PPT4Kids

Treadmill Training for Children With Cerebral Palsy: What Improved, What Didn't, and Why That Matters

Fri, 04 Sep 2026 14:00:39 GMT

A randomized controlled trial published in 2025 in Pediatric Exercise Science tested a question many families ask: if we add treadmill training and balance exercises on top of a child's regular therapy, does it help?

The answer turned out to be more interesting than a simple yes. Walking improved. Balance did not. And the gap between those two results teaches something more useful than a clean win would have.

What the Trial Did

Twenty-two children between the ages of 6 and 12 with spastic cerebral palsy took part. All were classified at Gross Motor Function Classification System levels I through III, meaning they were walkers, with or without a hand-held mobility device.

The children were randomly assigned to one of two groups. Both groups received neurodevelopmental treatment across a 12-week period. The intervention group received something extra: treadmill training combined with balance exercises.

That design detail is important. This was not treadmill training versus nothing. It was standard therapy versus standard therapy plus a targeted gait program. Any difference between the groups is attributable to the addition, not to the therapy both groups already had.

The researchers measured walking speed, two dimensions of the Gross Motor Function Measure (dimension D for standing and dimension E for walking, running, and jumping), the Pediatric Balance Scale, a one-minute walk test, and ankle range of motion. Measurements were taken at the start and again at 12 weeks by an assessor who did not know which group each child was in.

What This Means for You as a Parent

Twenty-two kids with cerebral palsy joined this study. They were 6 to 12 years old. All of them could walk. Half of them got their normal therapy. The other half got normal therapy plus treadmill work and balance exercises. This went on for 12 weeks. Then a tester checked how each child did. The tester did not know which group each child was in. That is important. It keeps the results fair and honest.

What Improved

The group that got the extra gait training beat the control group on two measures.

Their walking speed on a 10-meter walk improved significantly compared with the control group. Their score on Gross Motor Function Measure dimension E , which covers walking, running, and jumping, improved by an average of 16.8 points more than the control group, with a confidence interval running from 3.9 to 29.7.

Dimension E is scored as a percentage of the maximum possible, so a gain of roughly 17 points is a substantial shift in the skills that dimension captures. The confidence interval is wide, which is expected in a trial this small, but the entire range sits above zero.

The researchers also noted no serious adverse events. Treadmill training with this population, delivered in a supervised setting, was well tolerated.

What This Means for You as a Parent

The kids who did the treadmill work walked faster. They also got better at walking, running, and jumping skills. That is a real gain, not a small one. Nothing bad or unsafe happened during the study. So if a therapist suggests treadmill work for your child, this study supports that idea.

The Real Gap: Nobody Knows the Right Dose Yet

This is the most important limitation in the review, and the authors are direct about it.

The 22 trials used different protocols, different exercises, different session lengths, and different program durations. That variety, which researchers call methodological heterogeneity, makes it possible to say that balance training works while making it very hard to say which balance training works best, or how much of it a child needs.

The authors call for future studies that examine dose-response relationships, meaning the link between how much training a child receives and how much benefit they get. Right now, that guidance does not exist in the published evidence.

That gap does not make the finding weak. It makes clinical judgment essential. A therapist choosing exercises for your child is not following a published formula, because there isn't one. They are drawing on training, assessment, and observation of how your specific child responds.

What This Means for You as a Parent

Every study used a different plan. Some did short sessions. Some did long ones. Some used different exercises. So scientists know balance training works. They do not yet know the perfect amount or the perfect exercises. This is why a good therapist watches your child closely and changes the plan. If someone hands you one worksheet and says this works for everyone, be careful. There is no single right plan yet.

What Didn't Improve, and Why That Is the Real Story

Here is the part that gets left out of most summaries. Beyond walking speed and dimension E, there were no other significant differences between the groups .

The Pediatric Balance Scale did not show a between-group difference. Neither did ankle range of motion. Neither did dimension D, which measures standing.

That is worth sitting with, because the intervention explicitly included balance exercises. The children did balance work, and their balance scores did not separate from the control group's.

The authors' own conclusion names this directly. The training was focused on gait, and gait is what improved, with little if any change in other outcomes such as balance or range of motion.

This is a principle physical therapists call specificity of training. Bodies get better at what they practice, and the transfer to related-but-different skills is often smaller than we assume. Walking on a treadmill is excellent practice for walking. It turns out to be much weaker practice for standing steady on one foot.

What This Means for You as a Parent

The kids got better at walking. They did not get better at balance. Even though the plan included balance exercises. Here is the simple lesson. Kids get better at the thing they practice most. Walking practice makes walking better. It does not fix everything else at the same time. So if your child needs help with balance AND walking, they may need work on both. One will probably not fix the other on its own. This is a good question to ask your therapist. Which skill are we working on right now, and how will we know it is working?

The Honest Caveat: This Was a Small Trial

Twenty-two children is a small sample. Small trials can detect large effects reasonably well, but they produce wide confidence intervals, and they are poor at detecting smaller effects that may still be real.

That cuts in both directions here. The walking gains are believable because they were large enough to surface despite the sample size. But the absence of a balance effect should be read as "this trial did not find one," not as proof that balance training never helps children with cerebral palsy. A larger 2026 meta-analysis of 22 separate trials found that balance training does improve balance in children with developmental disorders, including cerebral palsy.

Both findings can be true at once. Balance training works when balance training is the focus. In this particular trial, the program was weighted toward gait, and gait is where the gains landed.

What This Means for You as a Parent

Only 22 kids were in this study. That is small. Small studies can miss things. So do not read this as "balance training never works." Other, bigger research shows balance training does help kids. What this study shows is narrower. In this plan, walking got most of the attention, and walking got most of the gains. One study is one piece of the puzzle. Never the whole picture.

How Progressive Pediatric Therapy Approaches Gait and Balance in Cerebral Palsy

At Progressive Pediatric Therapy , this is exactly why goal setting comes before program building. A child who needs to walk farther without fatiguing and a child who needs to stop falling on uneven ground need different programs, even though both goals live under the heading of mobility.

Our licensed pediatric physical therapists evaluate first, name the specific target, choose interventions that match that target, and reassess on a schedule so a plan that is not producing change gets changed. When a child has multiple goals, we sequence them deliberately rather than assuming one will carry the other.

You can learn more on our cerebral palsy program page or our page on balance and walking difficulties .

What This Means for You as a Parent

Walking farther and staying steady are two different goals. They may need two different plans. A good therapist picks a clear target first. Then they check often to see if it is working. If it is not working, they change it. You can ask about this at any visit. Ask what the goal is right now. Ask how progress gets measured. Those are fair questions, and good therapists like them.

When to Seek a Physical Therapy Evaluation

Consider scheduling an evaluation if your child:

Has a diagnosis of cerebral palsy and has not had a mobility reassessment recently
Walks noticeably slower than peers or tires quickly when walking
Has difficulty keeping up on the playground or in the hallway at school
Falls frequently or avoids uneven surfaces
Has plateaued in therapy without a change in approach
Struggles with running, jumping, or stairs
Uses a walker or other device and may be ready to progress

A Note for Referring Providers and Therapists

The clinically actionable point here is dissociation of outcomes within a combined intervention. Adding treadmill training plus balance exercises to neurodevelopmental treatment yielded between-group gains on 10-meter walk speed and GMFM-E only, with no separation on the Pediatric Balance Scale, GMFM-D, one-minute walk test, or ankle range of motion. Read alongside the 2026 balance training meta-analysis, the reasonable interpretation is that combined programs risk under-dosing the secondary target. If balance is a stated goal, it likely needs its own dedicated volume rather than inclusion as an adjunct to gait work. Note also the sample of 22 and correspondingly wide confidence intervals.

Sources

Effect of Treadmill Gait Training Combined With Balance Exercises on Functional Mobility and Balance in Children With Cerebral Palsy: A Randomized Controlled Trial. Pediatric Exercise Science, 2025. PubMed PMID: 40992432. DOI: https://doi.org/10.1123/pes.2025-0018
Retrieved via PubMed, U.S. National Library of Medicine: https://pubmed.ncbi.nlm.nih.gov/40992432/
Nie et al. Systematic review and meta-analysis of balance training in children with developmental disorders. PeerJ, 2026. PubMed PMID: 42291439. DOI: https://doi.org/10.7717/peerj.21272

This article is for general educational purposes and is not a substitute for individualized evaluation by a licensed physical therapist.

Gestalt Language Processing and NLA: What Every Parent Should Know Before Starting Therapy

Wed, 02 Sep 2026 12:37:32 GMT

A plain-language look at an active, genuinely contested professional conversation, written for parents who have encountered the terms "gestalt language processor" or "NLA stages" and for therapists weighing how to use them. The centerpiece is a 2025 peer-reviewed commentary that closely examines the evidence behind Gestalt Language Processing (GLP) and the Natural Language Acquisition (NLA) protocol. We explain what it found, what both sides agree on, and why this remains an open conversation rather than a settled question.

Why This Conversation Matters

Gestalt Language Processing (GLP) and the Natural Language Acquisition (NLA) protocol have grown rapidly in popularity among speech-language pathologists (SLPs) who work with autistic children. The framework was detailed in a widely read 2023 viewpoint by Marge Blanc and colleagues, published by the American Speech-Language-Hearing Association (ASHA), which went on to become the most-read article in any ASHA journal that year. That popularity reflects something real: many families and clinicians have found GLP/NLA's emphasis on embracing echolalia and following a child's lead to be a welcome, affirming shift. At the same time, GLP/NLA has generated significant professional controversy, with researchers raising specific, evidence-based concerns about several of its core claims and recommendations. A 2025 peer-reviewed commentary, published in the same ASHA journal that ran the original viewpoint, lays out that critique in detail.

WHAT THIS MEANS FOR YOU AS A PARENT

You may have heard your child described as a "gestalt language processor," or heard a therapist mention "NLA stages." These terms come from a specific framework, not a formal medical diagnosis, and there's real, respectful debate happening among speech-language researchers about which parts of it hold up to evidence and which don't. Knowing where that conversation stands can help you ask good questions and make informed choices alongside your child's therapist.

What Gestalt Language Processor and the Natural Language Acquisition Protocol Propose

GLP is built on the idea that some children, often described in relation to autistic children's delayed echolalia (repeating phrases heard earlier, sometimes from shows or past conversations) , learn language by absorbing large, unanalyzed "chunks" of speech rather than building sentences word by word, the traditional model, called analytic language processing. Blanc and colleagues describe children believed to learn this way as gestalt language processors, and the NLA protocol outlines six proposed stages of gestalt language development along with specific intervention strategies matched to each stage.

WHAT THIS MEANS FOR YOU AS A PARENT

The basic idea behind Gestalt Language Processor is that some children might learn to talk in whole memorized phrases first, the way you might learn a song by the sound of the whole line before you know what every word in it means, rather than learning one word at a time. The Natural Language Acquisition protocol built on this idea lays out six stages a child is thought to move through, with specific strategies recommended for each one.

A 2025 Commentary Takes a Closer Look

The commentary, authored by Emily Lorang, Janine Mathée-Scott, Jennifer Johnson, and Courtney Venker and published in Perspectives of the ASHA Special Interest Groups, is a formal, peer-reviewed response to the original Blanc et al. viewpoint. Rather than presenting new experimental data, the authors evaluate GLP/NLA's core claims against the existing peer-reviewed research base, including a substantial body of eye-tracking research on how autistic children process spoken language in real time. This kind of scholarly response, one group of researchers holding another's proposal up against the wider evidence base, is a standard and valuable part of how a clinical field works through a genuinely new and popular idea.

WHAT THIS MEANS FOR YOU AS A PARENT

This isn't a brand-new study with a new group of children. It's a careful, peer-reviewed response in which a separate group of researchers took the specific claims behind GLP and NLA and checked them against the existing research on how autistic children actually process language, including sophisticated eye-tracking studies that can measure understanding word by word, in real time.

Five Concerns, in Plain Language

Contradicted by existing research: Eye-tracking studies covering more than 300 autistic children (ages 3–17) found they process spoken language word by word as it unfolds, not as whole, unanalyzed "chunks," contradicting a core GLP claim.
A conceptual flaw: GLP infers how a child understands language (processing) from how they speak (production). But what a child says and what a child understands are separate things; a child's spoken phrases alone don't reveal their level of comprehension.
Presumes incompetence: Assuming a child doesn't understand the individual words in a phrase they're repeating, without direct evidence, risks underestimating what that child actually understands, a particular risk for nonspeaking or minimally speaking children.
Potentially harmful language-modeling advice: Some NLA-specific recommendations, such as removing verbs or avoiding grammar and questions, run counter to strategies research supports, like using verbs and building on what a child says, which are linked to stronger language growth.
Lacks peer-reviewed research support: A 2025 systematic review found no published, peer-reviewed studies testing GLP/NLA-based interventions. Much of what's cited as "research" behind NLA consists of non-peer-reviewed books, clinic materials, or opinion pieces rather than empirical studies.

Taken together, the authors conclude that the specific, branded components of GLP/NLA, labeling a child as a gestalt language processor, writing goals around NLA stages, or using stage-based language-modeling rules, currently lack the research support needed to justify their use as a distinct clinical protocol.

WHAT THIS MEANS FOR YOU AS A PARENT

The short version: researchers who looked closely at the specific claims and rules unique to GLP and NLA found real gaps between what's claimed and what the evidence actually shows, especially around the idea that certain children can't process individual words, and around some of the very specific dos-and-don'ts for how adults should talk to a child. That's worth knowing, but it's not the whole picture, see the next section.

The Common Ground That Matters Just as Much

This is the part of the commentary that keeps it from being a simple rejection of GLP/NLA: the authors are explicit that many of the practices associated with the NLA protocol, following a child's lead, partnering closely with families, embracing echolalia as a genuine, valid form of communication, and listening to autistic voices, are valuable, evidence-aligned, and neurodiversity-affirming. They state plainly that these practices can and should continue to be used, and that none of their five concerns apply to them. Their point is narrower and more precise than "GLP/NLA is wrong": these good, affirming strategies aren't unique to the NLA brand. They're part of many established, evidence-based approaches to supporting autistic children's communication, and they don't require adopting NLA's specific stage system or language-modeling rules to use.

WHAT THIS MEANS FOR YOU AS A PARENT

This is the reassuring part: nothing in this research says echolalia doesn't matter or that repeating phrases isn't real communication, quite the opposite, the researchers say clearly that echolalia should be embraced as meaningful. The good things families associate with gestalt-informed therapy, a therapist who follows your child's lead, values their voice, and treats repeated phrases as real communication, aren't going away. The researchers are simply saying those good practices stand on their own evidence and don't need a specific brand-name protocol attached to them.

What This Means for Parents

A few grounded takeaways to bring into conversations with your child's therapy team:

Echolalia (repeating phrases) is real, valid communication. That's true regardless of which framework a therapist uses, and it's not in dispute on either side of this conversation.
If a therapist describes your child as a "gestalt language processor" or references specific NLA stages, it's entirely reasonable to ask what that label is based on and how it's shaping your child's goals.
Good therapy, following your child's lead, treating their communication attempts as meaningful, partnering closely with your family, doesn't require a specific branded protocol. Those elements are supported by broader research on autism intervention.
This is an active, respectful professional debate, not a resolved question. Different qualified therapists may currently hold different views, and that alone isn't a red flag; asking your child's SLP how they're weighing the evidence is a reasonable, collaborative way to stay involved.

What This Means for Therapists and Clinicians

The commentary's core methodological recommendation is a useful one for clinical practice generally: evaluate the individual strategies that make up GLP/NLA on their own merits rather than adopting or discarding the framework as a single all-or-nothing package. Neurodiversity-affirming, family-centered, child-led practices remain well supported and worth continuing regardless of one's broader view of GLP/NLA. The specific claims unique to the NLA brand, that spoken production reveals processing style, that children move through defined stages, and that language should be modeled differently depending on presumed stage, are the pieces the authors argue currently lack empirical support and, in some cases, run counter to existing evidence.

WHAT THIS MEANS FOR YOU AS A PARENT

For the clinical side of your team: this is a genuine invitation to look at each strategy on its own terms rather than treating "gestalt-informed" as one single package. The child-led, family-centered, echolalia-affirming pieces have real support and are worth keeping. The specific NLA stage labels and language-modeling rules are the pieces this research says need more caution and more evidence before they're treated as established practice.

Where the Evidence Stands

It's important to understand what kind of source this is. The commentary is a peer-reviewed scholarly response, not a new experimental study collecting fresh data from children. Its strength comes from how carefully it holds GLP/NLA's specific claims up against an existing, substantial body of peer-reviewed research, including eye-tracking studies of language processing and a 2025 systematic review that found no published, peer-reviewed intervention studies specific to GLP/NLA. That said, this remains a genuinely live professional conversation. Other researchers and clinicians, cited within this very commentary, have argued for embracing gestalt language development as a neurodiversity-affirming practice, and proponents of GLP/NLA have pointed to years of clinical experience and observation as valuable, even without peer-reviewed data behind every specific claim. The commentary's own authors close by calling for respectful, professional dialogue rather than treating this as a settled, one-sided verdict, and by acknowledging that thoughtful, well-intentioned clinicians currently land in different places on this question.

WHAT THIS MEANS FOR YOU AS A PARENT

This isn't a case of "the science says X and everyone agrees." It's an active, sometimes passionate conversation among people who all want the same thing: good, respectful support for autistic children's communication. This particular research makes a careful, well-sourced case for caution around specific NLA claims and strategies, while others in the field see real value in the broader gestalt-language framework. Both things can be true: it's worth taking this research seriously, and it's also reasonable that your child's therapist may weigh it differently than another therapist would.

Questions Worth Asking Your Child's Therapist

If gestalt language processing or NLA has come up in your child's care, these are reasonable, collaborative questions to bring to your next conversation:

What does "gestalt language processor" mean for my child specifically, and how was that determined?
If NLA stages are being used, how are they informing my child's actual therapy goals?
How are you incorporating current research into decisions about language-modeling strategies?
What does the evidence say about the specific approach we're using, separate from the broader framework it's associated with?
How will we know if this approach is working for my child?

These aren't confrontational questions, they're the kind of collaborative, informed conversation that any good clinician should welcome having with a family.

Frequently Asked Questions

Is Gestalt Language Processing a formal diagnosis? No. GLP is a proposed framework describing a possible style of language development, not a medically recognized diagnosis. A child is not formally "diagnosed" as a gestalt language processor the way they might be diagnosed with autism.

Does this research mean echolalia isn't meaningful communication? No, quite the opposite. The commentary's authors explicitly and strongly affirm echolalia as a valid, meaningful form of autistic communication. Their concerns are about specific, unproven claims and strategies within the NLA protocol, not about the value of echolalia itself.

Should I ask my child's therapist to stop using GLP/NLA-based approaches? That's a decision to make together with your child's clinician based on your child's individual needs. This research supports asking informed questions about which specific strategies are evidence-based, rather than an automatic all-or-nothing switch.

What parts of GLP/NLA-associated practice does the research actually support? Following the child's lead, partnering closely with families, treating echolalia as genuine communication, and listening to autistic voices are all described as valuable, evidence-aligned practices, though the researchers note these aren't unique to the NLA protocol specifically.

Is this a settled scientific question? No. This is an active, ongoing professional conversation, and thoughtful researchers and clinicians currently hold different views. This commentary represents one rigorous, peer-reviewed perspective within that broader discussion.

Where Families Can Turn

Progressive Pediatric Therapy supports children's communication development, including children who use echolalia and gestalt language, across Palm Beach County, Lake Worth, and Boca Raton. If you have questions about how your child's therapy plan incorporates current research, or want to talk through what an evaluation would look like, our speech-language team is glad to have that conversation with you. Learn more about our approach to gestalt language support or contact us to schedule an evaluation.

Sources & Attribution

Primary study, retrieved from PubMed and PubMed Central: Lorang E, Mathée-Scott J, Johnson J, Venker CE. A Response to Blanc and Colleagues' Viewpoint on Gestalt Language Processing and the Natural Language Acquisition Protocol: Concerns and Common Ground. Perspect ASHA Spec Interest Groups. 2025 Dec 1;11(1):43-50. PMID: 42100129. https://doi.org/10.1044/2025_persp-25-00055

Original viewpoint under discussion: Blanc M, Blackwell A, Elias P. Using the Natural Language Acquisition Protocol to Support Gestalt Language Development. Perspectives of the ASHA Special Interest Groups. 2023;8(6):1279-1286. https://doi.org/10.1044/2023_persp-23-00098

Does Balance Training Actually Work for Kids With Developmental Delays? A 2026 Review of 22 Trials

Fri, 28 Aug 2026 15:01:32 GMT

If your child trips more than other kids, holds the railing on every stair, or plants their feet wide apart just to stand still, you have probably been told that balance work will help. It is one of the most common recommendations in pediatric physical therapy.

But how strong is the evidence, really? Balance training has been studied for decades in adults and in typically developing athletes. Children with developmental disorders have received far less attention, even though they are the group most likely to be handed a balance program.

A systematic review and meta-analysis published in 2026 in the journal PeerJ pooled the randomized controlled trials to find out. The short version: balance training works, the gains are meaningful, and nobody has yet figured out the right recipe.

What the Researchers Looked At

The research team searched seven databases, including PubMed, Web of Science, CINAHL, MEDLINE, SPORTDiscus, Scopus, and CNKI, for studies published through January 2026. That breadth matters. Searching Chinese-language literature alongside English-language databases catches trials that most reviews miss.

They restricted inclusion to randomized controlled trials, which is the strictest common study design. A trial had to test a balance training intervention and measure at least one motor outcome, such as balance or strength, in children with developmental disorders. Twenty-two trials met the bar.

The review used ROB-2, a standard risk-of-bias tool, to assess the quality of each trial rather than simply counting up the positive results. The populations studied included conditions such as cerebral palsy and Down syndrome, which the authors flagged as key terms for the work.

What the Trials Found

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What This Means for You as a Parent

Balance training helped in every area they checked. The biggest gains were in "functional balance." That means balance during real life, like turning around or reaching for a toy. That is exactly the kind of balance that helps a child keep up on the playground. Kids also got better at holding still, moving without wobbling, and using their whole body. These are group averages. Your child is not an average. But the direction is clear. This kind of work helps.

Strength and Coordination: Promising, But Thin

The review also looked for effects on muscle strength and coordination. Here the honest answer is that too few trials measured them. The studies that did report positive effects, but the evidence base was too small for the researchers to draw firm conclusions.

This is a common pattern in rehabilitation research. Outcomes that are easy to measure in a clinic get measured often. Outcomes that require more time or equipment get skipped, even when they matter.

What This Means for You as a Parent

Balance training might also build strength and coordination. A few studies said yes. But there were not enough studies to be sure. That does not mean it does not work. It just means nobody has checked carefully enough yet. Keep that in mind if you read a website that promises big strength gains from balance work.

The Real Gap: Nobody Knows the Right Dose Yet

This is the most important limitation in the review, and the authors are direct about it.

What This Means for You as a Parent

Why Balance Is About More Than Falling Down

It is easy to think of balance as a narrow skill, but the gross motor function result points to something wider. When a child can control their body in space, other skills become available to them. Climbing, running with peers, carrying a lunch tray, standing in line, and sitting upright at a desk all draw on postural control.

Children who feel unstable often solve the problem by opting out. They pick the sedentary game. They stay on the bench. Over time that becomes a participation issue as much as a motor one, which is why balance work sits near the center of pediatric physical therapy rather than off to the side.

What This Means for You as a Parent

Balance is not just about falling. When kids feel wobbly, they often stop trying. They sit out at recess. They pick the quiet game. Then they get less practice, and it gets even harder. Helping a child feel steady can help them join in. Joining in is how kids build the rest of their skills.

How Progressive Pediatric Therapy Approaches Balance and Walking Difficulties

At Progressive Pediatric Therapy , balance work starts with a physical therapy evaluation rather than a template program. Static balance, dynamic balance, and functional balance are different skills, as this review makes clear, and a child can be solid in one and struggling in another. Knowing which one is the problem shapes everything that follows.

From there, our licensed pediatric physical therapists build a plan around your child, adjust it as your child responds, and keep the focus on the balance that shows up in real settings: the playground, the classroom, the stairs at home.

Because balance difficulties frequently appear alongside other diagnoses, our multidisciplinary team can look at the whole picture. You can read more on our balance and walking difficulties page , our cerebral palsy program , our Down syndrome program , or our page on delayed gross motor skill development .

What This Means for You as a Parent

There are different kinds of balance. A child can be good at one and have trouble with another. That is why a real evaluation comes first. A therapist figures out which part is hard for your child. Then they build a plan just for them. At Progressive Pediatric Therapy, the therapists work together in one place. So the person helping with balance can talk to the person helping with other skills.

When to Seek a Physical Therapy Evaluation

Consider scheduling an evaluation if your child:

Falls noticeably more often than other children the same age
Stands with feet unusually wide apart for stability
Avoids playground equipment, stairs, or uneven ground
Cannot stand on one foot when peers can
Tires quickly during activities that require standing or walking
Holds onto furniture or walls when moving through a room
Has a diagnosis such as cerebral palsy, Down syndrome, or developmental coordination disorder
Has hit gross motor milestones later than expected

A Note for Referring Providers and Therapists

Two things in this review are worth carrying into practice. First, the effect size ordering favors functional balance over static balance, which argues for task-oriented programming over isolated postural holds when clinical time is limited. Second, the absence of dose-response data means program parameters remain a clinical reasoning decision rather than an evidence-based one. Documenting your rationale and your reassessment intervals is the defensible approach until standardized protocols exist. The review's own recommendation is for high-quality standardized trials investigating task-specific interventions.

Sources

Nie et al. Systematic review and meta-analysis of balance training in children with developmental disorders. PeerJ, 2026. PubMed PMID: 42291439. DOI: https://doi.org/10.7717/peerj.21272
Retrieved via PubMed, U.S. National Library of Medicine: https://pubmed.ncbi.nlm.nih.gov/42291439/

This article is for general educational purposes and is not a substitute for individualized evaluation by a licensed physical therapist.

Supporting Premature Infants: Guidance for Families of Babies Born Early

Fri, 28 Aug 2026 14:00:10 GMT

When a baby arrives earlier than expected, the first weeks and months can bring both joy and uncertainty. Families often leave the NICU or hospital with important instructions — but also many questions about their baby’s development.

Parents may find themselves wondering:

“Should my baby be rolling, smiling, or eating more by now?”

These questions are very common for families of premature infants. Many concerns fall into a gray area between needing formal therapy and simply needing expert reassurance and guidance.

At Progressive Pediatric Therapy, our Guiding Growth Program provides proactive developmental support for premature and medically complex infants — helping families understand their baby’s development while building confidence during the first year.

Why Early Support Matters for Premature Babies

Babies born early often follow a different developmental timeline than babies born full term.

During the early months, premature infants focus much of their energy on essential physiological growth, including:

Regulating breathing and heart rate
Maintaining body temperature
Recovering from medical interventions
Gradually building muscle tone and strength

Because of these additional challenges, development may look different — and that difference can be confusing or concerning for families.

Support from pediatric developmental specialists can help families understand what is typical for premature babies and what may need closer attention .

Understanding the “Preemie Difference”

Premature babies are not necessarily behind — they are simply developing on an adjusted timeline .

Parents often notice patterns that can feel worrying but are actually common in premature infants.

These may include:

Lower Muscle Tone (Hypotonia)

A baby’s body may feel softer or more relaxed, sometimes described as “floppy.”

Extended Postures

Arms and legs may appear more stretched out rather than curled into a flexed position.

Subtle Communication Cues

Preemies may show smaller signals of stress or discomfort, such as facial expressions or slight body movements.

Milestones That Appear Delayed

When milestones are compared using birth age rather than corrected age, development may seem behind.

Understanding these patterns helps families support development with confidence instead of worry .

The Importance of Corrected Age

One of the most helpful tools when tracking development for premature babies is corrected age .

Corrected age adjusts a baby’s developmental expectations based on how early they were born.

For example:

A baby who is 4 months old but born 8 weeks early may show developmental skills closer to those of a 2-month-old .

Using corrected age helps:

Set realistic expectations for development
Prevent unnecessary worry or testing
Support healthy communication between families and providers
Allow parents to celebrate real progress

Our therapists help families understand how to track milestones using corrected age so development feels clear and understandable .

Support Between Pediatric Visits

Regular pediatric visits provide essential medical care, but many families benefit from additional developmental guidance between those appointments.

This is especially true for:

Premature infants
Babies with complex medical histories
Families who want reassurance about development

During Guiding Growth sessions , pediatric therapy specialists can help families:

Monitor feeding, sleep, play, and motor development
Understand their baby’s cues and state regulation
Learn positioning and handling techniques
Introduce play activities that support development
Identify when additional therapy may truly be needed

These sessions are wellness-focused coaching visits , not formal therapy evaluations.

Many parents simply want reassurance.

As families often say:

“We just want someone to look at our baby and tell us what to work on.”

About the Guiding Growth Program for Premature Babies

Our Guiding Growth Program offers structured developmental support for premature infants during their first year of life.

Families typically schedule three milestone visits:

Newborn / Post-Discharge

Early guidance on positioning, feeding, and early developmental cues.

Around 6 Months Corrected Age

Support for movement development, play, and early communication.

Around 12 Months Corrected Age

Preparation for mobility, interaction, and emerging independence.

Each visit includes:

A comprehensive review of motor skills, feeding, sleep, and engagement
Coaching on tummy time, positioning, and play activities
Parent guidance on recognizing subtle developmental cues
Personalized home activity recommendations
Clear recommendations if additional therapy is needed

These visits are designed to provide guidance without the stress of formal evaluations, referrals, or insurance barriers .

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe families of premature babies deserve clarity, reassurance, and expert support during their baby’s first year.

The Guiding Growth Program acts as a developmental safety net — helping parents understand their baby’s unique timeline while supporting healthy growth and connection.

By combining developmental expertise with family-centered coaching, we help parents feel confident supporting their baby’s progress every step of the way.

Ready to Support Your Baby’s Growth?

If your baby was born prematurely or had a medically complex start, the Guiding Growth Program can provide the guidance and reassurance your family needs.

Getting started is simple:

Fill out the brief form
Our team pairs your family with a therapist specializing in infant and premature development
We contact you to schedule your Guiding Growth Wellness session

With the right guidance, families can focus less on worry and more on celebrating their baby’s progress.

Ready to get started?

Call us at 561-376-2573 to learn more about the Guiding Growth Program.

What Is the Long-Term Outlook for a Child With Severe Apraxia of Speech? What the 2026 Research Actually Says

Wed, 26 Aug 2026 12:29:31 GMT

It is usually the first question a parent asks after an apraxia diagnosis, and it is rarely the one that gets a satisfying answer. Not "what is the therapy plan," not "how many sessions per week," but the bigger one underneath: will my child talk clearly one day?

A systematic review published in 2026 in the International Journal of Language & Communication Disorders set out to answer exactly that question for children with moderate-to-severe speech sound disorder, the group where childhood apraxia of speech (CAS) shows up most often. The researchers screened 3,697 papers to find the ones that actually followed these children over time.

The findings are genuinely useful, and they are also more honest than most parents expect. Here is what the research says, what it does not say yet, and what it means for the choices you are making right now.

What the Researchers Looked At

The review team searched the published literature for studies that met a specific bar. A study had to involve children with moderate-to-severe speech sound disorder, and it had to include at least one follow-up speech assessment that was not simply measuring the results of a single course of treatment. In other words, they wanted to know how children's speech changed across time, not just whether one therapy program worked.

From 3,697 screened papers, 21 met the criteria. Those 21 papers represented 15 unique studies, because several research groups had published multiple papers on the same children. Nine were cohort studies following groups of children. Six were case studies following individual children in detail.

The children were between 2 years 3 months and 11 years 9 months old at their first assessment. Most of the studies (11 of 15) checked in with children at two or three separate time points. Twelve of the fifteen specified the exact speech diagnosis or subtype, and among those, childhood apraxia of speech was the most prominent diagnosis that met the review's severity threshold.

The study quality was rated as generally good. The limitations that did exist were mostly about confounding, meaning it was hard to separate natural change over time from the effect of therapy the children were receiving, and about studies that did not clearly define which speech subtype a child had at the starting point.

What This Means for You as a Parent

Scientists looked at almost 3,700 studies about kids with hard-to-understand speech. Only 15 of them followed kids over time. That is a very small number. The kids in these studies were about 2 to 11 years old when they started. Most kids were checked two or three times as they got older. Most of these kids had apraxia of speech. So when you feel like there are not many clear answers about the future, you are right. The research is still small.

The Main Finding: Errors Get Fewer, But Error Patterns Stick Around

This is the heart of the review, and it is worth sitting with.

The case studies, which tracked individual children closely over years, showed a consistent pattern. Children made fewer speech errors as time went on. Their accuracy on single words improved. Their intelligibility, meaning how much of their speech a listener could understand, improved as well.

But the types of errors tended to persist. One example the researchers highlighted is token-to-token inconsistency, which is the hallmark of apraxia: saying the same word three times and producing it three different ways. That underlying inconsistency showed a tendency to hang on even as the overall error count came down.

The studies measured a range of speech outcomes, and the mix tells you something about what the field prioritizes. Consonant accuracy was measured in 11 of the 15 studies. Word accuracy and syllable accuracy each appeared in 7. Phonological patterns appeared in 9. Vowel accuracy appeared in 5. Prosody, the rhythm and melody of speech, was measured in only 2. Intelligibility, arguably the outcome families care about most, was also measured in only 2.

What This Means for You as a Parent

Here is the good news. Kids in these studies got better. They made fewer mistakes. People could understand them more. Here is the honest part. The kind of mistake often stayed the same. A child might still say the same word in different ways on different tries. That is normal for apraxia. It does not mean therapy failed. It means progress often looks like "fewer errors" before it looks like "no errors." Also, most studies counted sounds. Very few asked the question you care about most, which is "can people understand my child?" That is a gap in the research, not a gap in your child.

Why "Resolved" or "Persistent" Is Not a Good Enough Answer

The nine cohort studies, the ones following groups of children, mostly reported outcomes in broad strokes. A child's disorder was labeled either "resolved" or "persistent."

The review flags this as a real problem. When a study says a child's speech disorder was persistent, it does not tell you whether that child is still severely unintelligible or whether they have a mild residual lisp that nobody outside the family notices. Those are wildly different outcomes living under the same label. The severity of the persistent subgroup, as the authors put it, was not delineated.

For a parent trying to picture their child at age twelve, that distinction is everything.

What This Means for You as a Parent

Some studies only said "fixed" or "not fixed." That is not very helpful. "Not fixed" could mean a child is still very hard to understand. Or it could mean the child says one sound a little funny. Those are not the same thing at all. So if you read a scary number online about how many kids "still have problems," slow down. That number is hiding a lot. Ask your child's speech therapist for real details about your child instead.

Why This Gap in the Research Matters More Than It Sounds

The authors make a pointed observation. There is a fair amount of longitudinal evidence about children with mild-to-moderate speech and language difficulties. Long-term studies of children with moderate-to-severe speech sound disorder are rare.

That is backwards, and the review says so. Emerging data suggest that severe speech sound disorders are more pervasive than previously assumed and carry greater risk to academic achievement and mental health. The children with the highest stakes have the thinnest evidence base.

The review also notes that there are no cohort studies providing longitudinal data for other severe speech sound disorders such as dysarthria or fluency disorders. The gap is not limited to apraxia.

What This Means for You as a Parent

Kids with the hardest speech problems have the fewest long-term studies. That is strange, because they need answers the most. Research also shows that big speech problems can make school harder. They can affect how a child feels about themself, too. This is a reason to take speech therapy seriously and start early. It is not a reason to panic. It is a reason to act.

What the Researchers Say Needs to Happen Next

The review's conclusion is a call for better data. What the field needs, the authors argue, are prospective longitudinal studies designed from the start to track meaningful speech outcomes in children with severe speech sound disorder over time.

The purpose is practical. Better long-term data would help clinicians identify predictors, meaning the early signs that tell you which children are likely to need years of intensive support and which are likely to make faster gains. In a healthcare environment where speech therapy demand outstrips supply almost everywhere, knowing how to prioritize is not an academic question. It determines who gets seen and how often.

What This Means for You as a Parent

Researchers want to follow kids for many years and write down what happens. That would help therapists guess who needs the most help. Right now, nobody can predict your child's future with a chart. What they can do is watch your child closely and change the plan as needed. That is what a good therapy team does.

How This Shapes Good Apraxia Therapy Today

A review that says "we need more evidence" can feel like a shrug. It is not. Read carefully, this study points to several things that should be true of strong apraxia care right now.

Your child's subtype should be clearly identified and documented.

One of the review's central criticisms is that many studies did not specify the speech diagnosis at baseline, which made their findings hard to interpret. The same is true clinically. Apraxia, dysarthria, and phonological disorder look different under the hood and respond to different approaches. A careful differential diagnosis is the foundation of everything that follows.

Progress should be measured in more than one way.

If consonant accuracy is the only number in your child's file, you are missing most of the picture. Word-level accuracy, consistency across repeated attempts, prosody, and functional intelligibility all tell you something different. The review makes clear that intelligibility in particular is under-measured in research. It should not be under-measured in your child's therapy.

Expect a long horizon, and expect the shape of progress to change.

The case-study evidence suggests error frequency drops before error type resolves. Knowing that in advance means you can recognize real progress instead of reading persistence as failure.

Communication should not wait for speech to catch up.

While a child is working on motor speech, they still need a way to be understood at school, at the dinner table, and with friends. This is where augmentative and alternative communication earns its place, and the evidence base for AAC in children with apraxia has been strengthening. It is a bridge, not a replacement.

How Progressive Pediatric Therapy Approaches Apraxia

At Progressive Pediatric Therapy , apraxia care starts with a thorough evaluation by a licensed speech-language pathologist, because everything downstream depends on getting the diagnosis right. Our team builds a plan around your individual child, tracks progress across multiple measures rather than a single score, and adjusts as your child develops.

Because we are a multidisciplinary pediatric clinic offering physical, occupational, speech, and feeding therapy under one roof, we can also look at the whole child. Motor planning difficulties rarely stay confined to speech, and having therapists who talk to each other about the same child matters.

You can learn more about our approach on our apraxia program page , or reach out through www.ppt4kids.com to schedule an evaluation.

What This Means for You as a Parent

You do not have to figure this out by yourself. A speech therapist can test your child and find out exactly what is going on. Then they make a plan just for your child. At Progressive Pediatric Therapy, speech therapists work in the same building as the other therapists. So everyone helping your child can talk to each other. If you are worried, the best first step is simple. Book an evaluation and ask questions.

When to Seek an Evaluation

Consider scheduling a speech-language evaluation if your child:

Says the same word differently on different attempts
Is much harder to understand than other children the same age
Has more difficulty with longer words than shorter ones
Seems to grope or struggle to position their mouth before speaking
Has unusual rhythm, stress, or melody in their speech
Understands far more language than they can produce
Has made little progress despite a stretch of speech therapy

Early, accurate diagnosis is the strongest lever you have. The research is still catching up on long-term prediction, but it is unambiguous that severe speech sound disorders deserve serious, sustained attention.

A Note for Referring Providers and Therapists

This review is worth reading in full if you manage caseload prioritization. Two points stand out clinically. First, the absence of granular cohort data means severity-based triage for moderate-to-severe SSD is currently running on clinical judgment rather than published predictors. Second, the authors' critique of baseline subtype specification is a direct argument for tightening documentation practices at intake, since imprecise diagnosis at time zero is exactly what has made the existing literature so difficult to synthesize.

Sources

Long-Term Speech Outcomes in Moderate-to-Severe Childhood Speech Sound Disorder: A Systematic Review. International Journal of Language & Communication Disorders, 2026. PubMed PMID: 41937368. DOI: https://doi.org/10.1111/1460-6984.70231
Retrieved via PubMed, U.S. National Library of Medicine: https://pubmed.ncbi.nlm.nih.gov/41937368/
American Speech-Language-Hearing Association. Childhood Apraxia of Speech: Position Statement. https://www.asha.org/policy/PS2007-00277/

This article is for general educational purposes and is not a substitute for individualized evaluation by a licensed speech-language pathologist.

Guiding Growth in Your Baby’s First Year: Support for Every Milestone

Tue, 25 Aug 2026 14:00:44 GMT

The first year of a baby’s life is filled with rapid growth and change. From their first smiles and rolls to sitting, crawling, and early communication, each stage brings exciting milestones — and sometimes questions for parents.

Many families find themselves wondering if their baby is developing as expected or if there’s something they should be doing to support the next stage.

At Progressive Pediatric Therapy, our Guiding Growth Program provides expert guidance for families during the first year of life, offering milestone monitoring, practical strategies, and reassurance as babies grow and develop.

Why Early Development Matters

During the first 12 months of life, a baby’s brain and body develop faster than at any other time.

These early experiences support:

Motor Development – Rolling, sitting, crawling, and building strength.
Feeding Skills – Coordinating sucking, swallowing, and later introducing solids.
Communication – Early sounds, gestures, and interaction with caregivers.
Sensory Regulation – Learning how to process sounds, touch, movement, and visual input.
Attachment and Social Development – Building connection through responsive caregiving.

Supporting development during this stage helps lay the foundation for future learning and confidence.

The Questions Many New Parents Have

Parents often reach out because they’re wondering things like:

“Is my baby reaching milestones on time?”
“How can I help my baby learn to roll, sit, or crawl?”
“Is this feeding pattern normal?”
“Should I be concerned about sleep or muscle tone?”

Many families simply want reassurance and guidance.

The Guiding Growth Program provides supportive, wellness-focused sessions where parents can ask questions, learn about development, and receive practical strategies tailored to their baby.

What Happens During a Guiding Growth Session

Each session is designed to support both the baby and the parent through observation, education, and play-based interaction.

Step 1: Developmental Monitoring

Our pediatric specialists review your baby’s current milestones and observe areas such as:

Movement and motor development
Feeding patterns
Sleep and regulation
Play and early interaction

This helps families understand what development typically looks like at each stage.

Step 2: Evidence-Based, Play-Centered Support

Using gentle, developmentally appropriate activities, therapists guide parents in ways to support their baby’s growth through everyday play.

This may include:

Positioning and handling techniques
Play ideas that encourage movement and exploration
Activities that support sensory development
Strategies that promote early communication

Step 3: Family-Centered Guidance

Parents receive personalized strategies tailored to their baby’s development and family routines.

The goal is to help parents feel confident, informed, and supported during each stage of development.

Support Between Pediatric Visits

Pediatric wellness visits provide important checkups, but babies grow quickly between those appointments.

Families — especially those with premature or medically complex infants — often benefit from additional developmental check-ins.

Guiding Growth sessions help families:

Monitor feeding, sleep, play, and motor development
Understand their baby’s cues, tone, and regulation patterns
Learn positioning and play strategies that support milestones
Identify when additional therapy or specialist input may be helpful

These sessions are coaching-style wellness visits , not formal evaluations.

Many parents say:

“We just want someone to look at our baby and tell us what to work on.”

Special Considerations for Premature Babies

Babies born prematurely often follow developmental timelines based on corrected age , rather than their actual birth date.

Understanding corrected age can help parents better interpret developmental milestones and reduce unnecessary worry.

Our team helps families understand:

How corrected age is calculated
What developmental milestones may look like for premature infants
How to support development in a way that matches the baby’s adjusted timeline

Guiding Growth Program Options

Families can choose the level of support that fits their needs.

