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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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🎧 Did you know sound can be used as a therapeut 🎧 Did you know sound can be used as a therapeutic tool?

Therapeutic Listening is more than simply listening to music. It uses specially designed recordings to help support sensory processing, attention, self-regulation, and participation in everyday activities.

When combined with occupational therapy, movement, and play, Therapeutic Listening can help children build the skills they need to feel more regulated and engaged throughout their day.

Every listening program is individualized by an occupational therapist based on each child’s unique strengths and goals.

✨ Head to our blog to learn:
• What Therapeutic Listening is
• How it works
• Who it may benefit
• Why it’s used in pediatric OT

Have you heard of Therapeutic Listening before? Let us know in the comments! ⬇️ #OccupationalTherapy #PediatricOT #TherapeuticListening #SensoryProcessing #SensoryIntegration
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
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