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Category: New Bern

Handwriting Ideas to Take Homework from Boring to FUN! 

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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

 

Let’s PLAY!

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Why is Play Development Important for Children? 

An essential component of a child’s learning is through play. Play builds the foundation of teaching children how to communicate with others, solve problems, and develop new motor skills. Play often involves spending much time on the floor being silly, making animal noises, or acting out your child’s favorite nursery rhyme songs. Play appears too fun to be therapeutic in speech therapy sessions, right? However, that’s when the magic truly happens! Understanding why and play development for children’s communication skills is helpful.

 

Different Types of Play Development for Children’s Communication Skills:

  • Functional Play

    • Begins before two years old. It is the most common play among infants, toddlers, and young children. Functional play is when toys or objects are used according to their intended function, such as rolling a ball, pushing a car on the floor, banging blocks, etc. 

  • Relational Play

    • Also, it can begin before two years old. Children who engage in relational play often use (manipulate) items to discover how they relate to one another. Examples of relational play include feeding a teddy bear, stacking blocks, or grouping objects. 

  • Self-Directed Play

    • Begins before two years old as well. Self-directed play is when children use toys or objects toward themselves. They determine and control the content and intent of their play by following their own ideas and interests. Toys or objects offered to children are simple and can be play-doh, crafts, pretend food/clothes, etc. 

  • Parallel Play

    • Begins around 2 to 3 years old. This play involves children independently playing with the same toys/objects next to each other. However, they are being very observant. At this point, the child is more aware of their presence around others. The child has increased interest and acknowledges that the other person is playing similarly to them. Most often, they will begin to imitate based on peer modeling. Thai type of play can be seen when two children are playing with their own farm animals, making animal sounds but not interacting.

Now That We Know Play Development, How Do We Help Children Improve Their Communication Skills at Home?

  • Set up your environment so that the child can better focus   
  • Engaging and joining in on the child’s interests
  • Follow the child’s lead
  • Gradually introducing new toys and sensory experiences
    •  Some children need exposure to a new toy over time before initiating a purposeful interaction on their own 🙂
  • Modeling how to play with the toy and gradually fading support  
  • Providing rewards with successful attempts at play
  • Encouraging the child to imitate sounds and words (e.g., go, uh-oh, neigh, etc.)
  • Ask open-ended questions like “What should we make?” “Where should this go?” “What should we feed the dog?” by using toys such as animals, blocks, and/or cars.
  • Incorporating play based on various contexts (e.g., Play with a sibling and/or peer) 

Activities to Try at Home:

  • Bubbles
  • Cars, trains
  • Books
  • Blocks, Legos, or Nesting Eggs
  • Baby doll/dollhouse 
  • Magnetic Tiles  
  • Ball
  • Singing nursery rhyme songs 
  • Farm set / Kitchen set 
  • Potato Head
  • And MUCH MORE 🙂 

“Play is our brain’s favorite way of learning,” said Diane Ackerman.

How can Carolina Therapy Connection Help?

Further questions or concerns regarding play development for children’s communication skills? A Speech-Language Pathologist can support your child and provide parent education/training to best support your child’s communication development. Play in speech therapy increases the child’s motivation, increases communication opportunities, strengthens the development of other developmental skills, and more! 

 

Understanding Eye Movement Desensitization and Reprocessing (EMDR) Therapy

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Eye Movement Desensitization and Reprocessing (EMDR) therapy is a special treatment that helps people heal from trauma and other difficult experiences. Created by Francine Shapiro in the late 1980s, EMDR is now used to treat many mental health issues.

Benefits of EMDR Therapy

This therapy has several advantages:

  1. Quick Results: EMDR often works faster than regular talk therapy. Many people feel better after just a few sessions.
  2. Trauma Treatment: EMDR is very good at treating post-traumatic stress disorder (PTSD) and other trauma-related problems.
  3. Whole-Person Healing: EMDR addresses the root cause of distress, helping people feel better overall.
  4. Versatile: EMDR can help with anxiety, depression, phobias, chronic pain, and grief.
  5. Less Need for Medication: Some people find they need less medication when using this method.

