Tag Archives: health

Book Inspired Roll-A-Movement Break

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Roll A Movement Break

For those of you who have been following my blog, you may remember that I recently wrote and illustrated two children’s books. I recently had the opportunity to share my writing and illustrating process with hundreds of amazing young people, and in preparation for my book presentions, my OT-inspired mind was working overtime. I decided to make yet another fun movement break game, this time inspired by the illustrations in one of my books, The Whispering Tree. 

TWT rollamovementbreak

To use this fun little movement activity in your home or classroom, please feel free to download the template I created here: Book Inspired Game Download 

My kids love acting out the motions, trying to be leaves in the wind, butterflies, or marching ants. As always, happy reading and let those imaginations soar!  

For more information about my picture books (or to order a signed copy), check out this website!

Upper Extremity Weigh Bearing for Kids: the What, Why, and How

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Weight bearing is exactly what it sounds like, supporting the body’s weight through the extremities. While kids are frequently standing, walking and running, putting pressure through their legs, it’s also very important not to forget to incorporate weight bearing for the arms.

Upper extremity weight bearing, what why and how

By engaging in weight bearing activities through the arms, children strengthen their hands, wrists, elbows, shoulders and even neck and core muscles. Strong proximal muscles also allow for children to have better control of their distal muscles, which is necessary for fine motor coordination.

In this day and age of increased technology use, younger generations are demonstrating weaker grip strength as compared to older generations2. Yet, school aged children are expected to meet the demands of academic expectations including efficient and legible handwriting. Encouraging children to engage their arms in strengthening activities early on can help set the stage to increased success with later motor skills, including handwriting.

Weight bearing activities also provide awareness into the joints– this is known as proprioceptive input and in addition to providing information about the body’s position in space, it also has an impact on a child’s state of arousal, as in how alert or calm they are. For more information on proprioception, check out this article.

To incorporate weight bearing throughout the day, try to encourage kids to participate in some of these activities that have the above-mentioned benefits and more:

animal walks for UE weight bearing

Try animal walks, such as walking on hands and feet like a bear, crab walking, etc.  Find a few more examples and two free gross motor animal walk game printables here.

Stretches, push-ups, planks and yoga poses that use different positions to put weight through outstretched arms, such as downward dog.

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Bring it to the floor. Puzzles, crafts, toys can all be played with on the floor. Encourage kids to weight bear on their arms to reach for toys and manipulate items. This also helps with dissociating the different sides of the body and crossing midline, and encourages bilateral coordination skills.  Crawling while pushing a toy car, truck, or boat along the floor is a fun one for toddlers.

Obstacle courses that encourage crawling and climbing are a great way to exercise the entire body, including the arms, legs and core. Try to be creative with it, including obstacles to climb over or under, such as a tunnel, over couch cushions, or through a tent. My kids love crawling through our homemade car wash box.

scooter board

Use a Scooter board! Use both arms to propel forward while lying on the board. You can make it more challenging by creating obstacle course or scooter board races with a friend.

The Centers for Disease Control and Prevention recommends that children should be getting at least 60 minutes of physical activity each day1. Of this one hour or more, activities should include aerobic activity, muscle strengthening, and bone strengthening activities. Weight bearing activities fall into the muscle strengthening category for children, and it could also lead to bone strengthening (such as when jumping or hoping is incorporated) and aerobic activity as well depending on the nature of the activity.

Get those kids moving, and have fun with it!

References:

  1. “How much physical activity do children need?” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 4 June 2015, http://www.cdc.gov/physicalactivity/basics/children/index.htm.
  2.  Fain, E. & Weatherford, C. (2016). Comparative study of millenials’ (aged 20-34 years) grip and lateral pinch with the norms. Journal of Hand Therapy Oct-Dec 29(4). pp.483-488.

*Disclaimer: The information presented in the blog is intended for information purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.

Touch: A Multi-Sensational Feeling

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OT mom says, “Don’t touch me, unless you’re going to hug me!”

Ok, maybe I’ve never said those exact words, but firm, deep pressure touch is definitely more calming than light touch, and obviously more comforting than any kind of painful touch. Our sense of touch, known as the tactile system, is essential for everyday functioning and is interestingly quite complex. TOUCH

As children, we learned about the sense of touch as one of our five main senses (although there are other senses as well, such as the proprioceptive and vestibular senses). When we think about the sense of touch, most of us will first think about what we might feel with our hands, how we use our hands to identify objects, and the different sensations we may feel on our skin. While all of this is true, there is so much more to the sense of touch.

The tactile system works closely with the proprioceptive system to make up what is known as the somatosensory system. This is important for developing body awareness, and this system sets the foundation for our ability to engage with our surroundings and navigate our environment. This system also includes sensory information about pain, temperature, and vibration.

Receptors for touch are found in our skin and there are multiple kinds of receptors that react to different types of touch sensations. For example, we have receptors known as Meissner’s corpuscles as well as Merkel discs and instead of boring you with an anatomy lesson, just know they are sensitive to different types of touch (light discriminative touch and vibration, and pressure for fine touch awareness, respectively… in case you were wondering). Tactile information is also relayed from receptors on hair roots and from free nerve endings in our skin.4

From all this information, not only are we are able to identify what we are feeling through our skin, we are able to use this information with our other sensory systems to complete complex motor control tasks such as writing, walking, and tying our shoes.

tactile functioning sets the stage for higher level skills

As I mentioned before, touch does even more for us. The sense of touch has a direct influence on our arousal level as well, meaning that it can influence how alert and focused or calm and relaxed we are at any given time.

For example, light touch tends to be alerting. Think about when a bug lands on your arm and displaces a hair or two. Those hair follicle receptors fire and alert you to the possible threat. How do you respond? Most of us automatically swat the area of skin or at least immediately look it over.

On the other hand, touch can be calming. Think about a nice massage- the firm, moderate to deep touch calms most people down, especially when it’s slow and linear.3 Another example I like to think about is the sensation of soft, warm, and heavy blankets when you climb into bed.

Let’s not forget about the emotional components of touch. Even before we are born, we are developing our sense of touch. From as early as five and a half weeks after conception, reflex avoidance reactions occur in response to touch. As soon as we are born, we begin to bond with our parents through touch. The research about kangaroo care (the practice of a parent holding their infant with skin to skin contact) demonstrates numerous benefits of this touch, both physiologic and behavioral, and for both the parent and baby. Benefits such as improved weight gain and growth, stable body temperatures and heart rates and better self-regulation have been seen for infants and parents may demonstrate more confidence in parenting and have decreased stress levels.1

emotional benefits of touch

As babies, we bond with through the sense of touch, then we learn and explore our environment and develop a body map that will allow for higher level functioning, such as moving through our environment and manipulating items.

As we grow up, the sense of touch continues to influence our emotional functioning. Studies have indicated that married couples that engage in more touch, such as through hugs and massage, have correlated decreases in cortisol levels and blood pressure, and increased oxytocin levels.2

Moderate touch through activities such as massage have been seen to decrease heart rate and change EEG patterns, so not only does it feel nice, it has systemic influence over the entire body.2

But wait!  The list continues…. benefits of specific types of touch, such as massage protocols, have also been correlated with decreased pain, increased immune function, reduction in depression, and increased attention.2

As with every sense, we are on a continuum of how sensitive we are to that particular sense stimuli. Some people are over-responsive to touch and others under, with most of us somewhere in-between.

