Programs & Services/Occupational Therapy
Occupational Therapy
What is Occupational Therapy?
Occupational Therapy is a developmental intervention that enhances a child’s ability to successfully function within their environment, both at home and at school. Occupational Therapists work with children facing physical delays, educational delays, cognitive delays, self-care delays or sensory processing disorders that may affect their developmental performance.
Who are The Children’s Centers Occupational Therapists?
Occupational Therapy staff is experienced with treating children with various disabilities including, but not limited to, Autism Spectrum Disorders, Cerebral Palsy, Down Syndrome, and ADHD. Children experiencing delays in sensory development, fine motor skills, visual perception, and visual motor skills benefit from the over 50 years of combined experience of our Occupational Therapists. The Children’s Center Occupational Therapists are fully licensed by NYS.
What is the focus of Occupational Therapy?
Play - interacting with age-appropriate toys, games, equipment and activities.
Education - achieving in the learning environment.
Social Participation - developing appropriate relationships and engaging in behavior that doesn’t interfere with learning, self-help, self-care or social relationships.
Sensory Processing Integration - ability to process and respond to sensory information within the environment. Treatment usually consists of interventions that focus on providing the child with different sensory experiences and helping them become accustomed to those experiences.
Upper Body Development and Fine Motor Development - strengthen and refine motor development skills in order to access and manipulate various educational materials, toys, and objects encountered by the child during everyday activities.
What does an Occupational Therapist do?
A child’s “occupation” is play. To further skill development Occupational Therapists provide: Fun and innovative age-appropriate activities to teach targeted skills in new ways.
Hands-on, open-ended and developmentally appropriate tasks to ensure attainment of Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP) goals.
Opportunities to enhance the child’s abilities while considering accommodations in positioning, adaptive equipment, modification of the environment, strengthening, movement, sensory motor and motor planning issues.
My child seems to have poor fine motor skills. What can I do?
Nothing is more motivating to a child than toys and playing. The activities chosen should be experienced as fun. The child’s focus is on play, rather than on consciously “working” to improve a skill. Let your child play with play dough or silly putty. Practice cutting it with safety scissors or a plastic knife. Games such as Operation, Hungry Hungry Hippo, and Ants in the Pants are great games to play with your child to promote fine motor skills and hand strength.
What is Sensory Integration (SI)?
All human beings receive information from their environment through the senses: vision, hearing, touch, taste, smell, and vestibular (movement) and proprioception (information from muscles and joints).
Sensory Integration is the ability to take in information from one’s own body and the environment, process the information, and respond functionally and appropriately. This process enables us to recognize, use and organize everyday sensory information in order to interact effectively with our environment. Sensory Integration is part of the foundation for learning and the acquisition and development of gross motor skills and fine motor skills, motor planning, attention, coordination and behavior.
My child displays decreased attention and hyperactivity. What can I do?
Movement and “heavy work”, the information the brain sends to muscles and joints, are very important experiences to the developing child. Make time for activities like swinging, push-pull games and jumping activities. Include in your family’s life, opportunities for sensory integration through time spent at children’s museums, hiking, and swimming.
The Children’s Center at UCP provides spacious treatment areas with multi-sensory environments in our Therapeutic Sensory Motor and Play Space. The Center houses a state of the art Sensory Room (Snoezelen Room) providing a dedicated space where external stimuli and the environment can be manipulated to intensify or reduce input according to a child’s therapeutic needs.
Glossary
Extension: A straightening action of a joint (neck, back, arms, legs).
Fight-Or-Flight Response: The instinctive reaction to defend oneself from real or perceived danger by becoming aggressive or by withdrawing.
Figure-Ground Perception: The ability to perceive a figure in the foreground from a rival background.
Fine Motor: Referring to movement of the muscles in the fingers, toes, eyes and tongue.
Fine Motor Skills: The skilled use of one’s hands. It is the ability to move the hands and fingers in a smooth, precise and controlled manner. Fine motor control is essential for efficient handling of classroom tools and materials. It may also be referred to as dexterity.
Fixation: Aiming one's eye at an object or shifting one's gaze from one object to another.
