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Posted by Sean Lomas at Oct 1, 2015 5:00PM PDT ( 0 Comments )

Sports

Jayden has grown up on sports. His father, Sean, was a division 1 athlete & works in the sports world. At a very early age he fell in love with baseball & basketball. He and his brother Tyler play ball nonstop. Whether it’s baseball, whiffle ball , basketball, soccer, etc. It is his passion. Sports have become his biggest outlet of therapy.

In the winter of 2014, Jayden played in his first basketball league. He did great and everyone couldn’t believe how smart & athletic he was on the court. In the spring of 2014, he played his first season of junior coach pitch as the youngest player in the league at 4 years old. JJ did awesome in the league. He has continued to improve as ballplayer each year playing in the YMCA Basketball League again in winter 2015 and also in the Carolina Forest Coach Pitch League in 2015 and 2016. JJ consistently is on a ball field or a court either practicing, playing or watching. Whenever he’s not playing he goes wherever his dad is coaching or wherever his brother is playing. Playing sports has enabled Jayden to not only continue to strengthen his left arm but also his core as well as his weak right side. In baseball he literally switch hits from both sides & does the Jim Abbott with his glove.

In the winter of 2014 Jayden played in a U6 basketball league in which he did unbelievable. Using a Womens size college basketball we were skeptical of strength to put it up but he surprised again. Jayden made 3-4 baskets per game & being the highlight of the league.

The spring of 2015 he played again in the junior coach pitch league as a 5 year old for the Maryland Terps. He’s played great playing a lot of pitcher & 1st base and swinging the bat great. JJ is catching the ball with ease and is now even switch hitting. He also continues to support his big brother Tyler on his Rawlings National team. In winter of 2015, JJ went on to score about 7-8 baskets a game in the YMCA U6 league again. He played the spring 2016 year in the junior coach pitch league playing for the USC Gamecocks. He consistently hit the ball very well & is catching everything thrown his way. In the fall/winter of 2016/2017 JJ played as a 1st grader in the 2nd/3rd grade YMCA basketball league. He held his own playing up and did excellent. In the spring, JJ moved up to Coach Pitch Major playing for the Trenton Thunder. After a succcessful recreation season, Jayden moved onto 8u kid pitch travel baseball playing for the Rawlings Stars. He played a couple tournaments in the summer and fall and did great pitching and playing first base while also hitting very good.  In December 2017 he'll start up his hoops season again! Jayden’s favorite baseball team is the New York Yankees & his favorite player is Aaron Judge. His favorite basketball team is the New York Knicks and his favorite players are Lebron James, Steph Curry and Kristaps Porzingis. 

JJ is an athlete. He wears a brace on righty that helps his balance & support. We call it his superhero brace. Just like Judge's foot brace for foul balls or Lebron’s ankle brace for support, JJ has his “righty” brace for multiple purposes. His determination is unbelievable & he has a drive not like many!

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Posted by Sean Lomas at Oct 1, 2015 5:00PM PDT ( 0 Comments )

Physical Therapy

Pediatric physical therapy (PT) is conducted by a licensed physical therapist who has graduated from an accredited physical therapy degree program. Most children who have hemiplegia receive services from a physical therapist. This type of therapy will help your child reach developmental milestones like sitting, rolling, crawling, standing, walking and running. Physical therapists will work on balance, stretching, strenghtening, coordination, and motor planning.  Physical therapists tend to work with gross motor skills that are involved in activities like walking and running, while occupational therapists work on more of the fine motor skills – those skills involved in holding a cup or writing. There is a great deal of cross over between the two types of therapies and your PT and OT may work at a team and coordinate efforts.

Physical therapy will begin with the therapist evaluating your child’s needs. Next they’ll work with you and your child (depending on the child’s age) to set goals. They’ll structure games, exercises, and stretching to help your child reach those goals and may provide a program so you can follow through at home. Physical therapy should be fun for the child and there’s nothing better than finding a creative therapist who is the right fit for your child.

Some of the services offered by a physical therapist include:

Developmental activities

Strengthening

Movement and mobility

Managing muscle tone

Motor planning

Balance and coordination

Recreation and play

Adapting activities of daily living and routines

Designing, making, and fitting orthotics and splints

Developing a home exercise and therapy routine or program

Learn the Lingo

Gross Motor Skills are used for activites like standing, walking, running, and playing sports.

Fine Motor Skills are used for activities like buttoning, writing, keyboarding, and playing a musical instrument.

Core Muscles are the muscles in the core or trunk of your body that are used for large movements, like standing, sitting, walking, running, and staying upright. Remember when your parent told you to “stand up straight” – you needed core muscles to do that. Children with hemiplegia may have low muscle tone in their trunk and neck with results in poor posture, being unable to sit still or stand in one place, and fatigue. Therapists help the child strengthen their core muscles.

Weight Bearing

Motor Planning and Sequencing – The ability to plan and perform a motor task. Motor planning involves putting together a sequence of movements, such as those needed for walking or brushing your teeth. These movements are present in almost every daily task. Motor planning is complicated and depends on many things, all of which may be difficult for children with hemiplegia.  Kids with hemiplegia may follow the typical sequence, but may do so at a slower rate. Sometimes motor planning in our kids is disorganized and they may need to be taught a specific sequence. Our children may have difficulty with the ability to think of what to do next and they may benefit from copying or imitating someone. They may have problems remembering how to do something and can usually benefit from breaking down a task or motor movement into smaller steps, allowing them to master each step, then putting all the steps together. One mom tells about teaching her daughter to tie her shoe with one hand. She didn’t present the entire task at once. At first, they worked together to simply cross the laces. When her daughter mastered that step, after days of practice, they worked on making a loop.  After a few months of learning each part, they put them all together and her daughter successfully tied her shoes with one hand.

