By Dr Ali and Dr Kat

Hey families! Are you looking for fun, outdoor activities in the changing weather that will challenge your kiddo’s motor system? Well look no further, because we have the most fun, festive, fall activities RIGHT HERE!

Rake the leaves: Help mom and dad out by grabbing a rake and raking all the leaves into one pile. Using a rake is a great gross motor activity because you have to use two hands together while turning your upper body to rake successfully (aka you have to use your core muscles). You need to do this while holding your lower body stable, working on balance while working on your kiddo’s core at the same time!

Jumping in the leaves: Leaf jumping is so much fun! Make sure that there is a big pile to jump in first, then run and JUMP into the leaves. You can try all kinds of jumps here: a traditional jump which includes a two footed take off and two footed landing, a leap where you start on one foot and land on the other foot, or a hop where you start on one foot and land on the same foot! There are so many possibilities.

The Squirrel Hop: Squat down low to the ground with your hands on the ground too (kind of like a frog). Now jump your hands forward and then jump your feet to your hands to hop like a squirrel (think like a frog jump!). Do this jump all over the house and make it even more fun by adding acorns to the mix and hide your acorns all around the house (but don’t forget where they are!)

Nature walk: Enjoy a family outing with a walk at a nature trail or local park. Encourage curiosity about wildlife and the plants you come in contact with by using nature bracelets. Simply wrap duct tape loosely around your child’s wrist with the sticky side facing out. When they find a leaf, flower, or small item that they are interested in, they can pick it up and stick it to their bracelet. (Make sure to educate your kiddos to stay away from poison ivy though.) By the end of the walk, let everyone showcase their bracelets. 

Apple Tree Balance Act: Draw the outline of a tree with chalk on your driveway or sidewalk and scatter “apples” on each branch that they have to gather. For apples, you can use real/ toy apples, pom poms, bean bags, leaves, small balls, or anything you find nearby. Have your child keep their feet on the chalk lines as if they are walking on a tightrope and keep both feet on the chalk as they squat to pick up the “apples.” Increase the challenge by having them do it backwards/ sideways, touching elbow/ hand to opposite knee with each step, or incorporating “apples” of varied colors that they need to sort into different baskets.

Do you have any other fall fun activities to share? Post them in the comments!

Halloween is here and it’s the second year we are taking extra precautions because of COVID. It can be overwhelming for parents especially since there are a whole new set of provisions to take to get our kiddos ready for trick or treating. This
past year, we have had the opportunity to receive the COVID vaccine therefore the restrictions this year have been looser. But, it is still important to take the necessary steps to make this Halloween safe for everyone. We would like to share some tips and tricks to keep our community safe while also having fun.

1. Wear a mask: Although the state mandate says people who are vaccinated do not need to wear a mask, it’s still safer to wear one regardless. A Halloween themed 2-ply mask is a fun way to stay safe! Children who are wearing costumes with a face covering should still wear a 2-ply mask to ensure safety as well.
2. Handing Out Candy: Homeowners participating should also wear a mask. They can also individually hand out candy instead of letting children pick into the communal bowl.
3. Social Distancing: It can be difficult to avoid overcrowding on Halloween, but you can take chalk to make markings every six feet leading up to your door to ensure social distancing is still taking place.
4. Receiving Candy: Parents should always inspect candy and throw out anything that is open.
5. Limiting Group Sizes: Keep your child’s group size to a few close friends as well as siblings.
6. Hand Sanitizer: Also use hand sanitizer between visiting homes to reduce any risk.
7. Where To Go: Travel in well-lit areas and plan your route ahead. To avoid any confusion, it’s also important to stay in a familiar area
8. Stay Home: If you feel unwell, do not go trick or treating. It’s hard to miss out on the fun. But remaining safe and healthy is more important

And remember, come trick-or-treating and play some games at KidPT on Halloween for some fun!!!

