Why Aquatic Therapy is a “Must-Have” in Your Child’s PT Plan of Care!

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Our Physical and Occupational Therapy staff uses water and aquatic therapy in a variety of creative ways, to work towards functional therapeutic goals at home, as well as through our community partnership with the YMCA.

Avery TitleWater can generally be introduced very early, before 6 months of age, to encourage independence in skills. These skills include: erect sitting, transitioning to and from the floor, all fours and protective reaching. The resistive and buoyancy properties of water aid in body awareness, as well as neutralize low core stability and hypotonia using our baby pool program. Children who have retracted and tactile defensive postures and delayed protective reactions, especially benefit from the hydro-static pressure of the water and often learn to crawl in this medium.

Float MatThese skills can also be developed using a float mat in a typical aquatics setting, creating a moving seat on top of the water that relaxes and promotes participation in a non-stressful environment. The CDC has extensive research supporting the use of water in promoting health and mental health!

aquatic therapyFrom a very early age (6 months), children can be independent, mobile participants in a pool system at home or in a typical pool, by employing cost-effective products made by Waterway Babies. These products allow us to develop independent skills in the child with low tone or poor head control, before he or she is even sitting up on land. By introducing the neck float and water at this age, we typically avoid the fear of water associated with 12-15 month old children. This tool also develops a sense of body and spatial awareness through independence in the water, as well as core and tone development. Because the system is practical and easy to use at home, children do not lose water skills during winter months and for many, this is their only means of independence early!

Using our Transition to Wellness program in partnership with the YMCA, we are able to create diagnosis- specific goals, that ultimately prepare children with disabilities for water independence and a lot of fun. This is a particular effective medium for the child with hemiplegia or hypotonia, as the resistive properties of water activate the core muscle groups and work muscle groups that are typically in an abnormal neurological pattern. By using a decreasing flotation process, we are able to prepare children for inclusion in swim lessons through the YMCA and a lifetime of enjoyment of water activities, with the possibility of inclusion in water sports with their peers!

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Sign Language: Top 10 Beginner Signs Every Child Should Learn!

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Bristol Title

Using sign language can serve as an important vehicle for tapping into functional communication, before children begin talking. There are several indicators you can look for, to know if your child may be ready!

Before children sign they usually are:
  • Sitting up well
  • Using two hands to hold and play with rattles & toys
  • Looking at the speaker
While there are multiple benefits for using sign language with your child, some may include:
  • Reducing frustration
  • Facilitating language development
  • Encouraging gesturing, pointing
  • Encouraging word approximations, labeling and eventual talking

When beginning to sign with your child, it is best to start with practical, everyday words. We find when parents and caregivers use the same sign repetitively in everyday situations, toddlers begin making connections and approximating the signs demonstrated by the parents or the caregivers.  While at first it may be a groping attempt, over time it becomes more refined and precise.  As you integrate more useful signs, like the ones listed below, your baby can communicate his or her desires.  Be consistent in using the corresponding sign and the spoken word, and before long, your child will follow suit! Laura Mize is an experienced preschool Speech Language Pathologist and she regularly impresses upon professionals and parents that imitating actions precedes imitating mouth movements or words! So what are you waiting for? Let’s get started learning signs that babies use regularly and get your little one talking!

Baylee stopWe love the Signing Time Video series and love even more that there are so many free downloads available.  Check the sight here for her top 10 signs and some free reproducibles, or buy some of the videos.  As the Speech-Language Pathologists in our group provide therapy for many children with a variety of diagnoses, we have found these signs to be the most beneficial ones for late talker’s, children with Down syndrome and children with Autism Spectrum Disorder.

For a FREE printable of these signs, view the handout below:
Baby Signs Flyer2

These are the top 10 signs our therapist teach first for encouraging children to talk and communicate:
drinkcaption   eatcaption
morecaptionpleasecaption
gocaption downcaption
bubblescaption bookcaption
ballcaption alldonecaption

Ready to try even more signs to expand your infant/toddler’s communication? View our FREE printable of Top 10 Secondary Signs:
Secondary Signs Flyer

How to Lock your Toddler’s Ipad using Guided Access!

