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Transforming Pediatric Care with Galileo KIDS

Revolutionizing Pediatric Therapy: Introducing Galileo KIDS

At Carolina Therapy Connection, we’re dedicated to providing the most innovative tools and techniques to help children reach their full potential. That’s why we’re excited to offer Galileo KIDS, a cutting-edge therapy device designed to support children across multiple developmental and therapeutic goals. Whether your child is working on physical, occupational, or speech therapy, this technology can be a game-changer!

What is Galileo KIDS?

Galileo KIDS is a whole-body vibration therapy platform specifically designed for children. This scientifically developed device uses side-alternating oscillations to mimic natural movement patterns, engaging muscles and stimulating the neuromuscular system. The platform is customizable, allowing therapists to adjust the intensity to meet the specific needs of each child.

Originally developed for medical and therapeutic use, the Galileo system has been backed by extensive research demonstrating its effectiveness in:

  • Improving muscle strength and tone
  • Enhancing balance and coordination
  • Supporting bone density and joint flexibility
  • Boosting circulation and reducing spasticity

This evidence-based approach makes it an invaluable tool across various therapy disciplines.

How is Galileo KIDS Used in Therapy?

Physical Therapy:
The Galileo KIDS is a powerful tool for building strength and mobility. It activates the stretch reflex, a natural muscle contraction, at a much faster rate than traditional exercise. This can help children:

  • Develop core strength and stability
  • Improve balance and gait/walking patterns
  • Enhance flexibility and range of motion/movement
  • Manage conditions like cerebral palsy, muscular dystrophy, or hypotonia

Occupational Therapy:
For children working on fine motor and sensory integration, the Galileo KIDS provides unique opportunities for growth. The gentle vibrations help:

  • Regulate sensory processing and calm overstimulation
  • Improve hand-eye coordination through targeted activities
  • Strengthen hand, wrist, and shoulder muscles critical for daily tasks like writing, dressing, or eating

Speech Therapy:
While vibration therapy might not seem directly tied to speech, it can play an essential role in improving motor control and posture, which are foundational for effective communication. Therapists use Galileo KIDS to:

  • Enhance core strength for better breath control and vocal projection
  • Address oral motor coordination through improved posture and alignment
  • Support neurological pathways critical for speech and language development

Why Choose Galileo KIDS for Your Child?

The benefits of Galileo KIDS go beyond its cutting-edge technology. It’s:

  • Engaging: Children enjoy the dynamic, interactive nature of the platform.
  • Time-Efficient: Sessions are short but highly effective, with benefits often noticeable after just a few uses.
  • Safe: Built with children in mind, Galileo KIDS offers gentle yet impactful therapy tailored to each child’s age and ability.
  • Versatile: With applications across multiple therapy disciplines, it provides a holistic approach to supporting your child’s development.

Research-Backed Results

Studies have shown that whole-body vibration therapy can improve strength, bone density, and motor function in children with neuromuscular disorders and other developmental challenges. Its proven ability to enhance sensory processing and reduce spasticity makes it a trusted tool in modern pediatric therapy.

Experience Galileo KIDS at Carolina Therapy Connection

We’re proud to bring this innovative therapy device to our clinic. Whether your child is working on gross motor skills, fine motor coordination, or speech development, Galileo KIDS offers a fun, effective way to support their journey.  This service is covered under insurance when used as part of a therapeutic treatment program.

Ready to learn how Galileo KIDS can benefit your child? Contact us today to schedule a consultation and see this remarkable tool in action. Together, we’ll help your child grow stronger, more confident, and ready to take on the world!

 

Promoting Early Language Development (1-3 Years Old): A Guide for Parents

Effective Strategies for Promoting Early Language Development in Toddlers (1-3 Years)

As a parent, one of the most exciting milestones you’ll witness is when your little one starts to babble, form their first words, and eventually begin to combine words into sentences. Children between the ages of 1 and 3 experience a tremendous growth spurt in their language skills, and you, as a caregiver, play a crucial role in nurturing this development. Incorporating simple, everyday activities into your routine can foster your child’s communication abilities while strengthening your bond.

1. Model Simple, Repetitive Language

Language development begins with exposure; repetition is key to helping young children understand and start using words. By consistently repeating words, phrases, or sounds, you provide a model for your child to mimic. For example, when your child points to a ball, you could say, “Ball! Throw the ball.” By using the same word or phrase in similar contexts, your child will start to associate words with their meanings.

Tip for Parents: When playing, model simple sentences like, “I see the car. The car is red,” and repeat the words often to help your child start using them on their own.

