Occupational Therapy

VS

Therapy Activities At Home

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Many parents wonder whether their child really needs occupational therapy, or whether doing "therapy activities" at home is enough to help their child.

To answer this question, I need to explain a bit about how occupational therapists work, and therefore, the impact they could have on your child.

An OT facilitating the correct movement


Introduction

Occupational therapy is about helping people become functional (or be restored to function) in every area of their lives. And we use “purposeful activities” in order to do this.

An OT would look for an activity that is meaningful to that person and use that to develop the skills needed.

For example, as a student, I was working with a lady who was recovering from a stroke (a housewife) who was in rehab before returning home.

I used hanging up laundry as an activity to strengthen her upper body, relearn correct movement patterns and figure out how to adapt the task so she could cope with the laundry when she got back home again.

So our session together was so much more than just exercises, it was about enabling that lady to resume the functions that were important to her.

Using play to develop skills.

For young children, their primary occupation is play, and so an OT would use play to help the child develop the skills they need.

Older children need to be functional in life skills and school skills, so an OT will also work on those, often using play as a means to an end.

There has been much discussion recently among OT bloggers about what makes an occupational therapy activity stand out from a regular activity, and why doing a therapy-like activity at home does not mean you are doing therapy at home! Even doing an activity suggested by an occupational therapist (whether the suggestion was made in person or on a website) does not make it therapy!

During the planning and execution of an occupational therapy session, there is a lot of analysis and adaptation to make the activity “just right” for your child.

Facilitating the correct movement.

And while an OT can recommend activities for parents to do with their kids, the parents need to keep checking in with the OT to make sure the activities are still “just right” for meeting the child’s needs and offering just the right amount of challenge.

So I am going to take this opportunity to remind my readers that jut because I have an occupational therapy background, doing the learning activities I suggest on my site does not mean your child is getting therapy.

You can supplement the therapies your child is receiving, with your therapist’s approval, and you can definitely do your best to help your child develop the skills they need in order to cope in school, but there is no way that a website can be a substitute for evaluation and treatment by a qualified occupational therapist!

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Using Fine Motor Activities As An Example

There are lots of awesome mommy bloggers and teacher bloggers out there who have incredibly creative and resourceful ideas for activities that use fine motor skills. The Web is swimming in funky fine motor ideas!

But if your child has poor fine motor skills, those activities may not necessarily help them get better.

An occupational therapist, on the other hand, will analyze exactly which components of fine motor skills your child is struggling with, and then comes up with an activity that is just right to meet those needs.

To help you understand the distinction, please read my article on why some fine motor activities are better than others!

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Adapting Activities To Meet Kids' Needs

One of the key principles of occupational therapy is adapting an activity to meet the needs of the person we are working with.

Playdough Therapy Activity

An OT will often use one activity (say, playdough) in a completely different way with 5 different children in one day!

Take a look at a few things an OT may do with playdough:

  • One child may need to explore it to meet sensory needs (as in sensory processing disorder)
  • One child may need to pound it rhythmically and roll it out symmetrically to work on bilateral coordination skills.
  • Another child may need to strengthen weak hand muscles by doing specific stretching, pulling and squeezing exercises with the playdough.
  • Yet another child may need to work on finger dexterity by rolling tiny balls of playdough.
  • And a resourceful OT may even build a specific object using balls and sausages and get a child to copy her design to work on motor planning and spatial perceptual skills!

And I have not even begun to cover how an occupational therapist could use the playdough differently with a child who has cerebral palsy or is recovering from a bad car accident!

So just “doing playdough” is not a therapy activity. It is how an OT uses the playdough that makes a difference to a child’s development.

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More Than Just A Session

Pediatric occupational therapy is more than just planning and carrying out a session with a child.

It involves gaining a deeper understanding of the child's struggles and strengths, and then conveying that understanding to the significant people in the child's life.

I wrote about this over at Anne Zachry's blog - you can read my article here.

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Loving Occupational Therapy!

As I write this page, it is April, which is Occupational Therapy Awareness Month in the USA and there has been much excitement and sharing among OT bloggers in the last few days!

MamaOT has written about the 5 best things about being an occupational therapist and you can read them over here.

My favorite of her 5 best things: the fact that doing OT means you can blend creativity with science! We get to be analytical and apply science to what we do in therapy, and we get to be creative about how we do it!

My absolute favorite aspect of occupational therapy is getting to play with kids in order to help them. It is especially wonderful when working with kids from deprived backgrounds, who are usually just trying to survive a hostile environment. For them to discover the joy of play while working on their skills is very special.

The best quote of my career came from a little boy in first grade, who was in therapy for his poor gross and fine motor skills. After doing some activities with the big therapy ball, we settled down to do a cutting activity.

And the conversation went like this:

Boy: “Do you have a real job?”
Me: “This is my real job!”
Boy: “You mean you just play all day?”

I still laugh as I remember the incredulous look on his little face!

It must have been his dream job! It certainly is mine!

I hope this page has given you some insight into how an occupational therapist can benefit your child and that doing the activities on my site is NOT a substitute for an evaluation and treatment by an occupational therapist!

By all means do the activities to help your child develop skills, but please don't call it therapy!

Please contact your health professional to get a referral to a pediatric OT near you.

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Some Helpful Resources

  • Really Good Books
    If you are a parent in need of support, or a new OT needing some ideas and information, these books were really helpful to me as a parent and as a therapist. These are my reviews and recommendations!
  • Want to become an Occupational Therapist?
    Visit this page and download the free e-book (PDF format) that 2 fellow OT Bloggers have put together - it tells you the most important things you need to know about becoming an Occupational Therapy Practitioner
  • Resources on the Web
    A very intensive list of all things therapy related - helpful for parents and teachers!

All the best as you strive to help the children in your life!

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› Occupational Therapy VS Therapy Activities At Home



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