GROSS MOTOR SKILLS

Whilst we continue to navigate the current disruptions and changes to our everyday life, I thought I would focus on a term we regularly see in our referrals from parents, caregivers and teachers. Gross motor skills. The development of these skills allows a child to participate in everyday activities such as self-care, school work and socialisation.

What are Gross Motor Skills?

By definition, Gross Motor Skills are the physical abilities acquired during early childhood, those which require whole body movement such as standing up, walking or running.

Gross Motor Skills develop through the use of large muscles in the body in a controlled and organised manner including the torso, arms and legs to complete whole body movements. It involves both the coordination of muscles and the neurological system in the body. The development of these skills impact upon balance, coordination, body awareness, physical strength, endurance and reaction time. They are developed through experience, practice and repetition during everyday life and impact upon confidence and the execution of further skills such as; walking, running, skipping, sitting, jumping, hopping, hand-eye coordination (catching a ball), dressing, bathing, feeding oneself and even academic skills such as the ability to sit at a desk, manage a full day of school or carry a heavy school bag.

Children need to be exposed to a range of diverse opportunities in order to move freely and practice their Gross Motor Skills, with each skill building on the one before and preparing your child for the next challenge. They are a vital part of childhood development for movement during daily activities and also provide a stable base for the development of fine motor activities, such as writing. As a child continues to develop their Gross Motor Skills and overall body awareness, their self-esteem and confidence grows, allowing them to explore the world around them, interact socially and develop relationships.

The development of Gross Motor Skills:

It’s important to remember that each child develops at their own pace, however the development of Gross Motor Skills usually occurs in stages with each skill building upon the next. Categorically by age, your child should be:

At 3 to 4 months an infant can raise their head and chest when lying on their belly.
At 6 months an infant can roll over, both ways (from the stomach to back and back to stomach).
At 8 to 9 months an infant can sit without support and may start to crawl.
At 12 to 18 months a child can walk on their own. They’re a toddler now!
At 2 years of age a child learns to run, jump and throw a ball.
At 3 years of age a child can walk on their tiptoes, climb, attempt to balance on one foot, gallop, jump, kick a ball and try to skip.
Between 3 and 4 years of age a child can pedal a tricycle.
By 5 years of age, a child can leap, hop, skip and run. Proceeding this age we continue to grow and develop our motor movements which aid in the development of Fine Motor skills.

There are three types of Gross Motor Skills:

Locomotor skills: those used to move your body from place to place such as running or walking.
Manipulative skills: those that involve moving an object such as a bat, ball or skipping rope.
Stability skills: those that are related to balance and body weight transfer, including standing on one leg or manoeuvring around an obstacle.

How to encourage Gross Motor Skill development:

Infant development: Infants have very little control over their bodies, so they rely on their parents for support to move safely and comfortably in the world. Whilst a baby’s head needs support in the first few months of life, as they continue to grow they will slowly begin to strengthen the muscles in their neck. To support this strengthening and confidence in movement, hold your child to your chest so they can begin to peer over your shoulder.

Furthermore, you can encourage your child to learn how to move their body through tummy time. Through this activity, you are allowing them to build strength and become mobile. To do so, put them down on a comfortable mat or blanket on the floor on their stomach, and walk around the room to motivate your little one to lift their head and continue to develop their neck muscles to see you.

As OTs, part of our method to support engagement within a session is to play on the child’s motivations and interests. As your child continues to grow, I encourage you to do the same. Place toys nearby so that they can move and reach for them. Play games and songs with movements that they can imitate to develop an understanding of their body. Play parades or follow the leader to explore their surrounding environments. Throw or roll a soft ball back and forth. The ideas are endless and unique to each child.

Toddlers and young children: Skills develop through practice and repetition. Children are more likely to repeat activities that are fun, supportive, encouraging and promote success. Always encourage trial and error, rather than the attainment of perfection. Break harder asks down into smaller steps and allow plenty of rest breaks when needed. Remember that children develop at different rates, gently encourage but don’t push your child to do things if they are not yet ready.

How OT’s support the development of Gross Motor Skills?

I love how fun my job is as an OT. We use a variety of games, equipment and toys to support the development of these necessary foundational skills. There are done through a variety of activities such as:

Visiting environments where children feel safe (at home or school) and exploring movement-based tasks that can be transferred to everyday skills.
Providing education to parents, carers and teachers to assist the collective understanding of supporting the child to best achieve their goals.
Individually supporting sensory processing capacities to allow the child to work through challenging activities. This supports regulation and attention, as well as ensuring the body is receiving and interpreting the correct messages from the muscles in terms of their position, their relationship to each other, the speed at which they move and how much force they are using.
The strengthening of core muscles in order to move the body confidently, as well as expanding upon balance, coordination, crossing midline activities, body awareness and motor planning.
The breaking down of tasks or skills to become simplified components, gradually expanding the skill in its entirety to support participation and success.
Exploring varying duration and intensity of activities to support endurance.

Building Gross Motor Skills at home:

In light of the current situation we are all living in, our families are asking for a greater array of ideas and experiences to continue to build upon these Gross Motor Skills. Here are some that you can do at home:

Skipping rope
An obstacle course in the home or backyard to explore different surfaces and a variety of different movements including running, hopping, jumping, crawling etc.
Bouncing, rolling, throwing, kicking or batting a ball
Balancing on uneven surfaces like different sized pillows or an air mattress
Keeping a balloon up in the air by hitting with their hands or head
Water play! Splashing about in water strengthens leg muscles
Dancing, walking or skipping to music, improving coordination and balance
Bike riding
Using body weight to gain momentum on a swing
Hopscotch
‘Simon Says’, which can assist in following visual cues, body awareness and motor planning
Bouncing on a trampoline
Chasing bubbles can provide lots of fun while using arms, legs and eyes together
Hula-hoops, which encourage children to activate their core muscles, ensuring further development.

