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Girl with Rare Syndrome Practicing Balancing on One Leg

by travis | Jul 28, 2022

YouTube Video UChOXX1wIs4mmkvAViop6JUw_53OUsYhd0to This is a kiddo with Charge syndrome who is practicing balancing on one leg. This skill is important for standing from the floor, dressing, and managing stairs safely, to only name a few. Balance is a skill that requires information from our visual system, vestibular system, and proprioceptive system to integrated is not fully mature until 12 years old. Kiddos with Charge Syndrome have changes in many different areas of their body. This kiddo has colobomas which affect her vision along with changes to her inner ear which affect her vestibular system. Despite these difficulties, she is walking independently on level and uneven surfaces, ascends stairs one foot on each step independently, and is nearly independent with descending steps in the same manner. She gets stronger and better with every session, but we spend a fair amount of our time working on progressing her balance skills and independence. In addition to helping her get better at functional skills, we want to try to keep things fun so that she remains engaged. During this video she is trying to tap the small block off the cups without knocking over the cups. We have used progressively smaller blocks and higher stacks, each of which make the task more challenging.
This is a kiddo with Charge syndrome who is practicing balancing on one leg. This skill is important for standing from the floor, dressing, and managing stairs safely, to only name a few. Balance is a skill that requires information from our visual system, vestibular...

Learning to Sit Up

by travis | Jul 20, 2022

YouTube Video VVVoT1hYMXdJczRtbWt2QVZpb3A2SlV3LktZUllCRkpJS1hV This is a little girl who has just learned how to move from lying to sitting independently. There are a couple of ways that kiddos learn to sit up. One is demonstrated here, where the kiddo rolls from their back to their tummy and then moves onto hands and knees and pushes themselves back into sitting. She just recently mastered this skill and is very proud of herself once she is all the way up. The position you see her in at the end is called side-sitting and is a wonderful position for helping kiddos to engage their core muscles while sitting and easily move between sitting and hands and knees, also called quadruped. In addition you may have noticed that she is wearing a helmet to help correct plagiocephaly that resulted from torticollis.
This is a little girl who has just learned how to move from lying to sitting independently. There are a couple of ways that kiddos learn to sit up. One is demonstrated here, where the kiddo rolls from their back to their tummy and then moves onto hands and knees and...

Learning to Vision and A Button

by travis | Jul 3, 2022

YouTube Video VVVoT1hYMXdJczRtbWt2QVZpb3A2SlV3LnBjaGh4SDkwRjc4 This is a girl with a rare chromosomal disorder called Smith-Kingsmore Syndrome causing visual impairment who is learning how to use her vision to engage with people and her environment. As part of her syndrome, she has macrocephaly (a head that is larger than normal) and so struggles to control her head. She is using a borrowed chair that has allowed her to try to access her postural control muscles more and try to turn her head to see things more. She also has visual impairment and so we are using a bright colored toy with music and movement to gain her interest. You can also see that she has a button/switch on her tray. She has been learning to use buttons to access toys and to communicate with others over the past couple of months. The button is placed off to her side in order to reduce accidental contact but not so far too the side that it wouldn't be within her available reach. You will also see that she seeks proprioceptive input, as seen by her drumming her hands against her mouth. You can also hear her attempting to verbalize at one point during the video.
This is a girl with a rare chromosomal disorder called Smith-Kingsmore Syndrome causing visual impairment who is learning how to use her vision to engage with people and her environment. As part of her syndrome, she has macrocephaly (a head that is larger than normal)...

Learning to Get On a Rocking Horse with a Visual Impairment

by travis | Jul 3, 2022

YouTube Video VVVoT1hYMXdJczRtbWt2QVZpb3A2SlV3LmwzMlJxdDdFX0ZF This is a girl with visual impairment due to Leber Congenital Amaurosis who is learning how to get on her rocking horse all by herself. She has labeled this toy Wim-o-way and she loves to rock back and forth for long periods of time. However, for a long time she needed our help to get on and off. Initially we encouraged her to touch and feel the toy in order to build a mental picture of the parts of this toy. Then we started helping her get on, labeling different parts and helping her learn the steps involved in the task. Now she is able to walk across the room to the rocking horse and get on herself so that she can enjoy the fun whenever she wants. This task requires orientation to her environment and the toy, mobility to gain access to the toy, body awareness to know where she is in space in relationship to the toy, motor planning to understand the steps involved in getting onto the toy.
This is a girl with visual impairment due to Leber Congenital Amaurosis who is learning how to get on her rocking horse all by herself. She has labeled this toy Wim-o-way and she loves to rock back and forth for long periods of time. However, for a long time she...

Girl with Hydranencephaly Gaining Body Awareness and Learning to Roll

by travis | Jul 3, 2022

YouTube Video VVVoT1hYMXdJczRtbWt2QVZpb3A2SlV3LnN5MDZWYWJhdl9z This kiddo has a rare condition called Hydranencephaly. Because of the malformation of her brain, she has Cortical Visual Impairment, meaning her brain does not process what her eyes see in a normal way. She needs help maintaining her range of motion, but that doesn't have be done without adding some fun. In this video you will see that we add music/song to help keep her engaged and we add body awareness with touching parts of her own body while going through function range of movement patterns. You will notice in the video that despite having a tracheostomy, she attempts to speak and sing along. Although she has a speaking valve, it is not always appropriate to use as she definitely finds it harder to breath while using. We also work on rolling which should be initiated with a head turn and since she has torticollis with preferred left rotation we start rolling to the left. You will notice that the therapist narrates almost constantly. This is especially important with patients with visual impairment but also beneficial for those still learning how to communicate.
This kiddo has a rare condition called Hydranencephaly. Because of the malformation of her brain, she has Cortical Visual Impairment, meaning her brain does not process what her eyes see in a normal way. She needs help maintaining her range of motion, but that...
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