There are several occupational therapy Twitter parties that occur on a regular basis using hashtags. The scheduled meet-ups occur based on a hashtag that is used each week. Many times, therapy twitter parties have a set topic and invite therapists to interact with set questions. Collaborating and interacting with OTs from all over the world is possible in these parties. There are downsides to using Twitter parties as a means for collaboration and networking. Comments can move very quickly on Twitter. Questions can be left unanswered and potential connections get lost in the thread. Additionally, the limited number of characters that can be used in a response can interfere with communication in some cases.
Local OT Associations- Therapists may have access to local occupational therapy associations as a source for professional development through continuing education. When participating in local conferences, therapists have the potential to meet and network with other local OTs. However many therapists are limited geographically or are unable to access resources offered by local occupational therapy associations. Additionally, conferences and memberships have a cost associated with participation that can limit some professionals.
AOTA Website- Clinical resources and online forums can be found on membership sites like AOTA. Participation in a membership site such as a AOTA’s allows for therapists to receive and be a part of small group forums dedicated to specific areas. However the cost could be an issue for many therapists. There are other challenges that interfere with membership sites as a source for connection and collaboration. It takes time to find and connect with other therapists who are interested in a collaboration connection. A one-stop-shop for locating information would be a valuable resource for clinicians interested in collaboration with others in the profession.

The challenges related to the collaboration of occupational therapy professionals is why The OT Toolbox Community was developed as a professional development resource for OTs and OTAs.

The OT Toolbox Community is a free resource for occupational therapy practitioners who struggle to find valuable resources in a timely and efficient manner. Based from The OT Toolbox website, The OT Toolbox Community promotes clinicians as a valuable “tool” for clients. By connecting and collaborating with other therapists, it is possible to exponentially enhance and promote the profession.

Seeking out and have answers to clinical questions can be a huge limit when it comes to time, energy, cost, and other issues.

The OT Toolbox Community provides a resource for therapist to connect with one another and collaborate on clinical questions. OTs and OTAs have the opportunity to ask questions related to specific their needs. Therapist can draw on clinical expertise to respond and answer other clinician’s questions. Imagine if many therapists joined together in sharing years of clinical expertise and resources and put them into one tool kit. The OT Toolbox Community provides a one-stop location for navigating all of the information out there. It’s a place to access research. It’s a place to find best practice sources. It’s a place to promote collaborate, network, and mentor with one another as therapists.

The OT Toolbox Community is looking for you. Join hundreds of other occupational therapy professionals who have joined the community and are sharing questions, answers, resources, and valuable sources of clinical information.

A few facts about The OT Toolbox Community:

Members are able to upload links to valuable resources that they have located online. These can be shared with other members and searched for by category. Check out the Resource Center and add one of your own.
Members are able to ask questions and answer questions. These are sorted by category to enable search queries in order to locate best practice answers in a timely manner. Stop over to the Question Forum and see if there is one that you can answer given your clinical expertise.
Members can upload their own documents and files to share with other therapists. This is a huge asset for data collection screenings and other sources of information for therapists.
Members can list job opportunities in the Job Area. Have a position open in your facility? Reach out to our large community of occupational therapy professionals and fill your positions fast!
Have an activity that you love using in treatment sessions? Snap a picture with your phone and share it as a Blog Post. It doesn’t have to be a fancy blog post…just share your idea with the community members. Members can enhance the profession by sharing practice strategies that work!
In The OT Toolbox Community, all links, resources, questions, comments, and blog posts can be shared anonymously if you like!

Stop by and join The OT Toolbox Community! It’s a thriving source of information for occupational therapist practitioners.

Colleen Beck has been an Occupational Therapist since 2000, but is currently a stay-at-home mom to four sweet kids. She blogs about ideas and tools for therapists, parents and teachers at The OT Toolbox.

Teach The Alphabet Through Movement: ABC’s of Active Learning Book

I’m loving this new book written by pediatric physical therapist, Laurie Gombash, and want to share! You all know I love to encourage movement for all children. Teaching the alphabet and reading does not have to be a sedentary activity. This book has so many ideas for little learners to move and learn at the same time! I’m excited to have Laurie write about her new book below:

Thanks for this opportunity to guest blog and tell everyone about my new book, ABC’s of Active Learning©. Most people are attracted to a story. Skilled speakers know that a story can grab the audience’s attention and help them remember the lesson being taught. Children especially learn best when they are engaged in a literacy-based curriculum that is enriched with the arts and movement.