2. Expand on Your Child’s Vocalizations and Verbalizations

Children naturally start to make sounds and babble, and it’s essential to expand on these early attempts at communication. If your child says “ba-ba” while playing with a ball, you can develop by saying, “Yes, that’s the ball!” or “Throw the ball to me!” This teaches your child to use more complex sentences and promotes vocabulary growth.

Tip for Parents: Note your child’s attempts to communicate, whether it’s a sound, word, or gesture, and repeat it with added detail or context to reinforce language skills.

3. Use Gestures to Support Understanding

Before children develop verbal skills, they often rely on gestures to communicate. By supporting these gestures with corresponding words, you help children make the connection between their physical actions and the words that describe them. For example, if your child raises their arms to be picked up, you can say, “Up! You want to go up!” This helps them link gestures with language.

Tip for Parents: Encourage your child to use gestures such as pointing, waving, or clapping, and always reinforce those gestures with words to help them connect physical actions with language.

4. Joint Attention: Share the Moment

Joint attention refers to the shared focus of two people on an object or activity. It’s an essential part of early language development because it helps children learn how to communicate about things they’re interested in. Whether it’s a toy, a picture, or a family pet, showing your child that you’re both looking at the same thing helps build their understanding of communication and strengthens your connection.

Tip for Parents: Use eye contact, point to objects, and narrate what’s happening in your child’s environment. For example, “Look at the dog! The dog is running!” This reinforces language development and creates meaningful moments of connection.

5. Engage in Interactive Activities

Interactive activities, such as reading, singing, and playing, are vital for boosting language development. Picture books are especially effective for introducing new words and concepts. Singing simple songs with repetition, like “Twinkle, Twinkle, Little Star,” helps your child learn words through rhythm and melody. Turn-taking games also help develop social communication skills.

Tip for Parents: Incorporate songs, books, and games into your daily routine. For example, during bath time, you can sing a song like “Rub-a-dub-dub, it’s time for a scrub!” to make the experience engaging and language-rich.

6. Narrate Actions and Label Objects

Narrating actions involves describing what you or your child are doing in the moment. This could be anything from “You’re putting the blocks in the box” to “I’m washing your hair.” It helps children understand the connection between words and actions and enhances their vocabulary.

Tip for Parents: Label everyday objects around the house, like “This is a spoon” or “The dog is running.” The more words your child hears, the more likely they will begin using them themselves.

7. Reflect and Support Your Role

Early language development takes time and practice. As a parent, it’s essential to reflect on your child’s progress and feel confident in your role as their primary language facilitator. Incorporating the above strategies into everyday activities will help ensure steady development, but remember that every child develops at their own pace.

Tip for Parents: Keep a journal of your child’s language milestones and celebrate each step along the way. If you have any concerns, discuss them with a speech-language pathologist (SLP) for guidance and support.

How Carolina Therapy Connection Can Help with Early Language Development

At Carolina Therapy Connection, we specialize in early language development and offer programs designed to support parents and caregivers in nurturing their children’s communication skills. Our team of speech-language pathologists (SLPs) provides one-on-one coaching sessions and tailored guidance to help you implement effective language strategies in your everyday routines.

Whether through interactive activities, practical tips, or personalized support, we’re here to empower you as your child’s primary language facilitator. If you’re interested in learning more about Early Language Development and how we incorporate different treatment plans into therapy, including intensives, please feel free to contact us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

 

Baby Bootcamp (Birth-1 Year)

Baby Bootcamp: Enhancing Early Communication for Infants (Birth-1 Year)

The first year of a baby’s life is filled with remarkable growth and development, and one of the most important aspects of that development is language. Early communication lays the groundwork for future speech and language skills, which are essential for academic success, social interactions, and cognitive development. At Carolina Therapy Connection, we understand the importance of fostering a child’s communication skills from the very start, which is why we offer the Baby Bootcamp program.

 

What is Baby Bootcamp?

Baby Bootcamp is an intensive, parent-focused therapy program designed to support optimal language development during the first year of life, especially for babies with medical conditions that may impact their speech and language skills as they grow. This program equips parents with the knowledge and strategies they need to actively foster their child’s communication abilities, ensuring they build a strong foundation for future language growth.

The program is tailored to each baby’s unique developmental needs and provides parents with education, hands-on strategies, and daily coaching to help stimulate early communication. Led by skilled speech-language pathologists (SLPs), Baby Bootcamp focuses on creating a language-rich environment that encourages your baby’s natural communication development.

