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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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Wiggling Out of “W” Sitting

March 17, 2025 By admin

 

W-Sitting: Is It Really a Problem?

 

What is W sitting? Is the 'W' Sitting Position Safe? Experts Weigh In

W sitting is a position that describes the direction of the lower extremities (legs). It is called a W as a result of the legs being bent at the knee, the lower legs and feet outside of the hips, and  behind the child. When standing above the child and looking down, the legs form a W.

 

 

Is W sitting normal?

W sitting is common amongst children. It occurs due to children, having flexibility in the lower extremities. However, when a child is in the W seated position it is evidence of weak core and trunk muscle. These muscles are required to sit with legs forward or bend. Another sign core and trunk weakness is a rounded back when a child does have Legs forward. If a child lacks core/trunk muscle engagement, sitting in a W position provide them with more stability.

 

Occupational Therapy ABC - Effects of W ...

 

How to correct:

There are several strategies and activities that can correct this position and strengthen the muscles required. 1 strategy is to utilize a specific phrase to request a child to move their legs forward. When this phrase is utilized consistently over time, a child will fade out of sitting in the W position. Another strategy to incorporate is to provide opportunities for a child to engage in activities while seated in a chair. The chair is required to support the 90-90-90 position, which is when the hips, knees, and ankles are in a 90° position. A third strategy to utilize is engaging in activities while lying in prone extension (lying on the stomach). A child can lay on their stomach on the floor, a platform swing, a scooter board, a peanut ball, an exercise ball, etc. Some activities to practice are exercises, such as: sit-ups, planking, and balancing.

 

long sitting Archives - The OT Toolbox

 

 

 


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As a pediatric occupational therapist, I often tal As a pediatric occupational therapist, I often talk about going deeper than just “take a deep breath.” Deep breathing is more than a simple instruction—it’s a powerful tool that helps children connect with their bodies, regulate their emotions, and calm their nervous systems.
One of my favorite ways to teach this is with a breathing ball. It’s simple, colorful, and engaging, giving children a visual and hands-on way to understand what’s happening inside their bodies.
As you slowly open the ball, encourage your child to take a slow, deep breath in through their nose, imagining their lungs filling up just like the ball expands. This helps them become aware of how their body feels when they breathe in.
Then, as you slowly close the ball, have them gently blow all the air out through their mouth until their “chipmunk cheeks” are completely empty. Encourage them to keep blowing until every last bit of air is out. This full exhale is just as important as the inhale—it helps release tension and signals the body to relax.
Repeat this several times. The movement of the ball helps children pace their breathing and stay focused, making it much easier than simply telling them to “take a deep breath.” Over time, this builds body awareness, supports self-regulation, and helps children learn how to calm themselves when they feel overwhelmed.
This is an easy strategy to use at home, in the classroom, before homework, before bed, or anytime a child is feeling anxious, frustrated, or needs a reset.
Sometimes the simplest tools can make the biggest difference. 💙
#explorepages  #SelfRegulation #DeepBreathing #Sensory #Interoception
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 #ExplorePages #SensoryProcessing #EducationalContent #WilbargerProtocol
Sometimes the most meaningful therapy doesn’t lo Sometimes the most meaningful therapy doesn’t look like “therapy” at all.
Through play, children are building the foundational skills they need for everyday life. During this activity, we’re targeting balance, core strength, coordination, motor planning, bilateral coordination, visual tracking, and postural control—all while keeping therapy engaging and fun.
Play isn’t a break from learning. For children, play is learning.
#OccupationalTherapy #PediatricOT #PlayBasedTherapy #PlayBasedLearning #ChildDevelopment
Did you know that visual perception is about so mu Did you know that visual perception is about so much more than eyesight? 👀

Visual perception is the brain’s ability to make sense of what the eyes see. These skills play a huge role in everyday activities like reading, handwriting, completing puzzles, finding items in a backpack, and even getting dressed.

Swipe through to learn:
✨ What visual perception is
✨ The 7 visual perceptual skills
✨ How these skills impact daily life
✨ How occupational therapy can help

Want to learn more? Our newest blog takes a deeper dive into visual perception and how OT supports these important skills. Check out the link in our bio!

#PediatricOT #OccupationalTherapy #VisualPerception #VisualPerceptualSkills #ChildDevelopment
My journey to find occupational therapy may have t My journey to find occupational therapy may have taken a bit longer than others, but I 'm grateful for each experience that got me to where I am today!

For those who don't know me, my name is Colleen McGuinness and I have been completing my fieldwork rotation at Building Blocks Pediatric Occupational Therapy as an OT student for the past 3 months. So before I go, I want to tell you about my journey into OT!

Check out our latest blog post using the link in our bio to read more about my journey into OT!

#OTStudent #JourneytoOT #PediatricOT #BuildingBlocksOT
✏️ Not sure which pencil grip is right for you ✏️ Not sure which pencil grip is right for your child?

Each pencil grip is designed to support different needs, and choosing the right one can make writing more comfortable and efficient. Check out this quick overview, then head to the blog (link in bio) to learn more about each grip and how to choose the best fit!

#OccupationalTherapy #PediatricOT #FineMotorSkills #Handwriting #pencilgrips
When you play on the floor with your child or foll When you play on the floor with your child or follow their lead in a game, you are actually engaging in part of an important pediatric occupational therapy method known as Floortime!

This is a relationship-based therapy for children that helps with emotional and developmental growth. 

Check out our latest blog post using the link in our bio to learn more!

#FloortimeMethod #PediatricOT #OccupationalTherapy #BuildingBlocksOT
When your child says they spent OT on the swings, When your child says they spent OT on the swings, they were doing much more than just playing. 😊
Therapeutic swings help children build the skills they need for everyday activities through movement, balance, and sensory experiences that are fun and meaningful.
Read our latest blog to learn about the different types of swings used in pediatric OT. Link in bio! 💙  Photo Credits: @theottoolbox 
#pediatricot #OccupationalTherapy #SensoryPlay
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