PMC's Blog

March is National Nutrition Month

Tue, 17 Mar 2026 14:54:18 GMT

National Nutrition Month

March is National Nutrition Month , a time to celebrate healthy eating and make nutritious choices fun for the whole family! This annual campaign, created by the Academy of Nutrition and Dietetics, encourages people to develop healthy habits, try new foods, and learn more about balanced meals. What better way to engage kids in nutrition than with a grocery store scavenger hunt ? In this post, we’ll share a fun and interactive activity that parents can do with their children while shopping—turning the trip to the store into an exciting adventure that teaches kids about healthy foods, food groups, and smart shopping choices. Let’s make learning about nutrition both educational and entertaining ! Download a copy of the scavenger hunt today!

Grocery Store Scavenger Hunt

Can you find a red vegetable?
Can you find a purple vegetable?
Can you find a yellow fruit?
Can you find a green fruit?
Can you find a drink that makes bones strong?
Reading the ingredients, can you find a cracker where WHOLE GRAIN is listed as the 1st ingredient?
Can you find WHOLE GRAIN pasta?
Can you find a low-fat strawberry or blueberry flavored yogurt?
Can you find a cheese made with 2% milk?
Can you find fresh corn, frozen corn AND canned corn?
How many chips are in a serving size of chips? (Hint: look on the Nutrition Facts panel under ‘serving size’!)
What is the serving size of a 20oz bottle of soda ?
What shape and color is the ‘whole grains’ stamp?
Can you find a cereal with less than 6 grams of sugar per serving?
Can you find a canned fruit that says “in own juice”?

Grocery Store Scavenger Hunt Answers:

Answers: red bell pepper, radish, red onion, red cabbage, beets
Answers: purple carrots, purple cabbage, purple cauliflower, eggplant
Answers: pineapple, bananas, lemon, mango
Answers: green apple, honeydew, lime, kiwi, avocado, pear
Answer: milk
Answers: Triscuits, 100% Whole Grain Wheat Thins
Answer: Barilla Whole Grain Pasta
Answers vary
Answers vary
Answers varyAnswers vary
Answer: 2.5 servings
Answer: rectangle; yellow and black
Answers: Wheaties, Crispix, Special K, Rice Krispies, Kellogg’s Corn Flakes, Kix
Answers vary

5 Senses Food Scavenger Hunt

Can you find 3 foods that smell sweet? (smell) (possible ideas: pineapple, cinnamon, candy, icing)

Can you find 3 foods that are sticky? (touch) (possible ideas: peanut butter, oatmeal, honey)

Can you find 3 foods that are crunchy? (hear) (possible ideas: pretzels, celery, potato chips)

Can you find 3 foods that are brightly colored (sight) (possible ideas: bananas, oranges, strawberries)

Can you find 3 foods that taste salty? (taste) (possible ideas: pretzels, instant noodles, canned soup)

Why Telehealth Works: Therapy That Fits Into Real Life

Wed, 21 Jan 2026 15:50:01 GMT

Flexible, Functional Therapy for Real Life

When families think about therapy, they often picture a clinic setting. BUT some of the most meaningful progress happens right at home! That’s where telehealth therapy comes in. At Pediatric Movement Center, telehealth allows our therapists to meet children and families in their everyday environments, creating therapy that is functional, personalized, and designed for real life.

One of the biggest benefits of telehealth is that therapy happens where skills are actually used. Our therapists can observe how your child moves, communicates, and participates in daily routines at home. This gives us valuable insight into challenges like navigating stairs, sitting at the table, climbing furniture, or managing daily transitions—things that are hard to fully replicate in a clinic. By seeing these moments firsthand, therapists can provide targeted strategies that make a real difference.

Telehealth Helps Caregivers

Telehealth empowers caregivers. Parents and caregivers have a front-row seat during sessions, allowing them to listen, ask questions, and learn strategies in real time. Therapists coach caregivers using items already in the home, such as couches, toys, hallways, or play spaces, so no special equipment is needed. This hands-on coaching often leads to stronger carryover and improved follow-through between sessions.

Flexibility and Familiar

For many children, comfort leads to confidence. Being in a familiar space can help children feel relaxed, motivated, and ready to participate. Telehealth sessions often feel fun and novel, especially for children who enjoy interactive or computer-based activities. This flexibility also helps families stay consistent during busy seasons, inclement weather, or times when traveling to the clinic isn’t possible, supporting continuity of care and ongoing progress.

Telehealth isn’t meant to replace in-person therapy—it’s another powerful tool that allows us to meet families where they are. Whether it’s supporting a home exercise program, working through daily routines, or keeping therapy going during schedule changes, telehealth helps reinforce that therapy skills aren’t just for the clinic—they’re for everyday life.

Want to learn more?

Download our “Why Telehealth?” guide to explore the full list of benefits and tips for preparing for a successful session.

Celebrating Matthew!

Mon, 15 Dec 2025 19:55:55 GMT

Celebrating Matthew:

Years of Courage, Confidence, and Incredible Growth at PMC

Celebrating Matthew!

We have the pleasure of celebrating one very special kiddo, Matthew, and the incredible progress he has made throughout his years in therapy at PMC! After speaking with his occupational therapist, Ms. Colleen, and his mother, Jennifer, we were able to hear firsthand just how much Matthew is truly thriving.

Matthew has been receiving therapy since the age of two and has been part of the PMC family since the early days of COVID. Over time, he has grown into one of the most enthusiastic, charismatic children to walk through our doors. In fact, many affectionately refer to him as “the mayor of PMC” and if you’ve ever met him, you will understand why!

But Matthew’s confidence didn’t appear overnight. It has grown slowly and steadily through dedication, encouragement, and the collaborative efforts of PMC’s speech therapy, physical therapy, and occupational therapy teams.

Growing Confidence in the Pool and Beyond

Just one year ago, Matthew could only swim with a life jacket. Today, he swims across the pool independently, grinning with pride with every stroke. His progress has been nothing short of inspiring, and it all rests on building one foundational element: trust.

When Matthew first began aquatic therapy with Ms. Colleen, an occupational therapist, Matthew had a lot of fear of being in the water. Through patience, trust-building, and many days of showing up and making another brave step forward, Matthew began to believe in himself little by little, and his confidence grew. Now, he swims across the pool with ease! His mother, Jennifer, shared that his bravery in the water has carried over into every area of his life. His confidence at school has soared, and at home he’s showing more independence, emotional maturity, and a newfound willingness to try new things.

Skills Developed as Tools for Life

Matthew has also made remarkable progress with his therapist Ms. Alyssa in land-based PT, where he has worked on strengthening his core, coordination, and balance. These improvements have been further supported by the skills he’s developed in the pool. In fact, he has made such tremendous strides that he is now on his way to graduating from aquatic therapy very soon, Ms. Colleen shared. Similarly, his speech and communication skills have also made extraordinary leaps. Where it was once challenging for others to understand him, his speech intelligence has grown to the point where he can express himself more clearly and proudly. Emotional regulation has been another major area of growth for Matthew. With practical strategies and guidance from Ms. Colleen, his family has gained tools they can use at home to help him navigate big emotions more effectively. These skills have empowered Matthew and contributed to the calm, confidence, and resilience he shows across all settings.These milestones are a true testament to his hard work. We are so proud of you, Matthew!

A Braver, Happier Matthew

Through every challenge, Matthew has shown up with bravery. He has stepped out of his comfort zone, embraced new experiences, and shown us all what determination truly looks like. His story reminds us that progress isn’t measured only in skills gained. It’s measured in trust built, courage embraced, and joy discovered along the way.

We are incredibly proud of the amazing young boy Matthew is becoming, and we cannot wait to see what new milestones he’ll conquer next. After all, when you’re the “mayor of PMC,” anything is possible!

Self-Care Skills For Kids

Wed, 08 Oct 2025 19:00:27 GMT

Helping Your Child Grow Independence:

Self-Care Skills for Everyday Success

At Pediatric Movement Center, we believe that movement isn’t just about gross motor development—it’s intertwined with confidence, self-esteem, and real-life functional skills. That’s why helping children gain independence in self-care tasks (dressing, grooming, feeding, toileting) is such an essential piece of the puzzle. Empowering your child to participate in self-care doesn’t just free up time for caregivers. It helps children build motor planning, coordination, problem solving, and a sense of accomplishment.

Why Self-Care Skills Matter

1. Motor & cognitive integration

Tasks like buttoning, tying shoelaces, brushing hair, and managing zippers demand fine motor control, bilateral coordination, sequencing, and problem solving.

2. Boosting confidence and motivation

When children are capable of doing things for themselves (even partially), they feel more competent and proud.

3. Reducing caregiver burden

As your child becomes more independent, your role gradually shifts toward coaching rather than doing.

4. Supporting transition to school / life

Teachers, peers, and daily routines expect kids to manage many of their own care tasks. Early development of these skills smooths transitions.

Common Challenges You May See

By recognizing common challenges, you are better prepared to break down tasks and scaffold progress more effectively.

1. Dressing (buttons, zippers, socks)

Weak finger dexterity, poor grip strength, sequencing difficulties Frustration, avoidance, slow performance

2. Grooming (hair brushing, face washing)

Sensory sensitivity, poor bilateral coordination Child resists touching face, hair, water on face

3. Feeding / Utensil use

Hand dominance not established, weak wrist stability Spilling, awkward grasp, switching hands

4. Toileting / Hygiene

Motor planning, reach, coordination Difficulty wiping, managing clothing, following steps independently

Tips & Strategies to Support Self-Care Growth

Here are some practical strategies and tips to help your child grow their self-care skills with joy and confidence.

1. Break Tasks Into Smaller Steps

For example, rather than asking your child to “get dressed,” break that down:

Pull pants up > Hold waistband > Insert one foot > Insert the other foot > Pull up > Zip / snap / button
Tip! Label each step with visuals or checkboxes so your child can see the progression.

2. Use Adaptive Tools & Clothing

Modifications let your child practice success while their skills build!

Choose clothes with large, easy-to-grasp fasteners (e.g. big buttons, magnetic snaps, Velcro).

Use looped zipper pulls or zipper tabs to simplify grip.
Utensils with thicker grips or angled handles can ease feeding.

3. Practice in Playful, Low-Pressure Ways

Turn grooming into a “spa day” — let your child brush a doll’s hair first, then their own.
Sing a song while they dress themselves, doing each step in time.
Use a mirror so they can see what they are doing and become more aware of hand movements.

4. Encourage Bilateral Coordination & Strength

Games and activities that involve both hands—stringing beads, cutting construction paper, playdough work—help build the coordination needed for self-care.

5. Use Visual Schedules & Reminders

A picture-based routine board (e.g. “wash face → brush teeth → comb hair → get dressed → go to school”) offers structure and helps children internalize the sequence. Having the steps visible reduces reliance on verbal prompts.

6. Encourage Autonomy (While Supporting)

Let your child try, with you ready to assist only when needed.
Use open choices (e.g. “Do you want to put on your socks first or shoes first?”) to promote decision-making.
Praise attempts, not just successes: “I saw how you tried to button that shirt — great persistence!”

7. Be Patient & Repeat Often

Mastering self-care takes time and repetition. Try to incorporate these tasks multiple times a day. Over months, small progress accumulates into real independence.

8. Address Sensory or Motor Barriers

If a child resists face washing, brushing teeth, or hair care, sensory sensitivities may be involved. Gentle exposure, gradual desensitization, and input from occupational therapy can ease the process.

When to Seek Support from a Therapist

If you notice consistent challenges with a task despite practice, our therapy team is ready to evaluate fine motor, coordination, sensory processing, or motor planning components. You might want to consider occupational therapy support if:

Your child is older than peers for their age and still not handling basic self-care tasks
They become frustrated, shut down, or avoid attempting these tasks
You suspect underlying issues like poor fine motor control, motor planning difficulties (dyspraxia), or sensory sensitivities
The gap between what the child can do and what’s expected in school life is widening

Therapists can perform assessments, design individualized strategies, and coach you (the parent/caregiver) on how to guide progress at home. At Pediatric Movement Center, we’re honored to partner with families on this journey. If you’d like help assessing which areas to focus on, designing a routine, or troubleshooting stalls in progress, reach out. We’d love to support your child’s growth and celebrate every milestone with you

Helping your child with self-care skills is not just about independence—it fosters motor development, confidence, and daily life readiness. With patience, scaffolding, and playful opportunities, you’ll watch them grow step by step into more self-reliance.

What to Expect: Your Child's First PT Session

Tue, 09 Sep 2025 14:19:16 GMT

What to Expect: Your Child’s PT Session

As a caregiver, you may be wondering what your child’s physical therapy (PT) session will look like. How will your child’s needs be assessed? What activities or exercises will be included? It is normal to experience a wide range of emotions as you prepare for your child’s first appointment. Here at PMC, we want to ensure that you and your child feel comfortable and informed when it comes to therapy. Here are a few FAQs about your child’s first PT appointment.

What is pediatric physical therapy?

Pediatric physical therapy is a specialized area of PT. It focuses on a variety of diagnoses and disorders, from infants to young adults. Pediatric PT’s are trained to make therapy fun and effective. Here at PMC we practice a play-based approach to therapy. Kids engage in age and ability-appropriate activities that motivate them and keep them interested as they improve their skills.

How can I prepare before our first PT session?

Prior to your first session, it is helpful to make notes on what you are most concerned about in regards to your child’s diagnosis/diagnoses, and what answers, improvements or interventions you are looking to receive from a proposed treatment plan. You are your child’s number one advocate. Observe their every day activities and mention your primary concerns with your therapist during evaluation.

What is examined during our first PT session?

Examination and evaluation of the child may include a variety of activities and conversations, depending on the current diagnoses prior to treatment. These may include: mobility, sensory and neuromotor development, use of assistive technology, strength and endurance, posture and balance, gross motor skills, and muscle and joint function.

How long is each session?

Physical therapy sessions can vary in length, but tend to run anywhere from 30-60 minutes. Typically, evaluations take 60 minutes. Younger children tend to have shorter appointments, and therapists often incorporate breaks into longer sessions.

Will I need to do anything at home, such as specific activities, exercises, or stretches?

In most cases, your child's physical therapist will give you a few exercises to perform at home to reach their therapy goals. The PT will let you know how often to perform the exercises, and may help you practice to ensure that you feel comfortable guiding your child through each exercise or stretch at home.

How do pediatric physical therapists support the child’s family and caregivers?

Pediatric PT's operate under the belief that improving the life of the child also improves the lives of their family members and caregivers. Increased independence, safety, functionality and strength are just a few benefits of pediatric PT that extend beyond just the patient. Pediatric PT’s know that you know your child best. They work to collaborate with caregivers when it comes to individualized treatment plans.

What are some examples of ways that pediatric physical therapists educate families and caregivers?

Family members and caregivers deserve support, recognition and understanding. At your first PT session, not only will your therapist be creating a custom treatment plan for your child, they will also inquire about what you are most looking forward to when it comes to treatment. What are your goals for your child? How can we best help you? Examples of this include ideas for adapting toys for play, how to use equipment safely, expanding mobility options, accessing community programs and facilitating safety at home and in the community.

What are the benefits of aquatic therapy?

Aquatic therapy can be an incredible alternative to land-based physical therapy. The natural properties of water provide gentle resistance, making movements more comfortable. Warm water can also decrease pain and relax muscles. Aquatic therapy can be used for a variety of diagnoses, and works to improve mobility, strength, endurance, balance, and your child’s confidence.

We are here for you.

Pediatric physical therapy should look and feel like play. Exercises in a treatment plan are much more effective if the child is having fun. Our PT’s aim is to help your child feel calm and relaxed, working in an environment that doesn’t feel like therapy, but like play time. If you have any questions about how a certain game or activity is relevant to your child’s treatment plan, don’t hesitate to ask their physical therapist. You may be surprised by how the simplest of play can be utilized. Here at PMC we are here to use fun to improve your child’s well-being, as well as your own.

Resources:

https://www.pcom.edu/academics/programs-and-degrees/physical-therapy/news/pediatric-physical-therapy.html#:~:text=Sessions%20should%20look%20and%20feel,growth%20spurts%20make%20treating%20kids

https://www.interact-therapy.com/what-to-expect-when-working-with-a-pediatric-physical-therapist

https://pathways.org/what-is-a-pediatric-physical-therapist

https://medicine.tufts.edu/news-events/news/what-caregivers-should-know-about-pediatric-physical-therapy

https://pediatricapta.org/includes/fact-sheets/pdfs/FactSheet_ABCsofPediatricPT_2019.pdf?v=2

https://littlefeettherapy.com/what-happens-during-a-pediatric-physical-therapy-evaluation/

https://www.valleyhealth.com/services/pediatric-physical-therapy

https://www.choa.org/medical-services/rehabilitation/outpatient-rehabilitation/physical-therapy

No Plate Dinners

Wed, 27 Aug 2025 04:00:00 GMT

Let's do dinner differently!

Here are some out-of-the-box ideas for meal time that will make it more exciting! Oftentimes changing up our mealtime routine allows for kids to feel less pressure around meals leading to being curious about new foods, exploring new foods, and trying new foods. No plate dinners or grazing tables encourage independence as a child can portion out how much they would like, are able to try a variety of options, and eat at their own pace. Try and incorporate as many colors as possible as a colorful and creative presentation can make for an exciting eating experience. Don’t forget to put a plastic tablecloth down to help with the clean up!

Table Top Nachos

Cover your table with parchment paper or a plastic table cloth and pour out various taco meats and fixings. Think black beans, pinto beans, taco chicken, taco beef, lettuce, tomatoes, Cheddar cheese, Monterey Jack cheese, sour cream, queso, guacamole, etc.

Charcuterie Style

How about serving a ‘charcuterie’ style dinner of different dinner themed foods?

Italian style - salami, pepperoni, prosciutto, provolone, dried fruit, olives, different breads
Trail mix charcuterie - popcorn, chips, pretzels, cashews, pistachios, dried fruit, small chocolate candies, jerky bites
Fruit fun - fresh fruit, dried fruit, and canned fruit. Add whipped cream or cream cheese as a dip or spread, warm up peanut butter for a sauce to drizzle on top. Add sprinkles for some color fun!
Breakfast charcuterie - bagels, cereals, fruits, different flavors of cream cheese, mini pancakes, bacon, sausages, waffle bites
Sandwiches - peanut butter and jelly, peanut butter and honey, ham and cheese, turkey and cheese, hazelnut spread, cream cheese and jelly, roast beef and cheese, peanut butter and marshmallow to name a few.

Table Top Spaghetti

Toss a bunch of spaghetti or different types of noodles on the center of your table and offer a variety of sauces to try - alfredo, marinara, meat sauce, butter and cheese, olive oil, etc. Add some garlic bread and a salad! Check on this blog post to see how this meal could work for you!

Pizza

Place a variety of pizza toppings on the center of the table and provide options of crusts such as naan, English muffins, bagels, pizza dough, pita breads. Toppings could include: olives, pineapple, ham, bacon, ground beef, cheeses, tomato sauce, pepperoni, sausage, mushrooms, spinach, onions, peppers, prosciutto, chicken and allow children to go around and make their own pizza creations!

At Home Salad Bar

Put a bunch of lettuce in the center of the table and surround with chicken, hardboiled eggs, steak, turkey meatballs, carrot sticks, cut up celery, cucumber slices, olives, radishes, croutons, apples, shredded cheese, chickpeas, nuts, tomatoes, corn, blueberries, baby mandarin oranges, strawberry slices, shrimp, beans, fried onions, the list is endless… and have a variety of dressings to sprinkle on top!

Additional Resources and Inspiration

No-plate dinners mean no dishes and no pressure—everyone builds their own meal. The only challenge? Be ready for a little mess and some planning. To encourage selective eaters to try new foods, it is important to create exposure opportunities in a no pressure environment. No plate dinners and/or grazing tables provide kids with a variety of foods and encourages independence in a fun and interactive way to eat. Try a no-plate dinner this week and see which creative idea becomes your family’s favorite!

Back to school

Mon, 11 Aug 2025 13:30:15 GMT

Supporting Your Child's Success This Fall

As the school year kicks off, the Pediatric Movement Center is here to help your family start strong. We know that transitioning back to school can bring excitement, challenges, and lots of questions—so we’ve created a comprehensive Fall 2025 campaign to help support your child every step of the way. From therapy tips and healthy lunch ideas to movement routines and fun events, our team is ready to help children of all ages feel confident, regulated, and ready to learn.

Information in this post have been created and curated by our physical, occupational, speech, and nutrition therapists as well as our Community Wellness team to make your family's transition to school more successful. Whether your child is entering preschool or heading into high school, you’ll find age-appropriate strategies, easy-to-follow routines, and encouragement at every turn.

Building Healthy Lunches & Snacks Habits

A new school year is the perfect time to build strong, healthy habits—and it all starts with what we fuel our bodies with. Whether your child is in preschool or high school, providing balanced lunches and nourishing snacks can make a big difference in their energy, focus, and mood throughout the day. A combination of protein, healthy fats, fruits, veggies, and whole grains supports not only physical growth but also emotional regulation and learning. By packing smart and starting small, families can create lasting routines that support wellness at every age. Our Registered Dietitian has curated shopping lists, menus, and practical resources to help your family start the year off on the right foot—feeling energized, prepared, and nourished for success.

Nutrition Tips & Resources

Our grocery shopping list that includes fun ways to shop, such as by textures, colors, and themes (like ABC's!)
Kids can be a great help in the kitchen! Getting children involved in the kitchen from a young age opens the door to new experiences with food in a low-pressure, playful environment.
Smart snacking ideas plus a few tips to make your life a little easier (for the whole family!) that includes suggestions for breakfast, snacks, lunches and hydration
For a fun take on lunches, our kid-friendly charcuterie ideas can help children with various sensory needs experience various foods and textures in a fun low-pressure way.
Download our lunch guide; and let your kids take an active role in picking/preparing their meals
Make a few snack swaps to be healthier this year!

Preschool & Kindergarten Students

The first day of preschool or kindergarten is a major milestone—one filled with big emotions for both children and parents. While there’s excitement about new friends, colorful classrooms, and wearing that first “big kid” backpack, it’s also natural to feel nervous about new routines, separation, and the unknowns of the school day. To help ease the transition, we’ve put together therapy-based tips that support confidence and independence, along with simple morning movement routines to release energy and improve focus. Our goal is to make the start of school feel smoother, calmer, and more successful for the whole family. You’ll also find practical strategies for creating consistent routines at home, making morning goodbyes easier, and supporting your child’s emotional regulation—so they feel ready to thrive in their new environment.

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

Practice Backpack Safety

Choose a lightweight backpack with wide, padded straps. Keep the load to less than 10–15% of your child’s body weight.

SLP

Speech Therapy Tip

Read Together Daily

Read aloud with your child and pause to talk about the pictures, make predictions, or retell the story.

OT

Occupational Therapy Tip

Build Attention & Listening Skills

Practice listening games like “Simon Says” or “Red Light, Green Light”

MOVE

Movement Tip

Cross-Crawl March

Boost coordination, brain-body connection, and focus.

Elementary School Students

The elementary school years are filled with curiosity, growth, and new responsibilities. As children learn to navigate classroom routines, friendships, academic expectations, and extracurriculars, they begin building the confidence and independence that will carry them through later school years. These are exciting milestones—but they can also come with challenges like managing big emotions, staying focused, and adjusting to increased structure. For many families, the transition into a new school year brings a mix of anticipation and uncertainty. Helping your child feel prepared—physically, emotionally, and socially—can make a big difference. From movement routines that support focus and body awareness, to tips that encourage organization, confidence, and emotional regulation, simple strategies at home can go a long way in setting your child up for success.

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

Sensory-Motor Regulation

Practice short movement breaks like wall push-ups, stretching, or jumping jacks before homework to help manage restlessness and improve focus.

SLP

Speech Therapy Tip

Practice Conversation Skills

Take turns asking and answering “Would you rather…?” or “What if…?” questions to improve social communication and turn-taking.

OT

Occupational Therapy Tip

Develop Pencil Control

Trace mazes, draw shapes, or copy simple designs with a marker or chalk to improves precision and fine motor coordination for writing.

MOVE

Movement Tip

Wiggle Jumps

Do 10–15 jumping jacks or “star jumps” to shake out energy to increase alertness and burn off extra wiggles.

Middle School Students

Middle school is a time of big changes—socially, emotionally, and academically. Students are juggling shifting routines, growing academic expectations, increased independence, and complex peer relationships. It’s a season full of self-discovery and rapid development, but it can also bring challenges like difficulty with focus, organization, emotional regulation, and self-esteem.

Fortunately, there are simple strategies from physical therapy, occupational therapy, speech-language pathology, nutrition, and movement that can make this transition smoother. For example, physical therapy tips like incorporating short movement breaks throughout the day can help improve focus and reduce stress. Occupational therapy offers tools for better organization, such as using checklists or visual planners to manage homework and activities. Speech therapy strategies can boost communication skills and help students confidently navigate social situations. Nutrition guidance reminds us that balanced meals and snacks fuel both the brain and body for optimal performance, and movement routines—like mindful stretching or deep breathing exercises—can support emotional regulation & calmness.

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

Desk & Seat Posture Check

Reduce fatigue and discomfort during long classes.

Keep feet flat, back supported, and shoulders relaxed.

SLP

Speech Therapy Tip

Expand Vocabulary with Real-Life Connections

Improve comprehension and makes academic language less intimidating.

Link new words from class to personal experiences or favorite topics.

OT

Occupational Therapy Tip

Support Sensory Regulation

Help your child stay calm and focused during the day.

Teach calming strategies like deep breathing or stretching between classes.

MOVE

Movement Tip

Brain Break Movement Bursts

Re-energizes the body and brain between classes or homework.

Jumping jacks, high knees, or march in place for 30 seconds.

High School Students

High school is a pivotal and demanding time filled with new responsibilities, academic pressures, social challenges, and important decisions about the future. Students are learning to manage busy schedules, balancing schoolwork, extracurricular activities, part-time jobs, and social lives. While this stage offers tremendous opportunities for growth and self-discovery, it can also bring stress, difficulty with time management, physical fatigue, and emotional ups and downs. Fortunately, simple strategies from physical therapy, occupational therapy, speech-language pathology, nutrition, and movement can provide valuable support to help high school students stay balanced, focused, and confident during this critical phase.

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

Posture Checks

Shoulders back, chin tucked, feet flat during class

SLP

Speech Therapy Tip

Chunk Reading Assignments

Break long passages into smaller parts and summarize each.

OT

Occupational Therapy Tip

Plan Your Day the Night Before

Use a written or digital planner to map homework, activities, and self-care time.

MOVE

Movement Tip

Morning “Wake-Up” Stretch Flow

Begin each morning with 5–7 minutes of stretching: neck rolls,

shoulder shrugs and rolls, overhead arm stretches and standing side bends.

Back to School Lunches

Sat, 02 Aug 2025 12:15:41 GMT

Lunch Tips!

As we get into Back-to-School mode, making lunches looms on the horizon. Making school lunches doesn't have to be a chore. Providing kids with at least 3 food groups ensures they will have options in their lunch to fill them up! See below for some ideas to get you started!

1. Kid Styled Pizza

These could be a pizza variety or crackers, meats, and cheeses.

Pizza food groups: crust (grain), tomato sauce (fruit), and cheese (dairy), add pepperoni or ground beef crumbles for some protein
Deli meats and cheese: crackers (grain), ham or turkey slices (protein), low fat cheese squares (dairy)
Breakfast: mini pancakes or waffles (grain), nut butter (protein) or cream cheese (dairy), blueberries, strawberries and raspberries, or other fruit toppings (fruit); add sausage links, bacon, or ham slices for additional protein

2. Sandwiches

These could be the good ol’ standbys of peanut butter and jelly or ham and cheese, but what about hazelnut spread and banana or cream cheese and jelly?

Turkey & cheese - bread (grain), turkey (protein), and cheese (dairy); add tomato and a lettuce leaf for some veggies!
Salads - tuna salad, egg salad, chicken salad, pasta salad (add mix-ins from a few different food groups)

3. Grazing Box

Have your child choose 4-5 of their favorite foods to enjoy throughout the day and surprise your kiddo.

4. Banana Sushi

Tortillas (grains), peanut/nut butter (protein), coconut shreds (fruit)

5. Apple Nachos

Apples (fruit), peanut/nut butter (protein), and granola (grains)

6. Skewers

Meat (protein) and cheese (dairy) cubes with fresh fruit kabobs. Anything is more fun to eat on a skewer!

7. Yogurt Parfait

Yogurt (dairy), strawberries & blueberries (fruit), and granola (grain)

8. Pizza bagels

Mini bagels (grain) topped with tomato sauce (fruit), and cheese (dairy)

9. Dips & Spreads

Try hummus (protein) with whole grain crackers (grains) and/or cucumber rounds (veggie) or carrot sticks (veggie) with low-fat ranch dressing. What about nut butter (protein) with graham crackers (grains)?

10. Mini Muffin Meal

Try homemade blueberry muffins (grain) with yogurt (dairy) and frozen fruit cubes or a savory muffin with eggs (protein), cheese (dairy) and spinach (veggie) or a pizza muffin (crust - grain, tomato sauce - fruit, and cheese - dairy)!

Talk to your child about the 5 food groups and what foods are found in each. Post a picture of MyPlate ( MyPlate.gov ) on your fridge and make meal time an educational experience! Remember to enlist your child for ideas, you may be surprised what they come up with!

Additional Resources:

How to Practice Water Safety This Summer

Wed, 30 Jul 2025 19:54:53 GMT

How to Practice Water Safety This Summer

This summer, have fun in the sun and stay safe in the water! Here are a few tips for caregivers and parents to keep kids safe this summer.

Quick Facts:

Drowning is the number one cause of injury death in children ages 1-4.
Nearly 70% of drownings among children under four occur during non-swim times.
Bathtubs are the most common location of drownings inside the home, and more than half of bathtub deaths involve children less than one year old.

Drowning is almost always silent, and it only takes seconds.

This summer, we want to highlight the importance of water safety and drowning prevention.

Minimizing unplanned and unsupervised access to water is crucial in preventing water incidents in children. By utilizing “layers of protection” near bodies of water, you can ensure that young people and adults alike are safe from accidental drowning. For children with physical, emotional or cognitive disabilities, prevention is especially important. The risk of drowning is significantly higher for neurodivergent children; the risk of drowning doubles for children diagnosed with a dual diagnosis of autism and Down syndrome.

When we talk about layers of protection around water, we’re referring to multiple ways of ensuring that a child is being supervised and monitored around bodies of water.

Here are six inclusive layers of protection for parents and caregivers to practice:

Protective Barriers & Gear - Fencing, self-latching gates, pool covers, life jackets
Alarms & Safeguard s - Door and gate alarms, remove toys from pool, empty baby pools and tubs after use
Swimming Lessons - Start swimming lessons as soon as possible.
Supervision - Always supervise your child and stay at arm’s length at all times without distractions.
Education - Teach your child about safety rules, safe areas to swim, and CPR. For children with special needs, use social stories or adaptive methods.
Don’t Swim Alone - Teach your child to always be with a trusted adult before entering water. Use visual schedules to help them know when it is time for swimming.

Protective Barriers and Gears

One of the most effective ways to prevent drowning is by installing a pool fence. Securing pools with fences, self-latching gates and pool covers adds barriers of protection for unsupervised children.

Alarms and Safeguards

Add safety gates, door locks and covers to all areas accessible to pools or other bodies of water. Also consider additional precautions such as pool alarms and automatic pool covers that cover the pool completely.

Swimming Lessons

Teaching children how to swim is a crucial part of water safety. For many children with special needs, adaptive swim lessons can be lifesaving. Organizations such as Swim Angelfish , offer instruction that focuses on teaching children how to be safe around water, and how to float if they fall in. All PMC swim instructors are Certified Angelfish instructors.

Supervision

Always assign one adult to be a “water watcher”, to supervise children around water. Design a system so that one caregiver is always responsible for monitoring pools, ponds, or other bodies of water. Use life jackets around lakes and rivers, even if children are just playing nearby. With very small children, especially those who are not confident swimmers, always stay within arm’s reach and never allow children in the pool alone.

Education

Teach your child about safety rules, safe areas to swim, and CPR. If you have a pool at home, teach all children and guests to notify or confirm with an adult before entering the pool area. For children with special needs, use social stories or adaptive methods. Make sure other caregivers are aware of the risks, especially for children under the age of four. Parents and caregivers should know how to perform CPR and what steps to take in an emergency.

Don’t Swim Alone

Teach your child to always be with a trusted adult before entering water. Use visual schedules to help them know when it is time for swimming.

No child is too young to learn about water safety.

Teaching your children how to be safe around water can start at any age. If you are interested in learning more, please check out the NDPA's water safety checklist ; this PDF document is also available for download to share with caregivers and family members.

For more information on our inclusive swim lessons at PMC, please contact us for scheduling and availability.

Selective Eating - Give Permission

Wed, 02 Jul 2025 19:33:05 GMT

Selective Eating - Give Permission

Getting a selective eater to try new foods is a process. Keep in mind that the goal is to provide your child with the opportunity to be exposed to new foods. Continue to introduce them to unfamiliar foods, have them see that you eat and enjoy them, all the while making sure they have safe foods that they know they can count on. Giving your child permission helps to reduce anxiety around new foods. Inviting your child to be around and try new foods is a very different experience than forcing them to try new foods.

Give your child permission…

To touch, smell, and explore food. Children learn about foods using their senses. Allow them to touch, smell, and explore a new food to investigate it.
To try it when they are ready. It can take multiple exposures (15+ times!) to a new food to be interested in it. Keep providing them the opportunity and encourage them to try it when they are ready. Perhaps a fun opportunity would be to try new foods as a family as children tend to look to adults for cues on what is safe and acceptable.
To play with food. Allow your child to paint with pudding, create structures with pretzels and marshmallows, follow a pattern with a fruit kabob, smoosh avocados to make guacamole, scramble eggs with a fork, use food coloring to change the color of their yogurt, or make a funny face with pancakes and fruit or tortillas and veggies.
To try a non-preferred food. Encourage them to have a small serving of a non-preferred food on their plate until they get used to it.

Be exposed to new foods without bribes. Try to limit questions or pressure to try new things. When you prepare your child’s plate for dinner, you don’t have to bribe them or pressure them into eating the new food. Allow them to discover the new food on their terms, knowing they are supported by you. There is also no need to hide food in other foods. If you have a trusting relationship with your child, hiding foods will deteriorate that trust.
To not like something. We all have personal preferences; honor their reactions, however continue to offer non-preferred foods. Just because it wasn’t liked the first time, doesn’t mean you stop offering it. Also, try various ways of serving it. Perhaps roasted carrots aren’t a hit, but maybe try raw carrots with ranch dip, honey roasted, sliced carrots, or carrot chips.

There is no one way to raise a curious eater.

Take a deep breath and remember, what they are eating today is not permanent. Their preferences may change over time. What is important is that your child feels supported and encouraged.

Summer: Snacks + Crafts

Tue, 01 Jul 2025 19:31:34 GMT

Festive and Fun Snacks this Summer!

With summer here, your kiddos are likely on a constant hunt for snacks. To help them develop healthy eating habits, try spacing meals and snacks about two hours apart. This gives their little tummies time to feel hungry, enjoy a snack, and recognize when they’re full. When kids “graze” throughout the day—eating small amounts here and there—their bodies have a harder time learning to recognize hunger and fullness cues. Grazing can also lead to more frequent choices of less nutritious, grab-and-go snacks.

Let's Support Healthier Habits

To support healthier habits, pre-plan snack options and post a visual snack “menu” on the fridge. This gives kids structure, helps them feel independent, and encourages better choices.

And why not make snack time fun and educational? Try simple food crafts together—it’s a great way to bond with your child(ren), have fun in the kitchen, and explore possible new foods at the same time!

UNDER THE SEA:

Shark Snack Cups from Mommy's Fabulous Finds

Festive treat made with yogurt, jello, cool whip, graham crackers and optional gummy shark

Shark Week Bait from Alex Daynes

A lighter treat that includes popcorn, white chocolate chips, f ood coloring/sprinkles, Sixlet Candies, gummy sharks, and pretzel goldfish

Candy Sushi from Happy Family Recipes

Themed snack made with Rice Krispie Treats (butter, marshmallows, vanilla, Rice Krispie Cereal) Fruit Roll-Ups, large Swedish fish, mini Swedish Fish

BEACH + ANIMAL THEMES:

Beach Bear Dirt Cups from Made To Be A Momma

Celebrate summer with pool inspired lounging! Ingredients include: Teddy Grahams, white chocolate pudding, milk, cool whip, graham crackers, gummy life savers

Curious George Snack from Mess for Less (tip, Read a Curious George book to go along with this one!)

Enjoy a book and a snack with this Curious George inspired snack! Ingredients include: Nutella, s liced bananas, b lueberries, r ice cakes

Animal Tracks Snacks from Loreen Leedy

Great snack for the outdoorsy kid who enjoys animals! You can use a variety of ingredients including: cheese, crackers, pretzels, cream cheese, almonds and pepperoni

FOR THE NATURE LOVER:

Nature Snacks : Edible Crafts for Kids - Parties With A Cause

A large variety of snacks for nature lover of all kinds including all sorts of flora and fauna options!

POPSICLES:

Fresh Fruit Popsicles from One Little Project

How to Make Fruit Popsicles with Real, Fresh Fruit

Strawberry Breakfast Popsicles from Fraiche Living

We can imagine all sorts of variations of this recipe! Start with the following simple ingredients: yogurt, fresh strawberries, milk (or your choice) lemon juice and granola

Frozen Yogurt Banana Pops from Kalejunkie

Such a simple, yet festive recipe that uses ingredients commonly found in the kitchen such as bananas, yogurt and sprinkes!

FOOD IMPOSTERS:

Pancake Donuts from Balanced with Babies

Made with just two ingredients: pancake mix and milk! You will need a fun donut shaped mold for this recipe

Breakfast Banana Split - Art From My Table

Ingredients include: banana, yogurt, blackberries, raspberries, granola, mini chocolate chips

Fruit Cracker Pizzas from Sunshine & Hurricanes

Crackers + cream cheese + fruit!

Watermelon Rice Krispy Treats from My Heavenly Recipes

Festive treat to be shared! Made with butter, marshmallows, R ice Krispies, food coloring and chocolate chips

What is Kyphosis?

Wed, 18 Jun 2025 14:53:03 GMT

Spinal Curvature is on the Rise

While most of us are unfamiliar with the word kyphosis, we may have seen it! Kyphosis is an excessive curve of the spine that results in a rounded back. There are many causes of kyphosis, some of which include: trauma, neuromuscular conditions, personal health history and postural issues.

Have you ever heard of "text neck?"

Have you ever felt sore in your upper back or neck after computer work or long periods of time spent on a phone or tablet?

Our posture, especially when using electronics, tend to slouch or slump. A lot of times, this happens without our awareness! We tend to not realize our poor posture until symptoms like muscles soreness, headaches or pain occur. When symptoms are severe, seeking care from a health care professional likely is needed. A physical therapist, for example, can address or reduce the symptoms of kyphosis through stretching tight muscles, strengthening weak muscles, postural training, and through manual therapy, which is a clinical hands-on technique that manipulates muscles and joints.

If symptoms are mild, there are changes that we can make on our own that can reduce or eliminate symptoms, or even prevent kyphosis from occurring!

5 quick ideas for changes you can make to improve your posture are below!

Be aware of your posture
Set a timer to remind yourself to do a quick self posture check-in!
Get up, walk around
Shift your focus on other objects at various distances around you
Try sitting on a medicine ball to improve posture
Remember to get up and move every 10 minutes. Simple readjustments can make a big difference!
Exercises for stretching tight muscles and strengthening weak muscles
Postural training

A great resource for more information on this topic can be found online at:
https://www.childrenshospital.org/conditions-and-treatments/conditions/k/kyphosis

Still Need Help? Reach Out to Pediatric Movement Center's Physical Therapy Team!

If your child is having neck or back pain, a skilled pediatric physical therapist at Pediatric Movement Center can help! For an individual assessment call us at 301-739-5437.

What is Developmental Coordination Disorder

Tue, 17 Jun 2025 15:55:31 GMT

Developmental coordination disorder (DCD) is a condition that affects 5%-6%* of school-aged children. Kids with DCD find physical movements (both gross motor and fine motor) challenging due to coordination difficulties. Everyday tasks such as running or throwing a ball (gross motor skills) as well writing or zipping up a jacket (fine motor skills) are difficult. A brief questionnaire for parents, created by a the Alberta Children's Hospital (found here ) may be helpful in screening for coordination disorders in children.

5 Common Symptoms of Developmental Coordination Disorder

Clumsiness (tripping)
Poor handwriting
Avoidance of physical activities (often sport-related)
Delayed walking
Difficulty with precise motions, such as holding a utensil or fastening buttons

Does DCD Require Treatment?

While DCD symptoms vary from mild to severe, treatment is required because children do not grow out of DCD as they age. Specialist such as physical therapists, occupational therapists and neurologist can identify and treat nervous system and muscular issues. Early treatment is preferred to avoid potential psychiatric issues (such as withdrawal from social and physical activities due to embarrassment and/or low self esteem,) which are frequently a byproduct of Developmental Coordination Disorder being left untreated.

What Will Treatment Work On?

Balance
Strengthening
Coordination,
Movement planning (reacting and anticipating)
Motor (movement) control.

How You Can Help

Be a supportive teacher, patiently working on one skill at a time in a supportive manner until your child masters it. Be prepared to teach skills in different ways to keep things positive, fun and engaging for your child. It is important for children with DCD to feel encouraged in their efforts, so they are motivated to work on more and more complex tasks as opposed to feeling embarrassed, withdrawing themselves for social and physical activities.

Blog Information Sources:

* WebMD

Bilateral Coordination

183:860086391 (Brian Snyder) — Mon, 16 Jun 2025 12:00:00 GMT

Bilateral Coordination

Question. What is bilateral coordination?

Answer . Bilateral coordination means using both sides of the body at the same time in a controlled way.

Question. What do we use bilateral coordination for?

Answer . Bilateral coordination is an important skill which helps promote daily tasks like walking, eating, tying shoes, cutting paper, writing, etc. It indicates that both sides of the brain are able to communicate with each other.

What are foundational elements of bilateral coordination?

Body awareness: This involves knowing where the body is in space without necessarily having to see where the body is. It helps with activities such as knowing how high to lift the leg to clear a step without having to look down to see the step.
Crossing midline: This refers to the ability to reach one side of the body, ie a hand, to the opposite side (across the middle of the body). It allows the body to perform a motor task on the opposite side from where it normally has control, which again requires both sides of the brain to be communicating effectively.

Signs of bilateral coordination challenges:

Clumsiness
Input seeking (playing rough, wrestling, crashing into objects)
Fear having feet off the ground (dislike climbing up, stepping over)
Alternating hands while writing, drawing, etc since they have not established hand dominance
Struggle with independence in daily tasks

Ways to promote bilateral coordination in children

Seated activities - start seated in a chair, feet touching the ground, arms relaxed at the sides
Lifting right arm to the side while lifting the left knee straight up. Place them back to the starting position. Then, switch to the left arm/right knee. Keep alternating.
Bringing the right elbow and the left knee to meet each other in the middle. Place them back in the starting position and complete with the left elbow/right knee. Keep alternating.
Pinching, pulling, twisting play-doh. For an added challenge, hide small objects in the play-doh.
Stringing uncooked pasta onto a pipe cleaner.
Quadruped activities - start with hands and knees on the floor, back flat like a table top
Place a piece of paper on the wall. Maintain the quadruped position with one hand while drawing or placing stickers on the paper.
Scatter legos, pom poms, or other small toys on the floor. Grab each item individually and place them into a cup.
Animal walks (ie crab walk, bear crawl)
Standing activities - start by standing with feet together, arms relaxed at the sides
Step the right leg forward while raising the left arm overhead. Return to the starting position, then perform with the left leg/right arm. Keep alternating.
Perform the leg/arm lifts noted in seated activities, starting from a standing position instead.
Pushing/pulling weighted items such as laundry baskets full of clothes
All position activities - these activities can be performed in whatever position best suits your child.
Set up an obstacle course using painter’s tape including zig-zags, turns, tunnels, pillows, etc. Crawl, walk, jump, etc through the course.
Play with a Zoom ball.
Play Miss Mary Mack or other hand clapping games.
Play Simon Says.
Perform the Hokey Pokey.

Sending Ms. Bria, physical therapist assistant, a big thank you for sharing her knowledge on bilateral coordination and tips/exercises to improve bilateral coordination in children. We are so lucky to have an pediatric physical therapy team here at the Pediatric Movement Center!

Snacklaces

Wed, 04 Jun 2025 13:04:21 GMT

Sensory Food Project!

Whether it’s a rainy day or just need a ‘downtime’ activity, snacklaces to the rescue! While you are building your snacklaces, engage in conversation with your child: can they build a pattern? What colors are they using? What is the texture like? Is the food they are stringing on hard? Soft? Bumpy? Smooth? Can you come up with a theme to guide them? Perhaps they can string together a fun snack for a movie night or a pool party snack!

Materials Needed:

String, yarn, or string licorice
Pretzels that have holes in them
Cheerios cereal (plain, Honey Nut, Strawberry Banana, so many flavors to choose from!)
Fruit Loops/Aldi Fruit Rounds cereal
Honey Combs cereal
Apple Jacks
Funyuns
Gummy Lifesavers
Hard Lifesavers
Gummy peach rings
Dried apple rings
Harvest Snaps Crunchy Loops
Cookie rings
Mini bagels
Mini crackers with holes
Cooked pasta
…what can you add to the list?

If your child is able to thread a plastic needle and use one safely, you could add popcorn, cheese cubes, marshmallows, grapes, blueberries, dried pineapple, dried apricots, raisins, Craisins, grapes, dried figs, dried dates, cucumber rounds, soft pretzel bites.

Share your creation with us!

A big thank you to Emily Poole, RD, for this fun project! Exposing children to food through various activities like cooking, coloring and sensory play/projects enhances their understanding of food, leading to healthier eating habits. These activities foster positive associations with food, encourage trying new foods, and develop valuable life skills!

Reference: https://supermakeit.com/blog/2020/3/23/snacklaces

Kids in the Kitchen

Tue, 27 May 2025 19:08:06 GMT

A Fun Way to Introduce Your Child to Food!

Cooking with kids isn't just about food—it's about connection, creativity, and confidence. Getting children involved in the kitchen from a young age opens the door to new experiences with food in a low-pressure, playful environment. It encourages exploration, builds important life skills, and can even turn picky eaters into curious tasters. Let’s explore how you can bring your child into the kitchen in a way that’s fun, simple, and meaningful.

One of the best ways to introduce kids to cooking is hands-on food fun!

A great idea for a kid-friendly snack or meal is Flour Tortilla Funny Face Pizzas. Have your child help pick out their favorite toppings to put on top. Encourage them to think out of the box and pick from 2 or 3 different food groups. Can you make a traditional pizza? A savory pizza? What about a sweet pizza? Maybe try an English muffin or graham cracker topped with vanilla yogurt and fresh fruit? Check out the chart below for some possible combinations!

