The number one reason that parents contact myself and the various therapists at North Shore Pediatric Therapy is to find out whether or not their children are developing and progressing at a normal rate. When should my child crawl? When should she start speaking? At what age should he be walking? These are all questions that we find ourselves answering on a daily basis. Parents often are not privy to this information. If only children would come with an instruction manual. Each child develops at a different rate, which is found to be dependent upon several factors including environmental influence (exposure to a variety of experiences) to genetic predisposition. That being said, there are stages of development that every child will reach in a hierarchical order. The main areas of development include a child’s motor ability and his or her language functioning. Language functioning can then be broken down into two main areas: receptive language, which is the child’s ability to listen to and follow auditory demands, and expressive language, which is the ability to provide comprehensive responses. Below is a chart for the major stages of motor and language development along with typical ages in which the child should reach the stage. Read more
Making the most of Summer vacation
Play-dates, pool parties and trips to the beach – it’s summer vacation! Sure, we delight in seeing our kids enjoy the leisurely bliss of summer break, but will all the fun come at the expense of our children learning? How can we help our kids make developmental progress and stay on target for school in the fall? In spite of all the relaxation and play, summertime has potential to be an incredibly enriching opportunity. After all, who ever said that learning can’t be entertaining? In fact, fun experiences are often the very best occasions for your child to learn.
Here are a few tips to keep your child learning throughout the summer:
Plan family outings! Talk about where you will go, and what you will see there. Whether you visit a museum, the zoo, or a scenic park, a family outing will provide a multisensory experience to enrich your child’s development. Describe what you see during the outing, and introduce your child to new vocabulary words in the process. Read more
As if finding airfare, booking hotel rooms, finding a rent-a-car, and scheduling sight seeing weren’t enough, you’ve got your kids to travel with!! Going on a relaxing vacation should be, well, RELAXING!!There are several tools that you can implement before you go on vacation that will ensure not only a relaxing vacation but also a PEACEFUL one!!!
1. CONDUCT A FAMILY MEETING (1 Week Prior)
Topics to Discuss:
-Where you are going
-When you are going
-How long you will be gone for
-The fun activities you have planned (show pictures if possible)
-The rules and expectations, as a WHOLE GROUP and write them down as a reminder (Encourage the children to participate in rules and expectations if they are old enough, but do not allow for any child to suggest them for other children) Review this list with them again on the day before you leave and during the trip as needed. Remind the children that they participated in the making of the rules and expectations; this encourages them to be more cooperative. Read more
Loving our kids is easy, right? Well, we love it when we can spend quality time with them. However, there are those times when it seems that all we do with our kids is fight and scream, leaving us with nothing but a migraine headache and an upset child!
This is an ongoing negative cycle – you react to your child’s bad behavior, then they react to your reaction. As if that isn’t bad enough, you have to then go home and explain to your spouse why you can’t cook dinner, play with the other children or clean up the house. Having the knowledge, tools, and appropriate strategies for you and your child make better decisions will help break this negative cycle and encourage positive behavior.
The first thing I always asks my clients is, what are you currently doing to discipline your child? Most parents will respond by saying that they often get mad, yell, or send their child to time-out. While all of these suggestions are good, there isn’t a “cookie-cutter” method for disciplining children. We must remember that every behavior is a form of communication in itself and occurs for a specific reason.
Most parents want a happier, more peaceful relationship with their children, which is why they often give in to their negative behaviors. Alternatively, you can use the following positive reinforcement strategies to foster a peaceful relationship without enabling bad behavior.
The three most common forms of positive reinforcement strategies that I use are: Read more
Do you find yourself struggling with your child when bedtime approaches? If so, here are some tips for establishing a reliable bedtime routine:
6:00 pm Dinner: Rather than indulging in caffeinated and sugary foods, encourage meals high in complex carbohydrates with a small amount of protein. Fruits such as apples, pears and bananas are always a favorite, while whole grain crackers, bread, and dairy- or soy-based products also help to promote great sleep. Read more
Infants immediately begin to learn from the environment around them after entering into our unfamiliar yet exciting world. The experiences they are exposed to and the people they encounter will ultimately help to shape them into the intelligent and independent children their parents hoped for. The importance of facilitating speech and language in young children is significant, and research has shown that early exposure is crucial to their development. Many parents therefore wonder what they can do to help elicit speech and language development at home, in order to help give their children every advantage possible.
Below are some simple suggestions and activities that can be easily incorporated throughout the day to help focus on these areas:
• Reinforce communication by looking directly at your child when speaking and imitating them when they communicate, even if it is jargon!
• Teach animal and environmental sounds using motivating toys such as farm sets and cars.
• Talk about an activity while you are engaged in it (e.g. When cooking, talk about all of the steps and describe the ingredients).
• Point out everyday objects in the environment by expanding upon your language (e.g. When walking through the neighborhood, explain what is around you: “I see a tree. The tree is tall. The tree has green leaves.”, etc).
• Be a role model by using simple but grammatically correct speech for your child’s age.
• Associate sounds with objects around the house, as this is a precursor to phonics (e.g. The vacuum says “vvvvvv”.)
• Expand on your child’s speech and reiterate what they’ve said by modeling more complex sentences (e.g. If your child says “red car”, respond to them by saying, “You’re right, there is a big red car outside”.)
• Read books to increase comprehension and point to objects when named.
• Use preferred items to help promote language (e.g. If they have a favorite stuffed animal, use it to demonstrate brushing, dressing, bedtime routine etc).
• Use picture schedules and songs to facilitate smooth transitions (e.g. The “clean-up” song).
• Find time to communicate with your child without using technology.
• Provide choices throughout the day and reinforce successful communication.