Guiding Growth Milestone Package

This package includes three one-hour visits scheduled at important developmental stages (commonly newborn, 6 months, and 12 months).

Each visit includes:

Personalized developmental guidance
Monitoring of feeding, sleep, play, and communication
Activities tailored to support milestone progression
Early identification of potential concerns
Referrals to specialists if additional support is needed

Single Session Consultation

Perfect for parents who need guidance for a specific concern, such as:

Sleep challenges
Introducing solid foods
Preparing for crawling or walking
Developmental milestone questions

Each session includes a milestone review and a personalized activity guide.

Optional Add-Ons

Families may also schedule:

Quick Check-In (30-minute virtual session)
Group Parent Q&A Sessions (virtual)

These options provide additional support between visits.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe the first year of life should feel exciting — not overwhelming.

Our team focuses on empowering parents with the knowledge, tools, and reassurance they need to support their baby’s development with confidence.

By combining milestone monitoring, play-based learning, and family-centered coaching, the Guiding Growth Program helps families feel supported through every stage of the first year.

Ready to Support Your Baby’s First Year?

If you’d like expert guidance as your baby grows and develops, the Guiding Growth Program provides personalized support tailored to your family.

Getting started is simple:

Fill out the program form
Our team reviews your needs and pairs you with the right pediatric specialist
We contact you to schedule your Guiding Growth session

With the right support, parents can feel confident navigating every milestone of their baby’s first year.

Ready to get started?

Call us at 561-376-2573 to schedule your Guiding Growth session today.

The Power of the Pen: Why Cursive Handwriting Still Matters

Fri, 21 Aug 2026 14:00:22 GMT

In a world filled with screens, typing, and digital learning, handwriting — especially cursive — is becoming less common in many classrooms.

Yet handwriting remains one of the most powerful tools for learning. Writing by hand connects movement, memory, and meaning in ways that typing simply cannot.

At Progressive Pediatric Therapy, our Cursive Handwriting Program helps children strengthen the physical and cognitive skills behind writing while rediscovering the joy of putting pen to paper.

Why Handwriting Still Matters

Handwriting is much more than forming letters. It engages multiple systems in the brain and body that support learning and development.

When children write by hand, they activate neural pathways connected to:

Motor Development – Strengthening hand muscles, coordination, and posture.
Sensory Processing – Tactile feedback helps the brain process and remember information.
Cognitive Skills – Writing improves sequencing, rhythm, and visual-motor integration.
Emotional Confidence – Completing written work builds a sense of accomplishment.
Academic Growth – Strong handwriting supports reading, spelling, and writing fluency.

Cursive writing connects letters smoothly, helping thoughts flow naturally from the brain to the page.

The Challenge Many Children Face Today

Parents often notice challenges like:

“She prints everything and tires easily.”

With more time spent on screens and less time writing by hand, many children develop:

Weak hand muscles
Poor handwriting endurance
Slow or inconsistent writing speed
Difficulty maintaining attention during written work

Without regular handwriting practice, these skills may not develop as naturally as they once did.

That’s why more families are seeking wellness-based handwriting programs that strengthen writing through movement and multisensory learning.

The Benefits of Learning Cursive

Cursive writing offers unique developmental advantages because letters are connected through continuous movement.

Research shows cursive writing can help improve:

Motor Skills

Strengthens hand control, rhythm, and coordination.

Memory and Learning

The flowing movement of cursive helps information “stick” in the brain.

Writing Efficiency

Connected letters allow children to write faster and more smoothly.

Reading and Spelling

Cursive supports pattern recognition and word memory.

Confidence with Schoolwork

Children often feel more capable when writing becomes easier and more fluid.

For many children, cursive provides a more natural and comfortable way to write .

About Our Cursive Handwriting Program

Our Cursive Handwriting Program , designed by occupational therapists at Progressive Pediatric Therapy, focuses on building the foundational skills children need to write comfortably and confidently.

Rather than relying on repetitive worksheets, our sessions use movement-based, multisensory learning to strengthen writing skills.

Program activities focus on:

Hand strength and fine motor development
Posture and body positioning for writing
Visual-motor coordination
Rhythm and flow of cursive letter formation
Attention and focus during written tasks

Each session blends movement and writing , helping children develop both the physical and cognitive foundations for fluent handwriting.

Signs Your Child May Benefit from Cursive Instruction

Many children benefit from additional support with handwriting.

You may consider enrolling your child if:

Writing is slow, tiring, or inconsistent
Letters are reversed or spacing is difficult
Your child avoids writing tasks
Fine motor skills feel challenging
You want to strengthen attention and focus during schoolwork
You’re looking for a wellness-based enrichment program rather than therapy

Strengthening handwriting skills early can help children feel more confident in school and everyday tasks.

The Cursive Handwriting Wellness Pathway

Families who want proactive handwriting support can enroll in our Cursive Handwriting Program without needing a referral or therapy evaluation.

Each session includes:

A review of your child’s handwriting skills and fine motor readiness
Activities that strengthen hand muscles, coordination, and endurance
Guided instruction in cursive letter formation
Multisensory techniques that support learning and retention
Parent-friendly ideas for simple practice at home
Strategies that support attention and visual-motor integration

Our goal is to help children build confidence, fluency, and enjoyment in writing .

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe cursive writing is not outdated — it is deeply developmental.

By teaching writing as a coordinated movement of the body and brain , we help children strengthen both their hands and their thinking skills.

Our program focuses on helping children rediscover writing as a meaningful and enjoyable skill.

“Writing that connects movement, memory, and meaning.”

Ready to Support Confident Writing?

If your child struggles with handwriting or you want to strengthen their writing skills before academic demands increase, our Cursive Handwriting Program offers supportive, movement-based instruction.

Getting started is simple:

Complete the brief interest form
Our team confirms readiness and program placement with a therapist who specializes in cursive instruction
We contact you to schedule your Cursive Handwriting Program sessions

With the right guidance, children can develop handwriting skills that support learning, confidence, and creativity .

Ready to get started?

Call us at 561-376-2573 to enroll in the Cursive Handwriting Program today.

Helping Kids Move with Confidence: Supporting Strength, Coordination, and Active Play

Tue, 18 Aug 2026 15:01:34 GMT

In today’s technology-driven world, many children are moving less than previous generations. While screens and busy schedules can make life easier in some ways, they also mean fewer opportunities for children to build the movement skills their bodies need.

Parents often notice when movement feels harder for their child — whether it’s riding a bike, keeping up with peers, or participating in active play.

At Progressive Pediatric Therapy, our Movement Wellness Visit helps families understand how movement supports development and provides simple, realistic ways to build strength, coordination, and confidence through everyday play.

Why Movement Matters for Child Development

Movement is far more than exercise. It plays a critical role in how children learn, regulate their bodies, and interact with their environment.

Active movement supports:

Strength and Coordination – Developing the muscles and motor skills needed for everyday activities.
Attention and Focus – Movement helps organize the brain and improve concentration.
Balance and Body Awareness – Physical play helps children understand how their bodies move through space.
Emotional Regulation – Movement provides sensory input that helps children feel calmer and more regulated.
Confidence and Resilience – Mastering physical challenges builds self-esteem and perseverance.

When children move regularly, they strengthen both their bodies and brains .

The Concern Many Parents Share

Parents often notice challenges like:

“She doesn’t know how to ride a bike.”

Or they may see that their child:

Tires easily during physical activity
Avoids playground equipment or sports
Prefers sedentary activities or screen time
Struggles to keep up with peers during active play
Feels frustrated when trying new physical skills

Many children fall into what therapists call the “gray area” — where movement is harder than it should be, but not severe enough to require therapy.

A Movement Wellness Visit helps families address these concerns early with guidance and practical strategies.

How Movement Shapes Development

Movement skills build progressively throughout childhood.

Each stage of development relies on active exploration and physical play.

Babies

Develop head and trunk control through rolling, sitting, and crawling.

Toddlers

Build balance and coordination through walking, climbing, and throwing.

Preschoolers

Develop strength, rhythm, and coordination through jumping, galloping, and riding tricycles.

Early School Age

Build endurance, teamwork, and motor control through running, skipping, sports, and organized play.

When movement opportunities decrease, children may also experience challenges with attention, regulation, and physical confidence .

Signs Your Child May Benefit from Movement Support

Many children benefit from extra support building movement confidence.

A Movement Wellness Visit may help if your child:

Avoids physical activity or playground play
Tires quickly during movement or sports
Struggles with balance, coordination, or endurance
Spends significant time with screens or sedentary activities
Feels hesitant trying new physical challenges
Needs help building confidence in active play

Early guidance can help children develop healthy movement habits that last a lifetime .

How a Movement Wellness Visit Helps

During this visit, our pediatric therapists help families better understand their child’s movement patterns and physical development.

Parents receive guidance on:

Understanding their child’s movement habits and activity levels
Building strength, balance, and coordination through play
Turning everyday routines into opportunities for movement
Encouraging active play without pressure or frustration
Creating movement-rich home routines
Supporting attention, sleep, and emotional regulation through physical activity

Families leave with simple strategies and play ideas that fit easily into their daily routines.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe movement should feel fun, empowering, and accessible for every child .

Our therapists focus on helping families understand the role movement plays in development and how to incorporate active play naturally into everyday life.

With the right guidance and encouragement, children can build the skills and confidence they need to move, explore, and participate fully in their world .

Ready to Help Your Child Move with Confidence?

If your child struggles with physical activity, tires easily, or prefers sedentary play, a Movement Wellness Visit can help you better understand their needs and create supportive routines.

Getting started is simple:

Fill out the brief form
Our team reviews your needs and matches you with the right therapist
We contact you to schedule your Movement Wellness Visit

Small changes in daily movement can lead to big improvements in strength, attention, and confidence .

Ready to get started?

Call us at 561-376-2573 to schedule your Movement Wellness Visit today.

Understanding Your Child’s Movement and Sensory Style: Supporting Sensorimotor Development

Fri, 14 Aug 2026 15:00:16 GMT

Every child experiences the world in their own unique way. Some children love to climb, jump, and explore everything around them, while others prefer quieter activities or take longer to warm up to new types of play.

For parents, it can sometimes be difficult to know whether these differences are simply personality or signs that a child may need extra support.

At Progressive Pediatric Therapy, our Sensorimotor Wellness Visit helps families better understand how their child moves, explores, and processes the world — while providing practical strategies to support healthy development through play and everyday routines.

Why Sensorimotor Development Matters

Movement is the foundation for many areas of child development. Through movement and sensory experiences, children learn how to interact with their environment, build confidence, and develop important coordination skills.

Sensorimotor development supports:

Motor Skills – Strength, balance, coordination, and body awareness.
Exploration and Learning – Hands-on experiences help children understand their environment.
Sensory Processing – The ability to respond to sights, sounds, touch, and movement.
Attention and Regulation – Movement activities help children organize their bodies and focus.
Confidence and Independence – Mastering new physical skills builds self-esteem.

When children feel comfortable in their bodies and environment, they are more likely to explore, learn, and engage with others.

The Question Many Parents Have

Parents often notice patterns like:

“She avoids certain types of play — how do we introduce them gently?”

You might notice your child:

Avoiding certain textures or activities
Preferring calm play instead of active play
Craving constant movement and climbing
Taking longer to warm up to new environments
Becoming overwhelmed in busy or noisy places

Most of these observations fall within the wellness range , where families simply benefit from guidance, reassurance, and strategies for supporting development.

A Sensorimotor Wellness Visit provides exactly that — without requiring a formal evaluation or referral .

Understanding Sensorimotor Development

Children develop movement and coordination skills gradually as their bodies grow and their nervous systems mature.

Movement experiences help children develop:

Body awareness
Balance and coordination
Motor planning and problem-solving
Sensory regulation

These skills support everything from play and sports to handwriting, attention, and emotional regulation .

Typical Sensorimotor Milestones

Every child develops at their own pace, but many children follow a general progression of movement and coordination skills.

Birth–6 Months

Developing head control, reflex integration, reaching, and rolling.

6–12 Months

Improving sitting balance, crawling, and tactile exploration of objects.

12–24 Months

Walking, climbing, and early visual-motor play such as stacking or placing objects.

2–3 Years

Running, jumping, and developing early bilateral coordination.

3–5 Years

Strengthening fine motor skills, postural control, and motor planning.

Supporting your child at their current stage helps play feel natural and successful.

Recognizing Typical Sensory Differences

Every child has a unique sensory processing style .

For example:

Some children crave movement , while others prefer quiet play.
Some enjoy messy textures , while others pull away from them.
Some children rush into new play , while others observe before joining.
Some explore fearlessly, while others need extra time and support.

These preferences are not problems — they reflect how a child naturally processes sensory information .

Our therapists help families understand these patterns and use them to support skill development through simple, everyday play.

How a Sensorimotor Wellness Visit Helps

During this visit, our pediatric therapists take a whole-child look at how your child moves, plays, and responds to sensory experiences.

Families receive guidance on:

Understanding their child’s movement and sensory patterns
Learning what development is typical for their child’s age
Identifying activities that support coordination and body awareness
Introducing new types of play in gentle, supportive ways
Building confidence in climbing, balancing, and exploring
Creating home and play routines that support sensory needs

Families leave with clear strategies and play-based ideas they can start using right away.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe sensorimotor development is not about perfection — it’s about progress, exploration, and confidence .

When parents understand the meaning behind how their child moves, reacts, and explores the world, they can support development with curiosity and connection.

Our goal is to help families see movement as a powerful tool for learning, growth, and confidence.

“Helping families see the meaning behind movement — and use it to support lifelong growth.”

Ready to Support Your Child’s Movement and Confidence?

If you’ve ever wondered whether your child’s movement patterns or sensory preferences are typical, a Sensorimotor Wellness Visit can provide helpful clarity and guidance.

Getting started is simple:

Fill out the brief form
Our admin team pairs you with the therapist best suited to your child’s needs
We contact you to schedule your Sensorimotor Wellness Visit

With the right support, children can develop the confidence and coordination they need to explore their world fully.

Ready to get started?

Call us at 561-376-2573 to schedule your Sensorimotor Wellness Visit today.

Growing Up Bilingual: Supporting Language Development in Multilingual Families

Tue, 04 Aug 2026 15:00:34 GMT

Many families today raise children in homes where more than one language is spoken. While this is a wonderful gift, it can also bring questions and concerns about speech and language development.

Parents often wonder if learning multiple languages will confuse their child or delay speech.

At Progressive Pediatric Therapy, our Bilingual Language Wellness Visit helps families understand what typical bilingual development looks like and provides practical strategies to nurture every language their child speaks with confidence.

Why Bilingual Language Development Matters

Language is more than just words — it is how children connect, express ideas, and build relationships.

Children who grow up hearing multiple languages benefit from:

Stronger Communication Skills – Exposure to different sounds and vocabulary strengthens overall language abilities.
Cognitive Flexibility – Bilingual children often develop strong problem-solving and mental flexibility.
Cultural Connection – Maintaining family languages helps children stay connected to culture, traditions, and relatives.
Social Confidence – Being able to communicate across languages builds confidence in different environments.

Supporting bilingual development allows children to grow linguistically, socially, and culturally .

The Question Many Parents Ask

Many parents reach out because they notice something like:

“He mixes both languages — is that normal?”

The answer is yes.

Language mixing is a common and healthy part of bilingual development. Children are learning from multiple language systems at once, and their brains naturally use all the words they know to communicate.

Research shows that exposure to multiple languages does not cause speech delay .

A Bilingual Language Wellness Visit helps parents better understand these patterns and learn how to support language growth in both languages.

Understanding Bilingual Language Development

Children learning more than one language follow the same general developmental milestones as monolingual children.

Their vocabulary may simply be spread across both languages.

For example, a child might say:

“Milk” in English
“Agua” in Spanish

Both words contribute to their total vocabulary .

Another common behavior is code-switching , when children mix languages in the same sentence, such as:

“Quiero milk.”

This is not confusion — it is a normal developmental stage while children organize both language systems.

Typical Bilingual Language Milestones

While every child develops at their own pace, bilingual children often show patterns such as:

0–12 Months

Babbling and responding to the tone and rhythm of both languages.

12–24 Months

First words begin to appear. Vocabulary may be split across both languages but total words often match peers.

2–3 Years

Children begin using two-word phrases and may mix languages within sentences.

3–5 Years

Longer sentences, storytelling, and questions develop. Children gradually learn to separate languages depending on the person or

setting.

Understanding these milestones helps parents feel informed rather than worried .

Mixing Languages Is a Normal Part of Learning

Language mixing, or code-switching , is one of the most common questions parents ask about bilingual development.

This behavior actually shows that a child is:

Accessing vocabulary from both languages
Using the words they know to communicate effectively
Practicing language flexibility

As children grow and gain more vocabulary, they naturally become better at separating languages based on context .

How a Bilingual Language Wellness Visit Helps

During this visit, our speech-language specialists help families better understand their child’s communication across both languages.

We provide guidance on:

Understanding your child’s language patterns across languages
Supporting vocabulary growth through play and everyday routines
Encouraging communication without pressure
Creating language-rich home environments
Nurturing both languages in culturally meaningful ways
Building confidence in early conversation and social communication

Families leave with practical strategies that support both language development and family communication goals .

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe every language a child speaks is valuable.

Our bilingual language specialists focus on helping families support communication without abandoning a home language or cultural identity .

We guide parents in creating language experiences that feel natural, meaningful, and supportive of their child’s development.

The goal is to help children grow into confident communicators in every language they use.

When to Consider a Bilingual Language Wellness Visit

Families often schedule a wellness visit when they want guidance about:

Language mixing between two languages
Speech milestones in bilingual children
Supporting both languages at home
Building vocabulary and early conversation skills
Understanding whether development is typical
Encouraging communication without pressure

These visits provide clarity and reassurance for families raising multilingual children.

Ready to Support Your Child’s Language Growth?

Raising a bilingual child is an incredible opportunity — and with the right guidance, it can also feel much less confusing.

A Bilingual Language Wellness Visit helps families better understand language development and build everyday routines that encourage communication.

Getting started is simple:

Fill out the intake form
Our team pairs you with a therapist who specializes in bilingual development
We contact you to schedule your Bilingual Language Wellness Visit

With the right support, children can grow into confident communicators in every language they speak.

Ready to get started?

Call us at 561-376-2573 to schedule your Bilingual Language Wellness Visit today.

Supporting Social-Emotional Wellness in Children

Fri, 31 Jul 2026 14:00:15 GMT

Every child experiences big emotions as they grow. Meltdowns, worries, sensory sensitivities, and difficulty with transitions are all part of learning how to navigate the world.

For many parents, however, it can be hard to know what’s typical and when extra support might help.

At Progressive Pediatric Therapy, our Social-Emotional Wellness Visit helps families better understand their child’s emotional development and provides practical strategies to support regulation, confidence, and calmer daily routines.

Why Social-Emotional Development Matters

Social-emotional skills help children understand their feelings, connect with others, and respond to challenges in healthy ways.

Strong emotional foundations support:

Emotional Regulation – Learning how to calm the body and manage strong feelings.
Social Relationships – Building friendships, sharing, and cooperating with others.
Confidence and Independence – Feeling capable when facing new situations or challenges.
Communication Skills – Expressing needs, feelings, and ideas clearly.
Adaptability – Handling changes in routines, environments, and expectations.

Like motor skills or language development, emotional regulation develops gradually over time.

The Challenge Many Parents Are Facing

Many parents reach out because they notice situations like:

“He gets overwhelmed by noises, crowds, or transitions.”

These experiences are extremely common in childhood.

Young children are still learning how to regulate their emotions, process sensory input, and handle changes in routine. What may look like challenging behavior is often a sign that a child needs support, structure, and guidance .

A Social-Emotional Wellness Visit helps parents understand these patterns and learn ways to support their child’s emotional growth.

Understanding Social-Emotional Development

Big feelings are a normal part of childhood.

Children gradually develop regulation skills through experience, support from caregivers, and predictable routines.

It’s developmentally typical for children to:

Resist transitions between activities
Become overwhelmed by sensory input such as noise or busy environments
Struggle with sharing or taking turns
Feel nervous about new situations
Have meltdowns when tired or overstimulated
Prefer predictable routines
Become more “clingy” during life changes such as a move or a new sibling

Most of these behaviors reflect developing regulation skills , not a behavioral disorder.

When Emotional Challenges Are Developmental vs. When Support May Be Needed

Many families benefit from guidance and strategies that help children build emotional regulation skills. In some cases, further evaluation may be helpful.

Typical Emotional Development (Wellness Visit)

Common patterns include:

Big Emotions

Meltdowns when tired, hungry, or overstimulated.

Sensory Sensitivities

Discomfort with loud noises, certain textures, or crowded places.

Worry or Hesitation

Feeling nervous around new people, environments, or routines.

Transition Struggles

Difficulty shifting between activities or schedules.

Occasional Aggression (Ages 1–3)

Hitting or biting during moments of dysregulation.

Emotional “Clinginess”

Seeking extra reassurance during changes or new experiences.

Sleep Challenges

Difficulty settling down or winding down at bedtime.

These patterns often improve with structure, co-regulation, and supportive routines .

When a Child May Need Further Evaluation

A wellness visit can also help identify when a therapy evaluation may be helpful.

Some signs include:

Persistent meltdowns lasting longer than 20 minutes
Frequent emotional outbursts throughout the day
Safety concerns such as running away, hurting others, or self-injury
Extreme reactions to sensory input
Delays in communication affecting behavior
Rigid routines that significantly disrupt daily life
Social withdrawal or limited emotional connection
Loss of previously learned skills

A wellness visit provides clarity and guidance , helping families understand whether additional support may be beneficial.

How a Social-Emotional Wellness Visit Helps

During this visit, our pediatric therapists work with families to better understand emotional, sensory, and behavioral patterns.

Parents receive guidance on:

Identifying what behaviors are developmentally typical
Recognizing patterns that may need closer attention
Learning co-regulation tools that calm the nervous system
Creating predictable routines that reduce meltdowns
Supporting smoother transitions for bedtime, school, and daily activities
Using sensory strategies that help children feel calmer
Learning simple scripts to talk with children about emotions

Families leave the visit with clear next steps and personalized strategies they can begin using immediately.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe emotional development grows through connection, understanding, and supportive routines .

Instead of focusing on correcting behavior, we help families understand the underlying needs behind big emotions .

When parents feel confident in how to respond to their child’s feelings, children are more likely to develop the skills they need to regulate, connect, and thrive.

When to Consider a Social-Emotional Wellness Visit

Families often benefit from a wellness visit when:

Big emotions are impacting daily routines
A child becomes easily overwhelmed by noise, textures, or transitions
Bedtime, mornings, or separations feel consistently stressful
A child worries frequently or avoids new experiences
Parents want strategies to support emotional regulation at home
Families want expert guidance without needing a diagnosis or therapy referral

These visits provide proactive support and reassurance for many families.

Ready to Build Emotional Confidence and Calm?

If your child struggles with big feelings, sensory overwhelm, or difficult transitions, a Social-Emotional Wellness Visit can help you better understand their needs and build supportive strategies at home.

Getting started is simple:

Fill out the intake form
Our team pairs your family with a therapist specializing in social-emotional development
We contact you to schedule your Social-Emotional Wellness Visit

Small changes in how families approach emotions and routines can lead to greater calm, confidence, and connection .

Ready to get started?

Call us at 561-376-2573 to schedule your Social-Emotional Wellness Visit today.

ADHD, Dyslexia, and Visual Processing in Children

Wed, 29 Jul 2026 14:01:30 GMT

The Hidden Vision Link in ADHD and Dyslexia — and What a 2026 Research Review Says About Virtual Reality Therapy

A plain-language look at new evidence, written for parents who want to understand their child and for therapists who want the clinical detail. The centerpiece is a 2026 systematic review; we explain what it examined, what it found, and — just as importantly — what it does not yet prove.

Why vision keeps coming up in ADHD and dyslexia

When a child struggles to pay attention or to read, the conversation usually starts and ends with the brain. But a growing body of research points to something more mechanical that often rides along with these conditions: the visual system itself. Children with ADHD and dyslexia have higher rates of visual difficulties such as convergence insufficiency (trouble getting the eyes to work together up close) and other binocular problems. When the eyes do not team well, sustained reading and focused attention become genuinely harder — not because the child is not trying, but because the visual input is unstable.

This overlap is easy to miss. A child who loses their place while reading, avoids near work, or seems inattentive may be showing a visual-processing problem, an attention problem, or both at once. That is the backdrop for a 2026 systematic review that asked a specific, practical question: can virtual reality therapy help.

What this means for you as a parent

Reading is not only a brain job. It is also an eye job. Both eyes have to point at the same word at the same time and stay there. For some kids that takes real effort, and their eyes drift or get tired.

One common version of this has a long name, convergence insufficiency. It means the eyes have trouble teaming up on things that are close, like a book or a worksheet.

Kids with ADHD and dyslexia have this kind of eye trouble more often than other kids do. So a child who loses their place, skips lines, or gives up on reading may not be careless or lazy. The words may not be holding still for them.

What the 2026 review examined

According to a systematic review published in Neuroscience & Biobehavioral Reviews , researchers set out to evaluate how well virtual reality therapy (VRT) treats visual dysfunction in children with ADHD and/or dyslexia (Chung et al., 2026; DOI ). They analyzed 20 studies published between 2015 and 2025, drawing together evidence on visual acuity, binocular function, visual attention, and reading.

For therapists , the design detail matters: this is a systematic review synthesizing a decade of work, not a single trial. That breadth is a strength for spotting consistent signals, but the authors are candid that the underlying studies vary widely in method, which limits how firmly the results can be pooled.

What this means for you as a parent

The scientists did not run a new test on kids. They gathered 20 studies done between 2015 and 2025 and looked at them all together. That is called a systematic review.

Reviews like this are good at spotting patterns that one small study would miss. But they have a weak spot too. Those 20 studies were not all run the same way, so the results do not stack up neatly. The authors say so themselves.

Keep that in mind as you read the next part. The findings are worth knowing. They are just not the final word.

What the researchers found

Across the included studies, virtual reality therapy produced measurable gains:

Improvements in visual acuity of roughly 0.89 to 1.32 lines on an eye chart, along with better stereoacuity in amblyopia.
In children with ADHD, reductions in attention errors — fewer omission and commission errors on attention testing.
In dyslexia, gains in reading speed and visual perception , with a large effect on visual perception.
For binocular dysfunction, VRT gains were comparable to conventional patching , the long-standing standard approach.

The authors summarize the effects as moderate to large. A recurring theme is engagement: the gamified, immersive design of VR appears to improve how consistently children stick with therapy — a real-world advantage, since adherence is where many vision and attention programs quietly fail.

The practical translation for parents: in the studies reviewed, a game-like vision therapy helped some children see more clearly, sustain attention a little better, and read a little faster. That is promising, but it is early evidence, not a guarantee for any individual child.

What this means for you as a parent

Here is what those findings mean in everyday terms.

Kids could read about one more line down on the eye chart, the kind the eye doctor asks you to read out loud. That is a small change, but a real one.

The phrase omission and commission errors just means two kinds of mistakes on an attention test. Missing something you should have caught, and reacting to something you should have skipped. Kids made fewer of both.

Kids with dyslexia read a little faster and got better at making sense of what they saw. And for eye teaming problems, the headset worked about as well as patching, which is the older method where one eye is covered so the weaker eye has to do the work.

The most useful finding may be the simplest one. Kids actually did the exercises, because it felt like a game. A lot of vision programs fail because kids quit, not because the exercises are bad.

What virtual reality therapy actually is

In this context, VRT is not entertainment. It is a set of structured visual exercises delivered through a headset or immersive screen, designed to train the eyes to converge, track, and work as a team, often while the child completes a game-like task. Because it feels like play, children tend to complete more repetitions than they would with traditional worksheet-style exercises. This is the same principle that drives play-based occupational therapy : motivation and repetition are what build skill.

What this means for parents

If your child has ADHD or ADD , or dyslexia, it is reasonable to ask whether a vision component is part of the picture — especially if reading is a specific struggle. A few grounded takeaways:

Vision problems and attention problems can look alike and can coexist. A thorough evaluation helps tease them apart.
Virtual reality vision therapy is an emerging option with encouraging early results, but it is not yet a settled standard of care. Treat confident marketing claims with healthy skepticism.
Established supports — vision assessment by an eye-care professional, reading intervention, and therapy that builds fine motor and visual-motor skills — remain the foundation.

What this means for therapists and clinicians

For occupational therapists and other pediatric clinicians, the review is useful less as a directive and more as a signal. The engagement advantage is the standout finding: VR's adherence benefit addresses a genuine clinical pain point, and effect sizes comparable to patching for binocular dysfunction are worth watching. VRT is best framed as a potential complement to skilled intervention rather than a replacement for clinical reasoning, and it slots naturally alongside sensory integration and visual-motor work already in the toolkit.

Given the heterogeneity the authors flag, clinicians adopting VR tools should track their own outcome measures rather than assume the pooled effect sizes will transfer to their caseload.

What this means for you as a parent

That section was written for therapists, so it uses their work words. Here is the short version.

Nobody is telling therapists to go buy a headset. The review is a heads up, not a rule.

The part therapists care about most is that kids stick with it. A therapy only helps if the child keeps doing it, and this one is fun enough that they do. For eye teaming problems it also held up about as well as patching, which is worth watching.

One thing you can ask about. If your child's clinic starts using VR, they should still measure your own child's progress instead of assuming the group results will apply. That is a fair question to bring up.

The limits of the evidence

A credible resource has to name what the research cannot yet claim, and the authors are clear on this point. The literature is fragmented: most studies examine ADHD or dyslexia in isolation rather than the comorbidity that many real children live with. Study designs are heterogeneous, which constrains firm conclusions. And there is a shortage of large, well-designed randomized controlled trials with long-term follow-up, so we do not yet know how durable these gains are. The honest summary is: promising direction, incomplete proof.

What this means for you as a parent

This is a promising direction, not proof. Here is why, plainly.

Most of the studies looked at ADHD by itself or dyslexia by itself. Plenty of real kids have both at once, and that mix was barely studied.

The 20 studies were also run in different ways, so their results cannot be added up cleanly. There are not enough large, careful studies yet, and almost nobody followed the kids for long afterward. So we do not know whether the gains stick.

What to do with all that: it is fine to be curious about VR vision therapy, and it is also fine to wait. If someone sells it to you as a proven fix for ADHD or dyslexia, that is more than the research actually supports.

Signs of a visual-processing difficulty worth checking

For parents and therapists alike, these are common everyday signs that vision — not just attention — may be part of the story:

Losing place, skipping lines, or re-reading while reading.
Avoiding or quickly tiring of near work like reading or worksheets.
Headaches, eye rubbing, or complaints of blurry or double vision during close tasks.
Difficulty copying from the board, or unusually effortful handwriting, which can also reflect executive function and visual-motor demands.

None of these confirms a diagnosis on its own, but together they are a reasonable prompt for a professional evaluation.

Frequently asked questions

Where families can turn

Progressive Pediatric Therapy supports children with ADHD, dyslexia, and related learning and developmental differences across Palm Beach County, using evidence-based, play-forward therapy and a multidisciplinary team. If this article raised questions about your child, our therapists are glad to talk through what an evaluation would look like.

Sources & attribution

Primary study, retrieved from PubMed : Chung KS, Lee KY, Tang YM, Lai CYY, Do CW, Fong KNK. Systematic review of virtual reality therapy in the treatment of visual dysfunction in children with ADHD and dyslexia. Neurosci Biobehav Rev. 2026;187:106723. https://doi.org/10.1016/j.neubiorev.2026.106723
Background prevalence context: U.S. CDC / National Center for Health Statistics, National Survey of Children's Health (2022) and NCHS Data Brief No. 499 (2024).

New Research Links Structured Exercise to Large Motor-Skill Gains in Autistic Children

Fri, 24 Jul 2026 14:00:10 GMT

A plain-language look at a 2026 systematic review and meta-analysis for parents and pediatric therapists, examining what regular physical exercise does for movement skills in children with autism, and what the evidence still cannot tell us.

Movement is easy to overlook when a child has autism. Families and clinical teams understandably focus first on communication, sensory needs, and social connection. Yet difficulty with balance, coordination, running, catching, and other everyday motor skills is one of the most common features of autism, and it often goes unaddressed. A new meta-analysis published in the Journal of Autism and Developmental Disorders asks a practical question that matters to both parents and therapists: does structured physical exercise actually improve motor skills in autistic children, and if so, by how much?

Why motor skills deserve more attention in autism

Autism is now identified in a large share of children. According to the Centers for Disease Control and Prevention's Autism and Developmental Disabilities Monitoring Network , about 1 in 31 eight-year-olds in the United States has been identified with autism spectrum disorder, and the condition is over three times as common in boys as in girls.

Motor challenges are woven through that picture more often than many families expect. Research drawn from large autism cohorts, including the SPARK study reported by researchers at the University of Delaware , suggests that a substantial majority of autistic children, on the order of eight in ten, show some form of motor coordination difficulty, affecting things like throwing and catching, handwriting, getting dressed, and planning complex movements. That same reporting found that only about a third of these children were receiving physical therapy, which means motor needs are frequently identified late or missed entirely.

That gap is the backdrop for this study. If motor difficulty is this common and this under-treated, families and clinicians need to know whether a straightforward, low-cost approach like structured exercise can move the needle. This is where a child's multidisciplinary autism therapy program and hands-on movement work intersect with the research.

What this means for you as a parent

Trouble with movement is very common in autism. About 8 out of 10 autistic kids have a hard time with things like running, catching a ball, writing, or getting dressed. But only about 3 out of 10 get physical therapy.

So if your child trips a lot, or seems clumsy, or skips the playground, you are not imagining it. It is common. It is also easy to miss, because families and doctors often look at talking and social skills first. Movement is worth asking about too.

What the study examined

The study, led by Zhuoling Lei and colleagues, is a systematic review and meta-analysis of randomized controlled trials. In plain terms, the authors did not run a single new experiment. Instead, they gathered the strongest existing trials on the topic, pooled the results using statistics, and looked at the overall pattern. A randomized controlled trial is the type of study where children are randomly assigned to receive an intervention or not, which helps rule out coincidence and bias.

The team searched six research databases through October 2025 and applied strict inclusion rules: children aged 12 or younger with autism, a physical exercise intervention, and motor skills measured with standardized, validated assessment tools. Ten trials met the bar, together including 256 children with a mean age of about 6.9 years.

For therapists and clinicians : the review followed PRISMA reporting standards and was pre-registered on PROSPERO. Risk of bias was assessed with the Cochrane ROB 2.0 tool and the certainty of evidence with GRADE. Outcomes were measured with instruments many pediatric teams already use, including the BOT-2, TGMD-2, PDMS-2, and MABC, and effects were pooled as standardized mean differences using random-effects models where heterogeneity was high. That methodological transparency is part of why the finding is worth taking seriously, even with the caveats discussed below.

What this means for you as a parent

The scientists did not run one new test. They found 10 careful studies that were already done. Then they put all the results together to see the big picture. That is stronger proof than any one study alone.

All the kids in these studies were 12 or younger. There were 256 kids in all, and their average age was about 7. So this research is about kids in the same age range as many of our patients.

The short names above, like PRISMA and BOT 2, are just the names of the rule books and the tests the scientists used. You do not need to know them. They matter because they show the work was done carefully and checked by others.

What the researchers found

According to PubMed, the pooled results showed that structured physical exercise significantly improved motor skills across every domain the authors measured. Reported as standardized mean differences, a common way of expressing how large an effect is, the improvements were:

Total motor skills: 1.58 (95% confidence interval 1.15 to 2.00)
Locomotion , such as running and jumping: 1.34 (0.98 to 1.70)
Object control , such as throwing, catching, and kicking: 1.37 (1.02 to 1.72)
Balance: 1.73 (0.82 to 2.65)

To translate that for families: in this kind of statistic, a value around 0.8 is already considered a large effect. Every one of these numbers sits well above that threshold, which means the exercise programs were associated with sizable, not subtle, gains in how these children moved. Source: Lei et al., 2026, PubMed, DOI .

One of the more useful findings for program design came from the authors' meta-regression, an analysis that looks at which features of a program tracked with better results. More frequent sessions were linked to greater improvements in balance, while longer overall program duration was actually linked to smaller balance gains. The authors interpret this as diminishing returns over time, a plateau effect where the body adapts. Notably, the child's age and the length of each individual session did not change the results, which suggests the approach can stay flexible.

What this means for you as a parent

Kids who exercised on a regular schedule got better at moving. They improved in all four areas the scientists checked: movement overall, running and jumping, throwing and catching, and balance.

The numbers above, like 1.58, are a way to measure how big a change is. In this kind of math, anything over 0.8 counts as a big change. Every number here was over 0.8. So these were not small improvements. They were large ones.

Two things stood out. Exercising more often helped balance the most. But stretching a program out over many months did not keep adding more. How long each session lasted did not change the results, and neither did how old the child was. That gives you room to fit movement into your week in a way that actually works for your family.

What "structured exercise" actually means here

The phrase can sound clinical, but the interventions in these trials are recognizable forms of active play and movement practice: exercises and games that ask a child to run, jump, balance, throw, catch, and coordinate their body. What made them "structured" is that they were planned, repeated regularly, and targeted at specific motor skills rather than left to chance. The takeaway is less about any single branded method and more about consistent, purposeful movement.

The likely reason it helps is that motor skills, like most skills, respond to practice. Repeated, well-designed movement gives the brain and body more opportunities to build the coordination, timing, and postural control that many autistic children find harder to develop on their own.

What this means for parents

The encouraging message is that movement is a lever you can actually pull. Regular, structured physical activity was associated with meaningful improvements in the very skills, balance, running, and ball handling, that help a child keep up on the playground and take part in daily life.

Two practical points stand out from the data. First, frequency appears to matter more than marathon sessions, so shorter bouts of activity done more often may be more useful than occasional long ones, at least for balance. Second, because session length and age did not change the outcome, there is room to fit movement into whatever works for your family and your child's tolerance.

None of this replaces a professional plan. If your child struggles with coordination, frequent falls, or age-expected physical milestones, an evaluation by a pediatric therapist is the right next step. A therapist can tell you whether what you are seeing reflects delayed gross motor development or a broader pattern, and can design activity that is safe and appropriately challenging. Concerns specifically about balance and walking are worth raising directly, since balance showed the largest gains in this analysis.

What this means for therapists and clinicians

For pediatric PTs and OTs, this review adds recent, methodologically careful support for something many teams already do: building structured motor practice into care for autistic children. The domain-by-domain effect sizes give a defensible basis for prioritizing locomotor and object-control skill work, and the frequency finding is a concrete programming cue that favors distributed practice over longer, less frequent blocks.

It fits naturally alongside existing work in physical therapy and occupational therapy , and it complements sensory-based approaches rather than competing with them, since movement and sensory integration frequently overlap in this population. As always, outcome tracking with standardized tools, the same instruments used in the review, lets a clinic verify that gains are real for a specific child rather than assumed from the group average.

What this means for you as a parent

That last part was written for therapists, so it uses a lot of their work words. Here is the short version.

This study supports something good therapists already do, which is building movement practice into care for autistic kids. It fits right alongside other kinds of therapy, like sensory work, instead of competing with them.

It also points to something you can ask about. A therapist should measure your child's skills the same way before and after. That is how you find out if your own child is really improving, instead of guessing from a group average.

The limits of the evidence

This is promising evidence, not the last word, and the authors are candid about why.

The pooled sample was small. Ten trials and 256 children is a modest base for conclusions this strong, and small studies can overstate effects. The authors also detected publication bias for total motor skills and balance, meaning positive trials may be over-represented in the literature while trials that found little effect went unpublished. That tends to inflate the apparent benefit.

The balance finding, while the largest, was also the least precise. Its confidence interval ran from 0.82 all the way to 2.65, a wide range that signals real uncertainty about the true size of the effect. The included trials also varied in the exercises used and the tests applied, and heterogeneity was high enough that the authors used statistical models built to handle it.

Two further boundaries matter for how families should read this. The trials looked at short-term outcomes, so we do not yet know how long these motor gains last once a program ends. And all participants were 12 or younger, so the findings should not be assumed to apply unchanged to teenagers. Structured exercise here is best understood as a well-supported complement to established therapy, not a replacement for individualized care.

What this means for you as a parent

This is good news, but it is not a promise for every child. Here is why, in plain terms.

Only 256 kids were studied. That is a small group, and small groups can make results look bigger than they really are. On top of that, studies that find good news get published more often than studies that find nothing. So the real effect may be somewhat smaller than these numbers show.

The scientists also checked the kids right after the programs ended. Nobody knows yet how long the gains last. And no teenagers were included, so we cannot assume the same thing is true for older kids.

The takeaway is simple. Regular exercise is a helpful addition, and a well supported one. It is not a replacement for your child's therapy plan.

Signs your child's motor skills may warrant a closer look

For both parents and practitioners, these are practical prompts to seek or escalate an evaluation:

Reaching physical milestones, such as walking or jumping, noticeably later than peers
Frequent tripping, falling, or bumping into things
Difficulty with balance activities like standing on one foot or riding a bike
Trouble with ball skills, catching, throwing, or kicking
Struggles with everyday motor tasks such as dressing, using utensils, or handwriting
Avoiding playground equipment, sports, or active play that peers enjoy

A single item on its own is rarely cause for alarm, but a cluster of these is a reasonable reason to ask a pediatric therapist for a motor assessment.

Frequently asked questions

Where families can turn

Progressive Pediatric Therapy is a multidisciplinary pediatric clinic in South Florida whose physical, occupational, speech, and feeding therapists regularly build structured movement into care for autistic children. If you are wondering whether your child's motor development would benefit from a closer look, a pediatric evaluation is a good place to start.

Sources and attribution

Anchor study (via PubMed): Lei Z, Jia L, Tan Q, Xie T, Teo EW, Duyan M, Ilkim M, Özoğlu F, Chang J. "Effects of Physical Exercise on Motor Skills in Children With Autism Spectrum Disorder: A Systematic Review and Meta-analysis of Randomized Controlled Trials." Journal of Autism and Developmental Disorders . 2026. PMID: 42340634. DOI: 10.1007/s10803-026-07403-3 . Effect sizes and study details retrieved from PubMed.
Autism prevalence: Centers for Disease Control and Prevention, Data and Statistics on Autism Spectrum Disorder (ADDM Network) — "About 1 in 31 (3.2%) children aged 8 years has been identified with ASD," and ASD is "over 3 times more common among boys than among girls." Underlying report: MMWR, ADDM Network, 2022 surveillance year .
Prevalence of motor difficulty in autism: SPARK for Autism, "Motor Challenges are Common in Autism, SPARK Study Confirms" — roughly 8 in 10 children showed likely motor challenges, while only about 30% were receiving physical therapy.

This article is for educational purposes and does not constitute medical advice. If you have concerns about your child's development, consult a licensed pediatric therapist or physician.

Augmentative and Alternative Communication and Expressive Grammar in Preschoolers

Tue, 21 Jul 2026 14:05:14 GMT

New research shows AAC can help young children build sentences, not just point to single words

Written for parents of children who use, or are considering, a communication board or device, and for the speech-language pathologists who support them. This article is built around a 2026 randomized controlled trial of the AAC Generative Language Intervention (AAC-GLI) and what it tells us about teaching grammar to children who communicate with symbols.