 

Key Strategies for Encouraging Early Communication

 

  1. Verbal Modeling: One of the core elements of Baby Bootcamp is frequent verbal modeling. This strategy involves regularly speaking to your baby, using simple words, phrases, and sentences. Parents are encouraged to narrate their day, describing what they are doing or what the baby is experiencing. This helps babies connect sounds with meaning and fosters language comprehension.
  2. Encouraging Babbling: Babbling is an important step in language development. During the program, SLPs guide parents on how to encourage their baby’s vocalizations through playful back-and-forth vocal exchanges. Engaging with your baby in this way helps promote the early stages of conversational turn-taking and strengthens your baby’s understanding of communication.
  3. Using Visual Supports & Gestures: Babies start to understand gestures and visual cues well before they can speak. Baby Bootcamp teaches parents to incorporate gestures and visual supports, such as pointing, waving, and showing pictures or objects, to enhance their baby’s understanding of language.
  4. Daily Routines as Learning Opportunities: Everyday activities such as diaper changes, feeding, and playtime provide excellent opportunities to build language skills. The program teaches parents how to integrate language-building activities into these daily routines, reinforcing joint attention (focusing on the same thing together) and encouraging early social interactions.

 

Milestone Tracking & Personalized Feedback

Baby Bootcamp includes milestone tracking, which allows parents to monitor their child’s progress and identify any areas that may need additional support. Through regular assessments and personalized feedback from SLPs, parents can better understand their baby’s unique needs and feel empowered to provide targeted language interventions.

 

Why Early Language Development Matters

The first year of life is a critical period for language development, and the foundation laid during this time can significantly impact future language and communication skills. Children who experience delays in communication during this stage may face challenges in speech, reading, and social interactions later in life. By focusing on early intervention and active participation, Baby Bootcamp ensures that parents are equipped to help their children reach their language milestones.

 

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, our team of experienced speech-language pathologists is dedicated to providing individualized therapy programs like Baby Bootcamp. Our therapists work closely with parents to provide education, personalized strategies, and ongoing support to ensure that each child’s language development is on track. If you have concerns about your baby’s communication skills, our Baby Bootcamp can provide the guidance you need.

If you’re interested in learning more about Baby Bootcamp and how we incorporate this approach into therapy, including intensives, please feel free to reach out to us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

 

Understanding Gestalt Language Processing: Helping Kids Communicate with Flexibility and Meaning

Exploring Gestalt Language Processing

Language is a powerful tool that helps us connect with others, express our needs, and understand the world around us. For many children, developing flexible and self-generated language can be a challenge. One way for individuals to produce language is called Gestalt Language Processing (GLP). This approach to language acquisition differs from what most people know to be “typical” language development but has the same ability to lead to meaningful and spontaneous communication.

 

What is Gestalt Language Processing?

Gestalt language processing is a way of learning language that focuses on whole phrases or “chunks” of language rather than starting with single words. These chunks, called gestalts, are often used by children in the early stages of language development. Think of them as full phrases/ sentences or expressions that children repeat or echo in the early stages of development. For example, a child might say a whole sentence like “I want to go outside” or “Can I have that?” without fully understanding all the parts of the sentence.

This development contrasts with the traditional, more analytic way of learning language, where children typically start by saying individual words, like “ball” or “want,” and gradually learn to combine them into longer sentences as they grow.

 

Why is Gestalt Language Processing Important?

Gestalt language processing is an entirely natural way to develop language, but it requires a different teaching approach for those gestalt language processors who need extra support. Many of these children may use echolalia, the repetition of words or phrases they hear, often without understanding the whole meaning behind them. For instance, they might repeat lines from a favorite TV show or mimic something they heard from a caregiver. This is a natural part of language development but sometimes leads to confusion about the meaning of what is being expressed. Gestalts often can not be taken literally. Instead, as communication partners, we must do the detective work to figure out what the individual is trying to communicate.

The goal is to help children move beyond echolalia, through the stages of gestalt language development, and begin using more self-generated language. Children are encouraged to mix and match gestalts, break them down into single words and two-word phrases, and develop their grammar skills, leading to more independent language use.

 

How Does Gestalt Language Processing Work?

The process involves several steps/ stages designed to help children understand the parts of language and how they fit together. Here’s how it works:

 

  • Delayed Echolalia: Children just beginning their journey to natural language acquisition need to learn more gestalts. Communication partners need to model a variety of natural language opportunities for the individual to echo. This helps to build their collection of available language.
  • Mitigation: The next stage requires individuals to mitigate, or mix and match, their available gestalts to make new ones. For example, a child might use the gestalts “let’s go to the park” and “take a ride in the car.” When mitigating, the child might combine these gestalts to create a new one, such as “Let’s go to the car”. 
  • Breaking Down Gestalts: The child’s echolalic scripts (the chunks of language they repeat) are carefully analyzed. Speech-language pathologists (SLPs), with the help of those who know the child best, will look at the phrases the child uses and help them break them down into smaller components such as single words or 2-word phrases such as “red car” or “park.” 
  • Building Self-Generated Communication: After the script is broken down, the child is guided to use these smaller parts in new, flexible ways. As the child progresses through the later stages of gestalt language development, the goal is to move from echoed phrases to self-generated language with appropriate grammar. 

