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Category: Visual Motor Skills

Not Your Average Toy!

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Not Your Average Toy offers a transformative approach to pediatric therapy, catering to the different needs of our pediatric patients in occupational, speech, and physical therapy within our clinic. These specialized toys aren’t just playthings; they motivate children to develop essential skills like fine motor control, visual perceptual abilities, grasping techniques, following multistep directions, stimulating ‘what’ questions, fostering color and shape recognition, encouraging problem-solving, and refining hand-eye coordination. What makes these toys exceptional is their unique ability to grasp the children’s attention while integrating therapeutic goals into engaging activities tailored to each child’s journey toward progress and achievement. Check out some of our favorite “Not average toys!” 

Examples of Not Your Average Toy:

Water Beads: 

What sets water beads apart? Water beads stand out for their fun way of developmental skills. They offer an enjoyable sensory and messy play while enhancing color recognition and sorting abilities. These beads serve as a tool for reaching milestones. Children can play by using a spoon for scooping into a cup, counting exercises, and even hiding items like toy fish or other objects within the beads to engage both hands in a tactile search. These toys facilitate various developmental goals, from color recognition and sorting to refining fine motor skills, in-hand manipulation, bilateral coordination, and sensory play. They also stimulate counting skills and engage in figure-ground activities.

 

Building Blocks: 

Building blocks are known for making a tower and watching it fall, but did you know that they offer various developmental opportunities? These square toys build structures with two hands, allowing a child to work towards bilateral coordination, midline crossing, and fine motor skills. Playing with blocks can also help with color recognition, shape learning, spatial orientation, and teaching concepts through block positions. 

Building blocks can also help with emotional regulation. If a task is challenging or the tower does not stay quite the way intended, this is an excellent opportunity to discuss the feelings raised and allow your child to have a voice.   

 

Puzzles: 

Puzzles are a fun, versatile learning tool for children. They can help children learn about shapes and colors, expand their vocabulary, and identify different types of animals. Puzzles also help children learn to act like put in and take out. You can add a multi-step direction to make a puzzle more challenging, like putting the cow and horse puzzle pieces together in their correct spot. For more engaging questions, ask your child, “What does a cow say?” or “Where is the cow?” Puzzle helps achieve milestones that involve enhancing visual perceptual skills, grasping technique, mastering multi-step directions, and developing problem-solving abilities. 

 

How can Carolina Therapy Connection Help? 

At CTC, we are committed to supporting our families and the child’s developmental journey and helping them achieve these goals at home. Please explore our website (https://www.carolinatherapyconnection.com/) or our Amazon Storefront (https://www.amazon.com/shop/carolinatherapyconnection). These are not your average toys; they are carefully innovative toys that can help foster growth and development. To further understand these toys’ impact, ask your therapist if you can sit in during a session. By watching the interaction between the child playing and the therapist, parents can gain insights into how effective these tools can be and bring these Not Your Average Toys into their home.

 

By: Lauren Hodges, COTA/L, and Allison Hicks

Does My Child Have Dyslexia?

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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

Teaching Kids Independence With Life Skills

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Chores or Life Skills?

Kiddos may ask themselves this question: Why do I have to do these chores? Here at CTC, we call chores “Life Skills” because that is simply what they are. Although not always the most preferred thing for your child to do, washing dishes, washing clothes, making the bed, vacuuming, sweeping, mopping, grocery shopping, cooking, and many more are essential life skills that are necessary when becoming an independent adult. Not only are they necessary, they are also very helpful for the development of time management skills, executive functioning, sensory regulation, and even emotional regulation. 

You may be wondering how you can gauge what skills are appropriate for your child. Below is a short list of age appropriate chores to get you started based on your child’s age:

Life Skills for 2-3 years old

  • Picking up toys
  • Wiping up a mess (wiping off the counter after eating or messy play)
  • Putting laundry in the hamper after taking off dirty clothes

Life Skills for 4-5 years old

  • Making the bed (even if it is assisting you with the task!)
  • Starting simple meal preparation (putting thing into bowls, stirring, etc.)
  • Helping wash/rinse dishes

Life Skills for 6-8 years old

  • Feeding pets
  • Vacuuming, sweeping, mopping
  • Folding laundry/putting away own clothes

Life Skills for 9-12 years old

  • Prepare simple meals (heating up a hot pocket, TV dinner or oven pizza)
  • Taking out garbage
  • Cleaning areas of the home other than own bedroom (bathroom, living room, outdoor areas)
  • Helping make a shopping list and helping to find items in the grocery store

13-18 years – Include all listed above with increased to total independence!