We know it is only the beginning of October, but EVERYONE is already thinking about Halloween (we know you are)! There are so many fun, spooky, but also wholesome fall themes all around, like pumpkin EVERYTHING, little ghosts, the monster mash, and so so much more. Because this whole month seems to be filled with Halloween goodness, we wanted to bring you our Halloween themed exercises early, so you can practice them ALL MONTH LONG, all the way to October 31st! So let’s get Monster mashing, come on!

The Frankenstein Kick

Stand with your arms out straight in front of you, and walk forward while kicking your legs straight TEN times. Kick your hands if you can! Now you are doing the Frankenstein Kick!

The Zombie Drag

Lie on your tummy on the floor. Now drag yourself forward (aka do an army crawl) switching your arms 10 times! You can make this even harder if you pretend you are a Zombie who’s legs went missing and try to just move using your arms (it is so tricky).

The Pumpkin Roll

Sit on your pelvis, criss cross applesauce. Now hug your knees close to your chest with both arms. Roll toward one knee, forward, and then try to sit back up. If you keep going in the same direction, you will start moving in a circle, so try it 5 times to the right then 5 times to the left. If you can’t do this one it is okay it is very hard. An alternative position is the stable pumpkin: Hug your knees into your chest and hold for 10 seconds!

The Mummy Twirl

Pretend someone is wrapping you up in a whole roll of toilet paper (or actually use the toilet paper for this one and make it even more fun). Hold your imaginary or real toilet paper in between your arm and your side. Then twirl 10 times to the right to wrap yourself up tight like a mummy. Untwirl yourself by going 10 times to the left so you are not so dizzy (and not left mummified)!

The Flying Ghost

Okay, we are going for the scare factor on this one, kids. Jump as high as you can into the air, bring your arms up over your head, and say BOO! Repeat this 10 times in a row to be the SCARIEST ghost on the block!

And there you have it, ghouls! Have fun performing these exercises to let your inner monster out and to get in the Halloween spirit! Stay tuned this month for more Halloween themed fun and tips to last you the whole month of October. Have fun moving and grooving, and remember to keep it SPOOKY!

As we are finally back to school, it is important to also acknowledge and address the stress that may accompany a return to the school environment. Any transition to a new setting can be stressful, especially for children with disabilities. The combination of an unfamiliar environment, interactions with peers, classroom expectations, unpredictability, reduced control, change of routine, challenging coursework, facing the unknown, or the impact of disabilities can signal the stress system (aka sympathetic nervous system)  in our children’s bodies. This is also known as the fight, flight or freeze system. When faced with fear, uncertainty, a perceived threat, or the anticipation of a stressor our bodies will increase the stress messengers of the body (aka adrenaline and cortisol). This results in changes in breathing, heart rate, blood pressure, posture, concentration, and also systems like digestion. As this is a normal response in the human body, sometimes it can be overactive and can impact a child’s ability to engage with peers and learning activities. 

As parents/ educators/ therapists, our desire is that our kids thrive and enjoy learning about our crazy, cool world with confidence and curiosity. A calm, confident, and aroused state is key to this success in the classroom and with peers. Luckily, our body always tries to have a balance (homeostasis) by having its own checks and balance system. 

Introducing: the de-stress system (aka parasympathetic nervous system) which counteracts the stress messengers and helps achieve a calm state. Successful strategies of managing stress often include techniques that help stimulate this de-stress system. Such strategies include slow/ controlled breathing, postural alignment, reducing arousing stimulus, adjusting exposure to stressors, calming touch, engagement in a soothing activity, spending time in nature, and consistent exercise. 

Below are some practical tips to incorporate these de-stressing strategies into your household routine for your children and the whole family!