The EMDR Therapy Process

This therapy has eight phases:

  1. History Taking: The counselor learns about your history and plans your treatment.
  2. Preparation: The counselor explains how this type of therapy works and teaches relaxation techniques.
  3. Assessment: The counselor identifies specific memories and the negative beliefs and feelings connected to them.
  4. Desensitization: The counselor uses bilateral stimulation, like guided eye movements, to help you process the traumatic memory and lessen its emotional impact.
  5. Installation: Positive beliefs replace the negative ones linked to the traumatic memory.
  6. Body Scan: You check for any leftover physical tension related to the memory.
  7. Closure: The counselor ensures you feel safe and stable before the session ends.
  8. Reevaluation: The counselor checks your progress and addresses any remaining issues in future sessions.

Differences Between EMDR and Other Therapies

EMDR is different from other therapies in a few ways:

  • Eye Movements: This type of therapy uses bilateral stimulation, like eye movements, to help process memories, which is different from regular talk therapy.
  • Memory Focus: EMDR targets specific memories and the negative feelings linked to them rather than just focusing on current symptoms.
  • Faster Relief: Many people feel better faster with this type of therapy when compared to other types of therapies.

Who is Appropriate for EMDR Therapy?

This therapy can help many people, including those who:

  • Have experienced trauma, like abuse, accidents, or natural disasters.
  • Suffer from PTSD or other trauma-related conditions.
  • Struggle with anxiety, depression, or phobias.
  • Have unresolved grief or loss.
  • Experience chronic pain or distress related to illness.
  • Want an alternative to traditional talk therapy or medication.

How Can Carolina Therapy Connection Help?

Carolina Therapy Connection offers EMDR therapy as part of our mental wellness and counseling services. Our trained counselors are ready to help you find relief from trauma and other distressing issues. We provide a free screening with one of our mental wellness counselors to get you started. Contact us today to schedule your screening and take the first step toward healing.

For more information or to make an appointment, visit our website or call our office. We look forward to helping you improve your mental well-being.

 

The Benefits of Teletherapy in Mental Health Settings

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Teletherapy has become very popular in recent years. It uses technology to provide mental health services through video calls, phone calls, or online chats. This method makes getting help easier for many people. In this blog, we’ll look at the benefits of teletherapy, who can use it, and how it can help everyone.

What is Teletherapy?

Teletherapy, or online therapy, lets you talk to a counselor from home using your computer or phone. This means you don’t have to travel to a counselor’s office to get help.

Benefits of Online Therapy

  1. Accessibility and Convenience: Online therapy makes it easier to get help no matter where you live or how busy you are. You can have therapy sessions from home, work, or any private place.
  2. Comfort and Privacy: Being in your own space can make it easier to talk and open up during therapy. Teletherapy also keeps your therapy sessions private since you don’t have to go to an office.
  3. Flexibility: You can schedule therapy sessions at times that work best for you, including evenings and weekends.
  4. Continuity of Care: If you travel a lot or have a busy schedule, teletherapy allows you to keep having regular sessions with your therapist, no matter where you are.
  5. Reduced Stigma: Some feel embarrassed about visiting a counselor’s office. Virtual sessions can help reduce this embarrassment and make it easier to seek help.

Who Can Benefit from Virtual Sessions?

Teletherapy is great for many different people, including:

  • Busy Professionals: People with demanding jobs can easily fit virtual sessions into their schedules.
  • Parents and Caregivers: Teletherapy allows parents and caregivers to get support without needing to find someone to watch their kids.
  • Individuals with Mobility Issues: Teletherapy is perfect for people with difficulty traveling due to physical disabilities or chronic illnesses.
  • Rural Residents: People living in remote areas can get mental health services that are unavailable nearby.
  • Students: College students can fit virtual sessions into their busy academic schedules.
  • Anyone Seeking Convenience: Virtual sessions are ideal for anyone who wants ease of getting therapy from home.

 

How Teletherapy Benefits the Everyday Person

Teletherapy can help people improve their mental health every day. It makes getting support easier, more flexible, and more private. Virtual sessions help people take care of their mental health without dealing with the challenges of traditional therapy.

 

How can Carolina Therapy Connection help?

