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How Occupational Therapy Supports School Readiness Skills for Children

School Readiness Skills and How Occupational Therapy Can Help

As your child prepares to enter school, it’s important to ensure they have developed key skills that will set them up for success in the classroom. While most people think of academic skills first, school readiness encompasses much more. It involves a combination of physical, social, emotional, and cognitive skills that enable children to interact with their environment, communicate with others, and perform tasks independently. Occupational Therapy plays a critical role in helping children develop these skills, ensuring they are ready to thrive in the school environment.

What Are School Readiness Skills?

School readiness skills are the foundation children need to succeed in school and beyond. These skills can range in areas, including:

  1. Motor Skills: Physical abilities needed for tasks like holding a pencil, cutting with scissors, and using a computer.
  2. Cognitive Skills: Problem-solving, memory, attention, and following multi step instructions.
  3. Self-regulation: The ability to control emotions, focus attention, and manage impulses.
  4. Social Skills: Communication, cooperation, and forming friendships with peers.
  5. Independence: Being able to complete tasks like dressing, feeding, and using the bathroom independently.

While children often develop many of these skills through everyday experiences and play, sometimes we may need more support in certain areas. This is where occupational therapy can HELP!

How Occupational Therapy Supports School Readiness Skills

Occupational therapy focuses on helping children develop the skills needed to function independently and participate in daily activities. For school readiness, an OT can address a variety of skills, ranging from fine motor skills to emotional regulation.

1. Fine Motor Skills:

Fine motor skills are essential for performing tasks like writing, cutting with scissors, and manipulating small objects. These skills involve the small muscles in the hands, fingers, and wrists.

How OT helps:

  • Handwriting: Occupational therapists can work on grip strength, pencil control, grasp, and letter formation.
  • Cutting: Through activities that strengthen hand muscles, incorporate bilateral hand use, and improve coordination, OTs can help children use scissors effectively.
  • Manipulating Objects: Simple activities, such as stacking blocks, buttoning shirts, or zipping jackets, can be incorporated into therapy to improve finger dexterity.

2. Sensory Processing:

Children who have difficulty processing sensory information (sounds, lights, textures, smells) may find it challenging to focus in a busy classroom environment.

How OT helps:

  • Sensory Integration: Through specialized activities, an OT can help children learn to cope with sensory overload or under-sensitivity. For example, children might engage in tactile play, use fidget toys, or participate in calming sensory breaks.
  • Self-regulation: OT teaches strategies like deep breathing, stretching, and muscle relaxation to help children manage their responses to stress or overstimulation.

4. Social and Communication Skills:

School readiness isn’t just about physical skills—it’s also about being able to communicate, share, and work with others. Children must learn to understand social cues, follow directions, and engage with their peers.

How OT helps:

  • Social Interaction: Occupational therapists use role-playing, peer play,  and social stories to help children practice sharing, taking turns, and understanding facial expressions.
  • Cooperative Play: Children can engage in group activities that promote teamwork, turn-taking, and appropriate communication.
  • Following Instructions: Through structured activities, OTs can help children develop the ability to listen, understand, and follow multi-step instructions.

5. Self-Care Skills:

One often-overlooked area of school readiness is the ability to perform daily tasks independently, such as dressing, eating, and toileting.

How OT helps:

  • Dressing: Occupational therapists can break down the steps needed to put on and take off clothes, teaching children how to button, zip, or tie shoes.
  • Feeding: They can work with children to develop the skills necessary for using utensils, managing snacks, and opening lunchboxes.
  • Toileting: OT helps children develop the independence to use the bathroom and practice hygiene routines like handwashing.

6. Attention and Focus:

A critical skill for school success is the ability to focus and pay attention during class activities.

How OT helps:

  • Improved Focus: OTs use games and activities that challenge attention, helping children learn to stay on task for longer periods.
  • Task Completion: Children learn how to break down tasks into manageable steps and practice following through until the task is completed.
  • Transitioning Between Activities: OTs help children practice switching from one activity to another smoothly, such as moving from recess to classroom work.

