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Pump up child’s proprioceptive system

These are some of the things you can do with your child to bring his/her proprioceptive system closer to the regulated state:

  • utilize your home:
    • lay mats of different thickness and softness onto the floor (information coming from the joints)
    • put some mats or safety sponges onto the walls (for children who like to run and bounce themselves off of the walls)
    • have Pilates kind of balls in the space (child can roll on the ball on their stomachs or you can lightly massage them with the ball on their backs or squeeze them in between two balls, or have them jump on the Pilates ball while catching some other small objects)
    • big cushions (take a duvet cover and fill it up with pillows, Styrofoam or small soft balls and have your child jump on it, cross over it, crawl on it, lay down on it etc.)
    • fill up the crib with small plastic balls to make a ball pit.
  • have fun out in the streets:
    • pass each other a ball, small stone, pine cone
    • pick up pine cones or stones into buckets of different sizes (thus different weight)
    • try walking and running with small weights around the ankles
    • walk around in a vest with some weight in it
    • walk in deep snow, through puddles of water, sand, in high grass, in mud, different surfaces
    • walk up or down the steep streets
  • other creative activities:
    • make a dough out of water and flour. Some can be smooth and soft, some you can make rough by adding seeds and some you can make a little dry. Ask your child or show them how to pull a little bit of dough with their fingers, make a small ball and paste the ball onto a piece of paper. For older children, you can make a line or a shape on that piece of paper and they should paste the dough balls onto the lines. This is also great for tactile regulation
    • jump on the trampoline in a rhythm

 

 

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Sensory or Behavior?

This is one of the popular and everlasting discussions among the professionals in sensory integration / child development field. When a child is having e.g. a tantrum, how do you know if it’s sensory or behavior? This is a very important question because it defines our reactions towards the child in that moment. And our reactions are there to help the child either by calming him down or by teaching him some boundary.

There is a consensus about a couple of things:

  • every child needs good* boundaries
  • every child needs good* structure

*not necessarily strict or harsh
While reading other people’s opinions on sensory or behavior question, one interesting answer pops up: it is sensory and behavior, and not sensory or behavior. It is very hard to define a behavior and not take the sensory factor into the consideration. If your child doesn’t want to eat something and is crying and jumping in their feeding chair, take a look at the food you gave them: is it too hot or too cold or perhaps too chewy? Children who have low muscle tone in the oral area will most likely find difficult to chew and will thus most likely refuse to eat e.g. some meats or bread crust. Those same kids, on the other hand, will want to get the stimuli the easy way and you might see them asking you for crunchy foods that are easy to chew through e.g. chips, salty sticks, rice cereals etc. Food temperature is also very important to sensory kids. Just try to make them get used to it step by step. Forcing  them to eat something, whether of the “wrong” temperature or texture is only going to make them refuse it, even if they would initially want to taste it.

So, how come a lot of the times we get the report from the preschool teacher that the child ate everything and is eating nicely in the preschool and makes such a drama at home? Well, the answer may as well be – the structure. Don’t confuse this with boundaries. Parents may be very clear on the boundaries, but the structure is what is missing at home. Usually preschools organize time and setup for meals where all children eat together at a table at the same time. So, this structure and predictability helps a lot of the sensory kids in their organization and regulation. If they do not have to think about what’s coming next and how they will manage themselves in the new situation, but they know that at this time, kids will start getting together at the table and food will be served, those sensory kids can be at peace and they can participate in an adequate way. To go back to the structure vs boundaries – sometimes what happens is that parents put stricter boundaries or let’s say, stricter parenting to compensate for lack of structure. Perhaps this is a good question to analyze in one of the future posts.

Another question to be asked here is how to know whether your child’s current behavior is purely sensory or behavioral, though I said that usually it’s both? Well, The Anonymous OT gives a good point in his “Is it Sensory, Behavior or Both?” blog post.

This is where I tell my parents to be incredibly attentive to the subtle signs from their child. With any behavior analysis, there is an “antecedent,” or something that happens before the behavior. This is where the parent has to look for the clues. What was the root cause of the outburst?

I agree with this statement and have been recommending the parents I work with to do so – to try and figure out what happened right before some good or bad behavior. Important thing to know and remember is that kids are not bad, they do not want to act badly. Children actually want to please their parents. If a child is behaving “badly”, it is up to us to figure out why and help them.

P.S. I like this document!

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Kako senzorički opremiti kuću?

