All posts by Therapro

S’Cool Moves Webinar Review

On Tuesday, September 15, 2020 Therapro was happy to host another very successful and well attended webinar, S’Cool Moves, presented by Dr. Debra Em Willson.  Dr. Wilson is a reading specialist and founder of S’Cool Moves. To learn more about the S’Cool Moves program, check out the post, What is S’Cool Moves!   Webinar attendees left with some great strategies to use for both in person and virtual learning sessions, as one viewer stated:

S’cool Moves has changed the way I practice OT in school. Incorporating Deb’s movements with academics has allowed my students to be so much more engaged and motivated. Her activities can be adapted to every grade level. DF

During the webinar, Dr. Wilson covered her “Top 10 Superrmoves”; that she uses to help students “flip the learning switch”.  Some highlights included: 

  1. Checking In With Myself Tool.  Dr. Wilson shared a visual to use with students to facilitate the “checking in” process and demonstrated a  great example of how to use this visual to help students get out of a “funk”.  
  2. I Can Calm Myself Routine.  Dr. Wilson shared deep pressure activities  students can use for calming and shared a visual that can be individualized for each student.  
  3. Core Out the Door & Minute Moves for Fine Motor. For these super moves, Dr. Wilson demonstrated how she incorporated the Minute Moves activities to a whole class setting, a great resource for therapists doing ‘push in’ services.  
  4. Smiley Jumps, Arrows, & Quadrant Activities. For these super moves, Dr. Wilson demonstrated how she created a simple DIY magnetic board to facilitate using these movement activities in virtual lessons, making the learning session more interactive!

In addition to these great resources, Dr. Wilson shared some great research to support her approaches. As one viewer stated:

I will be taking all of the activities / resources /website, etc, directly to my Title One teachers tomorrow and know they will be interested and use! I have provided many suggestions, activities etc. and even though well received, are not always implemented. Now I can say this comes from a reading specialist. Teachers listen to teachers and I am thrilled as an OT to use anything that will help kids. Deb was wonderful! Generous heart and knowledgeable lady….thank you so much! BW

If you missed the webinar be sure to check out the recap here!

Get A Grip on Pencil Grips and Adapted Writing Tools!

Therapro is making it simpler for users to choose the right pencil grip and writing tool.  After reviewing all of the pencil grips and modified writing tools available at Therapro, we concluded  that there are basically three groups that these tools fall into; comfort, positioning, and sensory.  

Comfort.  Comfort is an important feature for writers across the lifespan. These types of grips and writing tools are great for writers who fatigue during longer writing tasks or who have underlying conditions that cause pain, like arthritis. The Evo Pen was specifically designed for people with arthritis to support the joints while writing and the PenAgain was designed to help reduce hand cramping during writing. The Standard Foam Grip and the Bulb Shaped Grip are basic, low profile grips that can be added to a pencil or pen to provide a softer surface for the fingers.  These grips and writing tools may help a writer perform writing tasks longer.

Positioning.  Appropriate pencil grasp is the key for successful, legible handwriting.  Atypical grasp patterns can lead to decreased comfort and endurance for writing tasks. When to use a pencil grip or modified writing tool often prompts debate.  

Young writers often benefit from developing the foundational skills needed for successful handwriting before a grip is used. These writers benefit from activities that assist in developing foundational postural musculature and hand skills. Working with putty, incorporating yoga, doing activities on the therapy ball,  or incorporating activities like those found in the Fine Motor Olympics or Fingermania are all great ways to target underlying foundational skills needed for functional hand use. During this stage it is also important to incorporate writing “tools” such as short pencils or crayon rocks that naturally support functional grasp patterns.

Pencils grips for positioning come into play primarily when 1.) the student is still working on developing underlying foundational systems and they need to keep up with peers or  2.) when the student benefits from the tactile cues provided by these grips or writing tools to maintain a proper pencil grip.  There is a wide range of grips and writing instruments available allowing for grading of the support provided. 

Writers who are just learning to get their fingers into a tripod grasp benefit from a grip that provides more support.  Therapro suggests the following:

  • The Grotto Grip has contours that place the fingers in a tripod grasp and promote an open webspace, this type of grip is also great for writers with hypermobility in their finger joints.  
  • Grips like the Writing Claw, the Pointer Grip, The Crossover Grip  or StartWrite Pencil Grip have features that  block fingers from “crossing over” or reverting to immature grasp patterns.   
  • A grip like the WriteRight Pencil Grip is helpful when there is poor development of the separation of the two sides of the hand; the “tail” provides a place to wrap the last two fingers and is a great tactile reminder to “tuck those fingers away”.  

Writers who need less support may benefit from grips that are “low profile”.   Grips like the Solo Grip, EZ Grip, and the Stetro Grip are smaller in size than some of the other grips in this category. They  provide light tactile cues to remind the writer where to place their fingers but do not actively block the fingers from moving out of a tripod pattern. 