• Have your older child expand on their utterances by having them tell you about their day (e.g. “Tell me what you did at camp today.” or “Tell me 3 things you saw at the park.”).
• Stay away from using only yes or no questions, as they do not always allow your child to formulate more descriptive sentences. Ask more specific questions when you can.
• Show your child that you are interested by listening attentively and engaging them during structured activities.
• Model appropriate behavior in social situations.
• Reinforce pretend play (e.g. cooking/kitchen sets, etc.).
• Participate in sensory-motor play (e.g. musical instruments).
• Supervise your child during play groups and encourage play-dates.
• Encourage sharing and turn taking during games and other structured activities.
• Allow your child to lead during motivating activities to give them a sense of independence.
• Expand social communication and story telling by participating in dramatic or symbolic play by “acting out” scenarios (e.g. feeding their dolls).
While the initial task may appear daunting and you may feel overwhelmed with trying to incorporate all of the activities into your daily routine, remember to start out slowly. Keep in mind that you may already be doing many of these activities without formally addressing them, so it may be simple to quickly add a few new behaviors to your routine. The key is to make these activities fun, so remember to expose your child to as much communicative interaction as possible throughout the day.
While parents know their children best, if something does not seem quite right, it may be advantageous to speak with a Speech-Language Pathologist about more specific activities that can further help your child. Just remember that every child is unique, and many variables may impact their own speech and language development. Follow typical developmental norms and milestones, and seek help if your child does not seem to be progressing at an appropriate rate.
Summertime brings about a more relaxed schedule that is filled with fun activities: camp, family vacations, trips to the water park. However, children with sensory processing difficulties or any anxiety tend to prefer a very predictable schedule and may feel uneasy during this time. When there is a change in routine or something new is thrown into the day, that element of predictability disappears, and the child can become anxious, upset and possibly act out as a result. He or she may not know what to expect and how to plan for new sensory experiences. After all, with each new activity comes a plethora of new sensory input such as sound, touch, movement, and sight. A visual calendar that identifies daily and weekly schedule changes can help children with sensory processing difficulties or children who have a hard time transitioning feel more comfortable with their summer routine.
Tips For Using A Visual Calendar Or Schedule With Your Child:
- Use a calendar large enough to write down daily and weekly activities.
- Review the calendar with your child daily so he knows what to expect for the day and for the weeks ahead. For example, “Today we will go to the beach. In 5 days, you will start camp.”
- Cross off the days as they conclude and review what is on the schedule for the next day at bedtime, and again in the morning.
- Be sure to include the first day of school on the calendar to indicate the end of summer.
For children with sensory processing concerns, thinking in the future can be very abstract and overwhelming. The visual calendar will be beneficial to make your child’s day to day and week to week schedule more concrete and help him or her be more organized.
Below is an example of a successful visual calendar:
Feel free to comment with how a visual calendar has helped your child!
There are numerous misconceptions about pediatric therapy out there. I hear parents reporting to me all the time that they “heard from a friend,” or better yet, “saw on the internet” that developmental therapy does not work and that pediatric therapists “just keep kids in therapy” with no real improvement.
Below, I will address the 5 biggest myths out there regarding Pediatric Therapy:
Myth 1: My child will “mature” and this will not be an issue.
I have heard this numerous times from parents about their children. Will the child “mature” and develop eventually? Sure, probably to some extent. My question back to them is: at what cost? What would be the consequences of not addressing the specific issues that the child demonstrates? How would these issues play out in school? Would the child be teased, bullied, or unable to progress to the best of his or her ability? There are obviously certain developmental stages that children reach at certain times, but some children develop at a slower rate than others . The goal of pediatric therapy is to enable these children to catch up with their peers and prevent later consequences. Additionally, research has demonstrated that the earlier the developmental issues are addressed, the better that child’s long term prognosis will be. Read more
Warm weather is finally here and it’s a great time to gear up the family for bike riding. Here are a few tips that will help ease the transition to a two-wheeler.
- First, make sure that the child’s bike is in good condition with properly inflated tires, working brakes, and that the seat is low enough that the child can stand on the ground when the bike is not in motion.
- A well adjusted helmet is essential for safety and some children may need elbow and knee pads for extra comfort and protection.
- The “run behind” method– where the parent follows the child holding underneath the bike seat to help them balance– is a proven technique for beginning the 2-wheeler process.
- Plenty of praise is essential and will keep your child motivated.
- The best way to teach your child to bike ride and enjoy overall fitness is to lead by example so plan some family bike riding outings today!
I would love to hear your Two Wheeler Success stories!
It’s summer time, the kiddos are out of school, and Independence Day is right around the corner! It is the perfect time to help your children become more self-sufficient and confident by encouraging them to become more independent in their daily routines.
Where Childhood Independence Begins
Typically, children begin to demonstrate their independence by the age of two. They may want to try everything by themselves and even act annoyed if you try to step in to help them. This is perfectly normal and I encourage you to embrace this developmental milestone!
Bedtime should be the first area to be targeted when teaching your child independence. Establishing a consistent bed time routine is a must. Children should be sleeping in their beds independently. They may still need reminders to stay in their room, but there are plenty of ways to work on getting this accomplished. You can try giving them a signal of when they can leave their room (e.g., when the light comes up or when the clock looks like this: 7:00). You can also keep a bin of toys in their room that they are allowed to play with in the morning. It is very important to be aware of your reaction when they do get out of bed. Firmly state the expectations (e.g., “Johnny, you need to stay in bed until the clock reads 7:00”) and guide them back to their room. Do not provide eye contact or attempt to rationalize with them. You may need to bring them back to their room several times over many days. Don’t give up! I promise it will get easier!