Meet Imani Rodriguez; she is here to explain the benefits of online therapy for all ages!

 

We can help by setting up a free screening with one of our mental wellness counselors to get started! At Carolina Therapy Connection, we offer high-quality teletherapy services that fit into your life. Contact us today to learn more about our virtual session options and take the first step toward better mental health.

 

Celebrating Excellence: Our Pediatric Therapy Company Named Best Employers of NC for 2023 and 2024!

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We are thrilled to announce that our pediatric therapy company has been recognized as one of the Best Employers of North Carolina for 2023 and 2024 by Business North Carolina! This incredible achievement is a testament to the dedication, passion, and hard work of our entire team, and it highlights our commitment to providing exceptional care and services to the children and families in our community.

 

A Commitment to Excellence in Pediatric Therapy

Over the past 14 years, our organization has specialized in a comprehensive range of pediatric therapy services, including occupational therapy, speech therapy, physical therapy, mental wellness and counseling, and educational services. We have recently expanded to include services for adults in the past year and a half.  Our multidisciplinary approach ensures that each child receives individualized care tailored to their unique needs, fostering their development and helping them reach their full potential.

 

  • Occupational Therapy: Our skilled occupational therapists help children develop the skills they need for daily living and academic success, focusing on fine motor skills, sensory processing, and more.

 

  • Speech Therapy: Our speech-language pathologists work with children to improve their communication skills, addressing challenges related to speech, language, and social communication.

 

  • Physical Therapy: Our physical therapists are dedicated to enhancing children’s mobility, strength, development, and coordination, enabling them to participate fully in everyday activities.

 

  • Mental Wellness and Counseling: We provide a supportive environment for children and adults to explore their emotions, develop coping strategies, and improve their mental health and well-being.

 

  • Educational Services: Our educational specialists offer academic testing and tutoring support for children with learning differences, helping them thrive academically.

 

Serving Eastern North Carolina with Dedication and Care

With multiple locations around Eastern North Carolina, our clinic is committed to making our services accessible to families throughout the region. We also have several virtual speech-language pathologists who can serve children across all of North Carolina. We understand the importance of providing high-quality care close to home, and our convenient locations ensure that children and families can receive the support they need without extensive travel.

 

Recognized as a Top Employer

Being named one of the Best Employers of North Carolina for two consecutive years is an honor that reflects our dedication to creating a positive and supportive work environment for our staff. We believe that happy, fulfilled employees are the foundation of excellent patient care. Our team members are passionate about their work and committed to making a difference in the lives of the children and families we serve.

 

The survey conducted by DataJoe for Business North Carolina covered essential workplace topics, including organizational health, leadership, engagement, work-life balance, pay, training, benefits, and corporate social responsibility.

 

Looking to the Future

As we celebrate this achievement, we remain focused on our mission to provide the highest quality pediatric therapy services in Eastern North Carolina. We are continually exploring new ways to enhance our programs, support our staff, and expand our reach to better serve our community.

Thank you to our incredible team, our wonderful patients and families, and everyone who has supported us on this journey. We look forward to continuing to provide exceptional care and to being a part of your child’s growth and development for many years to come!

Visit our website or contact us today to learn more about our services and how we can support you and your child’s needs. Together, we can help every child reach their full potential!

 

 

 

https://businessnc.com/topping-the-list-of-north-carolinas-best-employers-2024/

 

Why Is My Child Picky About Clothing?

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Is your child picky about clothing? It is common for children to have a favorite shirt, blanket, or pants, but what if they refuse to wear anything besides their one outfit of choice? In the pediatric world of occupational therapy, we often work with children who cannot tolerate wearing various clothing items. We have seen the stress of dressing tasks for children and their caregivers. The intended purpose of this blog is to educate parents on why a child may be sensitive to clothing and point caregivers in the right direction to address these concerns.

Why is My Child Picky About Their Clothing?