Recommendations:

1. Open and supportive communication 
   • Assist your child in processing events of the day, interactions they experience, and their emotions. Not only does this give you a glimpse of their day, but it also enhances child/ parent bonding and it provides your child with a safe and trusted place to process complex feelings and thoughts. One practical way is for each member of the household to discuss highs and lows of that day at a designated time. This is a good opportunity to model emotional regulation for your children, by showing how you as an adult also face highs and lows and move forward in healthy and productive ways. Decluttering the mind reduces stress.
2. Deep breathing
   • Slow, deep, controlled breathing stimulates the de-stress system. One way to do this is to have your child place their hands on their stomach and breathe in through their nose so that their stomach fills and pushes into their hands. Hold for 3-5 seconds and then slowly blow the breath out through the mouth. You can make it fun by placing a toy on their belly and watch it move up and down as they inhale/ exhale.
3. Yoga & Mindfulness
   • Yoga combines intense tactile input, exercise, and coordinated breathing which stimulates the de-stress system while also promoting strength, stability, and balance. One free resource is cosmic kids yoga on youtube which provides fun and popular, kid-specific themes. Mindfulness is another effective strategy to help stimulate a calm and self aware state that is ready to learn and engage with others. One resource that has a variety of mindfulness activities is the OT Toolbox blog (https://www.theottoolbox.com/mindfulness-for-kids/).
4. Address Sensory needs
   • Kiddos with sensory processing difficulties may also experience stress if they are over or under stimulated. Some children may be sensory seekers or instead sensory avoiders. Depending on the child, they may need increased or decreased sensory input to promote a calm state of arousal. An idea to address the needs of sensory seekers is to perform handstands against a wall when they arrive home from school. When sensory needs are significant and impacting their success at school and home, your child may benefit from a consultation with an occupational therapist.
5. Exercise and play
   • Research supports that individuals who engage in regular, consistent exercise have reduced baseline stress levels. There are also countless studies that support positive impacts of exercise on mental health, anxiety, and depression. After sitting in a classroom the majority of the day, it is important for our kiddos to engage in physically active play as this promotes their development and brain health.
6. Engage in Soothing Activities
   • Every person is unique and has different preferences for calming activities. Some examples can be listening to or playing music, going outside in nature, art, reading independently, story time with a caregiver, or journaling. The key is to find an activity that promotes a calm state for that specific child.
7. Reduce screen time
   • High levels of screen time are correlated with increased anxiety and depression with adolescents and teens. Although screen time can have a calming impact, take into consideration the lighting of the device and that screen time can be an isolating activity. 
8. Stress education
   • There is an expanding library of educational resources for children to better understand their bodies and how it processes stress. Knowledge and understanding of how our bodies work can help kids interpret why they feel certain thoughts, sensations, or emotions and provide them with effective strategies to stimulate the de-stress system independently. Here are two youtube videos that provide stress education for the adolescent and primary school aged child. https://www.youtube.com/watch?v=3Nf2Pzcketg (adolescent) https://www.youtube.com/watch?v=LYFofKgBHxU (child)
9. Adjust and limit exposure to stressors
   • Reducing activities that stimulate the stress system can also reduce your child’s stress level at school. Getting ready in the morning before school is a common example of a major stressor. So planning ahead, giving adequate time, incorporating routines, setting clear expectations, and setting clothes out the night before can eliminate the stress of rushing to get to the bus or school. Think about what are potential stressors for you and your child and how things can be adjusted to reduce that stressor.
10. Have fun
    • The happy chemicals that our brains produce when we are enjoying what we are doing also counteracts the stress system. What brings your child true joy? Incorporate that into their routine to promote wellbeing.

This post is for education purposes only. Please seek medical advice from a licensed health care provider that directly manages your care.

Further reading on stress:

WHY “Good Posture” is So Important for School!

by Dr. Ali

We are always hearing about “good posture” and how important it is for us. We hear “sit up straight” and “don’t slouch” often, whether you are saying it to your kiddo or you hear another parent or a teacher saying it to another kiddo. What is never partnered with these phrases is WHY this is so important. I wish that as a kid, somebody told me why sitting up tall was so important, because if they had, maybe I would have done it more instead of slouching!

