Theraplay ( Strengthening Little Hands II)

My autist has very weak/uncoordinated hands so when I see toys, I see therapy!  It's amazing how many of her little brother's toys can double up as therapy.  There's a good chance you already have these common play things around the house or have a friend who does, so here's some Tips that you can Take, Tweak, or Toss!

1. K'Nex - the round pieces with the notches paired with the long, flexible pieces that you bend are a great combination.  Inserting one end into a notch is pretty easy, but holding that end there while bending and maneuvering the other end into a 2nd notch is pretty challenging!  If your child struggles connecting the 2nd end, you can hold the first end down for her until  she gets stronger.  It took quite awhile for my daughter to be able to do this without my assistance, but once she could get it, she was encouraged to put on a 2nd flexible piece.

2. Nuts and Bolts - we have plastic ones that are toys, but you could use real ones as well. Lining up the grooves and twisting the nut onto the bolt requires both eye-hand coordination and dexterity. Once the nut is on, twist it all the way to the top.  As your child gets stronger, you can tighten it and then have your child try to untwist it - this is very challenging as well!

3.  Jars and Screw Lids - even the container that our nuts and bolts came in screams "Therapy!" to me.  I like this because the lid is wide.  You have to spread your entire hand out to make it unscrew - all those muscles get worked - right down to the fingertips!

4. I'm not sure what this is called, but stop at any house with little kids and you'll find it!  This set  here is pretty new so the connections are really tight.  Ashi had to put her whole body into getting them to snap together and also to pull them apart.

5.  This is a puzzle that has a snap, buckle, zipper, button, plastic fastener, and shoe lace.  Ashi mastered the snap in a ...snap!  We're still learning to completely pull out the zipper and feed it back in.  You could use a fastener, snap and zipper from any article of clothing or a jacket, back-pack, or luggage even, and of course, you could always use shoes to learn tying.

The pieces of the puzzle above are removable.  Ashi worked every day for a week to get the button both opened and closed.  It's hard to manipulate both button and material! You could use any button at home, but you might want to start with a large one, like on a sweater. You can gradually reduce the size of the button or find tighter buttonholes as you progress.

short vs. long needle

6. Stringing beads and sewing cards.  While these are pretty standard for most kids, my daughter could not successfully do either of these until recently at age 8.  What you can do to make it easier is  add tape around the end that you are sewing with or beading with.  Make the 'needle' longer by wrapping tape around it. The longer the 'needle' is the easier it will be to sew or bead.  You remove the tape as your child gets better at it so the 'needle' is smaller. 

7.  Cutting.  This is a skill I've been patiently waiting for Ashi to be ready for.  I've learned to follow her cues and up until a couple of weeks ago, she's never wanted to even hold scissors. All you need is paper and a marker or sharpie and you can draw outlines of shapes to be cut.  Right now, I'm sticking to long lines, squares, and rectangles, but of course as she advances I can do rounded shapes and diagrams.  You can also purchase activity books with cutting activities in them.

8. Writing.  Just a little bit each day can go a long way.  We do about 10 to 15 minutes of handwriting class. At the age of 8, Ashi is learning cursive.  She also is dysgraphic so it is important to separate handwriting and creative writing.  You can learn more about dysgraphia here.

If you have a 3-4 year old who doesn't enjoy scribbling or use eating utensils, he may have weak/uncoordinated hands. Here is a place to find info and some great things you can do at home to start helping those hands become stronger: Strengthening Little Hands ( Part I)

Annie Eskeldson writes for parents of young autists.  Her best advice is to listen to and watch your child's cues.  It's okay if he can't cut at age 5 like your neighbor's kids.  It takes time to build up strength and coordination. You can help build his confidence by letting his pace be good enough. Annie's autist finally used a crayon at age 5, wrote with a pencil at age 6, and just began 'sewing' cards at age 8.  She is also a straight A student. 

Annie has 3 published children's books about autism that also nurture parents.  Check them out! www.authorannie.com

Strengthening Little Hands

I'll never forget the big, fat, lump in my throat that used to form as I watched other toddlers and preschoolers joyfully scribble and color.  I used to long for lazy afternoons coloring and creating with my own little girl. I had all the gear: crayons, side-walk chalk, markers, paper, coloring books, stickers. It didn't matter. Even magna-doodle was sadly left untouched and unwanted. 

