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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

203-341-0178
943 Post Rd E Suite A
Westport, CT 06880
bbpedot@yahoo.com
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All About Crawling!

January 18, 2024 By admin

What is crawling?

Crawling is an important developmental milestone for infants that typically occurs prior to learning to walk when the infant is around six to ten months old. This is a gross motor skill that allows infants to interact with their environment and seek social interaction. Crawling is a fundamental part of development and can be demonstrated in many different ways. When infants crawl in non-conventional ways, it doesn’t necessarily indicate motor delay; rather it may suggest that the infant has found the most efficient way for themselves to navigate their surroundings. There are five types of crawling patterns that will be discussed in this blog post.

  • Creeping: the pattern you would most likely envision when you think of crawling. It consists of a reciprocal motion between the arms and legs that results in movement.

  • Bear Crawl: similar to the aforementioned crawling pattern, but instead, the child is performing the reciprocal movements with their hands and feet on the floor, leaving their behind up in the air.

  • Army Crawl: for this pattern, the child is positioned on their stomach while propped up on their elbows. A pulling motion with the arms leads to this movement.

  • Scoot Crawl: this is a less efficient movement pattern that consists of the child sitting on their behind while pulling themselves with their arms.

  • Rolling Crawl: this is when instead of using either the arms or legs to initiate movement, the child shifts their weight and rolls in the direction of their choosing. 

 

What are the benefits of crawling?

Crawling is important for the development of reflexes, coordination and strength, and sensory-motor skills. 

  1. One of the sensory-motor skills targeted during crawling is tactile sensation. Crawling can help to develop the palmar arches in the hand (the curved structure in the palm of the hand when the fingers are bent). This helps development because these structures let the hand grasp and pinch objects, which helps with the development of handwriting. Crawling also provides an opportunity for the integration of proprioceptive input through weight bearing on the hands and knees during the movement. Proprioception helps one develop an awareness of their body’s position and movement in space. It plays a significant role in motor planning, coordination, and body awareness.
  2. Crawling is also crucial in the development of full body strength. This movement, for the most part, requires the stability of the arms and legs to support the body. The repeated pulling and pushing motions help to generate arm and leg strength as well as core stability. Both the stomach and back muscles are engaged when crawling and this helps with the development of posture and overall stability. Crawling also helps to develop coordination skills through the reciprocal arm and leg movements between the left and right sides. This movement facilitates the development of using both sides of the body and the capability to cross the body’s midline.
  3. Reflexes are involuntary, automatic movements controlled by the brain stem. A major reflex that helps to develop a crawling pattern is the Symmetrical Tonic Neck Reflex (STNR). This reflex causes the reciprocal movement seen with crawling and helps with getting infants in the hands and knees position. It allows for independent movement between the upper and lower half of the body. When the infant’s head is bent forward, their legs straighten and their arms bend. When their head is tilted backwards, the legs bend and the arms straighten. 

What would happen if crawling doesn’t occur?

Recently, crawling was removed from the list of necessary developmental milestones for infants due to the fact that some infants skip crawling altogether and go right to walking. There is no universal timeline for infant development. Even though crawling is now deemed unnecessary, it is still important to encourage access to tummy time and various toys to promote the proper stimulation needed to learn and grow. The easiest way to promote crawling is by creating an optimal environment for exploration. Positioning the infant in a prone position will provide opportunity for these skills to develop. To relieve some of the weight off of their arms and legs, a rolled up towel or peanut ball can be placed under their belly. One can promote movement in this position by placing toys just out of reach such that the child has to extend themselves to grab them. Using this technique helps to develop skills that would be learned through crawling.

Though crawling is not technically a milestone, it provides a lot of integral information to the body as previously stated. If this were to happen, the STNR reflex would not be properly integrated, meaning that this reflex would remain involuntary, which could cause long term effects. Examples of this include poor hand eye coordination, slumping while seated, and overall clumsiness. Since crawling helps to strengthen the hand and arm, children that do not crawl can experience difficulty pushing up on their arms and with handwriting. Also, because crawling helps to integrate bilateral coordination, failure to crawl means a child may have a hard time using both sides of the body together in a controlled manner. This often makes it harder to dress, tie shoes, and leads to overall clumsiness. 

 

Is crawling just for infants?

No! It can be beneficial for individuals of all ages. Crawling is typically associated with infants, but older children can benefit both physically and cognitively when it is incorporated into their play or exercise routines. It can improve muscle strength, bilateral coordination, and can provide sensory input such as proprioception by bearing weight through the arms. It can also help cognitive development through problem solving and spatial perception skills. These skills used while crawling can contribute to the future development of many abilities, such as walking, reading, and cognition. 