Every child processes sensory information differently. Children who demonstrate intolerance to various clothing textures may often have sensory sensitivities to tactile (touch) information, also known as tactile defensiveness. This indicates that the neurons responsible for processing tactile information have lower neurological thresholds, meaning more sensory information reaches their brain quicker, which can cause children to become overwhelmed by the stimulus. This results in heightened responses (ex., Crying, screaming, itching) when a child is prompted to wear clothing that feels uncomfortable to them. Another underlying reason for tactile sensitivities can be connected to retained primitive reflexes. Retained primitive reflexes often contribute to a child’s hypersensitivity to general sensory information and can make clothing items with tags or tight waistbands challenging to wear. 

When Should I Be Concerned About My Child’s Intolerance for Clothing?

It can be hard to discern when a child’s intolerance to clothing is a behavioral or sensory concern. A child who doesn’t “like” to wear a particular clothing item or texture is very different from a child who physically cannot tolerate certain textures. True sensory concerns will present with consistent behaviors across settings. For example, a child with true tactile defensiveness will have difficulty wearing a non-preferred clothing item at home or daycare. Additionally, consulting a professional is not customarily warranted if their limited clothing items do not impact a child’s performance and participation in meaningful activities. However, if a child’s clothing sensitivities are impacting their meaningful activities, then it may be beneficial to talk with a pediatric occupational therapist to determine what options or strategies are appropriate. An example could be a child who wants to play soccer but cannot tolerate wearing soccer cleats or sneakers and, therefore, refuses to play. Another example would be a child or adolescent who refuses to wear clothing to match the temperature outside, such as refusing to wear gloves or mittens in the middle of winter.

Strategies to Expand A Child’s Wardrobe

  • Keep a diary/log:
    • Children will normally demonstrate a pattern of behaviors to show caregivers what types of clothing are uncomfortable. It will be essential to keep a log of what items/fabrics are preferred to limit the child’s discomfort when presented with new clothing items to try on. 
  • Present sensory-friendly clothing:
    • There are common characteristics of clothing that can be aversive to children with tactile defensiveness. For these reasons, we have provided a list of clothing items that are often more tolerable for sensory-sensitive children:
      • Clothing without seams
      • Clothing without tags
      • Loose fitting clothing
      • Soft/smooth fabric
      • Breathable clothing: avoid clothing that holds moisture
  • Invite them into the process:
    • Providing the child with autonomy in choosing their clothing will help remove feelings of stress that surround dressing activities. One way to do this is to take them shopping and ask them what clothing they want. Depending on the child’s comfort level, it can also be beneficial to have them choose a variety of clothing to try on and have a “fashion show” in the dressing room.

 

What Other Concerns Can arise with Children Being Picky About Clothing, and How Can Carolina Therapy Connection Help?

Tactile defensiveness does not only impact a child’s ability to tolerate various clothing items. Typical areas of difficulty for tactilely defensive children include, but are not limited to, difficulty with hair brushing/washing, hair cuts, tooth brushing, nail clipping, and bathing. If your child has difficulty tolerating any of the above activities, then it may be beneficial to meet with a pediatric occupational therapist to discuss the best care plan for the child. Call our clinic at (252) 341-9944! Your child may benefit from an occupational therapy screening or formal evaluation!

 

By: Emily Britt

 

Spring Activities For All Ages!

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Join us as we welcome spring!

As the world outside bursts into color and warmth, it’s the perfect time to dive into some fun activities that celebrate the season. We’ve put together a bunch of excellent OT spring activities for all ages that you can do that are fun and help you learn and grow.

From making yummy flower-shaped snacks to crafting bird feeders and sensory bottles, there’s something for everyone to enjoy. Whether you’re a parent looking for fun OT activities with your kids at home or a teacher searching for exciting activities, you’ve come to the right place!

Join us as we explore the wonders of spring through activities that work on our fine motor skills and try new foods! Let’s make this season even more remarkable by having a blast with these therapeutic activities.

Spring Activities: Flower Snacks: 

This fun and creative activity works on fine motor skills, food play, and meal preparation skills. It is also a great way to introduce healthy snacks into your child’s diet. 