Those who are hyper-responsive may react more strongly to touch than others. They may demonstrate extreme discomfort with certain fabrics or clothing, may dislike having their hands and/or mouth messy, and may be distraught when being touched by others.

On the other side of the continuum, some people are hypo-responsive and may not notice tactile input quite so much, such as the person who doesn’t notice the food on their face. Finally, there are sensory seekers in the world- those who crave specific sensory inputs, such as a person who has the need to touch and fidget with different materials or even touch other people.

Recognizing that some people may be very sensitive to touch is importation, as the tactile system has connections with the autonomic nervous system and could potentially trigger a fight or flight response. Therefore, it’s important NOT to force tactile situations on kids or who demonstrate tactile defensiveness. Often, it’s easier to present tactile stimuli in combination with proprioceptive input, but of course, if you have major concerns, consider a referral to an OT to look at the specific situation.

tactile input to calm or alert

So how can we use this understanding of our sense of touch? By promoting the development of this sense, and utilizing the tactile system in our daily routines:

Alerting activities include light touch, such as tickling. You can try using a feather boa or light clothing to let kids play games and to play dress up. Calming activities include using massage, weighted blankets, moderate and deep pressure inputs such as hugs.

Allowing children to have ample opportunities for tactile exploration may promote the development of this sense and tactile discrimination abilities. Some ideas to do this include:

  • Sensory bins/boxes- filled with sand, rice, dried pasta, beans, small balls, etc.
  • Play with your food
  • Manipulate play dough, gak, slime, floam
  • Use nature– sand sticks, grass, rocks
  • Put on lotion
  • Play dress up

Also, don’t forget to hold those babies, squeeze your spouse, and utilize this sensational sense of touch!  On that note, I think I need to go hug my family now 🙂

 

*Disclaimer: The information presented in the blog is intended for information purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.

 

References:

  1. Case-Smith, J. & O’Brien, J. (2009) Occupational Therapy for Childretn (6th). Mosby Elsevier, St. Louis, Missouri
  2. Field, T. (2009). Touch for socioemotional and physical well-being: review. Developmental Review, 30, 367-383. Doi:10.1016/j.dr.2011.01.001
  3. Kramer, P. & Hinojosa, J. (2010). Frames of Reference for Pediatric Occupational Therapy (3rd). Lippincott Williams & Wilkins, Philadelphia, PA
  4. Lundy-Ekman, L. (2007). Neuroscience: Fundamentals for Rehabilitation (3rd). Saunders Elsevier, St. Louis, Missouri

Go Outside! (Reasons Why and Ideas for What to do While You’re Outdoors)

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OT Mom says, “Let’s go outside!”

Dr. Dad says, “Let’s go outside!”

Finally, something we can agree on. When it comes to spending time outdoors, we are completely on the same page. Not only do we both enjoy it, we know there are countless benefits to outdoor time.

There is a growing base of evidence that identifies both physical and mental health benefits to spending time outdoors and in natural settings.

greenspace

In a 2015 Environmental Health Perspectives article,  Nate Seltenrich summarizes some of the benefits, “… research has shown that outdoor exercise in nature can enhance emotional well-being and amplify the benefits of physical exercise. And for kids in particular, being in or near green spaces has been found to be associated with better test scores, improved self-discipline and cognition, and reduced behavioral problems and symptoms of attention-deficit/hyperactivity disorder (ADHD).” You can find the original article, including the sources from the research here.

There’s even a movement for health professionals to prescribe time outdoors. Such “park prescription” programs aim to promote knowledge and information about the benefits of spending time in nature and community green spaces with the overall goal for increased individual and community health. The National ParkRx Initiative  is a great resource with more information about the health benefits that parks and green spaces can offer as well as resources for agencies that want to or currently participate in a park prescription programs.

ParkRx Infographic_otmom_000001

The best part about spending time in nature is it’s generally FREE. And whether it’s spending time in your backyard, a nature preserve, an urban green space, or any other park, there’s likely going to be benefits.

Now that you know some of the numerous mental and physical health benefits of nature, here’s some fun ideas to try if you don’t quite know what to do with your kids (or yourself) once you’re out enjoying the fresh air.

Walk, Jog, or Run

Try a stroll on a beach, a jog through the woods, or a race across a park, depending on your fitness level, abilities, and interests. My kids love playing simple, classic games like “chase” and tag. It gets us all moving and the fresh air is reinvigorating.

While you’re at it, don’t be afraid to splash in some puddles, jump in a pile of leaves, or lay down in the snow to make a snow angel, depending on the season.

Outside health collecting

Look for Something

I have fond memories of collecting rocks as a child and my kids just started to show interest in it too. However, currently they prefer to look for worms. Adults may enjoy bird or butterfly watching. Every spring our family looks for edible mushrooms in the woods (I only suggest this if you are certain you know which are edible as many are poisonous and even deadly). Kids and adults alike may enjoy looking for things like wild blueberries, or collecting colorful leaves in the fall.

You can even try a scavenger hunt. Here’s an example of a general one:

Nature Scavenger Hunt

Please feel free to download the pdf if you’d like to give it a try: Nature Scavenger Hunt

Create Something (out of nature or for nature)

Draw in the dirt, build a sand castle, stack up some rocks, or plant a garden. An activity I love is making bird feeders with my kids and putting them out in the trees in our yard.

Create with nature

Use Some Equipment

Ride a bike, kick a ball, head down a slide, or go kayaking.  While a lot of equipment may cost money, you can keep it simple and utilize public parks with things like swings and slides for your kids or invest in a football to play catch.

We invested in a bean bag toss (corn hole) game that even gets the adults wanting to play outside.
 

Visit Some Animals

Many communities have outdoor green spaces that have an abundance of wildlife. Ideas would include checking your area for places like fish hatcheries, and nature preserves.  You can keep an eye out for free events such as free fishing days for kids and farm days/petting zoos.

EnjoyNature

Just Enjoy It

Look around and take all the beauty in. Look at the clouds and day dream. Stop and smell the flowers.

As a mom, I’m so happy to have read much of the research to motivate me to get my kids outside as much as possible. As a healthcare worker, I am excited to spread some knowledge and try to incorporate more nature into practice as well.

Still, not quite motivated to head outside? Maybe getting outside will give you the mental and physical energy you’re looking for. In yet another study, spending time in nature was found to be correlated with improvements vitality. So now that you’ve read this, turn off your device and (weather permitting) head outside.

go outside

*Disclaimer: The information presented in the blog is intended for information purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.  Please use common sense and safety when engaging in outdoor activities (for example check weather conditions, supervise children, and take precautions such as sunscreen, etc).

