OT – Playing With Shaving Cream (soapy foam)

If your child is not putting everything in their mouth for sensory input, or can tell the difference between something they can eat or not eat, then shaving cream or soapy foam can be used to help your baby with tactile stimulation, learning to open their index finger (pointer finger) and practice drawing. The whole body is engaged in this kind of play and opportunities for language development abound, too.

A typical baby’s index finger begins to “unfurl” and become useful to them around the age of  8 to 9 months. At this time, they can pass an object from hand to hand and use their index finger and thumb to grasp objects (pincher’s grasp) such as small bites of food. In a baby with low muscle tone, or with cognitive delay, this interaction between brain and finger comes later. It is important that it is encouraged early on in their development since it is the basis for the vast majority of finger and hand operations regarding self-care. Just think about how you use your pointer finger every hour! For a child, they can begin to push buttons, point out what interests them, poke holes in playdough, touch things for sensory input, feed themselves and a long list of other things.

In the video here, 22 month old Arabella is trying an activity that will encourage her to draw with shaving cream if she opens her fingers and (hopefully) uses her index finger to draw in the shaving cream. She is not using her index finger fully, and we are trying to get her brain’s awareness of that finger and its control heightened.

Watch how Tad Bruneau, OTR/L, introduces Arabella to playing with shaving cream. She has played with it before, when it was safely encased in a Ziplock bag, but this time she has the full sensory experience of smell, touch, taste and visual reaction to the foam on her play table. Read the rest of this entry »

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New Service Recommendations Added to the Links Page

Please check out the three services I just added to our Links page:
Tadpoles Therapy Services To You, Inc.
Purposeful Play OT, Inc.
ARTS – A Reason To Survive

These are invaluable resources for parents in the San Diego County. As I find more, I will post them with my personal review and experience listed along with their website.

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Infantile Spasms (IS) – An FAQ

HEALTH ALERT: Parents, be advised that if your baby has Down syndrome, they have a 10% (1 out of 10) chance of having Infantile Spasms (a form of baby epilepsy). This is an under reported disease in infants with DS.

It shows up around 3 to 12 months of age and presents as a strange “Salaam” motion –the hands come together at the chest area and arms are extremely rigid. The legs also contract and the knees come up. The baby usually cries out during an episode. We have summarized what you need to know in this entry so that you can become familiar with IS and how it is treated. It is critical that you bring your baby to the emergency room for immediate care. This must be treated or brain injury will result.

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Constipation – Help for Babies

Constipation is a common problem in infants with DS. The suspected reason is low tone in the abdominal region. While breastfed babies rarely experience constipation, sometimes the foods the mother eats can cause some problems in the gut of the baby. When we made the transition from breastmilk to solids, we saw some slowing of our daughter’s digestion. Along the way we have collected remedies to help bring relief to the baby. Here is my list of things that will help move the bowels.
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Steroids and High Intraoccular Pressure – Part III “Getting Great Results”

With a situation like high intraoccular eyeball pressure, you can expect to be checking the eyeball pressure and condition of the optic nerve and retina surface every 30 days to assess the effectiveness of the treatments. Ideally, there is no damage from the steroid use and treatments are bringing the eyeball pressure down into the normal range. A normal pressure is considered between 10 and 20 millimeters mercury (mmHg) of pressure. At the peak of steroid use we were seeing 42 and 44 mmHg which was putting her into the danger zone for potential optic and retina damage. After 5 months off steroids, her pressure was down to 14 and 15 mmHg consistently for 60 days. This made everyone sigh with relief. The numbers came down in this order: 44, 32, 29, 24, 22, 19, 18, 16, 14. So you can see that the combination of 2 prescription eyedrops, homeopathic remedies, Epsom salt baths, osteopathic and nutritional therapy all contributed to a steady progression of better eyeball pressure.

Current Strategy: Today, at 19 months of age, exactly 13 months since starting the steroids and 5 months off them, her eyeball pressure is at 14 mmHg and we are hoping for 12 at next testing. We continue to administer the two Rx eyedrops twice daily and the homeopathic Prednisonium 6X once a week and continue to see greater cognitive/physical milestone developments emerge. Once we reach either a 3rd consistent measure of 14 mmHg or a 12 mmHg pressure we can discontinue 1 of the Rx eyedrops. A 30 day follow-up to removing that drug will reveal if the eye is stable at 12-14 mmHg at which point we would remove the last Rx eyedrop or if the eye pressure goes up we will return to the drug we eliminated. The homeopathic remedy will continue until we feel that all the side effects to steroids has been reversed in her body.

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