How to Get Started with Occupational Therapy for School Readiness

School readiness is more than just knowing the alphabet or counting to ten—it’s about developing the physical, social, emotional, and cognitive skills that will help children thrive in a classroom environment. Occupational therapy can support children in developing the motor skills, self-regulation, social abilities, and independence they need to succeed. If you’re concerned about your child’s readiness for school, working with an OT can provide valuable support and make the transition smoother.

If you’re concerned about your child’s school readiness skills, occupational therapy might be the solution. Call us today at 252-341-9944 to get started.

Shocking Truth: Why Kids Can’t Hold Pencils Anymore!

Fine motor skills are getting worse in kids today. More and more children struggle to hold pencils, use scissors, or even tie their shoes. According to a recent report from Art-K, 77% of teachers say that fine motor skills are harder for students now than just a few years ago. So, what’s causing this decline? And more importantly, what can parents do to help?

Carolina Therapy Connection specializes in helping children in Greenville, New Bern, Morehead City, and Goldsboro, NC, develop the skills they need to succeed. Our occupational therapy (OT) services focus on fine motor development, handwriting, coordination, and self-care skills to give kids confidence and independence.

Why Are Kids Losing Fine Motor Skills?

Experts point to several key reasons why fine motor skills are declining:

1. Too Much Screen Time

Instead of playing with toys, coloring, or building with blocks, many children spend hours swiping and tapping on screens. This doesn’t give their hands the same strength-building practice as traditional play.

2. Less Hands-On Learning

Many children aren’t getting enough time to practice holding crayons, cutting with scissors, or playing with small objects. Fewer opportunities for these activities can make school tasks much harder.

3. Not Enough Outdoor Play

Running, climbing, digging, and playing outside help strengthen a child’s hands and improve coordination. But many kids today spend less time outdoors, limiting natural muscle development.

4. Clothing and Snack Changes

Modern clothing and food packaging have made life easier but have also reduced everyday fine motor practice. Elastic waistbands replace buttons and zippers, Velcro shoes replace laces, and pre-packaged snacks mean kids don’t open containers or use utensils as much as before.

Simple Ways Parents Can Help at Home

The good news? You can help your child strengthen their fine motor skills with easy, fun activities at home! Here are simple, practical steps to get started:

1. Encourage Daily Fine Motor Play

Fine motor skills develop best through play. Try these activities:

  • Play-Doh and Clay – Let kids roll, pinch, and shape clay to build hand strength.
  • Puzzles and Bead Threading – These boost coordination and dexterity.
  • Lacing Cards or Sewing Projects – Great for developing control and finger strength.
  • Scissor Skills – Have kids cut paper, old magazines, or even straws for fun crafts.

2. Get Kids Involved in Everyday Tasks

Let your child help with activities that naturally build fine motor skills, such as:

  • Cooking Together – Stirring, pouring, kneading dough, and peeling fruit strengthen hands.
  • Self-Care Tasks – Encourage kids to button shirts, zip jackets, and tie shoelaces.
  • Household Chores – Folding laundry, wiping tables, and opening containers all help build fine motor strength.

3. Limit Screen Time and Increase Hands-On Activities

Try implementing screen-free times, especially before and after school. Instead, encourage activities like:

  • Drawing and Coloring – A fun way to develop pencil grip and hand control.
  • Playing with Blocks and LEGOs – Helps strengthen little fingers and improve problem-solving skills.
  • Outdoor Play – Let kids dig in the dirt, climb, and collect small objects like acorns or leaves.