So your child may be age appropriate for the tasks at hand, but what if you wonder whether they are developmentally, emotionally, physically or cognitively appropriate for the task at this age? Recently CTC held a Life Skills camp with 4 days of fun while completing tasks that increase independence within the home environment. The kiddos in this group worked on grocery shopping, meal preparation, cleaning up after themselves, household life skills, taking care of pets and plants, team work and communication. During the camp, each child was asked to review their skills and determine the toughest part of doing “chores”. The #1 answer was time management and feelings of overwhelm when presented with multiple tasks to complete. We all worked to develop either written or visual (picture) schedules for each kiddo to take home to aid in these concerns, making getting these life skills done easier and less frustrating!

Talk to your child’s occupational therapist to see if these could be options to help your child regulate their emotions, plan their time with greater efficiency and learn new skills after mastering current ones! If your kiddo struggles to complete their daily activities, call our clinic at (252) 341-9944! Your child may benefit from an occupational therapy screening or formal evaluation!

 

 

 

 

 

 

Here is 2 recipes of foods that were made during the camp:

  1. Rice Kripsy Treats – The Original Rice Krispies Treats™ Recipe | Rice Krispies® 
  2. Soup (written by a kiddo in the camp)

Ingredients

  • 3-4 boneless chicken thighs
  • 1 medium onion
  • 3 carrots, sliced
  • 2 chicken stock boxes
  • 1 small rice pack (boil in a bag)
  • 1 can black beans

Add a pinch of…

  • Pink Himalayan Salt
  • Chili powder
  • Seasoned Salt
  • Black pepper
  • Red pepper flakes

MIX TOGETHER IN A SMALL BOWL

Steps:

  1. Make the rice according to directions on the rice bag
  2. As the rice is cooking, cut chicken into 1 inch cubes
  3. Sprinkle seasoning onto chicken
  4. Cut carrots and onion into preferred size and cook until preferred texture
  5. Cook the chicken until done in saucepan
  6. Once all ingredients are finished, combine with stock in a pot and boil for 2-5 minutes
  7. Simmer for 10-15 minutes
Written By: Shelby Godwin, COTA/L, AC 
TEACHING CHILDREN LIFE SKILLS Carolina Therapy Connection Greenville Goldsboro New Bern NC

All About Occupational Therapy

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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 

At Home Spring Activities

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Spring Fun in Full Bloom!

Spring has officially sprung here at Carolina Therapy Connection! We are taking full advantage of all of the creative opportunities to foster a supportive learning environment. The onset of a new season also brings opportunities for fun, hands-on ways to incorporate goals into daily play routines!

 

The Role of Play

Play is the predominant way that our children learn; it helps them develop and grow into functional roles necessary for daily living. Play helps them access the world around them and is one of the PRIMARY occupations in which they engage.

Through play, we help our children to explore and thrive in a way that is interactive and full of purpose! Here are some of our absolute favorite ways to employ play in a meaningful way. Check them out and share your joy!

Fine Motor Coordination Spring Themed Activities 

  • Lacing rainbow
  • Button Flowers
  • Nature Scavenger Hunt (Handwriting and Grip Development)
  • Seed Sorting
  • Chalk! Make this activity as structured or as creative as you would like. Upgrade the challenge by having them help to “wash it off” using a water gun or spray bottle for greater strengthening of the hand muscles, development of age appropriate grasping patterns, and overall coordination.

Gross Motor Spring Themed Activities 

Spring Themed Sensory Play

We can’t get enough sensory play around the clinic! Sensory play and exploration is vital for developing brains, and has such an important role in overall health and development. Any activity that engages your child’s senses is considered sensory play, but did you know that each new experience builds upon the last? Through sensory play, our children learn to plan movements, develop organizing concepts such as color, shape, texture, foster problem solving, and many more!

