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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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Let’s Talk About Handwriting!

May 1, 2023 By admin

 

 

Handwriting Tools & Adaptations

Handwriting is a critical skill that children develop throughout their school-age years. Occupational therapy clinicians have a variety of tools & adaptations for children who many struggle with handwriting skills.

Evaluation Tool of Children’s Handwriting (ETCH)

Key Features:

  • Age: Grades 1-6
  • Writing Form: Manuscript or Cursive
  • Measures: legibility, speed, near & far point copying, dictation, sentence generation, pencil grasp & manipulation, hand preference, pressure

Includes:

  • Reproducible score sheets and response booklets
  • Quick reference sheets
  • Wall charts
  • Task sheets
  • Scoring card
  • Examiner’s Manual detailing test administration and scoring procedures for legibility

 

The Print Tool:

Key Features:

  • Age: 6+
  • Writing Form: Manuscript or Cursive
  • Measures: Upper/lower-case letters, numbers, memory, orientation, placement, size, start, sequencing, word spacing

Includes:

  • The Print Tool Guidebook
  • Measuring Tool
  • 3 sets of Student Sample Worksheets (30)
  • Evaluation Scoresheets (10)
  • Handwriting Remediation Plan Forms (10)

Size Matters:

Key Features:

  • Age: K-3rd grade
  • Consists of handwriting books and activities to promote the correct sizing and spacing of written letters.
  • Can be used to assess handwriting skills as well
  • Classifies different letters by size:
    • ■ Level 1 – pink magnets
    • ■ Level 2 – yellow magnets
    • ■ Level 3 – blue magnets

Includes:

  • Printable practice paper to learn the alphabet (print and cursive letter set)
  • Handwriting books
  • Master Guide Program Manual
  • Activities that develop handwriting skills (encouraging tripod grasp, visual-motor integration; dice games; magnets; pathways; activity books)
  • Posters for instruction
  • Test sheet booklet
  • Competency assessment

 

 

Handwriting Without Tears

Key Features:

  • Ages: 3-11
  • Focuses on skills required for handwriting:
    • Memory
    • Orientation
    • Placement
    • Sentence
    • Word Skills

Includes:

  • Wood pieces & mat
  • Slate chalkboards with chalk & sponge
  • Practicing booklets (by grade level)
  • Printing Power
  • Cursive Kickoff
  • Building Writers

 

Adaptations for Handwriting: 

Slant boards:  Helps improve posture, visual ability, paper stability as well as body positioning

 

 

Spacers: This provides a visual to help students understand appropriate spacing in between letters & words

Grips: These help students grasp their pencil appropriate (tripod grasp), which can promote stability & legibility with writing

 

Different Utensils: Using different utensils including broken crayons, broken pencils mechanical pencils, and weighted pencils can improve stability & encourage appropriate grasp and pressure

Raised Lined Paper: Allows students to feel where the lines are. This promotes proper spacing & letter formation

Environmental adaptations:

  • Sit students in front of the classroom/ in a quiet area (if at home) to decrease distractions
  • Promote movement breaks from writing
  • Ensure desk & chair height is appropriate
  • Desk should be between the belly button and end sternum & students’ feet should be flat on the floor

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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
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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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