  • Beet slices flower snack– Use a flower-shaped cookie cutter to cut beet slices (or other soft fruit/veggies: pineapple, apples, thin potatoes…)
  • Mandarin orange flower– Peel an orange and open one end.  Add celery for a stem.
  • Orange with flair–  Add a grape tomato to the center of your orange to add a little color.  Other fruits could also be arranged into a flower shape: apple, pear, and banana slices would work.
  • Dried cranberry mini flowers– Arrange cranberries (or raisins) into petal shapes.  Add chickpeas for a center to each flower.
  • Tulip cucumbers– Cut a jagged line into cucumber slices.  Add a piece of the peel for stems for each flower.
  • Flower art–  Get the kids involved in this one!  Provide carrots, broccoli, red peppers, and grape tomatoes, and create a flower design as a family.  Enjoy!

Paint With Flowers: 

This is an easy and cheap activity to complete at home that only requires paint, paper or plate, and flowers. Use the flower as a brush and press it into the paint, then paint away!

Oral Motor Exercise With Plastic Easter Eggs: 

This is a fun activity to incorporate into your routine before feeding. Adding oral motor exercises provides sensory input and “wakes up” the muscles of the mouth. Give your child a straw and ask them to blow into the straw to push easter eggs toward a target. 

Spring Animal Walks: 

This is a fun gross motor activity that can be done in the home or outside. Have your child bunny hop, bear walk, frog jump, and snake slither from one side to the other. You can even have an animal race to see who gets to the finish line first!

Homemade Bird Feeders: 

This is a great activity to improve executive functioning skills and bilateral coordination skills. You will need toilet paper rolls, peanut butter, birdseed, and spreading tools. Spread the peanut butter on the toilet paper, roll it in the birdseed, and hang it up outside!

Spring Themed Sensory Bottle: 

Sensory bottles can provide a calming sensory experience to children by focusing on the different moving objects inside. All you need is 4 ounces of clear glue, warm water, hot glue (to seal the lid), a bottle, and any desired spring-themed objects to put inside (glitter, small toy animals, flowers, etc.). 

 

Syncing Success: A Better Way to Manage ADHD Without Medication

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Attention Deficit Hyperactivity Disorder (ADHD) poses unique challenges for individuals of all ages, affecting their ability to focus, organize tasks, and regulate impulses. While traditional interventions often involve medications and behavioral therapy, a groundbreaking approach has emerged in recent years – the use of the Interactive Metronome (IM) as an innovative tool for managing ADHD symptoms. In this blog, we’ll explore the relationship between Interactive Metronome and ADHD, shedding light on how this rhythmic training can make a significant difference in the lives of those navigating the complexities of ADHD.

 

Understanding ADHD and its Challenges

 

ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. Individuals with ADHD may find it challenging to sustain attention, complete tasks, and regulate their behavior, impacting academic, professional, and personal aspects of their lives. Traditional treatment approaches often involve a combination of medications and behavioral therapy, but the search for non-invasive, complementary interventions has led to exploring innovative tools like the Interactive Metronome.

 

Interactive Metronome and ADHD: A Rhythmic Approach

 

The Interactive Metronome operates on the principle that precise timing and rhythmic synchronization can positively influence neural pathways related to attention, coordination, and executive functions. Here’s how IM is making waves in the realm of ADHD management:

 

  1. Enhanced Attention and Focus: IM exercises require participants to match their movements to a rhythmic beat with millisecond accuracy. This process engages the brain’s attention and timing centers, fostering sustained attention and focus improvements, essential components for managing ADHD symptoms.

 

  1. Improved Executive Functions: ADHD often involves challenges with executive functions like working memory, organization, and impulse control. The structured nature of IM exercises helps strengthen these cognitive processes, providing individuals with practical skills to navigate daily tasks more effectively.

 

  1. Sensory Integration: The combination of auditory and visual cues in IM promotes sensory integration, a critical factor in ADHD management. Individuals can develop better self-regulation and coordination by syncing sensory information with motor responses.

 

  1. Individualized Treatment Plans: Therapists at Carolina Therapy Connection can tailor IM programs to address the specific needs and challenges of individuals with ADHD. The customizable nature of IM allows for a personalized approach, ensuring that the training aligns with each participant’s unique cognitive and motor profile.

