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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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Becoming Kindergarten Ready!

March 17, 2022 By admin

Becoming Kindergarten Ready!

Within kindergarten is where children will learn to read and write. The transition into kindergarten is made easier when children enter the classroom having well-developed preschool skills: being ready academically, socially, and physically. In this blog post, developmental milestones achieved by ages 4, 5 and 6 will discussed.

The Developmental Progression of Fine Motor Skills:

  • By 4 years:
    • Builds tower of nine small blocks
    • Can copy block designs of up to 6 blocks
    • Tracing on thick lines
    • Threading a sequence of small beads onto string
    • Uses non-dominant hand to assist and stabilize the use of objects
  • By 5 years:
    • Colors within the lines
    • Pastes and glues appropriately
    • Can draw basic pictures
    • Copying a 9-block model
    • Can complete an 8 to 12 piece interlocking puzzle

 The Developmental Progression of Written Language and Handwriting Skills:

  • By 4 years old:
    • Copies prewriting lines of vertical, horizontal, and circle shapes
    • Begins to imitate a cross shape
    • Static tripod grasp begins to develop
    • Learns left to right progression of print
    • Knows some letter names and can identify 10 (more commonly those letters that are in their name)
  • By 5 years old:
    • Can draw a person with at least 3 different body parts
    • Has mastery of pre-writing shapes ( -, |, O, +, /, square, \, X, triangle)
    • Can connect a series of dots spaces ½ inch apart
    • Can write numbers 1 through 5
    • Can write their name
    • Learns that letters have sounds
    • Static tripod or quadruped grasp continues to develop
  • By 6 years old:
    • Learns all letter names and letter sounds for consonants
    • Knows all numbers
    • Can match letters to sounds
    • Learns some words by sight
    • Functional and effective grasp developed
    • Hand dominance continues to develop
    • Can draw a person with 6 or more body parts
    • Can name most uppercase letters but not all lowercase

The Developmental Progression of Scissor Skills:

  • By 2 years of age: can make one snip at a time
  • By 3 years of age: can snip forward along a line (this is a non-continuous motion)
  • By 4 years of age:
    • Can cut 6 inches along a straight line without assistance, staying within ¼ inch of the line
    • Can cut 6 inches along a curved line without assistance, staying within ¼ inch of the line
    • Can cut out a circle of at least 6 inches in diameter without assistance, staying within ½ inch of the line
  • By 5 years of age:
    • Can cut out a square at least 3 inches wide without assistance, staying within ½ inch of the line
    • Can cut out a triangle at least 3 inches wide without assistance, staying within ½ inch of the line

Developmental Progression of Gross Motor Skills:

  • By 4 years of age:
    • Can stand on one foot for up to 5 seconds
    • Throws a ball overarm
    • Catches a ball that has been bounced
    • Jumps over an object and lands with both feet together
  • By 5 years of age:
    • Can skip forward after demonstration
    • Hangs from a bar for at least 5 seconds
    • Catches a small ball using hands only
  • By 6 years of age:
    • Able to walk on a balance bean
    • Demonstrates mature throwing and catching patterns
    • Refined/mature jumping skills

Developmental Progression of Sound Awareness Skills:

  • By 5 years of age:
    • Recognizes/produces words with the same beginning sound (cat – cup)
    • Clapping/counting syllables in words (computer à com-pu-ter)
  • By 6 years of age:
    • Able to recognize words that rhyme and determine the odd word out
    • Can identify the first sound in a word
    • Can identify the last sound in a word

Developmental Progression of Receptive and Expressive Language Skills:

  • By 4 years of age:
    • Follows 3-part instructions (i.e., point to the monkey, the dog, and the pig)
    • Understand longer, more complex sentences
    • Uses nearly 1,500 words
    • Understands positions: bottom; behind; first; near; on; off; in; out; up; down; under; top; open; shut
  • By 5 years of age:
    • Can follow the meaning of others’ conversations
    • Can generally understand color and shape words
    • Can sort objects into simple categories (i.e. food, animals, colors)
  • By 6 years of age:
    • Follows multi-step instructions
    • Uses imaginative language in play

Developmental Progression of Social Skills/Play Skills:

  • By 4 years of age:
    • Plays beside other children
    • Treating dolls as if they are alive
    • Using symbols in their play
    • Taking turns with other children
    • Playing in groups of children (2 to 3)
    • Begin to talk about their feelings
  • By 5 years of age:
    • Playing with other children with shared aims within play
    • Playing imaginatively (dress up, cooking, etc.)
    • Engaging in games with simple rules (hide and seek, etc.)
  • By 6 years of age:
    • Engaging in play which includes themes never personally experienced (going to space)
    • Negotiating during play
    • Engages in well-organized play

Development of Self-Care:

Developmental Progression of Safety-Awareness:

  • By 4 years of age:
    • Understands common dangers of hot objects, stairs, and glass

Developmental Progression of Self-Feeding:

  • By 3 years of age:
    • Can use a fork to piece soft foods and bring to mouth
    • Can wipe mouth with napkin when given reminders
  • By 4 years of age:
    • Can swallow food in mouth before taking another bite
    • Refills a cup with some spilling
    • Can open several different kinds of food containers without assistance (juice with straw, snack bag)
    • Tolerates a range of different textured foods
  • By 5 years of age:
    • Outs appropriate amount of food in mouth and can chew with lips closed

Developmental Progression of Dressing Skills:

  • By 3 years of age:
    • Able to put on a t-shirt with a little help
    • Able to put on shoes, although right/left orientation may be incorrect
    • Able to pull down simple clothing (pants with elastic waist band) independently
    • Can button large front buttons
    • Able to zip and unzip a jacket if the shank is already connected
  • By 3.5 years of age:
    • Able to unzip a jacket and separate the shank
    • Able to find the front side of clothing and dress themselves with supervision
  • By 4 years of age:
    • Able to insert the shank together to zip up a jacket
  • By 5 years of age:
    • Able to dress independently
  • By 6 years of age:
    • Can tie shoes with practice

 

 


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🧠✨ Does your child struggle with executive fu 🧠✨ Does your child struggle with executive functioning or motor planning?

Difficulty getting started, following directions, staying organized, getting dressed, learning new movements, or completing routines may reflect developing skills—not a lack of motivation.

🧠 Executive functioning helps children plan, organize, focus, manage emotions, and complete tasks.

🤸‍♂️ Motor planning helps children figure out how to move their bodies for everyday activities, play, sports, and new skills.

Occupational therapy can help children:

✅ Break tasks into manageable steps
✅ Improve planning, coordination, and independence
✅ Build problem-solving and self-regulation skills
✅ Gain confidence at home, school, and during play

✨ Small steps lead to big accomplishments!

📲 Swipe through our parent guide to learn more. Save and share with a parent, teacher, or caregiver!

#OccupationalTherapy #ExecutiveFunctioning #MotorPlanning #PediatricOT #explore
🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛 Do 🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛

Does your little one bite when they’re frustrated, overwhelmed, excited, or just need some extra sensory input? 😬🫣

You are definitely not alone! 💕

SO many parents come to me looking for help with biting, and it’s something I address frequently as a pediatric occupational therapist! 🌈🧠

Here’s what I want parents to understand. Biting is often a form of communication! 💬

Sometimes it means:
🌀 My body feels overwhelmed!
😤 I’m frustrated!
🦷 My mouth needs sensory input!
🥺 I don’t know how to tell you what I need!
⚡ I need help regulating my body!

And here’s something SO important! ❤️

We want children to understand that biting is not okay, but having big feelings IS okay! 💕

Instead of children thinking, “I’m bad” or “I’m not good,” we want to teach them what their bodies need and what they can do INSTEAD of biting! 🙌

✨ That’s why I created this simple, parent-friendly guide! ✨

It’s filled with practical pediatric OT strategies to help you understand WHY biting happens, support regulation, and teach safer replacement behaviors. 🧸🦷🌈

Because our goal isn’t just to STOP the biting. It’s to understand what’s driving it and help children develop the skills they need to succeed! 💪💛

👉 SWIPE through for simple strategies you can start using today!

💬 Have you dealt with biting at home or in the classroom?

📌 SAVE this post for later!
💕 SHARE it with a parent, teacher, or caregiver who could use these tips!

💛 Building Blocks Pediatric Occupational Therapy

#PediatricOT #Sensory #ParentingTips #Biting #Explore
What if we stopped asking, “What sensory activit What if we stopped asking, “What sensory activity should a child do at a specific time?” and started asking, “What is this child’s nervous system telling us right now?”

That is the shift.

Sensory supports can be incredibly helpful, but children do not always need the same input at the same time every day. Sleep, stress, transitions, noise, hunger, emotions, school demands, and the environment can all change what the nervous system needs in a given moment.

We should shift from following a rigid sensory schedule to observing first, then choosing regulation supports that match the child’s current needs.

Sometimes that may be heavy work or deep pressure. Sometimes it may be movement and alerting input. Sometimes the child may need less stimulation, a quieter space, or simply time to reset.

The goal is not just to “do sensory.” The goal is to support regulation, participation, body awareness, independence, and confidence.

Different moments. Different needs. The right regulation supports. 💛

#PediatricOT #SensoryProcessing #Explore #OccupationalTherapy #RegulationSupports
I thought this was so true and so funny 😂🧩 I thought this was so true and so funny 😂🧩

Scheduling OT clients around school, sports, siblings, therapies, cancellations, makeups… and then somehow fitting in your OWN kids’ lives and schedules too. 🤪

Basically one giant game of Tetris where the pieces never stop moving!

Who can relate? 😉🤪😜

#OccupationalTherapy #PediatricOT #OTLife #TherapistHumor #Explore
Here’s a simple visual for therapists to share w Here’s a simple visual for therapists to share with parents as a helpful handout on the developmental sequence of pencil grasps. ✏️

As a seasoned professional, one of my goals is to get practical, easy-to-use tools into the hands of as many therapists, parents, teachers, and caregivers as possible. If something I create can make a concept easier to understand or support a child’s development, I want it shared.