Flexion: A bending action of a joint or a pulling in of a body part.
Focusing: Accommodating one's vision smoothly between near and distant objects.
Form Constancy: Recognition of a shape regardless of its size, position, or texture.
Gravitational Insecurity: Extreme fear and anxiety that on e will fall when one’s head position changes.
Gross Motor Skills: Coordinated body movements involving the large muscle groups. A few activities requiring this skill include running, walking, hopping, climbing, throwing and jumping.
Habituation: The neurological process of tuning out familiar sensations.
Hand Preference: Right - or lefthandedness, which becomes established in a child as lateralization of the cerebral hemispheres develops.
Hypersensitivity: (also Hyper-reactivity or Hyper-responsiveness). Oversensitivity to sensory stimuli, characterized by a tendency to be either fearful and cautious, or negative and defiant.
Hypersensitivity to Movement: A sense of disorientation and/or avoidance of movement that is linear and/or rotary.
Hyposensitivity: (also Hyporeactivity or Hyporesponsiveness). Undersensitivity to sensory stimuli, characterized by a tendency either to crave intense sensations or to withdraw and be difficult to engage.
Inner Drive: Every person's self-motivation to participate actively in experiences that promote sensory integration.
Integration: The combination of many parts into a unified, harmonious whole.
Kinesthesia: The conscious awareness of joint position and body movement in space, such as knowing where to place one’s feet when climbing stairs, without visual cues.
Lateralization: The process of establishing preference of one side of the brain for directing skilled motor function on the opposite side of the body, while the opposite side is used for stabilization. Lateralization is necessary for establishing hand preference and crossing the body midline.
Linear movement: A motion in which one moves in a line, from front o back, side to side, or up and down.
Low Tone: The lack of supportive muscle tone, usually with increased mobility at the joints; the person with low tone seems “loose and floppy”.
Midline: A median line dividing the two halves of the body. Crossing the midline is the ability to use on side or part of the body (hand, foot, or eye) in the space of the other side or part.
Modulation: The brain's ability to regulate it's own activity.
Motor Control: The ability to regulate and monitor the motions of one’s muscle group to work together harmoniously to perform movements.
Motor Coordination: the ability of several muscles or muscle groups to work together harmoniously to perform movements.
Motor Planning: The ability to conceive of, organize, sequence, and carry out an unfamiliar and complex body movement in a coordinated manner, a piece of praxis.
Muscle Tone: The degree of tension normally present when one’s muscles are relaxed, or in a resting state.
Oscillation: Up and down or to and fro linear movement, such as swinging, bouncing, and jumping.
Perception: The meaning the brain attributes to sensory input.
Plasticity: The ability of the brain to change or to be changed as a result of activity, especially as one responds to sensations.
Position in Space: Awareness of the spatial orientation of letters, words, numbers, or drawings on a page, or of an object in the environment.
Postural Adjustments: The ability to shift one's body in order to change position for a task.
Postural Insecurity: A fear of body movement that is related to poor balance, and deficient "body-in-space" awareness.
Postural Stability: Being able to maintain one's body in a position to efficiently complete a task or demand, using large muscle groups at the shoulders and hips.
Praxis: The ability to interact successfully with the physical environment; to plan, organize, and carry out a sequence of unfamiliar actions; and to do what one needs and wants to do.
Praxis is a broad term denoting voluntary and coordinated action. Motor planning is often a used as a synonom.
Prone: A horizontal position of the body where the face is positioned downward.
Proprioception: The unconscious awareness of sensations coming from one’s joints, muscles, tendons, and ligaments; the “position sense”.
Receptive Language: The ability to understand how words express ideas and feelings; language that one takes in by listening and reading.
Rotary Movement: turning or spinning in circles.
Self-Help Skills: Competence in taking care of one's personal needs, such as bathing, dressing, eating, grooming, and studying.
Self-Regulation: The ability to control one’s activity level and state of alertness, as well as one’s emotional, mental or physical responses to senses; self-organization.
Sensorimotor: pertaining to the brain-behavior of taking in sensory messages and reacting with a physical response.