References:

n.a (2016) About the Initiative. ParkRx.org/community-of-practice retrieved 4/24/2017

Ryan, A., Weinstein, N. & Bernstein, J (et al) (2010). Vitalizing effects of being outdoors and in nature. Journal of Environmental Psychology. 30: 159-168

Seltenrich, N (2015). Just what the doctor ordered: using parks to improve children’s health. Environ Health Perspect 123: A254-A259; http//dx.doi.org/10.1289/ehp.123-A254

 

Taking Care of your Mental Health: Ideas for a Happier Today

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It hadn’t even been a terrible day, but I felt like I was about to burst. After close to two hours of what seemed like non-stop crying and whining, my head hurt and I had had enough. My husband had just returned home work and I sent the kids to their play room with him so I could cool down. He raised his eyebrows and looked at me.

Then Dr. Dad said, “Take a deep breath, calm down, there’s no reason to be so frustrated.”

OT Mom replied, “I know, but I’m stressed out and I need a minute.”

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Whether you are a parent, a student, someone with a full time job, or something else entirely, I am guessing you have had one of those moments before. Feelings of stress, anxiety, depression, and even anger are something we all experience at some point in life. Unfortunately for some, those feelings surface more intensity or more frequently.

According to the National Institute of Mental Health, in 2015 it was estimated that 43.4 million American Adults (17.9% of the U.S. adult U.S. population) were living with a mental illness at some point during that year. That’s nearly 1 in 5. Moreover, these numbers do not take in account substance use disorders (such as drug or alcohol addition).

If you think you’re mental health is in a bad place, it’s important to seek proper medical treatment from a trained professional. Furthermore, if you have concerns about the mental health of a loved one, it should be taken seriously, as the statistics show how prevalent these conditions are. Early identification and treatment are important to ensuring optimal mental health outcomes.

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Even for people without a diagnosed mental health disorder, life can be seem overwhelming, stressful, and exhausting at times.

“It’s natural to have ups and downs. its not natural if your persistently down for more than 6 months,” -Kalub Fedak, M.D.

For a lot of us, keeping our mental health in balance on a day to day basis is a work in progress. So after a little reading, a little thinking, and a few long conversations with Dr. Dad and some stressed out friends, I’ve compiled some strategies for a potentially happier today.

Get Moving

In addition to all the physical health benefits of exercise, “the overwhelming evidence present in the literature today suggests that exercise ensures successful brain functioning”  (Deslandes, Morae, Ferreira et al., 2009).   Physical exercise releases several neurotransmitters, including serotonin and dopamine.4  Serotonin impacts alertness, plays a role in pain control, and low levels of serotonin are linked to depression and even suicidal behavior.5   Many of us have also heard of the “runner’s high” that from increased endorphins which are released during high intensity exercise.

  “The mind affects the body and the body affects the mind” -Kalub Fedak, M.D.

In addition to the neurologic changes that comes with exercise, physical changes that result (such as increased strength, endurance, and overall better health) can result in changes in self-esteem and impact overall wellness.

Get Outside

Being in natural environments may help with coping, recovering from stress and promoting recovery from mental fatigue. Simply observing nature has been identified to correlate with positive impacts on concentration and productivity.6 Wherever you live, try to make time to get outdoors. You can visit a park or a nature preserve, take a scenic route to or from work, or even start your own garden.

Better Yet, Get Moving Outside

There is evidence to suggest that positive changes in both mood and self-esteem can occur after just 5 minutes of green exercise. Who doesn’t have 5 minutes? The study also found that the biggest changes in mood were following either light or vigorous exercise, but improvements were identified for all intensities of green exercise2. I think this is pretty exciting, since we all have different physical capabilities, and this suggests that even an easy stroll at lunch time can make your day a bit brighter.

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Drop the Guilt, Just Say “No.”

It’s important to have a balance in your life and sometimes that means limiting your obligations. Sometimes saying “no” to requests is just fine, and feelings of guilt shouldn’t be attached to it. There are always going to be fundraisers, parties, events, extra work, invitations to do more. For a lot of us, it’s hard to say, “no,” even when it’s taxing us to take on more. It’s ok to decline these obligations, especially if it’s going to increase your feelings of stress.  Balance is essential for a happy life, so don’t feel guilty if sometimes the answer is “no.”

Ask for Help

This can be hard for many people, and I’ve struggled with it myself. Sometimes I want to be the super mom. I want to be the mom that doesn’t just do it all, but does it with a smile on my face and all on my own. This is just not realistic. It’s important to not be afraid to use the support people we have in our lives. Sometime just having someone to talk to when you’re feeling down helps. Or if you have too much going on, you can ask for something specific. If your struggling to find someone in your life to talk to, perhaps trying a support group could help.

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Reshape Your Thinking

There’s a reason cognitive behavioral therapy (CBT) is well-known. It works. In a study that looked at multiple stress interventions for the workplace, cognitive behavioral interventions were found to have the largest impact on stress reduction7.  If you think negative or irrational thoughts are causing a disruption in your daily life, seek the help of a licensed health professional for individualized treatment.

I will leave the specifics of CBT to the experts and just share some ideas that could improve the optimism in your thinking.

  •  Try not to dwell on the negatives. Many of us are familiar with the scenario of replaying an event that happened where we wished we would have said something differently than we did.  Next time you’re worrying about something in the past, focus on the something good you did that day. It’s ok to acknowledge the feelings of regret, but try not to dwell on them. Today is a new day.
  •  Don’t focus on all or nothing. There are shades of gray in most aspects of life, so striving for perfection could set you up for disaster. It’s great to set goals to work towards, but even if the end result doesn’t come out how you had hoped, it doesn’t  necessarily mean you have failed. Partially met goals counts too.
  •  Turn off the negative waterfall. A lot of times when we are in a bad mood, all the negatives seem to get bolder, louder, and splashing down on us like a waterfall. Take a minute and focus on something good. A lot of times we blow bad things out of proportion when we are in a bad mood.
  • Acknowledge what you are thinking and know that it’s not a permanent state. It’s ok to be sad, mad, or anxious at times. Sometimes these feelings are good motivators for us. What matters is what you do in response to those feelings.

Have a Moment of Mindfulness

“Mindfulness is the practice of being happy in the present moment. Mindfulness means being aware of what’s going on in an accepting way, opening ourselves to our experience.”  -Thomas Bien, Ph.D.  from The Buddha’s Way of Happiness (p. 31)

I’m rather new to the practice of mindfulness, but I’ve found it personally helpful on a daily basis. We live in an extremely fast-paced world and sometimes we forget to stop and really experience the moment we are living. Taking a moment to be mindfulness can be liberating, as it can help you become more aware of your feelings, sensations, and the world around you.

“When we practice living mindfully and happily, we don’t create an inner war.”

-Thomas Bien, Ph.D.  from The Buddha’s Way of Happiness (p. 91)

I’ve actually started using a bit of mindfulness with my three-year-old when he is mid-tantrum. I will usually give him a hug and ask him if he can feel my arms hugging him, if he can feel his heart beating, and if he can feel the air going into him as he breaths. Whether it’s the act of being mindful or the fact that being mindful of himself distracts him from his whatever the moment’s tantrum was about, it seems to help. A lot.