The ABC’s of Active Learning© offers a multisensory approach to recognizing the alphabet and learning letter sounds. Each of the twenty-six ABC’s of Movement alphabet letters is accompanied by:

suggestions for pre-literacy activities
a story
a fine motor craft
multisensory pre-writing activities that can be used and graded for learners of all abilities
skywriting instructions
sensory activities for taste and smell
a gross motor game

This book is fun, engaging, and filled with fresh ideas for multi-step crafts and movement activities that are fun for both children and adults. School support staff will especially appreciate activities that can be adapted to meld academic and therapeutic goals. Teachers and parents will have a book that makes academics fun. Grandparents and childcare providers will find the stories, crafts and movement activities great entertainment. The ABC’s of Active Learning© can stand alone or be a supplement to The ABC’s of Movement® activity cards.

The book and activity card downloads are available at ABCs of Movement. Amazon also sells the paperback book, activity cards, and an option to buy the activity cards with music CD (Amazon affiliate links for Yums Theraplay).

Laurie Gombash is an experienced physical therapist who has a knack for turning ordinary items into fun therapeutic tools. She is also the brains behind The ABC’s of Movement®, and the webinars, “Pushing into the Classroom: Practical Strategies for Pediatric Therapists” and “Creative Pediatric Treatment Strategies Based on the Evidence” available through The Inspired Treehouse.

Anxiety Success Story: Jackson The Weatherman

In the spring and fall of 2016, northern Utah experienced two severe windstorms, including a few areas of tornados. The winds were scary and destructive, destroying big, strong trees, trampolines, roofs, and full houses.

Jackson was a 3rd grade student during the first windstorm and a new 4th grader for the second. He experienced the scary reality of these windstorms firsthand and couldn’t forget the fear. Jackson who also has Autism and has a tendency to become obsessed and anxious with certain topics, began to talk and worry nonstop about the weather and if the next windstorm was on its way. He was scared to leave the house and so worried about the weather that he couldn’t think about anything else. One day, he even called 911 to come to his house without his parents’ knowledge, in hopes that a police officer should be able change the bad weather.

His good parents did all they could to calm his fears and anxieties with logic, reassurance, love, prayers and special blessings, but his worries and obsession continued. In 4th grade, his fears intensified, especially as his teacher began the 4th grade weather unit. His parents took him to a counselor who helped and gave his parents ideas, such as limiting the amount of times they could look up the weather or talk about the weather as he earned rewards for discussing the weather less and less. In the fall of his 4th grade year, Jackson’s parents, teachers and principal brainstormed an idea. Jackson could be the school weatherman. He could research and give a weather forecast on the announcements each day for the entire school.

So often, parents, teachers and other adults immediately try to calm children’s fears and anxieties with statements such as, “Don’t worry.” Our focus is on telling a child with anxiety what NOT to do. But oftentimes, adults forget to tell or find something that an anxious child CAN do with their anxious energy. Jackson’s story is a perfect example of empowering an anxious child with what he CAN do!

Jackson thrived as the school weatherman! He took his new job seriously and did a fabulous job! Teachers and students throughout the school looked forward to his daily weather report on the announcements. His parents were relieved that this successful partnership with his school, along with the other strategies they had continued, had eased his anxiety about the weather at home and at school.

In December 2016, after a couple months of being the school weatherman, Jackson came up with an idea all on his own. He decided he should write a letter to share with other schools about the importance of having a school weatherman. He wrote the letter and sent it to all the elementary schools in his school district. He felt so successful with his school weatherman job that he wanted to others to feel the same success! Below are some excerpts of his letter:

“Hi there, school principal, I’m a fourth grader [and] I’m the school’s weatherman. Do you have a weatherman too? If you don’t, you should get one. I’m going to tell you what you should do if you get your school’s weatherman (if you want to, that is)… If any of the kids… want to, they can tell the teacher… You might need someone who knows a lot about clouds and what the weather is going to be today… So, in the morning, have your weatherman ready to tell the weather for the day. Here’s the things he or she need to say. How it’s going to be over the next few hours, how it’s going to be tomorrow, and the high and the low. Well, there’s the stuff you need. I really hope you get one, because since I’m my school’s weatherman, I wanted other schools to have one too… P.S. I became the weatherman because I wanted to and it’s not a punishment.”After Jackson’s mom endearlingly shared his letter on Instagram to her friends, Utah’s KSL TV station ended up seeing it. KSL’s weatherman, Grant Weyman, highlighted Jackson in a their “High Five” segment. They surprised Jackson with a visit to his school and then invited him to be an honorary weatherman on KSL. You can see their visit to Jackson’s school here.

Funny side note that Jackson’s mom shared with me… Jackson really hates the sound of his own voice on camera. He loves watching the KSL videos, but he has never watched the videos with any sound.

Jackson is pretty proud of his weatherman super star status. And what is even better is that he goes about his days at home, school and in the community with calm confidence in any weather. What a great success story about empowering an anxious child with something they CAN do! Nice work Jackson and all his supporters! I hope this success story might help another child’s parents, teachers and other supporters to brainstorm what their anxious child CAN do!