All posts by Allyson Locke, M.S., OTR/L

Let’s Move! Fun Ways to Add Movement Experiences to Everyday Activities

A quick web search will unearth a vast number of articles, books, and research supporting the notion that movement is critical to so many life functions including a child’s ability to attend and engage in learning activities. Cold winters, limited daylight hours, and the current Covid pandemic situation have all played a significant role in limiting access to movement opportunities.  However, there are still some great ways to move within the confines of these restrictions! Check out these ideas!

Obstacle Courses

Obstacle Course

Obstacle courses can be big, small, built indoors, or built outside.  There are no set of specific materials needed, just a little imagination!  At home, obstacle courses are a great rainy day activity. Use couch cushions, blankets, pillows or whatever else is readily available around the house.   In the classroom obstacle courses make a great option for indoor recess.

Simple modifications can help everyone get in on the fun!

  • To help learners still working on motor planning, establish a starting and end point and/ or identify materials to use for the course.
  • Make it more complex by adding games rules such as “the floor is lava” and cannot be touched!
  • Get creative juices flowing by establishing a challenge. Can you make it from your desk to the pencil sharpener using only three materials? Can you make it from the couch to the kitchen without touching the floor?

Check out Sensation Fun and Therapro’s free resources for ways to enhance obstacle courses with sensory exploration!

Alternative Seating

Alternative Seating

Swapping out traditional chairs for something that allows for wiggling is a great way to add movement experiences to traditionally sedentary activities! Be sure to supervise those with decreased balance!

Some Ideas Include:

  • Sit on a jacket, blanket, pillow, or air filled cushion.
  • Sit on an upside down water jug, chair with wheels, rocking chair, ball chair, or Kore Stool!
  • Place an air filled wedge between a student’s back and the back of the chair or under the feet (also great to support posture and positioning!).
  • Use a ready made Foot Fidget or tie exercise bands to chair or desk legs.

For more alternative seating ideas check out Therapro’s Blog Setting up Your Seat for Virtual Learning Success!

Games!

Trunks Memory Game

Games are engaging at all ages and a great resource for movement.  Some games come with built in movement opportunities like the Yoga Spinner Game, Trunks, or Letter Treasure Hunt. For games that are traditionally sedentary, table games, a few tweaks can add a dose of movement!

Try These ideas:

  • When game setup allows, spread games pieces out.  For example when playing a memory game place cards in different spots in the room (across multiple desks, across the living room floor, or even taped to the wall!)
  • Use sticky notes or small stickers to cover game board spaces with a movement activity.  For example, take a traditional board game and add movement cues (“10 jumping jacks”, “run in place”) to several of the game’s squares.  When a player lands on this square they would perform the movement prescribed.
Little Treasure Hunt

Be sure to check out Therapro’s Gear Up for Games Handy Guide for more game modification ideas!

Movement Breaks!

More and more classroomTry These ideas:s are adding movement or “brain breaks” into the daily schedule. A simple stretch break can do wonders for changing a students level of alertness and their ability to attend. These mini breaks don’t have to be restricted to the classroom, they are perfect for homework sessions, online learning activities, or even Saturday morning cartoon sessions!

Try These ideas:

  • Get students involved. At the beginning of the day assign a movement activity to each student. During the designated movement break time, students take turns leading classmates through their assigned movement.  Make it super simple by distributing movement cards at the beginning of the day (for example Fun Deck cards or Yoga Cards) for student’s to use as guidance!
  • Keeping a visual near spaces where sedentary activities usually occur helps to provide reminders to move. Try Move Mindfully Poster Strips, simple cut outs from favorite magazines, or Drive Thru Menus.
  • Create a movement corner near learning spaces to help students have quick and convenient access to movement opportunities without getting off track! These can be quick and easy to create; try using a small yoga mat or towel, some weighted balls or filled water bottles, and/ or a therapy ball.
Move Your Body

Be sure to check out Therapro’s Tap Into Tools For The Body Handy Guide for more ideas!

Small amounts of movement will quickly add up.  Providing the space, tools, and opportunities to access movement experiences will help students attend, focus, and better access their learning environments. In addition, these early, positive experiences with movement will help to establish lifelong health habits!

Modifying Games to Address Therapeutic Goals

Games are a useful therapeutic tool; they are versatile, engaging, and so much fun! WIth a few simple modifications games can address a wide range of therapeutic needs.  A few simple modifications can be used for almost every game:

  1. Add Visuals.  Visuals can be anything from simplified directions to communication aids, like “your turn” and “my turn”. Visuals can help those who struggle with sequencing, memory, or communication participate more independently in game play.  
  2. Change the playing position. Playing games on the floor, at a countertop, or with alternative seatings helps to increase participation and access.  Playing a game on the floor allows players to play in alternative positions like laying on their bellies. This position is great for those with postural instability, and helps increase their focus and endurance.  Another option is to use a therapy ball (add a base for stability), Alert Seat, Ball Chair, or air filled cushion instead of a traditional chair.  These types of alternative seating provides movement input which may allow those with shortened attention spans to participate longer and with more focus.  Some games like, Left Center Right, have few manipulatives making these great games to use on scooter boards or swings.  
  3. Modify  the Manipulatives.  Some game pieces are just too small, too big, or too difficult for students to access.  One quick fix is to swap out the game tokens for something more manageable like a jumbo dice.  Another option, insert game pieces into putty for a bigger gripping surface.  Other modifications include using a card holder or book holder.  
  4. Manipulating the manipulatives to target hand skills. To encourage a pincer grasp, place smaller game pieces into an egg carton (or similar small container); the smaller space allows for only a few fingers to access the piece, encouraging a two or three finger grasp pattern every time the player picks up the game pieces.  To incorporate hand strengthening and bilateral coordination, use a tennis ball with a small slit cut into it.  Players must squeeze the tennis ball with one hand while using the other hand to insert or remove their pieces.  To target fine motor manipulation with insertion, use plastic containers (your recycling bin is a great resource); cut a slit in the lid and work on inserting game manipulatives into the containers.
  5. Change the game rules to address specific therapeutic goals. If your focus is social interactions, team building, or cooperative problem solving change game play so players play as a group instead of competing against each other. If you are doing individual treatment sessions instead of group sessions, change gameplay to make it a single person game.  When time is limited or you have participants who struggle with extended attention and focus, add a time rule where game play ends after a set amount of minutes.  When the game is too hard or too easy for players, add more complexity or decrease the complexity.   

With a little bit of creativity, most games can be changed, adapted, or modified in order to use them as a therapeutic tool.  Check out Therapro’s handy games guide to see these modifications applied to some of our great games! 

Review: Nov 16, 2019: Advanced Treatment Strategies for Youth with Complex Behavior

On November 16, John Pagano, PhD, OTR/L presented his Therapro Saturday Seminar, Advanced Treatment Strategies for Youth with Complex Behavioral Challenges, to a captivated audience. The energy in the room was palpable throughout the two hour talk. Dr. Pagano ‘s passion was evident as he discussed assessing and treating children and adolescents who have complex behavioral disorders. He shared clinical examples and anecdotes to highlight his talk, peppered with humor. Leading the audience through many experiential activities provided them with examples of practical tools to use with individuals and groups.

John is an occupational therapist who practices at an adolescent psychiatric hospital and school. He is a certified instructor of Positive Behavioral Support and Movement Based Learning Strategies. His years of experience include working in various settings including adolescent juvenile detention, psychiatric hospital, adolescent group home, and in special needs, regular education and preschool classrooms. He is the author of the recently published book, FAB: Functionally Alert Behavior Strategies: Integrated Behavioral, Developmental, Sensory, Mindfulness & Massage Treatment.

John discussed the importance of setting functional behavioral goals when providing OT, PT, and Speech/Language therapies for students with complex behavioral disorders. He frequently reiterated the value of a team approach, including ABA specialists, to working with this population.

FAB Strategies® are Dr. Pagano’s evidence-based, practical strategies that use “clinical reasoning based on current clinical research and neurology to develop the individualized strategies needed to address complex behavioral challenges.” John reviewed Sensory Processing Disorders, how they interact, and how to treat them using sensory based interventions. In his discussion of Sensory Modulation Disorders, John stated that his research and experience have shown that the olfactory sense is a powerful teaching tool for those with ASD and for those who have experienced trauma. He has found that pairing a scent is very effective for achieving the desired Quiet Alert state of arousal. He advocated using materials like Scented Clay and scented markers as treatment materials.

John disclosed that research supports that mindfulness strategies are an effective and powerful treatment methodology for improving special needs students’ behavior and executive functioning. John led the group in breathing and movement activities that he uses with his students that also increase body awareness. John taught the group a number of quick, easy, and practical strategies to circumvent problem behaviors. For example, his FAB Turtle Strategy involves 4 steps: 1) Notice environmental & body triggers – STOP 2) Go to the sensory coping area 3) Do your individual coping strategy 4) Later problem solve with help. Fidgets like Loopeez, Boinks, Panic Pete, and Theraband were mentioned as some of John’s favorites for calming.

Dr. Pagano is a dynamic presenter who generously shared resources and evidence-based, practical treatment strategies for working with children and adolescents who have complex behavioral challenges. He integrates all that he has learned in his years of experience with current research so adeptly!! Attendees left this seminar with ideas they could put to use immediately in their practice.

Take a look at some of the overwhelmingly positive comments from those who attended John’s seminar:

“I left full of simple/functional strategies to try with my students, all ages. John is simply AMAZING!!!” – Christie H, Speech/Language Pathologist

“John is an excellent speaker who was very helpful, evidence based, and offered suggestions for treatment.” – Renee S., Physical Therapist

“Offered many resources & activities that can be used immediately in my practice & therapy.” – Rose O, Occupational Therapist

“John’s sense of humor made this important topic fun. Many teachers & therapists are struggling in the classroom. These are strategies that can be implemented Monday. In addition, his strategies come from evidence based research of strategies/techniques that help our students make progress.” – Jennifer H, Occupational Therapist

Thank you, John!

Filomena Connor, OT, MS, OTR
November 16, 2019