4. Make Handwriting Practice Fun

If your child struggles with handwriting, avoid frustration by making it engaging and low-pressure:

  • Use a Sand or Rice Tray – Have kids practice letters by tracing them with their fingers.
  • Write on a Chalkboard or Whiteboard – This builds wrist and hand strength.
  • Try Special Handwriting Tools – Use thicker pencils, grips, or markers for better control.
  • Turn Writing into a Game – Write letters in shaving cream or use sidewalk chalk outside.
  • Use Fun Sensory Feedback– Using all of your senses increases learning. Think smell, sounds, and textures.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, our occupational therapists use fun, play-based techniques to improve fine motor skills. We help kids in Greenville, New Bern, Morehead City, and Goldsboro, NC with:

  • Hand Strength Training – Using squeeze toys, tweezers, and resistance exercises.
  • Coordination Development – Working on scissor use, handwriting, and using both hands together.
  • Self-Care Skills – Teaching kids to tie shoes, button clothes, and use utensils confidently.
  • Handwriting Support – Helping kids develop a firm pencil grip and letter formation skills.

When Should You Seek Help?

If your child:

  • Struggles with holding a pencil or writing legibly
  • Has trouble using scissors or fastening buttons
  • Avoids activities that require hand coordination
  • Seems behind peers in self-care tasks

… they may benefit from occupational therapy.

Contact us today at Carolina Therapy Connection to learn how our team can help your child build stronger hands and gain confidence in everyday tasks!

 

 

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!

 

Top Toys for Christmas 2024: Gift Ideas that Spark Joy and Learning!

Get ready for a holiday season filled with joy and excitement! 

Christmas is just around the corner, and that means it’s time to start thinking about the perfect toys for the little ones in your life. Toys aren’t just about fun; they’re a gateway to imagination, creativity, and developing skills. Toys play a powerful role in child development by enhancing a wide range of skills in fun and engaging ways. 

Cognitive Development Toys: Best Picks for Christmas that Boost Brainpower

Puzzles, building blocks, and educational games help kids practice problem-solving, spatial awareness, and logical thinking. Toys that encourage sorting, matching, or memory exercises also boost cognitive abilities.

 

Toys for Fine and Gross Motor Skills: Top Christmas Gifts for Active Play

Toys that involve grasping, stacking, and balancing—like blocks, action figures, and ride-ons—help improve fine and gross motor skills. These activities strengthen muscle control, coordination, and agility.

 

Best Social and Emotional Development Toys for Christmas 2024

Toys that encourage sharing, turn-taking, or role-play—such as dolls, board games, and pretend-play sets—allow kids to practice empathy, teamwork, and communication. These experiences are essential for social and emotional development.

 

Toys to Foster Language and Communication Skills This Christmas

Reading toys, storytelling sets, and interactive games with audio components help expand vocabulary and encourage communication. Toys that prompt children to describe, ask questions, or follow instructions further support language development.

 

Top Toys for Creativity and Imagination: Christmas Gifts for Young Innovators

Open-ended toys, like art supplies, dress-up costumes, and pretend-play sets, allow kids to explore their imaginations freely. This fosters creativity, self-expression, and cognitive flexibility, all of which are essential for innovative thinking.

 

Emotional Development Toys: Christmas Ideas for Nurturing Empathy and Self-Expression

Through imaginative play, children process emotions, practice self-regulation, and learn to empathize with others. Toys that mimic real-life scenarios, such as dolls or play kitchens, provide a safe space for emotional expression and exploration.

 

Your Ultimate Guide to the Best Christmas Toys for Every Age and Interest

Bring joy to your holiday season with toys kids will love! From educational building sets to group game boards and sensory fidgets, our toy recommendation has something special for every age and interest. 

 

How Can Carolina Therapy Help?

At Carolina Therapy, we’re here to make your holiday shopping easier with an amazing list of toys and games recommended by our experienced therapists. Our team has carefully curated options for all ages, designed to support development, encourage creativity, and bring endless joy to playtime. Check out our Amazon storefront to find the best toys for this Christmas season—each chosen to help children grow, learn, and thrive!

 

Handwriting Ideas to Take Homework from Boring to FUN! 

Teaching kids handwriting is an essential skill that sets them up for success in school and beyond.