Why this topic matters

Augmentative and alternative communication (AAC) is any method a child uses to communicate besides spoken words: sign language, gestures, picture boards, and speech-generating devices or tablet apps that speak a message when a button is pressed. Children reach for these tools for many reasons. Some have childhood apraxia of speech , a neurological motor-speech disorder in which the brain struggles to plan and sequence the movements needed for clear speech even though muscle tone and reflexes are typical. Others have cerebral palsy , autism, or broader language processing delays . Childhood apraxia of speech alone is thought to affect only one to two children in a thousand, and children do not simply grow out of it; they make progress with skilled therapy.

For many families, the first question about AAC is not how it works but whether it is safe: will handing a child a device make them stop trying to talk? It is the worry that keeps parents up at night, and it deserves a direct answer. The research literature, along with the position of major clinical bodies, is consistent: AAC facilitates speech rather than holding it back. Children given access to AAC tend to develop speech at an equivalent or even faster rate, likely because a reliable "fallback" encourages them to make more communication attempts. AAC is meant to be used alongside spoken language, not instead of it, which is why clinicians often describe it as a risk-free addition to therapy rather than a replacement for speech.

Here is the gap the new study set out to close. When children are given AAC, therapy often focuses on the basics: requesting ("I want juice") or building a bank of single-word vocabulary. That is a reasonable starting point, but it can quietly cap a child at the one-word level. Real communication needs grammar: combining symbols into longer, more complete, more flexible messages. The question the researchers asked was whether preschoolers who use AAC can be taught to do exactly that.

What this means for you as a parent

AAC is any way a child communicates without using their voice. It can be sign language, pointing, a picture board, or a tablet that speaks out loud when your child taps a button.

Many parents worry that giving a child a device will make them stop trying to talk. The research says that does not happen. Kids who use AAC often learn to talk just as fast, and sometimes faster. Having a way to be understood makes a child try to communicate more, not less.

There is one more thing to know. Therapy for kids who use AAC often stops at single words, like tapping the button for juice. That is a fine place to start. But it can leave a child stuck at one word at a time. This study asked whether kids can be taught to do more than that.

What the study examined

According to PubMed, the trial was published by Binger and colleagues in the Journal of Speech, Language, and Hearing Research in 2026 ( DOI: 10.1044/2026_JSLHR-25-00516 ). It was a randomized controlled trial, the study design that most convincingly links a treatment to an outcome, involving 40 preschool-aged children who required AAC. The children had a range of underlying conditions, including childhood apraxia of speech and cerebral palsy, and shared one key feature: their ability to understand language was relatively intact, even though their ability to express it was limited.

Families of every child received a half-day AAC workshop. The children in the intervention group also received 28 play-based AAC-GLI sessions. Progress was measured with a purpose-built metric called weighted mean length of utterance in symbols, or W-MLUSym. In plain terms, it captures how long and how grammatically complete a child's messages are when those messages are built from symbols rather than spoken words. It was developed specifically for children who communicate through aided means, which matters because standard spoken-language measures do not fit a child who talks with a device.

For therapists: the design is worth noting. Randomization plus growth modeling lets the authors test not just whether groups differed at the end but whether the intervention changed each child's trajectory over time. The use of an aided-language outcome measure, rather than a spoken-language proxy, is a methodological strength for this population.

What this means for you as a parent

This was a strong kind of study. 40 preschoolers were sorted into two groups by chance. Every family got a half day class about AAC. The kids in one group also got 28 extra play sessions that taught them to build sentences on their device.

All of the kids in the study understood language pretty well. Their hard part was getting words out, not taking words in.

The scientists measured progress with something called W-MLUSym. That name looks scary, but it simply counts how long and how complete a child's messages are when the messages are built from symbols. Regular tests count spoken words, and those do not fit a child who talks with a device.

What the researchers found

The intervention group showed superior gains in W-MLUSym compared with the control group. The growth modeling indicated that being in the intervention condition was a significant moderator of change over time: children who received AAC-GLI made statistically significantly greater increases in the length and grammatical completeness of their symbol-based messages, while children who received only the workshop stayed close to where they started.

Translated for parents: the children who got the program learned to string together longer, more sentence-like messages on their AAC system, moving beyond single requests. The children whose families only attended the workshop did not change much on this measure. It is worth being precise about what the published summary reports. According to PubMed, the abstract states the direction and the statistical significance of the difference; the exact size of the effect is detailed in the full paper ( DOI: 10.1044/2026_JSLHR-25-00516 ) rather than the summary.

What this means for you as a parent

The kids who got the extra play sessions learned to put symbols together into longer messages that sounded more like real sentences. They moved past asking for one thing at a time. The kids whose families only took the class mostly stayed where they started.

One honest note. The short summary of the study says the difference was real and went in a good direction. It does not say exactly how big the difference was. That number is in the full paper.

The point for you is simple. Building sentences on a device is something a child can be taught. It does not have to happen on its own.

What AAC-GLI actually is

The "generative" in AAC Generative Language Intervention is the whole point. Generative language means creating new combinations of symbols to say things the child has never said before, rather than tapping out a handful of memorized phrases. The program is play-based, woven into activities a preschooler finds naturally engaging, and it deliberately targets grammar, teaching children to combine symbols into fuller utterances. The parallel caregiver workshop reflects a well-established principle in AAC: the people around the child have to model and support the system for it to take hold, because AAC should never be used silently.

What this means for parents

If your child uses AAC, this study is a reason for optimism and a reason to ask more of the therapy plan. The goal does not have to stop at "I want." With the right instruction, children who communicate with symbols can learn to build real sentences, and doing so expands what they can say, ask, refuse, and share. It is reasonable to ask your child's speech-language pathologist whether expressive-grammar goals, not only vocabulary or requesting goals, are part of the plan.

It is also a reminder that choosing AAC is not choosing against speech. A device gives your child a voice now while speech work continues. If you have been hesitant because of the fear that a device will "replace" talking, the weight of the evidence should ease that worry. If your child understands far more than they can say, or gets frustrated trying to make themselves understood, an evaluation is a sound next step rather than a cause for alarm.

What this means for therapists and clinicians

This trial adds randomized evidence that grammar-focused aided-language targets are achievable in the preschool window, and it gives clinicians something concrete to point to when justifying goals that go beyond requesting and single-word vocabulary. It fits within, rather than replaces, motor-speech intervention: for a child with apraxia or another speech sound disorder , established motor-speech approaches such as Dynamic Temporal and Tactile Cueing (DTTC) or Rapid Syllable Transition Treatment continue to target speech production, while AAC supports functional communication in parallel.

Practical takeaways worth carrying into planning: the dosage tested was 28 play-based sessions paired with caregiver training, W-MLUSym offers an outcome-tracking option suited to aided communicators, and the clearest candidacy signal in this sample was relatively intact receptive language. As always, a full AAC evaluation is the right mechanism for matching system to child. PPT4Kids' own primer on the what, who, when, where and why of AAC is a useful starting point to share with families beginning that process.

What this means for you as a parent

That last section was written for speech therapists, so it uses a lot of their work words. Here is the short version.

The study gives therapists proof they can point to when they set goals that go past asking for things. It does not replace speech work. A child with apraxia still does the mouth and sound practice they have always done. AAC runs right alongside it.

There are a few things you can ask about at your next visit. The study used 28 play sessions plus training for parents. There is a tracking tool made just for kids who use devices, so progress can be shown in numbers instead of guesses. And the kids who did best already understood a lot of language.

DTTC and Rapid Syllable Transition Treatment are just the names of two speech practice methods. If your child has apraxia, it is fair to ask whether one of them is part of the plan.

The limits of the evidence

This is one trial, and an honest read has to name its boundaries. The sample was small at 40 children, so the findings need replication before anyone treats them as settled. Just as important, the outcome measured was aided grammar built from symbols, not spoken intelligibility; the study does not show that AAC-GLI improves a child's speech production, only their symbol-based expressive language. The children had mixed underlying diagnoses and shared relatively intact receptive language, so the results may not generalize to children whose comprehension is also significantly affected. And the published summary does not establish how well the gains held up over time or carried into everyday settings outside of sessions.

The wider context matters too. A systematic review of childhood apraxia of speech treatments could not determine whether AAC promotes speech gains compared with other interventions; the interventions with the strongest evidence for improving speech itself remain motor-speech approaches like DTTC and Rapid Syllable Transition Treatment. AAC is a communication support and, on this evidence, a promising route to expressive grammar, but it is not a motor-speech cure. This is emerging, encouraging evidence layered onto an established practice, not a new standard of care.

What this means for you as a parent

This is good news, but it is one study, and it has limits worth knowing.

Only 40 kids took part. That is a small group. Other scientists need to repeat the study before anyone calls it settled.

The study measured sentences built on a device. It did not measure clearer speech. So it does not prove that this program helps a child talk out loud.

Every child in the study already understood language well. If your child also has a hard time understanding words, these results may not apply the same way. And nobody checked whether the gains lasted, or whether the kids used their new skills at home and at school.

The takeaway is this. AAC is a strong way to help your child say more. It is not a cure for speech problems. It is fair to ask about both.

Signs it may be worth asking about AAC or a speech-language evaluation

Your child understands noticeably more than they can express (receptive language outpaces expressive).
Communication attempts end in frustration, meltdowns, or giving up.
Your child has been stuck at single words or requests despite ongoing therapy.
Speech is limited, hard to understand, or marked by inconsistent errors and visible "groping" for sounds, which can point to childhood apraxia of speech.
A child already using AAC is only requesting and has not been given goals for combining symbols into longer messages.

Frequently asked questions

Where families can turn

Progressive Pediatric Therapy's speech-language pathologists evaluate whether AAC is a fit and, when it is, build a plan that includes expressive-grammar goals rather than stopping at requesting. If your child has apraxia, a related speech sound disorder, or communicates in ways that are hard for others to understand, our pediatric speech therapy team can help you figure out the right next step.

Sources and attribution

Primary study, retrieved from PubMed: Binger C, Harrington N, Hahs-Vaughn DL, Kent-Walsh J. Augmentative and Alternative Communication Generative Language Intervention: A Randomized Controlled Trial. Journal of Speech, Language, and Hearing Research . 2026;69(6):2654-2678. PMID: 42223368. https://doi.org/10.1044/2026_JSLHR-25-00516

Background context drew on the American Speech-Language-Hearing Association (ASHA) Practice Portal and Evidence Maps on childhood apraxia of speech, and on published guidance from clinical organizations including Apraxia Kids and Child Apraxia Treatment regarding AAC and speech development. These sources provided general background and were paraphrased, not reproduced.

Supported Standing For Head & Trunk Control

Sat, 18 Jul 2026 14:00:12 GMT

Chapter 1: Why Do Some Children Use Standers?

Most infants are born with normally functioning musculoskeletal systems. The brain signals muscles to move, and healthy bones and joints function reliably, allowing them to sit, crawl and walk.
A baby born prematurely, with genetic differences, or brain injury may experience atypical neuromuscular signals, which eventually can impact how their bones, muscles and joints develop.
When muscles move in unusual patterns (abnormal tone) or don’t move frequently enough, they tend to get tight ( develop contractures ) .1 Since muscles attach to bones, and infants’ bones are soft and not fully formed, the pull - or lack of pull - from muscles can affect how the skeletal system is formed.
Growing up with complex medical conditions often puts children at risk for scoliosis (curvature of the spine), hip dysplasia (unstable hips that become flattened and painful) and decreased bone density (fragile bones).²,³
Often these changes occur so gradually that they can be missed unless caregivers and medical professionals are anticipating and proactively working to prevent them.

Chapter 2: Essential Positioning Principles

Most caregivers understand and recognize when their child doesn’t “look straight,” but they may not be aware that some positions are more important than others to protect their child’s body shape. For example:

Hip-healthy positioning is essential for every infant to safeguard their developing hip sockets. Hip dypslasia is reported in nearly 15% of all newborns.4 In these instances, doctors recommend placing the infant’s legs in an open (abducted) position to better seat the ball of the leg bone (femoral head) deep within the socket of the hip (acetabulum) . This helps the joint to become round and stable. A typically growing toddler will naturally start standing and walking in the abducted hip position for more stability. This is important for children who require support to stand. Using adaptive standers that can be positioned in hip abduction helps minimize the risk of hip dysplasia.⁵,⁶,⁷
Proper spinal alignment begins with a level and stable pelvis. The pelvis is the foundation (base of support) for the spine and head. If it is not level when a child is sitting or standing, the spinal column will tend to lean toward the lower side of the pelvis, and then compensate back toward the opposite side, in an effort to keep the head more centrally positioned over the body.⁷,⁸ Adaptive standers with independent leg and foot supports allow for precise adjustments to accommodate leg length discrepancies or muscle tightness, ensuring the pelvis remains level and correctly aligned.
Upright and balanced head positioning is also important for daily life, from eating and socializing to simply observing the world. Imagine the head as a 5-7 lb bowling ball (the average weight for a five-year-old) supported on the end of a spring (the neck). If the head tilts, it creates a pull on the neck and spine. The further it moves off-center, the more gravity takes over, making it hard to return to neutral. Conversely, when the spine is properly aligned and the head sits squarely on top, it becomes significantly easier to maintain an upright head and trunk.⁹ Proper trunk supports in a stander can help children maintain this alignment while gradually building active strength in their necks and backs.
Upright and more active standing improves bone density
by facilitating full weight bearing through the legs and feet. For optimal comfort and function, the hips, knees, and ankles should be held in straight alignment to mimic a natural posture. While ankle-foot orthoses provide stability from the ground up, adaptive standers ensure the entire lower body remains properly aligned for children who cannot stand independently. Regular use of standers promotes increased bone density, leading to a stronger, healthier skeletal system.¹⁰
Standing allows all muscles to get stronger. As children engage neck and trunk muscles during standing activities, their arms are able to reach better, they may speak or breathe more easily, or they may hold their head up longer to eat or learn. Standers help children become more successful and capable of using their arms, legs and back muscles without fear of falling. Every movement builds muscle strength and confidence to move more.

Chapter 3: Evaluation and Fitting

Successful, consistent use of adaptive standers relies on a partnership between caregivers, therapists, teachers, and children. Involving caregivers in the initial fitting empowers them to make future adjustments as the child grows, or as their range of motion or alignment evolves. Caregivers can:

Assist the clinician during their child’s mat evaluation by helping their child remain relaxed and feel secure. Take photos of the child’s position lying down, and note where you place your hands for best alignment. This can help guide the placement of the trunk and hip laterals on the stander. Take photos from the side view and obtain joint angle measurements to ensure comfortable positioning of the child’s legs.
Measure each body segment (heel to knee, knee to hip, pelvis to underarm, shoulder to top of head) to preset the stander dimensions before transfer.
Make adjustments starting from the base of support and moving upwards: Pelvis first, then the lower extremities and feet, followed by the chest, shoulders, and head. This step-by-step approach can improve overall alignment and improve proper activation of muscles.
Refer back to the photos taken during the mat evaluation to confirm that the child has achieved their optimal position after setup.

Chapter 4: Building Active Head & Trunk Control

Caregivers can gradually encourage more active trunk and head control through fun activities that require looking and reaching above shoulder level or to the sides . Examples include:

Playing with a balloon or beach ball suspended on a string at eye level
Reaching for bubbles in different planes
Imaginative play with doll houses, car ramps, farm sets
Use of an easel on the tray for coloring/painting

Beyond physical benefits, regular use of a stander often yields improvements in social skills, oral motor control, communication, vision, and hand-eye coordination and even digestive function such as bowel movements.¹¹

Consistency is KEY to developing head and trunk control!

Start with daily short, engaging standing sessions paired with a snack or meals, or interactive play. Gradually build up the time or use multiple times per day, until your child stands for at least 45 minutes per day (mimimal recommended dosage¹⁰).
The stander can be tilted or remain more upright to increase or reduce challenge. Adjustments should not compromise alignment and stability, and may be done for short periods as tolerated. If the child shows signs of fatigue, they should be repositioned with more support.
As active control improves, lateral supports at the trunk can be lowered, and chest straps loosened or head rest removed to allow for greater upper body control and movement.

A stander gives children the extra time they need to actively improve head and trunk control safely. This helps them develop better balance, increased endurance, and more confidence during everyday movement activities such as tummy time, sitting or standing.

References

Cloodt E, et al. Knee and foot contracture occur earliest in children with cerebral palsy: a longitudinal analysis of 2,693 children. Acta Orthop. 2020;92(2):222-227. doi:10.1080/17453674.2020.1848154
Hägglund G, et al. Incidence of scoliosis in cerebral palsy. Acta Orthop. 2018;89(4):443-447. doi:10.1080/17453674.2018.1450091
Krarup LH, et al. Hip displacements and correctable scoliosis were prevalent in children with cerebral palsy registered in a Danish follow-up programme from 2010 to 2020. Acta Paediatr. 2024;113(2):336-343.
International Hip Dysplasia Institute. International Hip Dysplasia Institute website. Accessed April 7, 2026. https://hipdysplasia.org/
Presedo A, Rutz E, Howard JJ, Shrader MW, Miller F. The etiology of neuromuscular hip dysplasia and implications for management: a narrative review. Children (Basel). 2024;11(7):844. doi:10.3390/children11070844
Paleg G, Livingstone R. Evidence-informed clinical perspectives on postural management for hip health in children and adults with non-ambulant cerebral palsy. J Pediatr Rehabil Med. 2022;15(1):39-48. doi:10.3233/PRM-220002
Hägglund G. Association between pelvic obliquity and scoliosis, hip displacement and asymmetric hip abduction in children with cerebral palsy: a cross-sectional registry study. BMC Musculoskelet Disord. 2020;21(1):464.
Casey J, et al. Incidence and sequence of scoliosis and windswept hip deformity: which comes first in 4148 children with cerebral palsy? A longitudinal cohort study. BMC Musculoskelet Disord. 2024;25(1):222.
Saavedra S, et al. Segmental contributions to trunk control in children with moderate-to-severe cerebral palsy. Arch Phys Med Rehabil. 2015;96(6):1088-1097. doi:10.1016/j.apmr.2015.01.016
Paleg GS, Smith BA, Glickman LB. Systematic review and evidence-based clinical recommendations for dosing of pediatric supported standing programs. Pediatr Phys Ther. 2013;25(3):232-247. doi:10.1097/PEP.0b013e318299d5e7
Paleg GS, Williams SA, Livingstone RW. Supported standing and supported stepping devices for children with non-ambulant cerebral palsy: an interdependence and F-words focus. Int J Environ Res Public Health. 2024;21(6):669. doi:10.3390/ijerph21060669

Mealtime Made Simple: Building Confident Eaters and Calmer Family Tables

Fri, 10 Jul 2026 14:00:20 GMT

For many families, mealtime can feel more stressful than enjoyable. Parents often worry when their child suddenly refuses foods they used to love or insists on eating only a small handful of familiar items.

At Progressive Pediatric Therapy, we understand how confusing and frustrating picky eating can feel. Our Feeding & Mealtime Wellness Visit helps families turn mealtime struggles into calm, confident routines where children can explore food without pressure and parents can feel supported.

Why Mealtime Matters for Child Development

Eating is more than just nutrition. Mealtime is also an important opportunity for children to develop independence, confidence, and social connection.

Healthy mealtime routines help children build:

Nutrition and Growth – A variety of foods helps support physical growth and brain development.
Sensory Exploration – Children learn about textures, smells, and flavors through hands-on food experiences.
Independence and Decision-Making – Allowing children to explore food builds confidence and autonomy.
Communication Skills – Family meals provide opportunities for conversation and connection.
Emotional Regulation – Predictable routines help children feel safe and reduce anxiety around food.

When meals become tense or stressful, children often become more resistant to trying new foods.

The Challenge Many Parents Are Facing

Many parents reach out because they notice patterns like:

“She only eats five foods — but she used to eat more.”

If this sounds familiar, you’re not alone.

Picky eating is one of the most common developmental concerns for young children. While it can feel alarming, many of these behaviors are actually a normal part of childhood development .

With the right guidance, structure, and support, most children gradually expand their food choices over time.

Understanding “Picky Eating”

Research shows that 50–70% of toddlers experience selective eating phases .

During this stage, it is common for children to:

Prefer familiar foods
Reject foods they previously enjoyed
Avoid mixed textures
Refuse vegetables
Go through “beige-only” food phases
Eat differently at school than at home
Insist on specific brands or food presentations

These behaviors often reflect independence, sensory exploration, and developmental control , rather than a feeding disorder.

With positive exposure and predictable routines, most children naturally become more flexible eaters.

When Picky Eating Is Developmental vs. When Support May Be Needed

Many families fall within the typical picky eating range, where reassurance and structure can make a big difference. However, sometimes feeding challenges may require a more detailed evaluation.

Typical Picky Eater (Normal Variation)

Eats 10 or more foods, even if choices are limited
May temporarily drop foods but eventually accepts them again
Can tolerate new foods on the table or plate
Occasional gagging but generally eats safely
Growth and nutrition remain typical
Eats from at least 2–3 food groups

Problem Feeder (May Need Evaluation)

Eats fewer than 10 foods total
Permanently loses accepted foods
Cannot tolerate new foods nearby
Frequent gagging, coughing, or choking
Growth concerns or medical issues
Avoids entire food groups or textures
Extreme distress or meltdowns during meals

If concerns arise during a wellness visit, our team can help families determine whether a full feeding evaluation may be beneficial.

How a Feeding & Mealtime Wellness Visit Helps

During this visit, our licensed feeding specialists guide families through practical strategies that make meals calmer and more successful.

We help families:

Create predictable mealtime routines that reduce stress
Introduce new foods through exploration instead of pressure
Use play-based strategies to build comfort with textures and smells
Support balanced nutrition without power struggles
Use positive language that encourages curiosity
Involve children in meal preparation to build confidence
Create family meals that feel connected and enjoyable

Families leave with simple tools and ideas tailored to their child’s developmental stage and their family’s daily routines.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe that mealtimes should be about connection, exploration, and learning , not stress or pressure.

Our feeding specialists focus on helping families understand the “why” behind picky eating and providing supportive strategies that encourage children to develop a healthy relationship with food.

With the right environment and guidance, children can learn to feel curious, confident, and comfortable at the table .

Ready to Enjoy Mealtime Again?

If mealtimes feel stressful, confusing, or filled with power struggles, a Feeding & Mealtime Wellness Visit can help bring calm and clarity back to the table.

Getting started is simple:

Fill out the intake form
Our admin team pairs your family with a feeding specialist
We contact you to schedule your Feeding & Mealtime Wellness Visit

Small changes in routine and approach can make a big difference in how children experience food and how families experience mealtime together.

Ready to get started?

Call us at 561-376-2573 to schedule your Feeding & Mealtime Wellness Visit today.

Help Your Child Move Beyond Screens: Build Play Skills That Support Development & Connection

Fri, 03 Jul 2026 14:00:08 GMT

In today’s tech-filled world, many parents notice the same pattern at home: when there’s a quiet moment, children often reach for a screen. While technology can be helpful in moderation, play remains one of the most important ways children grow, connect, and learn about the world.

At Progressive Pediatric Therapy, our Play Development Wellness Visit helps families understand how play develops and provides simple, practical strategies to encourage creativity, independence, and connection—without the daily battles over screen time.

Why Play Matters for Child Development

Play is not “just fun.” It is one of the primary ways children develop critical life skills.

Through play, children naturally build:

Motor Skills – Climbing, stacking, drawing, and building strengthen coordination and body awareness.
Social Confidence – Playing with others helps children learn sharing, cooperation, and communication.
Creativity and Imagination – Pretend play supports storytelling, flexible thinking, and problem-solving.
Emotional Regulation – Play helps children process feelings, practice patience, and manage frustration.
Attention and Focus – Hands-on play builds the ability to concentrate and complete tasks.
Self-Esteem – Mastering new play skills helps children feel capable and confident.

When play opportunities decrease and screen time increases, many of these developmental experiences can be limited.

The Challenge Many Parents Are Facing

If you’ve ever heard yourself say:

“She only wants the iPad.”

You’re not alone.

Busy schedules, digital entertainment, and fewer opportunities for free play can make it difficult for families to create balanced routines that support healthy development.

Many parents want their children to enjoy imaginative, active play—but aren’t sure where to start or how to encourage it without resistance.

That’s where professional guidance can help.

What Is a Play Development Wellness Visit?

A Play Development Wellness Visit is designed to help parents better understand their child’s play skills and developmental stage.

During the visit, our licensed therapists guide families through:

Understanding your child’s current stage of play development
Identifying play activities that match your child’s interests and strengths
Learning how play supports attention, language, motor coordination, and emotional regulation
Finding ways to balance screen time with meaningful sensory and movement experiences
Creating simple family play routines that feel natural and enjoyable

Families leave the visit with clear next steps and practical play-based strategies they can use right away at home.

Understanding the Stages of Play Development

Play skills grow and change as children develop.

Understanding your child’s stage can make it easier to support their growth without pressure or comparison.

Infancy

Babies explore through touch, movement, and cause-and-effect toys.

Toddlers

Children begin building, imitating adults, and experimenting with simple pretend play.

Preschoolers

Imaginative storytelling and role-playing become central parts of play.

Early School Age

Children develop cooperative play skills, learning rules, teamwork, and shared goals.

Supporting your child at their current stage helps play feel natural and successful.

Signs Your Child May Benefit from Play Support

Some children need extra guidance to build confidence and engagement in play.

A Play Development Wellness Visit may help if your child:

Prefers screens over hands-on play
Struggles with independent play
Finds playing with peers overwhelming or confusing
Has difficulty sharing, taking turns, or cooperating
Becomes easily frustrated during play activities
Needs help developing creative or imaginative play skills

Early support can make play more enjoyable and less stressful for both children and parents.

How We Help Families Build Healthy Play Routines

Our therapists work with families to create realistic, enjoyable play routines that fit into everyday life.

We focus on:

Blending active play and screen time in balanced ways
Encouraging independent exploration and creativity
Supporting peer interaction and cooperation
Making family playtime feel fun rather than forced
Building connection through everyday moments like meals, bath time, walks, and bedtime routines

These small shifts often create meaningful changes in how children play, learn, and connect.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe in connection over correction .

When parents understand the why behind play development, they can create everyday moments that nurture learning, confidence, and family connection.

Our goal is to give parents the tools and insight they need to help their children thrive through play.

“Where play meets purpose — and children thrive.”

Ready to Bring Play Back?

If your child spends more time on screens than in play, or if playtime feels like a struggle, a Play Development Wellness Visit can provide helpful guidance and simple solutions.

Getting started is easy:

Fill out the brief form
Our team pairs your family with a therapist who specializes in play development.
We contact you to schedule your Play Development Wellness Visit

Small changes in play can lead to big changes in development, confidence, and connection .

Ready to get started?

Call us at 561-376-2573 to schedule your Play Development Wellness Visit today.

The Benefits of Bike Riding for Kids: More Than Just a Fun Activity

Fri, 26 Jun 2026 14:00:04 GMT

For many families, learning to ride a bike is one of childhood’s biggest milestones.It represents freedom, confidence, independence, and fun.But for some children, bike riding can also feel frustrating, scary, or overwhelming.

Parents often wonder:

“Why is this so hard for my child?”
“They can’t seem to balance.”
“They’re terrified to take the training wheels off.”
“Do they just need more practice?”

The truth is, riding a bike requires much more than simply pedaling.

Bike riding depends on a combination of motor planning, balance, coordination, core strength, confidence, body awareness, attention, and emotional regulation, all working together at the same time.

At Progressive Pediatric Therapy, we often help families understand the foundational skills underneath bike riding and how to support children in developing those skills in a positive, confidence-building way.

Why Bike Riding Is So Beneficial for Kids

Bike riding is more than just recreation, it supports whole-child development.

Learning to ride a bike can strengthen:

balance and coordination
core strength and posture
bilateral coordination
motor planning
endurance
visual tracking
confidence and independence
emotional resilience

It also encourages outdoor play, movement, and participation with peers.

For many children, successfully learning to ride a bike becomes a major confidence-building milestone.

The Underlying Skills Needed for Bike Riding

Many parents are surprised to learn how many developmental systems are involved in riding a bike successfully.

Balance

Balance is one of the biggest foundational skills required for bike riding.

Children must learn how to stabilize their body while the bike is moving especially side-to-side balance control.

Without strong balance foundations, pedaling can feel overwhelming.

Core Strength and Postural Control

Bike riding requires children to maintain upright posture while coordinating movement at the same time.

Core muscles, especially the lateral “side body” muscles, play a major role in helping children stabilize themselves while riding.

Coordination and Motor Planning

Bike riding involves coordinating multiple actions simultaneously:

steering
pedaling
balancing
braking
shifting body weight
watching the environment

Some children may understand what to do cognitively but struggle with coordinating the movement sequence physically.

Body Awareness

Children need awareness of where their body is in space to safely control a bike.

Difficulties with body awareness can make steering, balancing, or maneuvering around obstacles more challenging.

Confidence and Emotional Regulation

Learning to ride a bike can feel emotionally overwhelming for some children.

Fear of falling, previous unsuccessful experiences, or frustration can increase anxiety and make learning more difficult.

Building confidence gradually is often one of the most important parts of the process.

Signs Your Child May Need Extra Support with Bike Riding

Some signs a child may benefit from additional support include:

fearfulness around biking
difficulty balancing
frequent falls
trouble coordinating pedaling and steering
poor endurance
frustration or avoidance
difficulty learning despite repeated practice
sensory sensitivities (including helmet tolerance)

These challenges do not mean a child “can’t” learn to ride a bike. It simply means they may need a different approach and stronger foundational support.

Yes — Even Helmet Tolerance Matters

For some children, wearing a helmet can be a challenge all on its own.

Children with sensory sensitivities may struggle with:

pressure on the head
straps under the chin
heat or tightness
discomfort with new sensations

Gradual exposure, proper helmet fit, and positive experiences can help children become more comfortable and confident with helmet use.

How Pediatric Therapists Can Help Prepare Children for Bike Riding

Occupational and physical therapists often work on many of the foundational skills needed for bike riding long before a child gets on a bike.

Therapy activities may target:

core strength
balance reactions
coordination
motor planning
body awareness
endurance
sensory regulation
confidence-building

Even playground activities can help support bike riding readiness.

Climbing, scooter boards, obstacle courses, swings, and balance activities all strengthen important developmental foundations that support riding success.

The Best Way to Start: Skip the Training Wheels

One of the biggest recommendations many pediatric therapists and bike instructors now make is: Skip the training wheels.

Instead, start with a balance bike .

A balance bike helps children learn the most important skill first: balance.

What Is a Balance Bike?

A balance bike is simply a bike without pedals.

Children use their feet to push themselves forward while learning how to balance naturally.

The goal is for children to gradually begin lifting their feet and coasting comfortably before pedals are introduced.

You Can Turn Almost Any Bike Into a Balance Bike

You do not necessarily need to buy a separate balance bike.

Many families can simply:

remove the pedals
lower the seat as low as possible
allow the child’s feet to rest flat on the ground with slight knee bend

This setup helps children feel safer and more confident while learning balance first.

Why Training Wheels Can Make Learning Harder

Training wheels often prevent children from fully learning how to balance independently.

While children may learn to pedal with training wheels, their body is not truly practicing the side-to-side balance control needed for

riding a two-wheel bike.

When training wheels are removed later, many children feel like they are learning from the beginning again.

Building Confidence First Changes Everything

One of the most important parts of bike riding success is creating positive experiences.

Children learn best when they feel:

safe
successful
supported
encouraged

Breaking bike riding into smaller achievable steps often leads to much greater confidence and faster progress than simply “pushing through” fear or frustration.

Learning Through the One Two Pedal Method

We recently explored this topic on the Beyond the Caseload Wellness Series Podcast with occupational therapist Tammy Bishop, creator of the One Two Pedal Method, a step-by-step approach to teaching bike riding through balance, confidence, and activity analysis.

Tammy explains how breaking bike riding into manageable developmental steps can completely change the learning experience for children and families.

The method focuses on:

balance before pedaling
confidence-building
gradual skill progression
reducing fear and frustration
adapting to each child’s needs

LISTEN HERE: https://linktr.ee/progressivepedtherapy

Looking for Bike Riding Support?

Group Bike Riding Classes

We Wheel Wellington offers bike riding classes and support for children learning to ride in a fun, encouraging environment.

�� https://weewheelwellington.com/

Tammy Bishop’s Instructional Videos

Families can also explore Tammy Bishop’s YouTube channel for helpful bike riding instruction and tips.

�� https://www.youtube.com/channel/UCPTkoIqGOwGZ_HkTemr0Sng

The Progressive Pediatric Therapy Difference

At Progressive Pediatric Therapy, we believe developmental milestones should feel encouraging, not stressful.

Whether a child needs support with balance, coordination, confidence, sensory regulation, or motor planning, our therapists focus on building foundational skills in ways that are engaging, supportive, and individualized.

Because sometimes learning to ride a bike is about much more than the bike itself.

The Power of Handwriting: Why Print and Cursive Still Matter for Kids

Wed, 24 Jun 2026 14:00:13 GMT

In today’s digital world, children are spending more time typing, tapping, and swiping, and less time writing by hand.

Many parents notice the effects quickly.

“She avoids writing homework.”
“His handwriting is messy and exhausting.”
“She reverses letters and struggles with spacing.”
“He loses focus the moment writing starts.”

While handwriting may seem less important in the age of technology, research continues to show that both print and cursive writing play a powerful role in childhood development.

Handwriting is more than neat letters on a page, it supports fine motor development, reading skills, memory, attention, and overall academic confidence.

At Progressive Pediatric Therapy, our Print and Cursive Handwriting Programs help children strengthen foundational writing skills through engaging, multisensory, movement-based learning that supports both the body and brain.

Why Handwriting Still Matters

Writing by hand activates brain systems that typing simply does not engage in the same way.

When children form letters by hand, they simultaneously use:

motor planning
visual processing
memory
coordination
attention
language systems

This “whole brain” experience helps strengthen the foundation for reading, spelling, written expression, and learning overall.

Print handwriting is especially important for younger learners because it helps children develop:

proper letter formation
spacing awareness
visual-motor integration
fine motor coordination
early literacy skills

Cursive writing builds on those foundational skills by improving writing fluency, rhythm, and efficiency.

The Benefits of Cursive Writing

Cursive is more than just a traditional writing style, it’s a developmental tool that connects movement, memory, and meaning.

When children write in cursive, the continuous flow of movement helps support coordination and cognitive processing in unique ways.

Research-Supported Benefits of Cursive Writing

Motor Development

Cursive strengthens:

hand muscles
wrist stability
posture
bilateral coordination

The connected movements encourage smoother and more efficient motor patterns.

Sensory and Memory Support

Writing by hand provides tactile and sensory feedback that helps information “stick.”

Many children retain spelling patterns and letter formations better through physical writing practice than typing alone.

Cognitive Growth

Cursive supports:

sequencing skills
rhythm and timing
visual-motor integration
motor planning
sustained attention

The flowing movements required in cursive activate multiple brain pathways simultaneously.

Emotional Confidence

As children gain writing fluency, many also experience increased confidence in school participation and written assignments.

For some children, handwriting struggles can create frustration and avoidance. Building success with writing can positively impact overall academic self-esteem.

Academic Benefits

Studies suggest handwriting practice may support:

reading fluency
spelling accuracy
writing speed
written expression

Strong handwriting skills often allow children to focus less on physically forming letters and more on expressing their ideas.

The Challenge: Less Writing, More Screens

Children today spend far more time on devices than previous generations.

While technology certainly has benefits, decreased handwriting practice can contribute to:

weaker hand strength
poor endurance during writing tasks
inefficient pencil grasp
reduced attention for paper-based activities
difficulty with spacing and letter formation

Many families are now seeking proactive, wellness-based handwriting programs to support fine motor development and academic readiness before frustrations become larger challenges.

Signs Your Child May Benefit from Handwriting Support

You may want to consider additional handwriting support if your child:

writes slowly or tires easily
avoids writing tasks
struggles with spacing or letter reversals
has messy or inconsistent handwriting
complains that writing hurts their hand
has difficulty copying from the board or paper
struggles with attention during written work
needs extra confidence with school-related tasks

About Our Print & Cursive Handwriting Programs

Our handwriting programs are designed by occupational therapists and focus on building strong developmental foundations in a supportive, engaging environment.

Unlike traditional drill-based handwriting instruction, our programs use multisensory, movement-based learning to help children connect physical control with cognitive growth.

We offer dedicated tracks for both:

Each program is individualized to support children at their current stage of writing development.

What Makes Our Approach Different?

Movement-Based Learning:

Writing is a motor skill.

That’s why each session incorporates activities that support:

hand strength
coordination
posture
rhythm
endurance
visual-motor integration

Children learn best when movement and learning are connected.

Multisensory Instruction:

Our therapists use engaging, multisensory techniques that help children better retain and apply handwriting skills.

This approach is especially beneficial for children who learn best through:

visual supports
tactile experiences
movement-based activities
hands-on learning

Confidence-Focused Support:

We believe handwriting instruction should feel encouraging, not frustrating.

Our goal is not perfection. It’s helping children build confidence, fluency, and enjoyment with writing.

The Handwriting Wellness Pathway

Families can enroll in our handwriting programs without needing a therapy referral or formal evaluation.

Each session includes:

review of handwriting skills and readiness
activities to strengthen coordination and endurance
guided print or cursive instruction
support for posture and fine motor control
parent-friendly ideas for stress-free practice at home

This wellness-based approach provides proactive support while helping children feel successful and motivated.

Why Families Choose Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we believe handwriting is not outdated, it’s developmental. Our programs focus on helping children strengthen the foundational brain and body systems that support learning.

We combine:

evidence-based strategies
occupational therapy expertise
movement-rich instruction
personalized support
confidence-building experiences

to create meaningful growth for every child.

Ready to Support More Confident Writing?

Whether your child is learning foundational print skills or developing cursive fluency, we’re here to help make handwriting a positive and successful experience.

�� Serving children and families throughout Palm Beach County and surrounding communities.

�� Learn More About Our Print & Cursive Handwriting Programs

Is Your Child Ready for School? Skills That Matter More Than ABCs

Fri, 19 Jun 2026 14:00:23 GMT

When parents think about kindergarten or preschool readiness, most think about academics first:

“Can my child count?”
“Do they know their letters?”
“Can they write their name?”

While academic skills are important, school readiness is actually about much more than early academics.

At Progressive Pediatric Therapy, we work with many families who notice their child is bright and capable, but may still struggle with some of the foundational developmental skills needed for a successful transition into the classroom.

The good news? These skills can be strengthened with support, practice, and the right environment.

What Is School Readiness?

School readiness refers to the developmental skills children need to participate successfully in a classroom environment.

This includes far more than knowing letters and numbers.

True school readiness involves a combination of:

communication skills
fine motor development
attention and focus
social-emotional skills
sensory regulation
independence with routines
early literacy foundations

Children develop these skills at different rates, and needing additional support does not mean a child is “behind.” It simply means they may benefit from opportunities to strengthen certain developmental foundations before entering a structured academic setting.

Signs Your Child May Need Extra School Readiness Support

Every child develops differently, but some common signs that a child may benefit from additional support include:

difficulty sitting for group activities
frustration during writing or coloring tasks
trouble following multi-step directions
limited attention span
difficulty separating from caregivers
challenges interacting with peers
sensitivity to noise, movement, or transitions
trouble using scissors, pencils, or utensils
avoidance of early literacy activities

These challenges are often connected to underlying developmental skills that can be improved through targeted, play-based support.

The Skills That Support Classroom Success

Communication Skills

Children need communication skills to:

express wants and needs
answer questions
participate in classroom discussions
follow directions
interact with peers

Strong communication foundations support both academic learning and social confidence.

Fine Motor Skills

Fine motor development affects many daily school tasks, including:

handwriting
cutting with scissors
coloring
manipulating classroom materials
opening lunch containers

Weak hand strength or poor coordination can make classroom participation more tiring and frustrating for children.

Attention and Regulation

The classroom requires children to manage:

transitions
waiting
listening
group participation
sensory input
structured routines

Children who struggle with attention, sensory regulation , or emotional flexibility may have difficulty adapting to classroom expectations.

Early Literacy Skills

School readiness also includes foundational literacy abilities such as:

letter recognition
sound awareness
listening comprehension
early phonics skills
story understanding

These foundational skills help support later reading success.

Supporting School Readiness Through Movement and Multisensory Learning

Many children benefit from learning experiences that actively engage both the body and brain.

Movement-based and multisensory activities can help strengthen:

attention and focus
memory and retention
motor planning
visual-motor integration
coordination
literacy development

These approaches are especially helpful for children who learn best through hands-on experiences.

How Parents Can Support School Readiness at Home

Simple everyday activities can help strengthen foundational skills before school begins.

Some ideas include:

reading together daily
practicing simple routines
encouraging coloring and drawing
playing turn-taking games
using play-based fine motor activities
practicing listening and following directions
limiting excessive screen time
encouraging independence with self-care tasks

Consistency and encouragement can make a meaningful difference over time.

Our School Readiness Approach

At Progressive Pediatric Therapy, we believe school readiness should focus on the whole child, not just academics.

Our programs emphasize:

confidence-building
communication skills
fine motor development
sensory and emotional regulation
early literacy foundations
play-based learning experiences

We use evidence-based, child-centered approaches designed to help children feel successful, engaged, and prepared for the classroom environment.

When to Consider Additional Support

Families may consider school readiness support when they want:

extra confidence before preschool or kindergarten
help strengthening foundational developmental skills
support for attention or regulation challenges
early literacy enrichment
fine motor and handwriting readiness
a proactive approach before academic frustrations develop

Early support can help children transition into school with greater confidence and success.

The Progressive Pediatric Therapy Difference

At Progressive Pediatric Therapy, we understand that every child develops differently.

Our team focuses on creating positive, supportive learning experiences that help children strengthen the developmental foundations

needed for school success.

We believe readiness is not about pressure or perfection — it’s about helping children feel capable, confident, and prepared to learn.

Ready to Support Your Child’s School Readiness Skills?

Whether your child is preparing for preschool, kindergarten, or simply needs additional developmental support, we’re here to help.

�� Serving families throughout Palm Beach County and surrounding communities.

�� Learn More About Our Programs:

Wellness Programs

Prevent Summer Slide: Build Reading Confidence with Our Lively Letters Summer Intensive

Wed, 17 Jun 2026 14:01:57 GMT

Summer is a time for fun, family vacations, pool days, and a much-needed break from the school routine. But for many children, summer can also bring something educators call the “summer slide” the loss of important academic skills during the months away from school.

For children who struggle with reading, language, or literacy confidence, those gaps can grow even wider over the summer months.

That’s why Progressive Pediatric Therapy created our Summer Private Reading Intensive — a personalized, one-to-one literacy experience designed to help children strengthen foundational reading skills while building confidence and momentum before the new

school year begins.

Using the trusted Lively Letters® approach, our summer program combines evidence-based literacy instruction with engaging, multisensory learning strategies that help children stay motivated and successful.

What Is a Summer Slide?

The “summer slide” refers to the decline in academic skills that can happen when children are out of school for extended periods of time.

Research shows that many students can lose significant progress in reading and literacy skills over summer break, especially children who already struggle with reading, phonemic awareness, or language-based learning challenges.

Children may return to school needing extra support with:

letter recognition
reading fluency
decoding skills
reading confidence
comprehension
phonics and sound-letter connections

The good news? Consistent, engaging literacy support over the summer can make a major difference.