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Matthew Keisler weight bearing in his stander while enjoying his ipad!

Matthew Keisler weight bearing in his stander while enjoying his ipad!

Let’s face it! While the American Academy of Pediatrics recommends no child under two should be using any devices or viewing screens of any kind, they are! As parents we use phones, iPads and televisions to occupy these little ones daily. Children as young as two can navigate an iPhone to pull up a parents photos and scan through them like a pro! However as quickly as they learn to navigate our devices, they learn to touch the home button and exit out of apps. If this is a problem for you, follow these easy steps below to use guided access on your I devices.

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Do’s and Don’ts of Sign Language with Young Children

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Julieanne signing title

 

If you are a parent or professional working with typically developing young children or children who are challenged, you have probably been introduced to the notion of using sign language with them.  As a pediatric team of professionals, we find sign language to be the one of the most exciting skills children learn and grow from using.  We use sign language with our late talkers, our children who have signs of Childhood Apraxia of Speech, Down Syndrome, Autism, and many other developmental and genetic disorders.  Here are some do’s and don’t of using sign language with young children.

Do introduce sign language as a way to give them a way to communicate their wants and needs.  Some of the first signs we teach are milk, cracker, more and cookie! We find both the Wee Hands Online Dictionary and the Lifeprint websites to be invaluable! If a client is frustrated or expressing an extreme desire for a given object, we can quickly plug in the word and see a picture or video of the sign. While the Wee Hands Dictionary is good for the most useful toddler and children’s signs, some of our children might love grapes and this sign hasn’t quite made it to the dictionary and the Lifeprint dictionary is more exhaustive.

Don’t teach words that aren’t useful or don’t mean anything to them.  If you are interested in learning specific words from a local professional here in the Midlands of South Carolina, we recommend the Signing Time Instructor – Jill Eversmann.  Click this link to learn more about the classes she offers!

Do hand over hand demonstrate how to sign a word.  Take their hands and do it with them and then stand in front of them and sign it again so they can see you doing the sign.  It might take you doing it with them 7-10 times before you see them attempt to do it but then again, if it’s a highly motivating food, we have seen boys sign “candy or cookie” after one demonstration!

Don’t think they won’t sign if you have been trying for several months and not getting any results. Toddler’s need to be sitting up independently and be able to bring hands to mid-line to do many signs, so if you begin before these motor skills are possible, you may frustrate yourself.

Do clap and praise them as they begin imitating and using the signs spontaneously! When toddlers begin using signs spontaneously, care givers and parents can begin expanding their vocabulary to words like: stop, mine, please, thank you and night night! These powerful words give them a voice in their day to day lives and parents often report seeing their toddlers less frustrated.  If they do continue to pitch a fit or whine, encourage them to use their words.  Model the sign for what they want and make them sign so they can begin to see the usefulness.  If you had a typically developing 3 year old, you would not allow them to cry and whine but would expect them to talk to you.  Expect no less from a child who can sign, just adjust the talking to signing.

Don’t put them on display and have them perform for grandparents and friends.  Allow them to show what they know as they request and use it naturally.

Do verbally say the word you are signing and expecting your baby to sign.  As your baby begins to sign more and more and develop a vocabulary of 15-20 words, you will begin to hear some verbal approximations for the words they use most often or hear most often.  They may say “muh” for more or “bah” for ball.  Some later word approximations might include “op” for stop, “peas” for please and “tan too” for thank you!  One of the common questions we get is “Will they ever talk if we teach them signs?” Absolutely! Sign language is just a visual and kinesthetic way to help facilitate your baby’s language skills.  Teaching your baby to sign won’t keep them from talking any more than teaching them to crawl will keep them from walking!

Don’t discourage signing or verbal approximations! Toddler’s and young children often do not have the motor skills to precisely sign or say words, but accept their effort and know that they will get better and more articulate.

Take a look at this video and watch this two year old girl with Down Syndrome show you all the signs she knows on command!  It’s difficult to hear but she signs grapes, please, milk and stop!

 

A few other useful signs we encourage through therapy are: help, open, close, book, on, in, dog, bird and music!