So, go ahead.  Squish, scoop, jump, smash, smear, and dig into these ideas for your next play activity!

Feel free to share your creative and fun spring festivities with other families on our social media! 

Additional resources to help keep the Spring fun going!

OT Toolbox: Spring Gross Motor Activities

Pink Oatmeal: Spring Themed Gross Motor Ideas

Kindergarten Connection: Spring Themed Fine Motor Activities 

 

Written by: Katie Joyner, MS, OTR/L

Katie Joyner Carolina Therapy Connection Occupational Therapy Spring Activities

 

Spring Occupational Therapy Activities Carolina Therapy Connection

Should My Child Be Using a Visual Schedule?

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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

Importance of Developmental Reflexes

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What are developmental reflexes?

A reflex is an automatic and instantaneous response to a sensory stimulus. Remember when you were a child at the doctor’s office and they tapped your knee with a small mallet to check if your leg kicked upwards? You didn’t decide to kick your leg, it just kicked. There are many types of reflexes like this one and almost all of us have them. In fact, we’re born with most of them. The reflexes we are born with are called primitive reflexes and the ones we develop during the first years of life are called integrated reflexes. From infancy, reflexes are vitally important for proper development of the brain, nervous system, body and sensory systems. Some reflexes are meant to stay with us our whole lives. Others are designed to be dormant after their function is fulfilled – also called integration. Check out this awesome resource from Tools to Grow to learn more about specific reflexes and how they impact a child’s function during their daily life.

What are primitive reflexes?

Primitive reflexes are present at birth and should be integrated by 12 months to two years of age. Reflexes are the basis of our nervous system and our ability to move. Reflexes are automatic movements that happen without conscious thought that help us to survive, search for food, seek protection, avoid danger, and to walk.  Reflexes originate in the brain stem, which is the area of the brain responsible for survival. If these reflexes are not integrated, the body stays in “survival” and “stress” mode which can cause difficulty with concentration, anxiety, poor behavior, deficits in coordination, and poor performance in developmental skills and school tasks. There are many risk factors for retained primitive reflexes including, but not limited to, the following: multiple births, prematurity, c-sections, lack of tummy time, higher instances of alcohol and drug abuse, and poor awareness of developmental stages. 

What are integrated reflexes?

Integrated reflexes are important for developing motor control. A child needs motor control to maintain proper posture at a desk in school, ride a bike, read a book, cross midline, write, and get dressed. A child with integrated reflexes has normal movement patterns to complete these functional tasks at home and at school. A child with unintegrated reflexes could benefit from skilled reflex integration therapy which will essentially train a child’s brain by establishing an efficient movement pattern that supports higher level motor skills or cognitive tasks.

How do you know whether or not your child has integrated these reflexes? 

There are many common areas of difficulty that may suggest a retained reflex including the following:

  • “Bouncing” Child: Constantly moving, can’t sit still on a chair, hyperactive
  • “Noodle” Child: Leans on everything, rests head on table
  • “Shirt Chewers”: Constantly chewing on shirts or pencils, and touches everything
  • “Emotional Child”: Challenges with regulating emotions, easily frustrated or upset, difficulty with utilizing age appropriate coping strategies to calm body 
  • School Performance Challenges: difficulty with reading, handwriting, language/speech, poor sitting balance and immature grasp on writing utensils
  • Coordination Challenges: Chronic body aches, poor endurance, fatigue, muscle weakness, poor concentration, fidgeting, disorganization

What does treatment look like?

Once your Occupational Therapist suspects a retained reflex, he/she will educate the caregiver on the importance of carryover for treatment recommendations. Caregivers play an important role in seeing progression in their child’s everyday activities. It is typically recommended that the child completes a set of tailored exercises to meet your child’s needs, 5-10 minutes per day, for 30 consecutive days in order to see any progress. Your therapist may recommended a reward or sticker chart in order to keep your child motivated towards an end goal. Progress can be noted short term and over 9-12 months. In addition to exercises, your Occupational Therapist will make recommendations for modifications in the school and home environments which may include changing positioning during school work, movement breaks, sensory techniques, relaxation techniques, decreasing auditory and visual stimulation, and organizational skills, just to name a few!