What Is Lively Letters®?

Lively Letters® is a research-based, multisensory reading program that helps children connect sounds to letters through stories, visuals, movement, and memorable learning strategies.

Instead of relying on rote memorization, Lively Letters makes literacy learning interactive and engaging, helping children better retain and apply reading skills.

The program supports:

letter recognition
sound-symbol association
phonemic awareness
decoding skills
reading fluency foundations
literacy confidence

Lively Letters is especially helpful for:

struggling readers
children with dyslexia
speech and language delays
active learners
children needing stronger reading foundations

While ideal for children in PreK through 2nd grade, older children who struggle with reading may also benefit.

Why Families Love the Lively Letters Approach

Multi-Sensory Learning:

Lively Letters combines visual, auditory, and kinesthetic learning styles to help children better understand and retain literacy concepts.This approach is particularly beneficial for children who learn best through movement, visuals, and hands-on engagement.

Engaging and Confidence-Building:

The program uses memorable characters, storytelling, and interactive activities that make reading instruction feel fun instead of frustrating. As children experience success, confidence often grows alongside their reading skills.

Personalized Support:

Every child learns differently. That’s why our Summer Private Reading Intensive is offered in a one-to-one format, allowing instruction to be tailored to each child’s strengths, needs, and learning style.

Introducing Our Summer Private Reading Intensive

Our Summer Private Reading Intensive is designed for families seeking more than traditional tutoring.

This boutique literacy experience provides individualized instruction in a supportive, results-focused environment led by an experienced reading specialist.

Families often choose this program for:

summer academic enrichment
private school readiness support
individualized reading acceleration
literacy confidence-building
support for children needing extra reading guidance

Meet Lori, Expert Reading Specialist

Your child’s sessions are personally led by Lori , a licensed Speech-Language Pathologist with approximately 30 years of experience helping children build communication, reading, and written language skills.

Lori has worked in:

children’s hospitals
public schools
multidisciplinary pediatric settings

She is trained in the Lively Letters® program and has extensive experience supporting children with:

reading challenges
language delays
written language difficulties
literacy development needs

Families value the confidence that comes from working directly with a seasoned clinician who understands how children learn and how to create meaningful progress.

Personalized Summer Program Options

Each child receives individualized instruction based on their goals and current skill level.

6-Week Intensive:

A focused summer boost designed to strengthen foundational literacy skills.

2 sessions per week

8-Week Intensive:

Ideal for families seeking stronger consistency and measurable growth.

2 sessions per week

10-Week Full Summer Academic Edge Program:

Our highest level of support for families wanting maximum momentum before the school year begins.

3 sessions per week

Typical results may include gains of approximately 1.5 to 3 grade levels within 6–8 weeks , depending on attendance, participation, and individual learning needs.

Is This Program Right for Your Child?

This program may be a great fit for children who:

struggle with reading confidence
have difficulty connecting sounds and letters
need support with phonics or decoding
are at risk for summer learning loss
benefit from individualized instruction
need stronger literacy foundations before the next school year

The Progressive Pediatric Therapy Difference

At Progressive Pediatric Therapy, we believe learning should feel encouraging, engaging, and successful. Our boutique educational approach combines:

individualized attention
evidence-based instruction
experienced clinicians
engaging multisensory learning
personalized goal-focused support

We focus on helping children not only improve literacy skills but also develop confidence and a positive relationship with learning.

Give Your Child a Strong Start Before the Next School Year

Summer can be more than just a break from school, it can also be an opportunity for meaningful growth. Our Summer Private Reading Intensive helps children strengthen literacy foundations, improve confidence, and return to school better prepared for success.

�� Serving families in Palm Beach, Boca Raton, and surrounding communities.

�� Apply for Summer Intensive Enrollment Here

Florida Medicaid CMS Plan Changes: What Families and Providers Need to Know About the 2026 Transition

Fri, 12 Jun 2026 14:00:14 GMT

Important changes are coming to Florida’s Medicaid Children’s Medical Services (CMS) Health Plan beginning October 1, 2026.

The Florida Agency for Health Care Administration (AHCA) has announced that Molina Healthcare of Florida will become the new statewide administrator for the CMS Health Plan, replacing Sunshine Health.

While transitions like this can feel overwhelming for families and providers, current information indicates that the goal is to maintain continuity of care and minimize disruptions for children receiving services.

Here’s what families, caregivers, and healthcare providers should know about the upcoming CMS Plan transition.

What Is Changing?

Beginning October 1, 2026:

Molina Healthcare of Florida will operate the CMS Health Plan statewide.
Sunshine Health will no longer administer the CMS Plan.
Current CMS Plan members will automatically transition to Molina Healthcare.

Families will not need to submit a new application for coverage during the transition.

What Is Staying the Same?

According to current information released by AHCA and Sunshine Health:

CMS covered services and core benefits are not changing during the transition.
Existing appointments, prescriptions, and prior authorizations will continue during the continuity of care period.
Current CMS Plan members will automatically transfer to Molina Healthcare.
The CMS Plan name itself will remain the same.

Additional expanded benefits may also become available through Molina Healthcare.

Will My Child Lose Their Current Providers?

This is one of the most common questions families are asking.

Some providers may need to establish contracts directly with Molina Healthcare in order to continue serving CMS Plan members after the continuity of care period ends.

However:

Existing appointments and authorizations are expected to be honored during the transition period.
Providers are being encouraged not to cancel appointments.
Molina Healthcare is actively building its provider network and working to accommodate current providers whenever possible.

Families are encouraged to stay informed and communicate with their providers as additional details become available.

What Is the Continuity of Care Period?

The continuity of care (CoC) period is designed to help reduce disruptions in medical care during the transition.

During this time:

existing prior authorizations should continue to be honored
ongoing services should continue without interruption
families should maintain access to current appointments and care plans

Additional details about the length and structure of the continuity period are expected to be released closer to the transition date.

Do Families Need to Do Anything Right Now?

At this time, no immediate action is required for CMS Plan members.

Families should:

continue attending appointments as scheduled
continue receiving services as usual
monitor communications from Sunshine Health, Molina Healthcare, and AHCA
verify provider participation as more information becomes available

Transition communications for both families and providers are expected to begin during Summer 2026.

Early School Age

Important Information for Providers

Healthcare providers currently serving CMS Plan members should be aware that:

provider contracts with Sunshine Health will not automatically transfer to Molina Healthcare
providers who wish to continue serving CMS members after the continuity period must contract directly with Molina
Molina Healthcare will provide additional credentialing and contracting information during the transition process

Providers are encouraged to:

monitor updates from Molina Healthcare and AHCA
prepare for outreach regarding network participation
continue serving current patients as usual during the transition

Why This Matters for Pediatric Therapy Services

For families receiving pediatric therapy services such as:

occupational therapy
speech therapy
physical therapy
feeding therapy

Continuity of care is especially important.

Consistency in therapy services helps support progress, routines, and therapeutic relationships that children depend on for success.

As more information becomes available, families should stay in communication with both their healthcare providers and health plan representatives regarding network participation and authorization updates.

Where to Find Official Updates

Our Commitment to Families

At Progressive Pediatric Therapy, we understand that insurance changes can create uncertainty for families navigating pediatric healthcare services.

Our team will continue monitoring updates related to the CMS Health Plan transition and will work closely with families to help support continuity of care whenever possible.

We encourage families to stay informed, ask questions, and maintain communication with their providers throughout the transition process.

10 Best Pediatric Physical Therapy CEU Courses Online (2026 Guide)

Fri, 05 Jun 2026 14:00:45 GMT

Continuing education is essential for pediatric physical therapists who want to stay current with evidence-based treatment strategies, maintain licensure, and improve outcomes for children and families.

But with so many CEU options available online, it can be difficult to determine which courses are actually worth your time and money.

To help, we’ve compiled a list of top pediatric physical therapy CEU courses and platforms for 2026, focusing on high-demand areas like gait training, neurorehabilitation, adaptive equipment, torticollis treatment , strength-based care, and pediatric orthotics .

We’ve also included PPT4ED Picks: courses designed for therapists who want practical, real-world strategies they can apply immediately.

Best Pediatric Physical Therapy CEU Courses Online

1. MedBridge Pediatric Physical Therapy CEUs

Subscription-based unlimited CEUs

MedBridge is one of the most widely used continuing education platforms for physical therapists, offering extensive pediatric content taught by recognized experts.

Popular topics include:

pediatric gait and mobility
cerebral palsy management
developmental milestones
strength and balance training
early intervention therapy

Flexible online access makes it ideal for busy clinicians.

Visit https://www.medbridge.com

2. Great Lakes Seminars – Pediatric Gait: Assessment & Treatment

Provider: Great Lakes Seminars
��Approx. $375 | �� 16 CEUs

A highly respected pediatric PT course focused on gait assessment and intervention strategies for children with neuromotor and orthopedic conditions.

Topics include:

gait analysis
cerebral palsy treatment strategies
hypotonia and movement disorders
orthopedic considerations
functional mobility training

Popular among pediatric PTs working in outpatient and school-based settings.

Visit https://glseminars.com

3. Surestep Continuing Education Courses

Provider: Surestep

Surestep offers free and paid continuing education courses focused on pediatric orthotics and lower extremity management.

Topics include:

SMOs and AFOs
gait and alignment
toe walking
hypotonia
orthotic decision-making

Courses are designed for pediatric therapists working with children with mobility and postural challenges.

Check their courses: https://surestep.net/education/on-demand-course/

4. Education Resources Inc. (ERI) Pediatric Physical Therapy Courses

Provider: Education Resources Inc. (ERI)

ERI offers a large catalog of pediatric PT continuing education courses in both live webinar and on-demand formats.

Popular topics include:

torticollis treatment
infant motor development
pediatric neurorehabilitation
balance and coordination
strengthening interventions

Courses are taught by experienced pediatric clinicians and researchers.

Check the course here: Education Resources Inc. (ERI)

PPT4ED Picks for Pediatric Physical Therapists

5. Catch the Wave! Introduction to Whole Body Vibration in Pediatric Therapy

Provider: PPT4ED
�� $65 | �� 4 CE Hours | On-Demand

This course introduces pediatric therapists to the foundations of therapeutic vibration using the Galileo side-alternating mechano-stimulation platform.

Participants learn:

vibration safety and parameters
positioning techniques
strengthening applications
sensory and motor benefits
pediatric case study implementation

Designed for PTs, OTs, and SLPs working with children with neurodevelopmental challenges.

6. Retrain the Therapist Brain: A Neurodiversity-Affirming Approach to Pediatric Therapy

Provider: PPT4ED
�� $275 | �� 7.5 CE Hours | On-Demand

This course helps therapists shift toward a strengths-based, neurodiversity-affirming approach when working with children.

Physical therapists learn how to:

understand neurodivergent movement and behavior
apply neurodiversity-affirming care
create strengths-based treatment plans
write supportive, meaningful goals

Highly relevant for PTs working with autistic and neurodivergent children.

7. Foundations of Pediatric Wheelchair & Adaptive Equipment

Provider: PPT4ED
�� $45 | �� 2 CE Hours | Live Webinar

This introductory course provides pediatric therapists with foundational knowledge of mobility equipment and adaptive positioning.

Topics include:

wheelchair basics
posture and alignment
adaptive seating
gait trainers and walkers
documentation and equipment recommendations

Ideal for pediatric PTs beginning involvement in adaptive equipment selection and mobility planning.

Check the course: Foundations of Pediatric Wheelchair & Adaptive Equipment

8. The Power of Play: Linking Play to Language, Cognitive, Social-Emotional & Literacy Development

Provider: PPT4Ed
�� $50 | �� 4 CE Hours | On-Demand

Play is critical to motor learning and participation in pediatric therapy.

This course explores how symbolic play development supports:

motor engagement
participation
social interaction
cognitive development

Therapists also learn play-based intervention strategies that can improve therapy participation and carryover.

Visit: Power of Play

Additional CEU Platforms for Pediatric Physical Therapists

9. APTA Learning Center

Provider: American Physical Therapy Association

The APTA Learning Center provides continuing education for physical therapists across multiple specialties, including pediatrics.

Topics include:

pediatric rehabilitation
evidence-based practice
ethics and clinical decision-making
early intervention
neurological rehabilitation

A trusted source for PT continuing education.

Check their library: Learning Center APTA

10. Herman & Wallace Pediatric Pelvic Health Courses

Provider : Herman & Wallace Pelvic Rehabilitation Institute

Herman & Wallace offers pediatric pelvic floor and bowel/bladder continuing education for physical therapists.

Topics include:

pediatric pelvic floor dysfunction
bowel and bladder management
constipation and continence
pelvic health treatment strategies

An increasingly popular specialty area in pediatric PT.

Visit their website: Herman Wallace

Why Therapists Choose PPT4ED Courses

Created by pediatric therapists
Practical, real-world strategies
On-demand and flexible learning
Evidence-based and interdisciplinary
Focused on immediate clinical application

Advance Your Pediatric Physical Therapy Practice

Explore all available courses here: PPT4Ed.org

10 Best Speech Therapy CEU Courses Online (SLP Continuing Education Guide for 2026)

Thu, 16 Apr 2026 12:00:09 GMT

Continuing education is essential for speech-language pathologists (SLPs) to stay current with evidence-based practices, maintain ASHA certification, and provide the best outcomes for their clients.

But with so many CEU options available online, it can be difficult to determine which courses are actually worth your time and money .

To help, we’ve compiled a list of top speech therapy CEU courses and platforms for 2026, focusing on high-demand areas like pediatric therapy , neurodiversity-affirming care, AAC , feeding , and school-based practice.

We’ve also included PPT4ED Picks : courses designed for therapists who want practical, real-world strategies they can apply immediately.

Best Speech Therapy CEU Courses Online

1. SpeechPathology.com CEU Membership

�� $129/year unlimited CEUs

One of the most widely used CEU platforms for SLPs, SpeechPathology.com offers hundreds of online courses across pediatric and adult settings.

Popular topics include:

articulation and phonology
AAC (augmentative and alternative communication)
early language development
school-based therapy strategies

Flexible, affordable, and constantly updated.

Visit https://www.speechpathology.com

2. ASHA Learning Pass

Provider: American Speech-Language-Hearing Association
CEU pass = $144 annually for members

ASHA’s official CE platform offers high-quality courses aligned with current research and clinical standards.

Courses cover:

evidence-based interventions
ethics and supervision
pediatric and adult therapy topics

Ideal for SLPs who want ASHA-backed continuing education .

3. Pediatric Feeding & Swallowing Courses

Provider: Education Resources Inc. (ERI)

Education Resources Inc. offers a variety of CEU courses focused on pediatric feeding and swallowing disorders , a critical area for many SLPs.

Topics include:

dysphagia in infants and children
feeding assessments
sensory and motor-based feeding challenges
intervention strategies

Courses are available in live webinar and on-demand formats.

Check their courses: Pediatric Feeding & Swallowing Courses

4. AAC and Communication Courses

Provider: PRC-Saltillo

PRC-Saltillo provides free and paid CEU courses focused on AAC (augmentative and alternative communication) .

SLPs can learn:

AAC device implementation
language development using AAC
strategies for school and home environments

A great option for therapists working with non-speaking or minimally verbal individuals.

Check the course here: AAC and Communication Courses

PPT4ED Picks for Speech-Language Pathologists

5. Retrain the Therapist Brain: A Neurodiversity-Affirming Approach to Pediatric Therapy

Provider: PPT4ED
�� $275 | �� 7.5 CE Hours | On-Demand

This course helps SLPs shift toward a neurodiversity-affirming, strengths-based approach when w orking with children.

You’ll learn how to:

support neurodivergent clients more effectively
reframe behavior and communication differences
write meaningful, strengths-based goals

Highly relevant for SLPs working with autistic and neurodivergent children.

6. Catch the Wave! Introduction to Whole Body Vibration in Pediatric Therapy

Provider: PPT4ED
�� $65 | �� 4 CE Hours | On-Demand

This course explores how whole body vibration therapy can support speech and feeding-related outcomes through improved:

postural control
respiratory support
sensory processing

Includes case studies and practical applications across therapy settings.

7. The Power of Play: Linking Play to Language, Cognitive, Social-Emotional & Literacy Development

Provider: PPT4ED
�� $50 | �� 4 CE Hours | On-Demand

Play is foundational to language development.

This course explores how symbolic play connects to language, cognition, and social development, helping SLPs:

assess play skills
support language through play
design effective, play-based interventions

Check the course: Power of Play

Additional CEU Platforms for Speech Therapists

8. Speech Therapy CEUs on Early Intervention & Language Development

Provider: The Informed SLP

The Informed SLP is a highly trusted resource among speech-language pathologists, offering evidence-based CEU courses and research reviews focused heavily on pediatric practice.

Their continuing education content includes:

early language development
late talkers and language delays
evidence-based pediatric interventions
clinical decision-making using current research

This is a great option for SLPs who want to stay up-to-date with research-backed treatment strategies they can immediately apply in sessions.

Visit: The Informed SLP

9. Northern Speech Services (NSS)

Northern Speech Services offers a wide range of evidence-based CEU courses for SLPs , particularly in pediatric and school-based settings.

Popular topics include:

language disorders
executive functioning
autism intervention
literacy and reading

Check their library: Northern Speech Services (NSS)

10. MedBridge Speech Therapy CEUs

MedBridge provides high-quality CEU courses with a strong focus on clinical application and patient outcomes.

Their speech therapy catalog includes:

pediatric speech and language disorders
dysphagia and swallowing
voice and fluency

Subscription-based with unlimited access.

Visit their website: MedBridge

11. University of Wisconsin–Madison Voice & Swallow Lecture Series

The University of Wisconsin–Madison Department of Otolaryngology–Head and Neck Surgery offers a free lecture series with ASHA CEU-eligible courses focused on voice, swallowing, and communication disorders.

Their speech therapy catalog includes:

pediatric and adult feeding & dysphagia
voice disorders and laryngeal conditions
speech sound disorders and oral mechanism exams
interdisciplinary topics (nutrition, dementia, chronic cough)

Free access with self-paced, online learning.

Visit their library: University of Wisconsin

12. SLP Platform CEU Courses

SLP Platform offers free ASHA-required CEU courses along with a wide range of clinical training topics for speech-language pathologists.

Their speech therapy catalog includes:

ethics, DEI, and supervision (ASHA-required topics)
assessment, standardized testing, and report writing
teletherapy and behavior management strategies
autism, stuttering, and cleft palate intervention

Free CEUs available with membership, plus additional courses for professional development.

Visit their website: SLP Platform CEU Courses

Why Therapists Choose PPT4ED Courses

Created by pediatric therapists
Practical, real-world strategies
On-demand and flexible learning
Evidence-based and interdisciplinary
Focused on real clinical application

Advance Your Speech Therapy Practice

Explore all available courses here: PPT4Ed.org

10 Best Pediatric Occupational Therapy CEU Courses Online (2026 Guide)

Fri, 27 Mar 2026 12:30:41 GMT

Continuing education is essential for pediatric occupational therapists who want to stay current with evidence-based practices, maintain licensure, and deliver the best outcomes for children and families.

But with hundreds of OT CEU courses available online, it can be difficult to determine which ones are actually worth your time and money.

To help, we compiled a list of some of the best pediatric occupational therapy continuing education courses available online in 2026. These courses cover high-demand topics like neurodiversity-affirming care, feeding therapy, adaptive equipment, executive functioning, and play-based intervention.

We also included several PPT4ED Picks , courses designed specifically for pediatric therapists looking for practical, real-world strategies.

Best Pediatric Occupational Therapy CEU Courses Online

1. SOS Approach to Feeding

Provider: SOS Approach to Feeding / STAR Institute
CE Hours: Varies (typically 12+ hours)

One of the most recognized pediatric feeding therapy trainings available. The SOS Approach teaches therapists how to evaluate and treat children with feeding challenges using a sensory-based, developmental framework.

Topics include:

sensory factors impacting feeding
oral motor development
strategies for picky eaters and feeding disorders

Visit SOS Approach to Feeding

2. Handwriting Without Tears Professional Development

Provider: Learning Without Tears

A widely used program in schools and pediatric clinics, Handwriting Without Tears focuses on building fine motor skills , handwriting readiness , and writing fluency in young children.

Occupational therapists learn structured techniques to support:

handwriting development
pencil grasp
early writing skills

Visit here: Learning Without Tears

3. Pediatric Feeding Therapy Courses and Webinars

Provider: Education Resources Inc. (ERI)

Education Resources Inc. offers a wide range of continuing education courses for occupational therapists, including several focused on pediatric feeding therapy and swallowing disorders.

Their pediatric CEU catalog includes training on topics such as:

sensory factors affecting feeding
oral motor development
feeding assessments
treatment strategies for children with feeding challenges

Check their courses: Pediatric Feeding Therapy Courses and Webinars

4. Executive Functioning Skills in Children and Teens

Provider: Sensational Brain
CE Hours: 2 CEUs

Executive functioning challenges are increasingly common in school-based therapy. This course provides practical strategies for supporting children with difficulties in:

organization
working memory
impulse control
planning and task completion

Check the course here: Executive Functioning Skills in Children and Teens

PPT4ED Picks for Pediatric Occupational Therapists

These courses were designed by pediatric therapists and focus on practical strategies that can be implemented immediately in therapy sessions.

5. Retrain the Therapist Brain: A Neurodiversity-Affirming Approach to Pediatric Therapy

Provider: PPT4ED
�� $275 | �� 7.5 CE Hours | On-Demand

This course introduces therapists to neurodiversity-affirming care and strengths-based treatment approaches when working with neurodivergent children.

Participants learn how to:

understand the neurodiversity movement in healthcare
assess behaviors through a neurodiversity-affirming lens
develop strengths-based treatment plans
write neurodiversity-supportive therapy goals

Ideal for occupational therapists working with autistic and neurodivergent children.

6. Catch the Wave! Introduction to Whole Body Vibration in Pediatric Therapy

Provider: PPT4ED
�� $65 | �� 4 CE Hours | On-Demand

Whole body vibration is becoming an increasingly used modality in pediatric therapy.

This course teaches therapists how to safely integrate Galileo side-alternating mechano-stimulation platforms into therapy to support:

muscle activation
postural control
sensory input
functional movement

Case studies demonstrate how vibration therapy can support children with various diagnoses.

7. The Power of Play: Linking Play to Language, Cognitive, Social-Emotional & Literacy Development

Provider: PPT4ED
�� $50 | �� 4 CE Hours | On-Demand

Play is a critical component of pediatric occupational therapy.

This course explores Dr. Carol Westby’s stages of symbolic play and how play development connects to:

language development
cognitive skills
social-emotional growth
early literacy

Therapists also learn how to assess play skills and implement play-based intervention strategies in therapy sessions.

Check the course: Power of Play

8. Foundations of Pediatric Wheelchair & Adaptive Equipment

Provider: PPT4ED
�� $45 | �� 2 CE Hours | Live Webinar

This introductory course provides therapists with foundational knowledge of wheelchairs and adaptive mobility equipment for children .

Topics include:

identifying when mobility equipment is appropriate
basic wheelchair components and positioning
adaptive equipment options for sitting, standing, and walking
documentation and letters of medical necessity

A great starting point for therapists who are new to pediatric equipment and mobility decision-making.

Additional Online CEU Platforms for Pediatric OTs

9. OccupationalTherapy.com Pediatric CEU Librar

�� $129/year unlimited CEUs

OccupationalTherapy.com offers one of the largest online continuing education libraries for occupational therapists .

Their pediatric catalog includes courses on:

sensory processing
early intervention
autism intervention
school-based OT

Check their library: OccupationalTherapy.com

10. STAR Institute Sensory Processing Courses

The STAR Institute offers advanced training focused on sensory processing disorder and sensory integration therapy.

These courses are commonly taken by occupational therapists who want deeper expertise in sensory-based intervention for children.

Visit their website: STAR Institute Sensory Processing Courses

Why Pediatric OTs Choose PPT4ED Courses

Created by pediatric therapists
Practical strategies you can apply immediately
Fully on-demand learning options
Evidence-based treatment approaches
Interdisciplinary training for OT, PT, and SLP collaboration

Advance Your Pediatric OT Practice

Explore all available courses here: PPT4Ed.org

Helping Kids Move with Confidence: Supporting Strength, Coordination, and Active Play

Wed, 18 Mar 2026 13:05:17 GMT

Parents often notice when movement feels harder for their child — whether it’s riding a bike, keeping up with peers, or participating in active play.

Why Movement Matters for Child Development

Movement is far more than exercise. It plays a critical role in how children learn, regulate their bodies, and interact with their environment.

Active movement supports:

Strength and Coordination – Developing the muscles and motor skills needed for everyday activities.

Attention and Focus – Movement helps organize the brain and improve concentration.

Balance and Body Awareness – Physical play helps children understand how their bodies move through space.

Emotional Regulation – Movement provides sensory input that helps children feel calmer and more regulated.

Confidence and Resilience – Mastering physical challenges builds self-esteem and perseverance.

When children move regularly, they strengthen both their bodies and brains .

The Concern Many Parents Share

Parents often notice challenges like:

“She doesn’t know how to ride a bike.”

Or they may see that their child:

Tires easily during physical activity
Avoids playground equipment or sports
Prefers sedentary activities or screen time
Struggles to keep up with peers during active play
Feels frustrated when trying new physical skills

Many children fall into what therapists call the “gray area” — where movement is harder than it should be, but not severe enough to require therapy.

A Movement Wellness Visit helps families address these concerns early with guidance and practical strategies.

How Movement Shapes Development

Movement skills build progressively throughout childhood.

Each stage of development relies on active exploration and physical play.

Babies

Develop head and trunk control through rolling, sitting, and crawling.

Toddlers

Build balance and coordination through walking, climbing, and throwing.

Preschoolers

Develop strength, rhythm, and coordination through jumping, galloping, and riding tricycles.

Early School Age

Build endurance, teamwork, and motor control through running, skipping, sports, and organized play.

When movement opportunities decrease, children may also experience challenges with attention, regulation, and physical confidence.

Signs Your Child May Benefit from Movement Support

Many children benefit from extra support building movement confidence.

A Movement Wellness Visit may help if your child:

Avoids physical activity or playground play
Tires quickly during movement or sports
Struggles with balance, coordination, or endurance
Spends significant time with screens or sedentary activities
Feels hesitant trying new physical challenges
Needs help building confidence in active play

Early guidance can help children develop healthy movement habits that last a lifetime.

How a Movement Wellness Visit Helps

During this visit, our pediatric therapists help families better understand their child’s movement patterns and physical development.

Parents receive guidance on:

Understanding their child’s movement habits and activity levels
Building strength, balance, and coordination through play
Turning everyday routines into opportunities for movement
Encouraging active play without pressure or frustration
Creating movement-rich home routines
Supporting attention, sleep, and emotional regulation through physical activity

Families leave with simple strategies and play ideas that fit easily into their daily routines.

Our Approach at Progressive Pediatric Therapy

At Progressive Pediatric Therapy , we believe movement should feel fun, empowering, and accessible for every child.

Our therapists focus on helping families understand the role movement plays in development and how to incorporate active play naturally into everyday life.

With the right guidance and encouragement, children can build the skills and confidence they need to move, explore, and participate fully in their world.

Ready to Help Your Child Move with Confidence?

If your child struggles with physical activity, tires easily, or prefers sedentary play, a Movement Wellness Visit can help you better understand their needs and create supportive routines.

Getting started is simple:

Fill out the brief form
Our team reviews your needs and matches you with the right therapist
We contact you to schedule your Movement Wellness Visit

Small changes in daily movement can lead to big improvements in strength, attention, and confidence.

Ready to get started?

Call us at 561-376-2573 to schedule your Movement Wellness Visit today.

Empowering Families Beyond the Therapy Room: Parent Coaching & Wellness Visits

Wed, 25 Feb 2026 18:09:30 GMT

At Progressive Pediatric Therapy, our commitment to helping families doesn’t stop at the therapy session door. Whether you’re seeking extra guidance as a current client or exploring ways to support your child’s development before pursuing therapy, we’re here to help.

That’s where Parent Coaching and Wellness Visits come in. Two supportive, expert-led programs created to empower families with clarity, confidence, and practical strategies for real life.

What Is Parent Coaching?

Think of Parent Coaching as your one-on-one time with your child’s therapist, focused entirely on you.

It’s a collaborative consultation between a licensed pediatric therapist and a caregiver, designed for current Progressive Pediatric Therapy families who want to dive deeper into goals, strategies, and solutions without taking time away from hands-on therapy.

During Parent Coaching sessions, families can:

Review therapy goals and progress in detail
Adapt home programs to fit real-life routines
Problem-solve specific challenges at home, school, or in the community
Receive expert advice on areas like sleep hygiene, AAC, potty training, and mobility
Collaborate with other professionals such as school therapists or physicians

These private-pay sessions are scheduled outside of therapy hours and are available via teletherapy or phone , making them convenient and accessible for busy families.

What Is a Wellness Visit?

Not every concern requires an evaluation, but every family deserves support.

Wellness Visits are guidance-based, one-time sessions that give families the opportunity to meet with a licensed pediatric OT, PT, or SLP for tailored advice and practical strategies, no referral or diagnosis required.

They’re perfect for families who’ve asked questions like:

“Is this normal?”
“Should I be worried about this stage?”
“What can I do to support my child at home?”

Each session includes:

A quick developmental snapshot
Explanation of what’s typical vs. when to seek support
Simple strategies you can start using today
A personalized plan based on your child’s needs

Whether your child avoids physical play, struggles with big feelings, is picky with food, or you're navigating bilingual language development, there’s a Wellness Visit tailored for your concerns.

Parent Coaching vs. Wellness Visits: What’s the Difference?

Supporting Real Life, Not Just Therapy Goals

Families often share that home programs feel overwhelming, or that they’re not sure how to apply therapy strategies during the hustle of daily routines.

Parent Coaching provides the space to pause and plan, to really understand the why behind recommendations and feel confident using them at home.

For new families or those with early concerns, Wellness Visits offer a reassuring, pressure-free space to get expert insight and support without jumping straight into evaluations or therapy.

Both programs are built to meet families where they are, because parenting comes with questions, and expert guidance should be easy to access.

Why Families and Pediatricians Trust These Programs

Pediatricians often face concerns that land in the “wait and see” zone. Instead of waiting, Wellness Visits offer a proactive step families can take now.

Parent Coaching , on the other hand, helps bridge the gap between what’s happening in therapy and what’s happening at home, so that progress doesn’t stop when sessions end.

Together, these programs empower families to be informed, confident partners in their child’s development.

Ready to Take the Next Step?

Whether you’re a current client wanting deeper insight, or a parent simply wondering if your child’s development is on track, we’re here to help.

Current client? Ask your therapist about scheduling a Parent Coaching session.
New or current family with questions? Explore our Wellness Visit options and choose the session that fits your needs.

The post Empowering Families Beyond the Therapy Room: Parent Coaching & Wellness Visits first appeared on PPT4Kids.

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Empowering Parents, Supporting Premature Babies: How Early Check-Ins Foster Healthy Development

Fri, 14 Nov 2025 14:30:01 GMT

Every baby’s journey is unique, but for families of premature infants, early development often looks and feels a little different. If your baby was born before 37 weeks of pregnancy, they’re considered “preterm” — and you’re not alone. Nearly 1 in 10 babies worldwide are born prematurely each year.

Premature babies, or preemies , haven’t had as much time to grow in the womb, so their first months outside are focused on catching up. Before mastering new skills, preemies must learn to regulate vital systems like breathing, heart rate, and body temperature — the foundation for future growth.

Understanding how to read your preemie’s cues, support their muscle tone, and track milestones using their corrected age can help you nurture healthy, steady development between healthcare visits.

The first year of life is filled with incredible growth, learning, and change. For families of premature babies, it often comes with additional questions:

Is my baby developing appropriately?
Should I be concerned about feeding or sleeping?
Are they meeting milestones for their corrected age?
How do I know if they need additional support?

At Progressive Pediatric Therapy, our Guiding Growth Program was created to support parents through every stage of their baby's first year (0-12 months) with expert guidance, milestone monitoring, and personalized developmental recommendations.

1. They Communicate Differently as Newborns

From day one, babies use sounds, faces, and movements to tell us how they feel. But premature babies may not cry as loudly or as often as full-term newborns because their respiratory systems are still developing. That doesn’t mean they aren’t communicating — they simply “talk” in subtler ways.

Learning to recognize your baby’s body language can make a world of difference. Therapists often group preemie cues into Go, Slow, and Stop signals :

Go Cues

Bright eyes
Smooth movements
Bringing hands to mouth
Sticking out tongue

These cues often indicate your baby is ready to engage.

Slow Cues

Yawning
Frowning
Hiccupping
Jerky arm movements

These cues suggest your baby may need a short break.

Stop Cues

Fussing
Turning away
Pushing outward with their hands

These signals indicate your baby needs rest, comfort, or reduced stimulation.

Reading these cues helps parents respond faster, strengthen bonding, and reduce stress for both baby and caregiver.

2. Premature Babies Often Have Lower Muscle Tone

Many preemies are born with low muscle tone (hypotonia) , which can make their bodies feel softer or “floppy.” This occurs because the brain areas that control movement are still maturing.

Low tone can affect:

Feeding
Head control
Positioning
Early motor development

The good news is that with appropriate support, babies often make tremendous progress. Gentle tummy time, infant massage, positioning strategies, and guided play activities can all help strengthen muscles and improve coordination.

Early involvement from physical, occupational, or feeding therapists can provide families with practical ways to support development through everyday routines.

3. Preemie Positioning Looks More “Stretched”

Full-term babies spend their final weeks in the womb curled into a flexed position that supports future movement skills like rolling, crawling, and sitting.

Because preemies miss some of this developmental time, they often rest with straighter arms and legs.

This extended positioning is common and can improve through supportive handling techniques such as:

Swaddling to encourage flexion and containment
Side-lying play to bring hands and feet toward midline
Short, supervised tummy time sessions to build strength and body awareness

These simple positioning changes can support comfort, coordination, and motor development during the first year.

4. Their Development May Progress at a Slower Pace

Because premature babies are focused on regulating essential systems first, skill development often follows a slightly different timeline.

This is why healthcare providers use corrected age when monitoring development.

For example, if your baby is four months old but was born two months early, developmental milestones should be compared to a corrected age of two months.

Using corrected age helps create realistic expectations and provides a more accurate picture of your baby's progress.

Over time, many preemies follow the same developmental sequence as full-term babies — they simply need additional time, patience, and support.

Was Your Baby Born Early?

Understanding corrected age is one of the most important tools for tracking a preemie's development.

Corrected age allows families and providers to evaluate milestones based on when a baby was expected to be born rather than their actual birth date. This provides a more accurate understanding of developmental progress and helps guide expectations throughout the first year.

We encourage families to explore our Premature Babies educational resources to learn more about corrected age and developmental expectations for babies born early.

Proactive, Family-Centered Support Between Wellness Visits

Between pediatric appointments, families of preemies and other high-risk infants often benefit from structured developmental check-ins with pediatric therapy specialists.

These visits can help:

Monitor feeding, sleep, play, communication, and motor development
Interpret cues, muscle tone, and state regulation
Provide positioning, handling, and play ideas tailored to each baby
Answer questions about milestones and corrected age
Identify when additional PT, OT, SLP, or specialist input may be beneficial

These sessions are wellness-focused, coaching-style visits rather than formal evaluations.

They're ideal for parents who find themselves thinking:

"We just want someone to look at our baby and tell us what we should be working on."

What Happens During a Guiding Growth Session?

We understand that every baby develops at their own pace, and we honor that individuality. Our team of pediatric specialists works closely with your family, providing expert guidance through engaging, developmentally appropriate interactions.

Step 1: Detailed Developmental Monitoring

We review feeding, sleep, play, movement, communication, and overall development while considering your baby's corrected age, medical history, and unique strengths.

Step 2: Evidence-Based, Play-Centered Guidance

Using research-supported developmental strategies, we provide practical recommendations, positioning tips, and activities that fit naturally into your family's daily routines.

Step 3: Family-Centered Early Support

Our goal is to empower parents with knowledge and confidence. If concerns arise, we can help connect families with the appropriate specialists for further evaluation and intervention.

Guiding Growth Options for Families

Guiding Growth Milestone Package

Our most comprehensive option includes three one-hour visits scheduled at milestone points selected by your family (commonly newborn, 6 months, and 12 months).

The package includes:

Comprehensive monitoring of feeding, sleep, play, communication, and motor development
Personalized guidance and developmental activities
Tailored milestone handouts and resources
Early identification of concerns
Recommendations for specialist referrals if needed
Guided activities to support growth and parent confidence

Single Session Consult

Perfect for parents seeking support with a specific concern or developmental stage, such as:e.

Sleep challenges
Tummy time difficulties
Introducing solids
Sitting readiness
Crawling readiness
Walking readiness
General milestone questions

Each consult includes developmental monitoring, individualized recommendations, and a personalized handout with activities to support continued growth at home.

Additional Support Options

Families may also choose:

Quick Check-In Sessions (30-minute virtual visits)
Group Parent Q&A Sessions (virtual)
Follow-up milestone consultations as needed

Every Baby's Journey Is Unique

Premature birth can feel overwhelming, but you don't have to navigate those early months alone.

With expert guidance, developmental monitoring, and personalized support, families can feel confident knowing they are helping their babies thrive during one of the most important periods of growth.

Whether your child was born early or you simply want reassurance about their development, our Guiding Growth Program is designed to provide the support, education, and peace of mind parents deserve.

Empower your parenting journey. Support your baby's growth with confidence.

Schedule a Guiding Growth Session today and receive expert, family-centered support tailored to your baby's unique developmental journey.

Sources

Top Pediatric Therapy Online Continuing Education Courses in 2025 (PT, OT, and SLP)

Wed, 22 Oct 2025 14:00:09 GMT

Continuing education is essential for pediatric therapists to stay current with best practices, support licensure renewal, and deliver the best outcomes for their young clients. But with so many CEU options online, it can be hard to know which ones are worth your time, and your budget.

We asked real pediatric therapists what they love, and we combined their favorites with some of the most highly rated courses from PPT4ED. Below, you'll find a curated list of the best online pediatric CEU courses for physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs) — organized by discipline and updated for 2025.

Pediatric Physical Therapy – Best Online CEU Courses

1. Mary Massery Courses

Mary Massery’s courses are legendary among pediatric PTs, particularly her work on breathing, posture, and core activation in medically complex children.

Visit MasseryPT: https://masserypt.com/

2. PPT4ED Pick: Catch the Wave!

Introduction to Whole Body Vibration in Pediatric Therapy
$65 | �� 4 CE Hours | �� On-Demand

Discover the science and application of whole body vibration in pediatric rehab — and how it can activate underused systems in children with neurodevelopmental delays. Includes practical strategies for PTs, OTs, and SLPs.

3. PPT4ED Pick: Treatment of Torticollis

For Pediatric Occupational and Physical Therapists
$150 | �� 5 CE Hours

Learn to confidently assess and treat torticollis in infants and young children. Covers positioning, parent education, and interdisciplinary strategies.

4. Great Lakes Seminars – Pediatric Gait: Assessment & Treatment

$375 | �� 16 CEUs

Intensive, hands-on approach to pediatric gait training. Ideal for therapists treating children with CP, hypotonia, or orthopedic challenges.

View Course: Physical Therapy Continuing Education

5. Sure Step On Demand Courses:

Free

A variety of CEU courses highlighting orthotic management with various populations using SureStep products.

Check courses here: SureStep On Demand Courses

Pediatric Occupational Therapy – Best Online CEU Courses

1. Learning Without Tears – Handwriting Without Tears

A household name in schools and clinics. Helps kids build writing fluency and fine motor skills with fun, structured routines.

Explore Courses

2. PPT4ED Pick: Introduction to Upper Extremity Splinting for Function in Pediatrics

Learn to evaluate when a splint is needed and how to fabricate basic upper extremity splints that support functional outcomes in pediatric clients. Great for beginner and intermediate OTs.

Check Upper Extremity Splinting for Function in Pediatrics Course

3. Sensational Brain – Executive Functioning in the Classroom

$65 | �� 2 CEUs

Practical, school-based tools for supporting executive functioning in children with ADHD, ASD, and learning differences.

Visit Sensational Brain

4. PPT4ED Pick: One Step Ahead – Intro to Pediatric Lower Extremity Orthotics

Learn about lower extremity orthotic options, indications, and clinical decision-making for children with gross motor challenges. Emphasis on collaboration with orthotists.

Check Intro to Pediatric Lower Extremity Orthotics Course

5. OccupationalTherapy.com

$129/year for unlimited CEUs

Massive course catalog including sensory integration, early intervention, and school-based therapy content.

Check their courses

Pediatric Speech Therapy – Best Online CEU Courses

1. PPT4ED Pick: Retrain the Therapist Brain

A Neurodiversity-Affirming Approach to Pediatric Therapy
$275 | �� 7.5 CE Hours

Shift your clinical mindset with this affirming, inclusive framework. Perfect for SLPs (and OTs/PTs) working with autistic and neurodivergent children.

Check Retrain the Therapist Brain Course

2. SpeechPathology.com

$129/year unlimited CEUs

Broad course catalog with flexible, on-demand access. Highly rated among school-based SLPs.

Explore courses

3. PPT4ED Free Pick: Navigating the IEP Process in Florida Schools

Walk through the IEP process with practical tips and insights tailored to Florida-based therapists. Ideal for SLPs collaborating with school teams.

Check Navigating the IEP Process in Florida Schools Course

Why Therapists Choose PPT4ED Courses

Created by pediatric therapists, for pediatric therapists
100% on-demand — learn at your pace
CEU-approved and affordable
Real-world, evidence-based strategies
Focused on collaborative care across PT, OT, and SLP

Ready to Advance Your Pediatric Practice?

Explore all PPT4ED courses here

What Approaches Are Used in Feeding Therapy? 5 Powerful Methods That Support Your Child’s Mealtime Success

Fri, 10 Oct 2025 14:00:16 GMT

At Progressive Pediatric Therapy, we know that every child’s feeding journey is unique. Some children may struggle with sensory issues, oral motor delays, or behavioral challenges that affect how they eat. That’s why feeding therapy isn’t a one-size-fits-all solution, instead it involves a blend of specialized approaches tailored to each child’s specific needs.

In this post, we’ll explain 5 key approaches used in feeding therapy, how they work, and why they matter for your child’s growth and development.

1. Beckman Oral Motor Approach

What it is:

The Beckman Oral Motor approach focuses on improving the strength, range of motion, and coordination of the muscles used for eating and drinking. It uses specific exercises and stretches to help children develop better oral motor control.

Why we use it:

Many feeding difficulties are rooted in weak or uncoordinated mouth muscles. This approach lays the foundation for functional eating by improving muscle tone, which can lead to more effective chewing, drinking, and swallowing.

2. SOS (Sequential Oral Sensory) Feeding Approach

What it is:

The SOS Approach to Feeding is a play-based, developmental method that gradually helps children become more comfortable with food. It focuses on building trust and reducing anxiety by slowly introducing new foods in a fun, low-pressure way.

Why we use it:

This approach is especially helpful for children who are picky eaters or who have sensory sensitivities. Rather than forcing a child to eat, we guide them through a step-by-step process — from simply tolerating food nearby, to touching, smelling, and eventually tasting it.

