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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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What are the Visual Perceptual Skills?

February 7, 2020 By admin

Visual perception is a set of skills that provides the perceiver with information about objects, events, and spatial layouts in which he or she must think and act. It involves the ability to attend to and identify important visual features in the environment and interpret and attach meaning to the information to engage with the environment.

Visual Discrimination

  • The ability to discriminate dominant features of objects within visual images. It allows individuals to identify and recognize the likeness and differences of shapes/forms, colors and position of objects, people, and printed materials. These skills help us understand and interpret the environment around us.
  • Functional Implications if Impaired: difficulties matching clothing, distinguishing between different coins or money, difficulty with similar letters and numbers such a d/b, 5/s, or car/cat, and difficulty determining which lines to cut when using scissors.
  • Activities Include: identifying opposites, sorting and matching cards, doing puzzles, organizing similar and sorting different blocks.
  • Safety Implications if Impaired: reading a medication bottle incorrectly or not being able to desirer between different medications.

                                          

Visual Memory

  • The ability to recognize and recall visually presented information. The individual must be able to make a vivid visual image in their mind of the stimulus, such as a word, and once that stimulus is removed, they must be able to visualize or recall this stimulus without assistance.
  • Functional Implications if Impaired: children who have not developed their visual memory skills cannot readily reproduce a sequence of visual stimuli and this is a critical factor in reading, spelling, and writing. They may have difficulty remembering the letter sequence of words for reading, writing, and spelling. Producing written work on worksheets and tests may be difficult. Everyday implications include: recalling where you put your keys, ability to give and follow directions, remembering phone numbers or passcodes.
  • Activities Include: copy patterns using beads, pegs, blocks, letters or numbers, playing memory games, playing “I-Spy”, placing simple objects in front of your child for 30 seconds and remove them to see if they are able to recall the objects.
  • Safety Implications if Impaired: remembering important phone numbers if you become lost or injured.

                

Spatial Relationships

  • Understanding of how objects and people move in relation to each other, which helps children and adults be able to locate objects and navigate successfully within their environment.
  • Functional Implications if Impaired: having difficulty describing and understanding the world around them, knowing which shoe to put on which foot, difficulty drawing shapes, walking in a crowded hallway without running into others, and not knowing the difference between beside/under/above, etc.
  • Activities Include: encourage toddlers to track objects by slowly moving objects across their line of sight, and encourage stacking of different size blocks to promote understanding of dimensions.
  • Safety Implications if Impaired: walking off the curb when you were supposed to stop for a “do not cross sign or do not walk sign”, parking too close to a vehicle or bumping into a vehicle because you did not break in time.

Form Constancy

  • Refers to the ability to recognize and label object regardless if they are viewed from a different angle or in a different environment. For example, being able to recognize that a dog is a dog whether you see it in a photograph, in a garden, in the park, and whether it is sitting, lying down, or running.
  • Functional Implications if Impaired: children may not recognize shapes, numbers, and letters when the color, size, or font changes including if they are presented in a different context (for example when these colors or numbers are presented on the playground instead of in the classroom). Also, being able to manipulate puzzle pieces into a puzzle and distinguishing between a circle/oval is impaired. Basically, this is being able to generalize information in different contexts. A functional example would be that a person can distinguish a men’s restroom from a women’s restroom in whatever location that they were in.
  • Activities Include: making letters in different colors and font to play the game “I-Spy”, have your child take a walk-through town and let them find the current number, letter, or color that the child is learning, use a picture book to find different shapes throughout, or putting objects in a bag and ask your child to identify the shape that he/she can feel inside of the bag.
  • Safety Implications if Impaired: not recognizing safety signs that should be generalized from other situations.

       

Sequential Memory

  • The ability to remember visual details in the correct sequence.
  • Functional Implications if Impaired: this skill is essential for spelling, reading, and completing multiple digit addition and subtraction.
  • Activities: play word games such as hangman, word searches, talk about your day with your child and then have them recall each step of the day, and playing matching card games.
  • Safety Implications if Impaired: not remembering written directions that were given for you to drive from point A to point B or not remember what temperature to set the oven too from a recipe book.                                                                                            

Visual Figure-Ground

  • The ability to focus on one specific piece of information within a busy background.
  • Functional Implications if Impaired: difficulty finding your favorite sock in a messy draw, finding a specific toy in a toy-box, finding a specific key on a counter with other objects, losing his/her place when copying work from the board, losing her/her place while reading a book, and difficulty finding information on a cluttered blackboard.
  • Activities: sorting mixed cereal or pasta into bowls based on pasta color or shape, using the book “Where’s Waldo” or “I-Spy”, and playing different board games.
  • Safety Implications if Impaired: finding a fire extinguisher in a closet full of different supplies to put out fire.

                        

Visual Closure

  • The ability to recognize a familiar item, word, or picture, when given incomplete information or a partial picture.
  • Functional Implications if Impaired: children may not be able to read and comprehend the information quickly, being able to figure out what a road sign says, even when the writing is partially hidden by trees or graffiti, making sense of words on a smudged page, and being able to find a missing item when it is partly hidden.
  • Activities: show your child a variety of small toy animals and partially hide 3 or 3 under a cloth and have the child attempt to identify the animals or objects; this activity can also be completed using shapes, colors, or numbers. Completing word searches, filling in missing letters or words within a sentence and completing puzzles are helpful activities.
  • Safety Implications if Impaired: driving through a stop sign that is hidden by a branch and only showing the bottom of the sign (you do not recognize only half of it)

                                        


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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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