To make kitchen time smoother—and safer—here are a few tools designed specifically with kids in mind:

Visual Recipes - https://accessiblechef.com/
Picks - For kids that are hesitant to touch foods or are not proficient with forks just yet, try these picks or something similar.
Chopsticks - These chopsticks are a fun way to work on fine motor skills and hand-eye coordination.
Kids safe knives - Letting kids cut foods is so important for building confidence and fine motor skills. Have your child help you cut up fresh fruit or vegetables for dinner gets them involved and helps them feel they are contributing and you know they are safe.

Don’t forget about ….veggie peelers, crinkle cutters, aprons, cutting boards, rolling pins, whisk, measuring cups/spoons too.

Tips for Success:

Start small and simple.
Embrace the mess! It’s all part of the fun and learning process.
Keep tasks age-appropriate (grating cheese, older kids can slice fruit, measure dry ingredients, tear lettuce, crack eggs).
Focus on the process, not necessarily the outcome.
Give your child choices between items.
Celebrate the effort.
Most importantly, enjoy spending time with your kid in the kitchen!

A Few of our Favorite Things!

Make your own popsicles
Remove the crust + sandwich cutter
Mini muffin baking cups!

Whether you're making silly face pizzas or cutting fruit together, every kitchen moment with your child is a step toward curiosity, independence, and a lifelong appreciation for healthy food. Start small, keep it fun, and watch how the magic of cooking brings learning and laughter into your home.

Kudos to Emily Poole, Registered Dietitian for this informative post! If you need specific nutritional guidance, be sure to call our office to book a time to meet with Emily!

Selective Eating: Say this, not that!

Wed, 14 May 2025 12:00:00 GMT

Tangible strategies for a parent/guardian of a picky eater

Our Registered Dietitian (RD) has some practical tips to incorporate into mealtime for a more successful, enjoyable child-food relationship. The goals of these interaction are to create a positive relationship with food, enjoy happy meal times, reduce anxiety, reduce battles surrounding food, and fitting all types of food into a healthy lifestyle.

Mealtime Tips from an RD:

Choose not to bribe
Parents can decide WHAT is being served, WHEN it is being served and HOW it is being served; Children can decide IF they want to eat it and HOW MUCH they want to eat.
Family meals are so important (even if only a couple of times a week), as at family meals, parents can model behaviors.
Use meal time for talking and catching up about the day, reduce electronic (TV, tablet, phones) distractions.
Be sure each meal contains at least one preferred food.

Say/Do this… Not that…

What is Apraxia?

Thu, 01 May 2025 17:02:55 GMT

What is Apraxia?

Apraxia is a motor speech disorder. Childhood apraxia of speech is a rare, but lifelong disorder that makes it difficult for individuals to move their mouth muscles in order to speak. The important thing to note about Childhood Apraxia of Speech (CAS) is that the child knows what they want to say, but may struggle with connecting the brain to the muscles that must accompany speech.

Unlike other forms of childhood speech problems, CAS is not a disorder that can be outgrown. Children with CAS must receive treatment in order to make any progress with speech.

Signs of CAS in children older than 3 years old include:

- not pronouncing words the same way every time

- putting the stress on the wrong syllable or word in a sentence or sequence of words

- distortions in sounds

- ease with shorter words and struggle with longer words

Speech therapy for CAS focuses on strengthening the muscle groups required to speak - included facial and oral structures. This part of speech language therapy is referred to as speech motor planning and programming . SLP's will focus on techniques and activities that strengthen the lips, tongue, soft palate, jaw and vocal folds - to help the child learn when to activate and move each at the right time and in the right order, so that words are pronounced and produced accurately.

Children with CAS may also struggle with fine motor skills, delayed language, and problems with reading, spelling and writing.

If you have questions about CAS and want to learn more about what speech therapy services we can provide at PMC, please reach out today.

Selective Eating

Wed, 30 Apr 2025 12:45:00 GMT

A Child With Selective Eating

If you have a child who is a selective eater, be sure to read and follow up with one of our awesome OT’s, SLP’s and RD. They are a fabulous team that can help you and your kiddo work through this challenge.

Nutrition Guidelines

PROTEIN - choose lean proteins when possible, such as lean ground beef, lean poultry, eggs, beans, unsalted nuts/seeds.
FRUITS/VEGETABLES - fresh is best, but canned, frozen, and dried fruits/veggies are great options. Look for fruits canned in their own juices or veggies labeled low sodium.
GRAINS - whole grains are the best choice. Whole grain bread (whole wheat is 1st ingredient), oatmeal, popcorn, quinoa, and rice are all great possibilities.
DAIRY- choose fat-free or low-fat dairy products.

If you have any questions, MyPlate.Gov is a great resource! Making sure we include BALANCE, VARIETY, and MODERATION every day. Balance - enjoy balance from all food groups and be sure to balance out calories consumed with calories burned. With variety , we want to include all different nutrients from all different food groups. Each food group offers nutrients that are important for growing healthy bodies. Moderation is key! Make eating enjoyable. Have fun with food! Consume what you need, not in excess. There are no ‘good’ or ‘bad’ foods and no such thing as ‘junk’ food. Labeling foods creates a judgment on our choices. Teaching kids to enjoy all foods helps create a healthy relationship with food.

Start Small With Changes

When thinking about making changes, it can be overwhelming. Start simple and remember small changes add up over time. Perhaps start with creating family meal time one each week. Can you add an additional day here or there? Maybe your change is having your child tolerate non-preferred foods on their plate at dinner. Maybe try having your child pick a new fruit or vegetable to try one week. Can they look up a fun recipe to use? Can they help prep or cook it? Any and all exposure to (new) foods is a step in the right direction. Maybe it is incorporating 20-30 minutes of dance or movement before meals?

Responsibilities of the Parent and of the Child

Division of Responsibility is a research based approach that helps take the stress out of mealtimes, reduce picky eating tendencies, and develop healthy eating habits. The whole goal with selective eaters is creating a positive relationship with food. The Division of Responsibility divides up the responsibilities between parents and children. Parents are responsible for picking out WHEN food is served, WHAT food is served, and WHERE food is served. The child is responsible for IF they eat and HOW MUCH they eat. This model is structured around providing 3 meals (breakfast, lunch, and dinner) and 2-3 snacks, each 2 hours apart. We want our families to grow competent eaters, have children with consistent growth, create a positive relationship with food, and teach their children to trust their bodies.

Time-Tested Food Tips for Parents

Offer new foods paired with preferred foods
Try different shapes - dinosaur nuggets, star shaped cheese bites, melon balls
Add dipping sauces - ketchup, ranch dressing, marinara, hummus, guacamole
Try finger foods - cut into sticks, chunks, etc
Create fun names for foods: broccoli trees (raw or roasted broccoli), pizza chicken (chicken parmesan), cheesy spuds (baked potatoes with cheese)
Feel free to offer filling, but not necessary thrilling foods
Model healthy eating behaviors at home
Have your child choose fun utensils and plates
Use chopsticks, food picks, another possibility instead of traditional forks, spoons, and knives
Create a mealtime routine - have your child wash their hands and set the table before eating. Maybe they walk to the kitchen in a bear crawl or in elephant stomps.

Tips for parents regarding MEAL:

Offer options, while including 1 preferred food at every meal.
Create a guest-like atmosphere: ask questions about their day, utilize Table Topics, engage them in conversations regarding topics other than food
Avoid mealtime distractions. Put the phone and tablets away during mealtime.
Be sure they are sitting comfortably at the table: 90-90-90 rule: 90 degree angle in their hips and knees and be sure their feet are supported.
Eat together as a family as much as possible. Try to keep meal times and location consistent.
Keep your child on a routine with 3 meals and 3 snacks each day, approximately 2 hours apart - breakfast, snack, lunch, snack, dinner, and snack. Creating this routine allows for time in between to allow for your child to start understanding hunger and fullness cues.

Tips for parents regarding the CHILD:

Serve age appropriate foods
Offer water in between meals and snacks. If they are hungry outside of meal and snack times, try distracting them with an activity until the next meal/snack.
Encourage self-feeding; Tolerate messes. Children may play with their food and that is a-ok!
Pick a fruit or veggie of the week to try. Enlist your child’s help in picking that item, as well as, helping to prep and/or cook it.
Encourage your child to listen to their bodies for when they are full and when they are hungry.
Be active every day! We want them to be active to ensure they are burning energy and creating an appetite.
No bribing, arguing, or negotiating. Take the pressure off. Parents are responsible for WHAT, WHEN, and WHERE food is offered. The child is responsible for IF they eat and HOW MUCH they eat.
Talk less and listen more. Ask your child… What do they notice about the food? Describe it to me… Tell me about…
Honor their reaction. There are some foods that we all just don’t like and that is ok. It does take 15-20 times being exposed and even trying a food to start to enjoy it. Be patient and continue to expose your child to foods in various ways. For example: steamed carrots, roasted carrots with a sprinkle of salt and pepper, honey roasted carrots, raw carrots, etc.

These are simply a list of ideas. Maybe only one or a combination of a few will work best for your family. Give them a try! If you would like a more individualized approach, please schedule time with our Registered Dietitian!

Celebrating Liam’s Inspiring Journey of Recovery: A Testimony of Faith, Family, and Resilience

Tue, 29 Apr 2025 17:28:09 GMT

A Testimony of Faith, Family, and Resilience

In a world often filled with uncertainty, Liam, a courageous six-year-old boy, has proven that faith, resilience, and the unwavering support of family can overcome even the most daunting challenges. His journey began on December 11th, 2023 when Liam fell down the stairs. What was thought to have been a seemingly innocent incident, quickly spiraled into a life-altering spinal stroke. Within moments, Liam went from a lively child full of energy to being paralyzed from the neck down, which left his family in shock, grappling with fear and confusion as they navigated the unknown.

A Rare Diagnosis and Uncharted Territory

Initial tests at Meritus Medical Center revealed no injuries, leading to a transfer to Johns Hopkins for further evaluation, where a devastating diagnosis of spinal stroke was delivered—an exceptionally rare and unfamiliar condition, even within the medical community. With no clear path laid out for treatment, Liam’s family faced a harrowing reality: they were plunged into a rollercoaster of uncertainty that would test their patience and resolve. They clung desperately to the belief that perhaps it was a temporary ailment that would soon resolve itself.

Signs of Hope & a Brave New Chapter

The family's ordeal became a tale of persistence. Encouraging signs of progress began to emerge during their month-long stay at Johns Hopkins: Liam could sit up in bed and was starting to regain movement in his left arm and leg. Riding an adaptive bike through the hallways brought fleeting moments of joy amidst the anxiety. However, as the family's quest for specialized care continued, they made the brave decision to transfer Liam to Kennedy Krieger Institute (KKI), renowned for its pediatric spinal injuries programs.

Eighteen Steps of Triumph: A Milestone to Remember

At KKI, Liam underwent intensive daily therapy with many positive signs of growth and strengthening. After five weeks, Liam was able to return home and transition to outpatient pediatric rehabilitation at Pediatric Movement Center (PMC). With the loving care and expertise of a dedicated team and weeks of hard rehabilitation work, Liam’s transformation began to accelerate. It was at PMC where therapists witnessed a remarkable moment: within days of his arrival, Liam took his first steps—18 of them, no less—without any assistive devices or support. This triumph marked not just the beginning of a physical recovery but the culmination of a devoted family's love and faith over the weeks since the onset of his injury.

The Power of Perseverance and Community

Throughout the next 10 months, Liam’s story became a testament to resilience and determination. His therapy sessions transformed into a robust routine of hard work and progress, yielding astonishing milestones. His ability to regain function in his right hand was nothing short of a miracle, as he learned to self-feed and tie his shoes using adaptive techniques. Recently, he even conquered a 12-inch box jump, showcasing his strength and competitive spirit. Each small achievement was met with tears of joy from his family and his therapists, all of whom celebrated these victories together.

A Family's Gratitude and Faith

While the impressive strides Liam made with his physical capabilities were phenomenal, his family credited much of his recovery to the love and support they received from the community at PMC. They described it as a second home, where the staff has become family—each team member deeply invested in Liam's progress and well-being. The family expressed profound gratitude, stating, "We owe such a debt of gratitude that we will never be able to repay to each and every person that has touched the life of Liam and our whole family in the last 10 months."

In reflecting on this journey, Liam's family voiced a powerful belief: they could see the hand of God guiding them through this challenging chapter, meticulously placing people in their path who would change their son's life forever. From the compassionate team at PMC to the medical professionals at Johns Hopkins, each contribution played a vital role in shaping Liam’s recovery.

Liam’s journey encapsulates not only the struggle of conquering physical challenges but also the essence of familial love and faith guiding him every step of the way. The resilience embedded in Liam's spirit and the unwavering commitment of his parents remind us of the profound impact that a supportive network has during times of crisis. As they celebrate their son's remarkable achievements, their story stands as a beacon of hope for others facing similar challenges.

New Goals. Endless Possibilities.

The future remains bright for Liam as he continues to embrace his goals with an infectious competitive spirit, playing basketball and working tirelessly to leap even higher. With every new day, he not only proves the power of perseverance but also serves as an inspiration to all who have the privilege to witness his journey. Together, we celebrate Liam—not just for the milestones he has achieved in his recovery journey, but for the unwavering faith and love he has carried along the way.”

OT-Inspired Mother's Day Crafts

Wed, 16 Apr 2025 17:10:56 GMT

0T-Inspired Mother's Day Crafts

Looking for some simple crafts for this Mother's Day? These activities not only create beautiful memories for your family, but are also fun activities that integrate play-based movement that is beneficial for your child's development, including hand eye coordination and fine motor skills.

Canvas Hand & Foot Print

Supplies

1 canvas per child
Paint Brushes
Paint (any color)
Sharpie Markers

Instructions

Paint the child's left hand in any color. Place in the center of canvas and press down. Paint the child's right foot a different color. Place next to hand print and press down. Wait for the paint to dry. If a child is able to write themselves, write as follows over the handprint "...this little hand stole my heart" (if the child is unable to write the message you can write it for them!) Over the footprint have them write/or you write "...and this little foot ran away with it!) Write a Happy Mother's Day Message somewhere on the canvas, and remember to have them sign and date their artwork!

3-D Flower Craft

Source: https://www.toolstogrowot.com/blog/2015/05/03/mothers-day-3-d-flower-craft

Supplies

Scissors
Glue/Tape
Crayons/Markers
Flower Pot Drawing with Stem and Flowers (Available on Google!)

Instructions

Print drawing on heavy card stock paper, or glue to heavy paper. Each child will need one of the following:
1 Flower Pot Page, 1 Flower Border Folding Page, 1 Flowers Page, 1 Stems Page
Step 1: Assemble Flower Pot: Color the Flower Pot. Write the reason(s) why you love your Mom on the pot. Cut out around the black (thicker) dotted lines, and along the top of the Flower Pot. Note: Make sure the “flaps” stay attached to the Flower Pot! Fold on the red (thinner) dotted lines to allow for your Flower Pot to become 3-D and “pop” out of the page. This is where the flowers will sit. Glue Tabs and glue to Flower Border Page (once folded) as indicated.
Step 2: Assemble Flower Border Folding Page. This page will stand up! Tip: Follow steps in order to fold & form the base.
Step 3: Tape/Glue Flower Pot on Flower Border Folding Page as indicated. This is the Flower Pot where your flowers will sit in!
Step 4: Color Flowers and Stems as indicated on the Color by Number Code. There are two different versions included.
Step 5: Cut out Flowers and Stems.
Step 6 : Tape/Glue Flowers to the top of each stem.
Step 7: Place Flowers into the Flower Pot and enjoy!

You are Tea-Riffic Card

Source: https://www.theottoolbox.com/mothers-day-you-are-tea-riffic-card/

Supplies

Paper
Tape
Tea bag
Sticker/flower/something to stick to the tea bag’s tag
Markers/crayons

Instructions

Grab a piece of paper or cardstock for the card. Fold it in half. Next, use your mom’s favorite tea.
Pull the tea out of the wrapper and stretch out the string. Then, you can decorate the paper tab with a sticker, or by coloring on the paper label. Other ideas include creating a paper flower and gluing it on the the paper. We used foam sticky flowers for a Spring-y touch.

Tea-riffic!

Construction Paper Bouquet

Source: PMC

Supplies

Construction paper (any 2 colors & green)
Scissors
Glue stick
Sharpie marker

Instructions

Pick any color construction paper you would like to make the flower holder. Make the piece of paper into a square by folding bottom right corner to the top left edge. Cut excess.
With crease going down the center, fold the right corner to meet the crease and repeat the process on the left. On a separate piece of construction paper (any color of your choosing) trace 6 hearts. Cut out the hearts
Cut out 6 strips of green construction paper. Glue 3 strips equally spaced apart to the inside of your bouquet. Glue the other 3 strips of green construction paper to the bottom of the previous stems and half way up. Fold 3 of your heart shapes in half. Glue one side of the folded heart to the matching side of the unfolded heart
Glue one heart to each stem. Fold the right top corner so the point is past the edge of the paper. Repeat step on the left side. Glue the folds from step 4 together in the middle. Glue down the folds. Fold the top half of stems
Write a “Happy Mother’s Day” message on the front. Sign the back of your artwork

Additional Ideas
Source: https://creativecota.com/celebrate-mothers-day-with-crafts-and-occupational-therapy-activities/

Crafts and Activities:

Handprint Bouquet: Create a beautiful bouquet using handprints as flowers. This activity enhances fine motor skills as children cut out and trace their handprints and develops sensory awareness through the tactile experience of painting.
Decorative Cards: Design personalized Mother’s Day cards with colorful drawings and heartfelt messages. This craft encourages creativity and improves hand-eye coordination as children manipulate art materials like markers, crayons, and stickers.
Fingerprint Jewelry Dish: Make a unique jewelry dish by pressing fingerprints into air-dry clay. This activity strengthens hand muscles and improves finger dexterity while fostering sensory exploration through clay manipulation.
Flower Pot Painting: Decorate clay flower pots with vibrant colors and patterns. Painting flower pots enhances grip strength and control, promoting wrist stability and coordination.
Tissue Paper Flowers: Craft colorful flowers using tissue paper and pipe cleaners. This activity refines hand skills as children crumple, fold, and twist tissue paper, improving bilateral coordination and finger strength.
Yarn-Wrapped Letters: Wrap yarn around cardboard letters to create personalized initials or “mom” signs. Yarn wrapping enhances hand strength and coordination while encouraging creativity and attention to detail.
 Storybook Sharing: Read books about mothers and families together, discussing themes of love and appreciation. Storytime promotes language development, comprehension skills, and emotional expression.

Kid Friendly Charcuterie Boards

Wed, 16 Apr 2025 15:57:31 GMT

Tiny Tastes, Big Fun!

Sometimes kids struggle with trying different foods, especially different textures of foods. Repeat exposure and sensory integration through play helps them become accustomed to various textures, such as sticky, soft, crunchy, smooth. To help your child along the way, build a food sensory board allowing them to experience various foods and textures in a fun and colorful manner. The more exposure without expectation to eat the foods, the more likely they will be to try the foods. Present it to them as a snack in a low-pressure environment. Think kid-friendly, finger foods. Be sure to include one or two of their favorites so they have something familiar and comforting on the board as well. Use a muffin tin, ice cube tray or another divided plate to allow for all foods to be presented in a visually appealing manner. A sensory charcuterie board can be customized to fit your child’s interests. For easy grocery shopping list, check out our downloadable list!

To incorporate different textures:

Colorful Boards

Incorporating different colors into our diet, particularly from fruits and vegetables, increases our intake of vitamins and minerals. Phytonutrients give fruits and vegetables their bright colors and many have positive health effects, such as protecting against cancer and heart disease. To increase your child’s exposure to all different colors, try a color based charcuterie board:

Another fun way to create a charcuterie board is to tap into learning, think A, B, C’s or 1, 2, 3s…

Apples/applesauce, almonds,

Bananas/beef (ground), bell peppers, broccoli

Carrots, cashews, chocolate, cherries, cheese

Dragon fruit, dates, dill pickles

Eggs, edamame, elbow macaroni

French toast, Fuji apples, fruit punch

Granola, grapes, grilled cheese bites,

Hot dogs, hamburgers, hash browns

Ice cream, instant mashed potatoes, instant oatmeal

Jell-O, jam, juice, jelly

Kidney beans, kettle corn, kiwi, ketchup

Lemons, limes, lollipops

Mushrooms, meatballs, melons

Nectarines, noodles, nuts

Oranges, oatmeal, omelet

Peas, pecans, pears, pumpkin, popcorn

Quinoa, quince, quesadillas

Rice, raspberries, red peppers, ravioli, ranch dressing

Salami, salsa, soup, scones, spinach, sweet potatoes

Tortillas, tomatoes, tangerine, turkey

Ube, upside down cake
Veggie burgers, vegetables, vanilla (ice cream)

Watermelon, waffles, whipped cream

Xavier soup, Xavier steak, Xocolati, xigua watermelon

Yellow peppers, yogurt, yams

Zucchini, ziti

We hope you found this post, written by our Registered Dietitian, Emily Poole, inspiring!

Additional resources can be found online at:

https://ainttooproudtomeg.com/back-to-school-kids-board/

https://www.sixsistersstuff.com/recipe/kid-friendly-charcuterie-board/

Summer Nutrition Tips

Wed, 16 Apr 2025 13:02:01 GMT

With summer around the corner....

let’s talk about keeping your kiddos nourished during the warmer, less scheduled months!

Eating Routine

Plan to keep an eating routine - think 3 meals and 2-3 snacks a day, at least 2 hours apart. Encourage regular meal times and less ‘grazing’ throughout the day. This will teach kiddos to be full after a meal/snack and be aware that they are hungry a couple hours later.

Stay Hydrated

Stay hydrated - with the warmer temperatures outside, this calls for drinking more water during the day. Add a lime, lemon, or orange slice to amp up the flavor. Just be sure that your child is drinking throughout the day and staying hydrated. Remember, caffeinated beverages will have the opposite effect and can dehydrate you. It’s also best to choose water over sugary beverages.

Summer Fruits

Summer fruits - there are so many fruits that are fresh and delicious during the summer months. Be sure to add watermelon, cantaloupe, honeydew, and pineapple to your grocery list. If you have time on the weekend, cut up into smaller bite size pieces that make it easier for your kiddo to ‘grab and go.’ Other fun ways to add more fruit into your day:

Freeze chunks to use as ice cubes
Sprinkle with a spice mix of cumin, coriander, chili powder, salt, and cayenne
Toss on the grill for a little char
Blend in a smoothie or chilled drink

Summer Veggies

Summer veggies - now is your chance to enjoy tomatoes (high in vitamin C!), corn (great source of fiber!), zucchini (high in fiber and a good source of antioxidants!), and cucumbers (great for hydration!) at their best. Perhaps try a BLT or corn on the cob this summer!

When You Are On The Go...

Plan snacks for when you are on the go:

Trail mix - have kids choose their favorite dried fruits, nuts, seeds, and a sweet add in!
Peanut butter and apples or bananas
Popcorn and cheese stick
Raw vegetable sticks and low-fat dressing
Homemade muffins and frozen yogurt tubes
Applesauce pouches and graham crackers

Children & Screen Time

Mon, 14 Apr 2025 19:03:26 GMT

Children & Screen Time:

Finding the Right Balance for Your Family

In today’s world, screens are everywhere — from tablets and phones to TVs and computers. And while screen time can be fun and educational, it’s important to use it wisely, especially for our youngest learners (birth to 5 years old). The good news? With a little planning and creativity, screen time can be a positive part of your child’s day. If some screen time is right for your family, let’s focus on making it meaningful and interactive. And let’s not forget—there’s a whole world beyond the screen waiting to be explored!

Make Screen Time Meaningful

Not all screen time is created equal! To get the most out of it, try some of the following tips:

Plan what your child watches – Choose age-appropriate shows or apps with educational value.
Watch together – Use screen time as bonding time! Talk about what’s happening and ask questions.
Record and replay – Save programs for a time that works best for your routine.
Encourage active watching – Pause to talk, sing along, or move with the characters.
Watch Together: Sit with your child while they watch a show or play a game. Ask questions, sing along, or repeat what you see. This helps build language and thinking skills.
Play Along on Apps: There are great interactive apps out there—ones that teach letters, shapes, emotions, and more. Choose ones that encourage tapping, talking, or problem-solving.
Press Pause: Pause the show to ask, “What do you think will happen next?” or “How do you think that character feels?” Turning passive watching into conversation boosts comprehension.
Make it Active: Turn a show into a game—can your child dance like the characters or act out a scene afterward? Movement helps with memory and motor skills!

Mealtime = Screen-Free Time

Turning off screens during meals can help your family connect more deeply. Here’s how to ease into it:
Start slow – Focus on one meal at a time.
Try fun substitutes – Play soft music, read a short book, or chat about your day.
Model the change – When adults skip screens, kids follow suit. Let other caregivers (like grandparents or nannies) know your plan.
Stick to a schedule – Eliminate screens from one meal or snack every week or two. In a month or two, you’ll be enjoying screen-free meals with more mindful eating and conversation.

Screen Time Alternatives

Looking for ways to keep little ones busy without a screen? Try these fun ideas:

Get outside – Visit a park, go on a nature walk, or plant a small garden together. Whether it’s a walk around the block, a trip to the park, or watering plants in the yard, outdoor time helps kids burn energy and explore the world. Enjoy some good old fashioned fun with a water ballon fight !
Make an obstacle course – Use cushions, boxes, or toys for indoor or outdoor fun. Crawling under, jumping over, and balancing are all great for motor development.
Craft and Create – Finger painting , gluing, cutting, and building with blocks help kids learn focus and coordination—and it’s fun!
Story time Fun: Read books, make up stories together, or turn on music and tell a tale using puppets or stuffed animals.
Unwind without screens – Before bed, try puzzles, books, songs, or crafts to help your child wind down, relax, and improve sleep.

Kids Learn Best Through Interaction

Children learn from everything they do—especially what they do with you. So whether it’s watching a show, building a tower, or dancing in the kitchen, the magic happens when we join in. With some thoughtful choices and a focus on connection, it can be a helpful tool — just one part of a healthy, active lifestyle for your little one.

Article Sources: https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/children-and-screen-time, https://www.kvhealthcare.org/2024/10/mealtime-without-screens/#:~:text=Here%20are%20some%20suggestions%3A,an%20easy%20way%20to%20begin, https://occupationaltherapy.com.au/managing-screentime-in-children/, https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-infants-toddlers-and-preschoolers-birth-to-5-years

Milestone Moment - Jasper

Mon, 14 Apr 2025 14:14:20 GMT

Jasper’s Journey:

Strength, Growth, and Shining Confidence

At Pediatric Movement Center, every milestone matters—big or small. Watching a child grow, connect, and thrive through therapy is what motivates us every single day. Jasper's story is a beautiful example of what can happen when determination meets compassionate, consistent care. When Jasper first began Occupational Therapy at PMC, participating in activities was often difficult. Transitions were challenging, and it was hard for him to stay engaged or seated for tasks. But thanks to the incredible support of his family and therapy team—along with Jasper’s own hard work—things have changed in a big way.

Improvements Through Motivation & Determination

Jasper has made tremendous improvements in functional play and engagement. He now eagerly joins in on activities and sits at the table with his therapist, remaining seated and focused through to the end. Even transitions—once a major hurdle—are now smooth and manageable. Best of all, his personality has truly blossomed! Jasper’s communication has taken off, and his interactions are full of joy, curiosity, and connection. As Ms. Alexys shared, “ His interactions and personality have blossomed with great communication! ” Jasper’s progress in Physical Therapy has bee n equally incredible. When he first joined PMC, Jasper experienced gait abnormalities and difficulties with gross motor skills like getting off the floor, squatting, jumping, and running. Stairs were especially tough—he often crawled or scooted his way up and down. Structured activities were a challenge, and he tended to keep to himself, not fully engaging with others—even his siblings.

What a transformation we’ve seen!

With consistent PT sessions and a growing sense of confidence, Jasper has made amazing strides in all areas of his physical development. His walking and running mechanics have improved dramatically, and he’s built strength in his core and legs to complete gross motor tasks with ease. Jasper now walks independently and safely up and down stairs, and he participates fully in activities—not just with his therapist, but also with his mom, siblings, and peers. He listens, engages, and uses his words to communicate what he wants to do. As Mr. Connor puts it, “ Jasper has made excellent progress and continues to work hard every session! ”

Keep Shining!

At PMC, we believe every child has the potential to thrive when supported in the right way. Jasper’s story is a powerful reminder of that truth. His progress is a testament to his perseverance, his family’s support, and the dedication of his therapists.

We are so proud of you, Jasper!

Keep growing, keep shining, and keep being your amazing self—we can’t wait to see what you do next!

Shared with parent permission.

Milestone Moment - Tillie

Thu, 10 Apr 2025 15:23:55 GMT

Spotlight on Tillie: Strength, Smiles, and So Much Progress!

Spotlight on Tillie: Strength, Smiles, and so Much Progress!

At Pediatric Movement Center, we are constantly inspired by the determination, resilience, and joy our little ones bring to every session—and Tillie is a shining example of that spirit. Tillie began her journey with PMC just under two years old, joining us in early February. When she arrived, her movement was limited to rolling and lying on her back or belly. Sitting independently was a challenge, and she would often throw herself backward while trying to sit. But Tillie—and her amazing family—were ready to work hard, and that’s exactly what they’ve done.

DURING 8 WEEKS....

Over the past eight weeks, Tillie has made tremendous strides in her development through consistent therapy and dedicated practice at home. She has primarily participated in Dynamic Movement Intervention (DMI) sessions, which focus on building strength and supporting developmental milestones. Thanks to her hard work and the guidance of her therapy team, Tillie is now sitting independently for up to five minutes at a time while playing with her favorite toys—a huge accomplishment in such a short time!

But that’s not all—Tillie has also begun pulling her legs underneath her to get into a hands-and-knees position, a critical step in progressing toward crawling. Her smile when she conquers a new skill is absolutely contagious. She lights up every room she enters and brings joy not only to her therapists, but to everyone she meets at PMC. As Ms. Mackenzie so beautifully said, “ Tillie, you are so strong, brave, and resilient. We know we are just getting glimpses of all that you are going to accomplish! The sky is the limit, sweet girl .”

Tillie's Progress

Tillie’s progress doesn’t stop with motor skills—she’s also been making incredible gains in her speech and communication development. Ms. Robin shared how Tillie has been working hard in her speech sessions and at home, building her visual and vocal attention and engaging in shared enjoyment during motivating activities. Her eye contact and social smile brighten every session, and she is showing so much growth using a high-tech communication system to express herself. A recent milestone that had everyone celebrating was when Tillie used her device to say “Stop!” during a standing exercise—a powerful moment of self-advocacy and an exciting leap in her communication journey. As Ms. Robin shared, “ Tillie is a delight to work with and makes my day brighter every time I get to work with her! ”

We Are So Proud Of You!

Tillie’s story is a beautiful reminder of the potential that lives within every child, and the amazing things that can happen when therapy, family support, and a determined spirit come together. We’re so proud of you, Tillie. Keep reaching for the stars—we’ll be cheering you on every step of the way!

Posted with parent permission.

Supporting Your Picky or Anxious Eater

Thu, 10 Apr 2025 13:45:20 GMT

Creating Confident Eaters:

Nurturing Picky and Anxious Appetites with Love and Play

If mealtime in your home feels more like a standoff than a shared moment of connection, you’re not alone. Whether your child is a picky eater or just a little hesitant to try new foods, it can be tough to know how to support them without pressure. But here’s the good news: with a little patience, a lot of love, and some playful strategies, you can help your child grow into a confident, adventurous eater.

Let’s take the pressure off and bring the joy back to mealtime!

�� Start with Comfort and Control

Before diving into what’s on the plate, focus on how mealtime feels. The more comfortable and in control a child feels, the more open they’ll be to exploring new foods.
Make it a routine: Kids thrive on predictability. Establish consistent mealtime rhythms, even if it’s just a few times a week. Wash hands together, set the table, and maybe even sing a little song before sitting down.
Prepare the setting: Let’s make meals feel special! Fun plates, silly cups, colorful utensils—these small touches make a big impact. The more inviting the environment, the less intimidating the food. Below are some of our favorite food supplies!

Support their body: A comfy body helps a curious mind. Aim for 90-90-90 sitting (hips, knees, and ankles at 90 degrees) to make sure your child feels physically supported at the table.

�� Play with Food (Yes, Really!)

Exploration is key when it comes to building trust with new textures and tastes. Let go of the mess and say “yes!” to play.
Use all the senses: Let kids touch, smell, and even squish foods before tasting them. Describe foods using fun, sensory language: “This carrot is super crunchy!” or “Whoa, this yogurt feels really cold!”
Ask, don’t pressure: Instead of asking “Do you like it?” try “What does it feel like?” or “Can you find something red on your plate?” Descriptive language builds comfort and curiosity without judgment.
Create silly names: Call broccoli “tiny trees” or chicken nuggets “space boulders.” Food becomes way more approachable when it’s part of a game.

�� Familiar Foods First, Then Build

Start with what your child already loves, and gently introduce something new alongside it.
If pizza is their jam, add a small bowl of dip or a new veggie on the side. Even if they don’t touch it, just seeing it is a win.
Change the shape of their favorite foods—use cookie cutters on sandwiches or serve sliced apples like a fan. Novelty sparks interest!

�� Invite Them Into the Process

Ownership turns fear into fun. When children feel involved, they’re more likely to try new things.
At the store: Let them choose a new fruit or veggie based on color, shape, or just curiosity.
In the kitchen: Invite them to stir, chop (with safe tools!), or plate the meal. Prep meals together ahead of time, especially breakfast and lunch, to reduce anxiety by making them more familiar with their food.
In the imagination: Draw food, make sticker charts, or create a checklist of foods to explore. This builds exposure outside of mealtime, where there’s less pressure.

�� Consider Sensory Needs

Children take in the world through their senses—some seek more input, others are highly sensitive.
Meet their needs before meals. Try a quick “head, shoulders, knees, and toes” movement game to address the wiggles, or offer tactile games beforehand to ground their sensory systems.
Family-style meals (where everyone serves themselves) help with desensitization—kids see, smell, and maybe touch the food without needing to eat it right away.

��‍��‍�� Model the Joy of Eating

Kids love to watch, learn, and copy—especially the grown-ups they love most.
Eat together whenever possible. Even if your child isn’t eating the same foods, sitting with you while you enjoy a meal helps normalize it.
Talk about your food. “This is so juicy!” or “This pasta has a fun twisty shape!” Show them that food is something to be experienced and enjoyed.

�� Caregiver Tips: Prompts and Possibilities

Here are a few mealtime phrases that can support exploration without pressure:

“Can you find something round on your plate?" “Which food is the softest?” “Wanna help me scoop some onto your plate?”

And remember: offer options. Let your child have a say in what goes on their plate or which new food to try. When kids feel like they have a choice, they’re more likely to take a chance.

�� Trust the Process, Meet Them Where They Are

Every child is different, and that’s a beautiful thing. Some need more time, others need more play, and many just need to feel understood.
Watch for signs like pocketing food, gagging, or long chewing times—these may signal oral motor challenges worth discussing with a feeding therapist.
But for most kids, consistent routines, sensory support, and a whole lot of playful love go a long way in helping them build confidence at the table.

�� Final Thought: Thrilling & Filling

Make mealtimes more than just about food. Make them about connection, curiosity, and comfort. The goal isn’t just to get a bite in their mouth—it’s to help them build a joyful, lasting relationship with food. Because a confident eater isn’t made in a day. They’re nurtured—mess by mess, smile by smile, bite by bite.

�� CLICK HERE to Watch/Listen on YouTube

Easter Egg-Citement

Wed, 26 Mar 2025 19:24:39 GMT

Easter Egg-Citement

Spring is in the air and Easter is on the way! Here are some fun-filled ideas to enjoy the holiday...

Instead of dying Easter eggs this year, why not try jumbo marshmallows! They are less expensive and will last longer sitting on your table. Check out this blog for directions.

While peanut butter chocolate eggs, creme eggs, and jelly beans top the list as the most popular Easter candy for Easter baskets, why not add some non-food treats as well? Hide these special activities in plastic eggs or in your child's Easter basket for a big surprise on Easter morning:

Experiences:

1/2 hour of extra screen time
Movie night with mom and dad
Going to bed an hour later
Picking out dinner one evening
Coupon for a trip to a special store
Picnic lunch at a park
Go on a bike ride
Baking day - find a recipe and bake it
Make your own pizza dinner
Movie tickets to a local theater
Glow stick bubble bath
Build a table top garden

Indoor Fun:

Outside Activities:

Personal Products:

Communicating Emotions: Zones of Regulation

Tue, 25 Mar 2025 16:24:32 GMT

Communicating Emotions: Zones of Regulation

Most children, especially neurodiverse children, struggle at some point with communicating emotions. Children with speech and language delays, and children who require Augmentative and Alternative Communication systems (AAC devices), may also struggle with frustration when trying to communicate how they are feeling.

One strategy that pediatric therapists can utilize to help children communicate emotions is a technique known as the Zones of Regulation.

The Zones of Regulation consists of four colored zones: Blue, Green, Yellow and Red. Each zone provides a visual for different kinds of feelings and energy levels. Organizing emotions into four simple sections can be a helpful visual for children, allowing them to communicate their emotions by simply pointing to one of the color blocks that hold the emotions they are feeling.

1. The Red Zone

Emotions: Elated/overjoyed, angry, terrified, devastated, panicked, out of control

The Red Zone is a high energy zone, characterized by strong or intense emotions of either sadness, joy, anger or fear.

2. The Yellow Zone

Emotions: Stressed, worried, excited, silly, frustrated

The Yellow Zone is still a higher energy zone, but not quite as high as the red zone. The Yellow Zone characterizes emotions that often represent an unbalance in our nervous system, including stress, frustration, excitement, confusion, overwhelm, and nervousness.

3. The Green Zone

Emotions: Focused, happy, content, proud, calm, comfortable.

The Green Zone is a calm, but alert state. Our energy is balanced and present, and our nervous system feels safe.

4. The Blue Zone

Emotions: Sad, fatigue, bored, sick , tired

The Blue Zone is the least alert state. It describes down feelings, such as boredom, hurt, loneliness or illness. In the blue zone, most often the main thing that we need is rest and comfort.

The movie, Inside Out , does a great job of personifying emotions in a way that children can understand. Each character embodies a different emotion, making it easy for children to grasp how different emotions carry different actions or energy levels

In therapy, most commonly occupational and speech, the Zones of Regulation can be a great tool to help kids communicate their emotions and energy level. The ability to identify and point out how they are feeling is a very important first step.

For children utilizing AAC devices, the Zones of Regulation can help with the building of core words, giving individuals the autonomy to express and communicate how they are feeling, even if they cannot speak.

Have you tried the Zones of Regulation? How do you help your child communicate their emotions?

References: The Zones of Regulation

Types of Sensory Swings

Mon, 10 Mar 2025 15:15:39 GMT

Types of Sensory Swings

Did you know that swinging can have a major impact on a child's vestibular system?

The vestibular system is a sensory system in the inner ear that helps with balance and spatial orientation.

Sensory swings, which come in many forms, are a great way to work on the vestibular system. Balancing the vestibular system can have a multitude of benefits beyond the physical - it can be a great way to practice body awareness and regulate the nervous system. Here is a quick guide to different types of sensory swings that may be utilized in pediatric therapy.

1. Bolster Swing

Bolster swings can help with sensory integration, posture, core strength, balance and coordination, anxiety reduction, body awareness, and calming. Kids can sit, stand or lay down on the bolster swing.

2. Ladder Sensory Swing

Ladder swings or climbing swings can help with motor planning while also assisting balance, body awareness and strength training. Climbing is a terrific sensory activity that involves the entire body: hands, arms, core, upper trunk and legs.

3. Cuddle/Cocoon Swing

Cuddle or cocoon swings can help with proprioceptive and deep pressure input, which can be very calming for children with sensory needs. This type of swing can be particularly helpful in a therapy setting when the child needs a moment to recenter and work through big emotions.

4. Hanging pod swing

Like the cuddle swings, hanging pod swings can provide a sense of calming and anxiety relief for children. They also assist with balance and coordination, while allowing children to feel cozy and safe. Pod swings can also help with core strength and posture.

5. Platform swing

Platform swings are one of the most common types of sensory swings in therapy settings. They can be hugely beneficial for both vestibular and proprioceptive input. Platform swings can be helpful for balance , core strength, upper body strength, motor planning, as well as sensory integration. They can be a great calming tool, especially for neurodiverse kiddos.

References: The OT Toolbox: What You Need to Know About Sensory Swings

What is Feeding Therapy?

Wed, 19 Feb 2025 15:57:12 GMT

What is Feeding Therapy?

Feeding therapy is a specialized type of therapy that can be performed by occupational therapists and speech language pathologists. Feeding therapy is most commonly utilized for babies and toddlers, as feeding and swallowing problems usually present early in life.

Feeding therapy can address a variety of issues around food and feeding. This includes picky eating, physical limitations (swallowing difficulties), medical conditions (cleft lip, breathing problems, feeding tube), and sensory issues (autism, adhd, sensory processing disorders).

When working with children in feeding therapy, therapists work closely with families and caregivers to discuss their concerns and goals in feeding therapy. Dealing with a young child with picky eating habits can be stressful for everyone involved, and therapists aim to relieve some of this anxiety by utilizing techniques that parents can easily employ at home.

Eating problems can affect up to 20% of children under the age of seven. But sometimes it can be tricky for caregivers to tell if their child needs help. Here are some signs to watch out for if you are concerned about your child's eating, according to WebMD:

Babies up to 6 months:

Coughing or choking during feeding
Problems coordinating breathing while eating
Frequent projectile vomiting

Babies 6-12 months:

Difficulty trying purees
Turning head away during feeding
Lack of interest in finger foods
Frequent coughing or gagging

Children over 1 year:

Very restricted diet
Avoiding certain textures or food groups
Coughing or choking while drinking
Inability to use a straw
Upset with new foods
Low weight or losing weight

If you are concerned about your child's eating or nutrition, the first step is to visit your pediatrician and express your concerns. From there, your doctor will discuss suggestions for treatment options.

Here at PMC, our feeding clinic offers multi-discipline (speech therapy and occupational therapy) therapeutic interventions catered to your child's specific needs. Our team utilizes the SOS (sequential-oral-sensory) feeding approach to create an eating routine that reinforces developmentally appropriate, healthy eating patterns. Social modeling, positive reinforcement, manageable food and skill development are all parts of this approach. SOS feeding therapy allows children to explore food through their senses, using their fingers, hands and mouth to explore new sensations. If your concerns with feeding are specific to diet and picky eating, PMC also has an in-house registered dietitian who can assist with improving nutrition through a low-stress approach.

What is Torticollis?

Thu, 13 Feb 2025 12:00:00 GMT

What is Torticollis?

What is it?

Roughly 200,000 cases of Torticollis a reported annually, primarily affecting infants. It is a twisting of neck due to tight muscles (mostly involves the Sternocleidomastoid (SCM) muscle)that causes the head to rotate and/or tilt to one side. Torticollis can lead to plagiocephaly, which is a flattening of the head. It's best to address Torticollis as soon as possible (which is typically around 4-6 months of age) to start with shaping helmet due to rate of head growth.

What Can Cause it?

A breech position in-utero and little in-utero motion
Can be from an injury (birth or after), vigorous movement, sleeping in awkward positions or devices (car seats, swings, etc.), and neck spasms
Can be secondary from slipped facets, herniated discs, viral or bacterial infections

What Are The Symptoms

Neck pain (hard to verify in babies)
Inability to turn/tilt head symmetrically to both sides
Muscle spasms
Reflux
Difficulty feeding
Difficulty with positioning

What You Need To Know + Tips!

Early intervention is key! If you have concerns, talk to pediatrician and seek physical therapy services
If not treated it can affect a child's: vision, sensory processing, feeding, fine/gross motor skills, shoulders, trunk and hips
Stretch! Helpful stretches include:
Neck rotation
Neck side bending
Neck extension
Varied your child's positioning to back, tummy side-lying, and sitting. Pay special attention to the way your child moves in opposite of their muscular tightness
Use toys for motivation to get a child to move in different ways
Limit time in single device such as a stroller, swing, or car seat

What Are Primitive Reflexes?

Wed, 12 Feb 2025 13:00:00 GMT

What are Primitive Reflexes?

Primitive reflexes: are reflexes that a baby is born with that typically go away(integrate) within the first year of life.

Q: What happens if primitive reflexes do not go away within the first year of life?
A: If these reflexes are not integrated they can interfere with the brain’s normal functioning and cause learning problems, sensory problems, behavioral problems, social problems, or health problems.

What Are The Most Common Retained Reflexes?

Moro Reflex: can contribute to impulsivity, emotional immaturity, sensory problems, difficulty with transitions, disliking change or surprises.
Landau Reflex: can contribute to poor attention, toe walking, weak upper body, poor posture and disorganization.
Asymmetrical Tonic Neck Reflex (ATNR) : can contribute to poor coordination, poor depth perception, awkward walk, difficulty with math/reading, and eye/ear/foot/hand dominance not on same side.
Symmetrical Tonic Neck Reflex (STNR): can contribute to poor attention, poor posture, poor hand eye coordination, sloppy eater, w-sitting, and skipped crawling.
Spinal Galant Reflex: can contribute to poor concentration, difficulty sitting still, and poor attention to task
Palmer Reflex: can contribute to poor handwriting, poor dexterity, poor vision coordination, poor posture when using hands, and poor pencil grip.

How to Integrate Retained Reflexes?

Primitive reflexes can be integrated through the successful completion of exercises specific to each reflex. Many issues that are caused by retained reflexes are greatly improved after the reflex is integrated through exercises.

Thank you to Hannah Smith, Physical Therapist for sharing your knowledge and these tips on primitive reflexes!

The Developmental Benefits of Tumbling Classes

Wed, 05 Feb 2025 16:09:56 GMT

The Developmental Benefits of Tumbling Classes

Here at the Pediatric Movement Center, our recreational classes are fun, social movement opportunities for children of all ages to play in a safe and secure space. But tumbling and gymnastics classes offer so many benefits, both physical and mental, for young children. Whether you are looking at our Ninja classes or Adaptive Gymnastics, you can be assured that our approach to recreation is developmentally beneficial for all individuals. Here are 5 benefits of gymnastics and tumbling classes:

Physical Fitness

Physical benefits of tumbling and gymnastics include flexibility, core strength, cardiovascular health and stamina, join health, and disease prevention. Jumping, balance, leg lifts and triple flexion (ankle, knee and hip) are just a few movements that are beneficial. Tumbling and gymnastics also includes a variety of poses that are helpful for strength and flexibility, such as lunges , bicycle, butterfly stretch, and forward rolls.

2. Cognitive Development

Tumbling and gymnastics can improve focus, decision making and problem solving, as well as self-discipline and mental toughness. Gymnastic routines often are similar to memorizing dance sequences, where the individual has to memorize a series of movements in a certain order and on a particular timeline. Coordination of different poses that require full body strength (such as cartwheels or forward rolls) also require particular focus and mind-body connection.

3. Social Skills

One of the best things about childrens' movement classes is the social aspect. Our recreational classes are a space for children to have fun and play with other kids. Our classes are inclusive, allowing children of different sensory and behavioral needs to be part of the group, and enabling children of different physical abilities to engage with other children. Waiting for your turn on the balance beam or celebrating a friends' success when they do a handstand for the first time are just a few social benefits of tumbling classes.