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Engage in a hobby

Leisure pursuits are correlated with both psychosocial and physical benefits and are important to maintaining a happy and balanced life. Whether you have a current leisure activity or want to start a new one, there’s evidence that engaging in nonobligatory, enjoyable activities may lead to an increased sense of self worth, increased coping skills, and a release of feelings of hostility and aggression8. Even if time is limited, a little bit of leisure is important.

Smile and Laugh

There’s science behind the our laughter. When we laugh, our hormones related to both stress and “feeling good” are altered.  Laughter leads to a decrease in those stress hormones and an increase in endorphins that make us feel happy8

. What makes you laugh? Maybe try looking at a picture you think is hilarious. Watch a funny movie. Talk to your favorite funny family member or friend. I know I always feel better when I talk with my Dad (who has a whacky sense of humor). Whatever gets you smiling and laughing, go for it. I bet you will feel at least a little relieved.

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Use your Senses to Relax

Sensory strategies can do wonders for effecting mood. You probably already know what types of things calm and relax you and what irritates or stresses you out. Try turning down the lights, turning on enjoyable music and lighting a pleasant smelling candle to relax. Deep pressure input and warm tactile sensations (like a warm bath) are calming, as is slow, linear movement like rocking. Try keeping a list of what helps your to relieve your stress in your environment to so can utilize those things or change your environment as needed.

Write It All Down

I used to work at a school for kids with severe and challenging behaviors where both students and staff wore a “safety plan” everyday. The safety plans consisted of a list of personalized coping strategies that could be used as needed. When we are angry, stressed, anxious or otherwise upset, we often have trouble accessing our coping strategies because our emotions are interfering. While you might not want to wear  a badge on your chest with what works best for you, I encourage you to take note of what does seem to work best for your personal situation and coping style. I actually have a few things noted on a list in my phone (because who doesn’t keep their phone nearby most of the time in this day and age).

Talk to Your Doctor

If you are finding yourself unhappy more than not, it’s probably time to talk to your doctor. There is no shame in bringing up personal mental health concerns to a professional. Mental health is just as important as physical health, and mental illness has real, neurological implications. “Chronic depression alters neural synapses, as does uncontrolled pain,” Kalub Fedak, M.D. explains. It can hurt just as much to have a mental health condition as a physical health condition. Let’s all get past the stigma and take care of ourselves and each other.

If you feel like hurting yourself or someone else, seek assistance immediately. Call 911, contact your nearest  emergency services, or call the National Suicide Prevention Lifeline at 1-800-273-8255.

*Disclaimer: The information presented in the blog is intended for information purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.

References:

1. Any Mental Illness (AMI) Among US Adults, (n.d.) Retrieved April 9, 2017, from https://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml

2. Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44(10), 3947-3955. doi:http://dx.doi.org/10.1021/es903183r

3. Bien, Thomas (2010) The Buddha’s Way of Happiness. New Harbinger Publications, Inc, Oakland, CA

4. Deslandes, A., Moraes, H., Ferreira, C., Veiga, H., Silveira, H., Mouta, R., . . . Laks, J. (2009). Exercise and mental health: Many reasons to move. Neuropsychobiology, 59(4), 191-198. doi:http://dx.doi.org/10.1159/000223730

5. Lundy-Ekman, L. (2007). Neuroscience: Fundamentals for Rehabilitation (3rd). Saunders Elsevier, St. Louis, Missouri

6. Maller, C., Townsend, M., Pryor, A., Brown, P., & Leger, L. S. (2006). Healthy nature healthy people: ‘contact with nature’ as an upstream health promotion intervention for populations. Health Promotion International, 21(1), 45-54. Retrieved from https://search.proquest.com/docview/200046096?accountid=143111

7. Richardson, K. M., & Rothstein, H. R. (2008). Effects of occupational stress management intervention programs: A meta-analysis. Journal of Occupational Health Psychology, 13(1), 69-93. doi:http://dx.doi.org/10.1037/1076-8998.13.1.69

8. Southam, Marti (2006). Leisure Occupations. In McHugh Pendleton, H. & Schultz-Krohn, W. (Eds). Pedretti’s Occupational Therapy: Practice Skills for Physical Dysfunction (6th) (pp. 337-339). Mosby Elsevier, St. Louis, Missouri

Non-Candy, Skill Promoting Easter Gift Ideas

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Dr. Dad says, “Let’s not go overboard with the Easter candy this year.”

OT Mom says, “Great idea, I have some better alternatives in mind.”

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While my husband is not a pediatrician, according to recent research, he’s right on the money when it comes to limiting excess sugar in our kids’ diets.  In a recent scientific statement published by the American Heart Association (2016), too much sugar is linked to risk factors for heart disease such as elevated blood pressure and an increased risk of obesity.

They recommend that kids over 2 years old consume no more than six teaspoons (25 grams) of added sugar per day and that children under 2 years avoid it altogether. With so many sugary snacks marketed to kids, these recommendations are surely good to keep in mind this Easter.  For more nutritional guidelines for kids, broken down by age group, check out MayoClinic.org Nutrition for Kids Information.

So this Easter, instead of filling those baskets and eggs with sugar, why not go for goodies that  promote developmental skills? In addition to the sugar being a nutrition downfall, in our house some of it ends up getting thrown out anyway, so it turns into a waste of money as well.

That being said, here are my favorite alternatives to candy and a little bit about why they can be much more beneficial than sugary snacks:

ART INSPIRED

Art supplies

This list could be almost endless, but engaging in art projects has a ton of benefits for the development of skills such as fine motor, visual motor/hand-eye coordination, bilateral coordination, visual perceptual, and in-hand manipulation skills. The items you could choose from are almost as endless as the benefits. A few ideas to get you started include: child-safe scissors, sidewalk chalk, stickers, markers, paint, crayons, glue and accessories to glue (feathers, noodles, cut out shapes/pictures, pom poms, etc).

There are also a lot of little craft sets available that come with everything you need or you can compile your own. A favorite project of my son’s is  painting wooden ornaments with watercolors. Another idea could be a small notepad with a set of stickers and markers.

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Bubbles

From traditional bubble wands to the newer whacky, bubble blowers, you can’t go wrong with bubbles. This activity is great for visual tracking skills, oral motor skills, and visual motor skills to name a few.

Self care items

As a child I often got a toothbrush in my stocking from Santa. I think the Easter Bunny could do something similar. Getting something like a toothbrush, comb, or even  a special pair of socks may encourage your little one to practice the self care skill related to that item with more motivation.

Books

In my opinion, you can never have too many books. Reading with your children not only promotes literary and language skills, but is a great time to bond with them. Try to pick out books specific to your child’s age.

Play Dough

If we didn’t already have tons of this stuff, it’d be right at the top of my list. Play dough is so much fun and can help with hand strengthening, proprioceptive input for the hands, tactile exploration, bilateral coordination, and more. There are tons of homemade recipes you can find online if you don’t want the store bought stuff.

Blocks and/or Legos

Blocks are great for learning spacial relationships and promoting motor skills. Building with blocks encourages problem solving, creativity, and self esteem.   Legos add the need for hand strength and provide some sensory input (proprioception) into the little joints of the hand.