 

SLPs model simplified language in natural settings. This means interacting with the child in everyday situations like playing, eating, or walking. The therapist might say things like, “I want the red ball” or “I’m going to the store,” and encourage the child to try these phrases independently. 

We also aim to help children develop the social and emotional skills to connect with others. As they learn new language skills, they also gain the ability to express themselves in ways that help them build relationships and regulate their emotions.

Caregivers play a crucial role in reinforcing these language skills outside of therapy. SLPs work with parents and caregivers to teach them strategies for encouraging natural language in everyday interactions, ensuring the child’s progress continues even when not in therapy.

 

Activities to Support Gestalt Language Processing

Activities that promote Gestalt language processing are designed to be fun and engaging for children. Here are a few examples:

  • Storytelling and Pretend Play: Pretend play allows children to use language in various ways and practice new phrases in different contexts. For example, a child might pretend to be a chef, saying, “I’m cooking dinner” or “I need help with the soup.”
  • Interactive Games: Games that encourage turn-taking and conversation, such as board or card games, help children practice using language spontaneously and flexibly.
  • Songs and Rhymes: Songs often include repetitive phrases that children can learn and then adapt to different situations, building their confidence and flexibility in communication.

 

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we understand children’s unique challenges in developing flexible, meaningful communication. Our team of experienced speech-language pathologists (SLPs) uses natural language acquisition techniques to help children progress through gestalt language development and develop functional, self-generated language skills.

We offer individualized therapy sessions tailored to your child’s needs. These sessions help your child build language skills through engaging and natural activities. Our team also works closely with parents and caregivers to ensure that the progress made in therapy continues in everyday interactions at home and in the community.

 

Understanding Speech Sound Disorders in Children: Helping Your Child Feel Understood

Understanding Speech Sound Disorders: Articulation and Phonological Challenges in Children

Speech sound disorders are characterized by difficulty producing clear and intelligible speech. They can manifest as difficulty producing specific sounds (articulation disorders) or broader patterns of sound errors (phonological disorders). Both conditions can hinder communication, affect self-esteem, and impact social interactions.

What Are Speech Sound Disorders?

Speech sound disorders encompass difficulties producing speech sounds correctly or organizing them according to the rules of language.

  • Articulation Disorders: These involve challenges in physically producing specific speech sounds. For example, a child might substitute “wabbit” for “rabbit” or omit sounds altogether, such as saying “ca” instead of “cat.”
  • Phonological Disorders: These refer to predictable patterns of errors affecting sound organization and usage. For instance, a child might consistently simplify sound clusters, saying “pane” instead of “plane.”

Both types of disorders can reduce speech intelligibility, making it hard for others to understand the child.

Examples of Common Speech Errors

Children with speech sound disorders may exhibit errors such as:

  • Substitutions: Replacing one sound with another, such as “fumb” for “thumb.”
  • Omissions: Leaving out a sound, such as saying “bu” for “blue.”
  • Distortions: Producing a sound inaccurately, such as a slushy “s” in place of a clear “s.”
  • Phonological Processes: Using error patterns like fronting (“tat” for “cat”) or cluster reduction (“top” for “stop”).

How Speech Therapy Can Help

At Carolina Therapy Connection, we offer evidence-based treatments tailored to each child’s unique needs. Our team addresses articulation and phonological issues, helping children speak more clearly and confidently.

Therapy Techniques

  • The Cycles Approach targets one phonological pattern at a time in a structured cycle to gradually improve multiple speech errors.
  • Minimal Pairs Therapy: Uses pairs of words like “bat” and “pat” to help children differentiate and produce distinct sounds.
  • Phonetic Placement Approach: Provides multimodal (visual, tactile, and verbal) prompts and cues to assist in articulator placement and movement.
  • Traditional Articulation Approach: Focuses on correctly producing specific sounds through repetition drills and guided practice.
  • Auditory Bombardment: Exposes children to repeated examples of correct sound use to help them internalize patterns.
  • Modeling and Recasting: Demonstrates accurate sound production and corrects errors naturally during conversation.
  • Shaping and Scaffolding: Gradually builds complex skills by starting with more straightforward tasks.

Generalization and Confidence Building

The ultimate goal of speech therapy is to help children generalize their improved skills to everyday interactions. This involves:

  • Practicing target sounds in real-life situations, such as reading aloud or engaging in conversations.
  • Providing home practice activities with parental involvement to reinforce progress.
  • Encouraging self-confidence as children experience success in communicating clearly.

