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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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The Importance of DIR Floortime: A Comprehensive Guide for Parents

March 26, 2024 By admin

Occupational therapy professionals often use Floortime, or the DIR Floortime (Devlopmental, Individual-Differences, and Relationships) as one of the tools in their therapy toolbelt. While it is true that floor play is incredibly beneficial for infants, babies, and toddlers in many areas of play, this blog will go into further detail regarding the Floortime approach to learning and development.

What is Floor Play?

First, let’s cover what we mean by floor play. What we mean when we talk about floor play is simply that: play on the floor! Kids can play almost anywhere; most can turn any area into their own private playground. The most commonly accessible playground, however, is the floor! The floor provides endless opportunities for play and movement, making it the ideal place for children to reach important developmental milestones.

Babies and toddlers can develop and learn on the floor in a variety of positions on a play mat, as well as during tummy time. Playing on the floor also helps older kids and toddlers develop their motor skills, strength, coordination, social-emotional skills, and executive functioning. It’s during these early years that children lay the foundation for a wide range of skills that will serve them throughout their lives.

What is DIR Floortime and the Greenspan Approach?

DIR Floortime is a model used primarily to guide caregivers of children with Autism Spectrum Disorder (ASD). It was developed by Dr. Stanley Greenspan, a renowned child psychiatrist whose research placed a strong emphasis on the value of early intervention and developing close emotional bonds with kids to promote their general development.

The DIR Floortime approach is a manifestation of the Greenspan approach, which acknowledges that every child is different and needs interventions specifically designed to cater to their unique needs. Unlike some other programs, Floortime therapy encourages acceptance and appreciation of who the child is, focusing on building strong relationships and improving social-emotional skills.

DIR Floortime Activities by Age

For infants and babies, floor play includes engaging activities like singing songs, making eye contact, baby massage, and gentle movements to support motor and cognitive skills. For older children, floor play revolves around themes and activities aligned with their interests, making the playtime meaningful and joyful.

The greatest thing about floor play is how affordable and simple it is to play on the floor with your child while providing them with support. To support your child’s development, you do not need expensive toys; your imagination, optimism, and involvement will do just fine. Providing your child with the kind of attention, interaction, and responsiveness that fosters learning and development.

In conclusion

In conclusion, DIR Floortime is not just about play; it’s about building connections and supporting holistic development in children. By embracing floor play and the principles of DIR Floortime, parents can create meaningful and enriching experiences for their children that promote growth, learning, and joyful interactions. It’s about setting the stage for lifelong skills and fostering a strong bond between caregivers and children based on understanding, acceptance, and mutual respect.


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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
PRIMITIVE REFLEXES: NOW WITH VISUALS! ✨ My orig PRIMITIVE REFLEXES: NOW WITH VISUALS! ✨

My original Primitive Reflexes Parent Guide received so much attention and such wonderful feedback! 💛 One of the biggest requests was: “Can you show us pictures of the exercises?”

So here you go! 🌈

I created visual examples to go along with the home strategies so parents can more easily see what each movement should look like and feel more confident practicing them at home.

Primitive reflexes can play an important role in the foundations for movement, posture, coordination, balance, body awareness, attention, regulation, handwriting, motor planning, and everyday functional skills.

This guide covers:
🌟 Moro
🌟 ATNR
🌟 STNR
🌟 TLR
🌟 Spinal Galant
🌟 Palmar Grasp

You’ll also find simple home activities like cross-crawl, cat-cow, bird-dog, log rolls, starfish movements, animal walks, hand-strengthening activities, deep pressure, and breathing—now with pictures to provide a clear visual! 📸

The goal isn’t perfection. Keep the movements slow, playful, comfortable, and consistent. Even a short daily movement routine can be a great way to support foundational skills through play. 💪🌈

📚 For more information: Primitive Reflexes: Retained Reflexes and Integration Techniques by Justine Bedocs, OTR/L, available on Amazon.

💾 SAVE this guide to use at home and 📤 SHARE it with a parent, teacher, or therapist who may find the visuals helpful!

Primitive reflexes are only one piece of a child’s development. Individual concerns should always be evaluated by a qualified professional.

#PrimitiveReflexes #PediatricOT #OccupationalTherapy #HomeProgram #explore
🧡 WHY BALANCE ACTIVITIES MATTER! Balance is SO 🧡 WHY BALANCE ACTIVITIES MATTER!

Balance is SO much more than just standing without falling! Balance activities help build the underlying skills kids need to move, learn, play, and feel confident in their bodies. 🌈

Working on balance helps develop:

✨ Core strength & stability
✨ Postural control
✨ Coordination
✨ Motor planning
✨ Body awareness & proprioception
✨ Vestibular processing
✨ Bilateral coordination
✨ Protective reactions
✨ Focus & attention
✨ Confidence with movement

And when balance improves, we often see improvements in everyday skills too—running, jumping, climbing, navigating playgrounds, sitting upright for learning, participating in sports, dressing, and moving safely through the environment.

Balance boards are one of my favorite OT tools because there are SO many ways to use them—rocking, wobbling, squatting, reaching, playing games, or even using them during tummy time!

💙 Better balance → stronger bodies → more confident kids!

#Balance #Explore #OccupationalTherapy #PediatricOT #MovePlayGrow
🧡 THE PEANUT BALL — SUCH A GREAT BANG FOR YOU 🧡 THE PEANUT BALL — SUCH A GREAT BANG FOR YOUR BUCK!

I truly love a peanut ball for home therapy. For around $20, there are so many ways to use it while working on important underlying skills through play.

Sit, bounce, stretch, do pizza squishes, work on puzzles, strengthen the core, build balance, improve body awareness, motor planning and so much more.

It’s simple, affordable, fun, and one of those therapy tools that can grow with your child. 🌈

One inexpensive tool. So many possibilities.

Always supervise and choose activities that are appropriate for your child.

#PediatricOT #OccupationalTherapy #PeanutBall #ParentTips #Explore
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