3. AEIOU Feeding Approach

What it is:

The AEIOU (Acceptance, Exposure, Independence, Observation, Understanding) Feeding Approach is a family-centered model that combines sensory, behavioral, and oral motor techniques. It emphasizes responsive feeding, where we observe the child’s cues and adapt strategies accordingly.

Why we use it:

This approach empowers parents and caregivers to be active participants in therapy. It also supports children in becoming more independent eaters by reinforcing positive experiences around food.

4. Child-Led Play

What it is:

Child-led play means allowing the child to explore food and mealtime interactions at their own pace, in a way that feels safe and fun. Therapists follow the child’s lead, using food-related play as a gateway to building positive feeding experiences.

Why we use it:

When children feel in control, they’re more likely to try new foods and build confidence at mealtimes. This approach helps reduce resistance and creates a more positive association with eating.

5. Sensory and Behavioral Models

What it is:

These models address how a child’s senses (taste, smell, texture, etc.) and behaviors affect their ability to eat. Sensory models work to desensitize over- or under-reactive sensory systems, while behavioral models focus on reinforcing positive mealtime behaviors.

Why we use them:

For children with autism, ADHD, or sensory processing difficulties, food can be overwhelming. These models help us understand what’s behind a child’s eating challenges — whether it’s sensory aversion, learned behaviors, or anxiety — and build a plan that supports lasting progress.

Why These Feeding Therapy Approaches Matter

Feeding therapy is not just about getting your child to eat, it’s about helping them feel safe, capable, and confident during meals. At Progressive Pediatric Therapy, we combine these research-backed approaches to meet your child where they are and guide them toward success.

If you have concerns about your child’s eating habits, you’re not alone — and we’re here to help. Contact us today to learn how a personalized feeding therapy plan can support your child’s growth and well-being.

Top Shoes for Kids 2025 - Recommended by Pediatric Physical Therapists

Thu, 18 Sep 2025 14:30:00 GMT

Choosing the right pair of shoes for your child isn’t just about style, it’s about supporting their growing feet with the stability, comfort, and structure they need. Whether your child has orthotic needs, sensory sensitivities, or simply needs reliable footwear for school and play, finding pediatric therapist-recommended shoes can make all the difference.

To help, we asked pediatric physical therapists to share their top shoe recommendations for kids. From adaptive closures to orthopedic designs, these shoes are not only functional but also kid-friendly and stylish.

Here’s a curated list of the top 10 best shoes for kids approved by experts and loved by parents.

Top Picks from Pediatric Physical Therapists

All of the following shoes are recommended by pediatric professionals and selected for comfort, support, and ease of use.

1. Stride Rite Adaptive Footwear

Shop Stride Rite Adaptive Footwear →

Perfect for kids who wear orthotics or AFOs, these adaptive shoes feature extra-wide openings and removable insoles for maximum adjustability and comfort.

2. Billy Footwear

Shop Billy Footwear →

Designed with universal access in mind, Billy shoes open completely around the top and side, making them ideal for kids with mobility or sensory challenges.

3. Memo Orthopedic Shoes

Shop Memo Shoes →

These orthopedic shoes are medically designed for foot correction and monitoring. They’re often recommended for children with developmental delays or gait concerns.

4. Mt. Emey Kids Orthopedic Shoes

Shop Mt. Emey Kids Shoes →

These orthopedic shoes are built for children who need additional depth, width, and therapeutic support. Perfect for braces and orthotics.

5. Friendly Shoes

Shop Friendly Shoes →

Combining style with accessibility, Friendly Shoes are lightweight, easy to zip, and comfortable for kids with sensory sensitivities or motor challenges.

6. See Kai Run Ryder Adapt

Shop See Kai Run Ryder Adapt →

Flexible and supportive, these shoes are ideal for active kids. The Adapt line features extra room for orthotics while maintaining a sporty look.

7. Keen Targhee Adaptive Shoes

Shop Keen Targhee Adaptive →

Durable and rugged, these adaptive shoes are made for outdoor play. They feature a boundless alternative closure for easy on/off access.

8. Kids Ortho Tennis Shoes (Amazon)

Shop Ortho Tennis Shoes →

Affordable and functional, these orthopedic tennis shoes offer shock-absorbing soles and are great for everyday use.

9. SureStep Shoes

Shop SureStep Shoes →

Created for children with mobility and alignment issues, SureStep shoes are specially designed to work with orthotic devices and help stabilize walking patterns.

10. Amazon Adaptive Shoes – Lightweight Option

Shop Lightweight Adaptive Shoes →

Breathable, flexible, and budget-friendly — this option is a great choice for families needing a supportive shoe that’s easy to slip on.

¿Qué es el ARFID?

Mon, 25 Aug 2025 04:00:27 GMT

Esto es un trastorno menos conocido como la anorexia o la bulimia. Esto es conocido por sus siglas en inglés como ARFID (Avoidant/Restrictive Food Intake Disorder). El ARFID es caracterizado por una alimentación muy limitada, ya sea por la evitación de ciertos sabores, texturas, colores, olores o por un miedo intenso a las consecuencias de comer (como atragantarse o vomitar). ARFID no está relacionado con la imagen corporal ni el deseo de adelgazar. EL ARFID afecta la vida social del niño, no es simplemente una etapa de "comer selectivo"

¿Cómo se manifiesta?

Comen solo unos pocos alimentos que son " seguros "
Evitan completamente grupos de alimentos (frutas, vegetales, proteínas)
Tienen ansiedad a comidas específicas
Interferencia con el funcionamiento social o familiar (ansiedad extrema al comer fuera de casa o en reuniones)
Sienten poco o ningún interés por la comida
Deficiencias nutricionales, a veces necesitan suplementos nutricionales

¿Cuál es la causa?

No hay única causa, pero algunos factores de riesgo incluyen:

Trastornos sensoriales (es común en autismo )
Ansiedad o fobias relacionadas con la comida
Experiencias traumáticas con alimentos (atragantamiento, vómitos, alergias)
Problemas gastrointestinales o médicos que hacen que la comida sea incómoda o dolorosa

¿Qué es la terapia de alimentación?

La terapia de alimentación es una intervención especializada que busca ayudar a niños a desarrollar una relación más saludable con la comida. Buscamos la mejor manera a través de terapeutas ocupacionales o/y patólogos del habla y lenguaje, que también trabajan con niños con trastornos de alimentación. Usamos estrategias para reducir la ansiedad, exposición gradual, sensibilización sensorial, desarrollo de habilidades orales-motoras, y educación y participación familiar. Este proceso no es rápido, es gradual y requiere paciencia, constancia, y apoyo emocional.

Nuestro compromiso en Progressive Pediatric Therapy

En Progressive Pediatric Therapy, entendemos lo difícil que puede ser enfrentar desafíos de alimentación . Nuestro equipo está capacitado para apoyar a niños con ARFID mediante planes de terapia individualizados y compasivos. Ya sea que su hijo necesite ayuda con la exposición a nuevos alimentos, habilidades orales-motoras o apoyo sensorial, estamos aquí para acompañarlos en cada paso del proceso.

¿Cree que su hijo podría beneficiarse de la terapia de alimentación?

Contáctenos para programar una evaluación con uno de nuestros terapeutas pediátricos especializados.

Para más consejos terapéuticos, actividades para niños y recursos para familias, ¡síganos en nuestras redes sociales!

What is ARFID?

Mon, 25 Aug 2025 04:00:27 GMT

This is a lesser-known eating disorder compared to anorexia or bulimia. It is known by its English acronym ARFID (Avoidant/Restrictive Food Intake Disorder). ARFID is characterized by very limited eating, either due to avoidance of certain tastes, textures, colors, smells, or an intense fear of the consequences of eating (such as choking or vomiting). ARFID is not related to body image or a desire to lose weight. ARFID affects the child’s social life—it’s not simply a phase of being a “picky eater.”

How does it manifest?

Children eat only a few “safe” foods
Completely avoid food groups (fruits, vegetables, proteins)
Have anxiety about specific foods
Interference with social or family functioning (extreme anxiety when eating outside the home or at gatherings)
Show little or no interest in food
Nutritional deficiencies; may sometimes need nutritional supplements

What causes it?

There is no single cause, but some risk factors include:

Sensory processing disorders (common in autism )
Anxiety or food-related phobias
Traumatic food experiences (choking, vomiting, allergies)
Gastrointestinal or medical issues that make eating uncomfortable or painful

What is feeding therapy?

Feeding therapy is a specialized intervention that helps children develop a healthier relationship with food . We find the best approach through occupational therapists and/or speech-language pathologists who also work with children with feeding disorders. We use strategies to reduce anxiety, gradual exposure, sensory desensitization, development of oral-motor skills, and family education and involvement. This process is not fast—it is gradual and requires patience, consistency, and emotional support.

Our Commitment at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we understand how difficult feeding challenges can be. Our team is trained to support children with ARFID through individualized and compassionate therapy plans. Whether your child needs help with exposure to new foods, oral-motor skills, or sensory support , we are here to support you every step of the way.

Do you think your child could benefit from feeding therapy?

For more therapeutic tips, kids’ activities, and family resources, follow us on social media!

Supporting Growth with Turtle Bracing: Custom Orthotic Care for Kids

Thu, 07 Aug 2025 13:00:07 GMT

Children grow quickly, and with that growth come unique physical needs. Whether it’s posture, mobility, or muscle support, some children benefit from an extra layer of help to move, play, and thrive confidently. At Progressive Pediatric Therapy, we offer Turtle Bracing : a lightweight, flexible orthotic solution designed to support growing bodies in motion

Let’s explore how Turtle Bracing works and why it’s a game-changer for kids and families seeking comfort, movement, and independence.

Why Consider Orthotic Support?

Orthotic support isn't about limiting your child, it's about unlocking potential. For children with motor challenges , low or high tone, or postural imbalances, the right brace can make everyday tasks easier and more successful. The goal? Better alignment, more effective therapy, and improved participation in daily life.

That’s where Turtle Bracing comes in.

What Is Turtle Bracing?

Turtle Bracing is a fully customizable pediatric orthotic system developed by Turtlebrace®. Unlike traditional rigid braces, Turtle Braces are designed to move with your child while still offering the structure they need.

Depending on your child’s needs, Turtle Braces can support:

Spine or trunk – for posture, scoliosis, or core alignment
Elbows and wrists – for joint positioning or neuromuscular support
Ankles – for mobility, tone management, or gait correction

Each brace is custom-molded to your child’s body to ensure both precision and comfort.

Benefits That Move With Your Child

Turtle Bracing is loved by therapists and families alike, and for good reason:

Lightweight and breathable for all-day comfort
Flexible fit that allows movement and play
Custom-molded to your child’s exact needs
Easy to adjust as your child grows or therapy goals change
Integrates seamlessly into therapy sessions and routines
Removable - great for hygiene and therapy breaks

The result? A brace your child actually wants to wear and one that supports real, functional progress.

Who Can Benefit?

Turtle Bracing may be recommended for children who:

Have scoliosis, kyphosis, or postural imbalances
Experience low or high muscle tone
Are recovering from injury or surgery
Need orthotic support for neurological conditions (e.g., cerebral palsy, developmental delay, muscular dystrophy )
Are working toward goals like improved gait, joint alignment, or core strength

Not sure if Turtle Bracing is right for your child? Our therapy team will help you explore the best fit based on your child’s needs and goals.

Turtle Bracing vs. Serial Casting: What’s the Difference?

Both Turtle Bracing and serial casting aim to improve alignment and movement—but they work differently.

What to Expect with Turtle Bracing

We believe orthotic success starts with a collaborative, therapy-led process. Here’s how it works at PPT:

Comprehensive Evaluation
Our therapy team assesses your child’s needs, movement patterns, and goals.
Custom Fitting
We work with trusted orthotists to mold the brace precisely to your child’s body.
Therapy Integration
The brace becomes part of therapy to promote alignment, mobility, and independence.
Ongoing Support
We provide education and adjustments to ensure your child continues to benefit as they grow.

Our goal is to make orthotic care not just effective but empowering.

Supporting Growth, One Step at a Time

When the right orthotic tool meets the right therapeutic approach, children can make meaningful progress in strength, posture, and confidence. Turtle Bracing is more than a device, it's part of a bigger plan to help your child move through the world with comfort and capability.

Want to learn more?

Visit our Turtle Bracing page to explore how we support growing bodies step by step.

Crayons, Confidence & Kindergarten: Handwriting Without Tears Tips to Get Your Child Ready for School

Thu, 31 Jul 2025 12:00:01 GMT

July brings warm days, end-of-summer excitement, and for many families, the first signs of back-to-school prep. If your child is heading to kindergarten this fall, now is the perfect time to start building their confidence with handwriting. At Progressive Pediatric Therapy, we use the Handwriting Without Tears program to support early writers in a fun, low-pressure way that’s grounded in child development and occupational therapy expertise.

Why Handwriting Readiness Matters for Kindergarten

Handwriting isn’t just about forming letters, it’s about developing fine motor strength, coordination, visual-motor skills, posture, and confidence . These skills set the stage for success in the classroom, especially as young learners are asked to draw, color, and write more frequently.

When children feel capable and confident in their writing, they’re more likely to engage in learning activities and feel successful from day one.

What Is Handwriting Without Tears?

Handwriting Without Tears is a hands-on, multi-sensory curriculum designed to make handwriting easy to learn and fun to teach. It’s a wonderful complement to occupational therapy and is especially effective for children who may struggle with:

Learning handwriting skills
Dysgraphia
Fine motor challenges
Cognitive delays or poor motor planning

The program uses a combination of visual, tactile, auditory, and kinesthetic activities to help children build skills like proper letter formation, posture, pencil grasp, and neatness, all in a developmentally appropriate way.

Our therapists at PPT4Kids are certified and trained in Handwriting Without Tears and personalize lessons to each child’s needs and strengths.

Signs Your Child Might Benefit from Support

If your child:

Struggles to hold a crayon or pencil correctly
Fatigues easily during fine motor tasks
Avoids drawing or writing activities
Produces illegible or inconsistent letter shapes
Has difficulty sitting upright or focusing on writing tasks

They may benefit from handwriting-focused occupational therapy. These challenges could also be signs of dysgraphia , a learning disability that impacts writing ability, spelling, and the organization of written thoughts.

July Activities to Support Writing Skills at Home

You don’t need to replicate a classroom to build strong pre-writing skills this summer. Try these easy, playful activities:

Play Dough Letters – Roll and shape letters to build hand strength
Chalkboard Tracing – Write with wet sponges and chalk to engage tactile learning
Vertical Writing – Use an easel or tape paper to the wall to improve posture and control
Wood Piece Letters – Create letters using sticks or craft sticks to mimic the Handwriting Without Tears approach

These low-stress activities keep kids engaged and build the foundations for writing fluency.

Our Approach at Progressive Pediatric Therapy

At PPT, we tailor handwriting support to each child’s individual needs and learning style. Whether we’re working on trunk control, pencil grasp, or developing confidence, we use certified Handwriting Without Tears methods to make progress feel natural and rewarding.

Our goals are to:

Increase fine motor development
Improve letter recognition and formation
Support age-appropriate grasping techniques
Develop good posture and sitting habits
Enhance social participation through classroom readiness

A Note for Parents: Progress Over Perfection

Your child doesn’t need to master handwriting before the first day of school. What matters most is that they feel comfortable, curious, and empowered to try . Every scribble, drawing, and chalk line is a step forward.

Is Your Child Starting Kindergarten This Fall?

Our occupational therapists use the Handwriting Without Tears program to help young learners develop handwriting skills that are fun, functional, and frustration-free.

Contact us today to schedule a handwriting screening or therapy session this summer.

Handwriting Readiness: Helping Kids Start the School Year Strong

Fri, 18 Jul 2025 12:00:06 GMT

A new school year means fresh notebooks, sharpened pencils and a renewed focus on writing. But for many kids, handwriting isn’t just a subject, it’s a foundational skill that impacts how they learn, express ideas, and feel about school.

At Progressive Pediatric Therapy, we support handwriting development through fun, functional activities that build the fine motor , visual, and cognitive skills kids need to write with ease and confidence.

Why Handwriting Still Matters

In a digital age, handwriting might seem less essential but it still plays a critical role in your child’s learning journey:

Academic Performance – Kids who write fluently can focus on expressing ideas, not just forming letters.
Cognitive Development – Writing by hand strengthens memory, attention, and comprehension.
Communication Skills – Legible handwriting helps kids express themselves clearly.
Confidence – When writing is hard, frustration and low self-esteem often follow.

By nurturing handwriting skills early, you're supporting success across all subjects.

Signs Your Child May Need Help with Handwriting

Some handwriting issues are obvious, while others develop quietly over time. Watch for these signs:

Awkward pencil grip or hand fatigue
Illegible or inconsistent letter formation
Difficulty copying from the board
Slow or effortful writing
Frustration or avoidance during writing tasks

These may signal underlying struggles with motor control, visual processing, or coordination, not just “messy writing.”

How to Support Handwriting at Home

Handwriting practice doesn’t have to be boring. Here are engaging ways to build foundational skills:

Play with Putty – Strengthen fingers with playdough or therapy putty.
Trace and Race – Big letter tracing with chalk or finger paint encourages motor memory and posture.
Pinch and Pick-Up Games – Use tweezers or tongs to sort objects and improve fine motor control.
Multi-Sensory Letter Practice – Write in sand, shaving cream, or rice to reinforce letter shapes.
Maze and Dot-to-Dot Books – Quiet-time fun that boosts pencil control and sequencing.

NEW: Enroll in Our 10-Week Handwriting Instruction Program

Progressive Pediatric Therapy now offers a 10-week Cursive and Print Handwriting Instruction Program , built on the research-backed Handwriting Without Tears® curriculum. Each program includes 20 sessions (2 per week), 30–45 minutes each, and uses multisensory strategies to help kids build legible, confident handwriting.

Print Handwriting Program

Ages : 4+ (Pre-K to 2nd grade)
Focus : Letter formation, spacing, grip strength, and writing confidence
Curriculum : Handwriting Without Tears® Print

Cursive Handwriting Program

Ages : 6+ (2nd grade and up)
Focus : Letter connections, legibility, fluid writing, and sentence construction
Curriculum : Handwriting Without Tears® Cursive

Pre-Program Readiness Consultation Required

Every child completes a 30-minute consultation (fee applies) before enrolling. This ensures they’re ready to benefit from instruction.

The consultation includes:

Screening fine motor and foundational writing skills
Observing ability to follow directions
Recommending occupational therapy if additional support is needed

****This is a private pay program and is not covered by insurance.

Our Approach at Progressive Pediatric Therapy

Whether through therapy or our handwriting instruction program, we take a whole-child approach. Our occupational therapists assess and strengthen the skills behind writing success, including:

Fine motor and visual-motor development
Executive functioning for attention and planning
Endurance and letter formation strategies
Family and school collaboration for consistent support

Set the Stage for a Confident School Year

If your child struggles with handwriting or if you want to give them a strong start, August is the perfect time! Building writing readiness now can reduce classroom stress, improve participation, and help your child view writing as a tool for learning, not a barrier.

Ready to Get Started? - Call us at 561-376-2573

Let’s make this school year one of progress, confidence, and handwriting success.

Simple Backyard Games That Support Gross Motor Development

Thu, 03 Jul 2025 12:00:09 GMT

July brings long sunny days, school-free schedules, and endless opportunities for play, but for many families, it’s also a chance to focus on something essential: physical development through movement. Summer play isn’t just fun; it’s foundational. It helps children build strength, coordination, and confidence especially when it supports gross motor development .

What Is Gross Motor Development?

Gross motor development refers to the growth and strengthening of the large muscles in the body that enable children to perform everyday functions such as walking, running, jumping, and climbing. These movements are key to a child’s physical health, coordination, and independence.

Over time, gross motor skills lay the foundation for more complex tasks like riding a bike, playing sports , and even sitting upright in class. Encouraging active outdoor play during the summer is one of the best ways to support these skills naturally.

The Power of Play: Why Backyard Games Matter

While structured exercise has its place, the beauty of childhood movement lies in its simplicity. Games like tag, hopscotch, and homemade obstacle courses turn basic motor skills into exciting adventures (no screens, no pressure, just movement and fun!)

These simple games challenge balance , coordination, agility, and strength all without kids even realizing they’re building essential developmental skills.

3 Easy Backyard Games That Boost Gross Motor Skills

1. Tag (Classic, Freeze, or Shadow Tag)

Tag is more than just a playground favorite it encourages sprinting, directional changes, and awareness of space and others. It’s a cardio workout disguised as fun, and it sharpens reflexes, too!

2. Hopscotch

This sidewalk game supports single-leg balance, coordination, and even early number recognition. Drawing it with chalk turns it into a mini art project first (bonus points for creativity).

3. Mini Obstacle Courses

Use cones, pool noodles, hula hoops, or even household items to create a kid-friendly challenge. Crawling under, jumping over, or zig-zagging through obstacles builds core strength, spatial awareness, and confidence.

Movement That Builds More Than Muscles

Gross motor play doesn’t just support physical strength, it enhances brain development , improves focus, and fosters social skills. Taking turns, following rules, and working as a team all build emotional and cognitive growth.

Backyard play is a low-pressure environment where kids can make mistakes, try again, and succeed on their own terms.

How PPT Supports Gross Motor Growth

At Progressive Pediatric Therapy, we champion the power of movement to transform lives. Through physical and occupational therapy, we help children develop gross motor skills that improve their quality of life, both at home and in school.

Whether your child needs support with coordination, strength, or motor planning, our team builds individualized therapy plans to help every child thrive.

How You Can Encourage Gross Motor Play at Home

Dedicate time for active outdoor play each day
Join in! Kids love when adults play too
Rotate games to keep things fresh and fun
Celebrate effort and progress, not just performance
Incorporate movement into daily routines (e.g., hopping to the dinner table)

Our Commitment at Progressive Pediatric Therapy

At PPT, we believe in using joyful, purposeful movement to empower kids. From helping a toddler take their first steps to supporting a young athlete’s recovery, we’re here for every stage of gross motor development.

Wondering if your child could benefit from gross motor support?

For more therapy tips, kid-friendly activities, and developmental insights, follow us on social media!

Screen-Free Summer: Activities that Build Language, Strength, and Coordination

Thu, 19 Jun 2025 12:00:13 GMT

As the days get longer and the sun shines brighter, summer invites children to explore, play, and grow. But with screens so easily accessible, it can be tempting to turn to tablets or TVs for entertainment. At Progressive Pediatric Therapy, we believe summer is a golden opportunity to engage kids in meaningful, screen-free activities that support their development —in both body and mind.

Why Choose a Screen-Free Summer?

Limiting screen time isn’t about eliminating fun, it’s about expanding it. Excessive screen use has been linked to decreased physical activity , reduced attention span , and missed opportunities for language and social development. In contrast, real-world play encourages creativity, movement, communication, and problem-solving.

With the right activities, you can help your child build critical life skills while still having fun.

Summer Activities That Build Language Skills

Language develops best through interaction and experience. These activities promote vocabulary, conversation , and expression:

1. Nature Walks with a Twist

Bring along a scavenger hunt sheet with pictures or words. Ask open-ended questions: “What do you see?”, “How does it smell?”, “Why do you think that bird is making noise?”

2. Storytelling in the Shade

Set up a cozy blanket outside and take turns creating stories. Use puppets, dolls, or just your imagination to encourage dialogue and narrative thinking.

3. Outdoor Obstacle Course Instructions

Have your child help set up an obstacle course, then explain the steps to you or a sibling. This encourages sequencing and descriptive language.

Activities That Build Strength and Coordination

Kids don’t need a gym to get strong, just a safe space to move, climb, and play. Try these:

1. Chalk Mazes and Hopscotch

Drawing and navigating chalk games improves fine motor control and balance .

2. Water Play

From sponge tosses to carrying buckets, water activities build upper body strength and provide sensory fun .

3. Animal Walk Races

Bear crawls, crab walks, or frog jumps help develop core muscles and coordination in a fun, silly way.

4. Bike or Scooter Rides

Riding helps with gross motor skills, balance, and confidence. Bonus: narrate the experience to build receptive language!

Coordinating It All: Whole-Child Benefits

When children engage in hands-on, movement-rich, and interactive activities, they’re developing more than just muscles or vocabulary. They’re also learning to:

Follow directions
Solve problems
Express themselves
Collaborate with others
Self-regulate emotions and energy

These foundational skills are key for school readiness and social success.

Our Role at Progressive Pediatric Therapy

At PPT, we support children in reaching their fullest potential by integrating speech, occupational, and physical therapy. Our goal is to help families create everyday routines that nurture language, movement, and independence.

Need ideas for a screen-free summer tailored to your child’s needs? Our therapists can guide you with home strategies and summer goals that fit your child’s developmental level.

Let’s Unplug and Reconnect

This summer, swap screen time for shared time. Whether it's splashing in a pool, walking in the park, or building a fort in the backyard, every moment is a chance to strengthen your child’s body, mind, and connection to the world around them.

We’re here to help you make it a summer of smiles, growth, and discovery.

How to Prepare Your Child with Sensory Challenges for Summer Travel

Thu, 05 Jun 2025 15:00:00 GMT

Summer is a season of sunshine, adventures, and unforgettable memories. But for families of children with sensory challenges, the thought of travel can also bring anxiety and overwhelm. At Progressive Pediatric Therapy, we believe every child deserves the chance to enjoy summer experiences, comfortably and confidently. With a little planning and the right support, travel can be not just manageable but truly enjoyable!

Understanding Sensory Challenges and Travel

Children with sensory processing difficulties may react strongly to changes in environment, routine, and stimuli. This can include sensitivity to noise, lights, textures, or crowds which are common elements of airports, road trips, or theme parks. Travel, while exciting, can be unpredictable and overstimulating.

That’s why preparation is key. Helping your child anticipate new experiences, introducing sensory tools, and keeping a flexible mindset can make all the difference.

Practical Strategies to Prepare for Summer Travel

1. Plan Ahead Together

Involve your child in the travel plans. Talk about the trip, where you’re going, and what to expect. Use visuals like maps, photos, or storyboards to walk them through each step.

2. Create a Visual Schedule

Many children with sensory sensitivities find comfort in predictability. A simple itinerary with pictures or icons can help ease anxiety and give a sense of control.

3. Pack a Sensory Toolkit

Include calming items like:

Noise-canceling headphones
Sunglasses or hats for light sensitivity
Fidget toys or chewy necklaces
Weighted lap pads or blankets
Favorite snacks with known textures

These tools offer comfort and support during overstimulating moments.

4. Practice New Scenarios

If flying, visit the airport in advance if possible. Try a mock road trip or rehearse hotel check-ins at home. Role-playing common travel events can build familiarity and confidence.

5. Keep Comfort Items Close

Bring along familiar objects, like a favorite stuffed animal, pillow, or bedtime story. These can act as emotional anchors during transitions.

6. Stick to a Loose Routine

While travel often requires flexibility, maintaining key parts of your child’s routine like meal and sleep times can provide grounding throughout the day.

Supporting the Whole Family During Travel

Traveling with a child who has sensory needs isn’t just about logistics, it’s about mindset. A few tips for the whole family:

Be patient and flexible : Things might not go exactly as planned and that’s okay.
Offer choices : Giving your child some control can reduce resistance and build independence.
Communicate with others : Whether it’s hotel staff, flight attendants, or extended family, letting people know about your child’s needs can foster understanding and support.

Celebrating Progress, Not Perfection

Every child is different. What works for one might not work for another. The goal isn't a “perfect” trip, it’s a positive experience. Celebrate small wins, honor your child’s efforts, and know that every adventure builds resilience.

Our Support at Progressive Pediatric Therapy

At PPT, we help children build the sensory regulation and coping skills needed for everyday life, including special moments like summer vacations. Our occupational therapists offer personalized strategies and home programs that empower families to travel with more ease and less stress.

If your child faces sensory challenges, we’re here to help you prepare before, during, and after the trip. Reach out to schedule a consultation or learn more about our sensory integration services.

Let’s make this summer one to remember, full of joy, discovery, and connection!

Staying Safe and Making Waves: Water Safety & Aquatic Therapy for Kids

Thu, 22 May 2025 18:00:04 GMT

As temperatures rise and summer approaches, families across South Florida flock to the water for fun, relaxation, and play. But alongside the excitement comes an important responsibility, water safety . At Progressive Pediatric Therapy, we use this time of year not only to promote safe swimming habits but also to spotlight one of our most exciting specialty services: Aquatic Therapy .

Why Water Safety Matters

In a state like Florida, where pools and beaches are part of daily life, water safety is essential, especially for families with young children. Drowning is the leading cause of unintentional injury-related death in children ages 1 to 4, and many of these incidents are preventable.

That’s why we encourage families to stay informed, stay alert, and stay proactive when it comes to water safety. Visit the Drowning Prevention Coalition of Palm Beach County for essential safety tips, swim programs, and local resources.

What Is Aquatic Therapy?

Did you know that physical , occupational , and speech therapy can take place in the water?

Aquatic Therapy is a specialized treatment approach that uses the natural properties of water to create a therapeutic environment for children. It’s a fun, engaging, and effective way for kids to work on therapy goals in a soothing setting.

Whether your child is building strength, developing coordination, or improving communication skills, Aquatic Therapy offers a dynamic way to support their progress.

Benefits of Aquatic Therapy for Children

Our aquatic sessions are about more than just splashing around. Here's how water-based therapy supports your child’s development:

Increased Mobility : Water reduces the pressure on joints, making it easier for children to move, stretch, and exercise.
Improved Balance & Coordination: Water’s natural resistance builds muscle strength and promotes better control.
Sensory Regulation: For children with Autism Spectrum Disorder (ASD) or sensory processing challenges, the water can be incredibly calming and supportive.
Boosted Confidence: Many kids feel more confident moving in water, which can translate to greater success in land-based therapy.

Program Details: Aquatic Therapy with PPT

Our Aquatic Therapy program is held weekly on Fridays at Small Fish Big Fish Swim School in West Palm Beach. Each session is led by a licensed physical, occupational, or speech therapist trained in aquatic therapy techniques.

Location: Small Fish Big Fish Swim School – 346 Pike Road, Units 3 & 4, West Palm Beach
Schedule: Fridays only
Partners: In collaboration with Hope4Mobility , supporting therapy access for all families
Therapy Areas: Speech , Occupational, and Physical Therapy in a pool setting

Click here to learn more about our Aquatic Therapy program

Why Summer Is the Perfect Time to Start

As school winds down and summer routines begin, it's an ideal moment to introduce new therapeutic strategies. Aquatic Therapy allows children to continue working toward their developmental goals while enjoying the benefits of movement, play, and water-based fun.

It’s a great way to maintain therapeutic momentum while adding variety and excitement to their routine.

Water Safety + Therapy = A Powerful Combination

At Progressive Pediatric Therapy, we believe that water should be both safe and therapeutic . That’s why we’re passionate about combining evidence-based therapy with essential water safety awareness.

We encourage every family to:

Supervise children near water at all times
Enroll kids in swim lessons and water safety programs
Learn CPR and emergency response strategies
Create a home pool safety plan

For more life-saving resources, visit the Drowning Prevention Coalition of Palm Beach County .

Our Commitment at Progressive Pediatric Therapy

We are proud to offer innovative, compassionate care through our Aquatic Therapy program designed to support your child’s unique needs while keeping safety top of mind. From sensory challenges to motor delays , our expert team is here to help your child grow, one splash at a time.

Interested in enrolling your child in Aquatic Therapy? Click here to sign up , or contact us to schedule an evaluation.

For more pediatric therapy tips and family-focused resources, follow us on social media and subscribe to our blog!

Celebrating Better Hearing and Speech Month: How Speech-Language Pathologists Help Children Thrive

Thu, 08 May 2025 17:00:00 GMT

May is a month of blooming possibilities and brighter days, and for those of us at Progressive Pediatric Therapy, it also marks Better Hearing and Speech Month . A time to shine a spotlight on communication and the professionals who make a lifelong difference: Speech-Language Pathologists (SLPs) .

What Is Better Hearing and Speech Month?

Each May, we recognize the importance of healthy communication and raise awareness about speech, language, and hearing disorders that affect both children and adults. It’s also a time to celebrate the expertise of Speech-Language Pathologists, often called speech therapists who help individuals of all ages find their voice and connect more confidently with the world around them.

At Progressive Pediatric Therapy, we use this month to educate families, support early intervention , and honor the unique journey each child takes toward stronger communication .

What Do Speech-Language Pathologists Do?

SLPs are highly trained professionals who assess, diagnose, and treat a wide range of communication and swallowing disorders. In a pediatric setting, they work with children who may experience challenges with:

Speech clarity and articulation
Language development (understanding and using words)
Social communication (such as making eye contact or staying on topic)
Voice or fluency ( stuttering )
Feeding and swallowing difficulties

Whether your child is a late talker, has trouble expressing needs, or struggles with understanding directions, SLPs provide evidence-based strategies tailored to their developmental stage.

How SLPs Support Children and Families

Working with a speech-language pathologist is more than just practicing sounds, it’s about building confidence, independence, and connection.

Here’s how SLPs support your child’s growth:

Personalized Goals: Therapy is based on each child’s unique strengths and challenges, creating goals that support communication in everyday life.
Play-Based Techniques: Young children learn best through play, so sessions are often fun, engaging, and filled with creativity.
Parent Involvement: SLPs partner with caregivers, sharing strategies that families can use at home, in school, and out in the community.
Holistic Support: Many children benefit from a collaborative approach, SLPs often work alongside occupational and physical therapists to support the whole child.

Why Early Intervention Matters

Did you know that communication disorders are among the most common childhood disabilities but also one of the most treatable? Early identification and therapy can greatly improve a child’s ability to communicate effectively, succeed in school, and build social relationships.

If you ever have concerns about your child’s speech or language development, don’t wait. Early support makes a big difference.

How to Celebrate Better Hearing and Speech Month

Observe and Support: Pay attention to your child’s communication milestones and seek help if you notice delays.
Get Involved: Participate in speech-friendly games and activities that encourage conversation and vocabulary-building.
Advocate for Access: Spread awareness about the importance of pediatric speech services and help other families find the support they need.
Thank an SLP! Take a moment to show appreciation to the professionals who help children grow their voices, literally and figuratively.

Our Commitment at Progressive Pediatric Therapy

At PPT, we’re proud to support children through their speech and language journeys every day. Our passionate team of Speech-Language Pathologists is here to empower your child with the tools and confidence they need to thrive.

We believe every child deserves the chance to be heard, understood, and celebrated, because communication is a cornerstone of connection and lifelong success.

Wondering if your child could benefit from speech therapy? Contact us today to schedule an evaluation . For more pediatric therapy insights, follow us on social media and subscribe to our blog!

Celebrating Occupational Therapy Month: How OTs Help Children Thrive

Wed, 30 Apr 2025 16:27:53 GMT

In the vibrant world of childhood development, every child learns, plays, and grows in their own unique way. But for some, everyday activities like holding a crayon, tying shoes, or interacting with peers can be challenging. That’s where the role of an Occupational Therapist becomes so important. In honor of Occupational Therapy Month , let’s take a closer look at what pediatric OTs do, how they support children’s development, and why their work matters so much.

Understanding Pediatric Occupational Therapy

Occupational Therapy is often described as helping people participate in the activities (or "occupations") that are important to their daily lives. For children, this includes everything from playing and learning to eating , dressing, and socializing.

Pediatric OTs are specially trained to work with children who may have physical, developmental , sensory , or cognitive challenges. Their goal is to help kids gain independence, build confidence, and reach their full potential.

What Do Pediatric OTs Actually Do?

If you’ve never worked with an OT before, you might be surprised by how wide-ranging their role can be. Here are some of the key areas they focus on when working with children:

Fine Motor Skills - OTs help children develop the small muscle movements needed for tasks like writing , buttoning clothes, or using utensils.

Gross Motor Skills - They also support large body movements like running, jumping, climbing stairs and often working on balance , coordination, and core strength.

Sensory Processing - Many children have difficulty processing sight, sound, touch, and movement. OTs use sensory integration techniques to help children feel more comfortable in their environment.

Self- Regulation - From learning to manage big emotions to developing routines and attention skills, OTs equip children with tools to navigate their day calmly and confidently.

Daily Living Skills - Basic self-care routines like brushing teeth, feeding themselves, or getting dressed are another focus area, especially for children with developmental delays.

Social Participation - OTs help children build the skills they need to engage with others such as making eye contact, sharing, taking turns, and forming friendships.

What Does an OT Session Look Like?

Occupational therapy sessions often look like play because for kids, play is work. A session might include activities like:

Scooping beans with a spoon to build hand coordination
Crawling through an obstacle course to improve body awareness
Using putty or Play-Doh to strengthen hand muscles
Practicing mindfulness techniques to manage emotions

Each session is tailored to the child’s individual needs and goals. The OT continuously assesses progress and adapts activities to ensure meaningful and motivating experiences.

Why Early OT Intervention Matters

The early years of a child’s life are full of rapid development. When challenges are identified and supported early, children have a greater chance of overcoming them or learning strategies to adapt successfully.

OT isn’t just about improving skills; it’s about empowering children and families . It’s about unlocking possibilities and celebrating small victories that lead to big life changes.

How OTs Work with Families and Teachers

Pediatric OTs often collaborate with parents, caregivers, and educators to carry over strategies at home and in school. This team-based approach ensures that children receive consistent support across all areas of their life.

Whether it’s suggesting classroom modifications, creating sensory-friendly routines, or coaching parents through daily routines, OTs are partners in progress.

Conclusion

Occupational Therapists are the quiet heroes behind so many children’s successes. Through their expertise, creativity, and compassion, they help children overcome obstacles and participate fully in the joys of childhood.

As we celebrate Occupational Therapy Month , take a moment to recognize the incredible work of pediatric OTs and the lasting impact they have on the lives of children and their families.

PPT is committed to empowering children and families through specialized Physical, Occupational, Speech, and Feeding Therapy. With a compassionate team of pediatric therapists, PPT focuses on providing individualized care, enhancing development, and fostering hope and happiness in a supportive environment.

Curious if your child could benefit from OT? Contact us today for an evaluation. Be sure to subscribe to our blog and YouTube channel for more tips, insights, and support. Share your questions or experiences in the comments below—we'd love to hear from you!

Understanding and Celebrating Autism Acceptance Month

Wed, 30 Apr 2025 15:39:56 GMT

April is a month full of fresh starts, bright colors, and meaningful moments but, for many families it holds a deeper purpose. It marks Autism Acceptance Month , a time to celebrate, spread awareness, and foster genuine inclusion for individuals on the autism spectrum.

What Is Autism Acceptance Month?

Originally focused on raising awareness about autism , this month has evolved into something more powerful: a movement toward acceptance, understanding, and action. While awareness helps bring visibility, acceptance is about embracing and valuing people with autism for who they are.

Throughout April, we aim to educate communities, challenge stereotypes, and celebrate the incredible strengths and unique perspectives that individuals with autism bring to the world.

Understanding Autism: A Broad and Unique Spectrum

Autism, or autism spectrum disorder (ASD), is a neurodevelopmental condition that affects how a person experiences the world. This includes how they communicate , interact, and process sensory information.

Autism presents differently in every individual. Some individuals may need significant support, while others are highly independent. Many have unique talents and abilities in areas such as math, music, art, or memory . Recognizing this broad range of strengths and challenges is key to creating an inclusive environment.

From Awareness to Action: Why Acceptance Matters

While raising awareness is a valuable first step, acceptance is where change truly begins . This means moving beyond simply recognizing autism to actively embracing autistic individuals, supporting their needs, and ensuring they feel respected and included.

Acceptance also means breaking down harmful myths and misconceptions, for example, that all autistic people have the same traits or that they don't want social interaction. Many want connections and thrive with the right support.

The Role of Education and Community Support

Creating a more inclusive world starts with education . Understanding how autism presents and the ways it can affect learning, communication, and daily life helps educators, therapists, and caregivers better support autistic children.

At Progressive Pediatric Therapy, we work alongside families to create personalized, strengths-based therapy plans that honor each child’s unique needs. Our goal is to empower children and families through tools that support success at home, school, and in the community.

How You Can Support Autism Awareness & Acceptance

Listen and learn from autistic voices and experiences
Use respectful language and honor identity preferences (some prefer "autistic person," others prefer "person with autism")
Promote inclusion in classrooms, playgrounds, and everyday life
Advocate for equal access to education, therapy , and community support
Celebrate the strengths and accomplishments of children and adults with autism

Our Commitment at Progressive Pediatric Therapy

At PPT, we are proud to support children with autism and their families every day. Through occupational , physical , speech , and feeding therapy, our dedicated team focuses on each child’s individual growth, goals, and potential .

We believe in building a future that is inclusive, respectful, and full of opportunity for all children because every child deserves to feel understood, accepted, and celebrated.

Curious if your child could benefit from our services? Contact us to schedule an evaluation. For more pediatric therapy tips and resources, follow us on social media and subscribe to our blog!

The post Understanding and Celebrating Autism Awareness & Acceptance Month first appeared on PPT4Kids.

Step Up For Students: How to Get Your Child's Therapy Services Covered

Mon, 03 Mar 2025 18:09:24 GMT

Introduction

The cost of specialized therapy services can be overwhelming for families of children with unique abilities. If you're struggling to afford the care your child needs, there’s good news—financial assistance is available!

Step Up For Students , a Florida-based nonprofit, provides scholarships through the Family Empowerment Scholarship for Students with Unique Abilities (FES-UA) . These funds can be used to cover high-quality therapy services at Progressive Pediatric Therapy , ensuring your child receives the care they need to thrive.

In this guide, we’ll walk you through how Step Up For Students works, what therapy services it covers, who qualifies, and how to apply.

Step Up For Students: A Lifeline for Families

Step Up For Students is a nonprofit organization dedicated to helping families access the best educational and therapeutic resources for their children. One of its most impactful programs is the Family Empowerment Scholarship for Students with Unique Abilities (FES-UA).

This scholarship provides families with an Education Savings Account (ESA), which allows them to allocate funds toward a variety of educational and therapy services. Instead of limiting assistance to tuition fees, the FES-UA scholarship empowers parents to invest in the specialized care their child needs.

What Therapy Services Are Covered?

A key benefit of the FES-UA scholarship is that it covers more than just educational expenses. Families can use these funds for essential therapy services, including:

Speech Therapy

Helps children with speech and language disorders develop communication skills.

Occupational Therapy

Improves fine motor skills, coordination, and daily living activities.

Physical Therapy

Assists children with mobility challenges to improve strength, balance, and coordination.

Behavioral Therapy

Supports children with developmental or behavioral challenges through structured interventions.

At Progressive Pediatric Therapy, families can apply their FES-UA scholarship funds directly to these therapy services, making high-quality care more affordable and accessible.

Learn more about our Therapy Services

Is Your Child Eligible?

The Step Up For Students FES-UA scholarship is available for children with a wide range of unique abilities and medical conditions. Eligible diagnoses include:

You can check your eligibility and apply today by visiting Step Up For Students .

Why Progressive Pediatric Therapy is the Best Choice for Your Child

When selecting a therapy provider, you want a team that offers expertise, compassionate care, and a personalized approach. Here’s why families trust Progressive Pediatric Therapy:

Expert Therapists with a Passion for Children

Our highly trained specialists in Speech, Occupational, Physical, and Feeding therapies are dedicated to helping children thrive with personalized strategies tailored to their needs.

Innovative Therapy Techniques

We use cutting-edge tools like Galileo Whole-Body Vibration Platforms and Mano Dumbbells to enhance neuroplasticity, motor learning, and sensory development.