Balls

So many motor skills are at work when throwing, catching, kicking, or bouncing a ball. From small to large and everything in-between, balls are always a great gift.

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Fidget/Sensory Toys

Anything with fun textures are especially great for young kids or kids with sensory needs. Restless hands benefit from exploring different textures, so things like rubbery squeeze toys, bumpy balls, crinkly textures, fabrics and the like could work. Sensory items that are geared for the visual sense are great too, such as sensory bottles.

Bug Gathering Equipment

It’s spring, so let’s get the kids outside! I think a butterfly net and an insect viewer are perfect spring time outside toys. This encourages outdoor exploration, problem solving, and motor planning.

Gardening Tools

Not really up for the bugs? How about some gardening instead. Kid sized spades, gardening gloves, and watering cans can make a great spring themed basket.

Seeds

In addition to the gardening tools, what about some seeds? Perhaps the Easter Bunny could leave some carrot seeds for your kids to plant for him!

Sand Toys

If you don’t have sand toys, now’s a good time to get some. Playing in the sand at the beach or in a sandbox is such a fun tactile sensory experience, and adding tools such as shovels, buckets, rollers, and sand molds add motor development into the mix.

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Kites

Kites are the best reason to hope for a windy day. They’re fun to watch in the sky, but can take a lot of skill to get into the air and maintain their momentum. Both of my children are very young, so I get the kite started for them then hand it over. Older kids can have the chance to practice to do it with minimal or no help.

Finger Puppets

Not only are finger puppets fun, they promote finger isolation, bilateral coordination, body awareness, tactile (touch) discrimination, and imaginative play.

Musical Instruments

From motor skills, to language development, and an overall fun sensory experience, musical instruments are wonderful. Take your choice from maracas, drums, recorders or kazoos (for an oral motor bonus), bells, xylophones, etc. Jam on, little people!

Flashlights

Not only do kids love flashlights, they can be used in a way that promote visual tracking, visual memory, and visual motor skills. Try using flashlights for games such as watching you make a pattern on the wall with the light and then having them copy it with their own flashlight.

Tweezers and Tongs

Using tweezers can help with hand muscle strengthening, coordination, development of the arches of your hand, and allows kids to learn to use effective grasp patterns that promote differentiating the two sides of their hand (an important skill for fine motor development).

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Yoga/movement cards

Activities such as yoga provide some powerful prorioceptive input that do amazing things for our kids, you can read more about proprioception here.

Card games

Games are great for teaching turn taking, problem solving, and attention skills.

Squirt toys

Water play is an easy,  but not terribly messy activity that gets kids up, moving, and using their hands. Squeezing the variety of squirt toys available these days can strengthen little hands, while engaging in the sensory experience of it.

Pretend Play Toys

This is a broad category, but pretend play is an important skill that helps children in multiple areas of develop. Pretend play promotes thinking skills, creativity, social-emotional development, and cognitive flexibility. Toys such as cooking sets, cleaning sets, doll houses, etc. are all good choices.

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Healthy Treats

Instead of jelly beans in ALL the easter eggs, I think we’re going to have raisins in some. Or you could try fresh fruit instead of fruit flavored candy. Perhaps the Easter Bunny will leave a few of his carrots behind as well. Toddlers are notoriously picky eaters, but maybe if there’s a special healthy treat left by the Bunny, himself, the kids might try it! It’s worth a shot. I’m hoping my son will regain his appreciation of carrots.

Now the hard part is deciding which ones to go for!  I think I might need a couple bigger baskets. Do you have some more ideas? I’d love to hear them 🙂

References:

Vos, M. B., Kaar, J. L., Welsh, J. A., Van Horn, L.,V., Feig, D. I., Anderson, C. A. M., . . . and Council, o. H. (2016). Added sugars and cardiovascular disease risk in children: A scientific statement from the american heart association. Circulation, Retrieved from https://search.proquest.com/docview/1859733288?accountid=143111

*Disclaimer: The information presented in the blog is intended for information purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.

Little Helping Hands in the Kitchen bring BIG Benefits

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Dr. Dad says, “I’m hungry!”

OT Mom says, “Have the kids help you make a snack.”

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While it sometimes takes a few minutes longer to have kids help make meals and snacks, it’s very beneficial in more than one way, and the best part is that kids love to help. Even the smallest of hands can help with kitchen tasks like ripping up lettuce for salads or helping gather kitchen tools.  There’s evidence that involving kids in meal preparation of healthy foods can lead to good dietary habits and increase the amount of healthy foods they eat1. Since we all have to eat, why not let your kids help prepare what’s going into their bodies?

In addition to learning about healthy, wholesome foods and instilling good habits, food preparation has these following benefits as well:

An opportunity to work on motor skills

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There are tons of hands on tasks that challenge hand strength and coordination when working in the kitchen. Here’s just a few examples to try (but the list could be endless): 

  • Bilateral coordination is needed to complete tasks such as to stabilize a bowl with one hand while stirring with the other.
  •  Strength and bilateral coordination is needed to open food containers, bag, boxes, etc.
  • Proximal stability, strength, and hand eye coordination is needed to use kitchen tools such as hand held mixers, which also give a nice dose of proprioceptive input.
  • Fine motor coordination skills are needed when manipulating smaller ingredients and small kitchen tools such as measuring spoons.

Sensory exploration

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Not only do we get to taste the food, we see the different colors of the food, we can feel the textures with our hands and mouths, smell the aromas of the ingredients and hear the sounds of chopping, sizzling, and manipulating of the food.

When I’m cooking certain things that the kids can’t help with, such as using the hot stove top, I let my kids explore some of the ingredients prior to cooking them. If I’m sautéing vegetables, I let the kids feel the raw zucchini and smell it. Prior to making guacamole, I let my daughter play with the avocados. It’s also fun to show your kids how something looks before it’s cooked and compare how it transforms, such as hard noodles that turn to soft, sticky spaghetti.

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This leads to learning

When we talk about the foods and the process of cooking, kids can learn new vocabulary and it can open discussions about other things. For older kids, you could branch out and talk about where the food came from, such as:  Was it local or imported? Did it grow in the ground or from a tree?

When following a recipe, you are reading together, and using math to measure and count out ingredients. Research has even identified that frequent family meals have correlations with improved intellectual development including vocabulary and reading skills2. Another important skill they learn is SAFETY. You can teach your kids about hot and cold and how avoid getting burned. You can talk about sharp knives and how kitchen appliances work so that they know what to do to avoid getting hurt.

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Self Esteem

Cooking has the wonderful outcome of instant gratification of something yummy (usually). To know they helped make something that tastes good and nourishes them can really give kids a sense of pride. I see people posting pictures of the meals they’ve cooked up on social media to show off their culinary skills, and our kids feel that same pride when they help makes something yummy.

Fun!

Spending time as a family is just fun. It gives you a chance to be silly with your kids, try new foods, make a mess (then clean it up together), learn and grow together.