 

Real-life Success Stories 

 

The impact of Interactive Metronome on ADHD management is not just theoretical – there is a growing body of research-based evidence supporting its effectiveness. Many individuals undergoing occupational therapy at Carolina Therapy Connection have reported significant improvements in attention, impulse control, and overall quality of life after incorporating IM into their ADHD treatment plan.

 

In the evolving landscape of ADHD management, the Interactive Metronome stands out as a promising avenue for individuals seeking alternative and complementary approaches. By tapping into the power of rhythmic synchronization and precise timing, IM offers a dynamic and engaging method to address the core challenges associated with ADHD. It’s not just about keeping time; it’s about syncing success despite ADHD’s unique challenges.  Our Occupational Therapists and Certified Occupational Therapy Assistants at Carolina Therapy Connection are certified in the Interactive Metronome. They can utilize this as an essential part of a child’s treatment plan.  The Interactive Metronome can be used as a standalone treatment, but we see the best results when incorporated into diverse therapeutic programs.

 

 

Call us today to learn more about the Interactive Metronome and whether your child would benefit from this amazing therapeutic intervention!

 

What is Toe Walking?

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Toe walking means that a child is walking and standing on tiptoes, and their heels do not make contact with the ground. Walking up on their toes can be a normal occurrence in children aged three and under as they continue to develop their ability to walk. Beyond that age, without any definitive medical reason, it is considered idiopathic toe walking (walking on toes without a known cause).

Toe Walking Causes

To understand, what’s not so simple about toe walking is the why behind it. There are many possible reasons that children might develop this pattern:

Developmental phase: A child occasionally walking on the balls of their feet can be part of normal development.  When children first begin walking, usually between 12-15 months of age, they often try different foot positions including walking up on their toes.  However, it is expected that typically developing children will only walk on their toes occasionally.

Neurological concern:

  • Sensory processing concerns: Children with sensory issues, including those on the Autism Spectrum related to the vestibular system, have a different awareness of their body position and feel stabilized during toe walking. The tactile system includes our sense of touch, pain, and temperature. Some studies conclude that children with differences in vestibular processing can also have tactile senses that exacerbate their toe walking. They may not like the feeling of the floor touching their feet, and toe walking minimizes this contact. Children seeking proprioceptive input toe walk because the gait prolongs stimulation of joint receptors and causes their muscles to tighten. The movement provides a calming input sensation for the child. (Williams 2010)
  • Cerebral Palsy: The most common cause of toe walking in those with cerebral palsy is spasticity, which can cause stiffness and involuntary muscle contractions in calf muscles, keeping their heels from touching the ground. Over time, without proper stretching and bracing, these muscles can become shortened, making it challenging to achieve heel contact. 

 

Idiopathic toe walking: Toe walking can occur because of an underlying anatomic or neuromuscular condition, but in most cases, toe walking is idiopathic without a discernible underlying cause. Idiopathic toe walking occurs in children between 3 and 7 years old and is more commonly seen in males than females. Idiopathic toe walking is not related to any specific diagnosis and can presenty of reasons, due to a variet including decreased stability and sensory involvement. For some families, toe walking may be a cosmetic concern, whereas it can cause pain or functional issues in other cases. (Ruzbarsky, Scher, & Dodwell, 2016)

Treatment

You may wonder how to stop toe-walking with your child. Therapeutic treatment depends on the cause, how strong of a habit it is, how tight the calf muscles have become, and what other changes have occurred in the child’s foot and ankle due to walking this way. 

Treatment can include:

  • Stretching: To improve muscle length, increase ankle mobility, and promote heel contact
  • Orthoses: Ankle-foot orthotic worn to keep the foot at a 90-degree angle and promote heel contact
  • *Turtle bracing: New bracing technique utilizing a removable, re-moldable, lightweight brace to achieve optimal ankle positioning, obtain and maintain ankle mobility, and promote heel contact
  • Serial Castings: Hard cast used to obtain and maintain a 90-degree angle at the ankle joint for extended periods (1-2 weeks at a time)
  • Night splints: Braces worn at night to keep the foot in a 90-degree angle and achieve prolonged stretch
  • Botox injections are most commonly used with those dealing with spasticity; they weaken their calf muscles and make them easier to stretch and cast.