Why Choose Carolina Therapy Connection?

At Carolina Therapy Connection, our licensed Speech-Language Pathologists (SLPs) are dedicated to helping children overcome the challenges of speech sound disorders. We create individualized therapy plans that address each child’s needs while working closely with families to ensure lasting progress.

With our evidence-based approaches, we aim to improve speech intelligibility, enhance communication, and foster self-esteem. If you’re interested in learning more about severe speech sound disorders and how we incorporate different treatment plans into therapy, including intensives, please get in touch with us to schedule an evaluation. You can also use this link to explore our pediatric intensive therapy services.

 

Why Does My Child Put Everything In Their Mouth?

What is Oral Sensory Seeking?

Oral Sensory Seeking is the constant desire or need for a child to place objects in or touch their mouth. Children who have an oral fixation usually feel the need to constantly chew or suck on something. Depending on the age of the child, this may or may not be appropriate. As a parent, this can be difficult to navigate, especially due to the risk of choking on small objects. We know it is impossible to have eyes on your child every minute and scary to feel like you need to keep everything picked up off the floor and out of reach at all times. The oral stage of development that happens from birth to 21 months involves an infant’s pleasure center being focused on the mouth and lips, which are used for sucking and feeding. This is the age when the infant puts everything in the mouth—from hands, fingers, wrists, toys, pacifiers, clothing, blankets … just about anything within hands reach. One of the first prominent objects the baby’s mouth becomes accustomed to is a mother’s breast, for milk. In this blog, we will explore some of the reasons why your child may continue seeking additional oral sensory needs when it is no longer age-appropriate and activities to help them with this behavior.

What are Oral Sensory Seeking Behaviors?

When a child chews, mouths, sucks, or bites non-edible objects and/or edible objects frequently, we will call this an oral sensory seeking behavior. It can also involve harmful behaviors like biting. Some children who are seeking out oral and tactile (touch) sensory input will bite parts of their body, such as the arms, legs, feet and hands. Although oral seeking behavior can help children regulate their bodies and emotions at times, it can also prevent children’s learning if the child is constantly looking for objects to put in their mouth, or cause harm when they bite or suck on themselves. If children are distracted by finding objects or fixated on this behavior, it can affect their ability to focus at school or on an activity at hand.

Here is a list of common oral sensory seeking behaviors:

  • Excessive or frequent licking and/or chewing of random objects or toys
  • Excessive or frequent chewing of soft items or clothing (shirt sleeves, bed sheets, blankets, stuffed animals)
  • Biting toys or people, especially when unprovoked or when overly excited
  • Chewing the inside of the cheeks or biting/sucking on lip
  • Biting nails
  • Grinding teeth
  • Stuffing mouth with food or holding food in mouth for a long period of time
  • Drooling or spitting purposefully

How Can I Help My Child With Oral Sensory Behaviors?

Although there are a variety of ways to provide oral sensory input to children in a safe way and to replace oral sensory behaviors.. no child is the same when it comes to the solution. Our occupational therapists at Carolina Therapy Connection recommend that you experiment with these activities as part of your child’s sensory diet and notice what tends to calm, alert, and/or regulate them.

Create a FREE sensory diet with this template from “Your Kids Table” HERE!

Oral Sensory Seeking – Chewing Activities

  • Chewing crunchy foods, chewy foods, gum etc.
  • Use a chewy jewelry or other sensory chew toys

  • Vibrating chew toys (for kiddos who need that extra sensory input!)

Various Activities for Sensory Input

  • Blowing bubbles or blowing up balloons
  • Suck on sour candies, lollipops, ice cubes, etc.
  • Clicking tongue
  • Drink various textures through a straw (apple cause, milkshakes, yogurt, pudding, etc.)
  • Whistles, party blowers, kazoos, harmonicas, pinwheels etc.
  • Make a bubble mountains with dish soap and water

Bubbles Oral Motor Activities

How can Carolina Therapy Connection help?

Occupational therapy addresses any barriers that affect someone’s physical, mental and emotional wellbeing, which includes sensory integration difficulties. Sensory integration refers to how your body recognizes, processes, and responds to information received by our sensory systems on an individual and combined level.This includes our traditional 5 senses, sight, touch, taste, smell, and hearing; however, we also have proprioceptive and vestibular sensory systems. Often times, oral sensory processing or seeking difficulties are paired with other sensory system difficulties. Occupational therapists use sensory integration therapy by exposing a child to sensory stimulation in a structured and organized way. The goal of sensory integration therapy is to adapt the child’s brain and nervous system to process sensory information more efficiently.

