All posts by Therapro

The Value of Therapy Balls and How Best to Store Them

Physio Gymnic Balls, a valuable therapy tool I’ve had the joy of working in four different countries and across a variety of clinical settings. No matter the environment or the age of the client, certain tools remain universally valuable—and therapy balls are one of them. I’ve successfully used therapy balls with individuals recovering from head injuries or strokes, as well as with children with learning challenges and even clients with visual impairments.

I think balls of various sizes, textures, and shapes are a tell-tale sign that you have stepped into an OT room or department. Therapy balls are valuable in meeting so many goals and certainly show how dynamic OT is and how creative we need to be with every treatment plan and session. Let’s face it, balls are fun for most ages. They are colorful and versatile. Being round means that they are dynamic, resulting in the ability to grade therapy sessions by working on an unstable surface.

Therapy balls are valuable for improving:

  • motor control
  • muscle tone
  • trunk control or strengthening core muscles
  • upper limb function for clients with orthopedic or neurological disorders
  • introducing fun games and exercises into therapy
  • eye-hand coordination
  • righting and balance reactions
  • weight shift

Balls can encourage a child to feel excited to come into a treatment room or to prepare a blind child for hippotherapy. Balls can be just as important to an older woman needing to reduce internal scarring from repeated abdominal surgery.

There is one problem with therapy balls: storage. Without due care, your therapy room can quickly become messy, cluttered, and a potential safety hazard. We don’t want our clients tripping over equipment!

Aeromat Fitness Ball Stacker, a space-saving storage solution designed to neatly organize and stack fitness balls of varying sizes.If you’ve ever worked in an OT department or been involved in developing a therapy department in limited space, then you can appreciate the need to organize physio/Gymnic balls. There are times that facilities will look into securing a suitable shelf, setting up a hammock specifically for therapy balls, or acquiring an array of other wall or ceiling fittings.

But what can do you do if your practice is in rented space that doesn’t permit attaching anything to the walls or ceilings? Or if your OT room is in a building with prefabricated walls and ceilings, reducing the strength and stability of the internal structure?

When I started in private practice, one of the first pieces of equipment I obtained was a large therapy ball with bells inside. Amongst my first private clients was a child who was blind from birth and severely sensory-deprived, hence the bells within the ball. It was wonderful to introduce a ball game in which he could participate because he could hear where the ball was.

11” Two-Way Hand Pump is a versatile, durable, and efficient tool designed for inflating exercise balls, therapy balls, and other inflatablesThe problem was how to store the therapy ball. I grappled with this dilemma until I discovered the wonderful Ball Stacker. It looks professional and neat and makes a good impression when a parent comes into the therapy room for the first time. Now you can use therapy balls even if you can’t attach brackets, shelves, or hammocks to the wall or ceiling.

Another valuable accessory to the therapy ball, is the Ball Handpump which offers the freedom to alter the pressure in the ball according to the goals of your client.


Guest Blogger: Shoshanah Shear

Shoshanah ShearOccupational Therapist, healing facilitator, certified infant massage instructor, freelance writer, author of “Healing Your Life Through Activity – An Occupational Therapist’s Story” and co-author of “Tuvia Finds His Freedom”.

Improving Student Hand Function: Activity Analysis Strategies

Marcia Bridgeman, MHA, OTR/L, presented at the seminar entitled, Analyzing Activities for Improving Student Hand Function!,

The March Saturday seminar at Therapro was presented by Marcia Bridgeman, MHA, OTR/L, fine motor expert and author of the revised Fine Motor Olympics (2016). In her seminar entitled, Analyzing Activities for Improving Student Hand Function!, she methodically reviewed hand development from birth to elementary school age, and then discussed how the development translated into functional hand use.

Marcia has extensive experience in school-based practice and currently provides both consultation and direct service through her private practice in several Massachusetts school systems. She specializes in providing services to students from preschool through age 22.

Fine Motor Olympics has been revised to include a new Manual and 64 beautiful color photo cards of children’s hands performing fine motor tasks with instructions for the activity on the reverse side of the cards. A Guide to Hand Function, Quick Screening Form, Fine Motor Observation Checklist, Record Form, and In-Service Training Program are included in the Manual.

Within her comprehensive review of motor development and hand function from newborn to age 6, Marcia discussed functional fine motor skills expected at the corresponding developmental stages. For example, around the age of 8 months, development of the arches of the hand begins, essential for providing stability, mobility, and opposition of the hand. She matched simple therapeutic activities to this developmental level, including cupping the hand to shake dice, rolling up paper, fastening a zip lock bag, and cutting with a knife, to name a few!

Seminar attendees enjoyed breaking into groups at 8 stations where they tried out and analyzed original fine motor activities that Marcia created using inexpensive materials such as paper towel rolls, yarn, drinking straws, etc. The activities included activities like creating a spider web in a plastic basket and moving the spider in the web, using a variety of tongs to hunt tiny dinosaurs, balancing marbles on golf tees, and threading straws into paper towel rolls punched with holes. The groups engaged in activity analysis and shared their comments with the rest of the attendees. In addition to the new activities Marcia introduced today, she highlighted a number of fine motor Therapro products she loved, including, Hide & Slide, Boinks, Get a Grip Pegboard, Helping Hands Fine Motor Tool Set, and What’Zit Animals. She discussed conventional uses for the materials and also adapted the materials creatively and adeptly to help develop muscles of the hand. Some activities incorporated use of intrinsic muscles in translation activities, for example: moving a small single object fingers to the palm (1.5 – 2 years) and from palm to fingers (2.0 – 2.4 years).