English version

Jeste li vi među onima koji imaju prazan podrum koji k tome nije vlažan te je savršen za senzoričku sobu? Ja nisam! Mi živimo u stanu. Imam doduše garažu, ali ne odgovara ovim kriterijima. Prljava je, vlažna i puna stvari. Također je i dva kata niže. Svakako nije namjenjena za senzoriku. Moji roditelji imaju podrum, ali je također vlažan, prepun stvari i ima veliku škrinju. Ne odgovara našim potrebama. Dobra vijest je da vam ne treba zasebna prostorija. Jedna super strana senzorne integracije je što nas traži da budemo vrlo kreativni. Djeca i roditelji s kojima radim inspirirali su mnoge moje ideje, igre i trikove.

Dakle, što možete učiniti da vaš mali, skučeni dom bude senzorički povoljan? Počnimo razmišljati u 3D! Iskoristite svoje zidove, plafon, podove, vrata itd. Sve može biti korisno. Ali najprije pogledajte koje su potrebe i mogućnosti Vašeg djeteta. Jesu li potrebe Vašeg djeteta više proprioceptivne, vestibularne ili možda vizualne? Imajte na umu sva osjetila, ali u prostoru imajte malo više stvari koje podražuju ono osjetilo koje Vaše dijete najviše treba. Ne morate imati svu tu opremu i pomagala cijelo vrijeme nasred boravka i po cijeli dan. Mijenjajte raspored i opremu prema želji odnosno potrebi djeteta. I svakako imajte djetetovu sigurnost na prvom mjestu.

Za propriocepciju:

  • stavite strunjače različite debljine i mekoće na pod (informacije dolaze iz zglobova)
  • stavite i strunjače ili zaštitnu spužvu na zidove (poglavito za djecu koja se vole “zabijati” u zidove)
  • imajte pilates lopte (dijete se može ljuljati na lopti na trbuhu ili ga možete masirati loptom po leđima; malo ih stisnuti među dvije lopte kao u sendviču; mogu skakati na lopti dok hvataju neki drugi manji predmet)
  • veliki jastuci (uzmite plahtu od prekrivača i napunite ju jastucima, stiroporom za igračke ili malim lopticama da djeca mogu skakati po tome, puzati preko tog velikog jastuka, prelaziti preko njega ili pak leći na njega)
  • napunite krevetić ili vrtić malenim platičnim lopticama da stvori bazen s lopticama.

Za taktilno:

  • napravite taktilne ploče kod kuće (mogu biti jednostavne poput ovih kvadratića na slici niže dolje ili možete otići korak dalje i napraviti brojeve i slova od različitih materijala i tekstura, pa čak i PECS kartice u 3D!) i stavite to na zid. Ako imate veći neiskorišteni zid, možete ga obući u neku tkaninu ili materijal.
  • stavite različite materijale na pod i najbolje bi bilo da dijete boso hoda po njima, ako je moguće. Možete imati jedan kut sobe, ili kut od kauča popunjen jastucima različitih materijala i tekstura (mekani, tvrdi, izrezbareni, vuneni, krzneni, glatki, bodljikavi) te nekoliko jastuka koji izgledaju isto, ali su različite težine, te i treću kategoriju jastuka koji izgledaju isto ali su različito punjeni – grahom, sterilnim mačjim pijeskom, perjem, kamenčićima ili stiroporom)
  • bojanje i pisanje također može biti zabavno (zeleni kaktus je kemijska olovka te ako ste toliko kreativni kao ovaj dječak sa slike, možete popiti i malo mineralne vode (“pikave vode”) iz kaktusove posude).

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  • Kupanje: voli li Vaše dijete vodu? Ako da, kupa li se u kadi ili ga tuširate? Voli li jaki mlaz ili slabi? Možete se igrati pjenom za brijanje dok se dijete kupa te staviti po licu i tijelu, namazati i patkice. Također dodajte i taktilne podražaje popust krupne soli ili šećera u pjenu i namažite na djetetove ruke ili tijelo. Bolje da se sami namažu. Možete dodati i jestivu boju za vizualni podražaj. Time možete namazati i igračkice za vodu koje su bodljikave, spužvaste ili glatke).
  • Oralno: dijete su može prati zube i trljati jezik i desni četkicom – postoje klasične četkice, no i one za bebe i od NUKa. Možete i svojim prstom masirati oko usta i obraze. Također i desni i jezik ako vam dijete dopusti. Moj sin obožava tu masažicu uz pjesmicu “Wheels on the bus”. Puno se smiješi na to.

