Friday, February 5, 2016

Stylish and Accessible Clothing for Teens and Adults

While looking for a non-dowdy raincoat for one of my students who is headed to college next fall I came across this interesting article:

http://www.npr.org/2015/07/25/425890021/from-canes-to-closures-designing-with-style-for-people-with-disabilities

The sleeves created for accessibility look so European in design:

http://fashionista.com/2015/05/lucy-jones-seated-design

This is very inspiring; I need to brush up on my sewing skills.

Thursday, February 4, 2016

Enjoying the Ride?

End of first semester, beginnng of second.  About this time of year I ask myself--am I "enjoying the ride?"

Is my schedule working out well?  Am I spending as much time as possible with students and helping teachers rather than spending too much time traveling between schools or doing paperwork?  Do my teachers seem like they are more comfortable trying interventions we've discussed?  Am I getting appropriate OT referrals, out-of-the-blue referrals or no referrals to speak of?

Every so often during the school year I look at my schedule, analyze where I've seen students in their school environments so far (all classroom? no time spent in resource, lunch or on/off buses?) and figure out how I can expand the service I provide.  Do they also need me to see them during Art once a month to ensure that they are able to manipulate all the brushes, pastels and sculpture material?  Or, should I just make a point of speaking with the Art teacher to ask about any needs. 

When I make a point of speaking to the range of staff members who work with the student I always learn about at least one area of need.  One year the computer resource teacher let me know that the student was seated at the most accessible workstation to accommodate his wheelchair, but this prevented him from sitting close to peers at the other, crowded part of the class.  During our discussion we figured out that he could sit at a space on a different row, which was easy to "drive" to and yet be surrounded by classmates.  It's more fun to sit with your friends, don't you agree?

In the photo below my "grand-dog,"  Mr. T, is clearly enjoying the ride.  Of course, he's a fun kind of guy.


If things aren't always the way we want them to be at work, there's usually some little way or another of changing it up and making it better.  I'm thinking about that now and I wonder if you'd like to do the same?

Tuesday, February 2, 2016

Cutting Paper with Confidence

What factors contribute to accurate, efficient scissor skills?

Fitting the task to the student's ability:  Students pay attention pretty well at the onset of a task but their attention often dwindles as the task proceeds.  This elementary school student's teacher has trimmed off the outside borders of the worksheet so the student only needs to cut the boxes of pictures apart.  As the year goes on and the students are able to cut accurately at a quicker speed, the teacher will have the students cut away the outside borders as well.
Hand Position:  This little girl's forearm and "helper" hand are positioned so that her thumbnail is almost parallel to the ceiling.  The thumb holding the scissors has the thumbnail almost facing the ceiling, too. This allows the scissor blades to hit the thin paper at a right angle, which permits a clean, straight slice.  If the palm is in a prone position (because the forearm is internally rotated) and the thumbnails are facing to the right or left or (eek) down toward the floor, the scissors will strike the paper at an angle and it will be more difficult to cut in a straight line since the paper may curl.  Also, the student can see the cutting line more easily when the paper and scissors are held as shown in the photo.

Work Station:  Note that the student's desk is fairly clear, leaving her space to rest her hands on the surface and room to sort her cut pictures into "word families."
Position in Space:  Note the change in her grasp of the paper.  She might be unsure of how far her fingers were extending along the back of the paper; were they far enough away from the blade to be safe?  I don't expect a student to demonstrate a "classic" grasp every time they pick up an item.
Placement of Fingers in Openings of Scissors:  Most students cut best when their thumbs are in the small opening of the scissors and their other fingers (all or just a few) are in the larger opening.  As the student matures in their skill you often see the index finger "leave home" and rest in the outer portion between the larger opening and the blade.  I call the index finger "the driver."

and, most importantly,

The Teacher:  This little girl has made remarkable gains in her accuracy with using scissors over the last year and I attribute it to the consistent, daily direction of her classroom teacher. 

Monday, February 1, 2016

Prepping for Real Life Money Skills

When I first saw this homemade debit credit card reader I thought it was the real deal:


Used in the classroom store, in Ms. Parker's class for middle school students with moderate intellectual disabilities.
 
Students in our elementary, middle and high schools purchase lunch by depositing funds into their student accounts and then swiping their lunch cards at the debit card readers next to the cashier.
 
So many skills to work on to independently perform this everyday task:
  1. Finding your name from the column of lunch cards posted outside the cafeteria line.
  2. Keeping track of the lunch card while moving through the line, grabbing milk/juice from the deep, refrigerated bin, deciding which entree looks good and saying or indicating your choice to the lunch lady, not minding everyone shoving your tray (or you) along while you wait in line to pay.
  3. Placing your card into the debit card reader with the correct side up and the correct edge going into the port of the card reader.
  4. Entering your PIN.  Oh, the confusion the first few days of school when everyone has to enter a PIN and you're so nervous that you'll mess up!  It's sorta like the feeling I had when I had to learn to open my locker...the dreaded locker combination...
 
 
I spend a lot of time in cafeterias, helping students learn adapted methods for opening milk cartons and cellophane wrappers, not to mention self feeding skills.  It's an excellent school environment for observing a student's response to overwhelming noise and action, as well as their ease with interpersonal relationships.  My PT buddies find it invaluable for observing the student's physical ability to navigate through an unpredictable, constantly changing pathway, all while balancing a wobbly tray in their hands.

If you're not hanging out with your students at lunch, music, recess, art and PE you're missing out on the fun--and valuable information.  And, as a personal note, if you're as sensitive to loud noise as I am remember to bring along some earplugs.
 


Saturday, January 23, 2016

Typical Infant Development--Month 8

Want to see some excellent photos of "normal" (the professional term is "typical") motor development?  This post by one of my buddies features her little guy at age 8 months.  Fantasic skills.

Also, catch a glimpse of her daughter's grasp of a pen--age 2 1/2 years.  Great precursor grasp to tripod and look at her "helper" hand so easily stabilizing the paper.Motor Development

Thursday, January 21, 2016

It Just Might Snow Tomorrow

So I hear...

Wonder if I'll get to take some more snow pictures this weekend?  Our light dusting of snow last weekend made the driveway look real "purdy."

Practicing with 3-D Letters

Yesterday morning a little Kindergarten girl and I practiced making letters the 2-D and 3-D way.  I vote for 3-D.
 I would have used 4 long strips to make each "M" but there weren't enough to go 'round.
Also didn't have any circle/half circle shapes handy so we used my articulated ruler, which she adored.  You can guess the letter she made, right?
This sweetie usually crushes her thumb against the pencil in a tight, lateral pinch.  This hand position is very difficult for her to maintain, especially keeping that nice "O" in the thumb-web space.  But, it is important for the fine movements needed during writing.