4. Confidence

Self-discipline and mental toughness can play an important role in self-confidence. Our play-based classes are led by instructors devoted to supporting students through positive reinforcement. When children are given the space to try new or challenging physical activity, their confidence often increases through their success in trying something that they couldn't accomplish before.

5. Injury Prevention

Just like many NFL players engage in ballet or pilates to cross-train during the off-season, so too can student athletes and kids playing multiple sports use tumbling and gymnastics as a great way to benefit other sports activities. Stretching, full body strengthening balance and coordination techniques are just a few benefits of tumbling classes that will also benefit kids engaging in other sports.

Interested in learning more about our recreational classes? Check out our current class schedule for more information!

What is the Autism Diagnostic Observation Schedule?

Wed, 29 Jan 2025 17:02:22 GMT

Unlocking a Brighter Future:

The Benefits of the ADOS-2 Test for Your Child

As a parent, there's no greater joy than seeing your child grow and thrive. But for kids on the autism spectrum, early diagnosis and intervention can be the key to unlocking their full potential. That's where the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) comes in – a powerful tool that's helping families like yours understand and support their child's unique needs.

Why ADOS-2 Matters

Developed by leading autism expert Catherine Lord and her team, the ADOS-2 is a comprehensive, semi-structured assessment that evaluates a child's social interaction, communication, and play skills. With an accuracy rate of 90-95% (Lord et al., 2012), the ADOS-2 is widely recognized as a gold standard in autism diagnosis. And its benefits extend far beyond diagnosis – they're a crucial stepping stone towards tailored interventions and therapies that can transform your child's life.

Who Should Consider ADOS-2 Testing?

Children between 12 and 47 months old who exhibit social or communication delays
Children with a family history of autism
Children who have been referred for possible autism by a pediatrician or other healthcare professional
Children who exhibit restricted or repetitive behaviors, such as hand flapping or insistence on sameness
Children who have difficulty with eye contact, initiating or maintaining conversations, or understanding social cues

ADOS-2 at Pediatric Movement Center

Pediatric Movement Center (PMC) offers in person testing for children ages 2 and older to provide vital components and information related to Autism spectrum disorder through initial evaluation of Autism Diagnostic Observation Schedule (ADOS-2), social emotional scales and sensory processing evaluation information. We hold the firm belief that every child possesses unique capabilities and the potential to achieve remarkable accomplishments. The administration of the Autism Diagnostic Observation Schedule - Second Edition (ADOS-2) test will furnish you with valuable insights into your child's proficiency in areas such as communication, play, and social skills. It is imperative to note that while the ADOS-2 evaluation represents a crucial component of the diagnostic process, it alone does not constitute an Autism Spectrum Disorder (ASD) diagnosis. Instead, the ADOS-2 serves as the gold standard diagnostic tool, employed in tandem with supplementary assessments by qualified medical practitioners, including licensed psychologists, psychiatrists, or licensed physicians, who are equipped to provide families with a diagnosis, once they have a comprehensive and holistic understanding of each individual from the ASD assessment process.

WORKING WITH PMC FOR YOUR ADOS-2 NEEDS

you can expect EXPERT care from an ADOS-2 certified

practitioner and will will receive the following documents

01

ADOS-2 Report

The ADOS-2 report provides information about an individual's social interaction, communication skills, and imaginative use of materials.

02

Cognitive / Emotional Checklist

The checklists provide valuable insights into a child's emotional regulation skills and identify potential areas of concern.

03

Scores

You'll be provided with descriptive information and scores for social affect including: communication, reciprocal interactions and restricted/repetitive behaviors.

04

PT/OT/SLP Evaluations*

*You will receive any physical, occupational or speech therapy evaluations if they were performed at a PMC facility.

What Happens After ADOS-2 Testing?
So, what happens after the ADOS-2 test is completed? Families discuss and share the results of a PMC ADOS-2 exam with their perferred qualified professional, such as a psychologist, psychiatrist, or pediatrician, who will:

Interpret the results and provide a diagnosis of autism or other conditions
Recommend a treatment plan tailored to your child's unique needs and abilities
Connect you with local resources, such as therapy services, support groups, and educational programs
Provide ongoing support and guidance to help your child thrive
Empowering Your Child's Future

By choosing the ADOS-2, you're taking the first step towards empowering your child's future. With its comprehensive, accurate results and tailored interventions, the ADOS-2 is a game-changer for families like yours. So why wait? Schedule an ADOS-2 test today and unlock a brighter, more supportive tomorrow for your child.

HOW TO

GET STARTED

01

Call Us!

Call a member of the PMC team at 301-739-5437 and let them know that you are interested in ADOS-2 testing.

02

Complete your paperwork

Prior to your have scheduled your ADOS-2 evaluation, we request that you complete our Intake Paperwork & Cognitive/Emotional checklist.

03

Pre-Evaluation Interview

At least one week prior to your ADOS-2 evaluation, a parent/guardian will participate in a 15 minute phone interview with the ADOS-2 testing administrator.

04

ADOS-2 Evaluation Day

The test will take 40-60 minutes. Parents may be asked to attend testing or to wait in the lobby: this is at the examiner's discretion so they can get the most accurate understanding and participation from your child. Please do not bring any siblings as they will not be permitted to attend.

Frequently Asked Questions

Is this covered by insurance? No, at this time the ADOS-2 is a private pay exam
Is there a long waitlist for the ADOS-2? No, at this time we are typically able to schedule within 4 weeks of requests
What is the cost of the ADOS-2 test? $400*
Do you have a qualified professional, such as a psychologist, psychiatrist, or pediatrician on staff at Pediatric Movement Center who can diagnose for Autism Spectrum Disorder? No, we do not have any a qualified professional on staff who can provide a diagnosis, but we have a list of providers that are familiar with the ADOS-2 exam that we can recommend!

*Rate is subject to change. Current rates will be reflected in PMC's Private Pay Rate Guide

References: CDC (2020), Johnson et al. (2007), Lord et al. (2012)

Fuel Your Defenses: Supporting a Healthy Immune System through Your Diet

Wed, 29 Jan 2025 14:30:00 GMT

As we get into the colder months and the season of sickness is upon us, our diet plays an important role in maintaining a healthy immune system. Here are some simple tips to help your immune system stay strong!

Foods That Support a Healthy Immune System

Fruits & Vegetables - fruits and veggies contain vitamins and minerals which help our immune system. Citrus fruits contain vitamin C which works as an antioxidant and encourages activity of immune cells and creation of antibodies.
Yogurt - Yogurt contains probiotics, good bacteria, to help our gut and immune health
Ginger - may help improve your immune response
Garlic - may help activate cells that fight infection
Green Tea - contains antioxidants that help boost your immune function
Red Meat - Iron, a component of red meat, is part of enzymes that are important for immune cell function. Red meat also contains zinc!
Shellfish/Poultry/Beans - these foods contain zinc which is needed for our immune system’s cells to function properly. Zinc is also found in some fortified cereals and bread products.
Sunshine, Fish, and Eggs - contain Vitamin D which is important for immune function and regulating immune response. Vitamin D is found naturally in egg yolks, canned tuna, salmon, and mushrooms. It can also be created by our body by spending approximately 15 min outside in the sunshine.

Other extremely important components for a healthy immune system:

Good sleep - during sleep, your body produces cytokines which are necessary for the immune system.
Manage stress - reducing and managing your stress is important as stress is known to weaken your immune system. Taking a walk, talking to a friend, meditation, exercise are all possible options to help manage and reduce stress.
Wash your hands - Washing your hands with warm water and soap for 20 seconds is one of the most effective ways to prevent the spread of germs.
Maintain a balanced diet - It is important to eat a well-rounded diet including all the food groups. This offers the chance to provide your body with all different nutrients, vitamins, and minerals that are important for general health and well-being. Enjoy lean proteins, low-fat or fat-free dairy products, lots of fruits and veggies, and whole grains.
Regular exercise - Regular physical activity helps manage stress, maintain a healthy body weight, and help your immune system.
Stay hydrated - water helps our immune cells get to where they need to go and flush toxins and waste out of your body.

Get Crafty with Valentine's Day Food!

Wed, 29 Jan 2025 12:45:00 GMT

Get in a festive Valentine's Day spirit at mealtime and through some fun crafts! Read on for some fun and creative resources to celebrate the season!

Valentine’s Day playdough (*NOT edible!)

Valentine's Day Play Dough (3 Scented Recipes) - The Soccer Mom Blog

These fun play dough recipes, while not edible, will give your child a fun, seasonal activity to do inside. With flavors like chocolate, flower bouquet, and cherry, they will smell delicious too! Grab some cookie cutters or a plastic knife and let them explore!

Cupid’s Crunch

Cupid's Crunch Recipe - Valentine's Day Treats!

Cupid’s Crunch is a fun snack to celebrate Valentine’s Day. You could modify the ingredients for any holiday and add in your favorite dried fruits With popcorn (full of whole grains, yay!) and the possibility to add whole grain pretzels, this could be a filling treat too. If you make this, be sure to let us know what fun ingredients you added in for your family!

Valentine Fruit Wands

Valentine Fruit Wands - A Few Shortcuts

Looking for a festive fruit snack to add to your child’s lunch or for after school? Look no further! These fruit wands use strawberries (full of vitamin C, antioxidants, and fiber!) and watermelon (great for hydration and full of vitamins and antioxidants). Add on top of a yogurt cup for a well-rounded snack!

Raspberry and Cream Popsicles

Creamy Raspberry Popsicles - Nick + Alicia

Homemade popsicles - yes please! You could modify these tasty frozen treats with any fruit your children prefer, raspberries just add a festive punch! Don’t have popsicle molds, no worries, use paper cups. You could also use any yogurt flavors too. Greek yogurt is a great source of calcium for strong bones and teeth and adds extra protein which will help keep little bellies full.

Valentine’s Day Fruit and Graham Cracker Snacks

Easy Valentine Snacks: Graham Cracker Smile #ValentinesDay

Here’s a fun food craft! Give your child all the ingredients and see what silly smiles they can create. If you aren’t a peanut butter fan or are allergic, substitute in Wow Butter or Sunbutter for an equally delicious treat! Add whole grain graham crackers to amp up the fiber content and fill those little bellies.

Cupid’s Arrow String Cheese Snacks

Cupid's Arrow String Cheese Valentine's Day Snack Idea - Arts and Crackers

These are great Valentine’s Day treats that are easy to make and offer something a bit different than candy greetings. Cheese sticks add calcium to our day to help with strengthening our bones and teeth. Pair with some whole grain crackers (whole grains will be listed as the first ingredient) for a tasty and hearty snack!

Valentine’s Day Frozen Fruity Yogurt Bites

Valentines Frozen Fruity Yogurt Bites - Crafty Morning

Another way to enjoy frozen yogurt and fruit… these little treats can be made by little hands and put in muffin liners with adult help. Raspberries offer a great source of vitamin C, but you also use blueberries, peaches, strawberries, and/or bananas. You could mix in granola too!

Strawberry Pancake Skewers

Strawberry Pancake Skewers - BargainBriana

Feel free to whip up your own homemade pancakes or use frozen ones from the store. These adorable pancake kabobs will get your child’s day off to a great start! Add yogurt to have 3 food groups at breakfast and fill those bellies to start their day.

Tic Tac Toe Toast

Valentine Food Craft for the Kids | Tic Tac Toe Toast

Start your day off with a game and a fun way to use conversation hearts. Play tic tac toe with your food! Not a fan of peanut butter, you can definitely substitute in Wow butter or Sunbutter for an equally yummy treat! Peanut butter is a great source of healthy fats and vitamin E. Use whole wheat toast for added fiber and some protein. A perfect combination for a filling meal or snack!

Heart Bird Seed Crafts (edible too!)

Kid Made Bird Feeder Ornaments - Heart Bird Feeder Crafts - Natural Beach Living

These adorable bird feeders are a fun snack for kids too! You can use any cereal you like so long as it has a hole in the middle of it. Stringing the cereal on the pipecleaner is great for littles to work on their fine motor skills. Hang up outside and watch the birds or use for a fun portable treat!

Winter Food Crafts

Wed, 15 Jan 2025 13:15:00 GMT

Have Some Wintery Fun With Your Food!

Snowman White Queso Dip - White Queso Dip Snowman - Hungry Happenings

Easy to make and a hearty snack all in one! Snowed in? Pair this tasty queso dip with some whole grain tortilla chips as an afternoon snack or add to your Taco Tuesday menu, this cute dip will be a perfect treat! Added bonus, queso/cheese has calcium for strong bones and teeth. Top with olives which contain monounsaturated fats (healthy fats!) and carrots which are a good source of vitamin A, fiber, and potassium.

Mini Lasagna Snowman - Mini Lasagna Snowmen - Cute Christmas Dinner VIDEO

With a little time and prep, your family can enjoy these super cute and delicious mini lasagna snowmen. Enlist ideas to substitute any of your favorite lasagna ingredients. Involve your kids with cutting the noodles and assembling the snowman. Use whole grain lasagna noodles for added fiber! Make extra for easy to enjoy snack too!

Banana Pancake Snowman - Banana Pancake Snowmen Recipe: How to Make It

On a cold morning, what better way to start your day than with a banana pancake snowman! Bananas are a great source of potassium or put a variety of fruit options out and let your child’s inner artist come out and decorate their own snowman.

Marshmallow Snowflakes - Snowflake Marshmallows - A Tasty Addition to your Hot Chocolate - Messy Little Monster

Looking for a fun STEM activity on a snowy afternoon? Give your child toothpicks and various sizes of marshmallows and see what unique snowflakes they can create. Read a book about snowflakes or have them count their marshmallows for an added challenge. Finish off your marshmallow snowflakes by enjoying them with a cup of hot chocolate!

Baked Snowflakes tortillas - Baked Snowflake Tortillas with Powdered Sugar - Glitter On A Dime

These adorable treats can be made with flour tortillas, gluten-free tortillas, sweet or savory (add cheese!). Creating these snowflake tortillas puts a spin on the fun method of making paper snowflakes. Perhaps, create some paper snowflakes for your windows while this tasty treat is cooking!

Mozzarella and Cucumber Snowmen - Easy Mozzarella Cheese Snowman Snack Recipe - Eats Amazing.

A quick and easy snack to fill little bellies! These mozzarella cheese ball snowmen can easily be assembled by your kids. Provide them with the ingredients and a picture and let them go to town! Mozzarella cheese is a good source of protein and calcium and cucumbers add fiber, vitamins and minerals. Leave the skin on the cucumber for added fiber and vitamin A!

Snowman Pudding cups - Quick Party Idea: Snowman Pudding Cups | Kids Activities Blog

These adorable snacks require no time in the kitchen!! Buy pre-made pudding cups, foam/felt paper, and some googly eyes and you are all set! Add some fruit and/or granola to make this cute, snowman snack even heartier!

Frosty the Snowman Smoothie - Day 5: Frosty the Snowman Smoothie - Kitchen Concoctions

Smoothies are a great way to pack a lot of nutrients and goodness into a drinkable snack or breakfast! The addition of oatmeal is great for some added whole grains and fiber to help keep little tummies full. Feel free to switch up some ingredients and make your own concoction!

Chocolate Peanut Butter Snow Ice Cream - Chocolate Peanut Butter Snow Ice Cream Recipe - Snappy Gourmet

The combination of chocolate and peanut butter is iconic and sooo yummy! Allergic to peanut butter, no problem! Try Sunbutter or Wow butter for an even substitution and delicious treat! No snow in your neck of the woods, try shaved ice! This is a fun dessert to try over the winter.

Coconut Snowball Mugcake - Coconut Snowball Mug Cake - The Monday Box

The tropical flavored mug cake will have you dreaming of the beach! It can be enjoyed as a fun dessert or snack during the winter and easy for your kiddo to make, requiring only a microwave. Top with fresh fruit for an added nutritional bonus!

New Years Resolution: Family Meal Time

Tue, 31 Dec 2024 13:30:00 GMT

The Importance of Family Meal Time

Most of of have heard that family meal times are important, but do you know why? Below are just some of the reasons why experts recommend us try try to have family meal times whenever possible!

With more selective eaters, children are more likely to try new foods
Children can see parents modeling appropriate meal time behaviors
Gives children and parents time to talk and connect
Studies have shown an increase in vocabulary and academic performance
Children learn table manners
Better mental health
Higher self-esteem
Lower incidence of obesity, overweight, and eating disorders
Lower stress
Create positive relationship with food and with family
Create healthy eating habits

Ways to incorporate family meal time:

Make 1x/ week your first goal. Slowly build up to at least 3x/week.
If sports practices make for a late evening, try enjoy dashboard diner in the car
If one parent works late, have the other parent eat with the child(ren)
Plan meals in advance (crock pot, grilling, casseroles, etc) to accommodate your family’s schedule
Keep it simple- sandwiches, pasta, soups, etc.
It doesn’t have to be dinner, it could be breakfast or lunch or an afterschool snack. It’s the time together that matters.
Involve your children in planning, shopping, and/or preparation
Ask suggestions for meal ideas; perhaps have fun with theme nights!

Tips for family meal fun:

Play a family friendly version of “Would you Rather…”
Utilize Table Topics (order on Amazon or create your own)
Avoid distractions (focus on conversation and the people sitting at the table)
Ask your family about their day or the craziest dream they have ever had
Change up the scene: have a picnic in your backyard or build a blanket tent in a bedroom and eat in there
Have your child create a menu for the evening
Use story stones

References:

Eating Family Meals Together at Home | Media and Youth | JAMA Pediatrics

Benefits of Family Meals: Eat Together, Thrive Together - HealthyChildren.org

Why the Family Meal Is Important - Stanford Medicine Children's Health

Eating Together at Family Meals: Benefits and Tips

Meal Prep & Other Ways To Reduce Stress This Holiday Season

Wed, 18 Dec 2024 11:00:00 GMT

Meal Prep Do Reduce Stress This Holiday Season

The holidays are filled with excitement and activity. One way to help calm the crazy is to create structure and routine where possible. Preparedness is the name of the game. Here are 5 quick tips to help you out:

Don’t forget to eat and drink: It may help to meal prep and plan on the weekend. Be sure to plan for 3 meals and a couple of handy snacks each day (try not to graze). Look to see what is on your calendar for the week ahead and adjust your meal planning accordingly. Even if it is take-out, mark it on the calendar that that meal is accounted for. Staying hydrated is just as important. Having a water bottle to sip on throughout the day is one way to help keep you hydrated. Forgetting to eat often leads to over eating at the next opportunity, or not thinking about what you are really hungry for and grabbing anything and everything, usually not satisfying your taste buds. Whatever you do, don’t forget to eat and drink.
Pre-plan: If you are headed out to holiday gatherings, especially with children, be sure to provide them with a mini-meal ahead of time. This way, they can play to their heart’s content with friends and family and you don’t have to worry about them sitting down to eat a full meal. Hungry kiddos can be unhappy kiddos. Fill those bellies before the fun. Possible options:
A homemade charcuterie plate with deli meats (low sodium is best), low-fat cheeses, whole grain crackers, carrot sticks and cucumber slices
A yogurt bowl with low-fat Greek yogurt, fresh fruit slices, and granola
A bowl of whole grain cereal with low-fat milk topped with banana slices
A bowl of soup (low sodium is best) with whole grain crackers and low-fat cheese slices
Leftovers
Eating healthy is the goal, but be sure not to overwhelm yourself with one more thing to do . Enjoy the festive foods, just do so in moderation and be sure to plan to get your body moving each and every day.
Enjoy the sunshine! It may be brisk in your neck of the woods, but getting out and getting some fresh air will do your body some good. Sunlight is a natural source of vitamin D, and in addition to physical activity has so many benefits. Moving our body reduces the risk of cardiovascular disease, improves mental health and clears your mind, helps with healthy sleep, helps with weight, and is great for muscle strength.
Have easy to grab, filling foods readily available. Or maybe it is making sure there are grab-and-go lunch and snack options available. Maybe it is preparing a smoothie to throw in the blender in the morning. Possible items to stock your fridge and pantry with:
Low-fat Greek (or regular) yogurt cups
Pre-washed and ready to eat carrot sticks, snap peas, broccoli florets
Pre-cut and wash apples or celery slices with pre-portioned peanut butter
Ready-to-pop popcorn
Pre-portioned hummus and pretzels and carrots and/or guacamole and whole grain tortilla cups
Cheese sticks
Individually packed trail mix bags
Prep and have ready-to-eat hard-boiled eggs
Bean and cheese quesadillas
Cottage cheese topped with frozen strawberries

A Sensory Approach to Picky Eating

Mon, 18 Nov 2024 18:17:04 GMT

A Sensory Approach to Picky Eating

Let’s start with some general nutrition guidelines:

PROTEIN - choose lean proteins when possible, such as lean ground beef, lean poultry, eggs, beans, unsalted nuts/seeds.
FRUITS/VEGETABLES - fresh is best, but canned, frozen, and dried fruits/veggies are great options. Look for fruits canned in their own juices or veggies labeled low sodium.

GRAINS - whole grains are the best choice. Whole grain bread (whole wheat is 1st ingredient), oatmeal, popcorn, quinoa, and rice are all great possibilities.
DAIRY- choose fat-free or low-fat dairy products.

*If you have any questions, MyPlate.Gov is a great resource.

Making sure we include BALANCE, VARIETY, and MODERATION every day.

Balance

Enjoy balance from all food groups and be sure to balance out calories consumed with calories burned.

Variety

With variety, we want to include all different nutrients from all different food groups. Each food group offers nutrients that are important for growing healthy bodies.

Moderation

Moderation is key! Make eating enjoyable. Have fun with food! Consume what you need, not in excess. There are no ‘good’ or ‘bad’ foods and no such thing as ‘junk’ food. Labeling foods creates a judgment on our choices. Teaching kids to enjoy all foods helps create a healthy relationship with food.

Division of Responsibility

We want our families to grow competent eaters, have children with consistent growth, create a positive relationship with food, and teach their children to trust their bodies.

Tips for parents regarding FOOD:

Offer new foods paired with preferred foods
Try different shapes - dinosaur nuggets, star shaped cheese bites, melon balls
Add dipping sauces - ketchup, ranch dressing, marinara, hummus, guacamole
Try finger foods - cut into sticks, chunks, etc
Create fun names for foods: broccoli trees (raw or roasted broccoli), pizza chicken (chicken parmesan), cheesy spuds (baked potatoes with cheese)
Feel free to offer filling, but not necessary thrilling foods
Model healthy eating behaviors at home
Have your child choose fun utensils and plates
Use chopsticks, food picks, another possibility instead of traditional forks, spoons, and knives
Create a mealtime routine - have your child wash their hands and set the table before eating. Maybe they walk to the kitchen in a bear crawl or in elephant stomps.

Tips for parents regarding MEALS:

Offer options, while including 1 preferred food at every meal.
Create a guest-like atmosphere: ask questions about their day, utilize Table Topics, engage them in conversations regarding topics other than food
Avoid mealtime distractions. Put the phone and tablets away during mealtime.
Be sure they are sitting comfortably at the table: 90-90-90 rule: 90 degree angle in their hips and knees and be sure their feet are supported.
Eat together as a family as much as possible. Try to keep meal times and location consistent.
Keep your child on a routine with 3 meals and 3 snacks each day, approximately 2 hours apart - breakfast, snack, lunch, snack, dinner, and snack. Creating this routine allows for time in between to allow for your child to start understanding hunger and fullness cues.

Tips for parents regarding the CHILD:

Serve age appropriate foods
Offer water in between meals and snacks. If they are hungry outside of meal and snack times, try distracting them with an activity until the next meal/snack.
Encourage self-feeding; Tolerate messes. Children may play with their food and that is a-ok!
Pick a fruit or veggie of the week to try. Enlist your child’s help in picking that item, as well as, helping to prep and/or cook it.
Encourage your child to listen to their bodies for when they are full and when they are hungry.
Be active every day! We want them to be active to ensure they are burning energy and creating an appetite.
No bribing, arguing, or negotiating. Take the pressure off. Parents are responsible for WHAT, WHEN, and WHERE food is offered. The child is responsible for IF they eat and HOW MUCH they eat.
Talk less and listen more. Ask your child… What do they notice about the food? Describe it to me… Tell me about…
Honor their reaction. There are some foods that we all just don’t like and that is ok. It does take 15-20 times being exposed and even trying a food to start to enjoy it. Be patient and continue to expose your child to foods in various ways. For example: steamed carrots, roasted carrots with a sprinkle of salt and pepper, honey roasted carrots, raw carrots, etc.

National Adoption Month: Malachi's Story

Mon, 18 Nov 2024 15:18:22 GMT

National Adoption Month: Malachi's Story

*Thank you to Cortney for sharing her fostering experience with San Mar and with the adoption process in Maryland!

What can you share about your experience fostering through San Mar?

"Fostering through San Mar has been a wonderful experience. All of the caseworkers are supportive which is why we chose to foster with San Mar in the first place. Having a caseworker who truly cares about you and whoever is placed in our home has made a world of difference in our time as foster parents. I am sure that being licensed with San Mar is the reason we are coming up on our seventh year licensed. I know that no matter what they will help us take care of whatever is going on, be a listening ear, and a helping hand in whatever situation. They go above and beyond which gives such a peace of mind in all of the ups and downs of foster care. They make us feel seen, heard and valued. Our caseworkers feel like part of the family because they truly become invested in us. We love being foster parents with San Mar and can't imagine being foster parents with anyone else."

What are some ways that San Mar prepares you to be a foster parent?

"San Mar does a great job making sure we are trained to deal with whatever comes our way. We get training on trauma, attachment, working with birth families, how to navigate IEPs or medication, plus so much more. If we don't feel prepared for something right at that moment, I know that I can call the caseworker and she will be right there to help us through and figure out our next steps. Every child is different and every case presents its own challenges, so it feels encouraging to know that we are not alone and we have caseworker to bounce ideas off of. Our training is always evolving to accommodate new statistics and challenges that foster parents face. We are required to get a minimum of ongoing training hours every year which is offered in a variety of ways."

In addition to your fostering experience, you have also been through the process of adoption in Maryland. What was that like?

"One thing I think needs to be noted: Our adoption was actually through the county where Malachi was born. San Mar doesn't have any part of the adoption process other than playing a support role.

We got the call for Malachi when he was almost four months old. He was a preemie, born at 24 weeks, still in the NICU needing someone to give him specialized care. We were so excited and nervous to go meet him and bring him home. He required a lot of follow up specialty appointments. In the first couple of months we never even thought adoption would be an option for him. He had visitation with not only his birth mom, but also his maternal grandmother. As the months went on we formed a good relationship with his mother. Our relationship continued to grow through the years of Malachi being placed in our home. Ultimately, Malachi's birth mom asked us if we would be willing to adopt him and give him the life she thought he deserved. After almost four years of him being our son, he legally became ours on November 17th of 2023. Adoption holds a special place in my heart. It has been such a privilege to be Malachi's mom and to call him our son.His smile lights up every room he is in and his laugh is contagious. He is an amazing, strong, silly, smart, and brave little boy, who I know will do incredible things in his life. Adoption isn't perfect, it is beautiful and messy, but I cannot imagine a life without Malachi."

What an incredible story. What has your experience been like at PMC?

"Malachi started receiving therapy at PMC three years ago. He has had physical therapy, speech therapy and occupational therapy. We have loved all of his therapists, two of which he has been seeing since he started. I think it is amazing how much they have been able to watch him grow throughout the years. All of his therapists are supportive, helping me figure out ways to help him in his everyday life, and always hear my concerns. Malachi looks forward to seeing Connor, Justin, and Hillary every week. He loves them and talks about them outside of therapy. Prior to going to PMC, he wasn't progressing the way we hoped he would. As soon as we started therapy, we saw so many improvements and they had him walking in about four months. I see so much value in bringing him to PMC. We are so thankful for all that they have done for our son. PMC holds a special place in our hearts."

If you are interested in learning more about foster care in Washington County, MD, please check out San Mar's website for more information.

Get Crafty with Christmas Food

Thu, 14 Nov 2024 17:36:52 GMT

Get Crafty with Christmas Food

Tis the season to enjoy all the wonderment of the holiday! While the kids are off of school, you may be looking for projects for them. We always like to play with our food here at PMC. Check out the following list of easy-to-do activities that involve food and fun!

Christmas Tree Waffles

Recipe: Homemade Merry Christmas Tree Waffles Recipe | Kids Activities Blog

This adorable Christmas tree is made out of waffle batter dyed green and you can use some leftover Halloween candy to use as ornaments.

Christmas Pudding Cups

Recipe: Christmas Party for Kids - A Pumpkin And A Princess

Gather some googly eyes, buttons, markers, pom poms, felt, and glue and get crafty creating faces on store-bought pudding cups. What a cute snack ready for a school party!

Marshmallow Paint for Christmas Cookies

Recipe: Edible Marshmallow Paint!

Have marshmallows, corn syrup, and water and now you have paint! This paint is edible so perfect for cookies or you could use paper and paint a picture for Santa or the grandparents..

Pita Christmas Trees

Recipe: Pita Tree Appetizers Recipe - BettyCrocker.com

A super cute appetizer or snack for kiddos who are hungry in between meals. The recipe suggests guacamole, but you could easily substitute hummus, flavored cream cheese, or pesto!

Christmas Apple Sandwiches

Recipe: Christmas Apple and Peanut Butter Sandwiches

So fun and so filling! Allergic to peanut butter, you could always substitute Sunbutter or Wowbutter! Peanut butter is a filling snack high in protein to keep little tummies full until the next meal. Paired with fruit, in this case, apples which are a good source of fiber and vitamin C, and it is a wonderful snack!

Popcorn Santa
Recipe: Popcorn Santa Claus Craft for Christmas - Crafty Morning

Have construction paper lying around and make a picture of Santa with his beard made out of popcorn. Popcorn offers a healthy snack full of fiber.

Cinnamon Applesauce Ornaments

Recipe: E asy Cinnamon Applesauce Ornaments

Here’s a fun craft that will have your house smelling festive and delicious! All you need is applesauce and cinnamon to create these wonderful smelling ornaments. Use on your tree, to hang around the house, or to give as gifts!

Festive Fruit Candy Canes

Recipe: Festive Fruit Candy Canes | AllFreeKidsCrafts.com

Using bananas and strawberries, you can create these adorable candy canes for breakfast around the holidays. Bananas are a great source of potassium and strawberries are great for vitamin C and fiber! Another tasty way to enjoy some healthy fruit!

Fun Thanksgiving Food Crafts

Wed, 13 Nov 2024 16:35:04 GMT

Fun Thanksgiving Food Crafts

Looking for some fun and easy Thanksgiving-themed food crafts this year? These simple crafts are easy to set up and sure to add some joy to your family's celebration! Whether it's arranging the morning waffles to resemble a cute turkey or tucking some fresh veggies into a crescent roll for a festive cornucopia, these fun Thanksgiving crafts are sure to bring some smiles this holiday season.

Thanksgiving Food Art

Start your Thanksgiving morning off with a super cute and healthy breakfast! Create this adorable turkey with apples, whole wheat toast, peanut butter/Sunbutter, carrots, and candy eyes. So fun and filled with vitamins (apples and apple skin), fiber (whole wheat toast), and healthy fats (peanut butter).

Turkey Waffle

Gobble, gobble! Breakfast is a great way to start the day off on a healthy note! Check out this easy turkey waffle with a colorful fruit tail. To make the most of your meal, choose a whole grain waffle for added fiber and various fruits. Choose strawberries for added vitamin C, and pineapple and cantaloupe for vitamin C, magnesium, and vitamin B6.

Veggie Cornucopia Snack

When your family is looking for a snack before Thanksgiving dinner, look no further than these adorable veggie cornucopias ! Using premade crescent rolls rolled and baked in a foil cone and then filled with veggie sticks and cheese bricks. Carrot sticks are great additions for potassium, fiber, vitamin C and vitamin B6, cucumbers (with the skin) will provide some vitamin C, vitamin K, and potassium and celery will provide vitamin K, folate, and fiber! Low fat cheese is an excellent opportunity to add calcium. These cornucopias are a delicious and filling snack to tide your kiddo over until the big dinner!

Thanksgiving Parade Bingo

Have leftover candy corn or pumpkin seeds? Tune into the Macy’s Thanksgiving Parade at 8:30am on Thanksgiving morning and see who can win at Thanksgiving Parade Bingo ! A super easy way to get the kids involved in a free and fun activity while watching the parade as a family!

Do you have any favorite Thanksgiving-themed crafts? Let us know what you like to incorporate into your holiday spirit in the comments!

Why Teach Self-Regulation?

Thu, 07 Nov 2024 17:57:53 GMT

Why Teach Self-Regulation?

When a toddler throws a tantrum, their reaction is usually developmentally normal for their age. Most little kids are still learning how to navigate big emotions. Most three year olds have not mastered self-regulation; the ability to control one's emotions and respond rationally to stressful or stimulating situations. But learning self-regulation can be complicated.

There are many factors that impact our ability to self-regulate. Neurodevelopment, trauma and sensory differences are just a few factors in an individual's ability to self-regulate. Research shows that learning self-regulation can be life-changing for children and young adults, especially individuals who have experienced trauma. Learning emotional regulation can have a powerful impact on a person's wellbeing,

So when do we learn how to navigate difficult thoughts and feelings? And how?

When it comes to children and adolescents, research demonstrates that sensory-based occupational therapy may be an effective intervention to increase self-regulation. Occupational therapists are training to help individuals increase body awareness , and cope in a healthy way with stressful or demanding situations or circumstances.

Children and individuals who struggle with self-regulation may express the following things:

- overreactions to situations

- emotional outburts

- long-term negative emotions

- mood swings and unpredictable moods

The key to self-regulation is something called Inhibition. Inhibition is the ability to interrupt, adjust, stop or change thoughts or feelings or actions. For example, if you are sitting in traffic and start to grow frustrated, before you start shouting or getting angry about being stuck in that situation, inhibition would allow you to take a deep breath, and remind yourself that you cannot control the traffic, and that even though it is frustrating, you will be home soon.

Being able to regulate emotions in this way has been proven to have a positive effect on a person's wellbeing, and can be integral to the health of children and young adults who are still learning how to deal with difficult emotions.

A recent study demonstrated that adolescents who were engaging in self-regulatory behavior, reported greater wellbeing than their peers, including increased general life satisfaction and perceived social support.

One way that occupational therapy can assist with learning self-regulation is through sensory input. Sensory input can include play-based activities , such as games or blowing bubbles, that help the individual navigate big emotions.

Other activities that may be utilized for self-regulation in occupational therapy included music, stretching, guided imagery, colored lights, breathing exercises or large muscle activities. Occupational therapists are able to assess how certain factors may be impacting an individual on a daily basis, and implement interventions that help the person feel more balanced emotionally as they navigate day to day life.

Thanksgiving Guide for Picky Eaters

Wed, 06 Nov 2024 15:51:41 GMT

Thanksgiving Guide for Picky Eaters

Feeling a bit tense about how your picky eater is going to feel this Thanksgiving? Have no fear - our dietitian, Emily, has some excellent advice on how navigate the holidays with a picky eater.

Tip #1

Make it fun and allow them to play with their food. If you are at a friend or family member’s house, come prepared with kid-friendly plates, cups, and even a ‘splash mat’ or towel.

Tip #2

Give your child opportunities to try Thanksgiving food ahead of Thanksgiving day - try offering different foods at different times leading up to Thanksgiving day. Repeated exposure is a strategy to help overcome picky eating. It may take a child 15-20 times of being exposed to a new food to try or like it. Continue to offer your child opportunities to try new and different foods.

Tip #3

Make memories - focus on the memories, not the meal. Talk to them about what they are thankful for, create a handprint turkey, make a thankful tablecloth. Incorporate traditions that focus on other aspects of the day, not necessarily the food.

Tip #4

Be sure to include some preferred foods. If you are celebrating at home, include some of your ‘family favorite’ foods. If you are celebrating at someone else’s house, pack a preferred food from home for your child to enjoy. Parents choose what the child can eat and when, and the child can choose how much of it to eat.

Tip #5

Prepare your child ahead of time by telling them what to expect, what foods will be served and what mealtime will look like.

Tip #6

Keep portions small so as to not overwhelm them. Kids can easily get overwhelmed with new people, new foods, new smells, a new environment. Control what you can and keep portions small - maybe even creating a ‘tasting plate’ instead of presenting the full meal on their plate.

Tip #7

Involve your child in the preparation process. Have them create place cards for your guests, set the table, peel carrots, or mash the potatoes. Tell them what food groups you plan to incorporate in the meal and ask for their input of foods to include from those food groups.

Tip #8

Choose to make your day easier. Choose not to force your child to eat. Also, have the conversation ahead of time with family members so everyone is ‘on the same page’ that you are not forcing or bribing your child to eat particular foods. Keep your expectations low. Remember it is just one meal and you can pick up your normal routine the next day.

Tip #9

Include dipping sauces - kids love to dip their food. Including ranch dressing, ketchup, fruit dip, hummus, or the like so they can enjoy a dipping sauce with their meal.

Tip #10

Be sure to keep your daily routine as close to ‘normal’ as possible. Make sure your child gets adequate sleep, has regular meals and they don’t get over-hungry.

Remember, the most important part of the holiday is enjoy time with your friends and family. Be present and soak up the moments - telling stories, laughing, playing games or however your family chooses to celebrate the holiday. Happy Thanksgiving!!

Halloween Themed Food & Snacks

Mon, 28 Oct 2024 14:58:16 GMT

Halloween Themed Food & Snacks

Halloween brings out the kid in all of us! While dressing up your child or adding decorations to your house, don’t forget to have fun with food too. Here is a list of super cute ways (and easy!) ways to bring the spooky holiday to your plate!

Jack-O-Lantern Quesadillas

Try out these delightfully simple Jack-O-Lantern quesadillas ! No extra ingredients needed - just tortillas and orange cheddar cheese!

Mac-O-Lantern and Cheese Bowls

A great way to sneak in some spooky veggies into your kid’s day! These “Mac-O-Lanterns” use bell peppers to create a fun treat!

Mummy Dogs

A classic Halloween dinner, and an always popular kid’s meal!

Apple Dipping Bar

A great way to add some fresh fruit in between the endless candy snacking!

Spaghetti Worms

This themed pasta is sure to make your kids' night! Don’t be afraid - your kiddos can remove the black olives as soon as the table is set!

Halloween Snack Board

The possibilities are endless with a Halloween-themed snack board ! Have fun balancing healthier snacks with Halloween favorites like candy corn.

Halloween Pancakes

Bonus points: Add pumpkin puree to make these Jack O’ Lantern pancakes extra special!

Halloween Veggie Tray

No extra prep involved with this one - and a fun way to add some fiber into your kid’s day!

Candy Corn Pizza

Kids will love helping making dinner when it looks like this! Sometimes renaming something as simple as cheese pizza can make dinner a bit more special!

Banana Ghosts with Peanut Butter Dip

Adorable ghosts with a little bit of protein in a delicious dip!

International Stuttering Awareness Day: Tips for Disfluency

Mon, 21 Oct 2024 14:12:33 GMT

Everyone has moments when they do not speak smoothly. It is developmentally normal for children to experience disfluency, or difficulty speaking, during the first few years of speech and language development. Stuttering, on the other hand, is a speech disorder that is characterized by disruptions in the flow of speech that are often accompanied by behaviors or frustration, or negative associations with speaking or embarrassment.

People who stutter may experience repetitions (repeat parts of a word), prolongations (stretch a sound out for a long time), or blocks (struggle to get a word out). These are known as disfluencies . But, stuttering is more than disfluency. Stuttering may also include tension, anxiety or negative feelings about talking. While there is no "cure" for stuttering, there are plenty of treatment options available to help individuals who stutter. A speech language pathologist can utilize several strategies to help reduce the frequency and to cope with stuttering.

According to the American Speech-Language-Hearing Association (ASHA), stuttering usually begins in early childhood, with onset typically beginning between the ages of 2 and 5. However, data shows that up to 80% of children who stutter will not stutter in adulthood.

Because stuttering is often a more complex issue than disfluency, it is vital to seek evaluation from an experienced SLP. Research demonstrates that early intervention programs can make a huge difference in whether stuttering carries over into adulthood. When performing an evaluation for stuttering, the SLP will look at:

Types of disfluencies
The number of disfluencies
How your child reacts when they stutter (do they get upset)
Does your child try to “fix” their speech (do they start a sentence of or stop talking)

An important difference between stuttering and disfluency is that stuttering is often accompanied by negative emotions around speaking and communication. An SLP will look for signs of discomfort or tension when your child is speaking. They will also take into consideration your child’s age and how stuttering affects their daily life.

Especially with young children, it is critical to evaluate the differences between stuttering and developmental disfluencies. In preschool-age children, for example, stuttering is often accompanied by various behaviors , including facial tension, eye blinking, frustration or reduced verbal output.

If your child struggles with stuttering and you are unsure whether you should seek treatment, here are some guidelines for when to reach out to a speech/language therapist:

The stuttering persists longer than six months and occurs frequently during the day
The child shows tension, a facial grimace, or struggle behavior during speech
The child avoids talking situations or expresses concerns about speech
The child avoids saying certain words or sounds
The family has a concern about their child’s speech
The child has shown signs of frustration or embarrassment during or after a stutter event

Treatment methods for stuttering can include promoting confident communication, practicing mindfulness, modifying speech and facilitating desensitization for stuttering. An important part of treatment may also include self-advocacy, and promoting acceptance of stuttering so that children can reduce the negative feelings that accompany instances of stuttering. Examples of treatment techniques include:

Breathing exercises
Stretching exercises
Fluency-shaping techniques
Slow speech production

Overall, disfluency should be considered normal as everyone does it occasionally. Oftentimes, it is simply a part of development for children. Working with an SLP can help with both disfluency and stuttering, however, they cannot “cure” stuttering, but rather assist a child with strategies for reduction and acceptance of it. If you are looking for treatment for stuttering, please reach out to our office today to learn more about how PMC’s speech therapists can help you.

What to Look For in an Excellent Pediatric Physical Therapist

Wed, 09 Oct 2024 12:48:12 GMT

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All About Pumpkins

Mon, 30 Sep 2024 16:14:52 GMT

All About Pumpkins

It wouldn't be fall without pumpkins! In addition to being a classic autumn decor on your front porch; pumpkin is also delicious and so healthy for you. Whether you eat it as a fruit or a vegetable, it is a wonderful addition to your diet. Pumpkin is rich in beta carotene, an antioxidant. Beta carotene is often associated with carrots, as it is the reason for their bright rich orange color! Antioxidants help protect your body again free radicals (compounds that can damage cells). Beta carotene is converted into vitamin A in your body which is needed for good vision and eye health. Vitamin A is also important for a healthy immune system and skin. Pumpkin seeds are a great source of protein, fiber, unsaturated fatty acids and magnesium, making them a delicious and healthy snack!

There are so many different types of pumpkins: Cinderella, Baby Bear, Fairytale, Sugar Pumpkins, Atlantic Giants, Big Max, and Buckskins just to name a few. While it is easiest to cook with canned pumpkin, if you want to try making pumpkin puree from scratch, look for those labeled "sugar pumpkins" or "pie pumpkins". Be sure to salvage the seeds to snack on or to add on top of your soup or salad.

Here are some delicious ways to incorporate pumpkin into your day:

Pumpkin for breakfast:

Recipe: High Protein Pumpkin Pancakes Recipe - Super Healthy Kids

Recipe: Pumpkin Oatmeal Recipe | Aarti Sequeira | Food Network

Recipe: Pumpkin Bread - Once Upon a Chef

Pumpkin for snack:

Recipe: Pumpkin Pie Dip (easy no-bake recipe) - Skinnytaste

Recipe: No-Bake Pumpkin Chocolate Chip Granola Bars - The Real Food Dietitians

Recipe: Quick and Easy Pumpkin Hummus Recipe

Recipe: Best Pumpkin Muffins

Pumpkin for your meal:

Recipe: Pumpkin Mac and Cheese Recipe

Recipe: Pumpkin Soup - Once Upon a Chef

Recipe: Pumpkin Chicken Chili Recipe | Katie Lee Biegel | Food Network

All About Apples

Wed, 25 Sep 2024 14:36:44 GMT

All About Apples

It is officially fall!

Apples are a delicious and very portable fruit that are fabulous in the fall! Fresh apples are full of nutrients, including fiber and vitamin C, and are a great option to add to a grab and go breakfast, enjoy as a snack on the run or in your favorite recipe for dinner. Be sure to rinse them under water, but eating the skin will provide additional fiber (for a healthy gut and keeps you full!) as well as vitamins and minerals!

Apples come in a variety of flavors (to name a few!):

Granny Smith - tart, works well for snacking, in pies, or applesauce

Gala - crispy, juicy and very sweet; ideal for snacking

Red Delicious - sweet, crisp and juice, great for snacking and in salads

Fuji - sweet flavor and firm

Pink Lady - sweet, tart flavor, firm-crisp bite

Empire - sweet-tart flavor, crisp and juice

*When cooking with apples, think about adding a few different varieties to jazz up the flavor

Tips to keep your apples looking good:

- Soak apple slices in a saltwater solution (1/2 tsp of salt in 1 cup of water), soak for 5-10 minutes, then rinse

- Soak apple slices in tap water and store in a lidded container at room temperature

- Soak apple slices in a honey water solution (1 tablespoon honey in 1 cup of room temperature water), soak for 5 minutes then rinse

Easy ways to incorporate apples into your day:

- Applesauce

Recipe: Easy Homemade Applesauce Recipe - NatashasKitchen.com

Recipe: Best Homemade Apple Sauce Recipe

- Add apples to a salad:

Recipe: Apple Salad - Small Town Woman

Recipe: Apple Cranberry Walnut Salad - Carlsbad Cravings

Recipe: Favorite Apple Spinach Salad Recipe | Gimme Some Oven

- Breakfast apple ideas:

Recipe: Apple Pancakes Recipe (VIDEO) - NatashasKitchen.com

Recipe: Breakfast Apples Recipe: How to Make It

Recipe: Apple Cinnamon Baked Oatmeal - Budget Bytes

- Apple snack ideas:

Recipe: Oatmeal and Apple Granola Bars - Super Healthy Kids

Recipe: Easy Baked Apple Chips - Healthy Snack Idea | MOMables

Recipe: Apple Cookie Snacks - Life In The Lofthouse

Think Your Drink: Part 2

Wed, 18 Sep 2024 13:42:13 GMT

Making small adjustments to your daily coffee, juice or soda can make a huge impact on your health. Cutting back on sugary syrups, limiting caffeine and drinking more water are just a few examples of healthy habits you can incorporate into your daily routine.

Make Coffee at Home

Instead of buying your extra large coffee with lots of syrup add-ins, opt for making a similar tasty treat at home. Some "fun" drinks have 2-7 pumps of syrup in them. Each pump of syrup contains roughly 20 calories. It will take you approximately 15 minutes of walking to burn off a small drink.

To jazz up your morning drink, think flavored beans, flavored syrups, light whipped cream, or a splash of sugar. You will save yourself money and calories!

Consider Decaf

Too much caffeine can cause dehydration, restlessness, anxiety, headaches, dizziness, and dependency. Some caffeine can have a positive effect on alertness and cognitive function, but often we find ourselves indulging in too much.

Don't be quick to give up coffee altogether as it is a great source of antioxidants. Try switching your morning cup of joe or tea to decaf instead of the caffeinated version. Be sure not to go "cold turkey", but reduce your intake slowly. To modify, start by substituting one scoop of regular ground coffee to decaf and every week or so, switch out another scoop. You will soon be enjoying decaf in no time with little to no side effects of the change!