Marcia sparked attendees to share their own creative fine motor activity ideas with the group. Everyone walked away with a toolbox filled to the brim with fresh, low-cost, and fun activities to try out next week.

We can’t think of a more enjoyable way to spend a sunny, brisk New England Spring morning than analyzing fine motor activities and sharing thoughts on how to help develop better hand function in the classroom setting! Marcia’s skill at analyzing functional hand use is unsurpassed. She offered many innovative, easy-to-make fine motor activities that support fine motor skill development.

Here’s a sample of the many positive observations that attendees shared about this seminar:

“Excellent easily implemented activities. Energetic presentation. Great product. Kudos all around.” – Beth B., Occupational Therapist

“As a Pre-K teacher, I learned a lot and will be able to look for certain signs in my 4-5 year olds and activities to help.” – Jackie K., Teacher

“Loved hearing about the development of the arches. Great refresher to help me
better analyze the activities I choose for my students.”
– Jennifer N., Occupational Therapist

“It’s directly relatable in my practice!” – Jennifer C , Occupational Therapist

“Marcia was a warm, open, creative, and generous presenter who succinctly
outlined foundations of hand function. We all left with user-friendly,
inexpensive ideas we can implement immediately. Wonderful!”
– Bernadette W., Occupational Therapist

Thank you, Marcia!

Filomena Connor, MS, OTR/L
March 24, 2018

From Farm to Table: A Comprehensive Group Model of Nutrition and Feeding

nutritionist, Maria Napoleone, MS, RD, LDN and Occupational Therapist, Danielle Goldstein, M.Ed, OTR/L,The February 17, 2018 Saturday Seminar at Therapro was an innovative presentation from nutritionist, Maria Napoleone, MS, RD, LDN and Occupational Therapist, Danielle Goldstein, M.Ed, OTR/L, entitled: Farm to Table: A Comprehensive Group Model of Nutrition and Feeding. The women have developed a feeding group collaboratively at BAMSI Early Intervention Program, in Brockton, MA. Maria has notable pediatric experience as a nutritionist working in varied settings including the Boston Medical Center Growth and Nutrition Clinic, Pediatric Feeding Clinic and Pediatric Surgery Department at UMass Medical Center, WIC, early intervention, and as a Peace Corps volunteer. Danielle’s broad pediatric experience includes practice in acute care, outpatient services, feeding team, school-based therapy, early intervention, and private practice.

Danielle and Maria described Farm to Table as a comprehensive model to improve feeding outcomes with nutrition at its foundation. Their toddler feeding group at BAMSI involves using a multi-sensory approach in a structured group setting in which peer role models play a critical role in the development of eating skills. The seminar covered many topics including tips on how to structure a feeding group in various settings, how to implement key strategies, how to empower parents carryover and use the strategies learned through the group, how to improve the quality of foods consumed, how to improve mealtime behavior, and much more!

Farm to Table developed over a number of years as the model for the BAMSI feeding group that provided the toddlers with hands-on food exploration and multisensory experiences in a nurturing, supportive setting. The Sequential Oral Sensory (S.O.S) Approach, a trans-disciplinary program for assessing and treating children with feeding challenges and weight/growth problems, serves as the approach the BAMSI team uses in their feeding group. S.O.S. integrates posture, sensory, motor, behavioral/learning, medical, and nutritional factors to evaluate and manage children with feeding and growth difficulties. Creating a garden as part of the group experience gives the children other sensory and food-related experiences that helps them understand how food grows and what it looks like when it is cooked and on your plate. The garden has produced a wide variety of vegetables and herbs that the group has used to prepare snacks and meals including spaghetti sauce, zucchini muffins, and pesto. Growing food adds a critical component to the group in light of the fact that Maria noted that “70-90% of children who receive EI services have one or more nutritional risk indicators.”

Several of the many helpful resources recommended by Danielle and Maria include: www.choosemyplate.govwww.feedingmatters.orgwww.ellynsatterinstitute.org, and www.farmtopreschool.org.

Maria and Danielle presented an exciting model that addresses jointly the importance of developing a solid nutritional foundation for children as well as the need to support children with feeding challenges through a multi-sensory approach to feeding. They have documented great success with their Farm to Table feeding group. The rich experiences the children gain take them from learning about how plants are grown, cared for, and harvested, to how the plants are prepared, cooked, and eaten, in a structured group with peers and adult role models. This team approach takes children who experience feeding challenges on a nurturing, supportive, fun journey toward improved nutrition and enjoyment of food!

Take a look at a few of the many positive comments from attendees about Danielle and Maria’s seminar:

“Very informational on ways to improve feeding with children not just by using food but also through movement, circle time, structured activities. Really like the idea of group and using peer modeling.” – Julia N., Occupational Therapist

“It was interesting and well presented. I will use many of these strategies for my class. (I am in First Grade and work with Special Needs).” – Annmarie M., Teacher

“Great process from beginning to end of creating this group program.” – Micaela C., Physical Therapist

“The emphasis on the process was important in understanding that every student works at their own pace and that any type of food trial – whether it be touch, smell, or taste is success!” – Beth M., Occupational Therapist

Thank you, Maria and Danielle!

Filomena Connor, MS, OTR/L
February 17, 2018