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

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.

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Roll-A-Troll: Movement Break Game

Roll-a-Troll

We recently had a “Trolls” themed birthday party for my two-year-old, and the party planning led me to create the following Roll-a-Troll game to keep my very active toddler, her brother, and their cousins busy and moving all weekend.

The benefits of physical activity for kids, including movement breaks, is undisputed.   It’s recommended that children, ages 6-17 years, should get at least 60 minutes of physical activity each day- if not more. Further, evidence suggests that classroom physical activity, such as movement breaks, benefit student’s attention, behavior, and test scores. Check out the CDC’s website for more information.

I’ve found that channeling in on a child’s interests gets he or she motivated to participate in activities much more willingly and for a longer duration of time. If you know any Troll’s fans, I think this movement “game” will be a hit. It certainly was a hit at my house!

Roll-A-Troll Movement bReaks Game

I used a 4”x 4” treat box that I on hand and cut pictures from a Trolls magazine to somewhat match my movement ideas. I simply glued a picture on each side of the box, wrote the Troll’s name, and a movement idea.

The six sides included:

  1. Jump- Princess Poppy
  2. Dance- Guy Diamond
  3. Mix a beat- DJ Suki
  4. Stomp or Hide- Branch
  5. Run- King Peppy
  6. Hug Time- Give yourself a big hug (included is a picture of Biggie & Mr. Dinkles)

Alternatives to cutting and gluing Trolls pictures from coloring books or magazine pictures, would be to just use stickers, simply write out the instructions, or even use the free printable chart below to play with dice:

Roll a troll

While this game chart is pretty plain, we decorated one with stickers (which also sneaks in some fine motor practice).

Roll a troll printable

To play

Just let each child take turns rolling the cube or die (whichever version you decide to use) and then ALL of the kids involved do that action for approximately 15-30 seconds (longer or shorter depending on the age and attention ability of the kids), then it’s the next kid’s turn. The actual cube (vs. dice) seems to be more engaging for the younger players.

Overall, it was a HUGE success with the group of kids this weekend, aged 2-7 years. I think this would be a hit for classroom movement breaks as well.

Here’s a little clarification on how we did each movement:

  1. Jump– pretty straight forward, just JUMP!  Both feet, one foot, in place, or forward… no wrong way!
  2. Dance– any dance moves that kids want to do!
  3. Mix a beat– reciprocally alternating extending and retracting each arm (like spinning a turn table).
  4. Stomp or hide– either stomping in place or crouching down into a ball (like you’re hiding). The group of kids that I did this with liked both so they alternated between both!
  5. Run– depending on the situation, run in place, or all over (my son does laps around the living room, occasionally).
  6. Hug Time– give yourself a big hug (my kids and nieces hugged each other too).

Roll-a-Troll game

I also love that motions such as stomping and jumping allow for some great proprioceptive input and all the movement stimulates the vestibular system. Check out my other posts about some of the sensory systems and for more fun, low cost activities that have many, many hidden benefits!

If you try this game, I’d love to hear how it went! Enjoy!

References

Healthy Schools. Physical Activity Facts. Centers for Disease Control and Prevention. Retrieved 9/19/2017 from https://www.cdc.gov/healthyschools/physicalactivity/facts.htm

Healthy Schools. Classroom. Centers for Disease Control and Prevention. Retrieved 9/19/2017 from https://www.cdc.gov/healthyschools/physicalactivity/classroom-pa.htm

*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.

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