As the writer’s abilities progress they may be ready to move away from using a grip but may not be quite ready for a standard pencil. This is where triangular shaped pencils like the TiconderogaTri- Write Laddie Pencil,  or Try Rex Pencils come in. The triangular shape offers a subtle tactile reminder for proper placement of the fingers.   

Sensory. The final category of pencil grips and writing instruments is sensory.   To simplify this, the sensory category can be viewed as two ends of the sensory spectrum; alerting or calming/organizing.  

Light touch sensations are interpreted by our sensory systems as alerting, think about a spider crawling over your arm!  The grips and writing tools in the alerting category provide light touch sensations to  help writers “wake up” their sensory systems.  This type of input can improve the ability to attend and focus.  Great options for this are:

  • The Spike Tactile Grip.  The Spike Tactile Grip is covered in spiky protrusions that provide opportunities for light touch sensations, as a bonus these protrusions can be used as a “fidget” to help with attention and focus during writing tasks. 
  • Squiggle Wiggle Writer Pen.  The Squiggle Wiggle Writer Pen vibrates; this is often used as a preparatory activity prior to writing to “wake up” the hand.  
  • Grips like the Bumpy Grip, The  Extreme Grip, and the Groovy Grip offer slightly more subtle raised tactile features but  still provide great sensory input to help maintain attention and focus during writing.  

Some writers have poorly organized sensory systems; these writers benefit from organizing input and input that provides clues about where the writer’s body parts are. Sometimes these writers use too much force when they are writing or they have a hard time writing on the given baseline.  Adding weight to writing tools is a great way to help these systems become more organized, try the following:

A bonus tip, adding weight to writing tools may help those with hand tremors! 

In summary, understanding both the needs of the user and  the type of support and the level of support grips and writing tools offer is a great starting point for determining the most appropriate grip or writing tool to choose.  Starting with the least restrictive option is a great way to ensure the writer is getting the support they need without overdoing it.  Conversely, using a grip or writing tool that provides a lot of support may be appropriate for the student who is working on developing foundational skills to ensure a positive writing experience.  For therapists, this grading system is a great way to show progress as students move from a more restrictive tool to one that offers less support.   The information contained in this post is condensed in the The Get A Grip on Pencil Grips and Which Writing Tools or Accessories Handy Guides.  We hope these handy reference guides help you quickly identify the tool that will best fit your needs! 

Pool Noodle as Assistive Technology?

On Tuesday August 11th, Therapro hosted another successful webinar, Assistive Technology Tips and Tools. Our presenter, Abbie King M.S, CCC-SLP, engaged attendees with a fun activity, how Can You Use a Pool Noodle as Assistive Technology? Viewers provided some great ideas for new and different ways to use a pool noodle in the setting they are working in.  Check out some of the great ideas below!  

Using a Pool Noodle for Physical Access:

  • Using on corners of desks/ edges for safety
  • Sitting balance for an infant with (decreased) trunk support
  • Side supports in (a wheelchair) 
  • Holding utensils
  • Sliced open – place on the edge of a table or wheelchair tray to create a bumper
  • Place as a footrest border
  • Place a bungee cord inside and wrap around chair as a foot fidget

Using a Pool Noodle as Assistive Technology for Low Vision:

  • Put on edges of desks so students can tell where desks end to not push items of
  • Use as a card holder
  • (Raised) border to a book or slant board,
  • Cut into pieces and put different letters on there to make words
  • Hang beads to work on far/near focus
  • Bright colors can be used on handles
  • Prop ipad
  • Follow the moving noodle with eyes in all planes
  • Tape together to make circle, place over desired object, visual/large core board
  • Stabilize cards
  • I spy games looking through a pool noodle..scavenger hunts

Using a Pool Noodle fas Assistive Technology for Hearing:

  • Talk through for sound
  • (Playing) telephone
  • Slap them together, hit balls, air wands
  • Play drums with pool noodles
  • Rubbing it with hands
  • Speak into one end and have child listen to sounds on other end to increase auditory feedback/sensory awareness

Using a Pool Noodle as Assistive Technology for Behavioral/ Emotional Challenges:

  • Sensory tool (fidget)  to squeeze, poke with golf tees, or roll small piece 
  • Something to squeeze, grasp, or tap on surface
  • As a reward: use it to play balloon volleyball
  • Rock right/left while grasping overhead
  • Take a turn talking, deep breathing
  • Wrap around child to create “bubble zone” for teaching personal space and reduce anxiety from overstimulation
  • Attaching to chair to kick to increase focus; hand fidget
  • Get anger out using a pool noodle to hit something…or make a “feelings fort” out of pool noodles

Other Uses for A Pool Noodle:

  • Theraband on chair
  • Play as obstacle course
  • Use for positioning
  • Boundaries on a table for remote or switch controlled doodle bug or car
  • Having a sword fight
  • Pencil grips