Drink More Water

Water keeps you hydrated throughout the day. It brings nutrients to your cells, takes waste away, regulates body temperature, and protects your joints and organs. Make sure you are getting your fill of water will help your body run and make you feel better.

Not sure how to incorporate more water into your day? Try drinking a cup before your meal, fill a water bottle and sip on it throughout the day. Try tracking your intake on an app. Not a water fan? Spruce it up with fresh fruit or you could try sparkling water or club soda.

Add Calcium

Adding a 4-8oz cup of milk/1 serving of calcium-rich food can make a huge difference in your bone health. Drinking and eating calcium-rich foods when you are young, will help make your bones stronger, and help to ward off osteoporosis as you get older. Research has shown that many adults do not get enough calcium. Calcium must be consumed, as it cannot be made in your body. Not only is calcium important for maintaining and building strong bones, it is also important for your heart, muscles, and nerves to function properly.

To boost your calcium intake - enjoy a glass of fat-free or low-fat milk, switch to calcium-fortified juices, blend up yogurt in a smoothie, or use unsweetened almond milk in your morning cereal.

Juice Jam

When you are thinking about juice, moderation is key! Be sure to enjoy 100% fruit juices and be mindful of how much you are drinking. Making sure that it is "fortified with vitamin D and calcium" ensures you are getting extra vitamins and minerals too.

If you are looking to reduce your intake, try cutting your juice with some seltzer or club soda. If juice is your child's jam, enjoy a small glass with meals instead of drinking it throughout the day which may fill them up and not allow them to be hungry at meals.

Swap Out Soda

Most sodas contain high levels of sugar. Added sugar is linked to weight gain which can lead to obesity and diabetes. Studies have also shown high intake of added sugar has a high correlation to heart disease.

Simply limiting or reducing your daily soda intake can be substantial. Consider swapping out your regular soda with a healthy alternative, such as a flavored sparkling water. Treat soda like a special treat, rather than your main beverage.

Energy Drinks

Energy drinks are all the rage. They are promoted with labels that indicate they are energizing, reduce fatigue, keep your energy levels high for hours, and increase your concentration. These drinks often contain large amounts of caffeine, added sugars, and legal stimulants. The amount of caffeine will likely be listed on the label, however, the quantity of all the other ingredients might not be.

While the guideline for adults is no more than 400 mg (2-3 12 oz cups of coffee), that number drops down to 100 mg for adolescents. If your teen is looking to energy drinks for alertness and increased concentration, perhaps increase their sleep time at night or work with their pediatrician to figure out the root cause.

Think Your Drink: Part 1

Tue, 17 Sep 2024 13:53:04 GMT

What you drink is just as important as what you eat!

When choosing a beverage, don't forget to check the label for added sugars and caffeine. At the end of the day, sometimes the best thing is just a plain glass of water. For kids, consider milk or unsweetened seltzer waters. Only offer 100% juice drinks on occasion, as they are full of sugar!

If you are looking for some advice on how to choose better drinks for your health, reach out to us today to schedule a meeting with Emily, our registered dietitian.

Back to School Nutrition Tips

Thu, 12 Sep 2024 17:57:09 GMT

As we start another school year, it's a perfect opportunity to set up your kitchen with healthy food options readily available for your student.

Just as it is important to put the right fuel in the gas tank in your car so it runs correctly, fueling your body with good nutrition has been show to help kids do better in school, focus, and have more energy. Starting the day off with a healthy breakfast, and continuing to energize the body with smart food choices all day will set your student up for optimal learning and success.

BREAKFAST : Start the day off right with breakfast. Enjoying 2-3 food groups is a great way to ensure a well-rounded start to the day. Including foods higher in protein and/or fiber will help keep bellies full until the next meal or snack.

Fruit and yogurt parfait
English muffin egg sandwich with ham and low-fat cheese
Whole grain cereal with low-fat or fat-free milk
Oatmeal topped with fruits, nuts, and cinnamon
Smoothie with fresh/frozen fruit, yogurt and milk
Leftover veggie pizza/English muffin pizzas
Peanut butter and jelly on whole wheat bread

SNACKS : Snacks keep us going during the day. Some students will eat their lunch early while others are eating later. A snack can help us refuel to think more clearly and continue to feel energized throughout the day. Think...

Apples with peanut butter
Yogurt and granola
Low-fat cheese and whole grain crackers
Hummus with whole grain pitas or pretzels
Celery with low-fat cream cheese and cranberry-raisins
Peanut butter on whole grain graham crackers
Low-fat popcorn and grapes
Nuts and dried fruit

HYDRATE : Drinking water throughout the day is important to stay hydrated. It can help keep you alert and focused. Water is the perfect drink for staying hydrated during the school day.

LUNCHES : Enlist your child's help in packing lunches. Take them to the grocery store and talk about the food groups, colors of all the fruits and veggies, and have them help find foods with whole grains (higher fiber content). Have them pick out a fruit or veggie to try for the week.

Food groups - lean proteins, low-fat/fat-free dairy, grains, fruits, veggies
Colors of fruits/veggies - red, yellow/orange, green, blue/purple, tan/white
Keep things simple: use leftovers when possible
Prep foods (cut up, wash, pre-portion, etc) on the weekend to help make the weekly packing easier

SPACE : Have a dedicated area in your fridge, freezer, an/or pantry with healthy options that are readily available for your child to grab.

Fridge: clementines, low-fat or Greek yogurt, apples, cut up melons or strawberries, hummus, low-fat cheese sticks, cucumber/carrot/celery sticks, low-fat ranch dressing
Pantry: pre-packaged pretzels, pre-portioned peanut butter, canned fruit in its own juices, individualized trail mix packages, bananas, whole grain cereal, whole grain crackers, low fat popcorn, dried fruit, low sodium soups, salsa, applesauce
Freezer: squeezable yogurt tubes (frozen yogurt!), frozen fruit to eat or to include in smoothies, whole grain waffles

What is NISE Spinal Stim?

Thu, 29 Aug 2024 15:55:34 GMT

NISE Spinal Stim: An Innovative Treatment for Spina Bifida

When people hear about spinal cord stimulators, they often picture the medical devices used to treat chronic pain. These devices can be non-invasive or implanted, and are often a great alternative to other pain treatments, such as opioids. Spinal stimulators are most often used to treat back pain, diabetes-related neuropathy and complex regional pain syndrome (CRPS).

Spinal cord stimulation, also known as neuromodulation, uses a controlled electrical current to stimulate certain nerves in your spinal cord. These currents can keep pain signals from reaching your brain. It is most successful when used to treat severe or chronic pain, and most often is used in the adult population.

However, there is a specific type of spinal cord stimulation, non-invasive spinal electrical stimulation (NISE-STIM), that has been found to be incredibly effective in pediatric populations, particularly for children diagnosed with spina bifida.

NISE-STIM has been proven beneficial in children ages 3 months to 18 years. This type of muscle stimulator works to stimulate muscle movement, rather than combat pain. In this treatment, the electrodes are placed on the spinal cord and other parts of the body, encouraging the muscles to contract. These devices can be used at home, and the child is able to sit, play, watch tv or stand during treatment.

NISE-STIM is most commonly used for children with spina bifida , a spinal cord injury, cerebral palsy or any motor dysregulation. The only people who should not use spinal stim are those with pacemakers, pregnancy, cancer or other implanted electronically controlled devices.

The benefits of spinal stimulation in the pediatric population can often be seen within the first few weeks of treatment. Improvements include new movements, strengthening of muscles, increased circulation , and improved digestion. NISE-STIM can also be used to assist in patients learning to walk independently. The side effects of spinal stimulation are minimal, and most often include skin irritation and temporary discomfort if the stimulator is set too high.

According to research, only 43% of children born with spina bifida are able to rise from the floor, stand upright, and walk. The use of electrical stimulation, particularly in infants with spina bifida, demonstrates incredible improvement in muscle strength including hip and knee flexion and extension, toe wiggling and trunk strength.

If you are interested in learning more about which of our physical therapists are able to offer NISE-STIM as a therapeutic tool, please reach out to us.

Are you familiar with NISE Spinal Stim? What was your experience like?

August is SMA Awareness Month

Mon, 26 Aug 2024 16:09:37 GMT

Spinal Muscular Atrophy:

Featuring the Fighting for Kaiden Foundation & the Eakin family

August is Spinal Muscular Atrophy (SMA) Awareness month. To shine a spotlight on this rare disorder, we are resharing our August 2023 Spark A Movement podcast episode where we discuss SMA, share some resources for families, and share an inspiring SMA story.

What is Spinal Muscular Atrophy?

According to Cure SMA, "Spinal muscular atrophy (SMA) is a progressive neurodegenerative disease that affects the motor nerve cells in the spinal cord and impacts the muscles used for activities such as breathing, eating, crawling, and walking."

The Story of the Eakin Family

The Eakin twins, Bryce and James, were diagnosed with SMA in infancy after their parents noticed that they were missing developmental milestones. The parents of the boys, Kelly and Jeff, along with their family fiercely supported and advocated for Bryce and James. Through their efforts to find the best treatment possible for Bryce and James, they discovered a clinical trial (for Spinraza, which in 2016 became the first clinically approved drug for treating SMA) which the boys participated in and received the treatment. The early effects of the clinical trial for Bryce and James included the development of news skills, including the ability to roll over. Since their initial participation in the clinical trial, the boys have continued to develop new skills and independence over the years due to their hard work, determination and endless dedication to achieve their personal potential. Throughout their SMA journey, their have been many support systems, healthcare professionals, and organization that have provided assistance in one form or another, including The Fighting for Kaiden Foundation , which helped the Eakin family with the funding needed for essential SMA related equipment. The mission of The Fighting For Kaiden Foundation drew Kelly to give back to the non-profit, where she currently serves as the President.

The Fighting for Kaiden Foundation

According to The Fighting For Kaiden website, their mission is "committed to enhancing the lives of those struggling with Spinal Muscular Atrophy (SMA) on multiple fronts. Directly, we strive to raise awareness of the disease on the local, regional and national levels. Our foundation provides need-based financial support to affected families for equipment and travel. We understand the value of peer support and organize support groups and information for SMA affected families in our area. We provide directed donations for medical research in addition to medical equipment and services for SMA patients across the country. Our goals are driven by our devotion to improving the lives and finding a cure for those with SMA."

The Fighting For Kaiden Foundation steps in with funding when insurance doesn't. This wonderful non-profit has helped many families who have been impacted by an SMA diagnoses. They've helped through purchasing portable pulse oximeter machine, wheelchairs, suction machines, laptops and so much more. The Fighting For Kaiden Foundation is currently expanding its reach internationally, by providing information resources and exercises that can be done, such as physical therapy exercises at home.

Interested in hearing more about the Eakin Story?

If you are interested in learning more about the Eakin family and their story, listen to their story that the shared with the Collective Church . Spotify links below:
Episode One: https://open.spotify.com/episode/2nHJnzt13QVgZdwvb0w2BH?si=b5c3c7f54919481d
Epi s ode Two: https://open.spotify.com/episode/6uigbwVStaDXRbE7sbaVMN?si=77163d580a884211

Interested in another inspirational SMA story?

Listen in to Spark A Movement Episode 7: Breaking Barriers with Austin Munro. In this episode our host chats with Austin Munro, a community member who lives a very full life and happens to have Spinal Muscular Atrophy. We discuss knocking down barriers about the way society views disability and inter-abled relationships as well as breaking down the barriers we tend to define ourselves by. If you are curious about seeing things through someone else's lens, hearing from a successful adult with a disability, or learning what you can do to raise awareness about accessibility rights in your town, then this episode is for you!

SMA Resources:

Cure SMA

SMA Foundation

Muscular Dystrophy Association

Fighting For Kaiden Foundation

*Please note that information in this blog is not medical advice. If you have any questions, please contact your physician.

AAC Myths & Truths

Fri, 16 Aug 2024 14:26:08 GMT

AAC Myths & Truths: How Alternative Communication Devices Can Change Lives for the Better

When an individual is diagnosed with a communication disorder, AAC (Augmentative and Alternative Communication) can be a very effective tool. AAC refers to any communication aid that helps individuals communicate without talking; such as drawing, pointing to images or objects, gesturing, spelling words, and AAC devices. While research demonstrates that all modes of AAC can be incredibly helpful; high tech AAC , including devices and apps, are often misunderstood in their effectiveness for a variety of communication disorder diagnoses. Here at PMC, we know AAC devices can be invaluable! Here are a few fun facts that uncover the truths and myths surrounding AAC devices and communication.

Myth #1: AAC devices should not be used with young children. They can limit verbal speech development and inhibit communication.

FALSE!

Truth: AAC devices are often most effective as a therapeutic tool when utilized in early intervention. AAC devices can be utilized for young children of all ages - including children under the age of three ! AAC devices do not slow down speech development, but can enhance an individual's ability to communicate successfully and reduce frustrations due to miscommunication.

Myth #2: AAC users must be able to use their hands independently to operate a device.

FALSE!

Truth: AAC devices include many options for users, and do not necessarily require the functionality of hands and fingers for pressing a screen and selecting various words or images. Additionally, speech language pathologists often work alongside occupational and physical therapists when introducing AAC devices to ensure that the individual is using the device in the most appropriate manner for their needs.

Myth #3: If a child is able to speak a little, they don’t need an AAC device.

FALSE !

Truth: AAC devices are helpful for any individual struggling with verbal communication, no matter their ability. Children with limited speech will greatly benefit from AAC devices as another tool in their speech therapy toolbox! AAC will not limit their speech progress or verbal communication skills but can actually contribute to improved verbal skills!

Myth #4: Once someone starts using an AAC device, they’ll never be able to stop using it.

FALSE!

Truth: Communication disorders can affect people of all ages, abilities and backgrounds. An AAC device can be a gamechanger whether an individual has permanent or temporary limited speech , and whether they need to rely on it for a few days or a few years. If a young child uses an AAC device, it does not mean that it is a permanent fixture in their therapy toolbox. The goal of a speech therapist is to aid in language and communication - therapists are aiming for the best possible outcome with every patient!

Myth #5: AAC devices are ineffective in children with cognitive disabilities, delays or impairments.

FALSE!

Truth: There are no requirements for cognitive abilities when it comes to using an AAC device. Speech therapists generally group speech disabilities and disorders into four main categories : Developmental and genetic (autism, cerebral palsy, Down syndrome), acquired disorders (brain injury, stroke), progressive issues (Parkinson’s disease, ALS), and cognitive-communication disorders (dementia, aphasia). Each of these categories requires a different strategy when using AAC devices. Speech therapists can adapt their strategy for communication regardless of age or ability, there are no prerequisites for AAC devices!

Do you or a loved one use an AAC device? What is your favorite thing about this technology?

What is DMI Therapy?

Thu, 15 Aug 2024 13:40:33 GMT

DMI Therapy: A New Modality for Gross Motor Milestones

We have exciting news to share! PMC is happy to announce that we now have two Intro Level A DMI Certified clinicians! Christina Snyder, owner of PMC and physical therapy assistant, and Mackenzie Swank, physical therapist at PMC Aquatics, are now certified therapists in this innovative new therapeutic technique. We are confident that this new approach to motor delays will be a gamechanger for our patients, and we are thrilled to share more about how DMI may be the right therapy technique for your child.

Dynamic Movement Therapy (DMI) is transforming how physical and occupational therapists approach pediatric patients with gross motor delays. This hands-on therapeutic technique focuses on neurorehabilitation, stimulating neural pathways by engaging in repetitive manual exercises. DMI therapy is unique in that it focuses on exposing patients to gravity and decreased support. It is especially effective in young children, as it focuses on changing the way the brain responds to different movements. DMI therapy has proven effective in infants as young as 1-2 months old, including children born prematurely.

DMI therapy focuses on improving therapeutic outcomes for the following:

Gross motor skills
Alignment and postural control
Range of motion
Balance
Functional movements
Somatosensory development
Integration of primitive reflexes
Global development

Common diagnoses that include some level of motor delay include conditions such as Down Syndrome, Cerebral Palsy, global development delay, hypotonia, chromosomal abnormalities and genetic disorders, spinal cord lesions and brain injuries.

DMI therapy sessions are designed to challenge the child’s brain with different exercises, including changes in posture, support and gravity. This is achieved by the therapist using a specific handling technique, which encourages a specific and consistent motor response from the patient. DMI therapy is often more intensive than traditional therapy, with sessions taking place multiple times a week, or more than one per day. The goal is to repeat the exercise so often that the child begins to recognize the movement automatically, demonstrating improvements in balance, coordination and function. While DMI therapy may be more intensive, it can be used in conjunction with traditional therapy techniques, methods and equipment. DMI exercises can take place on a tabletop or the floor, depending on the patient’s abilities. Because DMI therapy is very physically demanding for both the therapist and the patient, weight limits may be set for children who require assistance to stand, but will vary on an individual basis.

DMI therapy is transforming how physical and occupational therapists approach developmental delays, specifically motor delays. By incorporating hands-on activities that challenge the patient’s neural pathways through decreased support and exposure to gravity, DMI can be a highly effective therapeutic method for children with a variety of diagnoses.

Are you familiar with DMI Therapy? What is your favorite thing about this therapeutic technique?

Milestone Moment - Coleson!

Thu, 01 Aug 2024 15:41:14 GMT

Milestone Moment: Coleson

July 2024: Coleson has made incredible progress in physical, occupational and speech therapy!

Coleson first began therapy at PMC four years ago, and has made amazing progress in physical, occupational and speech therapy!

In Physical Therapy, he has met multiple milestones in gross motor skills, balance and coordination. From counting his first independent steps to walking independently both on land and in the pool, Coleson is currently working on going up and down the stairs and running!

In Occupational Therapy, Coleson has worked with Stephanie Baldwin, OT, from the very start! During his time in OT he has met many incredible milestones: from sitting to crawling, standing, walking, and now running. He recently achieved the ability to feed himself with a spoon and fork, and is learning to write his own name and use scissors.

In Speech Therapy, Coleson began working on imitating sounds and trying to say single words. Now he is able to spontaneously communicate in 4-6 word sentences, understand concepts and follow multi-step directions.

From Coleson's mom:

"All of the therapists here are amazing. Coleson has has Steph from the beginning. He started walking independently a year ago, and now he is saying something new every day! The other day when we were in Target, he wanted to walk with his sister rather than sit in the cart. Coleson would not be where he is today without PMC!"

We are so proud of you, Coleson! Thank you so much for being a part of the PMC family!

Accessible and Inclusive Playgrounds

Wed, 10 Jul 2024 12:41:02 GMT

Accessible and Inclusive Playgrounds

The freedom and space to engage in play is understood to be a vital part of a child’s healthy development, and a fundamental right for all children. However, according to research, many traditional playground layouts marginalize children with disabilities, whether they be physical, neurological or intellectual. Many communities are coming together to advocate for inclusive playgrounds: playgrounds that are not merely accessible for individuals with disabilities, but built for them to enjoy.

Playgrounds in the United States are required by law to be accessible. Accessibility is defined by the Americans with Disabilities Act (ADA), and often includes requirements such as handicap parking, wheelchair ramps, or playground equipment that includes braille for individuals with impaired vision.

12% of the U.S population has a disability that limits or affects at least one function of daily living. But ADA accessibility only provides a minimal level of access for people with disabilities. Accessibility improvements, while important, often still limit individuals with disabilities to certain parts of a park or playground, and often do not include equipment designed to include them in activities, such as swinging on a swing. ADA standards include design components that must simply meet the requirements of the law, but do not necessarily mean that everyone who can access the playground, can use it purposefully.

A non-profit organization, The National Recreation and Park Association (NRPA) , is one of the leading voices in promoting inclusive playgrounds that are not only accessible, but also provide physical spaces for communities to come together and enjoy a public space. According to NRPA, inclusion is defined as:

“Inclusion is an ongoing process rather than an outcome. It is highly contextual to your community, but the process acknowledges that everyone has unique needs, and ensures needs are met and dismantles barriers to good health through park and recreation planning, design, development, programming and maintenance.”

Truly inclusive playgrounds are designed with everyone in mind. This includes:

Typically developing children
Children with neurological disabilities such as autism
Children with intellectual disabilities such as down syndrome or fetal alcohol syndrome
Children who require wheelchairs or medical equipment
Children with physical disabilities
Children with social or emotional difficulties
Family, siblings, parents, caregivers
The community: friends, caregivers, teachers
Adults with disabilities

Most importantly, inclusive playgrounds are designed to be “physically, socially, and emotionally welcoming.” Instead of merely making it possible for individuals with disabilities to enter a playground, inclusive playgrounds are created for individuals with disabilities to enjoy and explore a play space.

Framework and Toolkit for Inclusive Playgrounds

In a huge step forward, the Maryland Developmental Disabilities Council recently partnered with the Maryland Department of Disabilities, creating a Framework and Toolkit for Inclusive Playgrounds in the state of Maryland. According to this document, which is available online to the public, inclusive playgrounds have four important components:

They can be used by everyone ( accessible )
They meet the needs of different people ( adaptive )
They encourage people to come together to play and learn ( welcoming )
They make people feel good when they are there ( promote feelings of emotional wellbeing )

Inclusive playgrounds, from a planning perspective, adhere to the principles of Universal Design means that the space promotes usability by all people, providing both safety and enjoyment. Design features of inclusive playgrounds include benefits that are relevant to both children and parents and caregivers, such as adult seating with shade. Other features include:

Rubberized ground cover
Wheelchair accessible, multi-play equipment to encourage inclusion
Roller slides
Ramps instead of stairs
Energizing areas for active engagement
Calm spaces for rest
Accessible bathrooms with Universal (Adult) Changing Equipment
Enclosures that blend with the environment
Easy to understand signs

The principles of Universal Design, in relation to inclusive playgrounds are as follows:

Equitable use: the playground is useful. The playground appeals to people with diverse abilities.

Flexibility in use: the playground supports a wide range of preferences and abilities.
Simple and intuitive use: the playground does not require certain knowledge of concentration levels to understand it
Perceptible information: communication meets the needs of people with different sensory abilities (for example, textured warning strips on slides to indicate the slide is coming to an end)
Tolerance for error: swings are not too close to other parts of the playground
Low physical effort
Size and space for approach and use (activity board within reach of a standing or sitting person)

Inclusive playgrounds are still few and far between when compared to the number of children who need these spaces to play. However, the state of Maryland has made considerable progress in building new and inclusive playgrounds. Northwest Regional Park , in Baltimore, has a Ravens-themed playground that meets the Universal Design standards for inclusivity. In Frederick, Sophie and Madigan’s Memorial Playground features a Fantasy Land theme with shade tables, rubberized surfaces, and an accessible castle!

All playgrounds are required to adhere to basic accessibility standards. But children, and adults, with disabilities, deserve more than a playground that simply allows them to be there. Everyone should be able to enjoy a space that is fun, inviting, safe and welcoming. Advocating for inclusive playgrounds means advocating for more fun for more children.

Have any favorite inclusive parks? Share with us on our social medial platforms!

Milestone Moment - Aiden!

Fri, 24 May 2024 17:52:48 GMT

Milestone Moment: Aiden

Aiden graduated from Occupational Therapy and Aquatic Therapy in March 2024.

When Aiden first began Occupational Therapy and Aquatic Therapy, he struggled with rhetoric, writing, and eating certain foods. He first started at PMC nearly four years ago, and has made incredible progress in the time that he has been here!

Occupational therapists, Colleen Slaton and Stephanie Baldwin, both worked with Aiden on various skills, including trying new foods, swimming and confidence in the water, and conversation and handwriting.

Aiden's Aquatic-based Occupational Therapy focused on body strength and coordination, following directions and confidence. After such a positive experience swimming at PMC, Aiden will be swimming for Special Olympics for Washington County this summer!

"Aiden has made so much progress in aquatic therapy! He consistently shows up ready to participate and has made great progress following directions, his overall confidence and improving his upper and lower body strength, coordination and reciprocal arm and leg movements in the pool! Way to go Aiden!"

- Colleen Slaton, OTR/L

Occupational Therapy can help with writing and rhetoric through not only visual motor skills and hand and grip strength , but also learning to focus and follow directions. OT's can also help with feeding selectivity through gradual exposure, focusing on the sensory aspects of eating and new food choices, such as texture and smell.

"Aiden is a very, very special part of the PMC family. He has achieved so many milestones it is hard to name them all. He has done all the hard work and has learned to try new foods, copy words and sentences legibly, be able to move independently around the entire clinic, follow directions , interact in games with other children and more. Aiden is an empathetic, kind person of whom the sky is his limit! We hope to see you around! We will never forget you Aiden! Congratulations!!!!"

- Stephanie Baldwin, OTR-L

"We have been bringing Aiden to PMC for about 4 years now. Not only has he learned new things, but the last few years have been an educational experience for me as his grandparent. He has been so successful in reaching his goals and we are so blessed to have PMC in our lives. We are even signing him up for the swimming portion of the Special Olympics because he’s shown us swimming is his favorite thing!" - Pat "Nana" Kurtz

We are so proud of you, Aiden! Thank you so much for being a part of the PMC family!

Milestone Moment - Chayton!

Mon, 04 Mar 2024 18:35:22 GMT

Chayton's Success Story

We are thrilled to share Chayton's success story! Chayton began therapy at PMC in 2018, at twelve years old. Chayton has a genetic disorder that puts him at a high risk for fractures, and past injuries have caused a lot of anxiety about certain movements, including getting up and down from a seated position and walking. Now seventeen, Chayton attends Aquatic Therapy twice a week, and also goes to the Frederick location for Physical Therapy and Speech Therapy once a week.

Aquatic therapy can be used as a modality to physical therapy programs, providing functional-play based skilled intervention to promote strength, body awareness, postural control and increased range of motion. Water also decreases the gravitational force on our bodies to improve the outcome of the interventions. This modality has been perfect for Chayton's specific diagnoses, allowing him the freedom of movement without fear.

In the last two years, Chayton has made incredible progress in the pool. When he first started therapy, he was hesitant to enter the pool. Over time, he began to gain confidence, and is now comfortable roaming around the pool all by himself. In addition to his confidence, he has also made major improvements in strength, mobility and endurance.

“Chayton is now able to get in and out of the pool using only a single handrail, is able to get onto and off of the pool floor with ease, and loves crawling on the floor with his legs kicking behind him. We have also started working on jumping in the deeper water and he is able to jump up to three inches off the floor!” - Meghan Tullos, PTA

On land, Chayton has also made significant progress. His PT sessions at PMC's Frederick clinic focus on increasing walking endurance, playing in a quadruped position, and standing for longer periods of time.

“He is now able to sit on a lower mat which used to make him nervous, and he is working hard at increasing his endurance, including the ability to walk longer distances around the gym without his rollator. He is doing an amazing job at trying tasks that are more challenging and outside of his comfort zone. I’m extremely proud of Chayton and all of his hard work and I can’t wait to see what he is able to accomplish next!” - Bethany Hershberger, PTA

Congratulations, Chayton, the PMC team is so proud of your hard work and dedication!

*Story shared with permission

Milestone Moment - Meredith!

Wed, 28 Feb 2024 18:47:40 GMT

Meredith's Success Story

At 18 months old, Meredith began ISR (Infant Swimming Resource) swim lessons outside of PMC. Although she obtained the necessary skills for pool safety, she hated the water. This feeling only intensified after taking a break from swimming during the winter months that followed the lessons; Meredith lost her previously acquired swimming skills and instead acquired an intense fear of pools.

During her first swim lesson with Kelsey at PMC, Meredith screamed for 45 minutes straight. Kelsey patiently sat with Meredith beside the pool with her mom, observing Meredith's emotions and not forcing her to get in the water.

However, something magical happened during that first lesson . Kelsey discovered something that Meredith enjoyed: water puzzles. Integrating this activity into the lesson was transformative. From that point on, every subsequent lesson went better than the last. By the end of the third week of lessons, Meredith would enter the pool with a smile on her face, ready to learn and ready to play.

Throughout the following swim lessons with Meredith, Kelsey would utilize the animal alphabet puzzle to assist with arm movements for Meredith's front stroke. She also practiced floating on her belly and back, and even would practice blowing bubbles. By the end of the eight weeks, Meredith would kick her feet and move toys across the pool. Kelsey's patience, understanding and ability to observe Meredith's interests made the swim lessons a success.

Smart Snacking Ideas

Wed, 14 Feb 2024 16:00:01 GMT

PMC Smart Snacking Ideas

Let's talk about snacks! Snacking can get a bad rap. It is easy to grab handy items such as cookies or chips, but these aren't going to put fuel in your tank to keep you going throughout the day. Snacking smart can be a very healthy way to maintain body weight, add nutrients to your daily food intake, and help you not overeat at meals.

A health snack is...

Consumed in between meals (so 1-2 snacks/day), but no later than 20 minutes before a meal
Low in fat and added sugar and salt
High in fiber (3g or more per serving) and/or protein so it will keep you full until your next meal

Some smart snacking ideas...

Low fat cheese stick with whole grain crackers (whole wheat will be the first ingredient listed on the ingredient panel), such as Triscuits
Peanut butter or cream cheese on celery sticks with raisins or cranberries (good old fashioned ants on log!)
1/2 whole wheat pita with hummus and fresh vegetables
Fruit and yogurt parfait with a sprinkle of granola (make it Greek yogurt for an added protein punch!)
Popcorn
Frozen multigrain waffle topped with fruit and yogurt
Handful of trail mix
1 slice of thin crust veggie pizza
1 cup of milk with a few graham crackers
100 calorie bag of pretzels dipped in ranch dressing
Apple slices dipped in cinnamon sugar or nut butter
Single serving cottage cheese topped with fruit
Orange or grapefruit slices
Hardboiled egg
Baby carrots dipped in dressing or hummus
Turkey and cheese roll ups
Oatmeal with fresh berries
Yogurt smoothie with fresh fruit and milk

Tips to making smart snacking easier...

Have a dedicated section of your fridge or pantry with healthy, easy to grab snacks.
Plan ahead - be sure to add some healthy snacks to your weekly grocery list.
If you are going to be "on the go" that week, plan snacks that do not require refrigeration or that are easy to eat in the car.
Don't snack mindlessly in front of the TV or computer. Portion out your snacks (don't eat from the bag) and eat off a plate in the kitchen. Be sure to look on the Nutrition Facts panel and see what the recommended serving size is.
Schedule meals and snacks to avoid 'grazing' or skipping meals.

Can you add any tasty snack ideas to our list?

Heart Health: Tips for a Happy Heart

Tue, 13 Feb 2024 15:35:54 GMT

Tips for a Healthy Heart

With Valentine's Day right around the corner, let's talk about keeping your heart healthy!

Eat Your Heart Out: Healthy Diet

Maintaining healthy eating habits is so important for reducing your risk of heart disease, but also important for healthy growth and development. Eating too many calories will lead to gaining weight, which is bad for your heart.

Limit Sodium

Diets high in sodium can cause problems with blood pressure and in turn make your heart work harder. Try to limit your sodium by taking the salt shaker off the table and not adding any additional salt to your food.

Choose Healthy Fats

Saturated fat can be found in butter, cheese, red meats, palm and coconut oils. They are often found solid at room temperature. Try to limit your intake by enjoying red meat 1-2 times/week and using olive oil where appropriate.

Choose...

Lean meats, such as turkey and chicken
Low-fat dairy products, such as low-fat cheeses, milk and yogurt
Whole grains, such as whole grain bread, oatmeal and brown rice
Lots and lots of fruits and vegetables!
Less sodium, use reduced sodium canned soups and take the salt shaker off the table

Put Your Heart Into It: Healthy Diet

Maintain a healthy lifestyle with physical activity and working with your doctor to stay on top of appropriate tests and screenings.

Stay Active

Be sure to incorporate some activity into your schedule every day. Have a goal of 60 minutes of moderate to vigorous activity. If you can't do it all at one time, break it into smaller chunks of time, getting 10-15 minutes here and there will definitely add up over the course of the day. If getting your heart rate up is new to you, start small and increase your time and intensity gradually.

Maintain healthy weight

Keep a healthy weight or make small changes to lose weight. Small and gradual changes tend to become habits and can lead to big results.

Talk to your doctor

Be sure to stay up to date on current tests and screenings to make sure you are aware of the risks of heart disease and other cardiovascular risks.

Limit screen time

Reduce time sitting in front of the TV, phone or computer. Keep screen time to less than 2 hours each day.

Avoid sugar

Sugary foods and beverages are not only high in calories, but are also inflammatory. Be sure to limit sugar sources including candy and certain drinks.

Let us know what heart - healthy changes you are trying out in your life!

Healthy Eating Routine

Wed, 07 Feb 2024 19:37:33 GMT

10 Tips for a Healthy Eating Routine

There are tons of ways to incorporate healthy eating into your family's daily routine. Check out these tips below to make healthy eating fun and delicious.

MAKE HEALTHY FOOD FUN

Include your kids in menu planning and cooking. The more involved they are, the higher likelihood they will try and even enjoy the food cooked. Make up silly names for foods or try and have them pick out a new fruit or veggie each week.

SET REGULAR MEAL TIMES

Structure your healthy eating routine around 3 meals and 2-3 snacks. Try to have a few of these meal times be a family meal time, with everyone enjoying food together. This gives you a chance to role model healthy habits, and chat with your kids about their day!

MAKE HEALTHY SNACKS EASILY AVAILABLE

Dedicate one shelf in your refrigerator or one area of your pantry with healthy, easy-to-grab foods

Refrigerator foods - cheese sticks, hard-boiled eggs, yogurts, deli meats and cheeses, applesauce, hummus, fresh fruit and veggies, guacamole, salsa.

Pantry foods - popcorn, pretzels, applesauce, trail mix, oatmeal, whole grain chips and crackers, dried fruit, peanut butter.

AVOID SUGARY DRINKS

Choose water and milk first, and avoid sugary sports drinks and sodas. Have these options reaily available as your go-to beverage option.

PORTION OUT SERVINGS

Avoid eating food straight out of the package - when enjoying foods that come in a larger package, such as pretzels or popcorn, portion out a serving into a smaller bowl.

LIMIT FAT INTAKE

Avoid fried foods and limit your intake of fast food. Instead, try baking, grilling, and broiling your foods. Have fun trying different seasons to increase flavor.

DON'T LABEL FOOD AS JUNK

While it may seem counterintuitive, don't forbid foods or label food as "junk food." Try limiting less healthy foods while making healthy options readily available. It is okay to have "once in a while" foods. Labeling food as bad tells kids they can't have it, and can make it more enticing.

DON'T FORCE HEALTHY HABITS

Fighting over your child's food choice doesn't encourage healthy eating. Avoid using food as a punishment or reward, or forcing children to clean their plate.

TRY SCREEN-FREE MEALS

Avoid eating in front of the TV, phone or other device. Often this can lead to eating without realizing when you are full. Doing one activity at a time and focusing on being mindful of your meal can prevent overeating.

INCORPORATE MOVEMENT

Staying active plays a major role in healthy habits and what you eat. Plan some kind of activity into your every day routine. Whether it is playing outside with your kids or taking the dog for a walk, aim for at least 20 minutes of activity each day.

Milestone Moment - Ariel!

Tue, 06 Feb 2024 16:40:21 GMT

PMC Milestone Moment: Ariel

We are thrilled to share our first PMC Milestone Moment! Milestone Moments are celebrations that mark the success of a PMC student or patient, in both therapeutic and recreational programs. For our first Milestone Moment, we are excited to share Ariel's story.

Ariel first came to PMC two years ago for Speech Therapy and Occupational Therapy. Her therapy focused on fine motor tasks, appropriate play skills, hand strengthening, and self regulation, and verbal communication.

According to her grandpa, when she first started, she only went to therapy “kicking and screaming.” Two years later, she loves coming to PMC, and her therapists, Justin and Julia. She came to PMC not using any verbal communication, and now she can communicate her wants and needs!

Congratulations, Ariel! Thank you for sharing your success story with us, we are so proud of your accomplishments!

Healthy Weight Week

Thu, 25 Jan 2024 18:21:23 GMT

PMC's Healthy Weight Week

January 21-27, 2024

January 21-27 is Healthy Weight Week!

Maintaining a healthy weight is important for overall health. A healthy weight tends to help you feel good about yourself, give you more energy, and lower your risk of many diseases. Here are 10 tips to help you achieve a healthy weight…

10 Tips for a Healthy Weight

1. Plan Some Sort of Activity Every Day

Enjoy a walk with your dogs, join your child on a bike ride, or plan a dance party after dinner. Get your body moving each and every day.

2. Make Healthy Food Choices Throughout the Day

Snack on fruits and veggies, choose lean protein such as chicken and lean beef, choose low-fat or fat-free dairy products, reduce added sugars are some options to get you started.

3. Be Sure to Get an Optimal Night's Rest

If you are overly tired during the day, try going to bed 15-30 minutes earlier in the evening.

4. Don't Skip Meals!

Be sure to plan for eating 3 meals and a couple of snacks throughout the day. When you skip meals, it may lead to overeating later.

5. Be Sure to Eat Breakfast Every Day

It doesn’t have to be a traditional breakfast (if you are not a breakfast person, enjoy a sandwich or leftovers), but be sure to start your day off with a healthy meal.

6. Don't Snack Aimlessly

If you are hungry, portion out your snack on a plate or in a baggie. Do not eat out of the box or in front of the television. Look at what the portion size is listed on the bag or box. Try eating that amount and seeing if it is filling for you.

7. Add Fiber and Increase Protein in Your Diet

Add fiber and increase protein in your diet. For high fiber foods think oatmeal, whole grain breads, fresh fruits and veggies. Fiber helps with gut health and fills you up, in turn, reducing snacking. Peanut butter, a low-fat cheese stick, Greek yogurt, a handful of nuts, a hard boiled egg are all protein rich options that will fill you up.

8. Reduce Stress

Whether you try meditation, yoga, mindfulness, listening to music, deep breathing, exercise...find a stress reduction technique that works for you!

9. Drink More Water

Changing up one soda a day for a bottle of water has many benefits. Water helps with your joints, protects your organs, flushes waste, maintains blood pressure, and boosts skin health. There are so many benefits!

10. Skip the Sugary Drinks

Sodas, sports drinks, and juice can add extra calories that don’t fill you up. Try replacing the sugary options with water, flavored seltzer waters, or club soda with a lemon, lime or orange slice.

Winter "Blues"

Thu, 11 Jan 2024 15:24:21 GMT

What Do You Call a Sad Berry? A Blueberry!

Blue (& Purple) Fruits and Vegetables

Have you seen a blue potato? Or tried blue watermelon? Let’s talk about giving new meaning to the “winter blues”. Blue fruits and veggies can be an awesome addition to your diet! Next time you are in the grocery store, go on a scavenger hunt and see how many blue/purple fruits and vegetables you can find. Be on the look out for: blackberries, blueberries, blood oranges, black currants, blue dragon fruit, cherries, blue olives, Concord grapes, pomegranates, purple cabbage, Indigo Rose tomatoes, blue corn, purple cauliflower, blue potatoes.

The Science & Benefits

What makes fruits and veggies blue/purple in color? A compound called anthocyanin gives blue fruits and veggies their blue/purple color. While more research is being done, it is believed that anthocyanins have beneficial health effects such as lowering the risk of heart disease, lowering blood pressure, and slowing cancer growth. All blue fruits and veggies are high in antioxidants. An antioxidant is a substance that may prevent or delay damage to your cells. These foods are also high in fiber and vitamin C. Fiber helps to balance blood sugar, lower bad cholesterol, and help with gut health. Vitamin C helps strengthen your immune system.

If you are feeling adventuresome, buy a new fruit or veggie! Try it out either on its own or in a new recipe (check out Supercook.com ) to learn how to incorporate some of your new found treats!

Family Fitness, Health & Fun!

Tue, 05 Dec 2023 18:59:25 GMT

Ideas for Family Fun During the Holidays!

There is more than one way to enjoy the holidays, stay active, and have fun. Here are some ideas to enjoy the season!

FITNESS IDEAS

Holiday 5K - Find a holiday 5K or make your own … 3.1 miles to walk or run and enjoy the holiday decorations around town. Even better if the registration fee benefits the local community. If you make your own route, bring your pup to enjoy the lights as well.
Movies + Exercise - Watching a holiday movie with the family, at the commercial breaks, get up and move. Dance, walk a loop around your house, do squats, sit ups, push ups…pick a different exercise for each break and get moving!
Make Cleaning Exercise - Have family coming in for the holiday, get busy deep cleaning your house. Scrubbing, washing, bending, and vacuuming can definitely get your heart rate up.
Take The Stairs - If given the choice, choose the stairs every time – shopping at the mall, find the stairs; parking in a parking garage, opt for the stairs; in your own home, climb the stairs twice for every one time you need to go up or down.\
Bursts Of Speed - If walking is more your speed, incorporate bursts of faster walking to rev up your heart.
Seasonal Sport - Try a seasonal activity you have never done before. Maybe ice skating is new to you or go sledding with your kids.
Make a Plan - Be sure to PLAN some activity into every day, bonus points if you are active with the family!

HEALTHY HABITS AT HOME DURING THE HOLIDAYS

Enjoy a large glass of water before meals
Enjoy a small bite of a sweet treat; share half with a family member or friend
Allow 15 minutes for your brain to process if you are full before going back for seconds

Thank you to Emily Poole, PMC's Registered Dietitian for this information!

Emily's Bio:

Emily is a Registered Dietitian, a Certified Personal Trainer, a certified in Childhood and Adolescent Weight Management and a level 2 NICA mountain biking coach. mily has a degree from Villanova University, and has over 23 years of experience in dietetics. E mily is passionate about helping folks understand that eating healthy isn't about cutting out your favorite foods. All foods fit and everything in moderation is key. It's all about balance! Also, small changes always add up.

Would you like to set up a consultation appointment with Emily? Call a PMC office today at 301-739-5437!

Recreation & Recreational Therapy: Learning Through Play

Thu, 09 Nov 2023 00:42:17 GMT

Recreation & Recreational Therapy:

Learning Through Play

Recreation and recreational therapy, often known as "therapeutic recreation," offer transformative benefits in our lives, equipping individuals with new skills and confidence! In our recent recreational podcast episode, Tina sat down with Heather Lindsay to discuss some of the health and social benefits of recreation.

A Little Bit About Heather

Heather Lindsay. Heather knew early-on that she wanted to help others. She earned her degree in Therapeutic Recreation from York College of PA. She is also a certified Personal Trainer, group Fitness Instructor, and Spin Instructor. Heather has worked in various healthcare settings over the last 15 years, ranging from inpatient/outpatient care for those with severe brain and spinal cord injuries, to working with the elderly in memory care. She previously served as the Assistant Director in a retirement village and helped to create a new adult daycare center. Heather is passionate about supporting and promoting wellness for individuals of all ages and abilities.

What Does Recreation Look Like?

Recreation can take place in many forms, from organized sports activities, to peaceful walks, group activities to individual activities but all forms of recreation can give individuals, families and communities positive outcomes. Some of these benefits include: increase in life expectancy, mental health benefits, strengthening of community and promoting social bonds and connections.

What Does Recreational Therapy Look Like?
Recreational therapy offers personalized activities tailored to an individuals interests, exploring their unique strengths and weaknesses. Activities revolve around an individual and their own journey. Therapists work closely with participants (and often their families) to create customized plans based on individual needs and goals. Common results include reduced stress, increased confidence, skills, and community. Activities (ranging from arts and crafts to sports, nature exploration, music and more) are all designed to enhance lives in various was such as physical fitness, self-esteem, social interaction, and emotional healing. By customizing a recreational activity to each individuals unique needs, each person is empowered to overcome obstacles, develop life skills, and ultimately lead lives filled with purpose and joy

Local Resources

Frederick County, Maryland, and Washington County, Maryland, offer numerous recreational resources that provide additional for individuals to play, learn, and connect with their communities. These include parks, playgrounds, community centers, and special programs tailored to individuals with various interests and needs. Check our our blog post on accessible recreational facilities and parks throughout Maryland!

State & National Resources:

Maryland Department of Natural Resources
The Maryland-National Capital Park and Planning Commission (Therapeutic Recreational and Disability Services)

Frederick County Resources:

Frederick County Parks and Recreation
YMCA (Frederick YMCA Link here )
Visit Frederick
AIR (Adaptive & Inclusion Recreation)
Frederick County 4H Therapeutic Riding Program
Frederick County Public Schools

Washington County Resources:

The Arc of Frederick County

Thu, 05 Oct 2023 13:13:40 GMT

The Arc Of Frederick County

Services & Programs

In our October podcast, we were able to sit down with Shauna Mulcahy, Executive Director of the Arc of Frederick County, to learn about the mission, program, services and heart of this organization. According to their website, the Arc of Frederick County "helps people with developmental disabilities to live enviable lives. Enviable lives are the lives we all lead, filled with purpose and meaning, and with friends and family. This is accomplished by providing services, advocacy, and creating supportive communities." The Arc follows clients throughout their lifespan through various programs and services. Below, we are going to highlight a few of the services they offer, but for an extensive list of offerings, please review their services .

Individualized Growth through Services

For individuals that qualify, support services are available so that they may meaningfully participate in the Frederick community. In the words of the Arc, "services are self-directed, individually based as people choose activities that they would like to become involved in. Caring staff from The Arc assist people to explore their interests based on what is happening in the local area." Individuals may seek employment opportunities, volunteer opportunities, social networking, promoting healthy habits and physical health, and artistic exploration, to name a few! Services typically fall into one of the three categories below:

Day Habilitation Services
Employment Services
Community Development Services

Culinary Training Program

The Arc of Frederick County provides a 13 week Culinary Training Program for individuals interested in working in the hospitality field. This program features training, support and practice in hospitality practices, customer services, culinary skills, and catering skills for individuals seeking employment in bakery, restaurant, catering, and other similar jobs. Participants of the culinary training program develop, learn, and master their skills while training at Marcia’s Bakery, Charlotte’s Coffee House, and 555 South Market Street’s Catering Kitchen in order to acquire the necessary skill set to be utilized in meaningful employment.

Enriching Life Services

1. Personal/Support Services (available in the home and in the community)

2. Respite care (through the Parents Day Out program)

2. Housing support services

Opportunities for Community Members

The Arc of Frederick County always welcomes and encourages individuals in the community to be involved! Individual community members can volunteer their time and talent, and organizations can partner to provide meaningful experiences, and/or inclusive work and training opportunities.

Just In Power Kids

Thu, 07 Sep 2023 12:00:00 GMT

Spark A Movement Podcast Featuring Just In Power Kids

Empowering Children and Their Families Battling Cancer

In honor of Cancer Awareness Month, Tina speaks with Shannon Berk of Just In Power Kids to bring awareness to this local non-profit that has helped more than 140 families who've been impacted by childhood cancer within the state of Maryland! The mission of Just In Power Kids is to financially support children and their families who have received a recent cancer diagnosis and as well as to provide a community that offers support, resources and hope. In this blog post as well as in our podcast , we will delve into the heartwarming work of Shannon Berk and Justin Berk the co-founders of Just In Power Kids , exploring its history, initiatives, and the positive change the organization brings to countless lives.

Mission and Vision

Just In Power Kids' mission is one of great compassion: "empower children confronting cancer by partnering with holistic practitioners to provide integrative therapies, supportive care, and informative workshops in conjunction with their chosen medical treatment." They aim to empower these children by providing them with the resources necessary to improve their quality of life during and after their fight against cancer by alleviating some of the the financial burden faced by families who have a child diagnosed with cancer. Through generous donations and fundraisers, the organization strives to be a source of strength, solidarity, and support for families throughout their cancer journey.

