Tag Archives: hand coordination

Teach Your Child To Catch and Throw a Gertie Ball

 

71rwmnHGrHL._SL1500_These balls aren’t new, but they don’t get the recognition that they should.  The ability to catch a ball is a developmental milestone.  For kids with low muscle tone, sensory processing disorder (SPD) or ASD, it can be a difficult goal to achieve.  The Gertie ball is often the easiest for them to handle.  Here’s why:

  1. It is lightweight.  An inflatable ball is often easier to lift and catch.  The heavier plastic balls can be too heavy and create surprisingly substantial fatigue after a few tries.
  2. Gertie balls are textured.  Some have the original leathery touch, and some have raised bumps.  Nothing irritating, but all varieties provided helpful tactile input that supports grasp.  It is much easier to hold onto a ball that isn’t super-smooth.
  3. It can be under-inflated, making it slower to roll to and away from a young child.  Balls that roll away too fast are frustrating to children with slow motor or visual processing.  Balls that roll to quickly toward a child don’t give kids enough time to coordinate visual and motor responses.
  4. They have less impact when accidentally hitting a child or an object.  Kids get scared when a hard ball hits them.  And special needs kids often throw off the mark, making it more likely to hit something or someone else.  Keep things safer with a Gertie ball.

The biggest downside for Gertie balls is that they have a stem as a stopper, and curious older kids can remove it.  If you think that your child will be able to remove the stem, creating a choking hazard, only allow supervised playtime.

Looking for more information about sports and gross motor play?  Check out Picking The Best Trikes, Scooters, Etc. For Kids With Low Tone and Hypermobility and Should Your Hypermobile Child Play Sports?.  You could also take a look at What’s Really Missing When Kids Don’t Cross Midline?.

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Improve Your Child’s Coordination, Beginning With Fun Finger Awareness Play

Children with low muscle tone, children with spasticity, and children with dyspraxia all struggle with using their hands effectively and efficiently.  Therapy can be super boring, but it doesn’t have to be!  Here are four simple and fun ways to build your child’s awareness of their fingers that will support grasp, pinch and more!

  1. Gentle hand and finger massage.  This is not the same as what your manicurist does when you get all decked out for a night on the town. (remember what that’s like?)  You will be gently massaging each finger from the knuckle to the fingertip.  I like to place my thumb on top of a child’s finger, and the side of my index finger underneath.  The stroke is firm but not hard, and as smooth as you can manage it.  Children tend to move about more than adults during massage.  You may be aware that I am also a licensed massage therapist.  There is nothing I like better than incorporating massage into OT when it is appropriate!
  2. Name each finger during massage, and during play.  Exaggerate finger movements to help them remember the names and pay attention to your description.  I weave finger awareness into every session I do with some children.  I will name their fingers as well.  I describe what they are doing right ” You have your pointer finger right on top; that’s just the right place to….” and why things aren’t working out for them “I think that when you moved your thumb off your pencil, you pushed so hard that your crayon broke”
  3. I especially like talking about what I did wrong.  Children feel a sense of equality and fairness when adults admit to, and even elaborate on, their mistakes.  It takes some of the pressure off of them as young learners.  I will clearly describe to a child what I think I did wrong, and what I am going to do differently the next time.  That allows me to model persistence, one of the traits that help children with delays and disabilities thrive.
  4. Use “Where is Thumbkin?” and other finger plays.  These are not just for preschool.  They are fun for parents too.  Your child may not have been able to keep up with the faster version at school, so this is a great opportunity to practice with an adult that can slow it down and repeat the movements until he gets it just right!

Easy Ways To Build Bilateral Hand Coordination for Writing

Why do we need to use two hands for writing?  After all, you only need one hand to hold a pencil.  Well, did you ever injure your non-dominant shoulder or wrist? Without a hand to steady the paper and move it accurately as you write across a page, an adult will write like a preschooler or worse.  When you write, you are using one hand for writing and the other for balance, posture, paper stabilization and paper placement.  Bilateral hand coordination begins before a child’s first birthday and develops through early childhood.  Without it, handwriting is certain to be a challenge.

So many kids that struggle with crawling and walking as infants and young toddlers will continue to have difficulties using both hands together as preschoolers.  Occupational therapists like myself often observe that that they are not using one hand as a “prime mover” ( grabbing, reaching and writing) and the other hand as a “stabilizer”, i.e. holding a container or paper in a skilled manner.  What does it look like to stabilize a container with skill?  The container is held using just enough force and with the opening angled to allow the other hand to fill it without dumping the contents out. Take a look at my post  Better Posture and More Legible Writing With A “Helper Hand” to explore why that stabilizer hand placed on the table is essential for good handwriting.  Problems with bilateral control are often seen with children with ASD, SPD, and many neurological issues such as low muscle tone, but bilateral control delays can exist without any formal diagnosis.

Most handwriting programs, such as Fundations, do not pay much attention to the underlying physical skills needed for legible handwriting.  Handwriting Without Tears does an excellent job of teaching educational staff to remember the physical aspect of handwriting. Children ideally need good bilateral coordination BEFORE they begin hard-core handwriting instruction, not after.  If a child has identified neurological or developmental challenges that contribute to limited bilateral coordination, working on these skills are essential to prevent compensations and delays in handwriting.

As an OT working with kids over 4, when those basic bilateral control and grasping skills should have been achieved, I have to decide whether to spend precious time in every session on handwriting or on the basic abilities (coordination, strength, visual-perceptual, and sensory processing) that support handwriting.  Usually, I end up doing both, building target skills with intensive and complex treatment plans while I am working on handwriting instruction that gets kids up to speed as quickly as possible.

I am going to guess that if some of my toddlers and preschoolers in treatment had received more daily home and school practice with the following activities, I would have more time to teach great writing strategies.  For every parent that has asked me for some effective methods for early bilateral control skills, here you go:

  1. Do not hold or stabilize toys too much for them while playing.  Let them figure out that they need the other hand to steady a soft but large object or container.  Kids will often ask adults to hold a bag for them during clean up.  Your response?  Place their “helper” hand effectively on the bag and direct them to use the other hand to pick things up.  You did help, but you didn’t enable more dependency.  Safety first, so always support a container that could shatter or injure them if it dropped and broke.  But if the contents of a safe container spills?  That is another lesson in coordination to be learned by the child.  Encourage and reward a good clean-up effort!
  2. Provide good containers that demand bilateral skills. My Ziploc post Develop Pincer Grasp With Ziploc Bags also develops bilateral coordination during snacking (one of my favorite times of the day!).  Another fave?  Store little toys in the cosmetic bags with nice big zipper pulls that the department stores include with free-gift-with purchase events. Ladies, if you love makeup as much as I do, you have a pile of these in a drawer somewhere.  If not, the local drug store probably has a selection.  When a container is soft and collapses, it is a greater challenge to stabilize and open.  Challenge is good.
  3. Encourage your child to turn the pages of a book while holding the book on their lap when sitting on the bottom step of the stairs or a low bench.  With the book resting on their lap with one hand holding it, there will be no chance for the floor to hold the book, or for you to do it.  If it is a really heavy or large book, either give them one finger’s wobbly assistance under the book, or pick a lighter/smaller book.  Some of my clients would rather let me hold the book, so I try to have something in my hands to prevent them from asking for assistance rather than working hard.  I cheer them on, and make sure they have great books to look at every time!