Here are some tips to make handwriting practice fun and effective for children: 

Start with the Basics:

  • Begin by teaching them how to hold a pencil properly. Make sure they grip it comfortably but firmly. 
  • Use Large Lines: Provide paper with large lines to help them understand the proportions of letters. You can find special handwritten papers with guidelines specifically for this purpose. 
  • Practice Letter Formation: Start with uppercase letters and then move on to lowercase. Demonstrate how each letter is formed and encourage them to mimic your movements. 
  • Repetition: Handwriting improves with practice. Encourage kids to practice writing letters and words regularly. You can make it more engaging by turning it into a game or challenge. 
  • Use Multisensory Approaches: Incorporate different senses into handwriting practice. For example, tracing letters in sand or shaving cream can provide tactile feedback that reinforces learning. 
  • Provide Positive Feedback: Praise their efforts and progress. Positive reinforcement can boost their confidence and motivation to continue practicing. 
  • Set Realistic Goals: Set achievable goals for improvement and celebrate their milestones along the way. 
  • Be Patient: Remember that learning handwriting takes time and patience. Encourage persistence and provide support when they feel frustrated. 

Making handwriting practice fun for kids can encourage them to engage with the activity more eagerly when writing isn’t so easy. Here are some creative and fun ideas to make handwriting more fun: 

  • Write with Different Materials: Encourage kids to write on a chalkboard with different materials, such as colored pencils, gel pens, markers, or chalk. 
  • Rainbow Writing: Have kids trace over letters or words multiple times using different colored pencils or markers.
  • Letter Hunt: Create a scavenger hunt where kids search for letters in books, magazines, or around the house. Once they find a letter, they can write it down! 
  • Write a Story: Encourage kids to write a short story or a letter to a friend or family member. 
  • Write on Unconventional Surfaces: Let kids write on unconventional surfaces such as a large whiteboard, a window with washable markers, or even with their fingers in sand or shaving cream. 
  • Handwriting Games: Incorporate games into handwriting practice, such as Hangman, Tic-Tac-Toe, or Bingo, using words or letters. 
  • Decorate Letters: After writing a letter or word, encourage kids to decorate it with doodles, stickers, or drawings related to the word. 
  • Write Secret Messages: Have kids write secret messages to each other using a white crayon on white paper. When they’re done writing, they can reveal the messages by painting over it with watercolors. 
  • Create Handwriting Challenges: Set up fun handwriting challenges such as writing the alphabet backward, writing with their non-dominant hand, or writing as neatly and as quickly as possible. 

How can Carolina Therapy Connection help with kids’ handwriting skills?

If your kiddo is having difficulty with handwriting, an Occupational Therapist at CTC can help! Whether it be because your kiddo doesn’t attend well due to finding handwriting boring, finds difficulty with the visual perceptual and visual motor skills necessary to orient and place the words on the line, or because of decreased strength making it hard to apply the right amount of pressure, an Occupational Therapist can determine strategies to make it easier for your child to enjoy handwriting! 

By: Shelby Godwin, COTA/L, AC

 

Best Toys for Kids with Autism as Recommended by Therapists

Sensory Friendly Toys that Don’t Involve Electronics

Welcome to our exploration of the beautiful world of toys uniquely crafted for children with autism. Selecting toys for kids with autism involves a delicate dance between understanding sensory needs, promoting skill development, and, most importantly, ensuring hours of joy and engagement. In this blog, we’ll delve into a curated list of favorite toys that cater to the diverse interests and preferences of children with autism.

 

Sensory Toys: A Symphony of Textures and Colors:

 

 

Cause-and-Effect Wonders:

 

 

Educational Gems:

  • Puzzles: Offering a mix of challenge and satisfaction, puzzles contribute to cognitive development and problem-solving skills.
  • Building Blocks: The timeless joy of building and creating, these blocks encourage imaginative play and enhance fine motor skills.

 

Calming Oasis:

  • Weighted Blankets: Not exactly a toy, but a soothing addition to any space, providing comfort and a sense of security.