Family-Centered Approach

We believe therapy is a team effort. Parents receive education, resources, and regular updates, ensuring they stay involved in their child’s progress.

Holistic and Personalized Care Plans

Every child is unique, so we create custom therapy plans that support physical, emotional, and social development for overall growth.

Plus, families can use Step Up For Students funding at Progressive Pediatric Therapy for affordable, high-quality therapy!

Empty heading

How to Apply for the Step Up For Students Scholarship Empty heading

Applying for the FES-UA scholarship is a simple and straightforward process:

Visit the Step Up For Students Website – Go to Step Up For Students to review eligibility criteria and application requirements.
Complete the Application – Fill out the online application form and provide any necessary documentation.
Await Approval – The application will be reviewed, and families will be notified of their approval status.
Use Funds for Therapy Services – Once approved, families can allocate scholarship funds to cover therapy expenses at Progressive Pediatric Therapy Clinic.

Important: Apply early! Scholarship funds are limited and awarded on a first-come, first-served basis .

Take the Next Step: Invest in Your Child’s Future

Therapy services play a crucial role in helping children with unique abilities build confidence, develop essential life skills, and reach their full potential. Thanks to Step Up For Students , financial assistance is available to make these vital services more accessible.

Contact Progressive Pediatric Therapy today to learn more about our therapy services and how we can help you apply for Step Up For Students funding!

Creating a Sensory Calming Corner in Your Preschool Classroom

Tue, 20 Aug 2024 18:53:00 GMT

The post Creating a Sensory Calming Corner in Your Preschool Classroom appeared first on PPT4Kids .

Preventing Summer Slide: Keep Your Kids Engaged with Lively Letters!

Fri, 07 Jun 2024 03:12:00 GMT

The post Preventing Summer Slide: Keep Your Kids Engaged with Lively Letters! appeared first on PPT4Kids .

Autism and Water Safety: Essential Tips and Resources for Families

Tue, 07 May 2024 07:00:00 GMT

The post Autism and Water Safety: Essential Tips and Resources for Families appeared first on PPT4Kids .

Unlocking Your Toddler’s Full Potential: The Magic of Occupational Therapy

Wed, 10 Apr 2024 00:01:00 GMT

The post Unlocking Your Toddler’s Full Potential: The Magic of Occupational Therapy appeared first on PPT4Kids .

How to Play with Your Neurodivergent Child: 8 Strategies to Help You Engage

Mon, 11 Mar 2024 17:12:00 GMT

The post How to Play with Your Neurodivergent Child: 8 Strategies to Help You Engage appeared first on PPT4Kids .

Help! My baby HATES Tummy Time

Mon, 26 Feb 2024 16:52:00 GMT

The post Help! My baby HATES Tummy Time appeared first on PPT4Kids .

Parent Tips & Tricks for Picky Eaters

Tue, 23 Jan 2024 15:41:00 GMT

The post Parent Tips & Tricks for Picky Eaters appeared first on PPT4Kids .

Types of AAC: Low Tech, High Tech, and Everything in Between

Mon, 09 Oct 2023 21:47:00 GMT

Have you ever passed messages along to your friends using nothing but pen and paper? Or told someone to be quiet by simply placing your index finger against your lips? If so, then you have engaged in using AAC!

Don’t believe me?

Let’s take a look at the different kinds of AAC that exist.

AAC are usually classified depending on whether they need additional or external tools in order to be used, creating two distinct groups: those that do and those that don’t. The ones that don’t require additional tools are called Unaided AAC , while those that do require them are called Aided AAC .

Note: This list is meant to be an example of the many different modes and devices available but is not meant to be an exhaustive list of all the AAC systems that exist and are available for your child to use.

Chances are you are very familiar with unaided modes of communication and even use them on a daily basis. Unaided modes of communication are usually paired with spoken speech in order to help convey additional information, such as the attitude of both the speaker and listener.

Unaided AAC

Body Language

Gestures

Sign Language

Facial Expressions

You may be wondering, if unaided systems are also used alongside spoken communication, then why are they used as AAC?

Well, the answer is that all of these systems help convey the nuances of communication that may not be expressed by words alone, and it is important for non-speaking children to learn about these to help them build their communication skills. Others, like Sign Language, are a language system in their own right and can be used along with spoken language or by itself.

However, it is important to know that unaided systems are not always enough to communicate when used on their own. Those that are (such as Sign Language) require communication partners that are knowledgeable in it to allow for effective exchange of information.

This is where aided communication systems come into play.

Aided AAC

These are the modes of communication that most people think about when talking about AAC. The additional or external tools used for aided AAC can range from just pen and paper to digital voice generating devices.

Because of the wide differences in the tools needed for aided AAC, aided systems are further subdivided into two groups: low tech and high tech systems. Let’s take a look into these two types:

Low Tech AAC

Low tech systems use non-electronic tools. These include:

Communication Books

Photographs

Visual Schedules

Writing

High Tech AAC

High tech systems, on the other hand, rely on electronic tools to convey messages. These include:

Communication apps on a phone, tablet, or iPad

As portable devices have become so common, communication apps have been developed to help individuals with complex communication needs. There are a great number of apps that range from free to hundreds of dollars.

Texting and text to speech

These allow users to type what they want to say and for the device to either read it out loud or for their communication partner to do so. These can be ideal for older children that are literate and can type independently.

Single message recordable devices

While these are most restrictive when compared to devices that allow the user to express a variety of messages, single message recordable devices are easily customizable and can use the voice of the user or someone close to them. These can also be a lot easier to use for children that have mobility difficulties, as the buttons are big and their placement can be changed depending on the child’s motor and mobility needs.

Voice generated devices

Unlike communication apps on tablets, phones, or iPads, these systems use dedicated devices (i.e., they cannot be used for anything else other than communicating) and offer technical support and additional features, such as external speakers that may not be available when using other devices.

Now What?

Now that you know about the many different types of AAC systems available, a very important question should be addressed: How do you know which one is best for your child?

This is where a speech therapist comes into play!

Your child’s speech therapist will complete a full evaluation to determine which type of AAC system is best for your child based on their communication needs, motor skills, and settings where it will be used. They will also help you learn more about your child’s communication system and how you can help them develop their skills at home.

Curious about what you can do at home?

Stay tuned for more posts!

The post Types of AAC: Low Tech, High Tech, and Everything in Between appeared first on PPT4Kids .

The What, Who, When, Where, and Why of AAC

Thu, 05 Oct 2023 16:11:00 GMT

The post The What, Who, When, Where, and Why of AAC appeared first on PPT4Kids .

Echolalia and Gestalt Language Learning: The “Other” Way

Wed, 03 May 2023 09:27:00 GMT

Did you know that there are TWO different ways people may process language?

Many of us have assumed that we all develop language in the same way— that we start with single words, then learn to combine words into phrases then sentences. This is called Analytic Language Development.

But guess what? There is also another way of learning language, and it’s called Gestalt Language Development.

So, how does it work? For a gestalt processor, language development begins with chunks of language (a.k.a. gestalts) instead of single words. A child may hear a phrase or sentence and memorize it as an entire unit and give it meaning. However, they may not yet understand what each word within it means individually.

For example, a child may hear a parent say, “let’s get your shoes” every time they are about to go outside. However, they may not yet understand nor know how to use: “let’s” / “get” / “your” / “shoes”, within their own sentences. Instead, they may ask their dad, “let’s get your shoes” as a way to ask to play outside! Another example is “just keep swimming” (from Finding Nemo)– one child’s interpretation may be “don’t give up”, while another child might associate it with the pool or swimming. Now, let’s say a child heard “Happy Halloween” for the first time trick-or-treating — they might say “Happy Halloween!” every time they see or get candy, whether it is during Halloween, Christmas, or a birthday party!

More on Gestalts…

Marge Blanc, researcher and SLP, likes to describe gestalts as “the soundtracks of life experiences”. This is because when a child experiences something meaningful, that moment becomes represented by the sounds, voices, and words used at that time.

Gestalts are, therefore, usually taken from memorable, emotional events and episodes experienced through real-life interactions with people (e.g., parents, teachers) or through exposure to media (e.g., shows, movies, songs, YouTube videos). The ones that resonate with a child are also ones that usually sound very musical or emotional.

There’s a term called echolalia, which refers to language that is heard and repeated and forms gestalts. This is what a gestalt language processor may initially use to communicate. When language is immediately repeated after it is heard, that is called immediate echolalia, and when language is heard, stored, and repeated at a later time, it is referred to as delayed echolalia. Gestalt learners may use both.

Historically, echolalia was seen as a “meaningless behavior”; something people thought needed to be ignored and extinguished, but echolalia serves a purpose! At times, it may be self-regulatory. Other times, it may be completely communicative, whether or not we understand it at the time. As parents, professionals, and communication partners, it is our job to do the detective work to explore what our child may be actually communicating!

Gestalt or Analytic Learner- Why Does This Matter?

While both styles of language development are natural and valid, and share the same end goal (spontaneous, self-generated language!), we do need to remember that their paths are different and require different tools to get there.

For gestalt learners specifically, it may mean a focus on child-led play, natural language models (in the form of gestalts, or phrases), and a foundation of connection and trust in order to create meaningful experiences. In addition, it may mean specific support with moving across the stages within Gestalt Language Development, which can be outlined by the Natural Language Acquisition (NLA) framework developed by Marge Blanc and colleagues. This process involves picking up gestalts, breaking them down into smaller parts, and eventually learning how to use individual words to make original phrases and sentences.

Understanding a difference between the two styles of language processing can literally change your child’s life.

Possible Signs of Gestalt Language Learning:

Long strings of words
May be unintelligible (mistaken for jargon or babbling)
Rich intonation (may sound like character’s voice)
Scripting lines from movies, TV shows, songs, videos
May be musical
Stuck single words (not being combined with other words)
Utterances that may seem out of context
Difficulty answering questions
Not responding well to traditional (analytic) strategies
Not expanding beyond “prompted” phrases

If your child’s language looks like the above, they may be a gestalt learner!

So, your child may be a gestalt language processor?

Don’t hesitate to schedule a speech-language evaluation with us. We can help you explore how your child processes language and begin this exciting, new language journey together!

If you have any concerns regarding your child’s speech and language development you can learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Port St Lucie, as well as teletherapy visits.

Looking for a visual, hands-on tool to support your child's language development at home? We recommend the Stages Learning Materials Language Builder Picture Cards . These cards are great for helping children build comprehension, sequencing skills, and meaningful connections between actions and phrases.

The post Echolalia and Gestalt Language Learning: The “Other” Way appeared first on PPT4Kids .

Beyond Chicken Nuggets: Helping Your Picky Eater with Strength-Based Feeding Therapy Tips

Fri, 17 Mar 2023 12:48:00 GMT

Written by: Amanda Beckert, SLP-A

If you’re the parent of a picky eater, you’re not alone. Many families feel stressed when mealtimes turn into a battle, especially if a child prefers only a handful of foods like chicken nuggets, crackers, or pasta. But picky eating is not a sign of bad parenting or a “misbehaving” child. In fact, it’s a very common stage of development. For some kids, it’s actually more than just a phase.

The good news is that with patience, consistency, and the right strategies, children can expand their food choices and build a positive relationship with eating. Feeding therapy strategies, often used by occupational therapists and speech-language pathologists, are not just for the clinic: they can be adapted at home to create stress-free, supportive mealtimes.

This guide will walk you through common causes of picky eating, explain how tolerance-building works, and share practical strategies (including real-life scripts) that you can use to help your child learn to enjoy new foods.

Why Some Kids Are Picky Eaters

There are many reasons a child might resist new foods. Understanding the “why” can help parents approach mealtimes with empathy and patience. Here are some of the most common causes:

Sensory Sensitivities

Some children are highly sensitive to the texture, smell, color, or even the sound of food. A mushy banana might feel overwhelming, while a crunchy cracker feels safe.
Kids with sensory processing differences (including some autistic children) may have stronger reactions to how food looks, smells, or feels.

Oral-Motor Challenges

Some children struggle with chewing, swallowing, or coordinating their tongue and jaw. Certain foods may feel “too hard” or “too sticky,” so they avoid them.

Past Negative Experiences

If a child once gagged, choked, or vomited on a certain food, they may develop fear or anxiety around trying it again.

Developmental Stages

It’s normal for toddlers from 18 months to 3 years old to go through a phase where they prefer familiar foods and reject new ones. This is part of asserting independence.

Routine and Control

Some kids crave predictability. Eating the same foods gives them a sense of control in a world that can sometimes feel overwhelming.

Key takeaway: Picky eating isn’t about being “difficult.” It’s about safety, comfort, and control. Once children feel safe, they’re more likely to take risks and try new foods.

Building Tolerance: Step by Step

One of the most effective ways to help picky eaters is through tolerance building , that means, gradually increasing a child’s comfort with foods at their own pace. Instead of jumping straight to eating, we break the process down into small, manageable steps that reduce anxiety and create success.

Think of it like a ladder: each step builds on the one before it. Even if a child isn’t eating yet, every positive interaction with food counts.

Step 1: Sight- Looking at Food Without Pressure

The very first step is simply allowing your child to see new foods without any expectation of eating them.

Strategies:

Place a new food on the table, even if your child isn’t expected to touch or taste it.
Serve new foods alongside “safe” or familiar foods so your child doesn’t feel threatened.
Use fun presentations, like arranging veggies into a smiley face or serving fruit on colorful skewers.
Explore food outside of mealtime: read books, watch cooking shows, or take trips to the grocery store together.

Parent script:

“This broccoli is just hanging out on the plate today. You don’t have to eat it… just say hi!”

Step 2: Touch- Exploring Food Through Play

Once your child can tolerate seeing the food, the next step is touching it. Touch doesn’t have to mean eating: it can be playful, silly, and pressure-free.

Strategies:

Invite your child to help prepare food (washing grapes, stirring batter, sprinkling cheese).
Use tools like cookie cutters or skewers to make shapes and fun designs.
Encourage food play: building “carrot towers” or using peas like “marbles.”
Start with indirect touch (using utensils or gloves) if direct touch feels too overwhelming.

Parent script:

“Can you give this strawberry a high five with your fork?”

Step 3: Smell- Getting Comfortable With Food Aromas

Smell is a powerful step in food acceptance. Kids often decide whether or not they’ll like a food based on how it smells.

Strategies:

Encourage your child to smell foods while you’re cooking or serving.
Play a guessing game: “Does this smell sweet, salty, or spicy?”
Allow them to bring food close to their face and then set it down again.
Try silly routines like “kiss the broccoli goodnight” or “sniff the cookie like a puppy.”

Parent script:

“Let’s see what this soup smells like. Is it more like pizza or popcorn?”

Step 4: Taste- Taking Small Steps Toward Eating

Finally, tasting comes into play! This step is gradual, and it’s important to keep it low-pressure.

Strategies:

Encourage “micro-tastes”: licking the food, touching it to the lips, or taking a crumb-sized bite.
Offer a spitting bowl: knowing they don’t have to swallow reduces stress.
Present small portions of new foods consistently so they become familiar.
Celebrating effort, not outcome, so that even a lick or a kiss on the food is progress.

Parent script:

“You gave that carrot a tiny lick! Wow, that’s one step closer to being a food explorer!”

Extra Strategies for Parents

In addition to tolerance-building, these feeding therapy principles make mealtimes more successful:

One new food at a time. Repeated, gentle exposure works better than overwhelming variety.
Model eating. Let your child see you enjoying the food. Enthusiasm is contagious!
Consistent routines. Predictable mealtimes build security.
Limit distractions. Keep the table screen-free and focused on connection.
Create safe portions. Always include one “safe” or familiar food so your child knows they won’t leave the table hungry.
Celebrate small wins. Even sniffing a new food is a victory worth acknowledging.

Feeding Flops to Leave Off the Menu

Sometimes, even well-meaning strategies can backfire. Here are a few common feeding flops that can leave a bad taste:

Don’t force bites. Pressure often increases resistance and negative associations with food.
Don’t bribe with dessert. This makes the “new food” feel like a chore and dessert the prize.
Don’t hide foods. Sneaking spinach into brownies may work once, but it doesn’t teach acceptance or trust.
Don’t label your child. Avoid saying “He’s such a picky eater” in front of them. Labels can stick and reinforce the behavior.

Instead: Focus on building curiosity, safety, and success around food.

The Full Course: How It All Comes Together

Here’s what a low-pressure, strength-based mealtime might look like:

Serve the meal with one safe food (like crackers) and one new food (like carrots).
Model curiosity : “I’m going to give this carrot a crunch and see what it sounds like!”
Offer play options : “Want to build a carrot tower before we eat?”
Encourage a taste : “Hmm, this carrot smells fresh, almost like grass. Lets give it kisses like a bunny would!”
Celebrate effort : If your child touches or licks the carrot, respond with: “Wow, you tried something new today! That’s brave!”

Conclusion

Helping a picky eater isn’t about forcing bites or sneaking vegetables into brownies. It’s about building trust, reducing stress, and celebrating progress, no matter how small. By breaking food exploration into manageable steps (seeing, touching, smelling, tasting), children gain the confidence and skills they need to expand their food choices.

Mealtimes don’t have to be a daily “food fight”! With consistency, creativity, and a little humor, you can turn picky eating into a growth journey where victories are measured one crumb, one kiss, and one brave bite at a time!

Curious if your child can benefit from Feeding Therapy? Contact us for a Free Screening 561-376-2573 .

The post Beyond Chicken Nuggets appeared first on PPT4Kids .

Toy Recommendations from our Therapists!

Mon, 12 Dec 2022 18:01:00 GMT

Written By: Amanda Beckert, SLPA, & Karol Owens, SLP

Best Toys Guideline

It’s a wonderful time of the year for gift giving!

As beautiful as twinkling lights are, family get-togethers are, and pictures of snow-covered mountains are, there is no denying that the holidays can also be a stressful season; there are too many things to do, people to see, things to buy yet not enough time to do it. Add to it the ever-pressing question “what do I get as gifts?” and it’s enough to make even the most seasoned of therapists sigh in frustration.

Many of the toys on children’s wish lists are also not only fun and engaging but also great to target their therapy goals, but searching for Best Toys of 2022 or Top Toys of the Year will give you a myriad of search results that may not all be the best fit for your child’s specific needs.

That’s why we have compiled a quick guideline to help you choose not just the Best Toy, but the perfect toy for YOUR child.

Looking for toys based on age rather than a specific therapeutic need? We can also help with that!

Want more ideas? Ask your therapist (or even join in with your therapist one session!) and see what toys and activities they use!

Check out other entries in our blog for more comprehensive lists:

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Repositioning Techniques and Devices for Torticollis

Tue, 18 Oct 2022 16:00:00 GMT

Written By: Kallie Atti, PT, DPT

What is repositioning?

Repositioning is a tool we use as early intervention for children with torticollis. There are many different ways to reposition varying from how you hold your baby to how you change your baby’s diaper. For starters, it is important to recognize a consistency in your baby’s neck position. Watch your baby over a series of days to see if there is a preferred position no matter how you are holding them or what position they are in. For babies 0-3 months, what we call “neurological tone” has not kicked in yet so you may have a difficult time feeling the “tightness” of the specific sternocleidomastoid muscle that results in torticollis. All you may see in this age group is a preferred rotation.

What should I do?

It is important that once you pick up on a preferred pattern in your baby, that you begin repositioning. A hard and fast rule is to avoid having your baby lay in the same position for any prolonged period of time. For example, if they are only looking to the right, begin playing with them on the left side of their body. You can give them kisses on their left cheek, block their vision on the right, and make eye contact with them to eventually guide them over to their left.

In those first 0-3 months, it may be difficult to do tummy time, but tummy time can be done by putting your baby on your chest to give them more of an incline to lift their head and rotate it from side to side. If they are only looking in one direction, block their vision until they are able to achieve midline and keep your hand there to not allow them to go back to the preferred side. If they are napping or sleeping, you can gently rotate their head to the opposite direction to get a stretch. Try to do this more during their day naps.

“ A lot of parents tell me they try to go in and repeatedly reposition their child’s heads at night; however, I encourage you to do most of this repositioning during the day and let night time be for all of you to get your rest! “

On the changing table, position yourself to the opposite side of their rotation preference to encourage them to want to find you and move their neck the opposite way. You can also place rattles, siblings, pets, or music on the side they avoid looking to in order to draw their attention to that side.

In the car seat, you can try taking a rolled up burp cloth and prop it along the side of their head in order to prevent that end range preferred rotation. If it is the tilt that is more pronounced, you can take a rolled up burp cloth and place it between the ear and the shoulder on the tilted side to increase the amount of space between. You can also try doubling up on the car seat shoulder pad on the tilted side to decrease the tilt.

Most of us have a preferred side we like to hold our babies on or a hand dominance so we may find ourselves contributing to their preferred torticollis pattern. Just having an awareness of our own preferences will help us see if we are contributing to theirs as well. Make sure you hold the baby on both sides while feeding! For breastfeeding mothers, feed your baby on both breasts. If bottle feeding, make sure you are switching sides and hold the bottle to their non preferred side. You can alternate the positions in which you hold your baby whether it be belly to belly on your chest, your shoulder, or sideways in your arms.

A carrier is a wonderful tool to get babies off the back of their heads; however, it is important to note that using a baby carrier without good head support should be avoided until a baby develops good head control around 2-3 months.

“It’s ok to hold your baby! Avoid car seats, swings, bouncers and positioning devices as much as possible. These frequently contribute to prolonged positioning leading to increased sternocleidomastoid muscle tightness and head flattening. “

Helpful Positioning Devices for Torticollis

Thankfully, Torticollis is very common and many positioning devices have been developed. However, a lot of these positioners can be household items you probably already have as part of having a brand new baby.

A burp cloth, a receiving blanket, a boppy are all things we can use to reposition our baby. Easy changes include rotating the side you hold your baby on, standing on the side of the changing table you are trying to encourage your baby to look towards, and place toys overhead on the car seat to the side you want your baby to look too. You can see below as examples of ways we can use these household items for repositioning.

Boppy Noggin Nest

For babies specifically 0-4 months old who may also be developing Plagiocephaly (flattening on one side of the head from preferred rotation) or Brachycephaly (flattening across the entire back of the head), there is a device known as the noggin nest which can be very helpful in decreasing the amount of pressure on the back of your baby’s head. There are many different brands but essentially it is a positioning device that has an opening in the back of the pillow to allow your baby to lay on their head when positioned on their back. Although this is a very helpful device, it does not beat keeping babies out of equipment like swings and bouncers.

Safety concerns: The noggin nest should NOT be used on top of an already protective head piece in the car seat because this can flex the babies heads forward too much. You should take the protective head piece out first and replace with the noggin nest when going on a walk. When driving, please use the head piece for safety.

The noggin nest should also NEVER be used at night for sleep. It is ONLY to be used when you are monitoring your baby.

Tortle

If your baby is recommended to use a doc band or helmet, the noggin nest will no longer be needed and since it is best to receive a helmet close to the 4-5 month mark, this is why the noggin nest is not recommended past this point. You will also no longer use the noggin nest once your baby begins to move around in their crib/bassinet. Once they begin pushing backwards with their legs or rolling, the noggin nest will not be useful and can be hazardous.

A tortle is a newer piece of equipment that you may find works for your baby. This is a type of beanie with a support attached that allows you to prop your baby’s head up and/or discourage your baby from turning into their preferred rotation. . This beanie is for babies 1-6 months old. The cons to this positioner are that the fit isn’t perfect and it will frequently slide around on the babies head. I have had mixed results with this device but it’s an option to try! It should be noted that no device is perfect and it will require monitoring at all times.

TOT Collar

Sometimes in therapy, we may decide professionally that a baby may benefit from a device known as the TOT collar. This is a tubing with pedestals that we as professionals cut to fit specifically for your baby to wear around their neck to assist in keeping their head in midline through play. It is typically not a go to initially for therapy. We will use this device if we are not seeing traditional physical therapy work as quickly as we would like or if we are treating an older baby with Torticollis.

If you have concerns regarding your baby’s development, you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Belle Glade, as well as teletherapy visits.

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Why Should I Hold My Stretches For 3+ Minutes?

Fri, 07 Oct 2022 09:30:00 GMT

Written By: Erica Koester, DPT

Has your therapist mentioned that you should stretch for 3+ minutes? Here is the reason why.

The fascia, a.k.a. connective tissue, requires time to stretch.

What is fascia? Why is it important?

Fascia is the tough connective tissue surrounding every cell from head to toe like a three-dimensional spider web. It provides support and flexibility to all structures of the body. Modern medicine tends to look at muscles, bones, and organs in isolation, generally ignoring the importance of the global system that connects it together. Releasing restrictions in the fascia can be the missing link in resolving problematic causes of pain and dysfunction.

What is a fascial restriction and how does it occur?

A fascial restriction is a thickening, shortening, or tightening in the connective tissue caused by injury, trauma, inflammation, or poor posture. Restrictions can adhere to and put abnormal pressure on nerves, muscles, blood vessels, bones, organs, and the brain, resulting in inefficient function of these structures. Pain, limitation of motion, and structural misalignment are some of the consequences.

What is myofascial release?

Myofascial release, as developed by John F. Barnes, PT, is a gentle, hands-on approach used to free up fascial restrictions throughout the body. You release the tight fascia by applying sustained pressure into the fascial barrier or restriction, allowing permanent elongation of the tissues. As fascial layers are released, you notice greater flexibility. This results in decreased pain, enhanced daily functional abilities, refined athletic performance, increased ease of movement, and improved structural balance and integrity.

How does myofascial stretching differ from traditional stretching?

Time is your friend! All stretches, must be held continuously for a minimum of 90-120 seconds before the fascia even begins to let go. When held for 3-5 minutes, additional releases occur. The time element is crucial!

Holding a stretch allows a release of not only the elastic and muscular components of the connective tissue, but also the collagenous component. Our traditional 10-30 second stretching only affects the elastic and muscular portions, providing only temporary results.

Now give it a try!

Assume the position of how you would normally stretch. You will want to go to the point of discomfort and back off just a little and hold it there. If you are uncomfortable with your stretch you will not be able to hold it for the 2+ minutes needed to make changes in the fascia. As you feel the tissue release move slightly more into your stretch. Get your phone out – don’t set a timer – find a favorite song or video (3-5 minutes long) and hold the stretch for that time frame.

My child will not sit still for 3+ minutes, what should I do?

Do the best you can maintaining the position. You can move with them as they squirm and return to position. My suggestion is to stretch when it’s bed time. Incorporate the stretches while you sing to them, read them a book, or watch a few videos. Making it fun is key!

If you have concerns about your child’s motor development, you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Belle Glade, as well as teletherapy visits.

The post Why Should I Hold My Stretches For 3+ Minutes? appeared first on PPT4Kids .

Bilingualism: Should I Teach My Child Two Languages?

Tue, 27 Sep 2022 21:20:00 GMT

By: Jennifer Penaranda, M.A., CCC-SLP

If your child seems delayed in their speech and language skills, or has received a diagnosis such as Autism Spectrum Disorder, it is only natural to be concerned about the type and level of language input they are receiving. For kids with limited language, we are often concerned that too much input, or input in two or more languages, might be confusing and impede their progress. Research in this area has grown substantially over the past several years and the conclusions are surprising.

What are the benefits to teaching my child two languages?

What does current research say?

Increasing research in the field is changing long held beliefs regarding childrens’ language acquisition. Here are just a few examples:

What if my child seems to be struggling?

It is easy to get concerned if your child appears to be falling behind their peers, or seems to lack vocabulary in either English or their home language. Keep in mind that differences in the development of the two languages are normal, and may even out over time.

Is learning two languages going to confuse my child? Evidence from multiple studies demonstrates that children with and without language impairments are capable of becoming bilingual, and demonstrate skills at the same level as their monolingual peers. ⁴

What if my child is mixing vocabulary from their languages in sentences? Individuals speaking two or more languages, both with and without disabilities, frequently engage in a behavior called code-switching , in which vocabulary words from one language may be included in a sentence that is in the other language. This is a normal process. Code mixing may be the result of a child “borrowing” a word from their other language that has no translation equivalent, that they have not had experience yet using in one language, or because or the context of the situation. ⁴

My child can’t pronounce words correctly in either language, is this a problem?

Even typically developing children as old as 7 years may demonstrate patterns of sound errors. These error patterns will be present across languages if similar sounds exist in both languages. If these issues persist late into childhood and interfere with your child’s ability to be understood by friends, family, teachers, and peers, it may be helpful to consult a Speech-Language Pathologist.

What can I do at home?

References

**Adapted from:

If you have any concerns regarding your child’s speech and language development you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Belle Glade, as well as teletherapy visits.

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Knowing the R Sound

Thu, 15 Sep 2022 14:07:00 GMT

By: Giselle Nunez, SLPA

Have you noticed that your child has trouble making the R sound? Have you been frustrated trying to correct it to no avail? Here we explain a little about this peculiar sound.

The R sound is one of the most used in both the English and Spanish languages. Therefore when it is not produced correctly, speech can sound distorted. The R sound is typically acquired later in development, maturing completely between 6 or 7 years. As this sound develops later, it can be wrongly decided to do nothing about it. Sometimes waiting is the right thing to do, but other times intervention and therapy are needed.

As a child grows older and may not be able to produce the R sound in their language, they become more aware of their problem and this can negatively affect their confidence. A low confidence level can keep children from participating in social, family, and school activities that can affect their long-term performance in all aspects of their life.

So, what should we do?

The right thing to do is to have a full evaluation with a Speech-Language Pathologist (SLP) as soon as the problem is identified. There are many components that affect the reception and production of sounds, and depending on the cause, the clinician will determine whether or not therapy is needed.

How is it corrected?

A popular technique for correcting pronunciation is to identify sounds and work to correct those sounds in isolation. Then the child moves to producing the sound within words. The position of the sound within a word is generally considered and discussed. That is, practicing the sound when it appears at the beginning of the word, in the middle, and at the end of the word (initial, medial or final positions). Typical treatment includes drilling the same sound over and over again to improve muscle memory. Through this method, success is achieved by targeting a sound in a phonetically consistent way.

It is a team effort, the SLP will determine the problem and create the most effective treatment plan for your child, but it is also their duty to guide the parents for work at home and at school. Never be left with doubts and always ask what is the best way to help your child at home, hand-in-hand with your therapist.

If you have concerns regarding your child’s speech sound productions, you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, and Belle Glade, as well as teletherapy visits.

The post Knowing the R Sound appeared first on PPT4Kids .

Pediatric Constraint-Induced Movement Therapy

Mon, 29 Aug 2022 16:15:00 GMT

Written By: Kristine Farley, OTR/L

What is PCIMT?

Progressive Pediatric Therapy is offering pediatric constraint-induced movement therapy (PCIMT). PCIMT is a program to improve strength and mobility in the affected arm of children with hemiplegia (weakness on one side of the body). The program involves putting a cast on the less affected/unimpaired arm.

How long is the program?

The cast is on the child’s arm for a full two weeks. The child is expected to wear the cast the majority of the day (90% of the time). The child will be seen for 5 days a week by an experienced therapist.

An extra week can be added to work on tasks involving both arms, without the cast on. This can include daily tasks such as buttoning, using a knife and a fork, and teeth brushing.

How does it work?

The PCIMT program leads to “rewiring” of the brain. It encourages the more impaired arm to be used for tasks needed throughout the day, leading to rapid changes in motor function. The research shows that this program leads to the most changes in function for hemiplegic patients.

How can I help?

The treating therapist will create a home exercise program for the child to complete at home in order to ensure the most gains are being made while in the cast. It is recommended for parents to be present during therapy sessions in order to ensure as much carryover as possible.

If you think your child may be a good candidate for PCIMT, you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Belle Glade, as well as teletherapy visits.

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School Time Readiness

Fri, 12 Aug 2022 11:18:00 GMT

Written By: Hannah Mallen, M.S., CCC-SLP

As school gets ready to start in the fall, our children will be spending time in school with teachers and new classmates. For many parents, there is a struggle with their children communicating about events happening at school. How was your day? What did you do? These are some of the basic questions many parents ask their children, but often these questions are difficult for our clients with language-based difficulties.

How can I help?

Why does this matter?

In this way, children feel successful in communicating about past events or more complex ideas that are not visible in the here and now. You can also work on taking pictures during fun activities to share with teachers or family members later, which can help with story retell.

Enjoy the new school year!

If you have concerns regarding your child’s readiness for the upcoming school year, you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Port St. Lucie, as well as teletherapy visits.

The post School Time Readiness appeared first on PPT4Kids .

Transitioning into the Workforce: Building Pathways for Vocational Opportunities

Fri, 08 Jul 2022 11:45:00 GMT

By Kathryn Ring , OTR/L

Young adults with ASD should be able to access the same opportunities available to all youth entering adulthood including pursuing life goals, participating in community life, entering the workforce, and living independently. Having opportunities to find meaningful roles in adult society through integrated employment and career development, independent life skills, developing relationships, continuing education, and exploration according to their individualized goals affords a child to develop a sense of self, meaning, and purpose in their world.

Transitioning from school to employment can often feel intimidating for any young adult leaving routine familiarity and beginning new chapters of life. For young adults with autism, this experience can be even more frightening as they face different challenges than neuro-typical young adults. However, many adults with ASD demonstrate strong interests, competence, and brilliancy in a vast variety of areas leading to success in their careers. The problem lies in the lack of opportunity and advocacy in the workforce for people with disabilities.

Statistics

The National Longitudinal Transition Study-2 (NLTS2) commissioned by the U.S. Department of Education quoted the following statistics regarding young adults with Autism:

Vocational Skills at Work

Progressive Pediatric Therapy is proud to be able to offer our young adults opportunities to integrate into their community to improve outcomes for children with disabilities through advocating and community outreach. By identifying the unique strengths and interests of our young adult populations, our therapists help kids to do what they love while showcasing their abilities and applying skills for developing independence in their communities.

Occupational Therapist, Kathryn Ring, and Speech-Language Pathologist, Phyllis Berenberg facilitated a process of helping a 17-year-old animal lover secure his first volunteer experience at Gumbo Limbo to begin his journey into the workforce. With the help of his therapists, John learned to locate job opportunities according to interest, strengths, and availability, navigate the application process including writing cover letters and emails to community sites, and participate in the interviewing and meet and greet processes. Gumbo Limbo Nature Center responded to John’s volunteer request and provided John an entry-level opportunity to work as a “Green Thumb Volunteer” entailing working in their butterfly garden and taking care of Gumbo Limbo grounds. Gumbo Limbo kindly provided appropriate accommodations and supports throughout the process per therapist recommendations to ensure John felt successful. This incredible experience allowed John the opportunity to explore his interests in animals and marine life while developing interpersonal skills, practicing oral communication with new people, developing problem solving skills, social skills, listening skills, responsibility, and finding a greater purpose in life by being able to give back to his community.

Together we can improve the statistics and advocate in our community for greater acceptance so all children, despite any ability or disability, can follow their dreams, achieve their ambitions, and become a confident contributor to society.

References

Newman L, Wagner M, Knokey A-M, Marder C, Nagle K, Shaver D, Wei X, with Cameto R, Contreras E, Ferguson K, Greene S, Schwarting M. The PostHigh School Outcomes of Young Adults with Disabilities up to 8 Years After High School. A Report from the National Longitudinal Transition Study-2 (NLTS2) (NCSER 2011–3005). 2011. Menlo Park, CA: SRI International. Available at https://nlts2.sri.com/ reports/2011_09_02/index.html

If you have any concerns regarding your child’s development and/or would like to get help regarding a transition into the workforce, you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, and Belle Glade, as well as teletherapy visits.

The post Transitioning into the Workforce: Building Pathways for Vocational Opportunities appeared first on PPT4Kids .

The Positive Effect Shared Reading Has on Children’s Language Skills

Thu, 16 Jun 2022 18:25:00 GMT

The post The Positive Effect Shared Reading Has on Children’s Language Skills appeared first on PPT4Kids .

Let’s Talk: Childhood Apraxia of Speech

Thu, 02 Jun 2022 08:46:00 GMT

Written By: Cassie Hicks, MA, CCC-SLP

What is it?

Childhood apraxia of speech (CAS) is a speech disorder that makes the physical production of sounds and words difficult. A child who has CAS will have difficulty developing the motor plans required for the accurate production of speech sounds. This means that the messages the brain sends to the articulators (including how to move the lips, jaw, and tongue) are not followed correctly. This disorder can be very frustrating for children as they often know exactly what they want to say, but may not be able to say it.

What does CAS look like?

Each child with childhood apraxia of speech will look different. Some common characteristics of this speech sound disorder include:

Children who have CAS will often have delayed babbles (later than one year of age) and first words (later than 12-18 months of age), use only a few consonants and vowel sounds rather than a wide variety, frequently leave out or add sounds to words, and have speech that is overall very difficult to understand.

Does my child have CAS?

The best way to know if your child has CAS is to have them evaluated by a licensed speech-language pathologist. The SLP will ask you many questions including if your child currently uses any words, how many words they have, when they began talking and/or babbling, and for any relevant medical history. The SLP will assess your child to look at the number of different consonant and vowel sounds they can produce, how they produce words of various syllable counts, and will look for patterns in speech sounds errors. The clinician will also want to rule out any other diagnoses including the possibility of a tongue and/or lip tie, and any language delays.

How is CAS treated?

The treatment of childhood apraxia of speech requires treatment from a trained speech-language pathologist. The SLP will help your child improve how they are able to produce various sounds, syllables, and words. The focus of CAS treatment is often on the physical movements and sequences of speech sounds to help create more accurate motor plans. Children with CAS tend to benefit from multi sensory input (combining tactile, visual, and auditory) as well as many repetitions of the target to improve carryover outside of the speech therapy session.

It is common for children with CAS to become very frustrated when attempting to communicate. Imagine how you would feel if you wanted to do something as simple as ask for a snack or even say “No!”, but no one understood you. Speech therapy treatment is important for children with CAS so they can learn how to express their wants and needs effectively and so that they can socially communicate with their peers.

If you think your child may have childhood apraxia of speech or you have any other concerns regarding your child’s speech and language development you can request a FREE Screening or learn more about our services on our website www.ppt4kids.com !

We offer comprehensive evaluations and free screenings with locations in Boca Raton, Lake Worth, West Palm Beach, Belle Glade, as well as teletherapy visits.

The post Let’s Talk: Childhood Apraxia of Speech appeared first on PPT4Kids .

Autism & Eating

Mon, 23 May 2022 01:03:00 GMT

Written by: Melissa Miller, CCC-SLP

It is common for children with Autism and other developmental, emotional, or behavioral difficulties to have limited food preferences. Symptoms may go as far as vomiting, refusal to eat, interference with psychosocial functioning, malnutrition, dependence on nutrition supplements and weight loss. This can be stressful for many parents who are trying to keep their children adequately nourished.

So, how does a parent determine if their child is a “picky eater” or has a feeding problem that requires intervention?

The Sequential-Oral-Sensory (SOS) Approach to Feeding identifies key differences between a “problem feeder” and a “picky eater”. For example, problem feeders may have less than 20 foods in which they consistently eat and if they “burn out” on a food, they will not eat this food again. Picky eaters will have more than 20 foods in their food inventory and if they “burn out” on a food, they will typically eat it again after a few weeks.

Problem feeders may refuse entire food groups or texture groups (fruits, meats, puree) whereas picky eaters will eat at least one food from all food and texture groups. Problem feeders will often have “meltdowns” when new foods are introduced, whereas picky eaters typically tolerate new foods on their plate, even if reluctantly. To learn more about this approach, visit https://sosapproachtofeeding.com/ .

Treating children with feeding disorders is often a multidisciplinary approach. Parents concerned with their child’s feeding should always consult a pediatrician or a licensed professional. These specialists may include the physician, dietitian, occupational therapist, speech language pathologist or psychologist.

It is our job as parents and professionals to work together in order to create a trusting environment to show children that meal-time can be enjoyed and celebrated. The child decides how much they are willing to eat and how they will interact with certain foods. This may sound controversial, but adults make these independent decisions every day. For example, some adults choose not to interact with fried insects, while others treat them as a delicacy. The more a person interacts with a food (being around the food and watching others enjoy the food in a no pressure environment) the more likely they are to try it. It is also our job as adults to create a trusting environment filled with opportunities for children to explore foods and learn what they enjoy. Keep in mind, it can take up to 10 separate taste trials of a food before a person forms a taste preference for that food.

Creating a comfortable learning environment for feeding can sometimes be tricky. Along with consulting your healthcare provider, you may find the following tips helpful when introducing foods to your child.

Tips for expanding your child’s palate, with trust :

Red flags:

Is my child a candidate for intervention?

If you have concerns about your child’s feeding, please alert your physician and speak to a professional. Keep a food journal to track his or her eating behaviors and a 3 day food log, and bring these observations to your child’s healthcare provider. You can find further resources on our website, including scheduling an appointment ( here ). You can also visit the American Speech, Language and Hearing Association website to read more about feeding disorders in children here , or the University of Florida Center for Autism and Related Diseases (UF-CARD) here .

Finally, check out Lunch and Learn on Picky Eaters & Problem Feeders and Beyond Chicken Nuggets: Strategies for picky eating on our Progressive Pediatric Therapy YouTube Channel for more information!

The post Autism & Eating appeared first on PPT4Kids .

COVID-19: The impact the pandemic has had on your child’s Speech and Language development.

Mon, 28 Feb 2022 16:59:00 GMT

Written By: Manuela McAndrew, C-SLPA

The past two years in the pandemic have been short of easy. With lockdowns, school closures, and social distancing, you may be asking yourself how these unexpected events have impacted your child’s development. Progressive Pediatric Therapy is here to help you answer these questions and provide you with possible solutions on how to best help your child improve with their speech and language development.

A number of recent studies have shown that through lack of social interactions, mask wearing, and passive screen time, our early language learners are suffering a negative impact on cognitive and language development. Although long term effects are yet to be determined, a study done in Rhode Island showed that children born in the pandemic have significantly reduced verbal, motor and overall cognitive performance compared to children born prior to the pandemic.

There are several factors that have played a large role in the delay of our children’s language development. It is important that parents are educated on what those factors are; in order to help their children make up for lost time and recognize the missed language opportunities that have occurred during the pandemic.

Despite the obstacles in place, Progressive Pediatric Therapy is here to help through effective Speech and Language therapy . Our therapists will provide useful coaching and carry over strategies that will help your children thrive and master those speech and language milestones that may be lagging a bit behind.

For more information on the ways our speech and language pathologists can help, please contact our office for an evaluation or Free screening.

The post COVID-19: The impact the pandemic has had on your child’s Speech and Language development. appeared first on PPT4Kids .

Progressive now offers Serial Bracing!

Tue, 01 Feb 2022 14:47:00 GMT

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Is Your Child Repeating Everything? They Are Probably a Gestalt Language Processor!

Mon, 24 Jan 2022 15:31:00 GMT

Written By: Karina Lee, M.S., CCC-SLP

Echolalia is the immediate or delayed repetition of language

Scripting is the repetition of words, phrases, or sounds from other people’s speech – sometimes from movies/tv shows.

Gestalt language processors are children who process early language in “strings of sounds” or “chunks,” rather than processing single words. Though this can be common with Autistic children, many people acquire knowledge this way. Think about how you may have learned phrases when learning a new language before you began to understand what each word meant to use those words in new utterances.

This video shows Mathews – a verbal AAC user who has difficulty using spontaneous language. His speech-generating device is typically utilized for others to model language, to prompt him to use language, and to decrease immediate echolalia.

