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Handwriting & Creative Writing for Self-awareness and Wellbeing

exploreandsoar · 17 January 2024 · Leave a Comment

HANDWRITING AND CREATIVE WRITING FOR SELF-AWARENESS AND WELLBEING

There is nothing quite like putting pen to paper. 

Handwriting is a skill that we are often introduced to prior to entering school. It is then further explored in early education, then over time we develop the ability to form more comprehensive cursive written text. As we enter our teenage years and tertiary education, we then progress to touch typing – with digital correspondence becoming our most prominent means of written communication. 

We are taught to identify and draw shapes that lead into the pre-development of writing letters, and understand shape recognition of our letters to then write them. As Occupational Therapists it is our job to facilitate fine motor development, hand control and the strength needed to be able to achieve these handwriting skills, develop pre-requisites to handwriting and the correct letter formation. This occurs from capital letters to lower case to cursive writing in grades 3 and 4. We do this in conjunction with a child’s development and alongside the teachers in your child’s classroom. 

The power of handwriting is something that we as OT’s stress the importance of. Hoping for it not to be lost in a technologically advancing world. The ability to draw shapes and practice drawing letters prior to school, is a more powerful form of letter recognition for development in reading and writing once transitioning into school (James & Engelhardt, 2012).This is a more profound use of skill acquisition and the attention to complex writing skills, compared to tracing over letters on paper or using apps to do on electronics (Berninger & Amtmann, 2003).

So, what else is handwriting powerful for? 

Its power lies in a child or adult’s ability to to express themselves in written text! It can also be used as we get older as a creative outlet, a way to express ourselves without judgement, a way to work through our own personal experiences and emotions attached or further explore the process of different texts like short stories, plays and poetry. The power of putting pen to paper for written text has such profound positive effects on mood and well-being (Deveney & Lawson, 2022), yet despite all this evidence and documentation on creative handwriting on paper, it appears we are moving towards more technology based learning? So how does this further impact our children’s ability to attend to activities for longer, enhance their higher executive functioning skills of organisation, sequencing of an activity and expand their ongoing development and coordination of all skills together, such as cognitive, motor and neuromuscular?

I pose the question, what if writing is a creative outlet? A way to express ourselves without judgement, without rules, a way to make sense of our inner and outer world and enhance our wellbeing through body, mind and spirit. To declutter the mind and find truth, reasoning and intent behind our feelings and emotions. What if the very idea of escaping into an idea or fantasy prompts emotional regulation, self expression and a great understanding of oneself? 

I say this as someone who has truly found the benefit of written text – predominately through journaling to make sense of the world around me. Growing up, written text, English and the pressure of being creative within a certain formula was extremely difficult for me. I would become anxious and overwhelmed by the expected requirements. Not to mention spelling, grammar and paragraph formation. It was like an automatic cognitive roadblock to my brain that impacted the way I would bring together my creative mind and my higher executive functioning skills. 

Upon reflection growing up, these were all a part of my challenges academically and skills that certainly didn’t come to me overnight. In focusing on the finer details, I couldn’t be truly creative and use writing as a means to express myself and my emotions. I lacked self-regulation strategies, emotional awareness and that secure free outlet that I find today, in writing by hand in my diary. 

Taking the pressure off my grammar, spelling and structure when writing has helped to truly clear the road blocks I experience when I have to write an important written text for business or for everyday life. Even more so, journaling and creative writing about my life helps to clear my mind, and allows me to prioritise my important tasks. Looking back, what I often wonder that if I had this opportunity to explore a sense of creativity without limitations as a child, how much more expressive and perhaps how significantly better off my cognitive and creative mind would have been then. Especially through my teenage years and the challenges that high school brings. 

By using myself as an example, I hope that you can see just how important handwriting truly is as a means of self expression. Add to this colours, drawing, mind maps.. And your child’s development is greatly and positively impacted not just today but their years to come. Creative writing helps us gain perspective and channel different emotions.

So how do you use written language in your life and does it support your well being and mood when engaging? How do your children utilise written text in their life, and are you allowing space for creative and written language to express their emotions and work out different daily social contexts and events in order to  help with their own personal development and awareness? 

It might be time to put pen to paper and step away from the screen – for some creative expression. 

References:

Berninger, V. W., & Amtmann, D. (2003). Preventing written expression disabilities through early and continuing assessment and intervention for handwriting and/or spelling problems: Research into practice. In H. L. Swanson, K. R. Harris, & S. Graham (Eds.), Handbook of learning disabilities (pp. 345–363). The Guilford Press.

Deveney, C & Lawson, P. 2022, Writing your way to well-being: An IPA analysis of the therapeutic effects of creative writing on mental health and the processing of emotional difficulties. Counselling & Psychotherapy Research, Vol 22, Issue 2.   

James, K. H. & Engelhardt, L. 2012. The effects of handwriting experience on functional brain development in pre-literature children. Trends in Neuroscience and Education. Vol 1 Issue 1. 

Until next time,
Jess

ORIGINALLY PUBLISHED JULY 5, 2022

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Social Skill Development & Community

exploreandsoar · 17 January 2024 · Leave a Comment

SOCIAL SKILL DEVELOPMENT & COMMUNITY

Last month we spoke about enhancing our understanding and development of safety and connection between the caregiver and a child. In the time that’s passed since our last blog,  so much has happened at Explore and Soar and with our families! With school and extracurricular activities, celebrations, catch ups and holidays all occurring over the last 6 weeks, as well as the constant uncertainty of Covid, we have been forging a path towards a new normal.