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Still not quite convinced? Here’s a few tips that I’ve found helpful when cooking with messy, busy toddlers:

  • Bring it to their level- This can be up or down. My son likes to do the classic maneuver of bringing a kitchen chair to stand on to help me cook at the counter level. My daughter, however, would not be safe doing this, so sometimes we cook on the floor or on a toddler size table. My kids love helping me make pizza and we usually do this on the little table. When we bake, I will put a big sheet on the floor and put the mixing bowls on that. It doesn’t completely eliminate the mess, but it reduces it dramatically and everyone can help mix the ingredients.
  • Clean up is important too- my dogs like to help with this (especially when we are making pizza and the cheese is flying all over), and young kids like to help with light clean up tasks. It’s also a great teaching opportunity. My son like to use the vacuum (a hand held minivac is great too) and my daughter likes to sweep and wipe.
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  • A tiny amount for tiny hands- when my youngest is being a little rambunctious (as one-year-olds tend to do) and she can’t quite help with a recipe requiring more precise measurements, I give her her own bowl with just a little of what we are making, or even with just a little water.  This way, if she spills it, it’s not a big deal and she feels involved in the process. Some kids are even satisfied with just banging around with the pots, pans, wooden utensils, and/or measuring cups and engaging in some parallel pretend play while you cook.
  • Non-food meal tasks- in addition to preparing the food, kids can help with the smaller tasks that go along with meal time, such as setting the table, gathering the ingredients from the pantry, helping with the grocery shopping list, and even putting the clean dishes away (besides the hazardous ones, of course). Sorting silverware is a great job for preschool aged children.

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Now for the fun part… here are just two of our EASIES but YUMMY recipes (if you like these let me know so I can post more in the future):

Easiest Guacamole Ever

Easiest Guacamole Ever

Ingredients: avocados, 2 TBSP of your favorite salsa per avocado, 1 tsp lemon juice per avocado, salt/pepper to taste.

Directions: Mash up your avocados, combine with all other ingredients, stir, enjoy! We usually don’t even measure the ingredients, we just pour a little salsa in, but my son like using the measuring spoon too. My favorite salsa to use in this recipe is a HOT habanero lime salsa.

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Fool Proof Pizza Sauce

Ingredients:

  • 1 can tomato paste (6 oz) and equal parts warm water
  • 2 TBSP Honey
  • 1/2 Tsp dried Basil
  • 1/2 Tsp dried Oregano
  • 1/2 tsp dried Marjoram
  • 1/2 tsp garlic salt
  • 3/4 onion powder
  • 1/8 Tsp dash of black pepper
  • A dash crushed cayenne pepper to taste (optional- my family loves spice so we use a generous dash)

Directions: Just combine all ingredients and use on your favorite pizza crust with whatever toppings you love.

This recipe is super forgiving (that’s why I call it “fool proof”). My son usually measures the the herbs so sometimes there’s different amounts. We’ve made this without the onion powder and used some Mrs. Dash instead, and it came out tasting good. We’ve also used fresh garlic in it as well. It’s a good base to start with and play around with. I hope you like it as well as we do!

A quick note on picky eaters- it takes most kids many exposures to a new food before they will like it, so just because your little one didn’t like something a few times, keep introducing the food and try pairing it with a preferred food item.

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References

1. Chu, Y. L., PhD., Storey, Kate E,PhD., R.D., & Veugelers, P. J., PhD. (2014). Involvement in meal preparation at home is associated with better diet quality among canadian children. Journal of Nutrition Education and Behavior, 46(4), 304. Retrieved from https://search.proquest.com/docview/1539994846?accountid=143111

2. Fruh, S. M., Fulkerson, J. A., Mulekar, M. S., Kendrick, L. A. J., & Clanton, C. (2011). The surprising benefits of the family meal. The Journal for Nurse Practitioners, 7(1), 18-22. doi:http://dx.doi.org/10.1016/j.nurpra.2010.04.017

*Disclaimer: The information presented in the blog is intended for information and entertainment purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.

Beyond the Five Senses: Input Vestibular

sensory 4 Comments

Dr. Dad says, “I’ll rock the baby tonight.”

OT Mom says, “Well then, good night to the both of you.”

Like many parents, he often falls asleep while rocking her, but why? Not only are our babies warm and snuggly, (and most of us are usually at least a little short on sleep), there’s more going on. It’s the rocking. The slow, linear movement of rocking has a direct calming effect on both of them, thanks to their vestibular systems.

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Many of us are familiar with the five senses we learned about as kids, but there are several additional senses that have a ton of impact on just about everything we do. In a post a couple weeks ago, I provided some information about the proprioceptive system. Another super important system (that works very closely with the proprioceptive system) is the vestibular system.

So what is the vestibular sense? It’s the sense of where your head is positioned relative to gravity and your awareness of head movements. It works closely with our visual and proprioceptive systems to allow for us to maintain balance. The receptors for this sense are located in the inner ear and include three semicircular canals filled with fluid and hairs, and two organ sacs filled with gel, hairs, and little rock-like things called otoconia8. I will spare you the physiological details, but pretty much the hairs move in response to movement, movement momentums, and the position of your head in space.

When I hear the someone say, they’re “losing their marbles,” I really hope they don’t mean their otoconia. There is actually a disorder known as Benign Paroxysmal Positional Vertigo (BPPV) where those silly otoconia are displaced into one of the semi-circular canals causing symptoms like vertigo, nausea, and poor balance8.

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Dr. dad tells his patients that “they’ve got rocks loose in their heads,” and they laugh.

When we engage in motion that is slow, rhythmic, and linear, it has a calming effect on our nervous system4. That’s why things like rocking babies or swaying with them slowly, puts them to sleep (and sometimes makes the moms and dads tired too). The vestibular system also contributes to the drowsiness we get in the car. It’s the constant linear motion that creates a calming effect.  When used in a different way, this system can be very alerting. When movement is fast, irregular (such as sudden starts and stops), or changing directions and intensities, it stimulates our nervous system and heightens our awareness and alertness4,16.

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But what about car sickness? I blame Dr. Dad’s bad driving. Just kidding (kind of). Actually, car sickness is due to the visual and vestibular systems getting contradictory information8– that’s why it’s more common for people when they try to read in the car. If you’re focused on something in front of you, and your visual system is not getting input of the movement of driving down the street, but your inner ear is, it’s a disconnect and your nervous systems says, “somethings not quite right here, let’s vomit.”  Well, hopefully you’re not to the point of vomiting, but you get my drift. That’s also why when you are in the front seat, especially the driver, you’re less prone to car sickness as you’re more aware (I hope especially if you are the driver) of the movements of the car and yourself.

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This nausea can also happen if you are sitting still but you’re getting visual input telling your brain that you are moving, such as in some 3D experiences  or movies with a shaky camera. I have a distinct memory of my sister listening to, rather than watching, the end of one such shaky camera horror movie with her face over an empty popcorn bowl. The visual to vestibular disconnect made her that unable to watch.

