Occupational Therapy
Graph paper to promote fine motor control in coloring
This was SUPER tiny graph paper I found at Michael’s on clearance or something. I have no idea what it’s intended for, but when I saw it I knew I wanted it to promote coloring skills, ie just using the fingers and carefully coloring in small squares – it takes a lot of focus as well. We have so many kids that hate coloring and just scribble – I’d rather have a kid fill in about 5 tiny, tiny squares very carefully with his wrist “glued” to the table then scribble all over a piece of paper, at least as a start while improving control. When I was a kid I used to love to color on graph paper, filling in each square carefully with different colors and making patterns. Maybe getting a half piece of graph paper for each of your children and each time they see you, they color in maybe 5 squares very small, with either a pencil (varying degrees of pressure and therefore shading) or colored pencils or other very precise tools, and eventually even if their coloring is normally horrendous, they might end up with a pretty cool work of art. 🙂
Because remember: OUR ARMS ARE NOT WINDSHIELD WIPERS! We do not erase or color with windshield wipers! 🙂
Summary:
Activity: Color in at least 3-5 tiny squares on graph paper with wrist “glued” to table so fingers do all the precision work.
Rationale: If you hand a child a big coloring sheet and they have poor fine motor control, they will use their windshield wipers and hurriedly fill up the sheet. If you tell them…Look, I know you don’t like coloring, but we need to practice. If you just fill in three of these tiny squares (demonstrate) VERY CAREFULLY, I won’t have you do any more coloring today. This will show me you know how to control your fingers while you color.
Result: Typically, even children with somewhat poor control (I’m talking about pretty high functioning kids here though) when given the chance to just do 3 very tiny careful squares, will actually try hard/do a reasonable job with this task.
Modification: Use slightly larger grid paper and/or draw a few small shapes. Make them quite small (no bigger than an adult pinkie fingernail or so) and let them use pencil, ideally one with a really sharp tip. Start with just a shape or two so they can be successful, then you can slowly add in more shapes etc.
Modification 2: If the child is handed a coloring sheet that you know they wil do a poor job with, maybe use a small marker to dot a few small shapes that they need to do a careful job on, and then they can do their more typical work on the rest of it so that they can keep up with their class. Again focusing on just using fingers, not windshield wipers, and showing them how they can kind of outline it and then fill in the middle.
Scenario: Teacher has 1st grade child with IEP who is very delayed in motor skills. She knows she has to accept output from him that is below grade level, but when does she say “That’s unacceptable, do it again” the way she might to some of her other kids?
In this case, OT would show teacher some samples of “typical” work versus “best work”. “This is what he is typically able to do (see sample) but this is his best work, what he can do when motivated and working hard in a 1:1 environment (see sample). When you give him assignments, highlight or show him one small area (maybe one sentence out of five) that he has to do in his neatest handwriting, or one small area (maybe two shapes out of six) that he needs to color very carefully. The rest he can do his typical way to keep up with the class. If he submits work to you where it’s clear he rushed or did not put forth best effort on even those few small pieces, you can ask him to do those parts over again. But if he submits it and those parts are carefully done and the rest is more his typical work, that’s fine. Accept that, and we can build up our expectations for what he can manage in a large classroom environment, and as his skills continue to develop/refine.” Etc.
Same can be done for coloring, cutting, gluing, handwriting. Knowing their best work in a small environment, and starting to carry it over into the large classroom environment with baby steps. ALWAYS start with success! (Oh look, I can handle this!) so that next time you can turn 2 shapes into 3 shapes, etc because they are meeting their challenge with success. I’m sure tiger mothers will argue me on this one. So if they want to show up and take over, go ahead!
Give-Away: One year subscription to PointScribe (valued at $129)
“PointScribe is a multi-sensory interactive software application for teaching students of ALL abilities to handwrite. Students are captivated as they interact with PointScribe, writing on a touch screen in response to auditory and visual cues which draw their attention, eyes, and hand to converge on the touch screen writing surface. Students hear the name of the shape, see the shape, and write the shape: true multimodal learning. Lessons of proper shape formation and recognition are presented with consistency time after time. As student handwriting skills improve, the program automatically reduces the size to match the student’s proficiency with each letter, number, and shape. The size reduction continues until the student has mastered handwriting.”