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Why do pediatric OTs care about crawling? 🐻💙 Why do pediatric OTs care about crawling? 🐻💙

Crawling is about so much more than just helping your baby get from one place to another. It’s an important developmental skill that supports strength, coordination, sensory processing, and body awareness.

When babies crawl, they are building the foundation for future skills like walking, climbing, handwriting, and everyday activities. Crawling also encourages cross-body movement, helping both sides of the brain communicate and supporting overall motor development.

While every child develops differently, crawling provides so many opportunities for babies to explore, learn, and build important skills through movement.

Want to learn more about why crawling matters and how it supports your child’s development? 🧠✨

Check out our newest blog: “Why Crawling Is an Important Milestone”
🔗 Link in bio!

#PediatricOT #OccupationalTherapy #ChildDevelopment #BabyDevelopment #explorepages
Congratulations to our sweet Vivian Schmidt on her Congratulations to our sweet Vivian Schmidt on her high school graduation from Staples High! 💜

It is so hard to believe it’s time to say goodbye as you head off to Texas Christian University.

Over the past few years, you’ve become such a special part of the Building Blocks Pediatric Occupational Therapy Services family. Through your volunteering and internship, you’ve touched the lives of so many children with your kindness, patience, compassion, and joyful spirit.

You are every smile you’ve shared, every child you’ve encouraged, every laugh you’ve sparked, and every connection you’ve made. Those moments will stay with all of us forever.

We all love you, we’re so proud of you, and we know you’re going to accomplish incredible things. Keep chasing your dreams, and maybe one day you’ll come back as an occupational therapist and work alongside us. We’d love that more than you know.

Good luck at TCU, Vivian. Go shine your light, we can’t wait to see all you’ll accomplish! 💜🐸

#BuildingBlocksPediatricOTServices #TexasChristianUniversity #StaplesHighSchool #WestportCT #FutureOT
Welcome to Building Blocks Pediatric OT! ✨ Take Welcome to Building Blocks Pediatric OT! ✨ Take a peek inside our clinic and explore the spaces where children learn, play, and grow every day. From our fine motor room to our sensory gym, every area is thoughtfully designed to support development through meaningful, engaging therapy experiences. 💙
We’re proud to share our space with Speech & Feeding Kids, giving families access to both pediatric occupational therapy and speech-language pathology services in one convenient location.
📍 943 Post Rd E #A, Westport, CT 06880
We’d love to welcome your family to our clinic! 💙
#occupationaltherapy #pediatricot #westport #ᴇxᴘʟᴏʀᴇᴘᴀɢᴇ  @building_blocks_stories @speechandfeedingkids @justinecarol77 @drake079
Recognizing feelings is only the first step. Knowi Recognizing feelings is only the first step. Knowing what to do next is where true self regulation begins.

There are many wonderful programs that help children identify emotions and body signals, including the Zones of Regulation®, The Alert Program® (“How Does Your Engine Run?”), The Mood Meter®, The Incredible 5 Point Scale®, The Superflex® Curriculum, and The Color Monster®. These programs teach children to recognize how they feel through interoception, our ability to notice internal body sensations like a racing heart, tense muscles, butterflies in the stomach, or low energy.

But once a child recognizes how they feel…

Then what?

This is often the missing piece.

I created this quick visual guide to bridge the gap between recognizing body signals and choosing sensory strategies that help children regulate.

A child in the Red Zone may benefit from deep breathing, deep pressure, a quiet space, or asking for help. A child in the Yellow Zone may need movement, heavy work, or calming sensory input before becoming overwhelmed. A child in the Blue Zone may need alerting activities to wake up the brain and body.

Most importantly, every nervous system is unique.

What helps one child feel calm may make another child more alert. What energizes one child may overwhelm another. Self regulation is not about finding one strategy that works for everyone. It is about helping each child discover their own sensory toolbox through trial, observation, and practice.

This guide gives parents, teachers, therapists, and students a simple way to:
• Recognize body signals
• Connect feelings with sensory needs
• Choose regulation strategies
• Build independence and self awareness
• Develop lifelong self regulation skills

The goal isn’t just identifying emotions. It’s empowering children to understand their own nervous system and know what helps them return to a calm, regulated, and ready-to-learn state.