 

 

Communication and Social Play:

 

  • Board Games: Structured play with clear rules, board games provide a fun way to learn social interaction and turn-taking.

 

Outdoor Adventures:

 

 

Artistic Expression:

  • Playdough Fun: The joy of squishing, molding, and creating with playdough offers a satisfying tactile experience.
  • Markers and Crayons: Encouraging creativity, drawing, and coloring provide an expressive outlet for children with autism.

 

Choosing toys for kids with autism is a personalized journey that requires attention to individual preferences and needs. The toys mentioned above are just a glimpse into the vast array of options available, each offering a unique way to engage, inspire, and bring joy to children on the autism spectrum. As you embark on this exploration, remember to observe, communicate, and, most importantly, have fun discovering the perfect toys for your child’s unique world.  Check out our specially curated Amazon Storefront for more toy suggestions!

 

Does My Child Have Dyslexia?

What is Dyslexia?

Dyslexia targets about 15-20% of our population! Most of us may not even know we are dyslexic. We could continue our lives undiagnosed and seek little to no help with this problem. Many people with Dyslexia that have been evaluated struggle with academics, self-esteem, and most importantly, they struggle with reading/writing within their own home and in the school environment. Many adults with this diagnosis have difficulties with finding or obtaining employment and causes them to lose self-confidence. Dyslexia is a type of learning disability, specifically reading, but not to be compared with low intelligence. There are many types of disabilities that involve learning, but dyslexia meaning is more in-depth of someone having issues with learning to read, although they are most likely educated enough to learn when want to learn. 

What are the symptoms of dyslexia before and at school age?

When it comes to signs of Dyslexia, it can be difficult to visually see a child’s symptoms before they reach a certain age or start going to school. There’s a high chance that the child’s educator will notice an issue before the caregiver. 

Here are some signs of Dyslexia:

  • The child will have difficulties with letter reversals; (b and d) and/or word reversals (was and saw).
  • Your child could be a late talker.
  • Problems processing and understanding what is heard
  • The child may have difficulties with reading aloud and learning new words and an age-appropriate pace; the child may avoid activities that involve reading
  • The child may mispronounce words; or form words incorrectly, such as reversing sounds in words or confusing words that sound alike.
  • The child may have trouble with rhyming words and remembering nursery rhymes
  • Difficulties with math word problems.
  • Difficulties with understanding jokes, punchlines, sarcasm, and inferences.
  • Your child may have difficulties with following a written outline of directions or telling directions.
  • Difficulties with spelling, learning to read, and recalling names or words.

What Causes Dyslexia? 

Dyslexia is not a disease. It is a neurological condition caused by the way the brain is wired up enabling reading and writing causing the individual to result in utilizing coping strategies to adapt to normal environments. Studies show that an individual born with this condition are neither more nor less intelligent than the general population. Research has shown that dyslexia is one of the most common inherited neurological disorders an individual is born with. Even though it affects how the brain processes reading and language, most children have average or above-average intelligence; therefore, work extremely hard to achieve and overcome their reading problems.

What should you do if you suspect or if your child has Dyslexia?

Have a conversation with your healthcare provider and discuss your child’s reading level if you or his/her teacher notice a below-level reading status for your child’s age or if you notice other signs of dyslexia. Fortunately, with the proper assistance, most kids who are dyslexic can learn to read and develop strategies that allow them to stay in the regular classroom. If you suspect you or your child may be dyslexic, early detection and evaluation to determine specific needs and appropriate treatment can improve success. In many cases, treatment can help children become competent readers. It’s important to set an example and support your child with goals that are attainable. Show your child that reading can be enjoyable.

Set Goals for yourself and the child:

  • As a parent, you should play a key role in helping your child succeed. 
  • You can assist your child by reading aloud to them while they are young, then transition to reading together when they’re old enough. 
  • You can also listen to recorded books with your child. 
  • Collaborate with your child’s educator. 
  • Engaged in creating a schedule for reading time. 