A careful history, clinical exam, and selective diagnostic testing can be used to differentiate between different types of toe walking and determine the most appropriate treatment for each child. 

 

How Can Carolina Therapy Connection Help with Toe Walking?

Being evaluated by a Physical or Occupational Therapist can further help determine which treatment routes are appropriate for your child. Call us today at 252-341-9944 for a free screening! 

 

By: Taylor Saunders

 

Stuttering: Developmental or Disordered?

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Stuttering in children is a speech disorder characterized by disruptions in the natural flow of speech. Developmental stuttering is a common experience, typically emerging between the ages of 2 and 5 when children are first learning to speak fluently and developing a large repertoire of words, phrases, and sentences. While many kids experience a phase of disfluency in their normal speech development and may outgrow it, some might continue to stutter as they grow older. In this case, speech therapy may be recommended.

 

 

Causes of Stuttering in Children

The exact cause remains unclear, but it’s believed to arise from a combination of genetic, neurophysiological, and environmental factors. Children with a family history of stuttering are more likely to develop it. Some kids experience stuttering due to differences in brain structure or function related to speech production. Emotional factors like stress, pressure to communicate quickly, or a hurried environment can also increase stuttering. Stuttering occurs at the initiation of voice, which is why we typically hear disfluencies at the beginning of words and phrases.

 

According to Johns Hopkins Hospital, A child is more likely to stutter if he or she has:

 

  • A family history of stuttering
  • Stuttered for 6+ months
  • Other speech or language disorders
  • Strong emotions about stuttering or family members with fears or concerns

 

Types of Disfluencies

Stuttering manifests in various ways, such as repetitions (repeating sounds, syllables, or words), prolongations (elongating sounds), and blocks (inability to produce sounds). These disruptions can lead to tension and anxiety, causing the child to avoid certain words or situations where they might feel pressured to speak.

 

Speech Therapy for Stuttering:

Speech therapists play a crucial role in assessing, diagnosing, and treating stuttering. Here are some primary approaches utilized in speech therapy:

 

Speech Modification Techniques: Therapists teach children to use gentle starts to sentences, and employ smooth, relaxed breathing patterns. This helps in reducing the frequency and severity of stuttering moments. Continuous phonation, for example, is a technique where speakers learn to keep their voice on and vocal folds vibrating throughout speech. 

 

Fluency Shaping: This technique focuses on reshaping the child’s speech patterns by teaching smoother speech movements. It involves controlled breathing, gentle voicing, and gradually increasing sentence length to enhance fluency.

 

Stuttering Modification: This approach concentrates on changing the child’s emotional and cognitive reactions to stuttering. It involves desensitizing the child to the fear and anxiety associated with stuttering and teaching strategies to manage and accept disfluency.

 

Parental Involvement: Educating parents about stuttering and how to support their child’s speech development is key to increasing the child’s success. Therapists often teach parents techniques to practice at home, creating a supportive environment for the child’s progress.

 

Communication Skills Training: This includes enhancing overall communication skills, like turn-taking and using pauses effectively. It helps in building the child’s confidence and reducing the pressure associated with speaking.

 

Long-Term Outlook

Many young children outgrow developmental stuttering; however, some might continue to stutter into adolescence and adulthood. In such cases, ongoing therapy, support groups, and strategies for managing stuttering in social and professional settings become vital.

 

How can Carolina Therapy Connection help?

Children who sutter often benefit from therapy from skilled Speech-Language Pathologists. Stuttering in children is a complex speech disorder that necessitates early intervention and specialized therapy. Speech therapists employ a variety of techniques focusing on speech modification, emotional support, and overall communication enhancement to help children manage and, in many cases, overcome stuttering. Family involvement and a supportive environment are fundamental in the child’s journey towards improved fluency and confidence in communication. At Carolina Therapy Connection, our treatment is highly individualized to your child’s needs. A standardized assessment will be administered to detect any disfluencies, and our therapists will work with you and your child to develop a plan for enhancing skills to build confidence across all social environments (home, school, social groups, etc). If you have any concerns or questions regarding your child’s development, call our clinic at (252) 341-9944.

 

By Ashley Holloway, MS, CCC-SLP, CAS