Programs

Relief and Restore

The Relief and Restore program provides financial support and assistance for medical bills, transportation, accommodations and other essential needs related to a cancer journey that is not covered by insurance. Just In Power Kids knows that caring for a child with cancer is not only emotionally taxing, but can also lead to financial strain. Just In Power Kids strives to make live easier. Examples of funding includes housekeeping services, lawn-keeping services, co-pays, therapy, lodging expenses and more.

Nutrition

The Nutrition programs offers flash frozen, nutritious, chef prepared meals. Meals can be chosen and customized to meet your needs. The nutrition programs takes one less thing off your proverbial plate, while making sure your body is getting the nutrition it needs. Meals can be delivered to the homes of Just In Power Kids' families and are also available at the Johns Hopkins food pantry.

Parking Program

Available for patients receiving treatment at Johns Hopkins, the Parking Programs helps reduce the financial burden of treatment by paying for parking.

Re-Source Program

Each year Just In Power Kids provides 5 endowments ($5,000 each) to an organization that is in honor of, created by, or in memorial to a child is is/was previously a Just In Power kid, or a 501(c)(3) non profit status organization whose funding supports those affected by pediatric cancer. Some of the organizations that have received funding include:

Abby's Carts of Courage (another way to donate here )

Ari's Bears

Ella Strong

Josh's Jammies

Getting Involved and Making a Difference

Supporting Just In Power Kids can take various forms, and every contribution, no matter how big or small, makes a difference. From individual donations to participating in fundraising events, volunteering, or spreading awareness on social media, there are countless ways to extend a helping hand to this incredible cause. Throughout the year, Just In Power Kids hosts various fundraising events, such as gold tournaments and donations drives at trade shows and local businesses, with their largest fundraising event being the Maryland Trek , a 7 day trek from Deep Creek to Ocean City, where participants complete a marathon + a 20 miles bike trek EACH DAY. Each day of the trek honors a different Just In Power KID , sharing their strength, courage, and story to our community,

Over the years, Just In Power Kids has become a lifeline for numerous families facing the devastating impact of childhood cancer. Through their unwavering support, they have not only lightened financial burdens but also provided emotional strength, hope, and camaraderie during the toughest battles. Families and communities have come together to support the organization's efforts, recognizing the invaluable role it plays in transforming lives.If you want to be part of this heartwarming movement or learn more about Just In Power Kids and the incredible work they do, visit their website at www.Justinpowerkids.org .

Adaptive Recreational Options for Kids

Wed, 09 Aug 2023 15:08:12 GMT

Get Up, Get Out, Go Play!

Want to take a day trip, get out of the house, find some different scenery, do something different, but don't know where to go? Below is a list of places that are adaptive to your child's needs but will allow them to have a great time and just be a kid! This summer make sure to get up and enjoy the sunshine and maybe try something new at one of the fun places listed!

Miracle League https://www.miracleleaguemocomd.org
Free Range Kids https://freerangeworld.com
4H Therapeutic Riding Thurmont, MD 21788
Frederick County Parks and Rec Adaptive & Inclusive Recreation | Frederick County Parks and Recreation, MD (recreater.com)
Little League Challenger Little League Challenger - Little League
Unified Sports with FCPS Unified Sports | Athletics (fcps.org)
Unified Sports with WCPS
PMC KidMotion Classes Pediatric Movement Center KidMotion Classes
Adaptive Sailing with Downtown Sailing Center in Baltimore, MD The Downtown Sailing Center - Adaptive Sailing
Adaptive Soccer Soccer Stars - Adaptive Soccer - Walkersville, MD 2023 | ACTIVEkids
Enhanced Fitness Program and Frederick County YMCA YMCA and Freedom Center Partner to Provide Access to Adaptive Healthy Living Program | Frederick County YMCA (frederickymca.org)
Adaptive Sports Program at Kennedy Krieger Adaptive Sports Program | Kennedy Krieger Institute

August is SMA Awareness Month

Wed, 09 Aug 2023 13:02:56 GMT

Spinal Muscular Atrophy:

Featuring the Fighting for Kaiden Foundation & the Eakin family

August is Spinal Muscular Atrophy (SMA) Awareness month, so naturally, we wanted this month's Spark A Movement podcast to discuss SMA, share some resources for families, and share an inspiring SMA story.

What is Spinal Muscular Atrophy?

The Story of the Eakin Family

The Fighting for Kaiden Foundation

Interested in hearing more about the Eakin Story?

If you are interested in learning more about the Eakin family and their story, listen to their story that the shared with the Collective Church . Spotify links below:
Episode One: https://open.spotify.com/episode/2nHJnzt13QVgZdwvb0w2BH?si=b5c3c7f54919481d
Episode Two: https://open.spotify.com/episode/6uigbwVStaDXRbE7sbaVMN?si=77163d580a884211

Interested in another inspirational SMA story?

SMA Resources:

Cure SMA

SMA Foundation

Muscular Dystrophy Association

Fighting For Kaiden Foundation

*Please note that information in this blog is not medical advice. If you have any questions, please contact your physician.

Disability Awareness

Tue, 25 Jul 2023 18:48:28 GMT

Disability Does Not Mean Inability

Having a child with a disability can be challenging and expensive. Sometimes it’s hard to find the right resources to help financially, emotionally, and physically depending on your child’s diagnosis and needs. Knowing the resources available to you can help ease some of the burden from your shoulders. PMC has put together a list of resources in our area that can help you and your family.
Resources:

ADA guidelines : https://www.ada.gov/resources/disability-rights-guide/#americans-with-disabilities-act-ada
Assistive technology : https://mn.gov/admin/at/getting-started/understanding-at/types/
Ableism description: https://cdrnys.org/blog/uncategorized/ableism/
School accommodation resources:
MD Special Education Guidelines (IEP, IDEA): https://mdod.maryland.gov/education/Pages/Special-Education-Servcies.aspx
504: https://mdod.maryland.gov/education/Pages/Section-504-Plans.aspx
Accommodations in school for children with disabilities: http://ce.msde.state.md.us/NR/rdonlyres/1815248F-5F28-41A8-87AE-3FD3F72B9491/16343/MDAccommodationsManual_21108_Section5.pdf

Local Resources:

Arc of Wash Co.-- https://www.arcwc-md.org/services/
Washington County disability resources dictionary https://www.washco-md.net/disability-resource-guide/#care
Local indoor playground of children on the spectrum https://www.werockthespectrumwashingtoncounty.com

Community Resources:

Apples for Children

Offers a computerized listing of all regulated forms of child care (licensed family child-care providers, licensed center-based and school-age programs, certified camp programs, certified nursery schools, kindergartens, and Head Start programs). Group Details: Facilitated by the Alliance for Parent, Provider, and Local Employer Solutions, website: www.applesforchildren.org , contact: 301-733-0000

Birth Injury Center

The birth Injury Center provides assistance to anyone who has been affected by a birth injury. They offer resources to assist the injured and their families. More information can be found online at: www.birthinjurycenter.org

Sargent Shriver Head Start Center

This Federally funded program offers comprehensive child development and family support services to income-eligible families. Preventative health and nutrition services are included. Children with disabilities are welcome. Part-day and full-day programming available. Group Details: website: http://headstartwashco.org , contact: 301-733-4640

Community Partners:

Equipped for Life
Ability Prosthetics & Orthotics Inc.
National Mobility & Seating
Variety Children's Charity
Potomac Case Management
Cornerstone Physical Therapy
Bester Community of Hope
NuMotion
Orthotic Solutions

Funding Resources:

Tri-State Civitan
Variety Children's Charity
The Angel Fund

Special Education Resources:

Washington County Public Schools Special Education

Specifically designed instruction, at no cost to the parents, to meet the unique needs of a child with a disability. Additionally, once Special Education is determined, related services may also be implemented based on student need. Group Details: Facilitated by Washington County Public Schools, website: http://wcpsmd.com/special-education

Infants and Toddlers Program

Washington County Public School’s Infants and Toddlers Program is a countywide system of coordinated, interagency and multidisciplinary early intervention services for children ages birth to five who are suspected of having a disability. Group Details: Facilitated by Washington County Public Schools, website: http://wcpsmd.com/

Mental Health Resources:

Maryland Coalition of Families for Children's Mental Health

If you are caring for a child with a mental health, behavioral or education issue, a developmental disability or involvement with the juvenile justice system, you may need Family Navigator services. Any parent or caregiver can call a Family Navigator to request assistance for their child, age 0-21 years, with special needs. Group Details: website: http://www.mdcoalition.org , contact: 410-730-8267 or Youth Crisis Hotline 1-888-607-3637

Brooklane Health Services, Inc.

Offers outpatient and short-term inpatient hospitalization services, substance abuse treatment, and a variety of other services for children, adolescents, and adults. Group Details: website: www.brooklane.org , contact: 301-733-0330

Change Health Systems

Services include: outpatient mental health clinic, psychiatric rehabilitation program, therapeutic behavioral services, autism waiver services, special education services and respite services. Group Details: website: www.change-health.com , contact : 240-420-1850

The Mental Health Center of Western Maryland, Inc.

Providing outpatient treatment for children, teens, and adults, rehabilitation services, after-school programs, mobil treatment, school based treatment, medication evaluation and follow-up, monitoring, and community education. Group Details: website: www.thementalhealthcenter.net , contact: 301-791-3045

Villa Maria of Washington County

Catholic Charities provides outpatient services in Washington County. These services include individual and family therapy as well as medication management. In addition, all sites provide child and adolescent psychiatric rehabilitation services in conjunction with outpatient services. Group Details: www.catholiccharities-md.org , contact: 301-733-5858

QCI Behavioral Health

Provides mental health outpatient and mobile treatment services to children, adolescents and adults with medical assistance only. Group Details: website: www.qcihealth.com.hagerstown , contact: 301-791-2660

Local, Statewide, & National Caregiver Resources:

Potomac Case Management

Office provides services to families through our Mental Health Care Coordination (MHCC) serving children 5 – 18 years of age, including transportation. Potomac Case Management also provides services to adults through our Targeted Case Management (TCM) serving adults 18 and older. Group Details: website: https://www.pcmsinc.org , contact 301-791-3087

Family Caregiver/Grandparent Support Groups

Support groups meet the first Tuesday of every month from 10:00am-12:00pm and provide support to caregivers caring for seniors 60 and older or grandparents and other relative caregivers over the age of 60 who are caring for a child age 18 or under. Group Details: Facilitated by Washington County Commission on Aging, website: wccoaging.org , contact 301-790-0275 ext. 205

Cerebral Palsy Resource Guide

Cerebral Palsy Guide is a national support organization dedicated to educating individuals and families about Cerebral Palsy. They strive to provide answers and guidance to ensure that families receive the assistance that they need to help improve their overall quality of life. Group Details: Information at https://www.cerebralpalsyguide.com

Parenting Classes

An eight week parenting course every Tuesday from 6:00-8:00pm with open and free enrollment. Group Details: Facilitated by the Parent Child Center, website: www.hagerstownparent-childcenter.com , contact 301-791-2224

Family Support Center

Assists parents of children and young adults with special needs. Is a resource between family, school and community and offers a full range of support for families of children with special needs, from birth to 21 years. Group Details: Facilitated by the Washington County Public Schools, website: http://wcpsmd.com/special-education/family-support-resource-center , contact 301-766-8221

The Dad's Connection

Offers Fathers 101 group, individual and group counseling, job readiness and other case management services to men in the fathering role. Group Details: Facilitated at the Washington County Family Center, contact 301-790-4005

The Family Tree

The toll-free stress line provides confidential information, referrals and support for parents and other individuals in care giving roles, professionals, community members, children, adolescents, families, educators, and more. Available to families 24 hours a day, 7 days a week and is Maryland’s leading child abuse prevention organization. Group Details: Facilitated by the Parenting Help Line, website: familytreemd.org , contact: 1-800-243-7337

Parent's Place of Maryland

A statewide parent-directed free resource for families of children and young adults with all disabilities. Provides information on laws, resources, family rights, and the school system. Group Details: website: www.ppmd.org , contact: 1-800-394-5694 or 410-768-9100

Maryland Community Services Locator

A statewide, interactive online director developed to assist in locating community resources. It allows users to get organizational contact information, map resources by location and instant directions. Group Details: website: www.mdcsl.org

Children's Health Insurance Program (CHIP )

A national healthcare insurance program. Group Details: website: https://www.healthcare.gove/medicaid-chip/childrenshealth-insurance-program .

Educational Resources:

https://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html

Articleon CP Equipment and Adaptive Equipment:

https://www.flintrehab.com/adaptive-equipment-for-cerebral-palsy

Statistical Resources:

Maryland stats for students with disabilities: https://marylandpublicschools.org/stateboard/Documents/2021/1026/SpotlightOnStudentsWithDisabilitiesPresentation.pdf

4th of July Crafts

Mon, 03 Jul 2023 20:41:12 GMT

Crafts for the 4th of July Holiday!

Uncle Sam:

Supplies:

8 large popsicle sticks
Red, White, and Blue paint
Cotton Balls
Silver Star Stickers
Elmer’s Glue
Black Sharpie
Paint Brushes

Instructions:

Paint 3 of your popsicle sticks white only halfway down
Paint 3 of your popsicle sticks red only halfway down
Paint 1 of your popsicle sticks completely red
Paint 1 of the popsicle sticks completely blue
Wait for the paint to dry
Glue 3 red and 3 white popsicle sticks in an alternating pattern
Take blue popsicle stick and cut to fit across the length of the 6 sticks you glued together
Glue blue popsicle stick horizontally where the paint stops (halfway down)
Glue red popsicle stick under blue popsicle stick
Glue cotton balls around the unpainted edges of popsicle sticks
Draw a face for Uncle Sam!

Fingerprint Fireworks

Supplies:

Multi colored paint
Worksheet

Instructions:

Go to pinterest and download the Fingerprint worksheet ( https://www.pinterest.com/pin/410460953594406415/ )
Dip your child's fingerprint or thumbprint into a color
In each of the circles on the worksheet put a fingerprint
Change the color of your paint and repeat until all circles are filled

Happy 4th of July!

Milestone Moment - Chase!

Thu, 08 Jun 2023 19:34:40 GMT

Way to go Chase!

When Chase began speech/language therapy he was using single words to express what he wanted and needed, but it was difficult for others to understand him. Following play-based therapy integrating language facilitation techniques, modeling, and targeting words that were motivating for Chase to say (semantically potent words), he is now able to share what he wants and needs, ask questions, answer questions, ask for help, and label common objects and actions. He also uses 2-4 word phrases to express himself with all of his early developing sounds! It is a joy to see Chase's confidence soar as he shares his needs and ideas with his loved ones! His smile lights up the room!

We are so proud of you, Chase! Keep up the hard work!

Arthrogryposis Awareness

Thu, 08 Jun 2023 15:35:58 GMT

What is Arthrogryposis?

Arthrogryposis, also called Arthrogryposis Multiplex Congenita (AMC), is an umbrella term that describes several conditions that cause increased stiffness in the muscles and joints. It is a rare condition impacting 1 in 3000 births. In Greek, “Arthro” is the term for joints and “gryposis” is the term for curving, so it literally translates to “curved joints.” A child who is born with Arthrogryposis will have contractures (shortening of tendons or muscles) that affect more than one joint. The joints most commonly impacted include: shoulders, knees, elbows, ankles, fingers, wrists, toes, hips, jaw.

How is Arthrogryposis diagnosed?

Arthrogryposis can be diagnosed as early as in utero using ultrasound, amniocentesis, or chorionic villus samplings or is diagnosed at birth. Genetic testing is typically performed to determine if there is an underlying cause for the development of Arthrogryposis. However, the cause is often unknown. Risk factors include: decreased amniotic fluid, abnormally shaped uterus, multiple fetuses, spina bifida, muscular dystrophy, myasthenia gravis, dwarfism, maternal diagnosis of multiple sclerosis, etc.

How does Arthrogryposis impact function?

Individuals with Arthrogryposis tend to see multiple specialists to manage their contractures. They are closely followed by orthopedists, orthotists, physical medicine, and physical and occupational therapists. They typically go through multiple rounds of surgery and casting to improve the mobility in their joints and frequently use bracing to help maintain their mobility and provide support to their joints. As the presentation of Arthrogryposis varies greatly from person to person, so does their function. Some individuals use a wheelchair to access their environment, some use assistive devices such as walkers or crutches, and some are able to walk independently.

Arthrogryposis is not a progressive disorder and only impacts the muscles. It does not impact an individual’s cognitive processes, learning capabilities, or life expectancy and many people with Arthrogryposis go on to live long and fulfilling lives.

Why we love our friends with Arthrogryposis!

Here at PMC, we love working with our clients with Arthrogryposis because they are so inspiring. They never give up, even when things are challenging for them and they are always thinking of new and creative ways to move their bodies. They don’t let their limitations in mobility hold them back from achieving their dreams. We could all learn a thing or two from them about how impactful perseverance, hard work, and a positive attitude can be on changing the way you view a challenging situation.

References:
Arthrogryposis (AMC): Overview, Causes, Diagnosis and Treatment (nationwidechildrens.org)

Arthrogryposis Multiplex Congenita (AMC): Symptoms & Treatment (clevelandclinic.org)

https://rarediseases.org/rare-diseases/arthrogryposis-multiplex-congenita/

Supporting Sensory Needs at Home: Dysregulation

Thu, 08 Jun 2023 13:06:46 GMT

Regulation & Dysregulation: Simply Explained

Supporting Sensory Needs at Home: Dysregulation

Stephanie Baldwin, an Occupational Therapist at PMC, recently shared some key points about dysregulation, indicators of sensory seeking and some useful tips to use at home.

Regulation & Dysregulation: Simply Explained

Dysregulation and Regulation: describes where a person's state is in their nervous system and their being, how a person is able to respond to things that are happening to them or in their environment, ability to cope with certain situations, pay attention, and/or engage with others.

Regulated - we're able to navigate the environment that we're in, in a productive and functional way.

Indicators of Sensory Seeking/What it looks like at home

Dysregulation - things we could see (with kids or adults whether they're neurotypical or not):

>> distress or even just shutting down (very erratic behaviors or just not being able to respond at all to their environment. Could be repetitive movements ... pacing, excessive tantrums, rocking back and forth, flicking something, etc)

Some of our kids have a more sensory disorganization between their sensory systems and will do what is commonly referred to as "stimming." For that sensory system, they may not be receiving enough from that particular environment, so they try to get the input that they need to bring themselves into a better place. Seeking input in order to regulate.

Is your child seeking input by crashing into things and/or do they want to jump off of things?

The child needs to be able to get what we call "linear movement." Simple ways to get calming input around the house could be rocking on a rocking chair, rocking horse, or rocking board, jumping on a trampoline (large or small), or swinging. It is important that the swing is not rotating or spinning, that the swing is moving in one direction. You don't have to have a swing inside of your house, you could use a swing set in the back yard or even a playground nearby if need be!

It is great to do these things prior to meal times, or any time when you'd like your child to sit and participate in an activity. Ultimately, the goal is to teach the child to go to that item or area when they're seeking input. Redirect them and help the child make a healthy habit of seeking input in the appropriate way and at the appropriate time.

When should parents seek help?

constantly interrupting daily routines
inability to connect with your child
inability to participate in family meal times
inability to go to the grocery store or out into the community
when you're struggling to figure out what tools you need to be able to respond to them and have appropriate and safe boundaries so you can have a happy and healthy life for your family

The areas of sensory processing can be out of whack or impactful in different ways. We encourage you to speak with your child's pediatrician about your concerns, whether you consider them big or small. A great place to start is to get an occupational therapy evaluation. If you believe your child is struggling with self regulation, sensory seeking, or any of the items mentioned above, we can discuss how help get your child's sensory systems a little more organized so that they are available for learning and can move on with their daily routines. If it's not the place where your child needs to be, the OT professional can point you to the next avenue to explore.

In an OT evaluation, we can look at all of the areas of sensory processing:

1) auditory

2) vision

3) touch processing

4) movement

Sometimes parents are fearful of reaching out for help because they feel like they're doing something wrong. They may be afraid that their child is going to get labeled with something that will stay with them forever. Please do not let that hold you back. At PMC, our team will meet you where you are and we help you navigate through your difficulties and concerns.

No matter what stage your child is in - with the right tools, your child can learn how to do hard things, they can learn how to have success and meaningful relationships. Never lose hope, you can always learn new things and overcome difficult situations.

Take a deeper dive with Stephanie as she offers more insight on behaviors you may see at home and some simple things you can do on our latest Spark a Movement Podcast episode!

Father's Day Crafts DIY

Mon, 05 Jun 2023 17:43:31 GMT

Homemade Gifts for Dad!

Father’s Day Crafts

1. “O-fish-ally the World’s Best Dad!”

Supplies:

Construction paper
Black Sharpie
Scissors
Markers
Glue Stick

Instructions

Pick a piece of construction paper (any color) and draw a big fishbowl
Cut out the fish bowl
Using black sharpie draw the top edge of the bowl
Using blue construction paper trace the cut out of fishbowl
Cut out shape of the bowl making a “wave” pattern at the top to imitate water
Glue water to the bowl with the waves at the top
On any color paper of your child’s choosing trace their hand
Cut out handprint
Glue fish in the middle of water
Draw an eye
Draw a sideways heart for the fin
Draw bubbles
Using different colored markers dot the bottom of the fishbowl to make pebbles
Write the message “O-fish-ally the world’s best dad!"
Write "Happy Father’s Day" and child's name

2. My Dad Is a Catch

Supplies:

Brown construction paper
White construction paper
Black sharpie
Red sharpie
Scissors
Glue Stick

Instructions:

Go to Pinterest and search for printable baseball mitt template
Download, print, and cut out. (***If you don’t have a printer you can draw the mitt and then cut it out***)
Trace the outline of the baseball mitt on brown construction paper
Cut the mitt shape out
Trace your child’s hand on the mitt as if they were wearing it
Find a circular object you can trace for the baseball (make sure the circle fits in your child’s hand)
Cut out the circle
Using a red marker draw the stitching on the baseball
Glue baseball to center of the handprint
At the top of the mitt write “MY DAD IS A CATCH”
Have your child sign their name (or write your child's name)

3. Grill Greeting Card

Supplies:

Construction paper (black, blue, red, orange, and one sheet of any color of your choosing)
Scissors
Glue Stick
Permanent marker

Instructions:

Take a sheet of black construction paper and fold in half (short end to short end)
Take a pen/marker and draw a half-circle starting at one side of the fold ending at the other
Leaving the fold at the top, cut out the half circle (do not cut along the fold). This is the grill
Cut out 2 identical sized strips for the legs of the grill
Glue to the back on the curved part of the grill
Using a sheet of red construction paper trace your child’s left hand
Cut out the handprint
On a sheet of orange construction paper trace your child’s right hand
Cut out the hand print
With the fold at the top glue the left handprint to the left side with the fingertips sticking out
Repeat step 8 with the right handprint (the thumbs should overlap)
Take any colored piece of construction paper and cut out a half circle that fits inside of the grill
Glue the flat edge of the half circle to the edge of the fold (inside of the grill)
Write a Happy Father’s Day message on the inside of the card
Sign and date
Using the blue construction paper draw a spatula
Cut out the spatula
Draw lines for the slots of the spatula
Glue to the front of the card

Please allow your child to do as many of these steps as possible on their own to help build their confidence and help strengthen their occupational therapy based skills!

Shoe Recommendations

Mon, 15 May 2023 12:52:23 GMT

What to Look for When Buying Shoes

What to look for when buying shoes

There are a lot of characteristics that a shoe can have that can differentiate it from an unsupportive shoe. A good shoe is made up of a few different qualities: a soft, flexible sole, a wide toe box, good traction on the bottom of the shoe, and making sure the shoe has a good heel cup.

What to avoid when buying shoes.

Just like a good shoe, a lot of qualities can make or break a shoe. A few things that can negatively affect the quality of a shoe include: buying crocs, natives, or flip flops, investing in expensive shoes as children can grow out of them quickly, and wearing non breathable shoes.

Shoe Recommendations for orthotics

Wearing SMOs, AFOs, DAFOs, KAFOs, etc it can be challenging to find a perfect shoe that fits your child’s foot as well as fitting over the orthotic appropriately. A few general brands that are great with orthotics include: Billy Footwear, which can be purchased on their website or even at Target, Ikiki shoes, and New Balance (a wide shoe is available if needed). More specific shoes for the New Balance shoe brand includes 888 V2 Hook and Loop Running Shoe, Rave Run V1 Hoop and Loop Shoe.

Shoe Recommendations for New Walkers

Shoes for new walkers can be tricky because we typically don’t recommend wearing shoes until independently waking around 80% of the time or if they are already wearing orthotics. Stride Rite as a whole is a great brand especially for new walkers, but more specifically the Baby Surprise by Stride Rite Palmer Sneakers. A few different specific shoes from Geox are great that include Geox Unisex-Child Rishon Girl, Geox Baby Boy’s Rishon 30 (infant/toddler), and Geox Urban First Steps Baby are great options for more sneakers. Two sandals that would add more support would be two shoes from Carter’s that include Every Step Sandals and Every Step Fisherman Sandals.

Shoe Recommendations for Toddler/Little Kids

Great shoe recommendations for toddlers and little kids sizing include any shoe from New Balance (more specifically being 680 V6 Hoop and Loop Running Shoe), Stride Rite in general (more specifically Mishansha Running Shoes Water Resistant Hiking Shoes), and Sketchers brand in general (more specifically Toddler Girls S Sport By Skechers). A good sandal recommendation for toddlers and little kids sizes would be the Stride Rite 360 Uni-Sex Child Paddy Sandal.

Other Recommendations

Thanks to our amazing patients and their families we were given more recommendations on where to buy good shoes and which pair to buy!

Shoe Brands

Nike Flex Advance
Sketchers Extra Wide (works perfectly for kiddos with SMO's)
Stride Rite adaptable line for kiddos with SMO's or AFO's

Shoe Stores

Shoe Train Potomac- experts at measuring and finding right shoes for your kiddo!

11325 Seven Locks Rd.

Potomac, MD 20854

301-299-9662

James Shoes- carries Billy Shoes and will help you make sure they fit right!

76 W Main St.

Waynesboro, PA 17268

717-762-1945

Milestone Moment - James!

Thu, 11 May 2023 19:23:05 GMT

Way to go James!

Meet James!

James started speech therapy at PMC in 2021. He had goals to improve higher-level language skills (inferencing, comprehension, problem solving) and social skills with peers. Since 2021, James has participated in two social groups and individual treatment sessions.

James has made fantastic progress with his language and social skills! We love seeing him around the clinic and talking about soccer and video games. Due to his hard work and many achievements, James has graduated from weekly speech sessions!

We are going to miss seeing him each week in speech but can’t wait to see all the great things James will do in the future!

Way to go buddy! We are all so proud of you!

It's Never too Early to Prioritize Health

Thu, 11 May 2023 11:30:25 GMT

It's Never too Early to Prioritize Health

In this month's podcast episode "It's Never too Early to Prioritize Health", we are fortunate enough to be joined by Dr. Chukwuemeka Obidi, a pediatrician at Meritus Health in Hagerstown, MD who is an amazing advocate in our community for helping families get serious about making healthy choices by walking alongside them through the journey and supporting them through the highs and the lows of lifestyle changes. He recognizes that changing diet and exercise habits sometimes requires big lifestyle changes and this can be overwhelming for families. However, he also explains a few of the reasons it is so important to address obesity as soon as possible such as: increased risk of future bone and joint problems, higher rates of heart disease and diabetes, closely linked to mental health concerns, poor self image and bullying. Dr. Obidi helped us dive deeper into some of the psychosocial aspects associated with obesity and provided us with some great resources to help facilitate the transition to a healthier lifestyle in a manageable and sustainable way.

Getting healthy: what does that really mean?

Everyone in our society has heard the term "getting healthy" but what does that really mean? What does that look like? And why isn't it as easy as it sounds? This blog post is going to highlight some of the barriers that exist to living a healthy lifestyle, some of the risk factors associated with childhood obesity, and some key takeaways/resources to empower families to start making healthier lifestyle choices.

What are some of the barriers that families face in the quest to getting healthy?

Culture/family structure that is centered around enjoying meals together can lead to a lot of pressure from family members to make unhealthy food choices
Marketing and advertisements constantly encouraging children and families to consume high calorie, high fat, low nutrition food
Parents are exhausted and overwhelmed by their busy lifestyles that often requires juggling working, getting kids to/from school, extracurriculars, etc
Parents aren't sure which sources they can trust as recommendations for healthy choices change frequently
Healthier food may cost more than unhealthy options
To truly address childhood obesity, the whole family needs to commit to the process of changing their physical activity and diet habits and this can be really overwhelming to families
Having conversations around lifestyle changs and obesity can be very uncomfortable and it can be hard to truly recognize and address the issue head on

What are some of the risk factors for obesity?

Mental health concerns/high stress levels can lead to using food as a coping strategy
Decreased physical activity
Poor sleep hygiene
Genetic predisposition

What are some Statistics?

Childhood obesity is a worldwide pandemic with a staggering 14.7 million children and adolescents in the US being classified as "obese" (having a BMI in the 95th percentile for their age group). These rates are highest among adolescents, but as many as 12.7% of children ages 2-5 are impacted by obesity. In a society plagued by unhealthy food choices, encouragement of sedentary lifestyles between school, increased screen time, desk jobs, etc. and the high levels of stress and poor sleep hygiene, it's no wonder many Americans feel overwhelmed with trying to live a healthy lifestyle.

What are some things I can start doing today to improve my health?

Address the underlying problem. If you are using food as a coping strategy to manage your mental health, reach out to a therapist to find healthier strategies to support your physical and mental health.
Find a healthcare professional (nutritionist/dietician/PCP) or fitness professional (physical therapist/personal trainer/fitness coach, etc.) to walk alongside you during your journey and help you develop and stick to your exercise regimen. Remember that living a healthy lifestyle is a marathon not a sprint, and it is okay to have bumps along the road. What matters at the end of the day is that you surround yourself with people who will support you and encourage you when you are doing great and help inspire and lift you up when you need a little extra motivation.
Talk to your family members and try to get everyone involved with the decision to get healthy. Family involvement has been found to be closely associated with successful changes in diet and exercise habits and total weight loss.
Be intentional with your plans for physical activity. Set a clear goal and make a concentrated effort to meet it. Easy ways to do this include: Find ways to integrate it into your daily routines (examples: going for a 15 minute walk during your lunch break, playing outside for an hour after school before starting homework, walking the dog around the neighborhood instead of letting him/her out in the backyard, etc.). Find things that the family and the child enjoy and use those as motivators to make exercise fun.
Decrease screen time as it encourages sedentary behavior, or make it a motivator/reward that can be earned by making healthy choices. (example, first I will do a 30 minute workout, then I can watch one TV show).

What other resources can I look into?

Healthychildren.org (American Academy of Pediatrics)
Healthykidshealthyfuture.org
WIC program, Washington County: 240-313-3335, Frederick County: 301-600-2507
Doctoryum.org

If you have any questions regarding childhood obesity or think you are ready to live a healthier lifestyle, contact your local health care provider to develop your support system and discuss strategies that may be the most effective for you and your family!

Disclaimer: ***Before drastically changing your diet or exercise habits or starting a new fitness or diet regimen, please consult with your physician. The advice stated above are generalizations based on data trends and are not meant to be used as specific health care recommendations.

Sources:

Childhood Obesity Facts | Overweight & Obesity | CDC

Dabas A, Seth A. Prevention and Management of Childhood Obesity. Indian J Pediatr. 2018 Jul;85(7):546-553. doi: 10.1007/s12098-018-2636-x. Epub 2018 Feb 19. PMID: 29457204.

link to above citation: Prevention and Management of Childhood Obesity - PubMed (nih.gov)

Gray LA, Hernandez Alava M, Kelly MP, Campbell MJ. Family lifestyle dynamics and childhood obesity: evidence from the millennium cohort study. BMC Public Health. 2018 Apr 16;18(1):500. doi: 10.1186/s12889-018-5398-5. PMID: 29807535; PMCID: PMC5971431.

link: Family lifestyle dynamics and childhood obesity: evidence from the millennium cohort study - PubMed (nih.gov)

Speech Therapy and Mental Health

Wed, 10 May 2023 20:06:11 GMT

It's All Connected

Speech and Articulation

Not being understood can negatively impact overall communicative effectiveness
For your kiddo this can be: sharing exciting news, difficult emotions, questions
For some no be able to communicate clearly can impact feelings of self/perception of others
In speech therapy, skills such as sounds and sequences are often practiced
However, improving self-confidence, independence, and compensatory strategies are just as important

Language and Pragmatics

There are 3 areas of language that speech therapist focus on: Expressive, Receptive, and Pragmatic

Expressive/Reception

In speech, therapist encourage articulating needs, wants, and gratitude
The power to say “no” is more powerful than asking for “more” and is one of the first communicative acts often learned
Whether that is through words, signs, or assistive technology - SLPs work hard to be sure that they give kiddos the best chance of communicating their wants/needs as effectively as possible.

Pragmatic

This is social language! Conversation skills, inferencing/perspective shifting skills, and overall understanding of how others think/feel
SLPs work with a lot with kiddos who may have difficulty connecting with peers/others due to pragmatic challenge
We work on much more than conversation skills or reciprocal play. SLPs take on the roles of being friend/teacher/mentor/play-mate while building up confidence to continue trying these learned skills.

Tip* We have social groups for kiddos of varying ages with pragmatic deficits to learn/practice their skills and make new friends at PMC.

Fluency

Fluency is more known to the general world as “stuttering
SLPs are transitioning to a much healthier way of approaching fluency disorders in the past few years
SLPs provide fluency strategies, seeing which ones are the most effective (and liked), and practicing those strategies in a way that they feel comfortable with
Allowing kiddos to be self-paced in their journey decreases the negative stigma associated with fluency disorders from stutterers, professionals, and the community as a whole.

Mental Health Resources Recommended by PMC Therapists

Wed, 10 May 2023 14:06:51 GMT

There are Resources Available to You

Children’s Mental Health Awareness :

It is important to bring attention to resources available. Knowing what help you have and how it can benefit your child, can make a big difference. To make things a little bit easier, here are some resources that can be helpful for your kiddo.

The Resources:

FEELING ZONES FOR EMOTIONAL REG/UNDERSTANDING:

https://www.zonesofregulation.com/learn-more-about-the-zones.html

STUTTERING SUPPORT GROUPS:

https://westutter.org/find-nsa-meeting-near/maryland/

SUPPORT GROUP FOR PARENTS WITH SPECIAL NEEDS

http://www.thearcmd.org/programs/parent-to-parent-maryland/

BENEFITS OF CORE WORDS (in communicative effectiveness)

https://www.assistiveware.com/blog/teaching-core-words-building-blocks-communication-and-curriculum

Happy Mental Health Awareness Month!

Mother's Day Crafts

Mon, 08 May 2023 14:31:04 GMT

Mother's Day Crafts

Handprint Dish Towels

Supplies : (all purchased from the Dollar Tree for $1.25 each)

1 plain white dish towel per child
Green acrylic paint (stems)
Mom’s favorite colors of acrylic paint (flowers)
Paint brushes
Sharpies

Instructions :

Fold dish towel so it is folded as if you would hang it over a rack (vertical)
Using green paint, paint stem,leaves, and grass for your flower
Paint hand of your choosing
Place bottom of the painted palm at the top of the stem and press down
Wait for paint to dry
Flip towel over and repeat on other side
When both sides are dry write a message to mom with a sharpie marker on one side and sign and date on the other.

Construction Paper Bouquet

Supplies:

Construction paper (any 2 colors & green)
Scissors
Glue stick
Sharpie marker

Instructions:

Pick any color construction paper you would like to make the flower holder
Make the piece of paper into a square by folding bottom right corner to the top left edge
Cut excess
With crease going down the center, fold the right corner to meet the crease and repeat the process on the left
On a separate piece of construction paper (any color of your choosing) trace 6 hearts
Cut out the hearts
Cut out 6 strips of green construction paper
Glue 3 strips equally spaced apart to the inside of your bouquet
Glue the other 3 strips of green construction paper to the bottom of the previous stems and half way up
Fold 3 of your heart shapes in half
Glue one side of the folded heart to the matching side of the unfolded heart
Glue one heart to each stem
Fold the right top corner so the point is past the edge of the paper
Repeat step on the left side
Glue the folds from step 4 together in the middle
Glue down the folds from step 12
Fold the top half of stems from step 9 over the front of the folds from step 12
Write a “Happy Mother’s Day” message on the front
Sign the back of your artwork

Canvas Hand & Foot Print

Supplies:

1 canvas per child
Paint Brushes
Paint (any color)
Sharpie Marker

Instructions:

Paint the child's left hand in any color
Place in the center of canvas and press down
Paint the child's right foot a different color
Place next to hand print and press down
Wait for the paint to dry
If child is able to write themselves write as follows over the handprint "...this little hand stole my heart" (if the child is unable to write the message you can write it for them!)
Over the footprint have them write/or you write "...and this little foot ran away with it!)
Write a Happy Mother's Day Message somewhere on the canvas
If they would like to decorate the rest of the canvas with their own artwork let the creative freedom flow!
Have them sign and date their artwork.
Make sure to give to mom on Sunday, May 14th

We wish all the Mom's a Happy Mother's Day!!!

Autism and Exercise

Tue, 18 Apr 2023 11:25:46 GMT

Exercise for Children with Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) and Exercise

Research has shown that exercise can improve health and other challenges with ASD, including: attention/on-task behavior, language development and school performance!

An ASD study revealed that just 10 min of low intensity exercise showed reduction in echolalia (repeating others' words/sentences), and stimming behaviors!

3 Key Evidenced-Based Practice Tips:

1) Use visuals - pictures, written words, visual schedules, checklists and video modeling.

2) Add exercise to routine - thoughtfully integrate exercise into daily/weekly routine. Even one time per week is beneficial.

3) Reinforcement for success - Focus on persistence over perfection. Make it a positive experience. Start slow and simply move.

Example: 8-10 min of aerobic activity followed by 1-2 exercises for muscular strength/flexibility. Gradually increase time or repetitions. Use verbal praise and positive reinforcement.

Resources

https://www.autismspeaks.org/expert-opinion/autism-exercise-benefits

https://pathfindersforautism.org/

Benefits of Using Visuals

Mon, 17 Apr 2023 19:30:40 GMT

Benefits of Using Visuals : : Build Skills & Confidence

Benefits of Using Visual Tools

Children with autism benefit by the use of visual tools in many ways, including:

Promoting independence in social interactions among peers
Implementing routines
Increasing comprehension for daily tasks

Types of visual tools can include, but are not limited to:

First/Then Boards: First/then boards are great to use as a motivator to complete non-preferred tasks for a preferred task, they are also good to use for building foundational skills as a step by step method.

Visual Schedules: Visual schedules can be utilized in various ways- building morning & nighttime routines, tasks to complete within a session, & step by step ADL tasks such as bathing, dressing, brushing teeth.

For children who struggle with change or have rigidity with daily routines, visuals are a great way to allow the child to know what’s next. Knowing what's next can reduce anxiety & the fears surrounding unexpected events.

If you think your child can benefit from a visual schedule, contact your child’s occupational therapist. Your occupational therapist can work with your concerns and your child to help build appropriate, personalized schedules.

Resources
https://www.autismspeaks.org/sites/default/files/2018-08/Visual%20Supports%20Tool%20Kit.pd

https://www.optometrists.org/childrens-vision/vision-therapy-for-special-needs/autism-vision/how-do-visual-supports-help-people-with-autism/

Cause and Effect Play

Mon, 17 Apr 2023 15:53:12 GMT

Cause & Effect Play

Cause and Effect Play

A child's ability to understand how their activities affect their environment is a crucial component of development.

3 things that progress through the development of cause and effect:

Play
Learning
Social Communication

For example, if your child pushes a button and music plays or they shake a rattle and it makes noise. This type of play teaches the child that their actions can cause something to happen.

Objectives

Through cause and effect play, your child will have the opportunity to learn how to imitate your actions, experience curiosity, take turns, and ask for help.

Activities that help develop cause and effect skills:

Musical toys (drums, keyboards, push button toys)
Pop-up toys (jack in the box, pop-up animals)
Stacking blocks and knocking down

Backward Chaining

Mon, 17 Apr 2023 15:37:19 GMT

Learn a New Skill + Build Confidence

Learning new skills is so exciting, and one of the methods that can help teach your kiddos new skills is called backward chaining .

What is That?

Backward chaining begins with learning the last step of the novel activity, then slowly, working backwards once each step is mastered.

When Can This Be Used?

This method is used often! Activities such as teeth brushing, shoe tying, washing hands, and dressing are popular to use backward chaining to promote independence with self care.

3 Benefits of Backward Chaining

Promotes success of task
Promotes Mastery of new skills
Promotes positive reinforcement & confidence

Key Takeaways:

Backward chaining works by slowly sequencing steps and allowing a breakdown in motor planning. This method helps make tricky tasks a bit more manageable while promoting your child’s confidence.

Want to help your child learn how to make a bed, tie their shoe, or zip a zipper? Here is a quick source that breaks down the tasks step-by-step!

Let's Talk About Our Children's Mental Health

Thu, 06 Apr 2023 13:12:31 GMT

Let's Talk About Our Children's Mental Health

MEDICAL DISCLAIMER:

***The information provided on the podcast and featured blog is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content including text, audio, links, and information contained on or available through this podcast and blog is for general information purposes only.***

In this month's podcast episode, we were joined by the amazing Whitney Thompson, a pediatric mental health therapist and author of the Superhero Blog (anchorcounselingcenters.com) that uses Marvel characters to help children understand big emotions in a way that is relatable and motivating to them. It also provides great advice to parents on how to have conversations with their children about big emotions and how to help them navigate difficult aspects of development such as working as part of a team, feeling excluded, and making good choices.

Talking to children about mental health and teaching emotional regulation skills is a hot topic families ask about all the time. With more and more research constantly coming out showing the staggering number of children who are impacted by mental health concerns, addressing mental health from an early age has never been more important than it is right now. According to the CDC, 1 in 6 children in the US has a diagnosed mental, behavioral, or developmental disorder, approximately 5.8 million children are impacted by anxiety, 2.7 million have depression, and 5.5 million have behavioral concerns. Mental health concerns are a huge problem in our country that is significantly impacting our youth and many parents feel lost as to where to begin to help their children navigate strong emotions.

Integrating Conversation about Feels and Emotions into Everyday Life

Whitney's blog and her podcast episode provide families with some easy way to integrate conversations about feelings and emotions into our everyday lives. Here are a few of her suggestions:

1. Rose, thorn, and bud: At the end of the day, sit down as a family and share one thing you're proud of from the day (rose), one thing that didn't go the way you wanted (thorn), and one thing you are excited about working on for the future (bud).

2. Practice what you preach: Children are looking to their parents to be role models for how to handle new and challenging situations so make sure you are giving them a good example of the behavior you expect from them. If you tend to yell when you are angry, your child will also learn to deal with anger by yelling.

3. It's never too early to start talking to kids about emotions. Whitney shared an awesome story about a child in her life being able to recognize happy, sad, and mad faces at 18 months old because they practiced it together.

4. Remember that children are not just small adults and they may need more grace and time to understand what they are feeling and how to handle a situation. If your child needs time to process what is happening, let them know that they are free to have that time and you will be available when they are ready to talk.

These are just a few of Whitney's awesome recommendations that will help your children feel more comfortable coming to you directly to discuss emotions, while also building their emotional intelligence. Emotional intelligence is a buzzword that has been getting a lot of media attention over the last few years as more and more research comes out demonstrating how valuable it is to future development. Emotional intelligence is our ability to understand, control, and express our own emotions and our ability to recognize and understand emotions in others and use that knowledge to navigate relationships. There is no relationship between emotional intelligence and IQ, it is purely based on our understanding of ourselves and others and it is built through practice. It is also the strongest predictor of future success in life. Higher emotional intelligence is also associated with lower rates of anxiety and depression. One of the best things we can do to support a child's development is to prioritize time in your day to discuss emotions and problem solve through how to handle various scenarios. Working on emotional intelligence is also a double win for parents because while it helps set their child up for future success, it also builds stronger and deeper personal connections between

Sources:

Superhero Blog (anchorcounselingcenters.com)

Data and Statistics on Children's Mental Health | CDC

Why You Need Emotional Intelligence To Succeed (forbes.com)

Emotional Intelligence and Its Relationship With General Health Among the Students of University of Guilan, Iran - PMC (nih.gov)

Springtime Crafts with OT Based Focus

Wed, 05 Apr 2023 20:24:17 GMT

Spring Crafts with Occupational Therapy Based Focus

Handprint Peeps

Supplies:

Yellow and orange Paint
Paint brushes
White and orange construction paper
Scissors
Glue Stick
Black pen or marker

Instructions:

Paint your child’s hand yellow!
Place your child's painted hand on white construction paper with the fingers spread out.
Let dry
Using a paint brush and orange paint, paint 2 legs and the feet
Let dry
Using the black pen or marker have draw 2 eyes
Using the orange construction paper and scissors, have your child cut out a triangle for the beak (you can draw the triangle first and have them cut out the shape).
Use the glue stick and place the beak
Cut around the peep
Sign your artwork!

Paper Roll Bunny Rabbits

Supplies:

1 empty paper towel roll
1 empty toilet paper roll
White, brown, or black paint
Green paint
Paint brushes
Construction paper (any light color)
Black pen or marker
Plastic fork

Instructions:

Dip bottom of paper towel roll in the paint color of your choice (white, brown, or black)
Put 3-4 circles halfway down the construction paper, staggering them across the page (make sure the construction paper is horizontal)
Squeeze your toilet paper roll into an oval shape for the bunny ears
Dip the end of toilet paper roll in paint of your choice
Put 2 ears on the top of each circle
Let dry
Draw 2 eyes, a nose, whiskers, and 2 front teeth
Dip the plastic fork in green paint and make grass marks under all of your bunnies
Sign your artwork!

Paper Plate Peeps

Supplies:

White paper plate
Yellow and orange construction paper
Markers
Scissors
Black Pen/Sharpie

Instructions:

Draw a small and large circle on your yellow construction paper (head & body of peep)
Draw a small triangle on the orange construction paper (beak)
Cut out all shapes
Draw a triangular pattern on the paper plate (egg shell)
Cut along triangular pattern
Using colorful markers draw Easter patterns on the plate
Glue your beak in the middle of the small yellow circle
With black sharpie or pen draw 2 eyes above the triangle
Glue head to the body
Glue body to the edge of your egg shell
Sign your artwork!

Paper Plate Bunny

Supplies:

Solid color paper plate or white paper plate
1 sheet of computer paper
2 white pipe cleaners
Pink pom pom
Black sharpie & colored pencil
Scissors
Stapler
Tape
Glue
Bright colored paint (if using white paper plates)
Paint brush

Instructions:

Paint both plates color of your choosing & let dry (If using a white paper plates only)
If using a solid colored paper plate skip step one
Cut one paper plate in half
Draw 2 medium sized eyes on computer paper with black sharpie or colored pencil
Cut out eyes
Glue eyes towards the top of whole paper plate
Take both pipe cleaners and twist together in the center
Tape to center of paper plate under the eyes
Tape pink pom pom to where the pipe cleaner is twisted together in the middle
Using the sharpie draw the bunnies mouth and 2 front teeth
Staple first ½ of paper plate to the top left of whole plate
Staple second ½ of paper plate to the top right of whole plate
Sign your artwork!