Please feel free to use it, share it, save it, and pass it along. I hope it helps! 💛
#PediatricOT #PencilGrasp #FineMotorSkills #Handwriting #Explore
Cutest William — a day in his OT session! 🤩 Cutest William — a day in his OT session! 🤩

Such huge growth today and such a gift to witness his progress in feeding and regulation skills. 💛 We are seeing him trying new texture foods, expanding his repertoire, and feeling more confident. He is also beginning to move toward more rotary chewing patterns, building upon all of the foods he already feels comfortable eating. His trach was removed a few months ago, and although he still has a G-tube, we are continuing to work on building safe and confident oral feeding skills.

We always start with high sensory input prior to feeding to help his body feel ready to learn. Today William wore his weighted vest and engaged in calming, organizing input including vibration plate + therapeutic music from Vital Links to support regulation and attention.

We also did gentle body massage and oral-motor input to the outside of his cheeks before moving into Z-Vibe work to help prepare his mouth for feeding success.

🥄 Then we moved into feeding!

We incorporated an acrylic stand mirror during feeding practice to support visual feedback and body awareness while eating. This helped William better understand mouth movements and positioning as we worked on oral control and coordination.

We are also introducing more intentional tongue and oral-motor awareness work, helping William become more comfortable handling food inside his mouth and learning how to use his tongue to move and manage food. We are working on tongue lateralization, positioning food onto the chewing surfaces, progressing from a munching pattern toward rotary chewing, and learning how to gather food together to form a manageable bolus for swallowing. 🤩

💡 OT TIP:
High sensory input before feeding or other challenging tasks can make a big difference. Movement, vibration, deep pressure, therapeutic listening, a metronome, or other calming and organizing input can help prepare the nervous system for participation.

✨ Small supports = big growth ✨

#Explore #PediatricOT #FeedingTherapy #SensoryIntegration #OTTips
FINE MOTOR + HANDWRITING STRATEGIES: A THERAPIST-F FINE MOTOR + HANDWRITING STRATEGIES: A THERAPIST-FRIENDLY GUIDE! ✨✏️

I know how much time therapists spend creating parent handouts, finding pictures, explaining tools, and putting together home programs — so I thought I would start sharing some of mine! 💛

My goal is to create resources that therapists can easily share with families and that parents can actually use at home — one less thing on your plate. 🌈

This guide focuses on the skills that support successful handwriting and everyday fine motor development, including:

🌟 Fine motor skills
🌟 Hand strengthening
🌟 Pencil grasp and pencil control
🌟 Visual motor integration
🌟 Visual perceptual skills
🌟 Bilateral coordination
🌟 Weight-bearing and proprioceptive activities
🌟 Handwriting strategies

You’ll also find some of my favorite tools and simple strategies for home, including different pencil grips, the HandyWriter, weighted writing tools, writing slant boards, adapted scissors, visual guides, spacing tools, and activities to strengthen the entire hand. ✋✏️

One of the biggest things I remind families is that handwriting is about so much more than holding a pencil!

Before we expect a child to sit down and write, we want to look at the foundations: shoulder stability, core strength, hand strength, bilateral coordination, visual attention, visual perception, motor planning, and the ability to coordinate what the eyes see with what the hands are doing.

Sometimes the best “handwriting practice” doesn’t involve a pencil at all. 💪🌈

Think:
✨ Animal walks
✨ Wheelbarrow walking
✨ Crawling
✨ Weight-bearing through open hands
✨ Playdough and resistive activities
✨ Clothespins and tongs
✨ Cutting activities
✨ Vertical surface play
✨ Visual scanning and visual perceptual games

SAVE this guide for your therapy toolbox and SHARE it with a parent, teacher, or therapist who could use a few new fine motor and handwriting ideas! 💾📤

These strategies are meant to provide general ideas and are not a substitute for an individualized occupational therapy evaluation when concerns are impacting a child’s participation or development.

#PediatricOT #FineMotorSkills #Handwriting #VisualMotor #explore
🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHER 🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHERS & THERAPISTS 🌈

Occupational therapy is personal to me. I truly love what I do, I love the children and families I work with, and I want to help as many people as I can. ❤️

After 25 years as an occupational therapist, I’ve learned there isn’t one strategy that works for every child or every moment. That’s why I created this Social-Emotional Handout & Toolbox for parents, teachers, therapists, caregivers, and anyone supporting children.

It’s filled with quick, practical tools you can reach for in the moment—recognizing body signals, emotional regulation, anxiety and worry, frustration and anger, transitions, flexible thinking, friendships, sensory strategies, movement, calming tools, and repairing after a hard moment.

My hope is that you save it, share it, and use it when a child needs a little extra support. Sometimes having the right tool at the right time can make all the difference. 💛

Please reach out anytime with questions, for additional resources, or if you’d like me to become part of your child’s team. Helping children, families, teachers, and fellow therapists is truly why I love what I do. 🌈

#PediatricOT #SocialEmotionalSkills #TeacherTools #TherapyTools #Explore
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