Crossing Midline – reaching across the middle of your body to pick up a toy on the opposite side. Therapists think this is a really important skill and you’ll often hear this term because it’s hard for a kid with hemiplegia to reach across his body.  In addition to not having much movement in one arm and hand, many of our kids may feel like the center of their body is actually the middle of one side, so if she has right sided hemiplegia, she feels like the center of her body is the middle of the left side of her body. The OT and PT will work with your child to develop the ability to “center” themselves in the middle and use their arms to reach across to the other side.  Crossing midline helps your child learn to do many daily tasks like climbing stairs, walking, typing on a computer, riding a bike, using tools, catching a ball, maintaining balance in a car, reaching for things on a shelf, and enjoying a variety of sports like golf and baseball.

Bilateral Coordination – the ability to use both sides of the body at the same time. This could mean using both arms and hands together, using legs together, or using arms and legs together.  Crossing midline helps a child develop bilateral coordination.

Gait – the manner of walking or moving the foot. A child with hemiplegia may have a different type of gait due to a combination of muscle tone issues, rotation of the leg joints, and physical differences. A child with hemiplegia tends to strike the floor with the toes on her affected side instead of her heel. This toe walking causes children to trip and fall. Medical professionals often recommend a brace (orthotic) to help pull the toes up and achieve heel strike and a more typical gait.

Tummy Time for Children with Hemiplegia

Help your baby build those core muscles with  lots of tummy time.  Most of our babies don’t really care for tummy time because it’s a lot of work, especially since they’re mostly using just one side to move. Put colorful toys in front of your baby so he’ll be encouraged to stay on his tummy as long as possible.  Do some of your own tummy time on the floor in front of your baby – she’ll love looking at Mom or Dad’s face.  Start out with short amounts of tummy time and gradually build as your baby gets stronger. This is a great position that leads to rolling, scooting and crawling.

Crawling

Crawling is an important activity for children with hemiplegia or hemiparesis because it encourages that all important weight bearing, helps strengthen their trunk muscles, helps with balance, helps the baby learn to move across midline, and helps with motor sequencing.  Our kids need to bear weight on their arms and legs to encourage growth, strength, and coordination. A child with hemiplegia may crawl in a variety of ways:  scooting or hopping on his bottom, using the stronger side to move and  army or commando crawl on her tummy seem to be the most popular methods. Some children with hemiplegia do learn the traditional method of crawling, using both arms and legs. Others completely skip crawling and move directly from rolling to standing and walking. Some children with hemiplegia walk on their knees before learning to walk. You can help your child learn to crawl by giving them lots of tummy time, and helping with movement of arms and legs. Ask your child’s therapist to teach you how to do exercises with your child on a large exercise ball or on inflatable rolls. This will help strengthen those core muscles that she’ll need for crawling and eventually walking.

Walking

Most children with hemiplegia or hemiparesis eventually learn to walk. It just takes a bit of time.

 

3. Add tab for “Occupational Therapy” w this info:

 

Occupational therapists (OTs) help children with hemiplegia improve their ability to perform tasks in their daily living.  They help children succeed in their “occupation” of learning, playing, and growing.  When skill and strength cannot be developed or improved, occupational therapy offers creative solutions and resources to help your child carry out her daily activities.

OTs may specifically help children with hemiplegia with  tasks such as improving hand function, strengthening hand, shoulder and torso, and eating skills.  Therapists may also recommend a hand splint for active use or for stretching at night. Some therapists actually make the splint; others may measure your child’s hand and order a splint. In schools OTs evaluate children’s abilities, recommend and provide therapy, modify classroom equipment, and in general, help children participate as fully as possible in school programs and activities.  Traditionally, for children with hemiplegia, the occupational therapist works with the child’s upper extremity.


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Posted by Sean Lomas at Oct 1, 2015 5:00PM PDT ( 0 Comments )

Speech Therapy

Speech Therapy

Communication differences are usually diagnosed by a licensed Speech and Language Pathologist (SLP), sometimes known as a Speech Therapist. These therapists can use a multimodality approach with little ones:

Visual – using pictures; modeling the sound while the child watches

Auditory – listening to the sound; apps and computer programs can help with this

Tactile – physically manipulating the mouth to make the developmentally appropriate sounds; visual phonics

Sign Language

Because expressive language (talking) is often delayed in children who have hemiplegia, many parents report that sign language allows their child to communicate while they wait for language skills to improve. Signing can decrease frustration because your baby can tell you what she wants! There are a variety of methods for teaching sign language to your baby.

Check out a book from the library on teaching sign language to babies

Baby Sign Language

Book recommendation:  Dancing with Words by Mailyn Daniels

Drooling

Drooling past the baby stage is not common in children with hemiplegia. A few children do continue to have challenges with drooling and the habit of drooling may be due to weakness and impaired mechanical activity of the oral muscles. This means that drooling in children with hemiplegic cerebral palsy may improve as their oral musculature matures. Check with your child’s occupational therapist and speech therapist for help. Parents tell us that vibrating toothbrushes and oral massagers may help with drooling and sensation in the child’s mouth.