Usually, however, for most of us the vestibular system functions well with our other senses to do amazing things.  In our brain, vestibular information meets up in a central hub that also receives information about proprioception (relating to joint movements and positions), vision, tactile (touch), and auditory information. This allows for:

  • control of our head movements
  • stabilization and control our eye movements (even when our heads are moving)
  • maintaining and adjusting body posture and influencing our body’s muscle tone
  • development of self regulation and sensory awareness
  • engagement in bilateral integration (using both sides of the body efficiently, such as both hands together to complete a task).
  • auditory language development2,4,8,9,10

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As you can see, the vestibular system is linked to many, many areas of the brain and has a wide spread influence over brain organization and functioning. There’s also some research suggesting that vestibular input can influence stress reduction13,  emotional behavior6,12 and mood11,16. In some settings, vestibular input has been shown to promote academic participation and achievement15.

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For the kids of the world, it’s so important to provide them with opportunities to develop and strengthen this system. There’s evidence that an environment rich with vestibular-proprioceptive opportunities has powerful effects on development14. It baffles me to see school districts cutting back on recess, PE and related activities.  In this day and age of technology, our kids still need to MOVE!

Seize the

So, now that we know a little about this incredible sensory system, let’s use this knowledge to brainstorm some fun vestibular activities that could promote good things today!

-In your house, equipment free– to provide stimulating input you can spin, dance roll, climb exercise, run with lots of stop and go’s (think red light/green light).

-Play outside-  swings, slides, bike riding (always wear a helmet), wagon rides, scooter boards, push cars, sledding, skiing, running, playing team sports, and the list could go on and on.

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– Try similar things inside- my kids love pushing each other in a cardboard box and spinning each other on our swivel chairs and office chairs for increased stimulation; try rhythmic, slow rocking for a calming effect.

– Tai Chi- While I have not tried this personally, there is more and more evidence that engaging in Tai Chi can improve balance, well-being, strength, and potentially decreases falls for older individuals1,7.

– Dance-  Try slow dancing to relax, or dance fast and wild to wake up. There’s research on the benefits of dance for older adults too, with improvements found in both cognitive and sensorimotor performance5.

– Wear your baby– instead of just rocking your baby, you can use a baby wrap, carrier, or baby backpack to attach your baby to you while you grocery shop, clean your house, or go for a walk. I’ve even taking my kids morel mushroom hunting using them. Not only does your child get the wonderful movement, I think it’s also great for bonding and allowing them to be involved in your daily activities.

– Ride a horse- there’s a whole branch of therapy known as hippotherapy where horses are utilized as a treatment tool for OTs, PTs, and SLPs. Riding a horse provides vestibular and proprioceptive input and can promote improvements in balance, strength, coordination, mobility, balance, sensory motor function, postural control, attention, mobility, and communication3.

-If you’re prone to motion sickness, don’t read in the car. In fact try to pay attention ahead out the window to reinforce the connect between your visual and vestibular systems so that you don’t get the negative effect from a disconnect.

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It is important to remember that each individual has different thresholds for sensory input for each individual sensory system. For example, my kids have pretty high thresholds for vestibular input, as they love to spin, go on slides, and move constantly. They love spinning each other in our gliding chairs, and often my son wants to spin me while I’m sitting with my daughter. I always end up limiting the repetitions as my threshold for rotary movement is low. I get nauseous easily and am prone to motion sickness on boats and in cars. You can also think about  our individual differences when considering how people differ in regards to roller coasters. Some people love the thrill of the motion and tolerate spinning upside down, while others you will find wanting to puke in the corner after just the thought of it.

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Additionally, there is also something known as gravitation insecurity, which makes some children very fearful and anxious in situations where their feet leave the ground6.  I mentioned a lot about the autonomic effects that can come with waking up this system, so please use caution. If you do any of these activities on a regular basis or decide to try a new one, be aware of a few warning signs that you’re overdoing it: pallor, nausea, changes in heart rate and breathing, palpitations, anxiety. Please take things slow and do what works for you. Always contact a doctor or certified therapist to address individual issues.

*Disclaimer: The information presented in the blog is intended for information and entertainment purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.

Resources

1. Adler, P. A., & Roberts, B. L. (2006). The use of tai chi to improve health in older adults. Orthopaedic Nursing, 25(2), 122-6. Retrieved from https://search.proquest.com/docview/195963159?accountid=143111

2. An, S. L. (2015). The effects of vestibular stimulation on a child with hypotonic cerebral palsy. Journal of Physical Therapy Science, 27(4), 1279-1282. doi:http://dx.doi.org/10.1589/jpts.27.1279

3. Bender, M., & McKenzie, S. (2008, Winter). Hippotherapy. Palaestra, 24, 43-44. Retrieved from https://search.proquest.com/docview/213181696?accountid=143111

4. Kramer, P. & Hinojosa, J. (2010) Frames of Reference for Pediatric Occupational Therapy (3rd). Lippincott Williams & Wilkins, Philadelphia, PA

5. Kshtriya, S., Barnstaple, R., Rabinovich, D., Desouza, J. F., & X. (2015). Dance and aging: A critical review of findings in neuroscience. American Journal of Dance Therapy, 37(2), 81-112. doi:http://dx.doi.org/10.1007/s10465-015-9196-7

6. Lane, Shelly J, PHD,O.T.R./L., F.A.O.T.A., Lynn, J. Z., & Reynolds, Stacey,P.H.D., O.T.R./L. (2010). Sensory modulation: A neuroscience and behavioral overview. OT Practice, 15(21), CE1-CE8. Retrieved from https://search.proquest.com/docview/807980071?accountid=143111

7. Leung, D. P. K., M.Sc, Chan, C. K. L., M.Sc, Tsang, H. W. H., PhD., Tsang, W. W. N., PhD., & Jones, A. Y. M., PhD. (2011). Tai chi as an intervention to improve balance and reduce falls in older adults: A systematic and meta-analytical review. Alternative Therapies in Health and Medicine, 17(1), 40-8. Retrieved from https://search.proquest.com/docview/851708686?accountid=143111

8. Lundy-Ekman, L. (2007). Neuroscience: Fundamentals for Rehabilitation (3rd). Saunders Elsevier, St. Louis, Missouri

9. Mauer, D. M. (1999). Issues and applications of sensory integration theory and treatment with children with language disorders. Language, Speech & Hearing Services in Schools, 30(4), 383. Retrieved from https://search.proquest.com/docview/232585154?accountid=143111

10. McHugh Pendleton, H. & Schultz-Krohn, W. (2006). Pedretti’s Occupational Therapy: Practice Skills for Physical Dysfunction (6th). Mosby Elsevier, St. Louis, Missouri

11. Mehta, Z., & Stakiw, D. B. (2004). Childhood vestibular disorders: A tutorial. Communication Disorders Quarterly, 26(1), 5-16,56-57. Retrieved from https://search.proquest.com/docview/213789303?accountid=143111

12. Rajagopalan, A., Jinu, K. V., Sailesh, K. S., Mishra, S., Reddy, U. K., & Mukkadan, J. K. (2017). Understanding the links between vestibular and limbic systems regulating emotions. Journal of Natural Science, Biology, and Medicine, 8(1), 11-15. doi:http://dx.doi.org/10.4103/0976-9668.198350

13. Sailesh, K. S., & Mukkadan, J. K. (2015). Controlled vestibular stimulation, standardization of A physiological method to release stress in college students. Indian Journal of Physiology and Pharmacology, 59(4), 436-441. Retrieved from https://search.proquest.com/docview/1812437841?accountid=143111