In this video, you can see Matthews beginning to use phrases more spontaneously and beginning to alter the phrases he’s learned for the appropriate scenario:

Mathews is in Stage 2 and is using mitigated echolalia. He is learning how to “mix and match” phrases he has been modeled or has already learned and is on his way to using more spontaneous language and self-generated grammar.

Examples of the stages of echolalia to self-generated grammar: What stage do you think your child is in?

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Brown Bear, Brown Bear Interactive Story

Tue, 11 Jan 2022 19:14:00 GMT

By Cassie Hicks, M.A., CCC-SLP

Blog post written for use with Brown Bear, Brown Bear, What Do You See? by Bill Martin Jr. and Eric Carle.

This is a great book for both readers and pre-readers. The story consists of repetitive sentence structures, making it easy for little ones to listen to and even attempt to read along with the reader.

This story can even be sung with a tune even non-musical caregivers can handle. Research has shown that children can more easily absorb and memorize information when it is presented in a song (Remember learning your ABC’s? It would be very difficult if we didn’t learn how to sing it in our heads!).

Brown Bear is also great for early language learners as it introduces them to both animals and colors. For our friends who are 2 and up, it is great practice putting two words together to create a “color + animal” phrase.

You can use the FREE visual aid download provided here to help your child practice these two-word combinations. Use your finger or your child’s finger to tap along to the story by touching each circle as it is read in the book. This technique helps combine your child’s senses (visual, auditory, and tactile) to promote comprehension and repetition of the story.

Brown-Bear-2

Download

Have you tried these techniques with your pre-reader at home? Tell us about it in the comments!

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How Therapy Can Help Toe Walking

Mon, 08 Nov 2021 15:43:00 GMT

Every child toe walks for different reasons, which is why a thorough evaluation is important. At Progressive Pediatric Therapy, our team works to identify the underlying cause of your child's toe walking and develop an individualized treatment plan that supports safe, efficient movement.

How Physical Therapy Helps

Physical therapy focuses on improving walking mechanics, strength, flexibility, balance, and overall mobility. Treatment may include:

Stretching tight calf muscles and Achilles tendons
Strengthening muscles that support heel-toe walking
Gait training to encourage a more typical walking pattern
Balance and coordination activities

Functional exercises that support age-appropriate motor development

For some children, physical therapists may also recommend orthotics or serial bracing to support proper foot positioning and improve walking mechanics.

The Role of Occupational Therapy

Occupational therapy can be especially beneficial when sensory processing differences contribute to toe walking.

Occupational therapists may address:

Sensory seeking or sensory avoidance behaviors
Body awareness and motor planning skills
Functional participation in play and daily routines
Environmental adaptations that support movement and regulation

When appropriate, physical and occupational therapists collaborate to provide a comprehensive treatment approach that addresses both the physical and sensory factors contributing to toe walking.

Specialized Treatment Tools

Depending on your child's needs, therapy recommendations may include specialized interventions such as:

Orthotics Evaluations and Fittings

Custom orthotics can help support proper alignment, encourage heel contact, and improve overall walking mechanics. Our team works closely with families to determine if orthotics may benefit their child.

Turtle Braces

For some children, Turtle Braces may be recommended to help promote a more consistent heel-toe gait pattern while maintaining comfort and mobility.

Therapeutic Vibration

Therapeutic vibration may be incorporated into treatment sessions to improve body awareness, sensory processing, muscle activation, and overall movement quality.

Each recommendation is individualized based on your child's strengths, challenges, and developmental goals.

Why Early Intervention Matters

While occasional toe walking is common in young toddlers, persistent toe walking can become more difficult to address over time.

Early intervention can help prevent:

Tightness and loss of ankle range of motion
Balance and coordination challenges
Pain or discomfort with activity
Altered movement patterns throughout the legs and body
Long-term mobility limitations

Most importantly, early intervention helps children build confidence in their movement while supporting healthy motor development.

When Should Parents Seek an Evaluation?

Consider scheduling an evaluation if your child:

Toe walks most of the time
Continues toe walking beyond age 2
Cannot easily walk with their heels down when asked
Frequently trips or falls
Has noticeable calf tightness
Complains of foot, ankle, or leg discomfort
Has sensory, developmental, or motor concerns

The earlier concerns are addressed, the more options are available to support healthy movement patterns.

Supporting Confident Movement

Toe walking is often treatable, especially when families receive the right guidance and support early on.

Our specialized team of pediatric physical and occupational therapists provides individualized treatment plans designed to improve mobility, balance, coordination, and functional independence. Through evidence-based interventions and family-centered care, we help children develop the skills they need to move confidently and participate fully in everyday activities.

If you have concerns about your child's walking pattern, we're here to help.

Contact Us Today

Schedule a pediatric toe walking evaluation to learn how physical therapy, occupational therapy, orthotics, and other specialized interventions can support your child's development and mobility.

Dyslexia

Tue, 26 Oct 2021 17:56:00 GMT

Written By: Cassandra Hicks, M.A., CCC-SLP

Learning to read isn’t an automatic process. Reading and writing is a multi-disciplinary skill that can take years of instruction and practice to perfect. In the minds of practiced readers, seeing a written word activates both the semantic association (the picture in your mind) and the phonological association (how to pronounce it) of that word in your brain. That is a lot of things happening at once! As children learn to read, this process typically becomes faster and more efficient with time.

What is Dyslexia?

For kids with dyslexia, these associations may not occur as quickly or as efficiently. Dyslexia is estimated to affect as many as 1 in 5 children and can present challenges with reading comprehension, vocabulary growth, and writing. For some children, letters may be “read backwards” like reading a “b” as a “d”, but this is not the case for every child. Dyslexia is also not a sign of low intelligence, but rather specific challenges with reading and writing that are not also seen in that child’s oral language skills.

Dyslexia is a specific learning disability that includes difficulties with:

People with dyslexia may also have difficulty with phonological awareness . Tasks for phonological awareness include:

How is dyslexia treated?

Children with dyslexia often benefit the most from explicit teaching of phonemic awareness and phonics rules. A specialist can help your child make the connections between the written letter and its sound, promote fluency during reading to improve speed, and teach other concepts like “silent -e”. Children with dyslexia often also benefit from a multi-sensory approach (incorporating sight, smell, taste, touch, and hearing). By using this technique, children are able to make connections in many different parts of their brain, rather than just one.

Want to try some activities like this at home? Have your child draw letters in shaving cream or use scrabble tiles to creating rhyming words.

I think my child may have dyslexia, now what?

Symptoms of dyslexia usually become most apparent in kindergarten or first grade, when your child begins receiving reading instruction in school. Diagnosing dyslexia involves a multi-disciplinary team that typically includes a speech-language pathologist, educational psychologist, and medical doctor. A number of assessments can be given to identify strengths and weaknesses in your child’s language skills. Speak with your child’s doctor, school, or contact us to schedule an evaluation with a Speech Language Pathologist to get this process started.

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What is Stuttering?

Tue, 05 Oct 2021 17:49:00 GMT

Written By: Cassie Hicks, M.S., CCC-SLP

Stuttering is a disorder that is characterized by an increased number of disfluencies while speaking.

There are different types of disfluencies including whole (“I want want want to play”) and part-word (“I wa-wa-want to play”) repetitions , prolongations (“I waaaaaaant to play”) , and blocks (“I —- want to play”) .

People who stutter may also experience physical tension and have negative feelings regarding their speech and speaking to others. Treatment with an experienced clinician can help children overcome their stutter through a variety of fluency management techniques.

The following link explains some background information on stuttering from the American Speech-Language-Hearing Association: https://www.asha.org/public/speech/disorders/stuttering/

The following was written by a patient of Progressive Pediatric Therapy, Sebastian age 14, who stutters. He wished to share his story about how he, with the help of his speech-language pathologist, is working to overcome his stutter to become a more confident speaker.

“During February of 2020, President Joe Biden spoke at a town hall meeting about his stuttering. At the speech, Biden gave a lot of advice such as to never let stuttering define your personality and to stop interrupting people who stutter when they are struggling with a word. Joe Biden claims that he stood in front of a mirror as a child and practiced poetry while working on minimizing facial grimaces while speaking. At the end of the speech, Biden remarked: “You’re defined by your courage and redeemed by your loyalty.” I think this means that it is so courageous to confront your stutter and that you’ll be redeemed by the effort and commitment you make towards the work you do.”

“The fact that Joe Biden, the president of the U.S.A., has a speech problem with stuttering just goes to show that stuttering does not define the person who has it at all. Personally, I totally agree with Biden, I don’t see how a stutter in someone would define their entire personality. Stuttering is just one thing I do, along with many others like drawing, writing, and sleeping. Stuttering is just something we do and we can’t help it. Just like Joe Biden, I have taught myself to minimize my stuttering while talking to others.”

Sebastian says, “People who stutter often feel trapped in their own words and are not able to say what they want to say. My words of advice to other kids who stutter is this: If you feel lost or frustrated, keep going. You’ll get there eventually.”

“We can see from the President of the United States that something that could potentially hold you back, shouldn’t be able to. Many people with a stutter would have found other ways to make money or reach people, but Joe Biden continued his path to what he truly believes in. This should be the case for all people who stutter, and additionally for other people who may have another stumbling block to overcome. Don’t let your block get in the way of what you want for yourself.”

If you think your child may be experiencing stuttering, contact our office at 561-376-2573 to schedule a Speech Therapy evaluation.

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Let’s Read! Book & Early Language Skills

Tue, 21 Sep 2021 17:56:00 GMT

Written By: Cassandra Hicks, M.A., CCC-SLP

What is Print Awareness ?

The power of books is not just limited to children who have already learned to read. Our early language users can practice important skills, like print awareness, when reading with an adult. Print awareness is the understanding that written language has meaning and is related to oral language. (Ages 4-5)

How can I practice this with my child?

What are WH-Questions ?

Asking and answering questions are an important skill in developing language. They are used in almost all settings, including in conversations, in the classroom, and even on the playground. Typically, kids develop an understanding of “what” questions first (ages 1-2), then “who” and “where (ages 2-3), and finally “when” and “why” (ages 3-4).

How can I practice this with my child?

What is Summarizing & Sequencing ?

These concepts can be tricky for kids to master as they involve a number of skills. Children need to remember the details of the story, put them in order, and categorize the information as “important” or “not important”. (Ages 4-5)

How can I practice this with my child?

What is Predicting and Inferencing ?

Predicting and inferencing are important skills for language development because they involve both the receptive and expressive components of language. Children must use their receptive language skills to recall the story and comprehend the language. Then they use the expressive language skills to organize their thoughts and share them aloud with you. (Ages 5+)

How can I practice this with my child?

What about articulation ?

Books can also be used to target speech sounds that your child is having difficulty with. Books with repetitive phrases like “Brown Bear Brown Bear” for the /b/ sound and “Llama Llama Red Pajama” for the /l/ sound can provide ample opportunities for practice. As we all know, practice makes progress! (Ages 3+)

How can I practice this with my child?

Follow us on Social Media to learn more on all topics related to child development and learning!

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Using the Galileo Vibration Platform in Occupational Therapy Treatment.

Tue, 24 Aug 2021 17:53:00 GMT

Written By: Grace Chang, OTD, OTR/L

Occupational therapists at Progressive Pediatric Therapy often use the Galileo whole body vibration platform to augment their therapy by providing low impact, smooth but powerful vibration input to a child’s body.

The input of the vibration automatically activates muscles and nerves through the see-saw motion of the platform which pivots back and forth many times per second (similar to the automatic knee-jerk response that occurs when a reflex hammer hits the tendon in front of your knee).

Our occupational therapists assess the child’s skills and needs, then determine which positions and frequencies will best target specific areas of the body during therapy sessions.

The Galileo’s vibration not only exponentially strengthens a child’s body during a short period of time, but can also reduce spasticity, improve sensory awareness , and stretch tight muscles . Because the Galileo automatically stimulates the nerves and muscles, it is especially beneficial for children who are younger or have limited movement. For example, when comparing a person doing pushups on the floor versus on the Galileo, the person on the Galileo can become stronger in a shorter period of time because of the higher frequency of muscle activation while performing the movement.

Photo A

Toys and games are incorporated into sessions when therapists use the Galileo to help motivate the child for greater endurance and promote engagement in a functional task. Photo A illustrates how, with the help of mom and therapist, the child is positioned on her stomach in a ‘wheelbarrow’ position with her hands on the Galileo to build strength in her hands, arms, shoulders, back, and stomach.

Photo B

Photo B depicts the child standing on the Galileo to work on strengthening her legs, building her endurance, and improving her balance.

The goal of the occupational therapist is to facilitate age appropriate functional skills in areas such self-feeding, dressing, handwriting, playing etc. After working on the Galileo, children often show more sensory awareness and tolerance, improved alertness, and better postural control and muscle responses throughout their body, which enables them to complete the therapeutic activities more efficiently and effectively.

Interested in learning more about how Progressive Pediatric Therapy can support your child’s development using the Galileo? Contact our office to schedule an Occupational Therapy Evaluation!

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Spinal Muscular Atrophy: What is it & How Physical & Occupational Therapy help!

Mon, 23 Aug 2021 16:42:00 GMT

Written by Namyata Patel, PT, with contributions by Mary Pengelley, DPT, PT.

What is Spinal Muscular Atrophy, or SMA?

The name, spinal muscular atrophy itself explains that it is a disease related to the spinal cord and muscle. The nerve cells that come from the central nervous system (our brain) to the spinal cord which send messages to the skeletal muscular system of the body are being disrupted, and over time the motor neurons progressively shrink and die, causing the muscles in the body to become weak.

In SMA, this nerve cell disruption is caused by a defect in the survival motor neuron 1(SMN1) gene on chromosome 5q. These genes produce SMN protein which maintain the health and normal function of motor neurons in the muscle. In SMA, the body does not produce enough SMN protein to support muscular nerve cell function.

There are 4 different types of SMA, which are categorized by the age of onset:

Initial diagnosis can be made by prenatal screening, clinical examination, family history, and newborn blood screening. In the US 38 out of 50 states, including Florida, now include SMA screening in their newborn screening. An older child who may show signs of muscle weakness will need to be evaluated by a neurologist with appropriate testing to rule out other disorders.

How does Physical and Occupational Therapy help?

Physical and occupational therapists can help SMA patients throughout their lifetime by improving their overall quality of life. Starting with an initial evaluation at the time of diagnosis, most often as infants, the therapist will determine a child’s baseline functional abilities, range of motion, and muscle strength. The therapist will provide education and support caregivers and continue to monitor the progression of the condition while providing therapeutic intervention based on a child’s individual needs.

At Progressive Pediatric Therapy, the PT/OT team work together to help children diagnosed with SMA starting in infancy, through toddlerhood, and into school age and teenage years, as they progress through different stages of growth and development. The PT/OT team determine the need for modifications or equipment to support their development and help them live as independent and healthy as possible.

Some treatment strategies often used to promote independence in play, mobility, and self-care; promotion of health and quality of life; prevention of musculoskeletal changes or deformity include:

Additionally the OT/PT team will guide families and caregivers in obtaining needed home modifications to maintain the safety and health of not only their children but also the caregivers. Examples of common home modifications include entry ramps to the home, bathrooms with walk-in showers, and vans adapted with a ramp or lift to allow the child and their wheelchair to be safely transported.

Additional Resources

For more information on Spinal Muscular Atrophy please visit:

The post Spinal Muscular Atrophy: What is it & How Physical & Occupational Therapy help! appeared first on PPT4Kids .

Bilingual Myths vs Facts!

Fri, 13 Aug 2021 02:12:00 GMT

Written By: Emily Marshall, MA, CF-SLP

Some children with language delays grow up in bilingual homes and communities. Often, parents have concerns that learning two languages might impact their child’s language delay.

Here are some common myths:

Myth: If my child has a language delay, I should only speak to them in one language.

Fact: Research shows that children who have a language delay do not have any additional difficulties when compared to monolingual children with language delays.

Myth: Speaking to my child in two languages can cause a language delay.

Fact: While bilingual children can have language delays, bilingualism does not cause delays itself. In fact, bilingual children are able to learn language and develop as quickly as their monolingual peers.

What can I do to help my child meet their language milestones?

If you notice your child continues to have difficulty learning language, contact us to schedule an evaluation with one of our bilingual speech-language pathologists!

Sources:

https://www.nationwidechildrens.org/family-resources-education/700childrens/2017/12/teaching-kids-a-second-language-can-it-cause-a-speech-delay

http://www.hanen.org/Helpful-Info/Articles/Bilingualism-in-Young-Children–Separating-Fact-fr.aspx

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6168212/

Spanish Translation

Algunos niños con retrasos en el lenguaje crecen en hogares y comunidades bilingües. A menudo, a los padres les preocupa que el aprendizaje de dos idiomas pueda afectar el retraso del lenguaje de su hijo. A continuación, se muestran algunos mitos comunes:

Mito: si mi hijo tiene un retraso en el lenguaje, solo debería hablar con él en un idioma

Realidad: Las investigaciones muestran que los niños que tienen un retraso en el lenguaje no tienen dificultades adicionales en comparación con los niños monolingües con retrasos en el lenguaje.

Mito: Hablarle a mi hijo en dos idiomas puede causar un retraso en el idioma.

Realidad: Si bien los niños bilingües pueden tener retrasos en el lenguaje, el bilingüismo no causa retrasos en sí mismo. De hecho, los niños bilingües pueden aprender el lenguaje y desarrollarse tan rápido como sus compañeros monolingües.

¿Qué puedo hacer para ayudar a mi hijo a alcanzar los hitos del lenguaje?

Si nota que su hijo sigue teniendo dificultades para aprender el idioma, programe una evaluación con su patólogo del habla y el lenguaje bilingüe local.

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Qué es la ecolalia?

Fri, 25 Jun 2021 01:21:00 GMT

Written by: Monica Zappala, SLPA

La ecolalia es un trastorno del habla que consiste en la repetición involuntaria e inconsciente de palabras,frases,, trozos de conversación, canciones que el paciente ecolalico ha escuchado de personas cercanas, radio y/o televisión. La palabra Ecolalia proviene del latín: “ lalia: hablar, Eco: repetir.

Hay varios tipos de ecolalia:

Esta particularidad en el lenguaje ocurre porque el paciente tiene un trastorno de comprensión, escucha lo que se le dice, pero no puede procesarlo. El nińo con autismo procesa más lento el lenguaje que escucha y no percibe las divisiones o espacios entre las palabras, el nińo sabe que debe contestar a 1 pregunta, pero como no entendió entonces repite lo mismo que escuchó. Cabe destacar que la Ecolalia es funcional, porque tiene una intención de comunicación. La ecolalia en pacientes con autismo motiva hacia la adquisición del lenguaje.

Cual es el tratamiento de un niño con ecolalia:

Terapia sensorio-auditiva, con el propósito de aumentar el procesamiento auditivo y disminuir la ecolalia. Así como también para que el nińo pueda percibir las unidades de las palabras. Se comienza por identificar el nivel lingüístico de comprensión en el que se encuentra el nińo. Y se trabaja con un vocabulario que el paciente maneje. Las inflecciones de la voz en una pregunta se aumentan para que el niño diferencie entre pregunta/respuesta.

Para padres en casa se puede implementar un plan para trabajar la Comprensión del Lenguaje:

1. Identificar cuál es el nivel de comprensión de tu niño.

2. Dar indicaciones sencillas y precisas: ejemplo: “Dame la manzana “

3. Instrucciones secuenciales: “ Dame la manzana y la bolsa”.

4. Modulación de la voz: con el propósito de que tu niño identifique cuál es la pregunta y cuál es la respuesta. Ejemplo: Qué es? con entonación alta Una manzana : respuesta En este paso es muy importante que se respeten los turnos entre el niño y la madre/padre.

5. Has una selección de objetos de interés de tu niño y establece un plan de comunicación eficaz con estos 5 pasos, recuerda que es una niño y que su nivel de comprensión necesita de tu ayuda para poder procesar una respuesta correcta.

“La simpleza de la comunicación verbal” …incluye sistemas de procesamiento complejos a nivel cerebral,procesos de audición, de reconocimiento, de comprensión, una vez que estos son llevados a cabo, pasan a la vía de la ejecución del lenguaje o expresión del lenguaje, en la que el niño es capaz de producir una respuesta. El lenguaje comienza en el cerebro del niño desde el nacimiento, son como las capas de una cebolla, si la cortas a la mitad verás que está recubierta de muchas capas, pues estas capas son las encargadas de que nuestro lenguaje sea fluente y esté enriquecido diariamente con la exposición directa del niño a un ambiente rico en lenguaje.

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Grounding Strategies to help your child calm.

Thu, 17 Jun 2021 02:17:00 GMT

Written By: Laura Dart, OTR/L

The 5, 4, 3, 2, 1 grounding strategy for calming can be used to teach children about their senses and how to use experiences within their physical context to bring them into the present moment.

Teaching mindfulness strategies in childhood can provide children with a toolset for successful coping with life stressors.

This promotes emotional regulation, frustration tolerance , and positive coping skills for the present and the future. In the present, it can facilitate development of important life skills and learning through teaching the child to calm themselves. In the future, children can use these skills when they are presented with the increasing stressors related to growing up and even into adulthood. You can create a fun sensory experience with common household items or child-created crafts (for even more investment in the activity)!

The trick is to make it easy for the child to replicate this activity on their own in the future.

Here are some ideas for each sensory system when using this strategy!

What are some calming strategies you use that appeal to each sensory system? Share with us in the comments!

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Encourage Your Child to Use More Language

Wed, 02 Jun 2021 14:36:00 GMT

What “Environmental Sabotage” is and how to make it work for you!

Written By: Karina Lee, M.S., SLP-CF, Edited by: Megan Sliski, PT, DPT

No one knows a child better than their parents/caregivers do. As parents, it’s your job to provide for your child’s needs and fulfill their wants to make your child happy. Before they even know what they want, you may make assumptions and offer what you think it is that they may want or need. However, as therapists, we use this feeling of wanting or needing something as a way to elicit and promote your child’s language development.

Environmental sabotage is the “art” or strategy of engineering the child’s environment or situation in order to create a necessity to communicate. If children are getting what they want without having to do any work to request it, why should the child bother communicating? Sabotage… out of love!

Let’s say your child goes to sleep every night and with his/her stuffed animal bunny. Before your child gets in bed where the bunny always is, you might “sabotage” your child’s environment by hiding the bunny. Your child will likely look around frantically and maybe cry or whine. Ideally, a little frustration will create the motivation for your child to look to you and request “help” or “bunny.” If your child still doesn’t make any effort to communicate after a few minutes, you can continue to act clueless and prompt your child to verbalize by asking “what’s wrong?” or “what do you need/want?” Eventually, you may “find” the bunny and hold it out of the child’s reach and tell the child to request “bunny.” Accepting verbal approximations, such as “buh buh”, may be okay. Your child still established the intent to communicate and used speech to make a request!

Creating these situations for your child to use effective communication is a good motivation to help them learn to use language. They learn that the best way to solve a problem is to use their words, not by crying or whining. Though we are creating a little frustration for the kids, we don’t want to cause them stress either.

Here are some important tips when creating an “environmental sabotage” situation:

Sabotage… out of love!

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How To Elicit Imitation From Your Little One at Home

Wed, 19 May 2021 14:49:00 GMT

Written by Progressive Pediatric Staff Member

Why is imitation important?

When children imitate language and behaviors, they are building blocks in their skill development because they get to have a model of these skills while they’re learning! Children learn literally everything in their wheelhouse by watching parents, caregivers, siblings, and anyone around them.

Babies can start to imitate (or try to) within the first few days of life! They try to imitate their parents facial expressions since so much of what they’re seeing is close up faces, probably smiling and cooing down at them! Vocal imitation can start around 4 or 5 months, that’s when your baby will coo back to you and you can start to have a back-and-forth cooing competition. The more you do this, the more they’ll do it back to you. I can’t stress how crucial this step is in their language development.

What can babies imitate?

Imitating communication expands beyond vocalization. Did you know that your child is watching intently while you wave goodbye in the morning? He may not show it right away, but the more you wave to him on these occasions, the sooner he’ll do it back to you! And when he does, boy, will your heart explode. Watching your child be able to successfully show you what you’ve taught him is such a rewarding feeling. It’ll help you realize that all of this effort is not for naught!

As your little buddy grows, you’ll even see him start to imitate everyday routines that he sees you doing in the house. He may find a food wrapper that has fallen on the floor and quietly pick it up to throw in the garbage. He may take a towel and start to wipe the floor if he’s seen you clean up a spill or two (and let’s be honest, what parent ISN’T wiping up spills all the time?) Point is, watch out, parents. Your little kiddos are excellent observers.

Here are some ideas and websites to help you get some imitation from your child:

1. Teach gestural imitation first. Functional gestures include “knock knock,” pointing, and waving! This is a form of imitation as well!

2. https://pbskids.org/curiousgeorge/busyday/bubbles/ Each bubble rises and the site is sound sensitive. You can imitate clapping or saying “Pop!” in order to pop each bubble. If your child is learning to imitate actions, clapping is a great start here. You can always pair the clap with a “pop!” as he gets better at imitating. If your child is already imitating vocally, you can just skip to the “pop!” part and see how he enjoys!

3. Try using an echo microphone. Some kids will be more willing to say any sound while using this toy! Click here to see which one we like!

5. Try silly sounds or exclamations before trying words. Expressions like “uh oh!” or “wow!” may be more fun to them to try first!

6. Try pausing after you make the sound before giving the reward. A nice long pause can be the motivation for your child to try it out himself!

We hope these ideas get your child imitating. As he imitates more and more, try to pause more often and have him produce the sound/word instead of you saying it first. This will be a great stepping stone to developing your child’s language skills!

If you have a young child who is not yet imitating your actions and words, contact our office for a free virtual screening! We can see if an evaluation is necessary to start using these techniques in our clinic.

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Developing Language & Literacy: Using “Picture Walks” for Learning!

Wed, 14 Apr 2021 16:16:00 GMT

Written By: Phyllis Berenberg, MS, CCC-SLP, Edited by: Megan Sliski, PT, DPT

Language and literacy development

Early language and literacy development begin in the first three years of life. Language development refers to a child’s emerging receptive skills – the ability to listen to and understand language and expressive skills – the ability to use language to communicate ideas, thoughts, and feelings. Literacy development refers to the knowledge and skills that are the foundation for reading and writing . Literacy development is embedded within the child’s language development. Reading books aloud to children helps them develop language and listening skills, prepares them to understand the written word, expands their understanding of the world, and stimulates their imagination.

The walk

Picture walks are done prior to reading the book. Before opening the book, show your child the cover and read the title. Ask them what they think the story will be about based on what they see. Then slowly go through the book, page by page, without reading any words. Tell your child that right now you’re only going to look at just the pictures and try to guess what is happening in the story. Ask your child questions about each picture they see. For example:

“What is the dog doing?” “Who is this?” “Why are they running?” “Where are they going?” “When did this take place?” “How do you think the story will end?”

This will allow you to engage your child’s imagination and participation. Make sure your questions are vague so that they don’t give away the storyline. Follow-up their responses with statements and questions that encourage your child to think about what they have said: “You might be right!” or “How can you tell?”.

After “The walk”

Once the picture walk is done, start the read-aloud. Have short discussions about what is actually happening in the story. You can then have your child retell you the story or “write” about the story through drawings. You can show your child that reading and writing can be fun and a part of everyday life!

Check out the video below to see “picture walks” in action!

Desarrollo del lenguaje y la alfabetización: ¡Uso de “paseos en imágenes” para aprender!

Desarrollo del lenguaje y la alfabetización

El desarrollo temprano del lenguaje y la alfabetización comienza en los primeros tres años de vida. El desarrollo del lenguaje se refiere a las habilidades receptivas emergentes de un niño : la capacidad de escuchar y comprender el lenguaje y las habilidades expresivas, la capacidad de usar el lenguaje para comunicar ideas, pensamientos y sentimientos. El desarrollo de la alfabetización se refiere al conocimiento y las habilidades que son la base de la lectura y la escritura . El desarrollo de la alfabetización está integrado en el desarrollo del lenguaje del niño. Leer libros en voz alta a los niños les ayuda a desarrollar el lenguaje y las habilidades auditivas, los prepara para comprender la palabra escrita, amplía su comprensión del mundo y estimula su imaginación.

La caminata

Se realizan caminatas de imágenes antes de leer el libro. Antes de abrir el libro, enséñele a su hijo la portada y lea el título. Pregúnteles de qué creen que se tratará la historia según lo que vean. Luego, lea lentamente el libro, página por página, sin leer ninguna palabra. Dígale a su hijo que en este momento solo verá las imágenes y tratará de adivinar lo que está sucediendo en la historia. Pregúntele a su hijo sobre cada imagen que vea. Por ejemplo:

“¿Qué está haciendo el perro?” “¿Quién es?” “¿Por qué están corriendo?” “¿A donde van ellos?” “¿Cuándo sucedió esto?” “¿Cómo crees que terminará la historia?”

Esto le permitirá involucrar la imaginación y participación de su hijo. Asegúrese de que sus preguntas sean vagas para que no revelen la historia. Haga un seguimiento de sus respuestas con afirmaciones y preguntas que animen a su hijo a pensar en lo que ha dicho: “¡Puede que tengas razón!” o “¿Cómo puedes saberlo?”.

Después de “La caminata”

Una vez que haya terminado la caminata de imágenes, comience la lectura en voz alta. Tenga discusiones breves sobre lo que realmente está sucediendo en la historia. Luego, puede pedirle a su hijo que le vuelva a contar la historia o que “escriba” sobre la historia a través de dibujos. ¡Puede mostrarle a su hijo que la lectura y la escritura pueden ser divertidas y formar parte de la vida diaria!

¡Mire el video a continuación para ver las “caminatas de imágenes” en acción!

The post Developing Language & Literacy: Using “Picture Walks” for Learning! appeared first on PPT4Kids .

Desenmascarando la verdad a cerca de por qué el Lenguaje de sus niños puede verse frenado o enlentecido: El Covid 19 Edición

Tue, 30 Mar 2021 15:17:00 GMT

Covid 19 se ha presentado hacia nosotros con muchos desafíos que no son secretos para nadie. Lo que he notado en los últimos meses ha sido un incremento en la derivación de niños de alrededor de 15 a 24 meses de edad.

Written by: Shira Danino, M.A, CCC-SLP Translated by: Monica Zappala, SLPA

Los padres explican que los han tenido que retirar de lugares de cuidados para niños, como las Guarderías y traerlos a casa durante el periodo de confinamiento; así como también 1 o 2 padres están trabajando desde casa y repentinamente cualquier lenguaje aprendido fuera de casa comenzó a desvanecerse.

Si usted esta leyendo esto y ha golpeado su casa, me gustaría compartir unos pocos pensamientos importantes con usted.

Por qué el Lenguaje de mi niño frenado o enlentecido? Y qué tiene que ver el Covid-19 con esto?

Hay muchas posibles razones por las cuales el lenguaje de su niño se ha frenado, ha decaído o se ha enlentecido durante este tiempo.Puede haber sido un repentino cambio en la rutina, de ser sacado del Cuidado de niños o Guardería a estar todo el día en casa, con quizá menos estructuras como de tiempos y funciones? Definitivamente. Es eso tu error? Definitivamente no!Las reglas han sido puestas en su lugar y los padres han estado forzados a tomar desafiantes decisiones y cada familia ha tenido que decidir,qué es lo funciona mejor para cada situación. Algunos padres no han tenido otra opción que seguir enviando a sus niños a la Guardería, si son trabajadores esenciales. Otros padres no pudieron soportar la idea de mandar a sus niños todos los días con la posibilidad de que contraigan el virus, entonces los mantuvieron en casa. Ninguna decisión estuvo mal. Los padres estuvieron expuestos ante una difícil situación y tuvieron que decidir de inmediato que era los mejor para ellos.

No puedo dejar de imaginar a alguien, viviendo durante este difícil momento, que no reclame que trabajar desde casa con un niño, en plena pandemia, sin parques,sin amigos, sin ayuda familiar, ha sido fácil. Léalo otra vez. No es fácil!

He hablado con muchos padres que se sienten avergonzados porque han accedido a darle más tiempo a los niños en videojuegos, computadoras, etc, mientras ellos tenían que enseñar desde casa, atender reuniones desde casa,trabajar desde casa, o cualquier cosa que ellos debían completar. Y sólo ha sido eso! Hemos estado en una modalidad de crisis y todavía tenemos que educar/criar a nuestros hijos y trabajar, mientras desayunamos,almorzamos, cenamos y picamos algo en nuestra mesa, mientras la ropa se está lavando y estamos bañando a nuestros hijos. Mi punto es, hicimos lo que teníamos que hacer.No tuvimos otra alternativa. Ahora nos movemos hacia adelante e intervenimos.Pero eso es todo.Nadie tiene la culpa.

Segundo, tu no estás solo. Tu hijo no ha sido el único impactado por esta pandemia. Todos hemos sido impactados de alguna manera.Si! Nuestros pequeños han sido desafortunadamente afectados porque repentinamente no estuvieron expuestos a la cantidad de lenguaje que ellos estaban acostumbrados, no sociabilizaron con otros niños, no tuvieron muchos modelos de lenguaje como lo venían haciendo antes de mediados de Marzo de 2020. Está leyendo esto y pensando…”si, pero yo mandé a mi hijo a la Guardería más temprano, entonces su lenguaje no debería estar afectado….Error!… Aquí le explico por qué…

El personal de la Guardería usa máscaras. Es esto seguro? Si!, Lo aprecio? Por supuesto que Si!… Pero lo que no nos imaginamos es el la importancia para nuestros infantes y niños pequeños de mirar cómo se producen los sonidos. Y/ o la importancia que tiene para nuestros bebés ver la sonrisa de quien lo cuida, para ellos poder sonreír en respuesta. Así se puede establecer una conexión entre El Niño y sus terapistas.

La dueña de una Guardería me ha confesado que cuando ella ayuda en la sala de infantes,los bebés no le devuelven la sonrisa, porque ellos no pueden ver su boca cuando ella les sonríe. Entonces, cómo ellos pueden aprender a decir /B/ o /M/, o /T/, si ellos no pueden ver como producimos estos sonidos? Se pierde mucha conexión con el uso de máscaras.

No estoy abogando por un mundo sin máscaras contra el Covid, créanme. Pero esto está afectando el desarrollo de nuestros niños y es muy importante que usted sepa cada factor adicional que pueda estar afectando el desarrollo de su niño.Lo último que quiero escribir para ustedes, queridos padres, es que nunca es demasiado tarde. Ahora es tiempo de darle un empujoncito a su niño si ha notado una meseta o enlentecimiento en su habilidad para hablar.Nuestras terapeutas del Lenguaje pueden ayudar y guiarlo en el camino para ayudar a mejorar el desarrollo del lenguaje de su niño.Contáctenos para programarle una evaluación, así como lo ayudaremos a salir adelante!

The post Desenmascarando la verdad a cerca de por qué el Lenguaje de sus niños puede verse frenado o enlentecido: El Covid 19 Edición appeared first on PPT4Kids .

From the Physical Therapist’s Point of View: Pandemic Impacts on Our Children’s Development

Wed, 17 Mar 2021 17:21:00 GMT

Written by: Megan Sliski, PT, DPT

The reality of the onset of COVID-19 had placed all of us in impossible situations causing us to make decisions we never imagined ourselves having to make. For parents, this has been an especially difficult change. Parents are not only balancing working from home (or still leaving for the office every day) but are now acting as teachers, therapists, and daycare workers- what a balancing act! Children too, of all ages, are affected by these changes in routine. School-aged children have adapted to “remote learning” and younger children are attending daycare less frequently (or not at all) and/or are presented with less opportunities to engage with their peers.

Parents have been given the difficult task of keeping their children safe during the pandemic. No decision is the wrong decision when prioritizing the safety of your child, your family and yourself. We all have different options to consider and different experiences that are playing a role in the decisions we have and will continue to make.

From a physical therapy perspective, the changes that have become inevitable as a result of the pandemic are noticeably affecting gross motor development in children and adolescents. With the necessity of remote learning for an extended period of time, children and adolescents are experiencing more screen time which means an increase in sitting , a decrease in standing, walking, and running and an increase in poor postural positioning.

Although the presence of remote learning is slowly decreasing in schools throughout the state (and country) it is still utilized by many families and school districts and the effects of this change are continuing to be seen long term. To be clear, I am by no means discouraging or discrediting the decision of schools and families to participate in remote learning. It is a safe and effective option given the conditions of the pandemic. I am simply stating challenges that have emerged from a gross motor perspective with solutions that may assist and improve the quality of movement in the lives of your children.

What changes are we seeing in our children?

Children grow from conception to around the time of puberty. Within this window, the body is making constant adjustments on a chemical and physical level to meet its needs to allow for success with growth. The adult human skeleton is made up of 206 bones. We have long bones, short bones, irregular bones, and flat bones. Bones regenerate themselves by creating new bone cells to replace old bone cells. This process is done with help from a concept called “weight-bearing”. To replace the old cells with new cells, the bones need forces placed on them. More force or movement on the bones is considered an increase in weight bearing. As muscles pull on the bones during movement, the force is created to drive this process. This process takes place in children and adults alike, however, in a growing body, we want to ensure that these bones are receiving enough weight bearing forces to contribute to a healthy growth process. Movement including walking, running, jumping, climbing, etc. are all opportunities for this process to thrive. Unfortunately, many of these activities are not occurring in our children due to closing of playgrounds, lack of team/intramural sports, increased screen time, and an overall decrease in motivation by children and adults due to the psychological impacts of the pandemic, resulting in less weight bearing than what is necessary.

An increase in screen time and lack of play is also contributing to an increase in poor posture . When sitting at a table and staring at the screen of a computer, tablet, or phone for long periods of time, we (children and adults) have a tendency to assume a “forward head position”, which includes forward rounded shoulders that can result in tight pectoral muscles and weak scapular muscles and an extended neck that results in tight neck extensor muscles and weak neck flexor muscles. These positions can cause pain, tingling, and loss of range of motion if a person does not walk around, move, or switch positions often. Lack of appropriate support when typing on a keyboard or using a mouse may also cause similar symptoms resulting in pain, numbness or tingling in the arms or hands. Take a look at the chair- are your child’s feet touching the ground? Does the chair have arms rests? Does the chair provide lumbar sport? These positions affect adults and children similarly and the considerations listed above all play a role in postural changes we are seeing in children and adolescents.

If you are noticing any changes in your child’s activity levels, performance in gross motor activities (including a decrease in endurance), or postural changes, please know that this is not your fault. This is simply a consequence of the situation we have all been placed in during this pandemic. If anything listed above sounds familiar or if you are struggling to correct what you’re seeing at home, please know that it is not too late to ask for help. Our physical therapists can support and guide you in life-long exercises and information that will sustain endurance, gross motor performance, and help provide postural correction for your child. Please call to a schedule an evaluation or free consultation and we will help you through this process, one step at a time.

For more information:

For more specific information regarding proper positioning and ergonomic support, please click here to see our previous blog post, “Don’t Let School from Home be a Pain in the Neck” with recommendations for good posture and positioning when participating in virtual learning.

The post From the Physical Therapist’s Point of View: Pandemic Impacts on Our Children’s Development appeared first on PPT4Kids .

From the Occupational Therapist’s Point of View: Impacts of the COVID-19 Pandemic on our Children’s Development.

Mon, 08 Mar 2021 02:06:00 GMT

The post From the Occupational Therapist’s Point of View: Impacts of the COVID-19 Pandemic on our Children’s Development. appeared first on PPT4Kids .

What is the Best Way for my Child to Breathe When Wearing a Mask?

Sat, 20 Feb 2021 23:48:00 GMT

Written by: Shira Danino, M.A., CCC-SLP, Edited by: Megan Sliski, PT, DPT

Some of us are finding that we’re spending a lot more time in our masks than we thought we would. I can admit it: in March, I had NO clue that I’d be wearing a mask in April, let alone into February of the next year. From the looks of it, masks are going to be around for quite some time.

The benefits of masks in such an uncertain world are obvious. They protect us and our children, and they protect others from what germs we could possibly be carrying. Wearing a mask is our best defense, along with social distancing and washing our hands well and often. However, what’s not as obvious are the downsides to mask wearing. Aside from the foggy glasses and “maskne,” there are some serious things to look out for and prevent while wearing a mask.

When we are sitting and breathing at rest, the proper position for our mouths is to be closed and our tongues to be resting behind our top front teeth. For some reason, when we wear masks, we are more prone to mouth breathing. I’d like to suggest trying to breathe through your nose as often as possible while wearing a mask.

Here’s why:

Next Steps

I think I’ve made my case for nasal breathing, with or without a mask. Try and practice nasal breathing with your kids who are old enough to wear masks. It may not happen right away, but even reminders throughout the day may be helpful . Feel free to share these tips with your child’s teachers, as they’re spending many masked hours with students.

These are useful things to keep in mind even in a “maskless” world. So, if you notice your child breathing with an open mouth on a regular basis, contact our office to get a free screening. Remember, mouth breathing can change the shape of your child’s mouth, so speech therapy can help prevent further consequences.

We hope you stay safe and well during what we hope is the final stretch of this pandemic!

CLICK HERE for an article by Children’s Hospital of Philadelphia for extra education on the importance of nose breathing in children !

Comment below with your questions or share with us how you are helping your child to maintain a nose-breathing pattern while wearing their mask!

Resources:

New York- Presbyterian (2020) https://healthmatters.nyp.org/how-to-breathe-better-with-a-mask
The Breathing Institute (2020) https://www.thebreatheinstitute.com/

¿Cuál es la mejor manera de que mi hijo respire cuando usa una mascarilla?

Algunos de nosotros estamos descubriendo que pasamos mucho más tiempo con nuestras máscaras de lo que pensábamos. Puedo admitirlo: en marzo, NO tenía ni idea de que usaría una máscara en abril, y mucho menos en febrero del próximo año. Por lo que parece, las máscaras estarán disponibles durante bastante tiempo.

Los beneficios de las máscaras en un mundo tan incierto son obvios. Nos protegen a nosotros y a nuestros hijos, y protegen a los demás de los gérmenes que posiblemente podamos portar. Usar una máscara es nuestra mejor defensa, junto con el distanciamiento social y lavarnos las manos bien y con frecuencia. Sin embargo, lo que no es tan obvio son las desventajas de llevar una máscara. Aparte de las gafas empañadas y el “maskne” (acné causado por mascarillas), hay algunas cosas serias a tener en cuenta y prevenir mientras se usa una máscara.

Cuando estamos sentados y respirando en reposo, la posición adecuada para nuestra boca es estar cerrada y nuestra lengua descansando detrás de nuestros dientes frontales superiores. Por alguna razón, cuando usamos máscaras, somos más propensos a respirar por la boca. Me gustaría sugerirle que intente respirar por la nariz con la mayor frecuencia posible mientras usa una máscara.

Este es el por qué:

Próximos pasos

Creo que he defendido mi defensa de la respiración nasal, con o sin máscara. Intente practicar la respiración nasal con sus hijos que tengan la edad suficiente para usar máscaras. Puede que no suceda de inmediato, pero incluso los recordatorios a lo largo del día pueden ser útiles . No dude en compartir estos consejos con los maestros de su hijo, ya que pasan muchas horas enmascarados con los estudiantes.