Sensory Defensiveness: A child's behavior in response to sensory input, reflecting severe over-reactions or a low threshold to a specific sensory input.
Sensory Diet: the multisensory experiences that one normally seeks on a daily basis to satisfy one’s sensory appetite; a planned and scheduled activity program that an occupational therapist develops to help a person become more self-regulated.
Sensory Dormancy: A child's behavior in response to sensory input, reflecting under-responsiveness or a high threshold to a specific sensory input.
Sensory Input: The constant flow of information from sensory receptors in the body to the brain and spinal cord.
Sensory Integration: The normal neurological process taking in information from one’s body and environment through the senses, of organizing and unifying this information, and using it to plan and execute adaptive responses to different challenges in order to learn and function smoothly in daily life.
Sensory Integrative Dysfunction: The inefficient neurological processing of information received through the senses, causing problems with learning, development and behavior.
Sensory Integration Theory: A concept based on neurology, research and behavior that explains the brain-behavior relationship.
Sensory Integration Treatment: A technique of occupational therapy, which provides playful, meaningful activities that enhance and individual’s sensory intake and lead to more adaptive functioning in daily life.
Sensory Modulation: Increasing or reducing neural activity to keep that activity in harmony with all other functions of the nervous system. Maintenance of the arousal state to generate emotional responses, sustain attention, develop appropriate activity level and move skillfully.
Sensory Orientation: Selective attention, supporting our inner drive to engage with the stimulus, respond and learn.
Sensory Processing Skills: The ability to receive and process information from one’s sensory systems including touch (tactile), visual, auditory (hearing), proprioceptive (body position) and vestibular (balance). Behavior, attention and peer interactions are greatly influenced by the child’s ability to process sensory stimuli.
Sensory Registration: Initial awareness of a single input. Assigning value and emotional tone to a stimulus.
Sensory Threshold: Individual neural responses to sensory input across each sensory system. The point at which the summation of sensory input activates the central nervous system. This is the mechanism that drives our reactions to sensory input and whether we over-react or under-register the input.
Somatosensory: Referring to tactile-proprioceptive perception of touch sensations and body position; body sensing.
Spatial Awareness: The perception of one's proximity to, or distance from, an object, as well as the perception of the relationship of one's body parts.
Supine: A horizontal body position where the face is positioned upward.
Tactile: Refers to the sense of touch and various qualities attributed to touch: to include detecting pressure, temperature, light touch, pain, discriminative touch.
Tactile Defensiveness: The tendency to react negatively and emotionally to unexpected. Light touch sensations.
Tactile Sense: The sensory system that receives sensations of pressure, vibration, movement, temperature and pain, primarily through receptors in the skin.
Tracking: Following a moving object or a line of print with the eyes.
Vestibular: Refers to our sense of movement and the pull of gravity, related to our body.
Vestibular Sense: The sensory system that responds to changes in head position and to body movement through space, and that coordinates movements of the eyes, head and body. Receptors are the inner ear.
Visual Discrimination: Differentiating among symbols and forms, such as matching or separating colors, shapes, numbers, letters, and words.
Visual Figure-Ground: Differentiation between objects in the foreground and in the background
Visual-Motor: Referring to one’s movements based on the perception of visual information.
Visual Motor Skills: The ability to visually take in information, process it and be able to coordinate your physical movement in relation to what has been viewed. It involves the combination of visual perception and motor coordination. Difficulty with visual motor skills can result in inaccurate reaching, pointing and grasping of objects, as well as difficulty with copying, drawing, tracing and cutting.
Visual-Perception: The ability to perceive and interpret what the eyes see.
Visual Perceptual Skills: The ability to interpret and use what is seen in the environment. Difficulties in this area can interfere with a child’s ability to learn self-help skills like tying shoelaces and academic tasks like copying from the blackboard or finding items in a busy background.
Visual-Spatial Processing Skills: Perceptions based on sensory information received through the eyes and body as one interacts with the environment and moves one’s body through space. Including: Depth perception, directionality, form constancy, position in space, spatial awareness, visual discrimination, visual figure-ground.