That’s all for now! If you’d like some help or have a question, please don’t hesitate to reach out to our team at Explore and Soar! We are always happy to help and find the right solutions for you and your child!

Madeleine Simms

ORIGINALLY PUBLISHED JUNE 3, 2020

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FLYING WITH CHILDREN

As I write this, I am currently sitting in my economy seat on a Boeing A380. I am making the 13-hour flight from Los Angeles back to Sydney after a wonderful time with friends exploring a country I’ve never ventured to before.

Here’s a solemn truth though, flying has always been hard for me. The anticipation and anxiety of the flight itself, the dreaded thought of hours of boredom, the stiffness, claustrophobia and the plane food i cannot eat… It’s a lot to overcome.

The experience of flying long or short haul is different for everyone though. Some dislike it and avoid flying all-together and for others, flying is an exciting, enjoyable experience, no matter the distance.

Personally, I tend to become overwhelmed and anxious when flying. Full disclosure, I may be a little claustrophobic, so sitting in seats next to people with no way of being to get out when I would like to and feeling restricted makes or breaks a flight for me. It’s important that I am able to get up regularly and move around as the change in air pressure has different impacts on my body. I never really spoke to anyone about what I was feeling whilst flying, I thought I was the only one who felt changes that made me uncomfortable. But the more I’ve began to open up about how i feel, the more I realized I wasn’t alone in this.

So let’s talk about the physical changes that flying brings to your body. For me, I experience earaches from the fluid moving in my inner ear and vestibular system, to increased bloatedness and pain in my stomach whilst remaining in an upright seated position for an extended period of time. Despite being somewhat uncomfortable as a result, I still make the choice to do long haul flights, reminding myself that the journey is worth it to get to the destination of choice.

Along with the physical changes, I also experience a range of emotional and social challenges whilst flying. I am quite observant and that can be somewhat detrimental as it’s hard to switch off during a flight. With concern about those around me, young children perhaps crying and even having to sit with my own thoughts – it can create an unhealthy environment mentally. As an adult, I have learnt to employee strategies to manage my own emotions and mental health on a flight. Watching a film, journaling, having a conversation here and there with those seated next to me to feel more comfortable, having playlists at the ready and trying to get sleep in to pass the time.

But what about how our children cope with the anxiety of flights? With the holidays fast approaching, it’s important to think about strategies to keep them happy whilst contained in a seat for a long period of time.

Keeping children physically and mentally entertained on a flight can be challenging. All the physical changes that I mentioned above can also occur in young people, so it’s important to prepare for physical and emotional discomfort.

So what is the best way to cope with this? And how can we prepare them for flights? How do we inform them and describe what is going to happen and why it happens in order to help them cope? And how do we help them through the physical and emotional changes in the moment?

Let’s begin with the discomfort that you may feel as a parent or caregiver. Let’s face it, we have all been on planes where children have cried, whinged or acted out. As parents, you try and soothe your child or tell them to stop as the engrained societal pressures, worries and expectations of what others think begins to cause undue stress. We begin to take on social anxiety whilst dealing with the physical or emotional discomfort of a child. In this moment of great discomfort, try to remember that these feelings aren’t permanent and that your child comes first. Your child is only expressing that they need help. We need to allow them to express themselves to help them work through their feelings in a positive manner to recover and be present for the rest of the flight.

Now let’s talk about some strategies to help you through the experience together. You may want to try;

Preparation; Explaining what will happen, how long the flight may be but what the reward will be at the end.
Layout the expectations, for example we need to sit for 3 hours in our chair, how do you think we could do this? What games, books or toys should we take?
Physical discomfort; our ears may feel funny or blocked at take off and landing; the feeling is different for everyone. There are a few things to help our kids in this instance:
Drink water before and during take off to help with swallowing and keeping the Eustachian tubes clear,
Eating a fruit snack, chewing gum or foods and/or sucking on a candy to increase swallowing and keeping the Eustachian tubes in our ears open,
Practice our yawning and pretend sleeping games; it helps equalize the pressure in our inner ears,
If you have or are prone to ear infections, see a doctor beforehand to ensure safety when flying as it can be very painful for our kids and their ears,
Staying awake at prime times; staying awake during take off and landing will help with swallowing, if your child is sleeping, they may not swallow as much and could wake up in pain,
Let them cry; believe it or not letting our children cry for a few moments actually relieves the pain for their ears and helps equalize the pressure. Soothing them and comforting them too will help them in moving past this uncomfortable feeling faster, and
Most importantly, be kind to yourself – you’re doing the best you can. And so is your child! This experience may be very new and unfamiliar to your children, so comfort them and where possible make them feel at home in the space.

The end of the year is nearing. We are all planning our Christmas / New Year holiday adventures. Don’t be afraid to fly and travel if you can. Don’t let what other people think or say stop you from living the life you want to live and going somewhere you have always wanted to go.

I cannot wait to hear about all the holiday adventures being planned for the Christmas and New Year holidays and I hope that the above strategies are helpful in keeping your children calm and enjoying a wonderful holiday period!

Jess.

ORIGINALLY PUBLISHED NOVEMBER 6, 2019