In order to determine whether your child would benefit from direct treatment for Reflex Integration, it is recommended that your child be evaluated or screened by an Occupational Therapist at Carolina Therapy Connection. Give us a call at 252-341-9944 today to schedule your FREE occupational therapy screening with one of our experienced and knowledgable OT’s. 

Importance of Developmental Reflexes Carolina Therapy Connection Greenville NC

Teaching Your Child Shoe Tying

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Why is learning shoe tying so important?

Parents typically think about tying shoes just before, or around Kindergarten. However, many children are around age 6 or older when they are ready to learn this task. This is because this task requires fine motor skills of dexterity, in-hand manipulation, and bilateral coordination. That is why it is important to make sure the child is ready for the task before introducing something too challenging or potentially discouraging. Knowing all the skills that shoe tying incorporates should also bring to light what a great opportunity shoe tying is – you can work on dexterity, in-hand manipulation, and bilateral coordination every single day! No matter what method you use, tying shoes requires learning and recalling several steps in a row. This helps to build sequencing skills, visual memory, motor planning, focus and attention to complete the task.

Why does my child want to give up on shoe tying?

When putting your shoes on, it’s typically when you need to go somewhere. In the routine of trying to get to school, a play date, the doctor, or even therapy sessions, sometimes you may be in a rush. Parents tend to buy their children shoes that have permanently tied laces, flip flops, crocs or velcro straps. Parents want to make things easier for their children. If you can avoid a struggle, why not? Although getting through the days can be tough for a parent, patience is a beautiful thing to foster in a society that can’t seem to wait for anything. Making something easier might seem good now, but not necessarily in the long run. When a child is learning how to tie their shoes in therapy, we ask that they practice a lot at home as well. This is because one time a week isn’t going to make much of a difference. The more they practice and the more they are encouraged by parents, the faster and stronger they’ll be with this challenge.

What shoe tying tips will help my child learn?

1) Learning step by step on a shoe placed in front of them (tabletop level) – It is easier for children to learn how to tie their shoes on a tabletop level before learning how to tie it on their own foot. Some children practice in a long sit on the floor with a jump rope tied around their knees so that the movements are bigger and easier to understand. Your child can also practice on your shoes to make it more fun and motivating.

2) Having different colored laces (ex. 1 black lace 1 white lace) – This way, when explaining step by step, it is visually easier on your child to understand the difference in the laces and see each step visually.

3) Practice, Practice, Practice! – It takes time! Do not think it will happen overnight. Continue to practice and they will begin to get the hang of it! Don’t give up!

4) Use Backwards Chaining Techniques

Backwards Chaining is a technique used to teach difficult tasks by breaking them down into smaller parts. Backwards chaining occurs when an adult does each step of the task and allows the kid to do the very LAST step on their own. Essentially: breaking down the steps of a task and teaching them in reverse order. This gives the child an experience of success and completion with every attempt.

Below are the verbal cues we use at Carolina Therapy Connection for each step to teach the kiddos how to tie shoes! You can substitute your own steps for alternate methods:

  1. Criss Cross or Make an X
  2. Black Under White
  3. Pull Tight
  4. Make a loop or bunny ears
  5. Push through
  6. Pull tight

5) Laces are important! – Short laces are infuriating and difficult to manage when first learning this task because the child doesn’t plan ahead to leave enough room. Round laces easily fall untied, so flat ones are usually easier. Practicing with wire ribbon or pipe cleaners can help because it keeps its shape better than laces and allows the child to loosen their grip between each step.

The Takeaway Message

There are going to be some children that just can’t master this skill, and might they have other things that are much more important for them to be working on. In those situations, adaptive laces or shoes are a wonderful option. For many children, it’s simply about finding the right way to teach them, and following through with the practice it takes to master it. If your child is struggling with their self-care or fine motor tasks, call our clinic at (252) 341-9944 to set up a FREE screening! We will be happy to help you in whatever way we can.

Teaching Your Child Shoe tying Carolina Therapy Connection