#Interoception #SensoryIntegration #explorepage #BuildingBlocksPediatricOccupationalTherapyServices #occupationaltherapy
Recognizing feelings is only the first step. Knowi Recognizing feelings is only the first step. Knowing what to do next is where true self regulation begins.

There are many wonderful programs that help children identify emotions and body signals, including the Zones of Regulation®, The Alert Program® (“How Does Your Engine Run?”), The Mood Meter®, The Incredible 5 Point Scale®, The Superflex® Curriculum, and The Color Monster®. These programs teach children to recognize how they feel through interoception, our ability to notice internal body sensations like a racing heart, tense muscles, butterflies in the stomach, or low energy.

But once a child recognizes how they feel…

Then what?

This is often the missing piece.

I created this quick visual guide to bridge the gap between recognizing body signals and choosing sensory strategies that help children regulate.

A child in the Red Zone may benefit from deep breathing, deep pressure, a quiet space, or asking for help. A child in the Yellow Zone may need movement, heavy work, or calming sensory input before becoming overwhelmed. A child in the Blue Zone may need alerting activities to wake up the brain and body.

Most importantly, every nervous system is unique.

What helps one child feel calm may make another child more alert. What energizes one child may overwhelm another. Self regulation is not about finding one strategy that works for everyone. It is about helping each child discover their own sensory toolbox through trial, observation, and practice.

This guide gives parents, teachers, therapists, and students a simple way to:
• Recognize body signals
• Connect feelings with sensory needs
• Choose regulation strategies
• Build independence and self awareness
• Develop lifelong self regulation skills

The goal isn’t just identifying emotions. It’s empowering children to understand their own nervous system and know what helps them return to a calm, regulated, and ready-to-learn state.

#Interoception #SensoryIntegration #explorepage #BuildingBlocksPediatricOccupationalTherapyServices #OccupationalTherapy
Wondering what happens during an occupational ther Wondering what happens during an occupational therapy session? 
What Is OT and What Will I Do There? was written to help take the mystery out of pediatric occupational therapy. Whether your child is preparing for their very first OT visit or you’re a parent, teacher, or therapist looking for a simple way to explain what OT is, this book makes it easy to understand.
Children will discover that OT is so much more than play. Every swing, obstacle course, craft, game, and activity has a purpose, helping build the skills needed for everyday life, including fine motor skills, sensory processing, self-care, emotional regulation, visual motor integration, and confidence.
My goal is to help children feel excited about therapy and help families understand the “why” behind everything we do. ❤️
Have you ever wondered what OT is all about?
#OccupationalTherapy #PediatricOT #ChildDevelopment #SensoryIntegration #explorepage
The Wilbarger Deep Pressure & Proprioceptive Techn The Wilbarger Deep Pressure & Proprioceptive Technique (DPPT)
Also known as the Wilbarger Brushing Protocol

The Wilbarger Protocol is a sensory-based OT intervention that provides deep pressure and proprioceptive input to help organize the nervous system, improve body awareness, and reduce tactile defensiveness.

Who may benefit?
• Tactile defensiveness
• Clothing or grooming sensitivities
• Emotional dysregulation
• Attention and transition difficulties
• Sensory seeking or avoiding behaviors
• Some children with sensory processing differences, ADHD, autism, or developmental delays

Brushing
🖐️ Firm, even pressure
• Brush proximal to distal
• No back-and-forth brushing
• Long, smooth strokes
• Keep the brush flat against the skin
• Brush arms, hands, back, legs, and feet only
🚫 Never brush the face, chest, stomach, or groin

Joint Compressions
🤲 Immediately follow brushing
• Support the limb
• Keep joints neutral
• Compress gently through the joint
• Never twist, pull, or force a joint

Benefits
✅ Better regulation
✅ Improved attention
✅ Increased body awareness
✅ Reduced tactile defensiveness
✅ Greater participation in daily activities

DPPT should only be taught and supervised by a trained occupational therapist and is individualized for every child.

💙 Helping children feel regulated, confident, and successful.

#OccupationalTherapy #explorepage  #SensoryProcessing #Brushing #WilbargerProtocol
It may look like a simple puzzle, but this activit It may look like a simple puzzle, but this activity is doing so much more!

Lying on a peanut ball helps build core and shoulder strength, postural control, and visual motor skills, all through play.

Want to learn why the peanut ball is one of our favorite OT tools? Read our latest blog. Link in bio!

#PediatricOT #OccupationalTherapy #explorepages #ChildDevelopment #PlayBasedLearning
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