Do you have a large cashe of unused crayons too? If all the fat, triangular, and ball shaped crayons in the world don't seem to appeal to your toddler either, here's some tips that you can take, tweak, or toss!

Many autists have weak hands, poor coordination, and/or sensory issues making it difficult to hold a writing utensil.  One clue is a refusal to use a spoon/fork. You may think he only likes finger foods; however, his ulterior motive may be that he only eats what does not require using utensils. A second clue is no interest in scribbling by 18 months. If you see these two early warning signs, consider it a red flag that you'll need therapy to strengthen those hands and fingers before he will want to color, draw and write. Don't worry, you don't have to go anywhere or spend a ton of money.  If you have a kitchen table and some play dough, you can do it!
 
If your child has an aversion to play dough, start by simply getting him to touch it; to poke it. Weeks may pass before he is even willing to do this, so practice everyday, until he does.  Play dough is wonderful because you can either purchase it ready to go or you can make your own and even add oils that can change the scent.  This may encourage him to handle the play dough.  Always use soft dough for play.

Once your child is okay with play dough, form a ball sized for little hands. Ask him to squeeze it in his fist. Don't be alarmed if he doesn't quite have the required strength.  Next, form a ball, set it on the table and ask him to press it, palm down, flat, on a table.  Once again, if he is not strong enough, don't be surprised.  You have clearly identified what you need to work on!  Last, have him poke a formed ball hard enough to make a hole with each finger and thumb.  Do these activities daily, consistency is always key, and increase the number of times that he squeezes, presses, and pokes each day until he has mastered the tasks. Your next job is to increase his play time with the dough so he can mold, shape, stretch, rub, pick, squish, and get his little fingers moving and build strength.





we made hair for our animals



To encourage play with the dough, try incorporating it into his obsessions.  If his obsession is trains, use play dough to make trees, or bridges (for example.)  If his obsession is dinosaurs, use play dough to form rocks and create your own dinosaurs.  You can also use molds or cookie cutters.  Have cutting tools and small rolling pins on hand.  He may not use them just yet, but when he's stronger he may, especially if he has been watching Mom.

As your child's confidence increases, be sure to have markers about the house. They are fatter than crayons and don't require as much work to get a result. They also do not feel waxy in his hand.  Instead of giving him paper, let him marker his plastic animals, dinosaurs, his trains or cars instead.  He may have never known how much fun markering could be until he markered his toys!  Don't worry Mom, most markers are labeled as washable and come right off.  Only do the activity together and at the table. Autists turn everything into a routine and he will know this is always done at the table with you.  As he gets stronger, use paper on an easel, at an angle, or a white board. 



painting plastic animals



 Other activities include using (washable) water color and paintbrushes on his plastic animals, squeezing squishy balls, using a Leapster, teaching him to use the mouse on a computer, 'painting' the house outside with a bucket of water and a large brush. All of these activities continue to build those muscles while improving coordination and they give him control over the type of media he is using. 



using a mouse



The hand strenthening he can get by playing with play dough is practically unsurpassed.  It also improves coordination and fine motor skills while working those muscles and all that playing with Mom helps build social skills.  Clean up is fun when your child gets to dunk all his markered or painted toys in a sink filled with water too!

Here is a link for lots of different kinds of play dough you can make including a basic and gluten-free recipe, there are also recipes for colored play dough, edible play dough and more!
http://babyparenting.about.com/cs/activities/a/playdough.htm

Annie Eskeldson writes for parents of very, young autists.  She has two published children's books, Ashi's Gift and the sequel, Ashi: In a Class all by Myself.  visit http://www.authorannie.com

Her own autist was reviled by play dough and did not have the strength to squeeze or smash a small ball of dough until after a year of practice. But by the age of 4 1/2,  she regularly used 4 cans of play dough per week!  She learned to use the mouse at age 4, could navigate the internet by age 5 and finally used her first crayon at age 5. She used markers at school until she used her first pencil at age 6. Now at age 7, she is doing pre-cursive writing, and drawing is one of her favorite activities.  We owe it all to Play Dough!