How can Occupational Therapy help?

Pediatric occupational therapists and certified occupational therapy assistants can encourage children to participate in meaningful tasks within the school and home environments. Therapists can assist in managing dyslexia and assist in increasing children’s confidence and participation in reading and writing tasks. Occupational therapy for kiddos really focuses on building confidence and implementing client-centered care for the child and their families. OT’s can provide strategies for home and school such as: 

  • Implementing multi-sensory approaches – using other senses to approach learning such as seeing, listening, doing, and speaking).
  • Visual prompts: Providing visual prompts for both instructions and organization.
  • Visually sequencing tasks (or components within a task) using visual cues. 
  • Use of colored lines and templates to assist with line placement and letter sizing.
  • Visual strategies to assist with reading and spelling such as colored coding paper size according to letter size.
  • Using modeling techniques rather than only giving a simple verbal instruction
  • Letter formation practice

 

Written By: Carlos Guilford

All About Occupational Therapy

What is Occupational Therapy? 

The main goal of OT is to increase quality of life so that the client can continue to participate in their personal interests as well as take care of their own needs. Through therapeutic use of self, a strong relationship of trust is built between client and therapist that will help the client to grow in skills leading to increased independence. Occupational therapists improve, rehabilitate, or maintain individuals’ performance to complete everyday occupations (IADLs & ADLs).

What is the role of an Occupational Therapist?

As an occupational therapy assistant, working in the pediatric setting, it is my responsibility to implement activities and tasks that will improve my clients ability to perform at an age-appropriate level. In this setting, you will commonly see OTs working on improving age-appropriate grasp and legibility with handwriting, sensory processing, oral motor skills for feeding, core strengthening for postural control, hand strengthening to increase fine motor skills, visual motor/perceptual skills for copying shapes and or letters.

What are IADLs?

IADL’s stands for Instrumental Activities of Daily Living that involve your home and community. Below is a list of different IADLs an individual may complete regularly.

  • Care of others
  • Care of pets
  • Communication management
  • Driving and community mobility
  • Financial management
  • Health management and maintenance
  • Housekeeping
  • Food preparation
  • Religious and spiritual activities
  • Shopping

What are ADLs?

ADL’s stands for Activities of Daily Living and are basic self-are tasks an individual engages in daily.

  • Bathing
  • Grooming
  • Toileting
  • Dressing
  • Feeding
  • Transfers
  • Abulation

How Can OT Benefit Children? 

Occupational therapy can benefit children of all ages with a variety of needs and diagnoses including:

At CTC, our occupational therapist provides screenings, assessments, consultations, and treatment for those concerned about: 

  • Cognitive skills
  • Gross & fine motor skills
  • Self-care tasks
  • Self-feeding tasks
  • Sensory processing
  • Visual processing & perception
  • Social skills

How can Carolina Therapy Connection help?

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.

We use evidence-based treatment approaches including:

If you have questions regarding your child’s development or want to learn more about occupational therapy, call our clinic today at 252-341-9944 or visit our referrals page HERE. We provide services in Greenville, Goldsboro and New Bern, North Carolina. One of our licensed and board certified therapists will be happy to provide you with a FREE developmental screening today! We can’t wait to begin this journey with your family!

Blog Written By: Lacey Smith, COTA/L 

Does My Child’s Pencil Grasp Matter?

Does the way children hold their pencil really matter?

If you have a pencil handy, pick it up and notice how you hold it. Which fingers does the pencil rest between how are you supporting it? How much pressure do you use when you write? Does it really make a difference in your handwriting? The answer is YES, it does matter! How you hold your pencil really does make a difference—and it will also impact your writing. Your pencil grasp is directly related to handwriting speed and legibility, as having a mature grasp is more efficient and less tiring on your hands (Schwellnus, et al., 2012). Having a mature grasp also directly correlates with fine motor skills and your ability to manipulate other things (i.e. tying your shoes, picking up small objects, flossing, zipping up your jacket, using a fork or spoon).