“PLEASE NOTE: PointScribe does not run on an iPad; it is a software application that runs on a PC platform with a touch screen, not an app for a tablet. If you do have accesss to PCs but without touch screens, they are quite easy and inexpensive to convert via an add on touch screen (what we use here in our office). Here’s a link: http://www.touchwindow.com/magic.html“
Cheat sheets even for an OT
I recently started using a locker with a combination again, for the first time since high school. I volunteer as a hospital baby cuddler on the weekend and that’s where our purses go. Anyway, I was in a hurry so I had to google myself a reminder on how to do a combo lock, and then I took a snapshot of the screen (on your iPhone, to take a snapshot of the screen you hold down the Power key on the upper right of your phone, plus press the Home button, simultaneously). So then later instead of having to go back to the Internet I could just pull up the photo.
Also, I’ve read about OTs helping their high school kiddos make bracelets and or key chains that have the code weaved into it, ie lets say its 13 12 10, the child has a key chain that either has a certain amount of beads (13 blue, 12 red, 10 green) or literally beads with numbers on it, etc.
The Lava Paper is in!!
Our lava paper came in! I invented lava/worm/bee paper about a year ago?? and then Tonya of TherapyFunZone used photoshop to make it real, rather than my lame-o version of just drawing it onto kids paper. I typically just print out like 20 sheets at a time at home on my color printer because I do use it on a daily basis, but that is obviously quite expensive. So I used a Groupon I got through Vistaprint to get 1500 copies for I forget how much but under a $100 which is wayyyyyyy cheaper than what I was doing. Plus it’s a nicer quality paper. I use it sparingly, mostly for kids just learning the rules, and/or just cut out strips at a time instead of a whole sheet, and/or sometimes just still draw small amounts on a kid’s paper rather than use this, but since I do use it so often it’s very nice to have it.
For any new readers – I have links to this paper somewhere, lol, try checking out pinterest.com/funkist/ot-ideas and TherapyFunZone.com has it too (which reminds me I need to print out the stuff I bought from her site). But what it is is the rules of handwriting turned into drama. If you go above the sky, bees get your letters. Go too low and the worms get your letters. The lava burns your letters if they go higher than they should, only tall letters can get through the lava. Luckily, YOU are an eraser SUPERHERO so you can use your eraser powers to save the letters!
Makes it easy to cue, too once the kid is familiar. IE if a kid is going too high I can be like “Bees!” or too low “Worms!” or “Lavaaaa!! Owwww!” rather than having to be like “Gosh, Bob, I notice that your H is going a little too high over the top line.”
Lately I’ve been saying that the worms love to eat the tails of the tail letters (y, p, g, j, aka descending letters) and that anything else is poison to them. I have a rubber worm I keep in my storage clipboard and at the end of a sentence or two the worm comes to inspect to see what there is to eat. Hopefully only tails and no poison. Then the worm can do a stretchy happy dance!
One kid doesn’t care so much for the lava mid-line but LOVES the idea of roller coaster ride heights. (You know how you can only go on a rollercoaster if you are tall enough..)
IE the tall letters get to go on the roller coaster, and the short letters have to stay home and cry! As we’re writing we look at the word we’re about to write, let’s say, hmm, “example”….the e, x, a, m are all short letters with nothing too special. The p is a nice worm letter so the worms are happy. The “l” is the ONLY letter that gets to go on the roller coaster.
I read somewhere recently that you can use the non-dominant hand to show how the 3, 5, etc wrap around the finger (to help with reversals). I liked that idea, but I would want to make it more…anthropomorphic so to speak. Something along the lines of keeping the fingernail safe so you need to make sure it always has cover ….
Blue Starfish Ghost Attack!
This child is rather reserved in “real life” but if you let him get into this thing, he runs around shrieking with excitement. It’s essentially a giant spandex pillowcase with slit in back. If you use it you should make sure slit is in front and child can breathe/see…A lot of my OT kids prefer the slit in the back and you can argue it’s a safety issue, but once again I take things on a case by case basis based on their proprioceptive needs, balance, general safety awareness, the environment we are in, level of supervision, etc.
Shelby's Quest: Promo Code Giveaway
This kid needs to work on his "p"
http://photos.ellen.warnerbros.com/galleries/funny_kids_art#215583/?adid=facebook
This is floating around on Facebook from the Ellen Degeneres show where people submit their kids funny work. In all seriousness, when I saw this, my first thought as a school-based OT was that he had a beautiful “g”, and then that the “p” needed to start below the lava line. AHAHAAHA. Incidentally, when you search on google for “Ellen Degeneres penis”, things you weren’t expecting may show up…