Category Archives: Sensory

Simple Hacks to Optimize Backpack Safety and Organization

by Cathy Collyer

One of the essential back-to-school items on every parent’s shopping list is a new backpack.  Beginning in preschool and progressing all the way through high school, kids use their backpacks every day.   As therapists, we are aware that how that backpack is filled and carried will either create problems for kids or solve them.   A pack that is too heavy, so full that it creates perceptual, sensory or cognitive roadblocks to organization, or missing essential tools for kids with special needs, is not doing it’s job.  With targeted education and the introduction of simple alternative strategies, we can improve the chances that backpacks end up helping every child perform well during this school year.

Here are some ways to help students manage their backpacks for optimal performance throughout the school year:

  • Lighten up. Kids tend to make their packs heavier than they need to be.  Hypermobile kids, kids with orthopedic issues and kids with low tone may be carrying packs that put them at significant risk for injury.  Make sure parents are aware of this issue, and help them by suggesting a review of backpack contents and downsizing the “essentials” whenever possible.  Small water bottles, travel sizes of toiletries, and a minimum number of pencils, pens or markers lighten the load.  For kids that aren’t aware of the sensory or cognitive overload of an overfilled pack, a backpack checklist or a smaller pack help them manage without an adult assuming responsibility for content management.

  • Teach kids how to pack and wear their pack. The heaviest items should be carried close to the body and content weight should be distributed equally across the back. Kids should use both straps when wearing their backpack.  The one-shoulder carry can be preferred by middle-schoolers wishing to look “cool”.  This overweighting of one side of the body puts them off balance and at-risk for injury.  It may be hard to change habitual behavior in children at this age.  Try identifying the child or children who seem to be admired and copied by their peers.  Influencing the kids who are acknowledged social leaders can change class culture quickly.   Don’t wait until children report neck and shoulder pain, but remind parents and teachers that the risk of strains, sprains and exacerbations of issues seen in tweens and teens like scoliosis are real.
  • Frequently used items should be quickly accessible in surface pockets, and items they need for their first class are reachable when they open their pack, not packed under other materials. Laminated photos of pocket contents can help children learn the habits of efficient storage.

  • Help kids remember to use their sensory tools by having them handy. Tools like Highlighter Strips and the Desk Buddy Multi-Textured Ruler are slim and can be left between pages of a book or workbook, ready to be used.  Calming tools like the Wristful Fidget can be worn, not shoved into a pack.  Since it looks like a sport wrap, kids aren’t as eager to toss it away when they pack up and go!  Kids may need more than one set of tools so that they can leave a set at school and another one at home. Items that do more than one job, like the Desk Buddy Ruler, have an advantage over carrying a bunch of fidgets and then an equal number of classroom tools.

  • Accept that altering behavior is a long game. Don’t get discouraged if kids only use some of these strategies to improve how they manage their backpacks.  Habits change slowly, and as the demands of the school year mount, it may take periodic reviews and revisions to find the right combination of equipment, organization and carrying strategies to make a difference!

Cathy Collyer, OTR, LMT, PLLC

Cathy Collyer, OTR, LMT has treated children with neurological, orthopedic and sensory processing disorders for over 20 years.  She is the author of The Practical Guide To Toilet Training Your Child With Low Muscle Tone.  Learn more about her work at tranquilbabies.com.

Saturday Seminar: Ready, Set, Learn: Tools to Build Self Regulation

A captive audience representing a broad range of disciplines attended Therapro’s September Saturday Seminar featuring Lise Gerard Faulise, MS, OTR/L, BCP. Lise is the founder of Rehab New England, a private sensory integration-oriented practice in Rhode Island, and co-founder of the Wolf School in East Providence, Rhode Island, designed for K-8 children with learning differences. Her presentation, Ready, Set, Learn: Tools to Build Self Regulation, provided a clear view of how self regulation develops from in utero and beyond, how dysregulation might occur, and how treatment can affect function.

Lise’s discussion of foundational skills that impact somatosensory experiences of a child before, during, and after birth was comprehensive. She led us through the developmental process where sensory and motor development are intimately linked, and showed how they help develop cognitive skills efficiently from the “bottom up.” She referred to the “Pyramid of Learning,” developed by Occupational Therapists MarySue Williams and Sherry Shellenberger, authors of the Alert Program – How Does Your Engine Run?, which teaches children how to identify and change self regulation using the analogy of an engine.