Za vestibularno:

  • stavite ljuljačku u kuću (neki roditelji su instalirali mrežu za ljuljanje iznad svog bračnog kreveta pa bi se djeca popela i skakala na krevet – pazite na sigurnost!! Možete instalirati ljuljačku na plafon, a na susjedni zid stavite konop pa kada se ljuljačka ne koristi, samo ju zaglavite između zida i konopa da ju ne morate uvijek skidati. IKEA ima jednu ili dvije koje ja svakodnevno koristim. Dijete se može ljuljati u različitim pozicijama (dok sjedi, na trbuhu, na koljenima ili dok stoji) i u različitim smjerovima te možete kombinirati i druge aktivnosti skupa s ljuljanjem poput hvatanja lopti različitih težina (proprioceptivno) ili materijala (taktilno).
  • možete imati balansne ploče ili jastuke. One samo da daju vestibularni podražaj nego su bodljikavi pa daju i taktilni podražaj.
  • jedna majka s kojom sam radila je okrenula kauč naopačke i koristila ga kao tobogan za svoju kćer. Ja sam koristila velike jastuke za naslon te sam ih stavila niz kauč pa su se nećaci na tome spuštali kao niz tobogan.

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Za vizualni:

  • zapravo svi materijali i oprema već imaju nekakvu boju i oblik. Ako je Vaše dijete osjetljivo na vizualni podražaj, pojednostavite Vašu opremu. Također smanjite i broj svjetala u prostoru. Za one koji su na drugom dijelu kontinuuma, možete uvesti više boja, oblika i veličina.
  • uzmite rotirajući reflektor s više boja

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  • ako stavite strunjače različitih visina (boja i tekstura) na pod kao što sam napomenula u dijelu o propriocepciji, to je izvrsno i za vizualni sustav.

Kroz cijelu kuću: ponekad je teško zadovoljiti dijete kada je vani -30 stupnjeva C. Parkovi nisu najbolja opcija ne samo radi hladnoće i jer su mokri od snijega ili kiše nego i jer se u Hrvatskoj vrlo brzo zamrači po zimi, već oko 16 sati. Iz nekog razloga, kod nas u večini parkova nema ulične rasvjete. Ali ima nešto što možete učiniti i unutra. Iskoristite cijelu kuću ili barem dio za poligon: rasprostrite jastuke, strunjače, stolove, balansne ploče, lopte i sve što Vam se čini zgodno u niz prepreka. Ako Vaše dijete može pratiti upute, dajte mu i nekakvu igračku koju na cilju mora staviti u košaru. Cilj može biti i toliko jednostavan kao i poljubac mami. Preko nekih prepreka dijete može puzati, hodati, provlačiti se ili čak preskočiti. Evo kako je kod nas:

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Gurati jedan drugoga u autiću.

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proći kroz tunel

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Možete uključiti i kućne ljubimce ako su raspoloženi!

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Mogu proći i kroz otvor za pećnicu od dječje kuhinjice.

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Ima li Vaše dijete brata ili sestru? – udružite ih! Neka jedan drugome budu prepreka ili most kroz koji se treba provući.

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Vojničko puzanje

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Neka dobiju dopuštenje za iduću prepreku nakon obavljenog kognitivnog zadatka.

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neka pužu ispod stolića

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i na kraju, na cilju, neka ubace igračku u košaru ili kao ovdje na slici, u vrećicu.

Budite kreativni i zabavite se!

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Making the house sensory friendly

Croatian version

Are you among those lucky ones who have an empty basement which is not humid, perfectly convenient for a sensory room? I’m not! I live in an apartment. I do have a garage though, but it does not fit any of these criteria. It’s dirty, cluttered and humid. And it’s two floors down. Definitely not suitable for a sensory room. My parents have a basement, but it’s again humid, terribly cluttered and has a big freezer. Again, very unsuitable. Good news is, you don’t need a special room! One of the great things about sensory integration is that it makes you be very creative, it makes you think outside of the box. Children and parents I work with inspire me and are responsible for many of my ideas, games and tricks of the trade.

So, what can you do to make your small, often congested home sensory friendly? We should start thinking 3D! Use your wall, ceilings, floor, doors etc. Everything can be useful. First what you need to look at are your child’s needs and abilities. Are your child’s needs more proprioceptive, vestibular or perhaps visual? Having in mind all other senses, put a little extra of those your child needs the most. Also, please note that you don’t have to have these things in your living room the whole time and every day. You can change the setting as you wish, or per child’s needs. Have your child’s safety in mind at all times.