14. Schaaf, Roseann C, PHD,O.T.R./L., F.A.O.T.A., & Lane, Shelly J, PHD,O.T.R./L., F.A.O.T.A. (2009). Neuroscience foundations of vestibular, proprioceptive, and tactile sensory strategies. OT Practice, 14(22), CE1-CE8. Retrieved from https://search.proquest.com/docview/232422301?accountid=143111

15. Watling, R., & Hauer, S. (2015). Effectiveness of ayres sensory integration® and sensory-based interventions for people with autism spectrum disorder: A systematic review. The American Journal of Occupational Therapy, 69(5), 1-8A. Retrieved from https://search.proquest.com/docview/1711617297?accountid=143111

16. Winter, L., Wollmer, M. A., Laurens, J., Straumann, D., & Kruger, T. H. C. (2013). Cox’s chair revisited: Can spinning alter mood states? Frontiers in Psychiatry, 4, 132. doi:http://dx.doi.org/10.3389/fpsyt.2013.00132

Occupational Therapy is for Everyone

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I say this because as I move through life and watch my kids grow, I realize how often I use the tools I’ve learned through my studies in occupational therapy (OT) and how lucky I feel to have these tools to utilize to begin with. Some readers may be wondering, what is occupational therapy anyway? Well, let me give you a brief overview as I start this blog.

Occupational therapy focuses on our everyday activities with the word “occupation” meaning not just a job, but every meaningful activity we need or want to do on any given day. Occupational therapists help individuals increase independence and promote success in all aspects of daily life, from the basics of self-care to succeeding in the work place and everything in-between.

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The American Occupational Therapy Association (AOTA) has identified eight categories of our major life occupations:

Activities of daily living (ADLs) such as basic self care (Bathing, dressing, eating, etc)

Instrumental activities of daily living (IADLs) which include more advanced self care-type activities (Meal preparation, home maintenance, caregiving, etc.)

Rest and sleep, including sleep preparatory activities

Education– both formal and informal.

Work– paid and non paid

Play– one of my favorites and the major occupation for kids (which I plan to touch on A LOT in blog posts to come)

Leisure– non-oligagory fun stuff

Social participation– including in the community, with family, and peers/friends

You can find Occupational Therapists in a variety of settings, such as hospitals, schools, outpatient clinics, and rehab centers to name just a few.  OTs directly address a multitude of health conditions across all age ranges as well as contribute to wellness based programs and preventative care. AOTA has a TON of wonderful information about OT and the many realms of practice that OTs do, so for more information, please check out their website here.

So now that you have the very basics of what OT is, why do I say that Occupational Therapy is for everyone?   Well, OT can help you “recognize the importance of habits and routines that promote the adoption and maintenance of healthy behaviors” (AOTA, 2015).  We all have goals and aspirations and want to live happy, healthy, fulfilled lives whether we are struggling with an illness or injury or not. Personally, I’ve found myself utilizing a lot the knowledge I have gained professionally as an OT to work towards my own overall wellness for myself and my family. For example, I have two  young children, ages one and three, and I frequently pull out sensory strategies to help our day go just a bit smoother.  I’m not saying everyone needs their own skilled therapist, but that many of the philosophies and information that is based in OT may be beneficial to a wide range of people.

For another example, my biggest New Year’s resolution this year was to get more sleep. Many of us are familiar with the cognitive lag we feel when we are sleep deprived and over the past year I have been struggling to feel clear headed and well rested. Even more concerning is the impacts on your health  in which sleep deprivation can contribute.  According to the CDC, insufficient sleep is linked to such things as an increased risk for type 2 diabetes, cardiovascular disease, obesity, and depression.

Recognizing that this was an area of concern for myself was the first step to improving this area of my life.  While I don’t always have control over this (it seems that some nights my kids love to take turns waking me up), I have been able to make some adjustments in this area.

So from an OT perspective, a good place to start in efforts to improve your overall health and wellness is to really look at your routine. By analyzing what you do on  a daily basis you may find out what is and what is not working for you or promoting the best success and outcomes. As a quick exercise, you can start by asking yourself a few of questions:

Do you get enough sleep?

Do you feel well rested?

Do you have a balance between work and obligations, rest, and leisure?

Do you feel well connected to others in a positive way?

If you answered “no” to any of the above questions, you may want to explore that area a little further. To use my own example of insufficient sleep, once I really realized I needed to make a change,  I was able to work out a couple strategies that seem to be helping:

I often go to bed (a bit) earlier now. This was a hard adjustment to make, because once my kids are finally tucked in, it’s so nice having some time to myself and with my husband. However, I’ve found that just an extra 30 minutes of sleep has made me feel a little more rested in the morning.

I fall back to sleep easier. My kids wake me up at night sometimes and it’s just one of those things out of my control.  Now, to fall back asleep I try to have a moment of mindfulness and be aware of how comfortable my bed is. I listen to my breath and think about the softness of the pillow. I’m not saying this will work for everyone, but it sure does work for me. The American Sleep Association has more tips for good sleep hygiene, check them out.

I occasionally nap. I’m terrible at napping, but sometimes I try. I let the dishes sit in the sink and if it’s one of the wonderful occasions when both of my children are napping, I get back into bed. People who know me personally know this is not something I often do, as I have a hard time slowing down and relaxing. However, since I’ve made it a goal to get more rest, if I’m feeling tired and have the opportunity, I sometimes attempt a quick nap.

I could go on all day expanding upon this topic, but I think I will end it here and save more thoughts for another day. As my first blog post, I wanted to give just a general overview of OT and why I’m writing. I’m planning to share some more of what I have learned (and am still learning) in my blog posts to come and while not all posts will be bursting with OT philosophy, most will have at least just a touch of OTism, simply because being an OT is part of who I am. Enjoy!

References:

American Occupational Therapy Association (2014). Occupational therapy practice framework: domain and precess (3rd edition), American Journal of Occupational Therapy 2014; 68 [supplement 1], 19-20.  doi: 10.5014/ajot.2014.682006

American Occupational Therapy Association (2015). The role of occupational therapy with health promotion [Fact sheet]. Bethesta, MD: Author. Retrieved from http://www.aota.org/~/media/Corporate/Files/AboutOT/Professionals/WhatIsOT/HW/Facts/FactSheet_HealthPromotion.pdf

Sleep Hygiene Tips. (n.d.) Retrieved February 10, 2017 from https://www.sleepassociation.org/patients-general-public/insomnia/sleep-hygiene-tips/

Centers for Disease Control and Prevention (2013, July 1). Sleep and chronic disease. Retrieved February 10, 2017 from https://www.cdc.gov/sleep/about_sleep/chronic_disease.html

*Disclaimer: The information presented in the blog is intended for information and entertainment purposes only. Please consult your physician with any medical concerns and/or for medical advice. The information presented is not intended to be used in place of individualized therapy services, please contact your health care team for skilled therapy if you think it is necessary. Please supervise your children (or friends, spouses, etc)  if you decide to try any of the activities or ideas presented as the author or this blog does not claim liability for possible injury or negative consequences related to the activities and ideas presented here.