Handprint Ladybug

Supplies

Red & black construction paper
Scissors
Glue
Black marker
Pencil

Instructions

On the red piece of construction paper trace both of your littles hands using the pencil
On the black piece of construction paper draw a medium sized circle using the black marker (to get a perfect circle trace a small bowl or plate) and 2 antennas
Have them cut out their handprints, circle, and antennas
Using the marker have them draw varying sized circles on the handprints for the bugs spots
Glue handprints to the middle of the circle with the thumbs touching at the bottom
Glue antennas to top of circle
Draw 2 eyes
Sign your artwork

Paper Rainbow

Supplies

Paper plate
Cotton balls
Red, orange, yellow, green, blue, & purple construction paper
Bottle of Glue
Tape
Scissors
Ruler/straight edge

Instructions

Cut paper plate in half
Using a ruler or straight edge make equal sized strips going vertically on each color of construction paper
Cut out strips
Using glue cover paper plate with the cotton balls
Let dry
With the rounded edge of the paper plate, flip the paper plate over and tape colored strips at the bottom starting with the color purple on the left, then blue, green, yellow, orange, and red.
Sign your artwork

Cerebral Palsy: What Does it Look Like

Tue, 21 Mar 2023 14:16:47 GMT

Cerebral Palsy

What is Cerebral Palsy?

Cerebral Palsy (CP) is the leading cause of childhood disabilities in the US. CP is an umbrella term for a group of neurological disorders that affect an individual's ability to control their muscles. This can contribute to difficulty with balancing, sitting, walking, and difficulty intentionally moving their arms and legs. Symptoms appear in infancy to early childhood and may be caused by abnormal development of the brain or a severe injury to a developing brain. Some common causes include: gene mutations, infections, exposure to toxic substances, lack of oxygen, or trauma. CP is a lifelong disorder but it is not progressive, meaning it does not get worse with time, and many individuals with CP live long and happy lives.

What does Cerebral Palsy look like?

Individuals with Cerebral Palsy present with a large variety of presentations depending on the severity of their condition and what part of the brain is impacted. Some individuals have very mild CP that is barely noticeable. Because CP impacts the brain's ability to control the muscles, some individuals with CP may have difficulty with balance or walking. These individuals may use things like crutches or a walker to help with their balance, while others may use a wheelchair to help them safely navigate their world. Other things you may see in individuals with CP are difficulty with swallowing and producing clear speech because the muscles in their mouth are also impacted. You may also see their bodies positioned into uncomfortable positions because they have what is called hypertonicity and spasticity in certain muscles. This causes these muscles to be contracted all the time and makes it very difficult for the individual to move out of that position. If one side of the brain is more impacted than the other, an individual with CP may also have a strong preference for reaching with one hand over the other or demonstrate difficulty coordinating one leg while walking. Cerebral Palsy is primarily a physical impairment, but depending on which portion of the brain is impacted, it can sometimes result in cognitive delays as well. However, 50-70% of individuals with cerebral palsy are not cognitively impacted at all!

Tips for Inclusion

Here are a few ways you can make it easier to interact with individuals with Cerebral Palsy:

Always presume competence first, but it is okay to offer help to a friend with different abilities if you see them struggling, the same way you would offer help to anyone else.
All activities are adaptable, so try to meet your friend where they are most comfortable. If they are in a wheelchair, move the activity to a table at a height they can fit their chair under so they can join in. If they aren't very stable in standing, transition to sitting in a chair or on the floor.
If your friend with CP has difficulty on stairs, take the ramp with them!
Engage with your friend with CP intellectually the same way you would with anyone else. Remember: 50-70% of individuals with cerebral palsy have no cognitive delays.
If your friend with CP uses an alternative form of communication, make sure it is accessible to them at all times and be patient while they communicate with you.

What does therapy look like for individuals with Cerebral Palsy?

Physical Therapy: Physical therapy will help with stretching, strengthening, balance, and safely participating in age appropriate activities such as throwing and catching, jumping, bike riding and other recreational activities. Physical therapy can also evaluate the need for equipment such as ankle braces, orthotics, a walker, or a wheelchair that can help maximize an individual's safety and independence with navigating their environment.

Occupational Therapy: Occupational therapy works on improving play skills, functional use of the arm and hand, fine motor activities such as reaching and grasping, writing, and cutting, and activities of daily living such as bathing, using utensils during meal times, getting dressed, teeth brushing, etc. Occupational therapy can also provide other tools, strategies, and equipment to improve positioning of an individual's arm or hand or to adapt challenging activities so individuals are able to do them with greater independence.

Speech Therapy: Speech therapy can work on strengthening the muscles around the mouth to help with difficulty with eating/swallowing and articulation errors. Speech therapy can also evaluate the need for devices for alternative communication for individuals who have a lot of difficulty with verbal communication.

Cerebral palsy. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/cerebral-palsy/symptoms-causes/syc-20353999 . Published September 1, 2021. Accessed March 14, 2023.
Cerebral palsy. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/cerebral-palsy . Accessed March 14, 2023.
What is Cerebral Palsy? Centers for Disease Control. What is Cerebral Palsy? | CDC . Published May 2. 2022. Accessed March 17, 2023.
Cognitive Impairment and Cerebral Palsy. CerebralPalsy.org. Cognitive Impairment and Cerebral Palsy | CerebralPalsy.orgCerebralPalsy.org . Accessed: March 17, 2023

Purposeful Play is Best When it's Free!

Thu, 02 Mar 2023 19:53:44 GMT

Purposeful Play Is Best When It's Free

In this week's podcast episode, we interviewed Courtney Young, a pediatric physical therapist with experience working in the neonatal intensive care unit, an inpatient pediatric rehabilitation center, and in outpatient pediatrics. Courtney gave us some excellent information about what to expect throughout the first year of development. She also gave us some great recommendations for ways to work on these activities at home. In this blog post, we are going to share a few more creative ideas to integrate purposeful play while working towards developmental gross motor milestones throughout the first year!

Tummy Time :

1. Lay the baby on parent's chest when they are laying down or in a recliner

2. Put the baby on an exercise ball or with a boppy under their elbows to make it a little easier to push up

Pro Tip: If your baby is struggling to tolerate tummy time, try getting on the floor with them or putting them in front of a mirror with some toys that can suction to the mirror. You can also try placing the baby's elbows under their shoulders to help them press up and build strong shoulder muscles.

Sitting :

1. Sitting in a laundry basket. This can be a great one to work on supported sitting, or you can gently move the laundry basket around for more of a challenge.

2. Sitting on a couch cushion, exercise ball, or anything squishy.

3. Sitting on a blanket while being pulled around on the floor.

Crawling :

1. Build an obstacle course with couch cushions to crawl over. You can also set them up on a sturdy object as a ramp to crawl up/down.

2. Try crawling through a tunnel or making a bridge out of dining room chairs or cushions and a blanket if you don't have a tunnel.

3. Play in kneeling with hands on a weighted laundry basket, sturdy box, etc.

4. Try walking on their knees with their hands on a laundry basket or push toy.

Cruising :

1. Try transitioning between the couch and a side table or coffee table. You can gradually increase this distance to increase their confidence with standing.

2. Try putting couch cushions on ground to walk along while side stepping at the coffee table.

3. Try putting a small step stool or large hardcover book on the ground for them to step onto/off of while side stepping at coffee table

4. Try having them step over a parent's leg, foam block, small ball or rolled up blanket to work on weight shifting.

Walking :

1. Pushing a weighted laundry basket (because who doesn't have a laundry basket full of clothes needing to be washed or folded at all times?)

2. If your little one is really close to walking but still wants to hold a hand, try having them walk with you supporting their hips or shoulders instead of their hands. You can also have them hold a pool noodle, hula hoop, towel, etc while you hold onto the other end to improve their confidence in walking without holding onto you.

Pro Tip: When walking with a push toy, if your little one is pushing the toy too fast or too far in front of themselves, you can put ankle weights on the bottom of the toy or try rubber bands around wheels to slow it down.

Resources :

Spark a Movement Podcast

Free Printable Activities Archives - The Inspired Treehouse

Pathways.org | Tools to maximize child development

CDC Milestone Tracker App

BabySparks , Kinedu , and Playfully Apps (family recommended)

KinActive Kids Instagram Page

Feeding Littles (@feedinglittles) (Instagram photos and videos)

Breaking Barriers Regarding Disabilities

Wed, 15 Feb 2023 16:31:22 GMT

Breaking Barriers; Regarding Disabilities

MEDICAL DISCLAIMER:

In this episode, we have the privilege of talking with Austin and Zoe Munro, a couple that is breaking barriers when it comes to ableism and society’s view of inter-abled couples.

To hear PMC's exclusive interview with Austin and Zoe on how they met to how his treatments have helped, click the link below to listen to the full podcast.

Austin, who happens to have SMA, discusses what being involved in the community at a young age did for him. He and Zoe met at a summer camp for individuals with SMA. At the time, the camp was held at a location called Camp Maria, however currently it’s held at a location called Camp Fairlee. If you or someone you know may be interested in signing up for this camp, more information can be found here:

https://www.mda.org/summer-camp

For those looking for more information regarding the treatment that Austin is currently receiving, there is an informational link below. We must stress that you talk with your doctor if you are thinking about pursuing this treatment as this content was created solely for informational purposes only and should not be used as medical advice or treatment.

https://www.spinraza.com/?cid=PPC-GOOGLE-Branded_DTC_Exact~S~PH~UB~NER~DTC~BR-spinraza-NA-p74193519061&gclid=CjwKCAiAheacBhB8EiwAItVO2wUSI2AOpuJn3X_ONCrJa82-uM5DHXxQ35AFq1KkqcitcLwpd-QPgRoC7RAQAvD_BwE&gclsrc=aw.ds

The link below will take you to a non-profit organization managed and founded by a gentleman that also has SMA. A child in the Hagerstown area received an adaptive bike that was covered by this organization!

https://www.laughingatmynightmare.com

For other helpful resources you can visit the following links for more information:

https://www.smaangels.org

https://rarediseases.org/membership/

For community forums available to you visit any of the following links provided:

https://www.facebook.com/groups/SMASupportSystem/

https://www.facebook.com/groups/330924146918643/

https://www.facebook.com/groups/367131646647908/

https://smanewstoday.com/forums/

http://www.smasupport.com/chat_list.htm

Milestone Moment - Harlow!

Mon, 09 Jan 2023 21:15:51 GMT

PMC ALL STAR: Harlow

Harlow started physical therapy at Pediatric Movement Center in 2019. At that time, she struggled with coordinating certain motions, with her balance and with her posture. Harlow worked very hard in PT and accepted all challenges presented. She even rose to challenges she didn't find to be her favorite, like squats!

You wouldn't believe Harlow now! She loves showing off both on the balance beam and also how long she can hold the egg pose! Harlow said that she is going to enjoy just being a kid now that she graduated PT!

We know you'll do great things Harlow!

Posted with permission.

Every Child Deserves the Right to Ride a Bike

Thu, 15 Dec 2022 21:14:17 GMT

In this week's podcast episode , we were lucky enough to sit down with Leigh Burke, the Executive Director of the National Capital Region of Variety, A Children's Charity. Variety is a fantastic organization that supports families of children with mobility impairments. The World Health Organization estimates that approximately 93 million children aged 0 to 14 live with a moderate to severe disability worldwide and Variety's goal is to improve the quality of life for as many of these children as possible.

Variety is an international organization with a local chapter called the National Capital Region that supports our families here in DC, MD, and VA. We are so grateful for the work they are doing and have been fortunate enough to work closely with them and see the impact, firsthand, that they have had on several of our families. Variety raises money through a variety of different events such as donations, movie theater fundraisers, walk run and roll events, etc. This money is used to provide grants to help cover kids' health care costs and mobility needs.

So far, Variety has raised $120,567,000 and helped 445,403 children in their mission to "fund and deliver effective programs that address the needs of all children locally and internationally." The goal of their programs is to "deliver children equity, independence, social inclusion, mobility and self-esteem by funding and delivering equipment and services" and we have been fortunate to see the impact of this first hand. Several of our families in the past have received grants through Variety and that money has been used to help get children wheelchairs, walkers, bathing equipment, adaptive bikes, etc,. During COVID, they also released an Emergency Small Grant that can be used to help support families who have been financially impacted by decreased work hours, increased illnesses and hospitalizations, increasing cost of living, etc.

One of our PMC All Stars, Kassadey, got to experience first hand just how impactful this charity can be. Kassadey relies on her wheelchair as her primary means of mobility. She always dreamed of being able to ride a bike with her friends. However, she requires a little extra support than standard bikes provide and her insurance wouldn't cover an adaptive bike for her. We got Kassadey and her family in contact with Variety and they worked hard to raise money and were able to help her family purchase her very own adaptive bike! Kassadey loves riding her bike and is so glad to be able to participate in bike rides with her family and friends. We are so thankful to Variety for all they've done for Kassadey and all the other children they support!

To find out more about Variety as a company, or our local chapter, please visit the links below. We have also included the Emergency Small Grant Application below. If you have specific questions about Variety or how to get involved, please contact Leigh Burke at leigh@varietydc.org , 202-962-0054.

Resources and Information

Who We Are - Variety - the Children's Charity

Variety DC – The Children's Charity

Small Emergency Grant

Shout out to Nature Cordelli, PT, DPT for sharing her knowledge!

Gifts/Toys: Therapist Recommended!

Mon, 12 Dec 2022 19:04:13 GMT

Therapist Recommended Items/Gifts

Looking for the Perfect Gift?

We have compiled a list of some items that our therapy team thought could be useful! Most of these items support gross motor, fine motor, and/or speech development in some way or another. You may recognize some of these items!

Related to Speech/Communication :

Fishing Pole Magnetic Fishing/Model language : Great for labeling (color, labeling, in/out) and turn taking. ( age group:3-5)
School Bus/Model environmental sounds : Great for pretend play, taking about routines ( age group: 3-6)
Ice-Cream Play Set/Pretend play: Great for turn taking, model language (age range: 3 yrs+)
Cupcake Party/Direction following : Great for pretend play, turn taking, and modeling language (age range: 3 yrs+)
Beware the Bear: Great for turn taking and modeling language (age range: 2 yrs+)
Jumping Jack Rabbit : Great for turn taking and modeling language (age range: 2 yrs+)

OT Related :

Pretend Kitchen Set: Great for grasping and putting things together (age group: 4-6 yrs)
Play-Doh Dino Crew Crunchin' T-Rex: Helpful with fine motor skills (age range: 2 yrs+)
Memory Game: Great for hand mobility, helps with handle muscles
Jigsaw puzzle: Great for sorting, comprehension (age group: 2-5 yrs+)
Mickey & Friends Fire Truck & Station: Great with improving fine motor skills (age range: 4 yrs+)
Zenimal/Sleep device: Helpful tool for children that have trouble falling asleep or staying asleep (age group: 4-8 yrs)

Related to PT :

Operation: Helpful for fine motor skills (age range: 6 yrs+)
Clamp Bee to Hive Matching Game: Great for improving fine motor skills (age group: 3-5 yrs)
Bop It: Helps with coordination/active comprehension (age range: 8 yrs+)
Turtle Step Stones: Great for gross motor skills development (age range: 5 yrs+)
Hula Hoops: Great for gross motor skills (age range 4 yrs+)
Sensory Pad Matching Game: Great for gross motor, moving around (age range: 4 yrs+)

Milestone Moment - Emerson!

Tue, 06 Dec 2022 19:55:15 GMT

PMC ALL STAR: Emerson

Meet our PMC ALL STAR: Emerson

Emerson started physical therapy at PMC in 2021. She came with hopes of improving her overall strength, posture and balance.

With the help of her parents, Emerson has worked very hard and has met each of her goals! Emerson started with SMOs (a type of orthotic) to help with ankle stability. Emerson now only needs chipmunk shoe inserts, which means she doesn’t need nearly as much support!

In addition, she is more confident in exploring her environment and trying new things. Now she enjoys jumping and running, especially to race Ms. Hillary to the waiting room at the end of her sessions. She really loves to brag that she is always the winner!

We are sure going to miss this sweet & spunky cutie and her sense of humor! Keep doing great things Emerson!

Posted with permission.

Milestone Moment - Dylann!

Tue, 29 Nov 2022 17:40:08 GMT

PMC ALL STAR: Dylann

"Dylann is one of the hardest workers in our classes! She started joining parts of my Inspired Movement (adaptive class) on Wednesdays last year during her physical therapy appointment- she always wanted to try the jumps and tricks the other girls in my class were doing and did great with our obstacle courses. After getting used to the structure of our class and approaching 'graduation' from physical therapy Ms.Tina was able to adapt the class to meet Dylann's therapeutic goals so that she could join the whole class with us. Dylann gained so much strength and was quickly able to kick her legs over her head into a handstand. Now that she has fully graduated physical therapy she joined our juniors gymnastics class! She is doing absolutely amazing! She follows the class structure, tries her hardest always, and wants to help others the whole class. Dylann has great jumps, handstands and rolls - and is learning her cartwheel!" -Emily F. (Community Wellness Manager)

"Our family is forever grateful for PMC. Dylann started physical therapy when she was a toddler. Her mobility was limited and her endurance was low. She started working with Ms. Tina and she just took off. Even through a kidney transplant and then COVID, Tina continued to push Dylann to her full potential. Now she is a strong 7 year old who loves to run, play hockey and has recently joined the junior gymnastics at PMC, with high hopes of participating in the Special Olympics one day!

I wasn’t sure my daughter would ever be able to keep up with the kids at school, ice skate or do cartwheels but here we are. We definitely wouldn’t be here without Ms. Tina and the PMC family!"

-Mandi (mom)

We are beyond proud of you Dylann - keep on pushing through those boundaries and being amazing!

Posted with permission.

Creating Healthy Food Habits

Tue, 22 Nov 2022 17:31:31 GMT

3 Ways to Improve Your Eating Habits

Having a diet filled with a variety of nutritious foods is important for overall health and wellbeing. Today with so many demands on our time, it may be difficult to make eating healthy a priority. In episode 5 of our Spark A Movement podcast, host Chloe chats with Haylee, Principle Agent Associate with the University of Maryland giving our listeners tangible ways to make healthier habits and choices for the whole family. In today's post, we wanted to share some of the tips Haylee shared with us to help you kick start healthier habits for you and your family!

Habits

Eat appropriately sized proportions
Talk positively about healthy food regularly with your family (example talk about the taste, textures, nutritional value)
Get moving to help with with a healthy lifestyle

Choices

Always aim for health ier choices, constantly improving your eating habits incrementally
Involve the entire family in the cooking and eating process

Planning

Plan weekly meals
Reduce food waste
Save money
Find creative ways you can "repurpose" meals to make them new
Include your family in the preparations
Family can plan weekly menu & create a list of ingredients
Give children options at the grocery store (example: Would you like to try broccoli or carrots? ) in order to have them feel included and involved in family meal preparations

Resources for Families

Thanksgiving Family Fun

Tue, 22 Nov 2022 13:00:00 GMT

Fun & Engaging Thanksgiving Activities!

The holiday season is upon us, which means lots of family time! If you’re wondering what to do with your kids this Thanksgiving, we’ve got you covered! It is so important to keep kids engaged and involved while at home during these times!

Here are some ways you can incorporate fun activities from physical therapy, speech therapy, and occupational therapy into your Thanksgiving:

Let's Chat (activities involving speech):
Thankful words - Get your kiddo(s) to say what they are thankful for or to say “thank you.”
Read books that are holiday themed or books that have something to do with fall. Depending on your child's skill and comfort level, ask them questions about the pictures in the book. Point out certain words or pictures throughout the story to gauge your child's understanding.
Have your kiddo make drawings of their favorite thing about Thanksgiving and have them describe what their drawing is. Be sure to compliment them on their creativity!
Let's Move (activities involving movement):
Have a scavenger hunt. This may consist of finding things outside like leaves or even a pumpkin (toy or real). This can be a fun way to get you and your kids up and active!
Obstacle course -Make an obstacle course out of things from your living room! Gather things in an open area: pillows, boxes, sturdy items are sure to do the trick!
Color game - someone calls out a color, and the other person has to run, skip, and/or jump to something that color! This is a great way to work on coordination and comprehension skills!
Let's Use our Hands (activities involving fine motor skills and our hands):
Let your kiddos help with making food; anything safe within their ability and under supervision. This could be gathering ingredients, putting ingredients in a bowl, helping stir something in a bowl, etc.
Turkey crafting activity - Have your little one make their own turkey with different color/shaped construction paper. Then help them put all of the pieces together with glue or tape!
Make small presents together for guests invited for dinner or anyone coming over. This could be something as simple as a drawing or maybe even a small gift bag.

We would love to see how you incorporated some of these ideas for your kiddos - so please feel free to send us a message with a photo or tag Pediatric Movement Center in your post(s) on Facebook or Instagram!

Ideas and Sources Used:

- https://www.expressable.com/learning-center/tips-and-resources/8-thanksgiving-themed-speech-therapy-activities

- https://www.countryliving.com/diy-crafts/g4698/thanksgiving-games/

- https://www.theottoolbox.com/thanksgiving-activities-for-kids/

- https://www.communicationcommunity.com/top-5-thanksgiving/

Milestone Moment - Eleanor!

Mon, 21 Nov 2022 13:00:00 GMT

PMC ALL STAR: Eleanor

PMC All Star: Eleanor

Eleanor might be small, but she is MIGHTY. Eleanor was born at 29 weeks at just under 3 pounds. From the very beginning Mom and Dad knew Eleanor was a fighter. Eleanor first started coming to PMC in May of this year when she was just over a year old. Approximately two months prior to coming to PMC, Eleanor was diagnosed with Cerebral Palsy. When the therapist first met Eleanor and her mother, they clicked very quickly and Eleanor was able to tolerate being handled, positioned, and stretched with minimal to no crying. Every child's level of comfort varies. When Eleanor started PT she was only rolling front to back (Eleanor HATED belly time), she was not able to sit, she didn't have any protective reactions, and she had very little experience with standing. Eleanor was able to get a pair of braces quickly and we got right to work with standing and taking steps. Eleanor has been working extremely hard in the clinic and her family has really helped carry over the hard work at home as well! Consistency really does pay off!

Ms. Meghan has been seeing Eleanor for approximately 6 months and shared that the progress Eleanor has made to this point is truly incredible!

Here are some of the awesome things that Ms. Meghan wanted to highlight in Eleanor's progress:

She is able to sit on a step for minutes at a time, and she is able to catch herself from falling to the left (righty is coming right along as well).
She is rolling all over the place!
She is able to stand with support at a surface and play. She can stand up from sitting WITHOUT support from her arms to pull herself up.
Best of all: she has taken off with walking in her gait trainer.
Eleanor is very motivated to move towards dogs, veggie straws, and light-up toys! She is able to army crawl and is now working towards crawling on her hands and knees.
Eleanor LOVES the pool and is very excited about being able to do aquatic therapy in 2023!

We are so proud of all of the hard work she and her family have put in and we can’t wait to see what she does next!

Posted with permission.

Milestone Moment - Lori!

Mon, 24 Oct 2022 12:00:03 GMT

PMC ALL STAR: Lori!

Lori initially came to PMC for physical therapy. She had an illness, hospitalization, and she was having a hard time with some things that she used to be able to do with ease. By not being able to do some things, Lori's daily life was being impacted in a major way. Lori worked hard and ended up doing so well that she eventually graduated from physical therapy. Upon graduation from PT, Lori entered into our Physical Health & Wellness Program (PHWP) working with Ms. Olivia C.! Lori is a sweet and sassy lady who brings spunk and spreads her sparkle everywhere she goes!

Lori's sister, Lynn, shared:

"Lori’s story begins in September of 2021 when she was diagnosed with Covid. She was on oxygen and in ICU for 22 days. When she came home, she was still on oxygen and she could only walk 4-5 steps before needing to sit down. Lori no longer could walk up or down stairs. Fast forward to present, Lori’s back to her old self, no oxygen and strength level is back to normal with the help of PMC! We can’t say enough about all of the staff! Everyone has shown so much attention, care and love to Lori. Lori's whole family is so thankful for everyone at PMC!"

Ms. Olivia C. has really enjoyed working with Lori:
"Lori is a light to PMC! She is a rockstar in everything she does! She has made so much progress since having COVID last year and is getting even stronger than she was even before she had it! She makes my days brighter and is a trooper with everything we do. We started off needing multiple breaks when walking and now we are walking almost 2 laps around the building consecutively! Amazing job Lori, keep up the great work!" - Ms. Olivia C.

We cannot wait to see where Lori goes from here!

Posted with permission.

Milestone Moment - Tucker!

Mon, 17 Oct 2022 12:00:04 GMT

PMC ALL STAR: Tucker!

Tucker has been a patient at PMC since 2020.

Since Tucker started, he has made great progress toward his goals! He is now using scissors to cut with minimal assistance, lacing beads independently, demonstrating increased success with prewriting strokes in prep for handwriting, and engaging in gym and therapy room play with increased awareness of self and others. He has also been able to allow more flexibility with his play routine and has enjoyed simple turn taking play with his therapist!

Some of Tucker's favorite things to do at PMC:

use the swings for large movements
carry weighted balls up the steps to push down the slide
run on the air mat and hit a balloon to back and forth

We cant wait to continue to watch you achieve your goals Tucker! Keep up the great work!

Posted with permission.

Let's Talk About Dirt

Thu, 13 Oct 2022 13:19:00 GMT

Episode 04: Spark A Movement Podcast

Featuring Kayla Souza of the Little Lilac Preschool

In our latest podcast episode, we interviewed Kayla Souza, an educator who emphasizes outdoor play. Kayla discussed many of the benefits of spending time outside. Be sure to tune into the episode here ! Today, we’re going to dive a little deeper into the science behind outdoor play and its affects on individuals.

4 Reasons Why We Should Love Dirt

1. Lowers Stress & Build Stronger Immune Systems

An Integrative Physiology Professor, Christopher Lowry, from the University of Colorado, found that dirt contains Mycobacterium vaccae, a bacteria that is linked to improvements in mood, lower rates of stress, and stronger immune systems. It also has long lasting anti-inflammatory effects on the brain. This means that spending time in direct contact with the dirt makes us relax and feel happier and healthier and who couldn’t use a little of that in this post-COVID world.

2. Double Dose of Joy
Our bodies produce things called neurotransmitters which are basically messages that are sent from our brain to our body to tell us what to do and how to feel. One of these messages is dopamine, which is also called the “feel-good” hormone. Dopamine is released during physical activity (this is what causes the “runner’s high”) and when you learn something new which is what gives you that sense of pride and accomplishment. Playing outside is the perfect combination of physical activity and learning opportunities to create a double dose of joy, making it even more fun and exciting.

3. Exercise Your Brain

Learning new skills is also an exercise for your brain. An article by Central Connecticut State University found that people who reported not learning skills often also had higher rates of boredom. While a little bit of boredom is necessary to spark creativity, people who reported being bored over long periods of time are also twice as likely to develop heart disease as people who reported minimal boredom. Learning new skills often has also been shown to slow the progression of Alzheimer's Disease. This means you need to get off the couch, put the computer away, and go play in the dirt a little bit. It’s good for your heart and your brain!

4. Reduce Your risk of Seasonal Affective Disorder
Fall has arrived in full force and Winter isn’t far behind. Seasonal Affective Disorder (SAD) is a condition that impacts over 10 million Americans a year. SAD is a mood disorder that occurs during Fall and Winter and is caused by decreased levels of melatonin and serotonin which alters people’s sleep patterns and emotions, leading to feelings of depression and fatigue. SAD is thought to be caused by prolonged time spent indoors and decreased sun exposure and is treated with Bright Light Therapy which uses special lamps to mimic the natural effects of sunshine because sun exposure also increases dopamine levels.

Key Takeaways

Spending time playing outside in the dirt and the sunshine gives us so many physiological, mental, and emotional benefits, but it also provides the opportunity to learn real skills in the real world.

In our podcast episode “The Benefits of Outdoor Play and Child Development,” Kayla talks about how she teaches her preschool class fine motor skills like using scissors while cutting flowers. What better way to learn how to use scissors than by using them for such a real world application. She also gives us great tips on how to bring indoor activities outside and how to get your tech-loving kid to start being comfortable with spending time outside.Taking kids outside can sometimes feel daunting, especially for families who may be living in apartments or condos, crowded neighborhoods, or in areas without a ton of green space, but everyone can still benefit from outdoor play. Whether that means potted plants on a terrace or going on an hour long hike in the woods. The benefits only require a little dirt, a little sunshine, and a little fresh air.

References:

Milestone Moment - Jack!

Mon, 10 Oct 2022 12:00:03 GMT

PMC ALL STAR: Jack

Jack has been seeing PT for a little over a year now and has made awesome progress!

When we started he was unable to sit independently or roll over. He is now rolling, scooting, sitting, and standing. He is starting to take steps with the assistance of our new Guldmann lift! His favorite activities are standing with support and clapping for himself or scooting in a circle to play with his favorite toys. We are so proud of the hard work he puts in every week. His smile lights up the room and he is always ready to clap for himself or anyone else around him. He is a little bit of a celebrity in Frederick and all of the staff loves to greet him.

We can’t wait to see what he achieves in the future and know there are big things in store for him! Keep up the great work Jack!

Posted with permission.

Milestone Moment - Charlotte

Mon, 03 Oct 2022 12:00:02 GMT

PMC ALL STAR - Charlotte!

PMC ALL STAR: Charlotte

Charlotte has been coming to PMC for physical therapy over the past several months to treat vestibular symptoms and significant car sickness. When she started attending therapy, she was unable to do many things that are necessary in her daily life as well as many little things that simply brought her joy. Charlotte was unable to ride the bus to school due to car sickness, watch TV with her family, use an iPad, and she was unable to complete her favorite pastime, reading for more than a few minutes, due to feeling sick.

After several months of hard work to strengthen her core, neck musculature, visual tracking, coordinating eye movements, and improving tolerance for spinning and other body movements; Charlotte is back to doing all of the things she loves! She is able to tolerate car rides up to 1 hour without getting sick and is able to read or watch her iPad for as long as she wants! She is back to doing cartwheels and jumping on the trampoline with her friends without any sickness!

We are so proud of Charlotte and the hard work she has put in! Even on days when she was experiencing increased dizziness she always participated with a smile on her face. Charlotte recently graduated from PT and we are so excited to see what she accomplishes with confidence that she can move and play without feeling sick! We cannot wait to see what Charlotte accomplishes next!

Posted with permission

Various Methods of Shoe Tying

Mon, 03 Oct 2022 12:00:02 GMT

Various Methods of Shoe Tying

Shoe tying is a skill that is ready to be introduced between the ages of 4 1/2 and 6. It can often be a difficult task for many school aged children but there are a few things you can do to make it easier!

Though it can seem like a rather simple task, it requires a multitude of skills to complete. From an occupational therapy perspective, we like to address hand strength, dexterity and even cognitive skills like being able to sequence steps and complete them in order. It is important to assist in the development of these skills to build readiness and set your child up for success with the task. To build on the skills needed to accomplish shoe tying, Playdoh or putty is often recommended to build strength alongside any task that promotes dexterity (manipulating in hand, using superior pincer grasp etc) or any activity that challenges you to use your hands in a skilled manor. As an example, this could be locating small items in the putty and hiding them, playing games with small game pieces, practice with lacing cards or making bracelets/necklaces, dressing with different sized buttons, twisting/intertwining rope or string. All of these things will assist and encourage your child’s ability to generalize the skills they have learned and developed to learn this new task. Once you see that they are ready to start practicing, it is important to note that not everyone can use the same method for completion. A method that you utilized to learn may not work for your child and that is okay! There are many different modified methods that can be introduced to help their success and encourage their mastery!

Here are a few of the methods we try to use:

The first: One loop method

1. Start by making a cross or X with your laces

2. Take the top lace under the cross/X and through the hole

3. Make a loop in one lace (one bunny ear)

4. Take your other lace around the loop you have made, push some through the hole at the bottom to make your second loop

5. Pull both loops tight

The second: Two loop method

1. Start by making a cross or X with your laces

2. Take the top lace under the cross/X and through the hole

3. Cross the loops

4. Move the top loop under and through the hole

5. Pull both loops tight

The third: Push and tie (PAT) method

1. Start by making a cross or X with your laces

2. Take the top lace under the cross and through the hole

3. Repeat steps 1 and 2 so that you have a loose knot

4. Take the end of one lace and pass it through the knot when it came out

5. Repeat this with the other lace

6. Pull both laces so that you have 2 bow loops

7. Pull both loops tight

In addition, it may be helpful to use 2 different colored laces or memory ties. Memory ties are special laces that hold their place once they are positioned, this makes it much easier to practice with as they hold their shape.

Here are some additional resources:

https://www.theottoolbox.com/shoe-tying/

https://www.theottoolbox.com/shoe-tying-tips-and-tools-for-kids/

https://www.tools4lifeot.com/2018/09/ot-tips-and-tricks-for-teaching-kids-to-tie-their-shoelaces/

https://www.growinghandsonkids.com/5-fun-fine-motor-activities-for-shoe-tying.html

If you have any further questions about additional modified methods or other ways to help your child master this skill, please reach out to your child’s occupational therapist! If you have not yet started occupational therapy at PMC and would like to have your child evaluated, please call 301-739-5437!

Happy tying!

A big SHOUT OUT to Ms. Olivia F. for sharing this important information with us!

Types of Equipment & FAQs

Thu, 29 Sep 2022 00:00:00 GMT

Types of Equipment & FAQs

Adaptive Beds:

What is an adaptive bed?
Adaptive beds come in many shapes and sizes and can range from a full enclosure option with sides and a top to prevent kids from climbing out of the bed in the middle of the night and injuring themselves to a bed option that can elevate the head or foot of the bed for improved postural positioning. They also have mattress options that can be used with a traditional bed frame but can be customized to add increased support.
Who would benefit from this?
Beds are commonly ordered for kids with Autism Spectrum Disorder or other conditions that are closely linked with kids having decreased safety awareness. They are also ordered for kids who have complex positioning needs such as kids who need to have their head elevated at nighttime for overnight feedings through a g-tube.

Activity Chairs:

What is an activity chair?
Activity chairs are an alternative seating option that can be used for better positioning during feeding and table activities.
Who would benefit from this?
Activity chairs are commonly ordered for kids who have a hard time sitting on their own or who may be able to sit on their own but have a hard time picking up their head or lifting their arms in this positions. This could lead to difficulty with playing and eating while sitting because they have to use so much energy to keep their body upright and don’t have the extra energy to reach and play.

Adaptive Car Seats:

What is an adaptive car seat?
Adaptive car seats are similar to a traditional car seat but they provide increased postural support and can be purchased in larger sizes.
Who would benefit from this?
Adaptive car seats are a good option if your child has outgrown the maximum size for a traditional car seat but continues to require the extra support from a car seat due to having difficulty sitting upright. They are also an option for kids who have very specific positioning needs that can’t be met with a traditional car seat, such as needing extra head or trunk support.

Adaptive Strollers:

What is an adaptive stroller?
An adaptive stroller is similar to a traditional stroller but can be modified to add extra support for better alignment for kids with difficulty maintaining good posture. They can also come in a greater variety of sizes and can be used for kids for a larger variety of sizes and ages.
Who would benefit from this?
Adaptive strollers are commonly ordered for kids who need extra postural support to keep them upright in sitting. We also order them for older kids who are walking but get tired easily and need a little help to walk longer distances or who are unsafe in busy environments (malls, parking lots, etc) and will run away from parents and caregivers.

Bathing/Toileting Systems:

What is this for?
These systems come in all shapes and sizes from a small, portable chair that can sit in the bottom of the tub or mount onto the toilet, to a large system on wheels that can allow someone to be rolled into the bathroom and positioned over the toilet or in the shower.
Who would benefit from this?
These systems are great for anyone who needs a little extra help with positioning during bathing and using the bathroom. They are often used for small kids who have a hard time sitting on their own and may fall over in the tub, kids who need to be up higher off the ground so family and caregivers can bathe them, or adults who just need a little help with positioning so they can be more independent with self hygiene.

Gait Trainers:

What is a gait trainer?
Gait trainers are similar to walkers that you may see an older person use but are designed for younger kids or adults who need more support than they could get from a traditional walker. Gait trainers come in all shapes and sizes from a tiny version of a walker to a product that can provide body weight support and be customized to the patient’s needs.
Who would benefit from this?
Gait trainers are great for anyone who needs help standing but will move their legs and attempt to step when supported. These are commonly used for kids who have decreased balance or conditions that impact their ability to use their legs.

Standers:

What is a stander?
Standers are a piece of equipment that can be used to support someone in standing.
Who would benefit from this?
Standers are ordered for people who are unable to stand on their own or who get tired very quickly with standing so they only stand for a short amount of time. It’s important for anyone over the age of 2 to be standing at least 1 hour/day for bone health, hip alignment, and digestion. Standers can be used for people who are unable to meet this minimum requirement on their own.

How does scheduling work?

If you are a current patient at PMC, talk to your therapist and ask if equipment maybe right for them.
If you are not a current patient at PMC, you are still able to get equipment with us! Just call the office and ask to speak with Stephanie, our amazing equipment scheduler.

Does insurance cover it? What does the process look like?

Here at PMC, our physical therapists work with equipment vendors to stay up to date on all the latest equipment that is released and ways to get it approved. The process starts with a thorough evaluation with the family, physical therapist, and assistive technology professional from an equipment vendor to analyze the client and family’s needs and discuss possible options that would be a good fit. Once a piece of equipment is decided upon, PMC and the equipment company work together to submit all necessary information to the insurance company to justify that the equipment is medically necessary and to try to get it approved. In the rare instance that your insurance company will not cover the equipment, we will also work with you to find other options to get you and your family the equipment you need.

How is this different from something we can get from the store?

This type of equipment is more personalized than something you could buy from the store. It is specifically designed for the client and their needs and is custom made for them. It can also accommodate a greater range in heights and weights and is designed to grow with the client for long term use. They also provide greater postural support for clients who need a little bit more help to maintain different positions.

Shout out to one of PMC's amazing Physical Therapist, Nature, for sharing this valuable information and answering so many frequently asked questions for us!

Benefits of Aquatic Therapy

Tue, 27 Sep 2022 23:00:00 GMT

Benefits of Aquatic Therapy

Does your child enjoy being in the water? Did you know that there are therapeutic interventions that can be done in

the water? We have some very exciting news!! PMC will soon be expanding their therapeutic offerings to include

aquatic therapy.

What is Aquatic Therapy?

It’s just like it sounds! Your child can do PT, OT, or Speech therapy in an aquatic environment. Your therapist will use

the properties of the water to enhance their therapy program and reach short term goals that can then be carried over

outside of the pool.

What are the benefits of Aquatic Therapy?

As someone who has spent a significant portion of her career in and around pools (as well as most of her childhood),

I can tell you there are SO many benefits to being able to do various therapies in an aquatic environment!

Here are just some of the many benefits:

Buoyancy can help your child to maintain because it floats the body.
The warm water of a therapy pool (around 85 degrees) can help your child to relax tight muscles, increase

ROM, and decrease high tone

Warm water can help to decrease muscle spasticity and rigidness and has been shown to have some carry

over outside of the pool

The water can also add resistance to movements and help your child increase strength.
For children recovering from fractures, working in the pool can help decrease pain which can lead to your

child returning to a normal gait pattern sooner

For children who have increased sensory needs, the water can give them additional sensory input and allow

them to be able to focus more on their therapy goals

Aquatics is also a great way to add variation to your child’s therapy routine. Working on goals in a new

environment can help to give them a boost of confidence and then be able to carry over those skills out of the water.

Who will benefit from being in the pool?

There are so many varying diagnoses that have been shown to benefit from working in an aquatic environment.

These are some of the common diagnoses we treat here at PMC:

Cerebral palsy
Down syndrome
HIE
Developmental coordination disorder
Autism spectrum disorders
Traumatic brain injury
Spina bifida
Fractures
Various decreases in ROM
Sensory processing disorder
Neuromuscular disorders

If you might be interested in having your child participate in aquatics as a part of their current plan of care, please speak to

your child’s therapist or give our clinic a call. Aquatics will only be available at the Hagerstown location; but it is open to all PMC patients as deemed appropriate by your therapist to work towards achieving your child’s goals. If you're interested in becoming a patient at PMC, please contact our clinic to schedule your child's evaluation(s).

Huge thank you to one of PMC's very own PTAs, Meghan Tullos, for sharing her knowledge and experience with us!

Milestone Moment - Jake!

Mon, 26 Sep 2022 12:15:00 GMT

PMC ALL STAR: Jake

In early 2019, Jake had a major spinal surgery. When he returned to PMC post-op, he was only able to stand for about 10 seconds before trying to sit back down. Jake has been working very hard to regain the strength and endurance that he had prior to his surgery.

Through his diligence and hard work, he is now able to walk 2 full laps around our Frederick clinic, (about 200 feet) by himself! He's able to stand using his arms for balance on a platform for over 10 minutes. Jake is even able to dance when he is standing and loves every second of it! You can often find Jake walking around the Frederick clinic saying hi to everyone and knocking on all of the windows and doors. Jake is a well-known part of the PMC community. He has made so much progress and we are incredibly proud of the work he has put in!

"He is an absolute joy to work with as his constant happiness is contagious to anyone he comes in contact with! - Ms. Meghan

We're so proud of you Jake and we cannot wait to see what you accomplish next!

Posted with permission.

Car Seat Safety Tips (Part 1 of 3)

Wed, 21 Sep 2022 19:53:09 GMT

Tips to increase safety when traveling

Keeping our kids safe is one of the most important things we can do! With a new school year starting and an increase in extra-curricular activities our kids will be riding in cars more frequently.

Question: So how do we keep our kids as safe as possible in our own cars?

Answer: By making sure they are properly restrained and using a child safety seat as intended!

8 helpful car seat safety tips:

Check the sticker on the back of any child safety seat...is it expired?
Do you know the history of the seat? If you don't, you should replace it.
Has the seat ever been in a car accident? If so, it needs to be replaced. Minor damage is not always visible.
Is your child's car seat installed properly...the car seat manual AND your vehicle manual should be referenced for installation.
Children should be rear facing until they have maxed out the height OR weight of their rear-facing convertible carseat (yes, this means that some 3 & 4 year olds should continue to ride rear-facing).
A rear facing car seat should NEVER be placed in the front seat of a vehicle.
When securing your child in a 5-point harness the top straps should be tight enough so as to not allow you to pinch the strap material together.
The safest car seat for your child is the car seat that you can consistently install properly...all car seats in the US are regulated for safety standards, as long as the seat has been installed properly.

IMPORTANT UPDATE (State of Maryland)

"Transportation Article 22-412.2 (Child Restraints)

Maryland’s Child Passenger Safety Law (effective October 1, 2022 ) requires that children under eight years old ride in an appropriate child safety seat ,* unless the child is 4’9” or taller, according to the vehicle and child restraint instructions.
Every child must ride rear-facing in an appropriate car seat until at least age two.

*Child safety seat includes: harnessed car seats and belt positioning booster seats and other federally approved safety devices. "

Information pertaining to Transportation Article 22-412.2 (Child Restraints) taken from Maryland KISS (Kids in Safety Seats) website: https://health.maryland.gov/phpa/OEHFP/KISS/Pages/mdlaw.aspx .

Please keep in mind, this does NOT mean your child should be turned to forward facing on their second birthday. Best practice continues to be extended rear facing until your child reaches the maximum height OR weight as determined by your seat manufacturer. Rear facing helps to protect your child from catastrophic injury during a collision due to their vertebrae not being fully ossified until 4-5 years old.

If you have specific questions about how your child's seat is installed, our Frederick PTA Meghan Tullos, who is a certified child passenger safety technician, can help! Call to set up an appointment with Meghan (available in Frederick and Hagerstown) at 301-739-5437!

Updated 09/21/2022

What is a vestibular disorder?

Tue, 20 Sep 2022 23:00:00 GMT

What is a vestibular disorder?

Vestibular dysfunction is a disturbance in the body's balance system due to a disruption of the vestibular system in the inner ear, the central nervous system processing centers, or both. Your eyes, brain, inner ear, and nerves in your feet and spine work together to keep you balanced and when any part of that system is off, you can feel dizzy.

What causes a vestibular disorder?

Most commonly in children vestibular symptoms are brought on by vestibular hypofunction, leading to dysregulation of the system within the inner ear. This causes increased perception of movement by the brain resulting in a feeling of dizziness. When your eyes see one thing, your muscles feel another, and your inner ear senses something else your brain will receive mixed signals resulting in feeling dizzy and sick. Illness can increase these symptoms or be the cause of the initial onset of vestibular symptoms. Other causes can include a head injury or migraines.

Symptoms of a vestibular dysfunction:

car sickness
complaints of dizziness with motion
inability to tolerate reading or watching the TV without dizziness or upset stomach
decreased balance
nausea with activity or movements
increased falls

When to see a Physical Therapist:

You should seek treatment any time a child is having symptoms that impact their daily functioning. For example; inability to ride the bus without getting sick, inability to read or watch the TV without feeling sick or dizzy, inability to complete leisure activities such as jumping on the trampoline or playing outside with friends.

How we treat vestibular dysfunction:

We work to habituate, or decrease the vestibular systems response to input. We work through a variety of exercises to improve visual tracking, core and neck strength, balance, and activity tolerance. We utilize the astronaut board and protocol to improve tolerance for increased vestibular input.

If your child struggles with car sickness, dizziness, or other vestibular symptoms, schedule an evaluation with one of our skilled Physical Therapists today to help them regain their freedom to be a kid again!

Thank you to Ms. Mackenzie, one of PMC's fantastic PTs, for sharing this great information with us!

Milestone Moment - Levi!

Tue, 13 Sep 2022 13:30:00 GMT

PMC ALL STAR Spotlight: Levi!

Levi's smile is contagious, and he is a pleasure to work with! He has made so much progress during therapy and recently completed a 3 week intensive program with Miss Hannah. Check out what his mom and Miss Hannah had to say about Levi's experience.

Mom says, "Levi looks forward to seeing his therapists every week. We are very happy with the quality of care, the selection of equipment, and the friendly atmosphere. The environment at PMC is like no other therapists office we've been to. It's perfectly tailored towards pediatrics. Levi had the opportunity to complete a 3 week intensive program following surgery. During that time, the treatment he received was exceptional. The strength gains have been noticeable in his daily life. We are so thankful the PMC staff was dedicated to helping him succeed!"

Miss Hannah says, "Levi is a rockstar in therapy! He recently completed a 3 week intensive, he got to wear the 'transformer suit' and loved going in the spider bungees. He works so hard in therapy and has made so much progress! I can't wait to see what progress he makes next!"

Keep up the great work, Levi. You're PMC family is cheering you on!

*Posted with permission

The Importance of Playtime featuring A Kid Again

Tue, 06 Sep 2022 18:24:11 GMT

A Kid Again is an awesome organization that sponsors fun and free adventures for kids with life-threatening conditions and their families. In our podcast episode "The Importance of Playtime Featuring A Kid Again " we interviewed Kathy Derr, the Director of Family Engagement at A Kid Again and she shared her inspiring story about how her family was personally impacted by a life-threatening illness and how much it meant to her children to be able to prioritize spending time together and just being a regular family.