For proprioceptive:

  • Lay mats of different thickness and softness onto the floor (information coming from the joints)
  • Put some mats or safety sponges onto the walls (for children who like to run and bounce themselves off of the walls)
  • Have Pilates kind of balls in the space (child can roll on the ball on their stomachs or you can lightly massage them with the ball on their backs or squeeze them in between two balls, or have them jump on the Pilates ball while catching some other small objects)
  • Big cushions (take a duvet cover and fill it up with pillows, Styrofoam or small soft balls and have your child jump on it, cross over it, crawl on it, lay down on it etc.)
  • fill up the crib with small plastic balls to make a DIY ball pit.

For tacticle:

  • make tactile boards at home (they can be as simple as these squares below, or you can take it a higher level and make numbers and letters out of different materials, maybe even PECS cards in 3D!) and put them on the walls. If you have a bigger empty wall space, you can “dress” your wall into some fabric or some material.
  • put different textiles, materials on the floor and keep your child barefoot if possible. You can have one corner of your room, or corner of your L-profile couch filled with cushions of different materials (soft, rough, spiky, woolen, furry, smooth) and a few cushions that look the same, but are of different weight and third category, same looking cushions filled differently – with beans, kitty sand (sterile), feathers, small stones, Styrofoam etc.)
  • even coloring and writing can be fun (the green cactus is a pen and if you are as creative as this little guy, you may even use the pot to drink the sparkling water from)

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  • Bath time: does your child like the water? If yes, in a bath tub or sprayed on him/her as a shower? Strong pressure or mild? You can use shaving foam to play in the bath, put on child’s face and body, put on the swimming ducks – also incorporate other tactile stimuli here (put some sugar or grains of salt into the foam and spread on child’s body – better if they do it themselves, put some food coloring into the foam for visual stimulus, get some other toys that are spiky, rough, silky etc.)
  • Oral: you can have your child wash their teeth and also brush the tongue, lips, gums around etc with a regular brush or for babies or from NUK. Also, use your fingers to massage the space around the mouth and cheeks. You can also massage child’s gums and tongue if they allow you. My newborn loves this along with a “wheels on the bus” song. Makes him smile a lot 🙂

For vestibular:

  • implement a swing in your house (some parents had a net installed above their king sized beds and had a child climb on it and jump or drop down onto the mattresses – please consider safety here! – same you can do with a swing. Also, you can attach a swing on your ceiling and put a rope on a side so you don’t have to take the swing down each time, but just tuck it in between the rope and the wall or just keep it aside. IKEA has one or two nice swings that I use on daily basis. You can have your child be on the swing in different positions such as sitting, on their stomachs, on their knees or standing and implement different activities while swinging: catching some items that look the same, but are of different weight (proprioceptive) or material (tactile)
  • you can have different objects that react when stepped on such as a balance board, or these balance pillows. Not only do they give some vestibular input, but they are spiky on their surfaces so play as a tactile input, too.
  • one of the mothers I worked with flipped her couch upside down and used it as a slide for her daughter. I used big tight pillows down the couch for my niece and nephew

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For visual:

  • practically, all of the materials and equipment listed above as ideas for proprioceptive, vestibular and tactile come in some color and shape. If your child is sensitive to visual stimuli, keep it simple. Also, don’t get many reflector lights into the space. For those who are on a hypo side, you may have these things in different colors, shapes and sizes.
  • get one of the colorful rotating reflectors

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  • if you implement the mats of different heights (and colors and textures) on your floor that I mentioned was good for the proprioceptive system, it is good for the visual, too.

Throughout the house: sometimes it is very hard to keep the kids sensory and otherwise happy when it is -30 degrees Celsius outside. Parks are not only unavailable due to the possible snow or cold, but at least here in Croatia it gets dark so fast (around 4pm) during the winter and for some unknown reason, parks are not equipped with the street lights. There’s something you can do indoors. Use your whole apartment or house, or at least a few rooms and a hallway, for this exercise: spread cushions, mats, tables, balance boards, balls etc. into a line of obstacles. If your child can follow instructions, you may give him a toy or a ball that they need to carry through the obstacles and put into a basket in the end (have some kind of a goal – may it be as simple as a kiss to mom). Some parts they should crawl on, crawl under, crawl through, some walk over, some jump through and so on. Here’s a visual:

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Push each other in a car

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Go through tunnels

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You may include your pets, too. If they are eager to participate 🙂

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Go through an oven opening in the children’s kitchen

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Your child has siblings? – involve them! Use each other as tunnels or obstacles to cross.

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Soldier crawl

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Getting an assignment done to go to the next obstacle

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crawl under the table

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in the end, have a goal and put a toy in the basket or bag on the door handle.

Put your creative hat on and have fun!