Estas son cosas útiles a tener en cuenta incluso en un mundo “sin máscara”. Por lo tanto, si nota que su hijo respira con la boca abierta con regularidad, comuníquese con nuestra oficina para obtener un examen gratuito. Recuerde, la respiración bucal puede cambiar la forma de la boca de su hijo, por lo que la terapia del habla puede ayudar a prevenir más consecuencias.

¡Esperamos que se mantenga sano y salvo durante lo que esperamos sea el tramo final de esta pandemia!

The post What is the Best Way for my Child to Breathe When Wearing a Mask? appeared first on PPT4Kids .

Don’t Let School from Home be a Pain in the Neck!

Tue, 02 Feb 2021 03:09:00 GMT

Written by: Megan Sliski, PT, DPT

The COVID-19 pandemic began almost one year ago. Many of us have been spending increased time at home – some of us are even working at home and our children are attending school and therapies at home.

Take a second to consider the set-up of the desk, table, chair and computer that your child is working at day to day when completing school work or therapies. Did you know that there are recommendations for the placement of these objects for proper posturing to prevent pain and discomfort?

Keyboard

An ergonomic keyboard is created with an angle to allow the user’s wrist to be kept in a neutral position.

Why is this important?

When the wrist is maintained in a flexed position for an extended period of time, it can result in numbness, tingling, or pain on the palm of the hand (sometimes known as Carpal Tunnel Syndrome).

Computer Mouse

The mouse used with the computer should be located at the same level as the keyboard. Maintain the mouse directly in front of you to prevent strain on the wrist. A slanted mouse (as pictured) or an elevated mouse pad are recommended to maintain a neutral position of the wrist.

Why is this important?

When the wrist is placed in a flexed or twisted position, this increases the risk of pinching nerves within the hand. The result of prolonged twisted or flexed wrist positioning may result in similar (or other) symptoms as those listed above under indications for an ergonomic keyboard.

Computer Chair

The best chair for long-term (or any kind of sitting) is a chair that molds to the curves and shapes of the human body. An ideal ergonomic computer/workstation chair will include arm rests, appropriate lumbar support, and will allow the feet to rest flat on the ground, comfortably. Ideally, the elbows should rest at a 90 degree angle on the armrests and the forearms should be fully supported. If your knees drop below your hips when sitting, a foot rest is recommended to maintain a 90 degree angle between the hips and knees.

Why is this important?

The positioning of the chair is important to prevent proper posturing of all parts of the body, especially the spine. “Hunched” or “kyphotic” posture can result in lower, middle, and upper back pains,

For more ideas on Flexible Seating Options, Check out our other blog post Ergonomics, Flexible Seating, & Eye Health during Virtual Learning!

Computer Monitor

A good measure for body distance from the computer screen/monitor is one extended arm length away. The goal is to maintain the eye site line at the top of the monitor, or 1 inch lower.

Why this is important?

Sitting too close or too far from the monitor can cause eye strain. Keeping the eye site line level with the monitor prevents excessive increases in motion of the neck. Too much flexion or extension of the neck for long periods of time can cause pinching of the nerves and result in neck/back pain, numbness, or tingling.

Have you tried any of these ergonomic options at home? Do you have questions or comments regarding your current setup?

C o mment or share with us below!

The post Don’t Let School from Home be a Pain in the Neck! appeared first on PPT4Kids .

Unmasking the Truth About Why Your Toddler’s Speech and Language May Have Slowed: The COVID 19 Edition

Tue, 29 Dec 2020 18:36:00 GMT

Written By: Shira Danino, M.A, CCC-SLP

COVID 19 has presented us with lots of challenges; that’s no secret to anyone. What I’ve noticed in the last few months is an increase in referrals for children around 15-24 months old. Parents explain that their child was taken out of daycare and brought home during the shelter-in-place, brought home to 1 or 2 work-from-home parents, and suddenly whatever language they were showing started to slow down.

If you’re reading this and it hits home, I’d like to share a few important thoughts with you.

First of all, this is not your fault.

There are so many possible reasons for your child’s language to have slowed during this time. Could it have been the sudden change in routine, being pulled from daycare, staying home all day with maybe a little less structure? Absolutely. Is that your fault? Absolutely not. Rules were put in place, parents were forced to make a challenging decision, and every family had to decide what worked best for their situation. Some parents had no choice but to keep sending their child to daycare if they were essential workers. Other parents couldn’t stomach the thought of sending their child everyday with a possibility of contracting the virus, so they kept them home. No decision was wrong. Parents were thrown into an impossible situation and had to decide immediately what was best for them.

I can’t think of anyone living during this time who could claim that working from home with a little one, in a pandemic, with no playgrounds, with no play dates, with no family help, is easy. Read that again. It’s not easy. I’ve spoken to plenty of parents who have been embarrassed about the amount of screen time they gave their children while they had to teach from home, attend meetings from home, work from home, or whatever they had to get done. And it’s just that. We were in crisis mode and still had to raise children and make a living, while getting breakfast, lunch, dinner, and snacks on the table while the laundry was being washed and kids had to be bathed. My point is, we did what we had to do. We had no choice. Now, we move forward and intervene. But that’s all. Nobody is to blame.

Second, you are not alone. Your child is not the only child that has been impacted by this pandemic. Everyone has been impacted in some way, yes. Our littles have unfortunately been affected because suddenly they weren’t around as much language, they weren’t socializing with other kids, they didn’t have as many models for language as they used to before mid-March. Are you reading this and thinking, “yeah, but I sent my child back to daycare pretty early on, so their language shouldn’t have been affected.” Wrong. Here’s why.

Daycare providers are wearing masks. Is that safe? Yup. Do I appreciate it? Heck ya. But what we didn’t realize is the importance of infants and toddlers watching how sounds are made. Or the importance of babies seeing their caregivers smiling at them so they could smile back. So they could make connections with their providers. A daycare owner told me that when she helps out in the infant room, the babies don’t smile back at her because they can’t see her mouth when she smiles at them. How can they learn to say the /b/ or /m/ or /t/ sound if they can’t see how we’re making it ourselves? So much connection is lost with the mask.

I’m not advocating for a maskless COVID world, trust me.

But they are affecting our little ones’ development. And it’s very important that you know each additional factor that could be affecting your child’s development.

The last thing I want to write to you, dear parents, is that it’s never too late. Now is the time to give your child a nudge if you’ve noticed a plateau in his language skills. Our speech therapists can help and guide you in ways to help improve your child’s language development. Contact us to schedule an evaluation and we can help you get through this.

The post Unmasking the Truth About Why Your Toddler’s Speech and Language May Have Slowed: The COVID 19 Edition appeared first on PPT4Kids .

Therapist-Recommended Sensory Toys for Kids: Our Favorite Picks for Play & Development

Sat, 05 Dec 2020 03:28:00 GMT

Looking for sensory toys that are both fun and developmentally beneficial?

At Progressive Pediatric Therapy, parents frequently ask us which toys we recommend for sensory exploration, self-regulation, fine motor development, and active play. While no toy can replace individualized therapy, the right sensory tools can support a child's development, encourage engagement, and make everyday activities more enjoyable.

We've compiled some of our favorite sensory toys and activities that children of all ages often enjoy. Whether your child seeks movement, enjoys tactile play, benefits from deep pressure input, or loves fidget toys, there is something for everyone!

Please note: Every child has unique sensory needs. If you have questions about whether a toy is appropriate for your child, consult with your therapist.

(This post contains affiliate links through our Amazon Storefront.)

https://a.co/d/04VKBarb

Why Sensory Play Matters

Sensory play helps children learn about the world through touch, movement, sight, sound, and body awareness. It can support:

Self-regulation
Attention and focus
Fine motor development
Gross motor development
Body awareness
Problem-solving skills
Creativity and imaginative play

Sensory activities can also provide calming input for some children or alerting input for others depending on their individual needs.

Our Favorite Sensory Toys

Sensory Brushes

Sensory brushes are often used as part of sensory regulation programs and can provide calming tactile input when recommended by a therapist. Many children enjoy exploring different textures through supervised sensory play activities.

amazon.com/dp/B08MKX3THZ?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B08MKX3THZ&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Sensory Stretch Strings & Pop Tubes

Stretch strings and pop tubes are favorites for children who enjoy tactile and fidget-based sensory input.

Benefits may include:

Hand strengthening
Bilateral coordination
Fine motor practice
Sensory exploration
Stress relief and self-regulation

Children can stretch, twist, pull, and create shapes while receiving sensory feedback through their hands.

https://www.amazon.com/dp/B0BKFDNJ72?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B0BKFDNJ72&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Chew Necklaces

Some children seek oral sensory input throughout the day. Chew necklaces provide a safe option for children who frequently chew on clothing, pencils, fingers, or other objects.

These can be helpful for:

Oral sensory seekers
Self-regulation
Attention during seated tasks
Reducing inappropriate chewing behaviors

https://www.amazon.com/dp/B07VV9BCFT?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B07VV9BCFT&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Sensory Bins

Sensory bins remain one of our favorite open-ended play activities.

Try filling bins with:

Rice
Beans
Pom-poms
Kinetic sand
Water beads (with supervision)
Small toys or themed items

Children can scoop, pour, sort, bury, and discover hidden objects while building fine motor skills and sensory processing abilities.

amazon.com/dp/B08LK3GBJH?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B08LK3GBJH&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Peanut Therapy Balls

Peanut balls are commonly used in therapy sessions because they provide opportunities for movement, balance, strengthening, and sensory input.

Families can use them for:

Sitting activities
Core strengthening
Balance challenges
Deep pressure input
Movement breaks

Because of their shape, peanut balls are often more stable than traditional exercise balls, making them a great option for beginners.

https://www.amazon.com/dp/B0CJGWH5BB?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B0CJGWH5BB&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Therapy Putty & Play-Doh

Classic favorites like therapy putty and Play-Doh encourage:

Hand strengthening
Fine motor development
Creativity
Sensory exploration

Hide small toys inside, create letters and shapes, or simply squeeze and stretch for calming sensory input.

https://www.amazon.com/dp/B00JM5GW10?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B00JM5GW10&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Kinetic Sand

Kinetic sand continues to be one of the most popular sensory play materials for children.

Benefits include:

Tactile sensory exploration
Fine motor skill development
Creative play
Calming sensory input

Parents often love kinetic sand because it sticks together and is generally easier to clean up than traditional sand.

amazon.com/dp/B084BTPVFQ?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B084BTPVFQ&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Lacing Cards

Lacing cards help children develop important fine motor and visual motor skills while providing a fun, hands-on activity.

These activities support:

Hand-eye coordination
Bilateral coordination
Visual motor integration
Attention to task

They're a great option for preschool-aged children working on early readiness skills.

https://www.amazon.com/dp/B0B58BS33V?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B0B58BS33V&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Sensory Stones & Fidgets

Small sensory fidgets and sensory stones can provide calming tactile input throughout the day.

Many families use these tools:

During homework
In the classroom
While traveling
During transitions
For emotional regulation support

amazon.com/Fidget-Toys-Adults-Sensory-Stone/dp/B0DC69M33Y/ref=sr_1_6?crid=QF099UWNVSFC&dib=eyJ2IjoiMSJ9.r-rutsmctWZK733DinSetoGmk4Y0SEbg6kYT-TERV99-LtZmDcLmeWwVTrCWZH6pAiZFxz8zDRI4ko1OOK4L26xM_1aGWwFcqglRkPfsiPjeatGzKPQLR4le437_oOWJ3BSy-yMFdkkqY9mXg7f2a99YrvEvu-M8gpQQMMI9cBcE1BHjIwWvIvihXXfRZWKvJC6-G9OHi-ZGeGJbjXeK9uH7KyA7YR5OkHjoX2WgWKk.mqsFp5p8D6JAzvov05UY1wGLBOSKcOcyQl8TMQFAlfI&dib_tag=se&keywords=Sensory+Stones+%26+Fidgets+for+kids&qid=1781706800&sprefix=sensory+stones+%26+fidgets+for+kid%2Caps%2C130&sr=8-6

Crayons & Creative Art Supplies

Coloring, drawing, and creating provide valuable sensory experiences while supporting fine motor development.

Creative activities help children develop:

Hand strength
Pencil grasp skills
Bilateral coordination
Visual motor integration
Creativity and self-expression

https://www.amazon.com/dp/B0B24N4VK8?linkCode=ssc&tag=onamzgabr00ed-20&creativeASIN=B0B24N4VK8&asc_item-id=amzn1.ideas.3019XQLJZ6U4U&ref_=aip_sf_list_spv_ons_mixed_d_asin

Choosing the Right Sensory Toy

Not every sensory toy is right for every child.

Some children seek movement and active play, while others prefer calming tactile activities. Some children benefit from oral sensory tools, while others enjoy visual or auditory sensory experiences.

The best sensory toys are the ones that match your child's individual sensory profile, interests, and developmental goals.

Shop Our Therapist-Recommended Favorites

We've made it easy for families to find many of our favorite sensory toys, fine motor tools, movement products, and developmental resources all in one place.

Visit our Amazon Storefront to browse therapist-recommended products for:

Sensory play
Fine motor development
Gross motor development
Feeding
School readiness
Adaptive equipment
Parent favorites

Whether you're looking for a simple fidget toy, a sensory bin activity, or movement-based equipment, you'll find a variety of options to support your child's development through play.

Play, Explore, and Grow

Sensory play is one of the most effective ways children learn, explore, and regulate their bodies. The right toys can encourage creativity, support developmental skills, and make learning feel fun.

Remember, the best toy is often the one that motivates your child to engage, move, explore, and connect with the world around them.

Happy playing!

School Age to Teens Toy Recommendations

Sat, 05 Dec 2020 03:28:00 GMT

Compiled and written by Brittni Barnes, OTR/L & Teresa Hans, OTR/L

Ever wanted to know what toys therapists LOVE for different developmental stages?

Progressive Pediatric Therapy staff have compiled a list for the different ages and stages to foster development! Check out our favorite toys for School aged children! These toys are ideal for ages 5 to 15 years old.

We hope you have found some toys you love for your child from our list of favorites! Did we miss some great, developmental toys??

Share your favorites with us in the comments below!

For more toy recommendations check out these other blog posts:

The post School Age to Teens Toy Recommendations appeared first on PPT4Kids .

Infant and Toddler Toy Recommendations

Sat, 05 Dec 2020 03:26:00 GMT

Compiled and written by Brittni Barnes, OTR/L & Teresa Hans, OTR/L

Ever wanted to know what toys therapists LOVE for different developmental stages?

Progressive Pediatric Therapy staff have compiled a list for the different ages and stages to foster development! Check out our favorite toys for infants and toddlers! These toys are ideal for children aged birth to 2 years old.

(This Post contains paid affiliate links)

Occupational Therapist Callie gave us a fun activity to share with a tunnel and knob puzzle! “Place single puzzle piece at one end of tunnel and puzzle at other end. Child takes puzzle piece and holds while crawling through tunnel, then places it into the correct spot in the puzzle. Repeat till puzzle is complete! For additional challenge, try having child bear crawl (walk on hands and feet) to get back to the start of the tunnel or wheelbarrow walk (walk on hands while parent holds legs suspended in the air).”

Which toy is your favorite? Did we miss one of your favorite toys for infant and toddlers? Let us know which one in the comments!

For more toy recommendations check out these other blog posts:

The post Infant and Toddler Toy Recommendations appeared first on PPT4Kids .

Preschool Toy Recommendations

Sat, 05 Dec 2020 03:24:00 GMT

Compiled and written by Teresa Hans, OTR/L & Brittni Barnes, OTR/L

Ever wanted to know what toys therapists LOVE for different developmental stages?

Progressive Pediatric Therapy staff have compiled a list for the different ages and stages to foster development! Check out our favorite toys for preschool aged children! These toys are ideal for ages 2.5 to 5 years old.

(This post contains paid affiliate links.)

We hope you have found some toys you love for your child from our list of favorites! Did we miss some great, developmental toys??

Share your favorites with us in the comments below!

For more toy recommendations check out these other blog posts:

The post Preschool Toy Recommendations appeared first on PPT4Kids .

Transition Troubleshooting

Thu, 03 Dec 2020 21:01:00 GMT

Written by: Shira Danino, M.A., CCC-SLP

Home for the holidays with a child who has trouble transitioning? Transitions can be real triggers for many children. Ending a video game or a sport can be a drag when your parent asks you to take a bath or throw out the garbage. However, they can be particularly difficult for kids with emotional and developmental issues.

Holiday season means a lot of things to all of us. It can be reuniting with family, endless holiday dinners, too much dessert, holiday light festivities, cheerful music, and days off from school. Kids at home all day. Schedules and routines disrupted can mean transition trouble for your little one. If you have a child who sticks to routine and loves a good schedule, a few days at home can throw you and your family for a loop. Here are some tips to help your child with Autism, ADHD, anxiety, and sensory processing issues to swiftly adapt to a schedule change over the holiday season.

Perhaps these tips might help during your holidays at home (or away at family). If you have tried something else at home that has helped, drop us a line and comment below to share your success!

The post Transition Troubleshooting appeared first on PPT4Kids .

How Can I Get My Picky Eater Involved in Holiday Meals?

Wed, 02 Dec 2020 18:43:00 GMT

Written By: Shira Danino, M.A., CCC-SLP

Do you have a picky eater? Are you interested in figuring out how to include him/her in holiday meals?

We are about to begin a marathon of holiday meals, most of which picky eaters may feel left out with no place to participate.

Here are some ideas to get your little picky eater involved in mealtime!

If you’d like to learn more about helping your picky eater, Click HERE for a FREE virtual screening!

We hope you have a safe and enjoyable holiday season! Best wishes and happy holidays from the PPT family!

The post How Can I Get My Picky Eater Involved in Holiday Meals? appeared first on PPT4Kids .

No Picky Eaters, November!

Wed, 25 Nov 2020 18:12:00 GMT

The post No Picky Eaters, November! appeared first on PPT4Kids .

How Did My Baby Develop Torticollis?

Tue, 24 Nov 2020 18:04:00 GMT

Written By: Kalli Atti, PT, DPT; Edited By: Megan Castles, PT, DPT, ATC

What are potential causes & risk factors for Torticollis?

Torticollis is a very common diagnosis and how a baby develops Torticollis can vary! Here are some of the most common reasons:

These are some of the most common reasons why a baby may develop Torticollis. It is important to seek advice from a specialist as soon as you notice a rotation preference or head tilt because there can be many reasons why your baby could have Torticollis and it is important to know the cause behind the Torticollis in order to know how to treat it!

Have you, or know someone who has had an infant with torticollis from one of these reasons listed or because of a different reason? Share with us and other readers your experiences in the comments!

The post How Did My Baby Develop Torticollis? appeared first on PPT4Kids .

How To Identify Torticollis and When Physical Therapy Is Needed

Mon, 16 Nov 2020 16:51:00 GMT

Written By: Kallie Atti, PT, DPT; Edited by: Megan Castles, PT, DPT, ATC

What is Torticollis?

Is it normal that my baby only wants to look one direction? Why does my baby keep leaning to one side? Is my baby’s head flat?

If you have ever asked these questions or made these comments as a parent, it is possible your baby may have Torticollis. Torticollis is a shortening of the Sternocleidomastoid muscle which is a large, superficial neck muscle that runs from just behind the ear diagonally to the most medial part of the collar bone. This muscle’s main function is to help your baby bend their head forward and turn their head to the opposite direction. Tightening of this muscle is commonly from their positioning within the womb. Twins, premature babies and breech babies tend to have a higher incidence of Torticollis but it can also be acquired as a result of prolonged positioning, gastroesophageal reflux, or visual impairment. Torticollis may also arise from an orthopedic or neurological injury. This shortening on one side creates a lengthening of the muscles on the opposite side of the neck and this muscle imbalance makes it difficult for your baby to hold their head and body straight. This can also be the reason why your baby begins to develop a flatness on the back of their head known as Plagiocephaly.

Physical therapy can assist with developing symmetry in these muscles. This symmetry is important so that your child can establish midline head control, visual motor control, sensory organization and symmetry through their gross motor skill development.

Did you know that avoiding early intervention with Physical Therapy could lead to possible complications such as scoliosis, one eye developing faster than the other, early hand preference, or even a crossbite?

When is Physical Therapy needed?

It is best when you or your Pediatrician notice the Torticollis to seek Physical Therapy as soon as possible. It is common for babies to even develop Torticollis in the NICU and intervention can begin there. If a helmet or band is needed for head shape abnormalities in combination with the Torticollis, the most ideal time to receive a helmet is between 4-6 months. This ideal time is when the babies typically have strong enough head control to support a helmet and their heads are growing the fastest, which usually results in LESS time in the helmets! Treatment times for Torticollis vary depending on the severity of the tightness and any other possible comorbidities that the child may have. The good thing is that Torticollis is VERY common and VERY treatable! We typically will see a child up through the first year of life to make sure they develop all of their gross motor skills with midline head and trunk control.

So if you are questioning your child’s abnormal head shape and/or ability to keep their head in midline, perhaps question Torticollis AND seek Physical Therapy treatment as soon as possible! The earlier the treatment, the better the outcomes!

The post How To Identify Torticollis and When Physical Therapy Is Needed appeared first on PPT4Kids .

Writing: Whose Job Is It Anyway?

Mon, 09 Nov 2020 17:12:00 GMT

Written by: Regina De Canto, M.S, CCC-SLP and Tiffany Thomsen, MS, OTR/L

Our kids learn the prerequisites needed to write as early as when they start picking up a crayon and coloring! So when it comes to writing difficulties, do you consult an occupational therapist? Or do you consult a speech therapist? Since writing is a multisensory approach to expressing ourselves, writing is also one of the many areas that speech and occupational therapy overlap!

Hey, Regina! How does speech therapy address writing?

Speech therapy deals with the expression of written language . Just like in spoken language, we look at the phonology, morphology, syntax, semantics, and pragmatics of written language. When your child is writing, are they sounding out the word to spell? Are they writing an “s” at the end of plurals? Can they create a sentence or two to describe a picture? Basically, we are looking at how a child puts their thoughts into words on paper.

Hey, Tiffany! How does occupational therapy address writing?

Occupational therapy addresses the mechanical actions it takes to write . We look at coordinating the eyes, arms, hands, pencil grip, letter formation, strength, and body posture when a child is writing. When your child is writing, is their starting point at the top of the space? Are they holding a pencil correctly to write? Are their letters varying in size all over the page? We are looking at how a child’s handwriting is affected by their fine motor, visual perceptual, and visual motor skills.

Regina and Tiffany, my child is in preschool, should he/she be writing?

Ah, the fun stage of preschool! We are in agreement that, developmentally speaking, they may not be ready to write yet! You will find that occupational and speech therapy won’t necessarily address writing until school-age. However, we are going to work on some fundamental, foundational skills they will need to prepare them for writing!

Alright, ladies, how does speech or occupational therapy help my kindergartner?

By kindergarten, both speech and occupational therapy can help with writing. We both target copying words , writing uppercase letters , writing on a single baseline with good spacing , and writing their name . Here is how we are different…

I want to learn more about how occupational and speech therapy work on writing!

If you would like a deeper understanding on how occupational therapy and speech therapy work on writing or for older children in their different therapeutic approaches, check out these blogs by Regina and Tiffany:

The post Writing: Whose Job Is It Anyway? appeared first on PPT4Kids .

Speech Therapy: Approach to Writing

Mon, 09 Nov 2020 17:10:00 GMT

Written by: Regina De Canto, M.S, CCC-SLP

When it comes to writing, what exactly are speech therapists looking for and how are they helping their young clients?

Speech therapy works on expressive and receptive language- even with writing! With spoken language, there are many rules we follow that fall under morphology (e.g., putting a “s” for regular plurals), semantics (e.g., vocabulary), syntax (e.g., how we organize the words we use in our sentences), and pragmatics (e.g., talking for a variety of purposes). Speech therapy addresses these same subsystems of language in written expression. Since writing is such a dynamic and multisensory process, it is complex and can be overwhelming for some of our young children.

It may not be developmentally appropriate for preschoolers to work on writing , per se, but we can certainly work on prerequisite skills that are necessary for the foundation of writing. Speech therapy would address working on numbers , letter names , and their corresponding sounds . At this age, preschoolers should be able to recite their letters and know what sounds each letter makes. They should also be able to recognize their name and even know how to spell their name. We work on this through:

Kindergarten is the appropriate age to work on the basic, foundational skills of reading and writing. Speech therapy works on children writing their name, copying words and phrases, and spelling basic words. We are looking for our children to be able to write on a line, as opposed to having letters trail up or below the line. Letters should also be oriented correctly and have an appropriate space between letters and words. At this age, letter reversals are fine for now- but we would address that in speech therapy, too!

As children get older, their writing skills will progress to using more words in a sentence to describe objects or events. They are also following more complex academic directions like fill in the blank and creating basic sentences on their own. By this time, letter reversals should be eliminated. In the picture below, it should say “a big ball”, but the “b’s” are upside down. If we are still seeing significant letter reversals like in the picture below, your child may be showing signs of dyslexia.

Finally, in the later elementary school years, children are learning to write for a variety of purposes. They are learning to adjust their writing styles to narrate a story, write an informative paragraph, or even write a thank you letter. Speech therapy addresses how to adapt their writing to use more mature vocabulary and dynamic sentence structures like in the examples below:

You can help your child with their writing needs outside of speech therapy, as well! Speech therapists will show you what to look for with your child’s writing and strategies to promote their expressive language through writing at home or even apply it to what they are already doing at school. Keep an open dialogue with your speech therapist to find out other ways you can help your child!

Do you have concerns with your child’s writing development? Contact us for a Free Screening!

The post Speech Therapy: Approach to Writing appeared first on PPT4Kids .

Occupational Therapy in Handwriting for Early Education and Elementary Years.

Mon, 09 Nov 2020 17:07:00 GMT

Written By: Tiffany Thomsen, MS, OTR/L

When it comes to writing, what exactly are occupational therapists looking for and how are they helping younger children?

Remember: OTs are responsible for assessing and addressing a child’s fine motor skills , which includes how they use their fingers and hands, as well as strength in the hands and fingers. They also look at bilateral hand skills , which is the ability to use both hands together. OTs also look at visual motor skills , which is how a child uses their hands and eyes together to execute tasks. Occupational therapists are also always taking into account if a child can sit still, while holding their body upright at a table top, and their ability to focus on the task of writing.

Children of preschool age are developing their hand strength and skills to prepare them for writing. OTs engage children in developing fine motor skills through fun activities and play which engage all their senses, which is referred to as multi sensory learning . Often therapists use playdoh to roll and squish to get little fingers and hands moving. Cutting and gluing, using real school, help to build strength and arches in the hands. Tearing paper and sticker activities are great for developing and refining pincer grasp and bilateral hand skills. Occupational therapists like to use different types of textures and crafts to help little hands build strength and develop for precise movement needed for writing.

Children in this age group are learning to identify the letters and they need to learn how to draw foundational shapes. These are vertical and horizontal lines, circle, cross, square, diagonal lines, triangle, and intersecting diagonal lines (X). These tasks are the basis for learning to write.

What should my Kindergarten aged child be working on?

Kindergarten aged children continue to work on developing fine motor skills for an appropriate writing grasp. They are often learning to write upper case letters first, because there are less strokes used to form them. They are also learning to write their name. OTs will focus on fine motor activities, letter formation, using space they are given for writing tasks, which is usually 1 inch lines or boxes.

It is important to remember that handwriting is a progressive skill that relies on the development of earlier skills. Children who have fine motor difficulties may need to continue working on earlier skills until they are ready for a more mature skill.

How should I expect my elementary school aged child to progress in handwriting skills?

As kids move up in the early elementary years into first and second grade, children are strengthening their letter formation skills, and they are learning about placement of lowercase letters in relation to each other. They are also starting to write within a smaller space, usually ½ inch lines, and are learning about spacing within words and between words. These skills require a combination of fine motor skills and visual perceptual skills. In these years, OTs are addressing fine motor skills, postural skills needed to sit and write, and attention. OTs are often addressing visual motor skills as well, which includes a child’s visual perceptual abilities to perceive, control their eyes, and how objects relate to each other in space ( spatial awareness) .

From third to fifth grade, the writing demands on children increase with the years. So while OTs continue to address fine motor abilities, visual motor skills, posture, self-regulation, and attention, they also begin to look at speed and endurance for writing tasks, as well as switch visual attention between the board or a book and the child’s notebook or paper. During this time, children start to write in much smaller spaces, like traditional notebook paper. This allows them to write quicker.

In addition to occupational therapy services to address your child’s handwriting difficulties, families can provide support at home too. Talk to your therapist about providing a fine motor home exercise program, which can be performed daily followed by 5 minutes of supervised handwriting practice to carryover skills addressed in their therapy session.

Do you have concerns with your child’s handwriting or fine motor skills? Comment Below and Contact us for a free screening!

The post Occupational Therapy in Handwriting for Early Education and Elementary Years. appeared first on PPT4Kids .

Sensory Strategies During Virtual Schooling

Wed, 21 Oct 2020 13:55:00 GMT

Written by: Kathryn Ring, OTR/L & Tiffany Thomsen, OTR/L. Edited by: Tara Ghorbani, OTR/L.

Why are sensory breaks beneficial?

How can I provide sensory breaks throughout the school day?

During the virtual school day, teachers will be providing “brain breaks” and students will be participating in classes such as PE and music that will incorporate movement into your child’s day. However, some children may need additional movement breaks or a sensory diet incorporated into their school day at scheduled intervals in order to remain emotionally regulated and/or be able to focus on learning opportunities. Progressive Pediatric therapist’s can provide individualized sensory break ideas based on your child’s needs. See below for more suggestions:

Movement Sensory Break Ideas:

Sensory Mouth Tools to Enhance Focus:

Have you tried any of these sensory strategies at home? Share in the comments below!

The post Sensory Strategies During Virtual Schooling appeared first on PPT4Kids .

Promoting Positive Behavior during Virtual Schooling!

Wed, 21 Oct 2020 02:56:00 GMT

Written by Kathryn Ring OTR/L & Tiffany Thomsen OTR/L, edited by Danielle Olmstead COTA/L

How can I encourage positive behaviors at home during the virtual school day?

When we look at behavior it’s important to understand behavior is a form of communication. Children sometimes are unable to communicate their needs whether it’s due to medical, physical, emotional, cognitive, developmental, speech, or language. All behaviors have a specific purpose and when we understand the purpose, all children can feel safe, heard, valued and in turn, successful and resilient.

What are the different reasons for behavior and how can I help?

The 4 most common reasons for behavior are: seeking attention, wanting to escape, expressing a need, and sensory. As a parent, work with your Progressive Pediatric therapist to figure out the behavioral trigger. Try to remove the trigger and see if the behavior continues. If the behavior continues, your therapist can:

Are negative consequences okay?

The answer is yes. However, punishment can reinforce the inappropriate behavior. The following are important recommendations to consider regarding negative consequences:

Share with us in the comments some fun ways you have encouraged positive behavior, we would love to hear the different techniques you guys are using!

The post Promoting Positive Behavior during Virtual Schooling! appeared first on PPT4Kids .

Back to School: Let’s Get Organized!

Mon, 19 Oct 2020 01:52:00 GMT

Written by: Kathryn Ring, OTR/L, Tiffany Thomsen, OTR/L, and Eva Patel, OTR/L

Why are organizational strategies important?

We all have heard of the saying, “Time is money.” A famous quote by Benjamin Franklin reads, “ “For every minute spent in organizing, an hour is earned.”

Tying the two quotes into our days, some of us feel like we are always running out of time. By the time we receive a chance to breathe, it is dark and time to hit the bed. It is now time to introspect, identify a need, and act on it! Together, we can do it! It is important to stay organized to make the most out of our child’s education, hobbies, work-life balance.

How organized are you?

We ask that you answer 10 question quiz from Marcia Ramsland. If you score anywhere from 10-69 points, we ask that you continue reading the blog and pass it on to friends who may benefit! https://organizingpro.com/how-organized-are-you/

How can I help my child stay organized?

Part of a child’s learning experience with being in school is using a planner to stay organized with assignments. With school being virtual, children will be provided with their schedules already created for them. It is important that we continue to promote organizational skills as this is a critical skill that will carry throughout the lifespan. Having children participate in an organizational strategy whether a checklist or filling out a calendar or planner as part of their virtual school experience will help children to see the big picture of their day/week/month and allow for a sense of control, ownership, and responsibility for their learning

What are some effective organizational strategies?

Try this FREE Weekly Schedule Template PDF!

Download

Have you tried some of these organizational techniques? Do you have any other favorite ways to organize? Share with us in the comments!

The post Back to School: Let’s Get Organized! appeared first on PPT4Kids .

Halloween 2020: Safe & New Traditions during COVID-19.

Tue, 06 Oct 2020 16:41:00 GMT

Written by: Brittini Barnes, OTR/L, Teresa Hans, OTR/L, & Tiffany Thomsen, OTR/L

Pumpkin spice everything has returned, humidity is lowering a little bit in South Florida, and back to school supplies are starting to go on clearance in stores…. which can only mean one thing- Fall is here!

One of the holidays we look forward to the most each year is Halloween! From dressing up in creative costumes, celebrating with yummy treats and fun toys, putting up spooky or silly decorations, and carving jack-o-lanterns- Halloween is a tradition for many families! This year Halloween falls on a Saturday, allowing for all kids and families to join in the festivities without the worry of having school the next day. However, COVID-19 has thrown a wrench into Halloween 2020 plans for most!

Never fear- because there are so many safe, and fun ways to still participate in Halloween and Fall celebrations while following CDC recommended guidelines. You may even create a new tradition this year!

How can families safely trick-or-treat this year?

Remember- it is important to wear a mask that helps to block particles in the air, carry hand sanitizer on the route, and maintain physical distancing of at least 6 feet from other people around the neighborhood or other communities. Plan in advance with others in your neighborhood how people will pass out candy.

An alternative is to plan a Trunk-or Treat with friends or neighbors at a park or some other area. Families can also plan drive-by trick-or-treating which work just like COVID drive-by birthday parties.

Try these safety tips for passing out candy in your neighborhood or during a trunk or treat:

I’m not ready to venture out with others- How can I celebrate at home?

There are plenty of ways you can turn Halloween into a fun family activity this year! Try a twist on the Easter Egg hunt, but get some glow in the dark eggs, or simply use eggs with Halloween friendly colors or designs. Decorate your lawn with tombstones and hide eggs filled with candy and prizes around the yard. Here are some Halloween friendly eggs for purchase on Amazon (paid links):

Skull themed eggs:

Green colored eggs:

Emoji themed eggs:

Another family friendly activity it to make a silly scavenger hunt with clues that the family can solve to search around the house for candy and prizes. Check out this link for a ready to print scavenger hunt: https://www.playpartyplan.com/free-printable-halloween-scavenger-hunt/

Try a new family tradition of having a Halloween Piñata! Check out these fun piñatas found on Amazon (paid links):

Or if you are feeling really crafty, you can make one on your own. Click here to see 10 creative ideas and instructions for making your own Halloween piñata from the Do-it-yourself Network. https://www.diynetwork.com/how-to/make-and-decorate/entertaining/creative-halloween-pinata-ideas-pictures

What are some other low prep/low cost ways to celebrate Fall & Halloween at home?

Plan a Halloween Movie Marathon complete with pizza, popcorn, and caramel apples!

Check out the library or streaming platform of choice for some of these fun, child-friendly Halloween movies:

Want to join other friends safely? Host a Zoom Halloween dance party and jam to Halloween friendly music or learn the dance from Thriller together.

How do you plan to celebrate Halloween this year? Share with us in the comments!

The post Halloween 2020: Safe & New Traditions during COVID-19. appeared first on PPT4Kids .

Retelling: It Is Not Just For School!

Sun, 27 Sep 2020 19:34:00 GMT

Written by Regina De Canto, M.S, CCC-SLP

How often do you ask your child “What did you do at school today?” or “What was the story about” only to get a 1- or 2-word response?

Well, those questions ask our kids to RETELL! Story recall or retelling involves a lot of different language and executive function processes such as comprehending a story, organizing their thoughts in a sequential order, and then expressing themselves in a way that is understood to the listener. This simple task can be quite complex for some of our little storytellers!

There are many fun ways we can work on retelling skills at home!

Drawing

Sometimes writing a summary of a story can be frustrating because your child is so focused on spelling, grammar, when to use a capital letter, or punctuation marks…Yikes! Drawing is an exciting opportunity for your child to express themselves and help organize their thoughts when they are recalling a story or event. Draw a line to separate your paper into 2 or 3 sections for your child to draw a picture of what happened in the beginning, middle, and end of the story. Then, have your child tell about each picture in their own words!

Role Playing

Kids love to be silly! Role playing is a great way to act out the different events of the story and spark imagination and creativity with your child. Have your child act out the different events in the story as the main character. They can explore using silly voices or facial expressions to match the character!

Photo Albums

Print out pictures of holidays or vacations and glue them on to construction paper to make your child’s very own photo album! Having photos of their special day will encourage your child to reminisce on how much fun they had and talk through the details of their day.

Play Pretend

Grab your child’s favorite stuffed animal, action figure, or doll and play out the story. Pretend play is a fantastic approach for our young or shy kids! Each toy can be a different character to reenact the story while you are also playing to facilitate the storyline.

Retelling is such an important communicative and academic skill. We use these skills in various ways from summarizing a book we’ve read to talking about our favorite birthday memory. You can help your child with these skills in a variety of fun ways that will make them feel unique and special!

Which of these activities would your child have fun doing to retell? Share with us in the comments below!

The post Retelling: It Is Not Just For School! appeared first on PPT4Kids .

Ergonomics, Flexible Seating, & Eye Health during Virtual Learning

Fri, 18 Sep 2020 19:58:00 GMT

Written by Kathryn Ring, OT, & Tiffany Thomsen, OT. Edited by Teresa Hans, OT.

How Should my child be positioned at a table?

When we talk about ergonomics, or positioning of a child to promote optimal success and attention to learning, it’s important to understand the 90/90/90 rule.

What does this mean?

Children should be sitting with their hips, knees, and feet at 90-degree angles with feet resting comfortably on the floor. The desk and chair height should allow a child to rest their arm and trunks comfortably. While it is important to follow the rules of ergonomics to support sitting posture and optimal positioning during learning, we also need to change positions throughout the day and for some children flexible seating options are more beneficial to improve attention and learning.

Does my child have to sit at a table? Does my child have to remain seated in a regular chair?

The answer is no !

With children entering into a virtual school year, know that it is okay if your child doesn’t sit at a table or desk all day long! Many children actually learn better and are able to focus on their work for longer when laying on their bellies or their sides.

Why?

Children gain organizing and regulating sensory input through deep pressure when they are on their elbows and bellies. When their necks are extended, their brain stems are activated and this can regulate or calm the nervous system. In turn, these positions promote attention to their learning and assignments. Children also gain shoulder strength and stability which is important for fine motor and visual motor development.

Using flexible seating options are another great alternative to provide sensory input and movement and supporting optimal positions for learning.

Here are just a few different types of flexible seating options available!

Children’s Stability Ball Chair: This chair promotes an upright posture, while allowing the child to gain sensory input through movements and postural adjustments while seated.

Surf Portable Lap Desk: This portable desk can travel anywhere! It uses the weight of the child’s body to stay upright, and can easily be used on the go, outside, or wherever your child’s virtual learning brings them! This chair is best for kids who are 6+.

Wobble Chairs: This chair supports an upright posture, contributes to a strengthening a child’s core, and allows for movement. This chair is great for children with an ADD or ADHD diagnosis.

Wobble Cushion: This cushion can be used on most regular chairs, and will provide a child movement and sensory input during learning! It is easily portable, and great for children with a wide range of abilities and needs.

If you are unsure what is best for your child your therapist can assist in making a recommendation based on your child’s unique needs.

How do I know if my child is positioned comfortably?

If you see your child sitting with slumped posture, sitting on their legs, reaching too far, swinging their feet, or wanting to stand, this is a form of communication. Your child may need adaptations to their table, chair, or may be communicating they are uncomfortable or having trouble focusing and need modifications. Progressive Pediatric Therapists can provide individual guidance and recommendations to families based on the child’s learning needs for ways to incorporate different learning positions into your child’s virtual school day!

How can I help my child prevent eye strain?

Consider the 20-20-20 rule while working on computers or tablets. For every 20 minutes of work on a screen, have your child look at something 20 feet away for 20 seconds.

Purchase children’s bluelight glasses. Bluelight glasses will help your child to focus on the computer screen for longer periods of time and will enhance your child’s enjoyment and engagement in their virtual school day. Here is a pair of blue light glasses for kids:

Have questions or comments on flexible seating for your child? Comment Below!

The post Ergonomics, Flexible Seating, & Eye Health during Virtual Learning appeared first on PPT4Kids .

Back to School: Multi-Sensory Learning

Thu, 03 Sep 2020 02:50:00 GMT

Written by: Kathryn Ring, OT & Tiffany Thomsen, OT. Edited by: Teresa Hans, OT.

Why is multi-sensory learning important during the virtual school day?

The truth is, all children benefit from hands-on learning.

Why?

Providing children with multi-sensory opportunities helps build connections to learning. Using sight, hearing, movement, and touch stimulates the brain in a variety of ways to allow the brain to form meaningful memories that will integrate to form lifelong memories and higher level functioning. With school being virtual, teachers are excited to provide interactive learning options for their students. Teachers have been in training since the beginning of the pandemic preparing to offer innovative ways to provide engaging experiences for their students through the virtual platform. Based on your child’s individual learning goals and assignments, Progressive Pediatric therapists can also provide creative ways to use at home common items to incorporate multi-sensory learning opportunities into their virtual school day to supplement the virtual experiences and provide rich, hands-on learning experiences within the home.

How can I incorporate multi-sensory learning into my child’s virtual school day?

Try these activities using common, everyday materials found in the home:

Have you tried some of these multi-sensory techniques? Do you have any other favorite ways to reinforce learning through use of multi-sensory instruction and play? Share with us in the comments!

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Assistive Technology (AT) Resources

Wed, 29 Jun 2016 14:47:00 GMT

The Florida Alliance for Assistive Services and Technology, Inc. serves Floridians with disabilities by providing free access to information, referral services, educational programs, and publications in accessible formats on topics such as disability rights, laws, and policies. They also provide assistive technology (AT) device loans as well as funding opportunities for AT. With loans, you can test drive the equipment or software prior to committing to buying one. They also have a new online system where you can find new or used AT equipment or free or at a reduced price. Visit https://www.faast.org / for location information.

Facebook is another great resource regarding AT as well as groups for the resale of new or used equipment. Search for Facebook groups that may relate to your child’s disability or disorders. These social networks assist in providing resources, information, and a support community to ask questions regarding a variety of topics. Facebook also has groups geared towards the resale of gently used or new equipment. For example the group “special needs gently used medical equipment for sale” is a group in which the community can post different medical equipment that is for sale. Other groups exist for specific regions of Florida or the country. Just search general terms such as: special needs, medical equipment.

Lastly, check out our website www.ppt4kids.com and click “New Patients” for a list of pediatric partners in our community. This list contains many different vendors with whom we collaborate with for medical and therapy equipment. You can also contact us to schedule an appointment at one of our wheelchair/adaptive equipment clinics to get evaluated, measured, and fitted with wide range of adaptive equipment, including complex seating, custom molded seating, power wheelchairs, and alternative access methods for power mobility such as use of head arrays, touch pads, etc.

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