The Mission of A Kid Again

In their words, A Kid Again exists to "foster hope, happiness, and healing for children with life-threatening conditions and their families!" A Kid Again services children (with life-threatening illnesses) and their families by facilitating play opportunities for the family that recapture moments of pure joy, and simply enjoy "play" the moments of childhood. The opportunities that A Kid Again provide to its members include:

In-person adventures
Virtual adventures in-a-box
Gaming teams in ESports
Family meet and greet

A Kid Again serves children through the the age of 20. Once you enroll, A Kid Again provides families with year-round, cost-free adventures! In their words, "our Adventures will take your family to places like the zoo, sporting events, and amusement parks. During these unprecedented times, we are also providing non-traditional Adventures by sending activity boxes to your home. You won’t have to pay for anything, and all the details of the day are planned for you… so you can enjoy just being together as a family and take your mind off the next doctor’s appointment, hospital stay, or procedure."

A Kid Again: PMC Parent Perspective

One of our own PMC All Stars got to experience the benefits of this awesome program first hand when they sponsored a trip to Kings Dominion for local families in June. Maddox and his family have been through a difficult year filled with a lot of doctor and therapy appointments, hospitalizations, and insurance battles. He was recently hospitalized for a week right before their A Kid Again adventure and his amazing supermom, Bethany, said the trip was just such a blessing.

"It gave us something fun to look forward to during our difficult week with little to no sleep. Everyone who attended was so helpful and understanding. Everywhere we went someone was asking 'Do you need anything?' It was also just nice to have an opportunity to connect with other families who are going through similar things. It meant so much to us for Maddox to have the opportunity to just be a kid and run around and play like everyone else."

Part of A Kid Again's awesome mission is that these adventures are totally free for families who attend. They really understand how difficult things can be for these families and when you are spending all your money on medical care, it can be hard to find room in the budget for fun and adventures. Bethany was so grateful for this as well. Being a single mom who is only able to work part-time due to all of Maddox's medical appointments, it's hard to justify spending money on things like this. Bethany said "All we had to pay for was the gas to get down there and anything extra we wanted to buy. A Kid Again provided everything else which was so awesome!"

Thank you A Kid Again for working so hard to support the kids and families we love! We are so grateful to have a resource like this that we can share with everyone. It is so important to make time to enjoy and celebrate the time you have with the people you love and that can be hard to do in the busyness of life. Thank you for reminding us how important it is to take time to be A Kid Again.

Helpful Links

For more information on A Kid Again , please visit their website at: A Kid Again - Serving Children with a Life-Threatening Condition
A Kid Again is looking to serve as many families as possible. The more people who sign up, the more adventures they can sponsor! If you are interested in making time to be A Kid Again, please visit: Enroll with A Kid Again | Cost-Free Events for Kids | A Kid Again
Listen to the Spark a Movement podcast episode featuring Kathy Derr, of A Kid Again.

*Photos and story shared with permission

*Reference from A Kid Again from https://akidagain.org/

International Adoption Featuring the Graves Family

Mon, 29 Aug 2022 21:54:32 GMT

International Adoption

In episode 2 of the Spark a Movement podcast, Chloe was able to speak with Brunswick resident Phil Graves about his families experiences adopting two amazing girls, Elliana in 2017 and Brizzy in 2022, who are from Armenia and Ukraine, respectively. Each experience brought unique challenges, from fundraising to logistics, from changing plans to entering a country in the midst of war. Through grace, grit, and determination, the Graves successfully grew their family through all the twists and turns that can happen when adopting, especially internationally. The story continues as Phil, his wife Kristie, and the rest of the Graves family settle into their new normal as a family of 7.

Resources Mentioned in Spark A Movement Episode 2:

International Adoption Featuring The Graves Family

Learn More about the Graves Family: https://philandkristie.com/
Sunflower of Peace: https://www.sunflowerofpeace.com/
Reece's Rainbow: https://reecesrainbow.org/
Frederick News Post Article Home Safe: Ukrainian Adoptee Settles Into Life With Brunswick family:
International Adoption (Maryland Information): American Adoptions

Logistics of International Adoption

*Sourced from www.AmericanAdoption.com Please visit the website for more detailed information

1: Choose a country to adopt from & and Agency to work with

2: Apply For Adoption

Apply for adoption with U.S. Citizenship and Immigration Services. If you adopt from a Hague country, you’ll file Form I-800A . If not, you’ll file I-600A .

3: Family-Child Match

After you’ve been cleared for adoption, you’ll enter a waiting period for an adoption opportunity.

4: Adoption Process

According to www.Americanadoptions.com, "After you’ve traveled to bring your child home, you’ll need to apply for their immigration eligibility back to the United Sates. For Hague countries, you’ll file Form I-800 . For non-Hague countries, you’ll file Form I-600 . Once you receive the go-ahead for your child to immigrate, you’ll file form DS-260 to get your child’s visa. If both parents were present for the adoption in the foreign country, you’ll receive either an IH-3 visa (Hague) or an IR-3 visa (non-Hague). If only one parent was present in the foreign country or the adoption wasn’t finalized in the child’s native country, you’ll receive either an IH-4 (Hague) or an IR-4 (non-Hague) visa."

5: Finalize the adoption in the United States.

Finalize an international adoption in the United States, even when the adoption process was legally completed in another country to ensure that your child is an official U.S. citizen

Maryland International Adoption Agencies

Milestone Moment - Derek!

Mon, 29 Aug 2022 20:24:32 GMT

PMC ALL STAR: Derek!

Meet Derek!

Derek, a friend at PMC, has made amazing progress towards improving his quality of play as well as enjoying sensory play- on a swing, with water beads, & moving through obstacle courses. Derek has learned to play with a large variety of toys including:

Stacking blocks

Completing shape puzzles

Bowling.

He has also learned to explore the sensory gym & return to therapist led play. Derek is even starting to gain other skills, such as taking off socks & shoes. Derek continues to amaze us each day as he overcomes fears, learns new skills, & makes progress towards his goals. Derek also makes us all smile with his playful laugh. Way to go Derek!

Why is Play so Important?

Play is essential to a child’s learning and development. Functional play is when a child uses a toy for an intended purpose, such as rolling a ball & stacking blocks. Since play is the main occupation for children, developing play skills in kids is essential for learning new skills.

*Posted with Permission

Milestone Moment - Eleanor (KM)!

Wed, 17 Aug 2022 13:00:00 GMT

KidMotion ALL STAR Milestone: Eleanor!

KidMotion Milestone - Eleanor

"Eleanor has improved drastically within the span of a few weeks. She is the only student I have ever met that knew how to do a cartwheel but not a forward roll. From the start Eleanor was eager to learn and was excited to improve her skills, she is always motivated, attentive, and never fails to impress me. I have enjoyed watching Eleanor's progress over such a short period of time and cannot wait to see what she can do as classes continue! You rock Eleanor!" ~ Miss Brooke

Keep up the great work, Eleanor!

We love having you as part of our KidMotion family.

*Posted with permission

Milestone Moment - Addi!

Wed, 27 Jul 2022 13:00:00 GMT

KidMotion ALL STAR Milestone: Addi!

KidMotion Milestone - Addi

Addi is in our Level 2 gymnastics class. She is extremely persistent and it pays off. She is always by her instructors side and up for anything as long as she gets time to prepare first. Addi has fully mastered her back bend kick over and is now moving on to her back walkover! She has a desire to learn and improve and will pull her instructor aside to ask for pointers without.

Miss Brooke says "Addi never ceases to amazes me. I am deeply proud of the skills she has mastered and the person she is becoming! You're Amazing Addi!"

Keep up the great work, Addi!

We love having you as part of our KidMotion family.

*Posted with permission

Milestone Moment - Maddox!

Tue, 26 Jul 2022 17:57:10 GMT

PMC ALL STAR Spotlight: Maddox!

Maddox recently finally got his Bioness! We couldn't be more excited for him! Maddox has had difficulty picking his toes up when he walks, which causes him to trip and fall multiple times a day. The Bioness (which is a functional electrical stimulation (FES) system) helps him activate the muscles he needs to clear his foot and he was able to consistently heel strike for the first time ever with it!

Maddox was so happy with his new device he just kept clapping and yelling "yay" while running all around the clinic without falling FOR THE FIRST TIME EVER!!! We are so happy for Maddox and can't wait to see what's next for him now that he is moving so much better!

Keep up the great work, Maddox. You're PMC family is cheering you on!

*Posted with permission

Milestone Moment - Charlotte!

Thu, 14 Jul 2022 12:00:00 GMT

Success Story: Charlotte!

Charlotte was 2 months old when she started with PMC in April 2021. When she started, Charlotte was only looking to her left, had some trunk and neck tightness and GI distress. She was not a fan of being stretched and would cry frequently throughout her sessions. We began with stretching and positioning to help loosen up her muscles and strengthen her neck and trunk so that she could look to the right also. Next we progressed tummy time, prone propping and rolling. As soon as Charlotte was able to roll and move her neck symmetrically, she became a completely different kiddo. She was happy and smiling the whole time and did not mind being stretched anymore. Charlotte quickly began sitting on her own.
Now at 9 months old, Charlotte is crawling around and getting into everything at home! She is currently working on transitions from sitting to standing and cruising along the edge of furniture. Charlotte is progressing very well and will be walking before we know it!! -Hillary

Keep up the great work Charlotte!

We are so proud of you and are rooting you on!

Shout out to Ms. HIllary, one of our fabulous physical therapists, for her client dedication & for taking the time to share this good news!
*information shared with parental consent

Introduction to Aquatic Therapy

Wed, 13 Jul 2022 11:00:00 GMT

An Introduction to Aquatic Therapy

Did you know that there are therapeutic interventions that can be done in the water? Spoiler-they can! Physical therapy, occupational therapy and speech therapy can all be performed in the water!

The 5 Basic Benefits of Aquatic Therapy:

1. Better Balance and Stability

Water helps individuals to maintain balance in standing and walking as it floats the body.

2. Muscular Relaxation

Pools used for therapy are warmer (around 85 degrees) which helps:

Relax tight muscles
Increases muscular range of motion
Decreases high tone
Decrease muscle spasticity and rigidness

3. Reduce Pain

For individuals recovering from injuries such as fractures, working in a pool can help decrease pain and is easier because their bodies are supported by the water, which helps with energy conservation and more fluid movement.

4. Improved Mobility

Body's can move easier in water due to the fact that water's buoyancy offsets an individual's body weight. Because of this fact, there is less weight (and stress) on the joints, making it easier to move when the body is submerged in the water.

5. Sensory Input

Water provides sensory input for individuals, which can be particularly beneficial for those who have increased sensory needs, thus allowing individuals to focus more on their therapy goals.

Shout out to Meghan Tullos, physical therapist assistant for sharing her knowledge on the benefits of aquatic therapy! Meghan most of her professional career as an aquatic therapy provider, and has seen firsthand how beneficial aquatic therapy can be!

Milestone Moment - Maverick (KM)!

Wed, 22 Jun 2022 12:30:00 GMT

KidMotion ALL STAR Milestone: Maverick!

KidMotion Milestone - Maverick

Maverick is an amazing student! He has taken on the challenge of being in a higher skilled class and is working so hard on improving his skills. He has been working on his back handspring for some time now and His instructors are overjoyed with how far he has come!

“I have known Mav for many years now and I have learned two things from him. One is that once he sets his mind on something he will stick with it until it is completed and two that he will do anything to put a smile on your face. Keep up the great work Maverick, you’re amazing!” - Miss Brooke

Keep up the great work, Maverick!

We love having you as part of our KidMotion family.

*Posted with permission

10 Benefits of Summer Activities For Kids

Wed, 08 Jun 2022 18:00:00 GMT

Summertime at PMC!

We take summer fun seriously here at PMC! Available in both Hagerstown and Frederick, our inclusive summer clinics are action packed adventures for children (3-12 years of age) of all abilities available in a variety of themes to engage children! During our clinics, children are able to develop emotional, social and cognitive skills while having FUN in a sensory-rich environment! Each child that participates in one of PMC's summer clinics will be challenged to achieve individual & group goals while building confidence.

Benefits of Summer Activities for Children

Play Time = Developmental Growth!

Summer programs are the perfect way for children to mix up their "normal" school year routine to explore new activities. While our summer clinics are structured, "free play" time is intentionally added to each day to provide children with the opportunity to explore & create! During free play, self-regulating and thinking skills are built through imaginative play. This encourages further development of curiosity, wonder, creativity and so much more!

1. Develops Cognitive Skills

Summer activities give children the chance to learn through play! Children at play create, experiment, think, solve problems and learn! Through play, children are developing their cognitive skills which equipments them to solve more and more complex problems!

2. Improve Emotional Skills

Oftentimes during our summer clinics, children are exposed to a lot of new experiences. These experiences include new environments, new activities, new crafts, and new friends. Children will develop more emotional skills as they face new experiences, becoming more confident each day.

3. Improve Social Skills

Children are able to interact with their peers and teachers in a fun, relaxed setting. Children will listen to one another, communicate with one another and work together to get through challenges, and enjoy games/activities, promoting social skill development.

4. Promotes Independence

During scheduled free play time, students are encouraged to explore and may choose how they want to play, promoting independence and self-sufficiency while having fun, creative play time!

6. Teaches Teamwork

The ability to work with a team is a skill that is useful throughout one's life. Our summer clinics encourage teamwork and cooperation as children problem-solve challenges and play together! As children work with one another, they are developing stronger social, cognitive and emotional skills.

7. Stronger Than Yesterday

Students will develop new skills as they try new activities in a fun, supportive environment. The goal for each student is personal growth, becoming stronger than they were yesterday!

8. Builds Self-Esteem

Empower. Achieve. Inspire! Our instructors teach new skills, support individual goals, and challenge our students to reach their own unique potential, which boosts the self-esteem of each student!

9. Supports Healthy Living

During our summer clinics, children can participate in all kinds of fun physical activities in an interactive, neurologically-centered sensory environment. Our fun, movement-based games both entertain and support healthy living!

10. Develop and Nurture Friendships

Children get to interact with other peers in a fun setting. Through shared experiences (including overcoming challenges such as obstacle courses or a creative art project) children create and nurture genuine connections with one another.

Accessible Recreational and Leisure Activities for Children in Maryland

Thu, 26 May 2022 13:25:25 GMT

Fun For Children Of All Abilities

Playtime is essential in promoting healthy development, physically, emotionally and cognitively. When children play, they are learning! Through play, children understand more about the world around them, develop curiosity and creativity, improve communication and language schools, and promote global motor development. We are all have different interests and abilities, and as such, a variety of play experiences are necessary to meet those different interests and needs.

In the first episode of the Spark A Movement podcast, our guest described the difficultly of finding outdoor recreation parks that would be accessible, inclusive, and interesting to her children. We thought creating a resource that lists inclusive parks and facilities would be helpful for our community members. If you know of a facility or park in Maryland that you would like to add to the list below, please email our staff at team@pmchag.com with "Local Accessible Playgrounds" as the email subject with your suggestions to add to the list below.

Please note, the facilities and parks below are ADA accessible, with most having paved or solid surfaces, inclusive equipment and/or inclusive programming.

Anne Arundel County

Severna Park : The Gym For All Kids

Ballenger creek trail
Sophie and Madigan's Memorial Park

Frederick County

Frederick :

Ballenger Creek Trail
Chuckie Cheese
C&O Trail
Frederick Airport
Green Meadows Petting Farm
Monocacy Trail
Pinecliff Park
Sophie and Madigan's Memorial Park
Spinners

Middletown : Catoctin Nature Center

Thurmont :

Catocin Wildlife Preserve
East End Park

Walkersville : Sharon's Dance Studio

Baltimore City

Baltimore :

The Maryland Science Center
The National Aquarium
Port Discovery
SkyZone

Carroll County

Mt. Airy :

Hailey's Wish Playground
Watkins Reginal Park

West Minster :Mt. Airy Bowling

Washington County

Hagerstown :

Martin “Marty" L. Snook Memorial Park
C&O Trail

Williamsport:

Byron Memorial Park

Howard County

Columbia : Blandair Park

Columbia : Bitty and Beau's Coffee Shop

Columbia : AMC Theaters

Ellicott City : Roger Carter Community Center

Montgomery County

Bethesda : Capital Crescent Trail

Gaithersburg :

AMC Theaters
Longview School Boundless Playground
We Rock the Spectrum Gym

Rockville : Regal Cinemas

Potomac : Hadley's Park

Milestone Moment - Lorna

Thu, 12 May 2022 12:00:01 GMT

PMC ALL STAR Spotlight: Lorna!

Meet Lorna! Lorna is a sweet 10 year old girl who graduated from OT July 2020. She put in a lot of hard work and it paid off! Lorna struggled with reading and self confidence. With Miss Stephanie's help Lorna was able to put all the pieces together. She is now reading at the appropriate grade level and has applied for the Magnet Program for next school year. Woohoo, way to go Lorna! Not only has her reading improved but her confidence has gone through the roof.

Lorna, Miss Stephanie and the rest of the PMC team are so proud of you and we know you are going to accomplish great things!

Keep working hard and the sky's the limit!

*Posted with permission

Developing Language Skills at Home

Wed, 11 May 2022 13:30:00 GMT

How do we elicit language at home?

There are so many ways to develop and elicit language in the home environment. Parents can elicit language with toys and books they already have in the home.

Books are a great place to start.

Books can be used for:

Labeling (naming) vocabulary words
Identifying vocabulary words (find the...)
Answering WH questions ie. What is this?, What is it doing?, Where are they?, Who is it?
Simple directions ie. "Turn the page"
Learning about literacy
Sequencing of events ie. What came first... then... last?
And more! Each book offers new ways to expand a child's vocabulary, comprehension, and talk about social scenarios/good behaviors.

Play skills are very important to language and social development.

Turn-taking, and back-and-forth play, pretend play, and demonstrating object's function can be used with everyday toys or board games. Some additional ways to elicit language development with everyday toys include:

Using cars, trains, trucks, or anything that moves to produce "go", "stop", and car noises such as boom, crash, vroom, or choo choo.
Using a baby doll or Mr. Potato head to name or identify body parts, clothing items, and functional pretend play such as feeding a baby, putting a baby to sleep, or giving a baby a drink.
Shapes and Shape sorters to name/identify colors, shapes, and sorting objects.
Puzzles to name/identify, categorize, sort, and develop problem solving and thinking skills.
Toy animals are great for early communication and early speech sounds. Animals noises are a great way to elicit early sounds (/m, b, p, k, d, g, t/) and also naming/identifying early vocabulary!

Additional ways to elicit and entice communication include:

Waiting to five a child the desired object until they request "more" or "please".
Waiting to give a child help opening containers, doors, or reaching objects until they request "help" or "open". This "pause time" is used to give children the communication opportunity to respond. After "pause time", we continue with the activity (giving the child the requested object) and give a communication model.
Expand a child's utterance adding additional information ie. "ball red", to "the ball is red".
Labeling objects around the home.

Overall, we can incorporate language into our daily activities each day. Children are constantly taking in information from adults and their environment. For an example, during a daily walk we can talk about the colors outside (leaves, flowers) or practice actions such as walking, jumping, swinging, and skipping! There are endless possibilities and taking the time to talk to your children each day is a great first step to language development!

Thank you to Miss Julie, speech-language therapist and member of PMC's pediatric speech therapy team, for sharing her knowledge of language development in children! Your tips are also so helpful!

Tips to Promote a Tripod Grasp

Wed, 04 May 2022 13:00:00 GMT

Tips to Promote a Tripod Grasp

What is a tripod grasp?

A tripod grasp is the use of the index, middle finger, and thumb to pick up small objects, such as beads or cereal puffs. Using an appropriate or functional tripod grasp can be very helpful from infancy to adulthood. From skills sach as handwriting to more activities for daily life (ADLs) such as: eating with utensils and developing functional hand skills.

Why should you as a parent care about this?

It improves the fluency of handwriting
It encourages independence with ADLs such as self feeding
It helps build functional hand skills

How can on develop a proper tripod grasp?

This can be completed through many different activities involving play, hand strengthening, and practice. Many of the tasks we complete in daily life involve the use of tripod grasp and we do not even realize it!

Tips we can do to help with a better grasp:

Hand strengthening activities such as: play doh, kinetic sand, climbing, tongs and tweezers are a great place to start!
Manipulating small objects, like using small crayons to color with.
Writing, coloring, and painting on vertical surfaces (mirrors or walls) to encourage appropriate grasp and wrist/finger movement to manipulate pencils, markers, or paint brushes.

Occupational therapist can help improve a child's grasp by adapting play time to incorporate proper use of an appropriate tripod grasp. OT's can use a lot of materials and resources to allow children to explore and build their fine motor skills to prepare for holding writing utensils. Talk to your child's pediatrician or a licensed occupational therapist if you are concerned about your child's grasp or hand strength.

Thank you to Miss Lizzie, occupational therapy assistant and member of PMC's occupational therapy team, for sharing her knowledge of tripod grasp! Your tips are also so helpful!

Reading With Your Child

Wed, 27 Apr 2022 13:00:00 GMT

Reading With Your Child

It’s time to take a book off of the shelf and enjoy a new story (or an old favorite) with your child. While reading can be a fun way to engage with your little one, it’s also a great tool for supporting their speech and language development! Taking time to read together supports vocabulary development, early literacy skills, comprehension of language concepts, story-telling, and conversational skills. All of these are important skills for school-readiness and emergent literacy. Not to mention, it requires little preparation and uses something that we already have in our homes. With a little extra intention, we can use this beloved bed-time routine to help our children grow and learn.

The CROWD Strategy:

We can use the CROWD strategy to make reading together into a beneficial opportunity for promoting speech and language skills. CROWD stands for:

Completion:

Start a sentence and pause to let your child finish the sentence with a word.

Recall:

Ask your child to share with you what has already happened in the story

Open Ended Question:

Ask your child a question that has many possible answers such as “What’s happening on this page?”, “How do you think they feel?”, or “What would you do?”.

WH question:

Ask your child a WH question such as “Who is this?” or “Where is the ___?”.

Distancing Question:

Help your child make a connection with the story.

Let’s Practice with The Little Blue Truck by Alice Schertle:

Completion: “Wow! I see a blue ____”

Recall: “What animals did the truck already see?”

Open Ended Question/Statement: Tell me about this picture.

WH Question: “What is the weather?” or “Where is the pig?”

Distance Question: “Do you remember what car Mom/Dad drives?” or “Can you think of someone that drives a truck?”

Practical Tips

Supporting your child’s speech and language skills, and vocabulary development can be easy to integrate into your day by actively taking time for shared reading. Below are a few practical tips.

Reading together supports receptive language skills (helping my child understand what words and phrases mean) and expressive language skills (helping my child use words to communicate).
Shared reading also builds your child’s mean length of utterance (how long their phrases and sentences are when speaking).
If your child tends to get wiggly during stories , try to follow their lead. Feel free to talk about the pictures and let them choose the page, and the story they want to read. It’s ok to only read some of the words on the page, or even to skip the words altogether as long as your child is engaged with you.

If you have concerns for your child’s speech and language development, or want to learn more about strategies to use at home to help your child with their communication skills, please consult with a licensed Speech-Language Pathologist for further guidance and support. Thank you to Ms. Erin Cook, speech language pathologist and member of PMC's pediatric speech therapy team, for sharing her knowledge of reading with your children! Your tips are also so helpful!

Research was taken from:

Noble, C., Cameron-Faulkner, T., Jessop, A., Coates, A., Sawyer, H., Taylor-Ims, R., & Rowland, C. F. (2020). The impact of interactive shared book reading on children's language skills: A randomized controlled trial. Journal of Speech, Language, and Hearing Research , 63 (6), 1878–1897. https://doi.org/10.1044/2020_jslhr-19-00288

Preparing your child for their first day of preschool

Wed, 20 Apr 2022 15:30:00 GMT

How can I prepare my child for drop off?

Dropping your child off and saying goodbye can be emotional for both you and your child. Although most children adjust quickly to a new setting, some can have a hard time saying goodbye to their parents or caregivers. Your encouragement and reassurance can help your child learn that they will be okay in their new preschool. Below are a few strategies to help you and your child with drop off.

Prepare your child prior to their first day of preschool.

By preparing your child for “what’s to come” you can reduce some of their anxiety. Be excited and positive when you talk about preschool. Talk with your child about how much fun they’re going to have, what things they can expect to happen throughout the day, as well as reassuring them that you will be back to get them. Let your child know that you are leaving and you will be back. You might say to your child “ I’m going to leave in five minutes to go to work, but I'll come back to pick you up after lunch.

Resist the urge to linger.

Another way to help your child is by "dropping them off and going”. This can be hard because your child might be crying or clinging to you but the longer you stay the harder it becomes for you and your child. Remember, it is okay for a child to cry, and typically most children become actively engaged with play, a meal, or peers 10-15 minutes after a parent leaves. Surprisingly, many parents find the crying child they left that morning is now happily engaged in play and will sometimes now cry because they don’t want to leave!

Create a goodbye routine.

You can give your child a kiss to “hold” in their hand while you’re away. (“The Kissing Hand” by Audrey Penn is a sweet book where a mother raccoon reassures her child raccoon by kissing his paw) Some other ideas are to sing a special song together, give your child a small item from home to keep with them, or give them an extra big bear hug.

Hang in there, be patient, and positive while everyone adjusts!

Hang in there! New experiences and transitions may be difficult, but remember that it will get better with time! Make sure you prepare your child beforehand and reassure them that you will return to pick them up. This is a huge comfort for kids.

Thank you to Ms. Katrina, PMC's KidMotion College Instructor, for sharing her knowledge and experience in the contribution of the information in this blog.

Milestone Moment - Coen!

Thu, 14 Apr 2022 12:00:00 GMT

PMC ALL STAR Spotlight: Coen!

Coen began Occupational therapy at PMC working with Miss Anna to address decreased strength, handwriting skills, and visual deficits. He made a goal for himself to be able to complete the monkey bars independently. As time went on, Coen was referred to vision therapy where he received glasses to address binocular vision. Once receiving his glasses we saw an improvement in handwriting abilities and hand-eye coordination. Treatment sessions focused on strengthening activities, vestibular input to address PRN response, and visual motor activities. Coen now works with Miss Lizzie where he continues to show great improvements in his skills and will soon be discharged.

Coen is now able to independently complete the monkey bars multiple times throughout his sessions along with the rock wall showing little signs of fatigue.

Keep up the great work Coen!

*Posted with permission

Container Syndrome and the Importance of Floor Play

Wed, 13 Apr 2022 12:00:00 GMT

What is container baby syndrome (CBS)?

Babies that are born healthy and mobile that experience delays from being confined or contained for long periods of time.

What are containers?

Containers range from a bumbo seat or nursing cushion to a car seat or stroller. Other examples include swings, bouncy seats, vibrating chairs, or any other device that “contains” a baby and limits their movement.

Most common containers:

Carseat
Swings
Jumparoos
Bumbo chairs
Highchairs
Excersausers
Strollers
Vibrating chairs

How does this cause developmental delays?

Spending 10 or more hours when asleep on their backs and then further time in a "container" while awake can lead to delays in crawling, rolling, sitting, running, and speech and language. When a child spends time in a "container" it limits their opportunities for tummy time and mobility. Tummy time is essential for developmental of appropriate neck, back, core, arm, and leg musculature to allow for progression through gross motor milestones. Tummy time provides the opportunity to explore and interact with various sensory inputs and visual information.

Children learn through exploration and interacting with their environment. Without the opportunity to do so they will experience motor and cognitive delays.

Possible complications as a result of extended time in containers:

Flat head (plagiocephaly or brachycephaly)
Facial asymmetry
Torticollis: tight neck muscles resulting in a head tilt and rotation preference
Decreased movement, strength, and coordination
Sensory deprivation
Cognitive delays
Behavior difficulties
Lack of reflex integration
Delays in visual motor skills
Weight gain or obesity

Tips for avoiding CBS?

Limit time in "containers". Only use car seats for transportation and limit a babies time in other containers such as bouncer or swing for no more than 20 minutes at a time.
When the baby is awake have them on their tummy to interact with toys or in other developmental positions such as sitting (independently if baby is over 6 mos). It is important for your infant to be able to play in all positions (tummy, back, side, supported sitting)!
If your baby has difficulty with tummy time, you can try to get on the floor with them to engage them or lay them on your chest while you are reclined for a modified tummy time.
If a baby falls asleep in a " container " such as a car seat, transfer them to their bed when they get home.

Alternatives to Containers for your Baby:

Parents need time to get things done around the house without having to constantly watch a child. While "container" may be enticing, try a play pen with select toys that are safe for your baby. Other options include using a front or back carrier for short periods of time after your baby is old enough to hold their head up. Cuddle time is also a great alternative to "containers" and gives you time to bond with your baby! Understandably, you will need to place your child in a "container" at some point during the day. The important thing to remember is limiting their time in the "container" and giving them ample opportunity to explore their world with freedom to move during floor play. A good rule of thumb is no more than 20 minutes at a time in a "container" and no more than 1 hour in a "container" during a single day.

Thank you to Miss Mackenzie, physical therapist and member of PMC's pediatric physical therapy team, for sharing her knowledge of Container Syndrome! Your tips are all so helpful!

Milestone Moment - Paige & Peyton!

Thu, 07 Apr 2022 12:00:00 GMT

PMC KidMotion Milestone: Paige & Peyton!

Paige and Peyton are both very motivated! They have been building arm and core strength over the past few months and are always determined to do skills by themselves. Miss Brooke says "I am incredibly proud of how far both of them have come and cannot wait to see the skills they master in the near future!"

Keep up the great work girls! Miss Hallie and Miss Brooke are so very proud of you both!

*Posted with permission

Attention: Tips to Improve Focus

Wed, 30 Mar 2022 15:00:00 GMT

Attention

Attention is a skill that everyone can improve upon. With increasing technology and available input to fill our past times, attention tends to become less while the brain seeks more stimulation from videos, games, etc. Although our minds may wander and our attention spans seem short, there are tools and activities that we can use to help increase our engagement in tasks.

Why is Attention important?

Attention is required for school.
Attention is helpful with activities of daily living (ADL's)
Attention is needed to filter out the busy world around us to focus on what is important at that time.

Practical Tips to help with Attention at home or school.

Below is a short list of tips that may help with attention:

Finish one task before moving onto the next. When your task is finished take the time to clean up what you were working on. This will give you a sense of accomplishment and you will be ready to move onto something else.
Try engaging and fun activities. Try to make boring or long tasks fun!
Complete one task at a time. Break down bigger tasks into smaller steps. This is called "chunking". Chunking can be used in school or at home when a child is working on a difficult text/project that results in them becoming overwhelmed. Chucking involves breaking down the difficult task into more manageable pieces. This allows the child to pace themselves and focus on smaller pieces to complete the task.

If your child is experiencing challenges with focus and attention, seeking medical assistance, such as an occupational therapy evaluation can be beneficial to determine the source of the challenges and develop a plan to assist your child in developing strategies to use at home, school and within the community. PMC's occupational therapy team can work one-on-one with a patient to encourage and develop an increased attention span through personal goals and engaging activities.

Thank you to Miss. Lizzie, COTA and member of PMC's pediatric occupational therapy team, for sharing her knowledge of attention and focus in children! Your tips are very helpful!

Boost Your Child's Brain-Body Connection

Wed, 23 Mar 2022 10:00:00 GMT

Crossing Midline Exercises

Physical movements can direct impact on how you feel and how your mind-body function together. Oftentimes, we can strengthen this connections through various exercises, such as those classified as "crossing midline." Crossing midline is when a person moves their extremities (hand/foot) across midline (the center of your body) to the opposite side of your body. When crossing midline we encourage both sides of the brain to work together.

Midline crossing helps with daily living activities such as reading, writing, tying shoe laces, reaching for toys more easily, rotating while dancing, etc. It helps you interact more fully with the environment. If a child has difficulty crossing midline they may frequently pass toys from one hand into the next, switch hands often while drawing or writing, perform right sided tasks with right hand and left sided tasks with left hand, or fully change body position to retrieve a toy rather than reaching across his/her body.

Crossing Midline Exercises For Your Child

Rotating to reach across chest to opposite side of body - could do with a puzzle or any desired toy
Popping bubbles 1 hand at a time
Coloring a large rainbow with chalk, crayons, etc.
Play a clap/slap game like Miss Mary Mack (tap your right hand to theirs and vise versa)
Play balloon tennis
Simon says - (Tap right hand to left foot, tap L knee with R elbow, etc.)
Doing a grapevine with your feet

Thank you to Ms. Courtney Rush, physical therapist assistant, for these awesome crossing midline exercises! If you are concerned that your child is not crossing midline, please reach out to a medical professional.

When Can Kids Learn to Button and Zip

Fri, 18 Mar 2022 13:00:00 GMT

When can kids learn to button and zip?

Most milestone checklists show that children should be able to dress themselves around kindergarten age, ie. 5 - 6 years old. This includes buttoning and zipping their clothing. Around 1 1/2 years old children begin experimenting with buttons and zippers, and by the age of 6 are doing both well.

There may be factors limiting a child's ability to button and zip such as:

difficulty with hand-eye coordination
fine motor coordination
bilateral coordination
sensory processing
motor planning & sequencing

Why should parents care about this?

This is a foundational skill set for self-dressing which is an activity of daily living. This is a skill that needs to be mastered as we get dressed and undressed every day of our lives. In occupational therapy, we strive for independence in self-dressing and manipulating basic fasteners is a big part of independence.
Often if a child isn't meeting these developmental milestones, it leads to other areas that are lacking such as low muscle tone in hands, lack of fine motor dexterity, struggles with in hand manipulation and many of the topics listed above.

Why is this important?

It is important to take note that every child develops and progresses at their own rate, but it can be helpful to understand some developmental milestones and what natural progression is.

Research shows:

At 1 1/2 to 2 years old a child can unzip with a large tab and pull a large zipper up if an adult holds the bottom tight.
At 2 years old a child can unbutton large 1in buttons.
At 2 1/2 to 3 years old a child can button 3 large 1in buttons. They can also unzip and unsnap clothing while wearing it.
At 3 to 4 1/2 years old a child can close front snaps on clothing, and can button and unbutton while wearing front opening clothing.
At 4 1/2 to 5 years old a child can open all fasteners on any article of clothing.
At 5 to 6 years old a child can hook, zip and unzip while wearing the clothing.

Tips to help your child:

If your child is struggling to button you can do activities such as: (Resources can be found at https://therapyfunzone.net/blog/?s=button )
Make a button snake
Play connect 4
Push buttons into slots
There is a difference between buttoning with a shirt on you and on the table. If your child is struggling with buttoning, try putting the shirt on the table to button before having them put it on. Start with larger buttons, then work to smaller buttons.
It is often difficult to get a zipper aligned in its tracks, some ideas to increase visual awareness are to use two different colored tracks to increase visual awareness. Also practice with using a pipe cleaner to increase visual contrast.

If you have concerns regarding your child's ability to dress themselves, or want to learn more about strategies to use at home to help your child with buttoning and zipping, please consult with your pediatrician or a licensed occupational therapist for further guidance and support.

Thank you to Mr. Justin, occupational therapy assistant and member of PMC's pediatric occupational therapy team, for sharing his knowledge of independent dressing, specifically buttoning and zipping! Your tips are appreciated and helpful!

Milestone Moment - Flynn!

Thu, 10 Mar 2022 13:00:00 GMT

PMC ALL STAR Spotlight: Flynn!

Meet Flynn! When Flynn started OT at 2.5 years old, he would not choose any toys to play with. He was not happy about being in therapy and would often cry. At home he often threw tantrums and struggled a lot with transitions. He became very frustrated due to the inability to communicate.

Flynn has been in therapy for 4 months. Now, he is so excited every time he comes to therapy. He is mimicking lots of new words. Flynn chooses toys to play with and plays with them appropriately. Best of all, his behavior has improved so much at home with play and transitions and meals, and he is learning how to communicate his wants and needs!

I am so proud of Flynn! He works hard every time he comes, and he has such a supportive family!

- Miss Erin

Keep up the hard work, Flynn! We can't wait to see all that you accomplish.

*Posted with permission

Strength Building

Wed, 09 Mar 2022 12:00:00 GMT

Strengthening at Home!

Improve Your Child's Strengths and Functional Ability at Home!

The best way to build strength and functional ability in your child is finding creative ways to frequently explore these things at home! Creating opportunities for your child to explore safely, while fighting the urge to step in and change their experience, is sometimes the best way to facilitate an environment for them to learn in. There are plenty of fun ways to try this at home that are either low or no cost!

At Home Exercises

Pushing/Pulling: Flipping a diaper box over and having them push the box around the floor. Try weighting the box with things around the house or even a sibling!
Carrying : Ask for your child's help with carrying a small bag of groceries in, try carrying it up the stairs for a full body challenge
Fun & Exercise: Music is always a great way to get moving. Try a dance break and get the family involved
Outside Play Time: Allow plenty of time to explore outside. Opportunities for children to use all of their senses are where they learn best. Touch the trees, listen to the birds, allow them to climb, and balance. Go for a hike, spend the day at the park, or even hangout in the backyard.
Keep Moving! Bubbles are also a fun way to get moving. Try having your child try to pop them on a variety of surfaces (balance on a couch cushion, try standing on one leg, even simply letting them run around is functional)

Thank you to Ms. Chloe, pediatric physical therapist assistant, for sharing your knowledge and DIY home strengthening tips! If you have concerns, or need help with more home exercises that can help your child becoming stronger, be sure to ask your pediatric physical therapist here at PMC!

References:
https://www.cdc.gov/physicalactivity/basics/children/index.htm

Outdoor Play

Wed, 16 Feb 2022 11:00:00 GMT

Outdoor Play-Why is it so Important?

We often hear that we should send our children outside to “burn off energy”. However, there is so much value to outdoor play, more than we may even realize. Historically, children were outside a large portion of the time. Research is clear, that outdoor play is essential for all areas of health and development. This applies to the adults too, not just our children! Below are 3 BIG reasons why you should care about outdoor play!

Improves Overall Health

Being in nature improves your overall health, specifically how we handle stress. By sending your body into a "relaxation response”. It is shown that being in nature will cause a decrease in blood pressure, a decrease in cortisol output, heightened immunity, a decrease in muscle tension, and an increase in alertness. Blood flow to the brain has also been shown to increase by an impressive 25 percent.

Essential for Brain Development

Time spent outdoors is essential for brain development. Not only does more time outside equal less time sent in front of screens, it allows our children to think creatively and PLAY. Children learn through play. Not through endless hours of scheduled activities, tasks, and homework.

Outdoor Play Directly Impacts Physical Development

Children who spend a large portion of time outside have demonstrated more advanced motor skills * than their “indoor” peers, including coordination, balance and agility. One study of preschool-aged child re n * showed a direct correlation between a child’s body mass index and the amount of time they are active outside.

Practical Tips/tangible takeaways?

Download a free outdoor tracker from 100 Hours Outside! Let your kiddos color in a section for each hour spent outdoors. https://www.1000hoursoutside.com/trackers
Buy weather-appropriate clothing. As the saying goes, “there is no such thing as bad weather, only bad clothing.” Snow gear for cold weather and snow, rain gear for rainy days, layers for those ever-changing autumn days; all are helpful to make your child comfortable and allow them to play in all weather!
Play! Playing outside, when your child is used to being inside most of the time, can be a challenge at first. If you are with them and show them it can be fun, this will encourage them to learn to play outside independently as well!

Stuck? PMC can help! Ask your PMC therapist or KidMotion instructor for ideas/suggestions for outdoor play ideas and places if you’re stumped! We at PMC are big believers in the value of play indoors and out!

* Research/data:

- https://www.miracle-recreation.com/blog/why-should-my-child-play-outside-benefits-of-outdoor-play-for-kids/#physical

- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571181/

- https://www.1000hoursoutside.com

- https://tinkergarten.com

Milestone Moment - Quinten!

Thu, 10 Feb 2022 13:00:00 GMT

PMC ALL STAR Spotlight: Quinten!

Quentin began speech therapy at PMC to address his abilities to answer questions, formulate sentences and understand linguistic concepts. Quentin worked very hard in speech and met all of his goals! He can now answer who, what, where, when, why, and how questions, understand temporal, qualitative, and spatial concepts, and use pronouns appropriately all by himself. He has been a joy to work with and Ms. Sarah will miss seeing him each week!

Quentin was in PT for almost 2.5 years. His hard work paid off back in February when he was discharged after meeting all of his goals. Currently he is making huge progress in OT.

Keep up the hard work, Quentin!

*Posted with permission

Milestone Moment - Hope!

Wed, 09 Feb 2022 13:00:02 GMT

KidMotion ALL STAR Milestone: Hope!

KidMotion Milestone - Hope

"Hope has been in her KidMotion class for about a year. Her father and I wanted her to join to socialize and build up gymnastic skills. We also wanted her to work on her listening skills and learn to follow instructions. Hope wanted to join a class to learn to do a cartwheel, handstand and other gymnastics skills. Her favorite thing about her class is getting to see her new friends. It makes her feel so good when she succeeds and learns a new skill. Her confidence is improving, and we love seeing how proud she is when she finally succeeds and the joy she brings to the class." - Heidi (Hope's mom)

Keep up the great work, Hope!

We love having you as part of our KidMotion family.

Heidi, thank you for sharing Hope's success with us!

*Posted with permission

Therapy Benefits of Gardening

Wed, 26 Jan 2022 18:41:42 GMT

5 Benefits of Gardening

Children and adults alike can gain so many benefits from gardening. So many life skills can be nurtured, fostered, and enjoyed through an activity such as gardening. While gardening might not immediately come to mind as a developmental tool for children, the work done in a garden is often a catalyst for significant growth in 5 key areas: sensory development, motor development, cognitive development, social development and emotional development.

1. Sensory Development:

A garden provides ample opportunity to expose children to an array of rich sensory stimuli, such as leaves, dirt, flowers, stems, and roots. These items have an incredible amount of tactile input and widely vary in texture, temperature, and weight to name a few. The immersive environment a garden can offer provides visual, auditory, and tactile stimulation.

Therapy Tips:

Pay attention to the various noises outside, and ask questions about them. Is their wind that you can hear outside? Rain? Buzzing bees? Sounds of motors?
Observe the sights around you. Describe what you see. Talk about the various colors you notice.
Notice how you physically feel as you garden. What does dirt feel like in your hands? Are your muscles fatigued from kneeling?

2. Motor Development:

Planting a seed isn't just planting. Planting a seed is an activity that works on one's dexterity and coordination simultaneously! Gardening provides one with lots of opportunity to build muscle and endurance, as well as practice coordination through the use of tools (such as shovels and rakes) and physical movements such as digging, scooping, carrying items, and sitting. Many of these activities provides opportunity to practice bi-lateral coordination.

3. Cognitive development:

Working on any activity, such as gardening, can provide ample opportunity for cognitive development as well as promote creativity and reduce overall stress. When gardening with children, model behavior and provide age-appropriate instructions to your child. They will learn through this behavior modeling and will improve their listening skills & receptive language skills. Watching plants grow and taking proper care of plants in the garden will also help children develop cognitively as they develop greater understanding of sequencing.

4. Social development:

Make gardening a social activity! Work together as a team as you create, remake, or tend to a garden! Communicate who is doing what task, work side-by-side, and discuss the greater impact of gardening has! The conversations are endless! Discuss the products of gardening, such as fruits, vegetables or flowers. Discuss the feeling you have when gardening. Talk about the impact gardening has on other living creatures, such as bees, birds, worms or butterflies!

5. Emotional development:

Building upon conversations that often occur when gardening together, think about and discuss the larger impact gardening can have. This helps children to develop emotional concepts like cooperation, hard work and empathy.

Think about the impact this can have on a neighborhood. Does the garden elicit joy from others?
How does gardening help the environmental? Will the tree you planted help keep the air clean?
What impact does the garden have on other living creatures? Did you create a home for a bird?
Does gardening produce food? How much time and effort does it take?

Finding the Right Shoe

Wed, 26 Jan 2022 12:00:00 GMT

Do Shoes Really Matter?

When most of us get shoes for our little ones, we are more focused on their attractiveness rather than their dependability. It's important for parents to be aware of our child's needs and of the vast differences in the shoes we can purchase (and subsequently put on our kids) taking special note to have a shoe "match" where your child is at developmentally. The right shoe can certainly promote or hinder walking!

Shoe Types/brands we love!

Wobbly Wobblers
Stride Rite
Firm boots/high tops
See Kai Run

Why You Should Care About Finding The Right Shoe!

The right shoe can promote or hinder walking
Shoes affect foot positioning
The ability to walk/run/explore environments impacts your child's development
You don’t to waste money! Kids grow out of shoes fast and you don’t want to spend a lot of money on the wrong shoe
Change shoes to "match" activities, such as when there is lots of standing, lots of sitting, lots of walking....etc.

Shoe Facts & Statistics

Podiatrists, pediatricians and physical therapists promote shoes based on development
When children are young, they should frequently be barefoot to promote balance, posture and coordination
A child should start wearing shoes when they are "cruising" consistently and trying to stand about 80% of the day
Wearing shoes consistently too early can hinder development of bones, muscles, and ligaments
Kids' feet sweat 2x more than adults.... that must be taken into consideration when shoe shopping!

What to Look For When Shoe Shopping (Typical Development)

Heel cup (support) especially on open shoes
Traction on soles
Soft sole to increase input through foot
Ankle strap to keep heel in place (laces or velcro strap)
Wide toe box to allow movement

What to Look For When Shoe Shopping (Atypical Development)

More rigid shoe that doesn’t fold in half (any slight fold should be closer to toe box)
Straight last shoe (Straight line from heel to toe with no curve on bottom of the shoe)
Arch support
Varying levels in different shoes
If not enough add inserts or SMOs
Rigid heel cup (shoe shouldn’t collapse with pressure when being pushed down)
High top shoes or shoes with laces/straps

The Bottom Line

The type of shoe you purchase is so important for your child, especially for pre-walking and newly walking children. Be sure to purchase shoes that are best for your child’s development, not necessarily the most fashionable shoe. If you are noticing that your child is experiencing pain or is having difficultly walking, the wrong shoe may be the culprit! However, sometimes medical intervention may be necessary. The pediatric physical therapy team at PMC can help identify your child's needs and developmental milestones, create exercises to strengthen feet/ankles/legs as needed, and/or recommend orthotics/inserts or SMOs/AFOs as appropriate.

A huge "thank you" goes out to Hillary Bohanan, pediatric physical therapist assistant, for sharing her knowledge with us!

Milestone Moment - Max!

Thu, 13 Jan 2022 13:00:00 GMT

PMC ALL STAR Spotlight: Max!

When Max first started seeing us, he would refuse to put any weight on his feet and would pull them up when placed in a weight bearing position. While his toes continue to be his favorite toy, he is now getting much more confident with keeping his feet down in sitting and accepting weight. A couple weeks ago, he even started trying to push up to stand. He doesn't quite have the strength to stand independently yet, so we put Max in some knee immobilizers to help and he was able to stand for almost the whole session with the biggest smile on his face! Nothing warms the heart more than helping kids realize they can do new things! Can't wait to see what he can do this week!

Great work Max!

*Posted with permission

Ideas for things to do in Fall and Winter

Wed, 12 Jan 2022 13:00:00 GMT

...What to Do During Winter Break?