Sitting with supported, aligned posture is SO important for every body, and for all mobility statuses. If you are curious as to WHAT good posture looks like, click HERE to read a blog post all about appropriate postural alignment and for some solutions to help with sitting posture throughout the school or work day. 

It’s also important to remember that a “good posture” is also one that you’re not in for too long!  We want to empower our kids to listen to and respond to what their bodies need- that may be using a standing desk for periods of the day or sitting on a wedge to support a more traditional aligned upright posture. However, we do want all of our kids to have the flexibility and postural control to sustain an actively aligned posture for periods of time.

SO, without further ado, we are here to tell you all about one of the BIGGEST benefits of sitting with nice, spinal alignment. And what is this benefit you ask? BREATHING! Sitting with your spine in a properly aligned position makes sure that your ribs are in the right places to allow for proper expansion when we breathe in. Sitting with our core activated, with our ribs and spine in a proper alignment ensures that your diaphragm (the big muscle that attaches to your ribs and sits below your lungs) is in the perfect position to contract and relax for breathing. With your ribs and spine in the right position, your lungs have enough room to expand and let in all the air they can. Then your breathing muscles (the diaphragm and more) are in the best position to bring in all that air (aka a win win)! When you sit up TALL, your breathing is not SMALL! 

So, WHY is breathing efficiently important for effective learning throughout the school day? Breathing in big, natural breaths gets oxygen into our lungs, which then gets taken all over the body. Our brain needs oxygen to think all the thoughts we need for our school lessons. The heart needs oxygen to keep beating with a strong and healthy rhythm. The arms and legs need oxygen to fuel their muscles to move and groove or patiently raise a hand to answer a question. The stomach and intestines need oxygen from the blood to digest your yummy lunch so you can turn it into energy! Basically, the WHOLE body needs oxygen to keep on keeping on and to continue doing what each part is supposed to do!

The body needs oxygen for SO many things! And not just any amount of oxygen, but the right amount of oxygen. If the lungs fill with too little oxygen, then the body is only working off of what it has, and maybe compensating for the energy it is missing. You may feel tired throughout the day, with lots of yawns and trouble focusing. This is something we definitely want to avoid when our kiddos go back to school! When they go to school for the day, we give them a hearty breakfast in the morning to make sure they have enough energy to last them until lunch time and a hearty lunch to get them through the rest of the day. BUT both of these amazing meals are not going to help them combat the tiredness they will feel if they are not breathing right all day long at school because of poor posture. 

Good posture and optimal breathing supports emotional regulation, by increasing access to the parasympathetic nervous system, the opposite of our “fight or flight system.”  It impacts a child’s ability to use their eyes, especially for desktop work, but also the ability to move back and forth between looking far at the teacher and looking close at desk work.  It also impacts handwriting and other fine motor skills. 

Our ability to sustain our posture over a long period of time is not only the result of the chair we are sitting on but also our body’s ability to sustain “good posture” using our muscles and sensory system. Some kids have a hard time with the muscular endurance or strength required for good posture. Others have a hard time sensing where their body is when sitting and thus sit in a very relaxed, forward curved posture. Some kids have a combination of both of these factors (and typically this is the case). If you notice your child sitting with slouched posture at home, you can probably assume they are sitting that way at school. If they are sitting that way at school too, they are not breathing in the most efficient way and may not be getting the proper amount of oxygen throughout the day for peak concentration! If you feel like this is your child, it is not something that can’t be helped and improved with physical therapy! Through physical therapy, your child can learn to support their body with supported posture and build the muscle strength and endurance to hold that posture for much longer stretches of time. If you feel like your child spends a large part of the day slouching when they sit, do not hesitate to call us at KidPT to schedule a free Discovery Visit so that we can screen your child to see if PT is appropriate for them, and if we are a good fit, to help them learn to sit with ease!