At Carolina Therapy Connection, we offer Sensory Integration Therapy and play-based treatment intervention that is specifically designed to stimulate and challenge all of the senses. Sensory Integration involves specific sensory activities (swinging, bouncing, brushing, providing oral sensory input and more) that are intended to help your child regulate his or her response to incoming sensory input. The outcome of these activities may be better focus and attention, improved behavior, and even lowered anxiety. Our therapists may work on  lowering a patient’s negative reactions to touch, help them become better aware of their body in space, and work on their ability to manage their bodies more appropriately (run and jump when it’s time to run and jump, sit and focus when it’s time to sit and focus, etc.).

Our occupational therapists will complete an initial evaluation to become familiar with your child’s strengths, weaknesses and daily routine. Following the evaluation, they will create an individualized treatment plan and goals to address any concerns with development. We take pride in making therapy enjoyable and fun for your child, so that they can be motivated to live their life to their greatest potential. If you are interested in a FREE occupational therapy screening in the Greenville, Goldsboro, or New Bern, NC areas, call us at (252) 341-9944.

Why does my child put everything in their mouth? Carolina Therapy Connection

Mealtime Tips For Your Picky Eater

Why Is Mealtime So Important For Children?

The 3 most important things for humans to survive is: food, water and oxygen. For some parents, the concern for their kiddos health and well-being becomes heightened when they notice their kiddo isn’t eating as much food or as many types of foods as they may have at one time. Some kiddos who are referred to Occupational Therapy are considered “Picky Eaters” and others may be referred to as a “Problem Feeder”. We all know a picky eater. This is a person/kiddo who has at least 30 foods in their repertoire. Whereas a “Problem Feeder” is a person/kiddo who has less than 20 foods in their repertoire. There are many reasons this could happen such as trauma, sensory related challenges, anxiety, behavioral challenges, and more. As Occupational Therapists, we are trained to assist these kiddos by addressing these challenges which can increase their tolerance for trying new foods! Keep reading to learn more picky eater tips we have below!

So why is MEALTIME so important to assist with this?

One of the first things we will ask as OTRs or COTAs is “What does mealtime look like at home?” Some parents may say, 

“We all sit down as a family every night for dinner but we are busy or gone for breakfast and lunch”, “We are so busy that we are lucky to eat all at the same time”, or “(The child) eats all day but won’t eat the food I cook at dinner”. Of course these are just examples, but can you relate to any of them? It’s a possibility! 

Asking about mealtimes is very important to your therapist because this gives us an idea of how your child eats during the day. Kiddos need fuel to keep their bodies going. However, WHAT they are taking in and HOW/WHEN they are taking it in will make a huge difference in behavior, attention, ability to process/retain information and regulate emotions/emotional responses. To give you an idea of why the “what”, “how” and “when” are so important, I’ll follow up on the questions above.

1. “We all sit down as a family every night for dinner but we are busy or gone for breakfast and lunch”

This could be a beneficial time to incorporate feeding techniques and build interest in the foods around the table. Interest always comes before action. A child must first be interested in the food before they will interact with it. This is one reason that mealtime is so important for kiddos. It can be an opportunity to build interest in various smells, sights, and textures of foods provided by parents in a supportive and positive manner.

2. “We are so busy that we are lucky to eat all at the same time”

How can you work your schedule to have a least one meal together every other day? We understand that this busy world requires busy people to keep it going. However, when you are overwhelmed and exhausted your child may pick up on that. Children are very intuitive. Incorporating as many mealtimes as possible may assist with parent/child interaction and decreasing anxiety and overwhelming emotions in adults which can in turn make eating less stressful for a “picky eater”.

3. “(The child) eats all day but won’t eat the food I cook at dinner”

Grazing is when a kiddo eating little snacks all throughout the day. Have you ever seen a child leave a snack on the table, go play for 30 minutes, then return to finish the snack? If your child is doing this all day, it may explain why they are not eating at mealtimes. Typically, the brain lets us know when we need to refuel because the digestive system sends signals saying, “I’m empty in here!”. When grazing, a child’s brain will begin to have a hard time distinguishing when the child is hungry due to constantly having food in the digestive system. This can effect metabolism and the ability to regulate hunger. When given mealtimes, the body has time to regulate, digest and filter out what it needs for fuel. Additionally, if given processed snacks that are high in sugar or carbohydrates throughout the day, the body will begin to crave them. This can create a difficult loop to break when introducing thing like vegetables, meats and some fruits. Positive interactions at mealtimes can assist with parent/child interactions, lowering anxiety and stress levels, giving the child’s body time to process what it needs for fuel and providing learning opportunities for the sensory system. This can be a major changing factor in how your child engages with food! 