Our Occupational Therapy Team has you Covered!

Winter break is just around the corner for many students! With extra time at home, our occupational therapy team wanted to make life a little easier for all of those parents out there! Below is a quick list of some fun and festive projects for children to work on while they are home!

We hope you and your kiddos enjoy these winter activities and crafts!

Why Tummy Time is Important for Development

Wed, 05 Jan 2022 13:00:02 GMT

Tummy Time!

We have all heard of tummy time, but what do we really know about it? Tummy time is not just putting your baby on the floor on their stomach and “leaving them there to figure it out on their own.” There is much more to it than that! Tummy time is important from the newborn stage to about six months. Now this doesn’t mean that kiddos won’t be on their tummy after six months, but are less likely because they are generally sitting around this time. It is important to note that tummy time must be monitored based on baby’s head control. You are going to utilize more positions as the child is able to move his/her head around more.

Why is Tummy Time Important and How is it Done?

Tummy time is important for muscle development ( delays can be a sign of something going on). Tummy time isn’t just being flat on the floor- there are different positions that can be utilized along with being flat on floor, including:

On parent’s chest
Superman in parent’s arms
Over boppy pillow on forearms
On a stability ball
Over parent’s leg or towel roll
On any inclined surface

Can There be too Much Tummy Time?

Yes! If an infant spends too much time on their belly, it can lead to:

Difficulty rolling
Flinging back in sitting
Arching
Poor visual tracking
Delayed transitions
Difficulty with tummy time could be associated with reflux (kiddos with reflux often resist tummy time)

Our advice is that a wide variety of positions and movements are key to healthy development! No one position of posture should be maintained for hours on end! Tummy time needs to be balanced with other positions such as lying on back, sitting, and side-lying. A combination of all of these positions are important for development!

QUICK TIPS

Good to start tummy time on an inclined surface where head is higher than hips
Be entertaining!! Find what motivates a child to remain on their tummy
Review developmental milestones to make sure child is meeting them (a physician or a therapist can access for this!)

Shout out to our pediatric physical therapy team, especially Hillary Bohanan, physical therapist assistant for sharing her tummy time knowledge! If you have questions about your child's developmental milestones and/or tummy time, please seek out assistance from a healthcare provider! The Pediatric Movement Center can be reached at 301-739-5437!

Our SLP Staff's Favorite Items

Wed, 29 Dec 2021 17:45:00 GMT

PMC Speech Language Pathologist's Favorite Products!

With so many options, choosing toys for your child can be difficult. Our speech therapists seek toys that foster engagement with others, speech sound production, and creativity in play. We recommend playing with the toys with your child whenever possible, so they can learn how language is used to communicate and to teach the joy in back and forth social interactions! Here are some of our speech therapists’ favorite toys:

Prelinguistic Children

These are children who are communicating with gestures, facial expressions, crying, and sounds. This can be intentional or unintentional. At this stage, cause and effect toys are recommended to teach children that they can cause something to happen with their actions.

Linguistic Children

These are children using “language” to communicate- which can include pictures, communication devices, words, and signs. The SLPs here love low-tech toys or toys that “don’t do anything” Why? Because this will help children add their own sounds to their play, seek interactions with others, and foster endless pretend play possibilities!

Self-Regulation

Wed, 22 Dec 2021 12:00:00 GMT

What is Self-Regulation?

Self regulation is your ability to adjust and control your energy level, emotions, behaviors, and attention despite environmental demands. A child requires this skill during tasks such as calming down after being upset, adapting to changes in their routine, following directions and attending to tasks, or having patience and perseverance when a task is challenging. It is typical for a 2 year old to have tantrums, but if your child is school-aged and continues with frequent meltdowns or tantrums, they may need help with regulating their sensory processing and emotions.

Self-Regulation is a Skill that is Developed

As adults, we utilize our self-regulation skills throughout our entire day. When we are feeling tired, we may get a drink of cold water. When we get anxious, we may try to do some yoga. When we’re getting frustrated we may take a deep breath. This skill takes a great deal of self-awareness, which can be a challenging skill for a young child to develop. There are several foundational skills that are needed to build good self-regulation including but not limited to sensory processing, emotional regulation, attention, executive functioning, social skills.

Strategies to Improve Self-Regulation

Below is a short list of tips that may help a child improve self-regulation skills:

Be Mindful of Environmental Changes. There are many things that we do not have direct control of in our environment, but there are some things we can control that may decrease irritability including: decreasing distractions, adjusting the lighting, or providing movement breaks can all be modified to help regulate arousal level in a child
Scaffolding or breaking up a challenging task into smaller, more manageable parts is often helpful. When scaffolding, slowly add more steps as the child is successful with the previous step
Social stories can be used to teach kids appropriate self-regulation skills. Read a book, tell a story, or listen to someone else's story of a related situation!
Encouraging problem solving to help children learn how to develop a “plan b” when things don’t go as expected
Role-playing and modeling what appropriate self-regulation looks like
Visual schedules or timers to assist with adapting to changes and transitions
Mindfulness and breathing techniques such as blowing bubbles, whistles, counting to five, etc.

If your child is experiencing challenges with self-regulation, seeking medical assistance, such as an occupational therapy evaluation can be beneficial to determine the source of the experienced challenges and develop a plan to assist your child in developing self-awareness and self-regulation strategies to use at home, school and within the community.

Thank you to Ms. Amy Abe, occupational therapist and member of PMC's pediatric occupational therapy team, for sharing her knowledge of self-regulation in children! Your tips are also so helpful! In case you missed it, we wanted to share with you Ms. Amy's video from earlier this year that includes strategies for virtual learning success (and strategies to stay focused while seated!) Watch the video HERE !

Amber Teething Necklace

Wed, 15 Dec 2021 14:30:00 GMT

Do Amber Teething Necklaces Work? Are They Safe?

Amber Teething Necklaces are all the rage the past few years. But do they work? Are they safe? The answer to both of these questions is, Yes! But we have to understand why and how they work, buy a quality necklace, and know how to use them safely.

How do Amber Teething Necklaces Work?

Why they Work: Baltic Amber necklaces contain succinic acid, an ingredient found in many Chinese medicines. Succinic Acid is anti-inflammatory, immune boosting, antioxidant-rich, and it is calming and soothing.
Which ones work: Amber necklaces must be truly raw to be effective. It is best that they have 3rd party verification as real and raw, in order to work properly. Tip: look for a certification from the Gemological Institute Of America (GIA) as authentic.
How to use amber necklaces safely :
Amber necklaces are NOT to be chewed on.
They should be around 12" so they are not too tight or too loose.
Most high-quality necklaces are made with a break-away clasp, as well as being individually knotted between each bead for safety.
Not to be worn while sleeping.
Can be worn on a child after 3-4 months of age.

The Bottom Line

Baltic Amber Necklaces are a safe, effective, and attractive option to help reduce inflammation associated with teething. Some companies also make adult-size necklaces to match your little one, and it can be beneficial for inflammation for you as well!

Shout out to Erin Salahov, Certified Occupational Therapist Assistant, for sharing her knowledge!

References/information: https://www.mamanatural.com/amber-teething-necklaces/

Kid's Night Out at PMC

Wed, 15 Dec 2021 13:58:10 GMT

PMC's Kid's Night Out Event

A Fun-Filled Evening for Children

PMC's Kids Night Out is a special inclusive event open to PMC patients, KidMotion Students and the general public! Currently, these events are held in our Hagerstown clinic, but will soon be offered at our Frederick location as well! Children of all ages and abilities are welcome to attend. The event, which is hosted by our KidMotion Instructors, is offered monthly, usually on a Friday, Saturday, or Sunday evening. Our Kid's Night Out is a fun-filled event where kids can socialize, play, and engage with one another through organized activities and play time in our gym, which has a sensory room, play house, swings, rock wall, and more!

Details : : Kid's Night Out

Dinner provided (pizza)
To attend the event, children must be at least 3 years of age and are potty trained
20% discount for every additional child enrolled in event (after first child)
Organized activities (craft, sensory play, game)
Discount for active PMC therapy clients and KidMotion students

Frequently Asked Questions

Question: What happens if I have to miss an appointment(s) during the 6 week program?

Answer: Rescheduled appointments keeps you eligible for the PMC Patient Perks Program

Question: What happens if I am a new patient?

Answer: To be eligible for the PMC Patient Perks Program , you must be have regular appointment on or before first week of the program, and every week after.

Question : If I have multiple children in therapy at PMC, are we eligible for multiple PMC Patient Perks ?

Answer : Yes! You are eligible for multiple PMC Patient Perks gifts with 100% compliance for each plan of care

Milestone Moment - Adelyn!

Thu, 09 Dec 2021 13:00:00 GMT

PMC ALL STAR Spotlight: Adelyn!

Adelyn started speech therapy at PMC when she was 2. When Adelyn started with us, she demonstrated frequent frustration because she was unable to communicate her wants and needs. She also had trouble following directions, answering who, what and where questions and sitting at the table to complete tasks. Adelyn has been coming to see us for 2 years and has made AMAZING progress! She is now consistently not only using words but forming sentences to easily express her wants and needs. Adelyn's frustration has greatly decreased due to her ability to communicate. She is able to sit at the table for an entire speech session. Adelyn is also able to follow directions and answer various who, what and where questions. She has an amazing family who has helped her so much along the way!

We are so proud of you Adelyn!

*Posted with permission

My Child Is Toe Walking! What Should I Do?

Wed, 08 Dec 2021 19:32:43 GMT

Children Toe Walking: What You Need To Know

Toe walking is when an individual frequently walks on their toes or on the ball of their feet. This atypical walking pattern (not walking in a heel to toe pattern) may be caused from an underlying health condition, injury, or sensory sensitivity. Toe walking is frequently occurs in children under 2 years of age and will typically stop without medical intervention. However, if toe walking persists into toddler years and beyond, it may be time to see the advice of a medical professional.

If Your Child Is Over 2 Years Old And Is Toe-Walking

As we mentioned above, toe walking is normal for children under 2 years of age. If toe walking persists beyond 2 years of age, and especially if toe walking increases in frequency, there may be underlying physical weaknesses, sensory issues, or a combination of both. It's important to address these issues early in order to hopefully prevent medical intervention (such as therapy or surgery) or shorten the duration of medical intervention. Typically the earlier the issue is addressed, the easier it is to address.

Conditions That May Contribute to Toe Walking include:

Weak Muscles
Tight Heel Cord
Neurological condition
Sensitivities to surfaces/textures

Medical Treatment for Toe Walking

Physical Therapy
Surgery
Braces
Serial Casting

Exercises For Treating Toe Walking

Penguin walking
Heel strengthening exercises (such as heel pulls on a scooter)
Walking on inclined surfaces, such as a ramp
Exercises to strengthen calf muscles and tibia anterior muscles
Gentle and consistent stretching *quick tip* You can do stretches in the bathtub when muscles are relaxed.
Decrease sensory issues: Walk on different surfaces (textures, heights) as well as muscles massages with different materials such as a towel.

Milestone Moment - Ethan

Thu, 02 Dec 2021 18:24:24 GMT

PMC ALL STAR Spotlight: Ethan!

Ethan is definitely a PT ALL STAR! Every time he comes to PT, he "has to do all the hard stuff" (in his words) but he always does it with a smile on his face and all that work is paying off! Ethan challenged his therapists to a PT competition and he is now stronger than Ms. Nature, Ms. Tina, and Mr. Justin and he has the gold metal to prove it!

We are so proud of Ethan but a little nervous because he is already planning round two of the PT competition.

We better start training!

*Posted with permission

View from an occupational therapist: Creating a Healthy and Varied Diet for Picky Eaters

Wed, 01 Dec 2021 14:07:15 GMT

The Importance of a Balanced Diet

In occupational therapy we work to expand the variety of food that a child eats to improve overall nutritional intake. Some kids who are "picky eaters" have very strong preferences including specific brands, textures, colors, shapes, or flavors. When there are no concerns in the mechanics of eating (such as the ability to chew & swallow food), these sensory preferences can impact a kiddo's ability to reach their nutritional goals, take vitamins, or cause significant behavioral challenges when introduced to new foods.

Strategy to help overcome picky eating (due to sensory sensitivities)

One of the strategies occupational therapists use to grade the sensory input related to food in small steps is called food chaining. Food chaining is connecting a characteristic of a food that is preferred with the characteristic of a new food. Making subtle changes helps kiddos try something new without overwhelming their sensory system. It can also help us introduce new foods in a less intimidating way to help adjust to new foods. Food chaining is just one of many approaches to address meeting a child's nutritional needs & expand on the quantity, quality, & variety of foods in which they will eat.

Food Chaining Example:

Pringle
Fries (Same flavor, different shape)
String cheese (Same shape, different flavor)
White veggie straw (Same color & shape, different texture)
Green veggie straw (Same shape/texture, different color)
Snap Pea Crisp (Same color/ texture, different shape)
Green fruit snack (Same color, different texture)
Green applesauce (Same color/flavor, different texture)
Green drink (Same color/texture, different flavor)

Why Food Chaining can help

If a child is considered a "picky eater", food chaining is a fun & simple way to meet the child where they are rather than constantly trying to introduce entirely new foods
Food chaining may help a parent identify qualities of food that a kid really likes (e.g. salty, crunchy, not green) and use that information to introduce new foods that meet those requirements to start expanding the variety of foods their child will eat
Don't be afraid to play with your food! Get messy, create new things, draw on your faces, feed stuffed animals, make silly mixtures & just have fun with it.
If a child still reacts to small changes to their food (e.g. only eating a food with a certain color spoon & not eating a food they like from another spoon) then it may be a good indicator to see an OT or SLP for a feeding evaluation to look at their child's sensory needs

Signs to Watch For & Things You Can Do

Watch for very strong food preferences: If you start to notice that your child has very strong food preferences when they are young such as skipping puree baby food, not liking when foods have mixed textures or are lumpy, or does not eat foods that are soft & chewy it is important to make note of these aversions, selectivities, & preferences
Eat with your child: It is important to eat with your child to provide opportunities for your child to interact with new foods even if they are not foods they like. Never underestimate the importance of family meal time
Express concerns to a medical professional: It is important to express concerns about feeding to a doctor & to ensure that there are no underlying medical conditions or physical limitations contributing to "picky eating". A physician may recommend SLP or OT depending on a child's needs. An evaluation with a therapist will provide initial information needed to a therapist to use clinical reasoning to determine the best approaches and the recommended plan of care. Therapists at PMC take a holistic approach to look at how the environment, the demands of the task, & a kid's physical abilities can all contribute to why a child may seem like a picky eater and address each of these areas. We can use a variety of approaches to help meet a child's needs and introduce new foods in a fun, playful environment. OTs & SLPs can also help facilitate food chaining & provide other strategies to expand a child's diet.

Shout out to Shannon Scott (occupational therapist) for sharing her knowledge and the Pediatric Movement Center's entire pediatric occupational therapy team for all their great work helping families with picky eating!

References:

Research/data: Found in the book:
Food Chaining: the Proven 6-Step Plan to Stop Picky Eating, Solve Feeding Problems, and Expand Your Child's Diet
By: Cheri Fraker, CCC/SLP, Laura Walbert, CCC/SLP, Sibyl Cox, LD, RD, Mark Fishbein, MD, Shannon Cole Barker, ORL/L
2017, Da Capo Press

Ways to Help Your Child Overcome Picky Eating (Food Textures)

Wed, 01 Dec 2021 13:00:01 GMT

The Journey of Taste Development

The Early Stages Of Taste

The body is remarkable how it advances and develops. At about 8 weeks gestation, a baby's sense of taste begins to develop as newly formed taste buds begin to detect the flavors from the mother's meal. Once born, a baby consumes liquid in a supported position relying on reflexes. Then as the whole body develops, we begin to consume sour gummy worms, spicy hot wings, and maybe sign up for an eating contest! It's AMAZING!

The 3 Primary Developmental Stages Of Eating & Taste

Many advancements happen in the body as it transitions to more complex foods and everyone's journey is different in some way. When you take a moment to think about all that is going on to develop taste and food preference, you realize what a complex process "simply eating" really is!

1. Muscle And Motor Skill Development

Our body's priority is to keep us alive, breathing, and with functioning organs. Therefore, if we are not in a position or have the skills required to safely manage food, the body will do it's best to keep us alive.

2. Sensory Development

A newborn baby is taking in information about how his/her mother smells, feels, looks, sounds, etc. As a child develops, at around 9-12 months, they begin to mainly explore the world through taste and touch. At this stage is where you find children mouthing everything.

3. Curiosity And The Desire To Have Fun With Food!

We've all had negative eating experiences. For example, if you ate something that made you sick, now we will no longer want to eat it. On the other hand, we have all had positive experiences as well. For example, the smell of your beloved family members cooking.

So What Can We Do To Advance Textures?

(Follow the sequence below and ensure that sure each step is supported first before moving to the next step)

Sit supported, able to move, breathe
Tolerate different sensory input-touch, vision, body position, taste, smell, movement, and consider the body's ability to notice when it is hungry and full
Be fun, build curiosity-find out what the child enjoys and include that into a fun, texture based experience

Thank you to Erin Shultz, an Occupational Therapist with the Pediatric Movement Center, for sharing your knowledge and advice! If you have questions about the information in this article or concerns about your child's diet/ability to eat, it may be time time to reach out to a medical professional, such as a pediatrician, nutritionist, occupational therapist (helps with sensory food concerns) or a speech therapist (helps with mechanical issues such as swallowing and oral motor functioning) for medical intervention.

Cultivating Gratitude in Children

183:860086391 (Brian Snyder) — Wed, 24 Nov 2021 13:00:02 GMT

Thankfulness in Children

Fun fact: research suggests that being grateful has the power to make people feel happier! What an amazing thing, especially since often we don't have control over the events that occur in our lives. The power of thankfulness (which helps cultivate a positivity) and the power of choosing to be thankful can make us happier despite whatever current circumstance you may find yourself in. This is such an important skill to teach children so they can feel happier! Once learned, this is a skill that they can carry with them for life! Need some ideas of cultivating gratitude? Our top 3 are below!

3 Ways To Teach Your Child To Be Thankful

1. Manners, Please!

Practicing "please" and "thank you" between parents and children is a simple practice you can add (or increase) in your day. Using these words is a way to acknowledge each other. Using "please" and "thank you" also shows receiver/giver appreciation for an effort, act of service, or gift!

2. Start a Daily Ritual

Setting aside time each day to practice gratitude is one way to cultivate thankfulness! There are endless ways you can do this, but we've outlined short list of ideas to spark your gratitude practice!

Gratitude at meal time: Families/Friends/organizations can start or end the day with everyone share one thing are were thankful for! Doing this at a meal time, whether that is breakfast, lunch or dinner, could make forming this habit a lot easier!
Thankful jar: Everyday write one quick word or line of something you are grateful for and watch the jar fill up! Maybe a full jar is tied to a reward or the desire to "pay it forward."
Journal: Start a daily journal or add the practice of writing what you are grateful each day. With the end of each year, you can always look can and see just how much you have to be grateful for!

3. Acts of Service

Encourage your child to participate in the art of giving. This could look like sharing a toy, making a card, a random act of kindness....the list is endless! The act of giving and service is a way to for children to see first hand the effort it takes to be kind, to help others and to spread cheer! Experiencing this effort is a way to teach our children how gratefulness when they are on the receiving end.

We couldn't think of a better time to start or increase the practice of gratitude in our lives than Thanksgiving! Here at PMC, we are so thankful for SO MANY things including our amazing staff, inspiring kiddos, the ability to do what we love day in and day out (and call it work,) and our community stewards/community partners to name a few. Together, we are all working together to building up children of our community to be more empowered, achieve new feats and inspire those around them!

Milestone Moment - Anakin!

Mon, 22 Nov 2021 17:00:06 GMT

Success Story: Anakin!

When this buddy came to PT we were mainly working on learning how to engage his core to be able to maintain a seated position, and also stretching a lot of tightness in his trunk and pelvis. He preferred to be carried or lay on his belly most of the time. He was very apprehensive and cried throughout many of the sessions for the first month or two. Anakin has come full circle in these past few months. He LOVES coming to therapy and shares many laughs and "peek-a-boos" with everyone. Best of all, Anakin is now sitting, AND he can walk, run, climb, and negotiate obstacles in his environment! Now that Anakin is able to explore he has gained so much confidence and we have really been able to see his happy and very silly side. We all love him so! You rock Anakin! - Courtney Rush

Keep up the great work Anakin!

We are so proud of you and are rooting you on!

Shout out to Ms. Courtney, one of our fabulous physical therapists, for her client dedication & for taking the time to share this good news!
*information shared with parental consent

Our OT staff's Favorite Items

Wed, 17 Nov 2021 18:32:25 GMT

Our OT Team's Favorite Products!

Our staff frequently receive questions on favorite products, and understandably so! With so many product options available, it can be helpful to know which products others have had success with! A list our our most frequently requested items are below!

Sensory Products

Weighted Vest : (Ask your therapist for the recommended weight)
Body sock : (Ask your therapist for size recommendation):
Compression Vest

Fine Motor Strengthening

Milestone Moment - Fintan!

Thu, 11 Nov 2021 13:00:00 GMT

PMC ALL STAR Spotlight: Fintan!

Fintan was referred to Speech Therapy at PMC just before turning 2 years of age. In the early stages of Speech Therapy, it became evident that Fintan was demonstrating signs of Verbal Apraxia and was then diagnosed with Childhood Apraxia of Speech (CAS) by his Speech-Language Pathologist accordingly which requires ongoing, intensive Speech Therapy services. When Fintan began speech therapy, he was using less than 5 recognizable words, was not readily using verbalizations to communicate his wants, needs, & feelings, and demonstrated difficulty with imitation skills and motor planning skills for speech sounds and word productions. He has always demonstrated intact auditory comprehension skills. Fintan was highly motivated to communicate with others but struggled to do so verbally causing frustration for both him & his family.

Fintan is now 3 years old and continues to make remarkable progress over the course of Speech Therapy intervention services at PMC. Over the course of ongoing, intensive speech therapy services, Fintan developed functional means of communication such as the use of sign language with an amazing sign vocabulary which helped to decrease his communication frustration level. He worked towards his ability to improve his motor planning skills for speech beginning with imitation of sounds in play and songs/music to then working towards building imitation of vowels, consonants, and syllables and eventually into recognizable words/word approximations. Fintan is now demonstrating a significant increase in verbalized words with improved speech intelligibility and is consistently using at least 2-word utterances; given support, he is producing 3-5 word utterances. He no longer relies on sign language as his primary mode of communication with others. His motor speech planning, articulation, vocabulary, and grammar are improving weekly. His speech intelligibility has greatly improved.

Early intervention, a supportive family with consistent daily practice and carryover in the home environment, as well as consistent weekly services have been key in Fintan’s ongoing success! I am amazed by this happy, loving, little boy and the progress he has made and continues to make to overcome CAS and achieve his speech, language and communication goals! There is nothing this little boy cannot do, overcome, and accomplish and it has been an absolute joy to see how far Fintan has come and continues to grow!

~Ms Sharon, PMC Speech Language Pathologist

Way to go, Fintan!

*Posted with permission

Milestone Moment - Hailee!

Mon, 01 Nov 2021 12:30:23 GMT

Haylee: KidMotion Milestone Moment!

Haylee is part of the KidMotion program and the PMC Performance Team. She has been working hard to improve her gymnastics skills, and in August, she made a HUGE achievement and mastered her Bridge Kick Over, which she worked very had on over the course of a few months.

By consistently working on her shoulder and back flexibility, she was able to master the bridge portion of this skill, and the eventually, worked her way to kicking over all by herself!

Haylee keeps pushing herself and improving her skillset by making sure she is doing her shoulder and back stretches during class and has seen a lot of progress due to this hard work!

Way to go, Haylee!

Your KidMotion family is cheering you on!

*Posted with permission

What is Pediatric Speech Therapy?

Wed, 27 Oct 2021 16:00:00 GMT

A Parents Quick Guide to Speech Therapy

Speech Therapy is a medical service that help a child express his or her needs/wishes, in any environment! A speech therapist, also known as a speech language pathologist (SLP) can help equip children with the tools they need to communicate effectively or address any problems related to mealtime.

A Speech Language Pathologist can help a child with the following difficulties:

Pronouncing Words
Communicating (understanding others and/or communicating with others)
Focusing
Chewing/swallowing
Aversion to food

3 Broad Benefits of Speech Therapy

Speech therapy provides children with more tools that help build a stronger foundation for:

Greater success in school
Establishing and maintaining relationships with family and friends
Establishing and maintaining a healthy diet

2 Signs that your child may need therapy

Your child is gets frustrated when trying to explain themselves to you or others
You child is a picky eater and is very rigid with the types of food he/she will eat or drink

1 thing Pediatric Movement Center's speech therapy team wants you to know

If you have any level of concerns regarding your child's pronunciation of words, language use or understanding, diet or safety eating, it never hurts to do an evaluation! An evaluation is a way to allow our speech therapists to take a closer look (through standard testing) at your child strengths and potential needs. An evaluation, while requiring a doctors order, does not lock you into ongoing services. Rather, an evaluation provides the information to address the question if additional services are warranted.

5 Things You Should Know About Pediatric Physical Therapy

Wed, 20 Oct 2021 16:00:00 GMT

5 Things You Should Know About Pediatric Physical Therapy

Have you ever wondered when your child may need physical therapy? If they can help with systemic issues like poor posture. While there are endless things to know about therapy and how it can help improve quality of life, we've broken it down into 5 main concepts to share with you!

1. What is pediatric physical therapy?

Pediatric physical therapy is the treatment of children (typically 0-18 years old) to improve their daily physical functions.

The specific goals of therapy will look different from person to person, based upon individual needs, strengths, and weakness. For some, it may be improving posture that is causing aches and pain. For others, it may be restoring proper muscle functioning after surgery or an injury. Yet another example may be walking without assistance. The unique ways physical therapy can help is truly endless. The goal of physical therapy is to help children achieve their maximum quality of life in their home and community environment through improving strength, range of motion, posture, coordination, balance, motor planning, and sensory processing.

2. Why might my child need physical therapy?

How the body functions and how it navigates in various environments, whether that is through crawling, walking, wheelchair navigation, running or other methods, is the focus of therapy. A pediatric physical therapist will assess and treat each patient as an individual, helping to achieve each individuals optimal functioning by correcting their specific movement patterns within their specific body, so that daily functioning and physical "tasks" can improve! People are surprised to know that most people would likely benefit from therapy. Common issues that physical therapy addresses that many people are unaware of include favoring a "side" having a dominant arm or leg, which can cause a muscular imbalance that can lead to injury from overuse or tightness from underuse, improper body movements that cause injuries, weak core strength that cause to postural issues, and so much more!

3. What do pediatric PT's treat?

Types of Injuries/Diagnosis Commonly Treated:

Cerebral palsy
Hydrocephalus
Spina bifida
Torticollis
Autism spectrum disorder
Scoliosis (among others)
Generalized muscle weakness
Failure to meet gross motor milestones
Orthopedic injuries

Each of these diagnoses may present with impairments such as muscular restrictions, gait abnormalities, poor alignment or posture, pain with functional activities, difficulty keeping up with age-matched peers, and more. Though patients with the same diagnosis may have similar goals to meet, it is the role of a pediatric physical therapist to assess and treat each patient as an individual, helping to correct their specific movement patterns within their specific body.

4. How is a pediatric PT different from a typical PT?

Children do not always understand why they are in therapy, which can affect motivation. A pediatric-specific therapy clinic is aware that motivation is often vital for success, as such, they incorporate playing and family education to improve children's tolerance to and motivation for therapy, as well as improved carry-over between sessions. Pediatric therapists work to infuse each child's goals into their daily lives to enable repeated practice of the skills gained in therapy throughout normal daily function. This may include improving patient or family awareness of body positioning to protect joint integrity, optimizing movement patterns to optimize or restore mobility and performance, recommending brace or seating options to improve independence in navigating the environment, enhancing strength to allow for more efficient performance of tasks, and integrating retained reflexes which affect concentration, impulse control, sensory needs, balance, and more.

5. How long will physical therapy last for my child? Where can I find pediatric physical therapy?

The length of time that pediatric physical therapy will be recommended depends on:

The reason for therapy (what is being treated)
The patient/family commitment to therapy and exercise programs.
The infusion of treatment goals into daily life

Physical therapists regularly perform re-assessments to track progress towards goals and check in with parents or caregivers for new concerns. Everything in the body is connected, and restrictions in one area can affect performance in another. Pediatric physical therapy tests specifically look at a child's ability to perform motor tasks compared to age-matched norms to help quantify a child's ability to keep up with their peers in their environment. Your therapist can always provide you with updated patient progress! Oftentimes, from these assessments, they will have a good idea of when the therapy "term" may be complete!

Where can I find a pediatric PT?

Hospitals
Outpatient clinics
Schools
Early intervention programs
Home health
Occasionally in some daycare centers.

Some our favorite PT supplies

Muscle Roller to help reduce muscle soreness and tightness
Kinesiology Tape for muscle support

Thank you to Bria Comer, a member of Pediatric Movement Center's pediatric physical therapy team for sharing her knowledge about physical therapy! If you have question about a topic presented in this blog or another PT related question, please feel free to call a member of the Pediatric Movement Center's team at 301-739-5437!

Milestone Moment - Maverick!

Tue, 19 Oct 2021 18:15:09 GMT

Success Story: Maverick!

MAVERICK IS MOVING!!!

When this cutie first came to Pediatric Movement Center, we were working on rolling and sitting....fast forward to NOW... his favorite thing to do is push his walker around the house! Every week Maverick becomes more and more confident in himself and more willing to try new things. This week he has started standing without holding a support, so walking is right around the corner. His therapist, Ms. Nature and the PMC team is so incredibly proud of him!

Now that Maverick is moving, we have seen such a big change in him. He is full of personality and loves saying hi to everyone in the clinic. It has been so fun to watch him learn to interact with his environment both verbally and while exploring and playing with toys. While he has lots of fun during therapy, Maverick always lets us know when he's ready to go home each session by yelling "MomMomMom!" loud enough for her to hear all the way from the waiting room, which is always endearing!

Way to go Maverick!

We are so proud of you and are rooting you on!

Shout out to Ms. Nature, one of our fabulous physical therapists, for her client dedication & for taking the time to share this good news!
*information shared with parental consent

Car Seat Safety (Part 3 of 3)

Mon, 18 Oct 2021 21:54:41 GMT

Front Facing Car Seat Tips

With all of the bells and whistles on the various brands/models of car seats on the market today, it can be confusing on what you REALLY need to know about car seats & safety. Today, Meghan Tullos, a physical therapist assistant at the Pediatric Movement Center as well as a Certified Child Passenger Safety Technician, is going to break down the information we need to know about front facing car seats!

Quick Facts on Front Facing Car Seats

Front facing car seats should only use the LATCH system if the total weight of the child plus the car seat is 65 pounds or less (most CPSTs will elect to switch to the seat belt as soon as the seat turns forward facing to prevent having to remember to switch after the LATCH system weight limit is exceeded).
When using LATCH in front facing, the belt should be threaded the belt path labeled as front facing. after that, front facing seats should be secured using the car’s seat belt and threaded through the car seat’s front facing belt path.
The top tether of the seat should ALWAYS be used with front facing seats
The top tether prevents excessive forward motion of the seat during a car crash and keeps the car seat from rotating forward into the head rests of the front seats
Kids should NEVER wear a winter coat under the straps of car seats (forward facing or rear facing). You can put the coat on backwards over top of the straps or use a blanket when in the car. Winter jackets require the straps to be looser than they should be and in a car crash the coat will compress and increase injury to your child.

As always, if you have specific questions about how your child’s seat is installed or how to position your child in their seat, please reach out to Meghan Tullos at mtullos@pmchag.com. Meghan is a certified child passenger safety technician and will be happy to assist you with your child’s car seat needs.

Milestone Moment - Leah!

Thu, 14 Oct 2021 15:17:56 GMT

PMC ALL STAR Spotlight: Leah!

Leah started PT as a baby before she was walking and has worked very hard to overcome her one-sided muscle weakness. Leah is one of the youngest children to use a cutting edge estim device for lower leg muscle activation called the Bioness L300go! Leah is now running, jumping, and loves doing gymnastics!

As a bilingual Spanish-English speaker, Leah began speech to increase her verbal language skills. When Leah first began speech therapy, she was primarily communicating by pointing, using gestures, and using some simple words. Each week, she worked hard and eagerly participated in language activities. Now, she expresses herself using full sentences, responds to who, what, and where questions appropriately, and verbally retells stories using pictures! Leah has met all goals with speech therapy and has been discharged.

Way to go, Leah!

*Posted with permission

4 Things You Need To Know About Pediatric Occupational Therapy

Wed, 13 Oct 2021 14:41:33 GMT

What Is Pediatric Occupational Therapy?

Question : What is Occupational Therapy?

Answer : In the world of pediatrics, an occupational therapist will assist a child (and their family) with the skills required to participate in the things they want and need to do through the use of therapeutic activities. Said succinctly, occupational therapist teach the skills necessary to complete daily tasks.

The 4 Ways an OT can Help You

1. Activities for Daily Living

Occupational therapists address the functional skills needed to perform daily tasks at school, home or in life in general. Examples include:

Self-care tasks (dressing, tying shoes, toileting, brushing teeth, etc.)
Visual-Motor skills (catching a ball, visually tracking an object)
Transitions (in and out of tasks/places)

2. Behavior and Sensory Processing

Occupational therapy can help children that have difficulties processing sensory information in the environment.

Symptoms of Sensory Processing Difficulties often include:

Difficulty learning new motor skills
Clumsiness
Over stimulated
Seeks out sensations such different:
Textures
Noises
Movements
Tastes

Difficulties with processing sensory information can negatively impact all aspects of a child’s life such as attending in the classroom, tolerating different types of clothing, or playing sports with peers. Here at the Pediatric Movement Center our occupational therapy professionals are trained to identify the child’s individual sensory needs and use play activities to work on integrating these sensations for improved attention, behavior, self-regulation, confidence and independence with self-care activities.

3. Fine motor

Fine motor skills are the ability to make movements using the small muscles in your hands, fingers, and wrists. Kids rely on these skills to do key tasks in school and in everyday life. Examples of this skill include (but are not limited to):

Handwriting
Using a toothbrush
Using scissors

Our occupational therapists at the Pediatric Movement Center can help kids improve fine motor skills through play and exercise, as well as provide you and your child with tips and tricks to assist at home and in school.

4. Play skills

Play is the main occupation (job) of a child! Occupational Therapists help children learn how to explore their environment through movement, and touch. This "play" enhances life skills and learning opportunities. Below are skills that children can children can learn and develop through play!

Motor Skills
Reaching Developmental Milestones
Social Skills
Life Skills

Shout out to our wondering occupational therapy team! Here at the Pediatric Movement Center, we are blessed to have THE BEST staff around. If you have any questions about if occupational therapy can help you, please call a member of our team at 301-739-5437. We've also made a quick OT reference guide HERE for you!

Is Telehealth For Me?

Tue, 05 Oct 2021 17:41:25 GMT

Have You Ever Wondered...

...Is telehealth effective? How does it work? Does my insurance cover it? We'll answer all of these questions below.!

What Is Telehealth?

Telehealth is healthcare done via electronic means. Telehealth allows providers, such as members of our pediatric physical therapy, occupational therapy, and speech therapy teams to provide care, monitoring, education, exercises to patients remotely. This services helps with continuity of care and continue progress towards clients goals when practitioner and patient are not able to have a physical appointment together.

Does The Pediatric Movement Center Offer Telehealth?

YES! For current therapy clients or prospective clients, the Pediatric Movement Center offers telehealth to clients deemed medically appropriate for this service. This means that clients can receive physical therapy, occupational therapy, and speech therapy out of the comfort of their own home. If you are interested in scheduling a telehealth appointment, please call a member of our team at 301-739-5437 ! To move forward with scheduling, our team will need: Patient paperwork, prescription form, insurance information and our telehealth waiver form.

How Does Telehealth Work? What Are Some Telehealth Facts?

Telehealth is covered by most insurances!
PMC will check all insurance prior to starting telehealth therapy and notify families of coverage! Just ask!
Telehealth therapy sessions will typically last 30-40 minutes
A PMC team member will provide you with a HIPPA compliment video conference link via email
Telehealth is not a replacement for typical, traditional therapy, but is a great resource to provide our patients with continuity of care, so they may continue to work on and progress towards their therapy goals. Telehealth is a great option to train and equip patients and families members with an exercise program that can be done from home!
Our telehealth software is HIPAA compliant, plus, patients do not need to download software ahead of time. They simply need to clink on the appointment link to start the session
If you are interested in telehealth, please reach out to us at info@pmchag.com or call us at 301-739-5437

Scissor Skills

Mon, 04 Oct 2021 21:38:26 GMT

Scissor Skill Progression For Children!

Our wonderful pediatric occupational therapy team has come up with a list of ways that you can help improve your child's skill using scissors! Quick note-please make sure children are supervised while using scissors and are using the tools (blunt scissors) that are made for kid!

A Child Who Is New To Using Scissors

Tip #1: Playing in a tactile bin utilizing a pincer grasp such as three jaw chuck and superior pincer grasp.
Tip #2: Resistance activities such as TheraPutty to strengthen the fingers for the resistance of scissors.
Tip #3 : Using sensory bins with scoop scissors to practice picking items up out of the bin.
Tip #4: Learning the right orientation for hand placement, thumb to the sky fingers to the thigh.

A Child Who Has Experience Using Scissors

Tip #1: Try using loop scissors! Practice cutting straws or snipping pieces off of paper.
Tip #2: Scissor skill practice!
Cutting along the lines on a piece of paper
Use both hands! Integrate the helper hand (the one not holding the scissors) to hold the paper. Types of grips to hold the paper include: fingertip to fingertip grasp, as well as thumb on top of the page with the other fingers holding it from underneath.

Thanks to Mr. Justin, part of our pediatric occupational therapy team for these tips!

Celebrating Abilities!

Mon, 04 Oct 2021 17:49:08 GMT

October is Down Syndrome Awareness Month!

October is Down syndrome month! This month is a great reminder to celebrate the abilities & share awareness of those with Down Syndrome, those caring for loved ones with Down Syndrome, and those in the medical field striving for continued medical advancements!

What is Down Syndrome?

Down syndrome occurs when individuals have an extra copy or part of a copy of chromosome 21, and can affect brain and physical development. Individuals who have an extra copy or part of chromosome 21 may experience a range of cognitive and/or physical symptom, such as:

Decreased muscle tone or loose joints
Short attention span
Slow learning
Delayed language and speech development

What can you do to spread awareness and help?

Join a Buddy Walk
Volunteer
Medical and Political advocacy
Community support and engagement

Community Engagement

Get involved with local advocacy groups! The National Down Syndrome Society (NDSS) has a local chapter in Frederick, Maryland called the FRIENDS, which stands for Family Resource, Information & Education Network for Down Syndrome.

Phone: (301) 788-6806

Email: info@friendsoffredco.org

Twitter: http://twitter.com/friendsfredco

Facebook: http://www.facebook.com/pages/FRIENDS/193703793985932

Address: P.O. Box 641, Middletown, MD 21769

References:

https://nationaltoday.com/down-syndrome-awareness-month/

https://www.specialolympics.org/stories/news/down-syndrome-awareness-month

https://www.ndss.org/

Car Seat Safety Tips (Part 2 of 3)

Wed, 29 Sep 2021 13:58:07 GMT

Facts on Rear-Facing Car Seats

Question: How long should children be in rear-facing car?

Answer: The American Academy of Pediatrics (AAP) recommends that children should ride rear facing until AT LEAST 2 years of age .

Best practice says that children should ride rear facing until they have reached the height OR weight limit of their child safety seat...YES, this means that there are some 3 and 4 year olds that should be riding in rear-facing car seats !

How Do Rear-Facing Car Seats Keep Children Safe?

In young children, the vertebrae that make up the spine and protect the spinal cord are not fully developed. Full development of these structures typically occur after toddler years. If a child is forward facing before it is developmentally appropriate and is in a car crash, the risk of a high level spinal cord injury or internal decapitation is significantly increased due to the vertebrae not being fully converted to bone from cartilage. For most children, the spine will not be fully reinforced until age 6.

Blog credit: Thank you to Meghan Tullos, physical therapist assistant and certified child passenger safety technician for the safety tips presented in this article!

What is an Orofacial Myofunctional Disorder?

Fri, 24 Sep 2021 13:45:42 GMT

Orofacial Myofunctional Disorders Defined

Orofacial Myofunctuinal Disorders (OMD) are atypical movements of the bones and muscles in the face that can impact the development of facial structures. This can cause difficulty with eating, drinking, and talking. OMDs can impact individuals of all ages.

What are some signs and symptoms OMD?*

Reduced movement of the tongue
Increased drooling
Difficulty with appropriate production of speech sounds
Difficulty with breathing through the nose
Difficulty eating and drinking

Who can help?

Dentists : can assess the structure and function of the teeth and jaw.
Orthodontists : including looking at tonsils and adenoids.
Doctors : can assess for possible breathing problems,
Speech language pathologists : look at speaking, eating, and drinking

If you have specific questions about OMD, please contact a professional if you have concerns! You can reach a member of Pediatric Movement Center's speech therapy team at 301-739-5437!

References:

American Speech-Language-Hearing Association. (n.d.). Orofacial Myofunctional Disorders. (Practice Portal). Retrieved September, 7, 2021, from
www.asha.org/Practice-Portal/Clinical-Topics/Orofacial-Myofunctional-Disorders/.

*Just because someone has one or any of these symptoms, does not always mean they have an OMD*

Backpack Tips

Wed, 22 Sep 2021 15:46:50 GMT

Back to School Backpack Tips!

Back to school season is here!

The start of a school year is often an exciting time for kids, especially catching up with old friends (meeting new friends!) and picking out school supplies, such as notebooks, pencils, lunch boxes and backpack. For many of us, our kids have already completed their first few weeks and the homework has begun! With increasing homework assignments, you may find that the weight of your child's backpack is becoming heavy to haul all of the work, material, and books needed to complete those school assignments. Your physical therapy team at the Pediatric Movement Center want's to educate you on issues caused by heavy backpacks and things you can do to prevent injuries!

Issues Caused by Heavy Backpacks

Poor posture
Muscle strain
Numbness, tingling, and weakness in arms
Increased pain
Falls on stairs

Prevent/Decrease Risk From Heavy Backpacks

Carry essential items only. This will lighten the load of a backpack
Use lighter weight backpacks
Use backpacks with two shoulder straps, rather than a bag with one strap
Use backpacks with wider shoulder straps rather than narrow straps
Reduce weight in backpack if possible
Wear both shoulder straps to distribute weight
Distribute weight between backpack pockets when possible

More information can be found online at: https://kidshealth.org/en/parents/backpack.html#catlearning

If your child has back pain, a doctor or physical therapist may be able to help. The physical therapy team at the Pediatric Movement Center (PMC) is happy to assess individual concerns regarding back pain. Call us today at 301-739-5437!

Milestone Moment - Thomas!

Thu, 16 Sep 2021 17:17:18 GMT

Physical Therapy Graduate, Thomas!

When Thomas first started physical therapy at the Pediatric Movement Center, he was wearing ankle braces full-time and could only walk for a few minutes at a time due to his foot and ankle pain. Thomas has been working SO HARD in the clinic and at home and has gotten so much stronger!

Recent Notable Moments include:

This past spring, Thomas joined a soccer team and scored " 10 goals because [he's] super good at soccer"
Thomas is now riding his bike (without training wheels!!) all by himself!
This summer, Thomas went on a two week long vacation to various national parks in the Midwest and was able to do almost all the hikes by himself without his braces!

We are so incredibly proud of you, Thomas! We can't wait to see what you achieve next!

*Posted with permission

Handwriting Concerns? Occupational Therapy May Be Able to Help

websitebuilder@1and1.de — Sat, 03 Apr 2021 18:09:56 GMT

Worried about your child's pencil grasp?

Do you notice that your child can’t sit still, tires quickly when writing, or doesn’t have a good pencil grasp?

Occupational Therapy can help by getting to the root of the struggle and addressing it to help your child be more successful!

Resources

Pencil Grasp Overview

Core Strength Impacts on Handwriting

6 Ways Core Strength Impacts Handwriting

Miss Courtney Selected as WashCo Hero

websitebuilder@1and1.de — Sat, 03 Apr 2021 18:03:30 GMT

Congratulations Miss Courtney

Today’s HERO is Courtney Young.

“Courtney Young, a PT, DPT, and Director of Operations along with all the staff at the Pediatric Movement Center worked to keep a safe and healthy treatment facility for their medically fragile patients during the COVID-19 pandemic. Kids with neurological and physical disorders we’re facing the crisis of physical regression and muscle atrophy. The team quickly assembled a safe treatment protocol. Most of the staff are mothers themselves, dealing with homeschooling and the challenges that go along. They are my heroes helping our special needs kids throughout the community. Their leadership is second to none!”

- April Croharé

Who is your WashCo Hero?

Visit http://washcoheroes.com/ and tell us about someone in our community who is making a difference during the pandemic. #MaskUpWashCo

PMC's Blog

March is National Nutrition Month

National Nutrition Month

Why Telehealth Works: Therapy That Fits Into Real Life

Flexible, Functional Therapy for Real Life

Celebrating Matthew!

Celebrating Matthew: Years of Courage, Confidence, and Incredible Growth at PMC

Self-Care Skills For Kids

Helping Your Child Grow Independence: Self-Care Skills for Everyday Success

What to Expect: Your Child's First PT Session

What to Expect: Your Child’s PT Session

What is pediatric physical therapy?

How can I prepare before our first PT session?

What is examined during our first PT session?

How long is each session?

Will I need to do anything at home, such as specific activities, exercises, or stretches?

How do pediatric physical therapists support the child’s family and caregivers?

What are some examples of ways that pediatric physical therapists educate families and caregivers?

What are the benefits of aquatic therapy?

We are here for you.

Resources:

No Plate Dinners

Let's do dinner differently!

Table Top Nachos

Charcuterie Style

Table Top Spaghetti

Pizza

At Home Salad Bar

Additional Resources and Inspiration

Back to school

Supporting Your Child's Success This Fall

Building Healthy Lunches & Snacks Habits

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

SLP

Speech Therapy Tip

OT

Occupational Therapy Tip

MOVE

Movement Tip

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

SLP

Speech Therapy Tip

OT

Occupational Therapy Tip

MOVE

Movement Tip

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

SLP

Speech Therapy Tip

OT

Occupational Therapy Tip

MOVE

Movement Tip

DOWNLOADABLE /ADDITIONAL RESOURCES

PT

Physical Therapy Tip

SLP

Speech Therapy Tip

OT

Occupational Therapy Tip

MOVE

Movement Tip

Back to School Lunches

Lunch Tips!

1. Kid Styled Pizza

2. Sandwiches

3. Grazing Box

4. Banana Sushi

5. Apple Nachos

6. Skewers

7. Yogurt Parfait

8. Pizza bagels

9. Dips & Spreads

10. Mini Muffin Meal

Celebrating Matthew:

Years of Courage, Confidence, and Incredible Growth at PMC

Helping Your Child Grow Independence:

Self-Care Skills for Everyday Success

Children & Screen Time:

Finding the Right Balance for Your Family

Creating Confident Eaters:

Nurturing Picky and Anxious Appetites with Love and Play

2. The Yellow Zone