When there is a problem with self regulation, where the child either seeks or avoids sensory input, we may see behavioral changes in the child, which should raise red flags and further questions. Lise recommended the book, Is It Sensory or Is It Behavior? to help us examine if the behavior is intentional or whether it is a by-product. She suggested observing the timing of the behavior and whether it is limited to specific environments. For a child who experiences sensory modulation issues, Lise suggested providing the child with a large dose of sensory input activities so that behaviors don’t escalate and/or the child doesn’t feel threatened. For a child who experiences sensory overload, she suggested a quiet area or space at home and in the classroom that has things available that comfort the child, like a Cozy Caterpillar Sock, and comfortable clothing like Compression Clothing. She noted that oral or hand fidgets can help with self regulation as well. In addition, Lise identified somatosensory activities that involve deep tactile pressure, heavy work, rhythmical movement, music, breathing, and mindfulness as research-supported activities that are calming. Treatment materials to use may include scooter boardsDeluxe Peanut BallsRainy Day Playground: 2 in 1 Rotary Platform SwingHeavy Work Bands, to name a few. When a child is self regulated he/she is ready to tackle higher level function.

We were engaged fully in Lise’s seminar and wanted to hear more as the two hours of her presentation evaporated. Her skills as a clinician, researcher, and lecturer in the area of sensory processing disorders were evident from her solid and inspiring presentation.

Attendees offered these positive remarks:

“What a pleasure! Great presenter and excellent information.” – Beth B., Occupational Therapist

“So much information that I can really use in my classroom. Clarified a lot! Could have been 2-3 classes!” – R. B., Teacher

“All educators should be equipped with tools to help children with self-regulation.” – Anonymous, Teacher

“Very informative and relatable to all disciplines.” – Amanda S., Behavior Analyst (ABA)

“Great seminar – loved the specific examples, backed by evidence-based practice.” – Marianne T., Occupational Therapist

Thank you, Lise!

Filomena Connor, MS, OTR/L
September 9, 2017

Saturday Seminar: From Flapping to Function: How to Promote Hand Skills

We’re off and running with a full roster of exceptional speaker for the 2017 Fall Saturday Seminar Series! Barbara Smith, MS, OTR/L welcomed the new season with her presentation: From Flapping to Function: How to Promote Hand Skills by Meeting a Child’s Sensory Needs. She discussed how challenges in sensory processing, functional vision, executive functioning and behavior impact developing functional hand skills. In addition, she demonstrated how to adapt activities so that they are motivating, calming and successful for children of all ages.

Barbara has a wealth of experience as an occupational therapist! She has primarily worked with children and adults with developmental disabilities over the past 40 years. She is the author of The Recycling Occupational TherapistFrom Rattles to Writing, and Still Giving Kisses, as well as numerous articles, blogs, and YouTube training videos. Barbara holds certification in sensory integration and hippotherapy.

Seminar attendees received a comprehensive review of the DSM5 – Autism Spectrum Disorder criteria and frequently co-existing disorders. Barbara discussed the impact of how sensory processing, vision deficits, executive function, and social/emotional/behavioral challenges can present challenges those diagnosed with ASD.

Barbara outlined10 ways to adapt activities and provide teaching strategies to ensure success for those with ASD. She demonstrated a variety of creative activities for children using recycled and easily obtainable materials throughout her presentation. To achieve optimal alertness, she discussed the use of weighted vests, lap pads and shoulder wraps; the importance of positioning such as a dynamic cushion, beanbag, swing, and a ball chair; and the use of vibration. Barbara has a number of favorite sensory fidget tools including soft, rubbery Panic Pete, whose eyes, ears, and nose pop out when squeezed. To promote success with activities, Barbara offered suggestions for simple adaptations such as enlarging or decreasing the size of materials, simplifying them, or providing stabilization for them. She displayed a variety of homemade shape sorters that were easily graded with one, two, and more openings to make insertion motivating and successful. Many adaptations were suggested to promote functional vision, including easel surfaces for materials so that the head and top of the easel are oriented in the same way, improved lighting, and using reading guides.

Barbara shared a wealth of clever ideas for promoting hand skills by incorporating sensory strategies into treatment. Her guide for using adaptations and teaching strategies to promote success in all areas of function at home, in the community, or at school was comprehensive and fun!

Attendees had terrific things to say about Barbara’s seminar:

“Great creative ideas for treatment. Got me thinking of items in my class & at home to incorporate into treatment – thanks!” – Tracy H., Occupational Therapist

“Great practical knowledge. Loved her passion. I would love this training to be brought to schools so OT/PT/S/L are understood & supported in the schools by teachers and administrators” – Ingrid J., Parent

“Very informative, concrete suggestions” – Linda M., Occupational Therapist

“Excellent information and great examples! What a way to incorporate everyday items to functional use.” – Beth M., Occupational Therapist

Thank you, Barbara!

August 26, 2017
Filomena Connor, MS, OTR/L