Additional Mealtime Picky Eater Tips

Picky Eater Tips #1: Don’t force foods on children

As parents, we want our children to eat a variety of foods, including vegetables, fruits and other healthy snacks to help them grow to be strong and healthy. Studies show that forcing a child to sit and eat until they have cleared their entire plate is not the best method for achieving this goal. Instead, parents should promote foods that may have not been a hit the first time around. You can model this yourself by trying a food you haven’t liked in the past, and explain that you’re giving it another chance because your tastes may have changed. We want to show kids that we are adaptable. Remember: It can take as many as 10 or more times tasting a food before a toddler’s taste buds accept it. 

Picky Eater Tips #2: Get Creative With Food Bingo

You can also put together a list of new foods for the family to try and make a game out of it—what will we try tonight? You can make it interactive and fun by doing something creative like Food Bingo. There are many free printable online similar to the image shown below. You can even make your own! Hang it on the fridge and have your child place a sticker or check off the new foods they have tried. You can even add in a reward for them getting “bingo” – a trip to their favorite place, a new toy, a play date, or something else they really enjoy!

Food Bingo

Picky Eater Tips #3: Don’t Make a Second Meal

When you serve a meal to your family and your kiddo refuses to eat it, we recommend having simple and consistent back up options, such as yogurt, a cheese, nut & fruit snack pack, apple sauce, cereal etc. It’s important for children to know that if they can not eat the meal you have prepared, they will receive the standard option – rather than the usual chicken nuggets baked quickly in the oven. We should also teach kids that a meal isn’t ruined if it comes in contact with something they don’t like. Finding an unwanted pickle on your cheeseburger will not contaminate it. Children should be encouraged to push food they don’t like off to the side, or onto another plate, or offer to share it with someone else.

Picky Eater Tips #4: Involve Your Kiddo in the Meal Prep Process

Some cooking tasks are perfect for toddlers and small children (with supervision, of course): sifting, stirring, counting ingredients, picking fresh herbs from a garden or windowsill, and “painting” on cooking oil with a pastry brush. Allowing our children to interact with the foods they are going to eat will help to promote and encourage them to try it!

Picky Eater Tips #5: Food Chaining

Once your kiddo tries a new food and that food is accepted, use what one our Occupational Therapist’s favorite pickle eater tips call “food chaining” to introduce others with similar color, flavor and texture to help expand variety in what your child will eat. Children with sensory concerns have difficulty with leaping from the types of food they are willing/able to eat. Food chaining builds a bridge to get to those foods you really want your child to eat one step at a time through links to food they’re already eating. Examples include:

  • If your child likes pumpkin pie, for example, try mashed sweet potatoes and then mashed carrots.
  • If your child loves pretzels, try veggie straws next, and then move on to baby carrots or carrot sticks. Carrots are hard, crunchy, and stick shaped, but are cold and have a different taste.
  • If your child loves French Fries, then give a try to Zucchini fries.
  • Move from cookies to Fig Newtons, to jam toast, to jam sandwich, to bread with sliced strawberries, and lastly to fresh strawberries
  • If chicken nuggets are the fan favorite, try to first change the brand of nuggets, then move to homemade chicken nuggets, then to homemade tenders, and lastly to a baked chicken breast.
  • Maybe your kiddo love goldfish crackers. Next give Cheeze Itz a try, and then move on to saltine crackers, and lastly to saltines with cheese slices.

How Can Carolina Therapy Connection Help?

In addition to utilizing the tips above at home, we know that sometimes children need an extra push to expand their food repertoire. At Carolina Therapy Connection, our occupational and speech therapists provide feeding therapy that uses a collaborative approach to work closely with you and your child to determine the source of a child’s feeding difficulties, and develop specific intervention plans to make the entire eating process easier and more enjoyable. Often times, feeding therapy happens on a weekly basis and may consist of working on difficulty with trying new foods, chewing, swallowing, sensory issues, irritability at meal time and so much more. Our goals are to broaden your child’s scope of foods, teach them the benefits of healthy eating, and develop oral motor skills needed for optimal growth and nutrition.

Our Occupational Therapists take a sensory-based feeding approach to therapy.  They focus on: oral motor skills, sensory sensitivities, progressing through food textures, and using adaptive equipment and tools to develop self-feeding skills. They also use a process called food chaining, which is a child-friendly treatment approach that helps introduce new foods while building on the child’s past successful eating experiences. In this process, the child is presented with new foods that may be similar in taste, temperature, or texture to foods the child already likes and accepts. Our occupational therapists are certified in the SOS Feeding Approach, a nationally and internationally recognized approach for assessing and treating children with feeding difficulties.