Handwriting is essential for academic success and a foundation for efficient writing lies in how the child holds their pencil and the order in which letters are formed. It is important to address these concerns as early as possible. After the age of 8, changing grasp and formation patterns is difficult, but not impossible.

What are the stages of pencil grasp development?

There are several stages of pencil grasp development needed to develop a functional grasp that can be used to write efficiently and legibly. Each stage is important and helps to develop different muscles in the hand. Children typically develop control over the larger muscles of the trunk and arms before developing the smaller muscles of the hands. This is why grasp changes over time. Not all children will use all of these grasps during their fine motor development. Some children will use more than one grasp at an age as their skills develop and change. However, they should develop a functional mature grasp similar to the tripod grasp listed below.

 

Palmer grasp/Fisted grasp: typically develops between 12-18 months.

Palmer grasp/Fisted pencil grasp Carolina Therapy Connection Greenville NC

Digital pronate grasp: typically develops at 2-3 years.

Digital Pronated Pencil Grasp Carolina Therapy Connection Greenville, NC

5 finger grasp: typically develops between 3-4 years

5 Finger Pencil Grasp Carolina Therapy Connection, North Carolina

Four finger/quadrapod grasp: typically develops at 3.5-4 years

Four finger/quadrapod pencil grasp: Carolina Therapy Connection Greenville, NC

Tripod grasp: typically develops at 5-6 years

Tripod Pencil Grasp: Occupational Therapy Carolina Therapy Connection Greenville, NC

What is letter formation?

Handwriting is a complex process that involves many skills and body functions to work in a precise manner. Letter formation refers to the order in which each line segment is produced to make a single letter. Children should learn to form letters from top to bottom and from left to right. The order in which letters are formed either aids or interferes with efficient, legible writing.

Proper Letter Formation Carolina Therapy Connection Greenville NC

Why is proper letter formation important?

  • Children who have poor letter formation usually do not enjoy handwriting and/or the process takes longer than they would like.
  • Proper letter formation increases handwriting legibility, speed and accuracy.
  • Without the proper order of formation, letters are being ‘drawn’ more than formed and handwriting suffers.
  • Teaching proper letter formation can help to limit letter reversals such as b and d.
  • Practicing proper letter formation teaches higher cognitive skills ( i.e. working memory, sequencing, self-monitoring).

It’s important to note that every child’s handwriting style and process of learning is different and THAT IS OKAY! Our occupational therapists use a child-centered approach to help your kiddo become confident in their abilities while making handwriting FUN! If you are concerned about how your child forms letters or holds their pencil, an occupational therapist should evaluate your child. The therapist will determine if there are any skill or strength deficits and formulate a plan that is individualized for your child’s unique needs.

 

Written by: Amanda Easter, MS, OTR/L, CAS

Amanda Easter Blog - Does My Child's Pencil Grasp Matter? Occupational Therapy Greenville NC

References

Schwellnus, H., Carnahan, H., Kushki, A., Polatajko, H., Missiuna, C., & Chau, T. (2012). Effect of pencil grasp on the speed and legibility of handwriting in children. American Journal of Occupational Therapy, 66: 718–726.

Pencil Grasp Carolina Therapy Connection Greenville NC

Should My Child Be Using a Visual Schedule?

What is a visual schedule?

As adults, many of us live by our planners. We gain satisfaction from marking off our to-do lists and being organized with our daily activities. Children are better able to learn, grow and adapt to changes using this same strategy! Although there are many types of visual schedules, they all typically contain images, symbols, photos and/or words to better communicate a task or activity. Depending on your child’s age and specific needs, their visual schedule may contain activities by the minute, hour, day or week. For example, if your child requires more structure, they may use a visual schedule that uses “first, next, then” language to communicate activities for the next few minutes. If your child requires less structure with their daily activities, their visual schedule may list tasks by hour for an entire day. Check out these examples below!