Our feeding therapists have 15-20 years of experience with children of all ages and a variety of feeding disorders. They have certifications in SOS and AEIOU approaches and significant training from around the country on feeding approaches, treatment strategies, and focused plans. We also having consistent collaboration with other professionals in the community to guarantee the best care. Call our clinic at 252-341-9944 for a free phone screening with one of our feeding therapists and schedule an evaluation today!

Blog Written By: Shelby Godwin, COTA/L, AC & Morgan Foster, MS, OTR/L

 

Transitioning from Bottle to Cup

When should my child transition from their bottle to a regular cup?

It’s time to transition off the bottle! The American Academy of Pediatrics recommends transitioning from a bottle to a cup when your baby is about 15 months old. You might think it is time for those adorable sippy cups! BUT, current research is clear, and many therapists are recommending skipping the sippy cup altogether and moving straight to an open cup or a straw cup.

Many parents decide to use a sippy cup because they think that’s what they are supposed to do. Sippy cups were not designed as a tool for proper oral motor and feeding development, but instead were created to keep the carpets clean! The occasional use of a sippy cup is nothing to worry about, as it can be great for those long car rides and times where cleanliness matters. It is important to note that if your child has a medical reason to use a sippy cup, follow your pediatricians recommendations (i.e. some children require a valved sippy cup for safety). Despite the convenience of a sippy cup, parents should be aware that it is easy to become dependent on anything that makes life less messy, so when it’s possible to bring out the regular cup or straw, do it!

Why should I skip the sippy cup?

At only 12 months of age, your baby is developing a more mature adult-like swallow pattern! As opposed to the anterior-posterior suckle pattern infants use with a bottle, at only a year old, the tongue begins to stay in place or even move backward and rise while pressing on the alveolar ridge (the hard, ridged spot just behind the front teeth). The tongue will rise, push, and propel the food backwards! When your little one drinks from a bottle or a sippy cup, the spout prevents their tongue tip from elevating, often forcing the tongue down or requiring them to stick their tongue out in order to drink. If the tongue doesn’t rise to the alveolar ridge at rest and when swallowing, the brain creates a habit to keep the tongue on the floor of the mouth. This can contribute to oral motor weakness, and an impaired oral phase of the swallow.

According to the American Speech-Language and Hearing Association, when the tongue sits low in the mouth it often forces the mouth to rest in an open position, which leads to mouth-breathing instead of your little one breathing through their nose. Long-term use of a bottle or sippy cup may also lead to dental concerns. The immature pattern of an anterior tongue thrust during the swallow increases the risk of pushing their teeth forward and creating a dental malocclusion. The tongue, lips, cheeks, and jaw all play important roles in both articulation of speech sounds and eating, and little ones with weaker oral motor skills may be at increased risk for a speech sound delay.

What are the benefits of using a regular cup or straw?

  • Open cups and straw cups help build normal movements in oral musculature.
  • Using a straw helps your child develop lip, cheek and tongue strength.
  • Open cups provide practice using the mature pattern of swallowing that will allow your child to safely drink and eat.
  • Straw drinking supports a child’s early articulation of speech sounds.
  • Regular cups and straws encourage proper breathing patterns and prevent mouth breathing.

What’s the best way to make the transition from the bottle to a cup?

When beginning to make the transition from a bottle to a straw cup or regular cup, it’s important to start small! This process can take time and it’s important to know it won’t happen overnight.

  • Start by introducing an open cup at mealtimes. You can hold the cup for your child to sip from the side of the rim to get them comfortable.
  • A great straw sipping cup is the Talk tools Honey Bear Straw Cup, which allows your child to squeeze the bottle so they can get comfortable with using a straw to start out with.
  • Offer both straw cups and open cups to allow for comfort with various drinking cups.
  • Use a weighted straw cup, which is spill-proof and allows a child to drink from any angle!

How can Carolina Therapy Connection help?

Your child may need speech therapy if they have difficulty with speech/articulation (pronouncing sounds or words) or using words to communicate. Because the muscles and structures used for speech (such as lips, tongue, teeth, palate and throat) are also used in drinking and eating, a speech and language pathologist may also help with feeding, drinking and swallowing difficulties, also known as dysphagia.

While using a sippy cup does not necessarily mean your child will need speech therapy, it’s considered best to encourage oral motor development by using open cups or straw cups at home! Ditch those sippy cups, and check out the spill-proof options for open cups and straw cups they make these days! Spill-proof….now that’s a concept we can ALL get behind!

As always, if you have any questions about your child development, call our clinic at 252-341-9944 to speak with one of our speech-language pathologists!

 

Written by: Ashley R. Holloway, MS, CCC-SLP

Ashley Holloway SLP Greenville NC Carolina Therapy Connection

 

Transitioning from a bottle to a cup Carolina Therapy Connection Greenville, Goldsboro, New Bern North Carolina