 

Carolina Therapy Connection Visual Schedule Example Autism

Carolina Therapy Connection Visual Schedule Example

What are the benefits of a visual schedule?

Visual schedules are a powerful tool that can help kids perform complex tasks, organize their day, or follow a routine. Here are a list of benefits that result from using visual schedules:

  • Visual schedules provide structure and predictability. Has your child ever become upset because they didn’t want to complete a task or weren’t expecting an upcoming activity? Visual schedules provide a consistent reminder of what activity is next and can show a reward that follows a non-preferred activity. For example, if your child doesn’t like bath time, they can use their visual schedule to understand they will get to watch their favorite TV show following their bath.
  • Visual schedules encourage independence. Once your child becomes comfortable with using their schedule, they can help create it and plan for each day. It will also allow them to select preferred activities or rewards between non-preferred activities. When a child helps create their own schedule, the sense of independence promotes completing activities without being asked to do so.
  • Visual schedules reduce negative behaviors and meltdowns. When kids know in advance what’s happening, it can help them feel more in control and at ease. If there is a change in their routine, they can plan and prepare themselves for that change.
  • Visual schedules work with your child’s visual strengths. Although visual schedules can use words, pictures and symbols often times create ease for reading a visual schedule. You can also use pictures that are specific to your child’s household or routine. For example, you can use a picture of their favorite book using your phone camera instead of a generic or cartoon book.
  • Visual schedules teach a variety of skills during childhood development. Visual supports open the doors of communication, increasing your child’s ability to interact with his or her surroundings. Creating and utilizing visual schedules promote visual motor skills, fine motor skills, organization, positive self-esteem, decision making, and a wide variety of executive functioning skills.
  • Visual schedules can be used for more than just sequencing activities. You can use visual prompts similar to visual schedules to break down one task into steps. For example, if your child has difficulty with sequencing the steps of toileting, they can use a chart similar to the one below provided by A Day In Our Shoes.

Carolina Therapy Connection Visual Schedules Autism Greenville NC

Tips For Implementing a Visual Schedule With Your Child

  • Before using the visual schedule, ensure that your child understands the purpose of it and how to use it.
  • The schedule needs to be manageable. Start with a small schedule that only contains a few tasks and uses language such as “first, then” or “first, next, then.”
  • Mix preferred activities with non-preferred ones. This helps to motivate children to persevere through non-preferred activities.
  • Personalize the schedule with their favorite characters or colors. Use pictures of your child’s specific toys or items in the household. If your child is able, let them help create it!
  • Cue your child to use the schedule or ask them to check it when they begin an activity. Repetition is key!
  • If your child gets satisfaction from marking off completed activities, place a check box beside each task.
  • Use these instructions for tips on creating your own visual schedule at home.
  • This awesome resource from A Day In Our Shoes has plenty of FREE visual schedules you can print from the comfort of your home.

How can Carolina Therapy Connection help?

At Carolina Therapy Connection, we offer pediatric occupational therapy to addresses concerns with things such as self-care skills, including feeding, bathing, and dressing; fine motor skills, including writing, tying shoes, and picking up small objects; neuromotor development; and sensory integration. Our occupational therapists can work with your child and family to ensure they are using the right type of visual schedule for their routine and help them create the perfect one just for them! Our experienced therapists can help your child use a visual schedule in the clinic, as well as carryover of using them in the home or school. As our team of specialists work to help your child reach their goals, you will begin to see remarkable changes in their skills and abilities. More importantly, you will see the happiness, confidence and sense of independence this brings to your child, and the peace of mind this brings to your family.

If you have any questions regarding visual schedules or your child’s development, call Carolina Therapy Connection at 252-341-9944 to speak with one of our occupational therapists! We currently offer occupational therapy, physical therapy and speech therapy in Greenville, Goldsboro and New Bern, NC. 

 

Carolina Therapy Connection Autism Visual Schedule Greenville NC