I have often thought about how exhausting assimilating into a ‘normal’ social life is for me, my team and our families. We have gone from months of being stuck in our own homes, to all of a sudden being out and about all the time. It has been exciting to reconnect with our friends, family and community in ways we did pre-pandemic, yet such a change does come with a few consequences. 

Notably, our children are exhausted! 

They simply haven’t had this much social stimulation in a long time. They have been out on weekends and are now experiencing their first proper end of term fatigue. And let’s be honest, as parents, we too are exhausted and needing some down time. 

As much as I want to discuss social skills and interaction in this month’s blog, I’d like to focus on finding the balance between socialising and creating the time for rest and integration (processing) time. 

Socially, developing these skills occur at the commencement of regulation and engagement (please refer to our previous posts), but social skills are dependent on a child’s ability to process sensory information internally and externally (from the world around them). This is completed through sound (middle ear), movement (vestibular system found within the ear), and the visual system (eyes), in conjunction with other systems in the body. Additionally these organs and sensory systems are all connected through cranial (head) nerves. When we are processing information, our sensory systems alert and motivate our body to carry this information through our nerves. Our cranial nerves are located on the face and in the brain, which allows us as young children to begin understanding non-verbal social cues. There are a lot of nerves that are connected to the mouth and eyes, from our ears, which when working together, create facial expressions and we then in turn use words to express ourselves, allowing us to socially interact with others using both non-verbal and verbal communications. 

If our children have challenges processing sound, visually tracking or moving their body, just their emotional regulation and social skill development can be impacted. Unfortunately children can’t always tell us what is going on inside their body with the use of words, but they can tell us with their behaviour. 

So let’s take 5 minutes to reflect on how your children have been over the last month. Ask yourself these questions:

How do they look? How are they feeling? Are they regulating through their emotions? Are they coping at school? How fatigued are they? When you are communicating and connecting with your children, are they seeing your facial expressions? Are they able to read your social cues in order to pick up on what comes next? 

If the answer to any of these questions is no, then please take some time to work on safety and connection with them. Support their regulation, calm their bodies and nervous systems. Pausing and giving time for their bodies to rest is optimal integration time to support gains in all development but also supports them in understanding demands socially through their sensory systems. 

So many of our children are easily overwhelmed by sounds, visual input, touch and movement. When they are not able to process these inputs optimally, it can greatly impact how they socially connect with you, as parents, their siblings, and additionally how they cope in the school and community environments, when connecting with their friends.

Which brings me to socialisation in schools. Is your child having difficulties socialising with their friends at school, is it becoming more of a problem now than in previous years? And how can you help your children more?

Please reach out and chat to us if you are worried about this! Each of your clinicians will have an understanding of your child’s needs and when we are working with them, we are developing their foundational skills to further support their social skills, or additionally we are specifically working on skills that can further expand their capacity to interact with peers.

Some strategies we work towards developing are:

  • Understanding their feelings.
  • Understanding others feelings through body language and facial expressions, such as happy face, surprised face, frustration or sadness.
  • Understanding whole body listening concepts and active listening when interacting with friends or a group of friends.
  • Developing group plans, negotiating and turn taking within these activities.
  • Expected, unexpected and flexible thinking when working with friends. 

At home there are things you can do to further expand your children’s social skills, such as:

  • Understanding which emotions your children feel or express to you. How many are there? (remember this will differ pending age and their self-regulation skills). 
  • Can they ask you what is wrong if your mood or facial expressions change?
  • Playing silly faces, can they guess emotions from facial expressions, such as sad, excited, surprised?
  • Play a game together that you all contribute to, each having an idea and adding everyone’s ideas together, to form a group plan and play as a family. 
  • Play boardgames that are chance related to expand on regulating through waiting their turn, winning and losing, as well as supporting each other as a whole family. 

As we are socially interacting with others in the community, school and different events, in order to further support your child’s tolerance in busy environments or supporting their reintegration into the community, you need to take notice of fatigue. Please consider different strategies that can support you and your children re-entering into the social world such as:

  • Reducing sounds, visual input and high energy movement to help them process the world around them.
  • Provide some visuals and plan for the day to support their understanding of routine and expectations.
  • When the days are not as busy, take your time or allow for transition times between activities.
  • Provide moments of deep pressure hugs, fetal positioning, ice chips, inversion activities, respiration or squishes to support their regulation and calming of the sensory system for increased engagement and interaction with peers.
  • Reduce time spent in the community or at events to support a transition back into the community and increase tolerance of high sensory inputs over an extended period of time.  

Allowing and providing our children with the best support in order to allow their sensory systems to engage socially and be present with others is paramount. It is vital in the current environment due to the reduction in time spent socialising during the last 24 months. Be kind to yourselves and to your kids, you have permission to take it slow. You do not need to say yes to everything! Think about what is best for you and your family, and focus on that!

We hope to continue seeing all of you venturing out into the communities, reconnecting with friends and expanding upon our children’s social skills. If you think we can further help you with these skills and expand on our support offerings, please don’t hesitate to contact me or your treating clinician.

Until next time,
Jess

ORIGINALLY PUBLISHED APRIL 13, 2022

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Safety and Connection

exploreandsoar · 17 January 2024 · Leave a Comment

SAFETY AND CONNECTION

As we continue to break down and share with you the way Explore and Soar supports our clients and families in our year of ‘self-awareness and growth’, it’s only fitting that after having dived into our continuity support plans and parent coaching strategies, we address the topic of ‘safety and connection’ with you. 

Upon reflection and after reviewing a large amount of continued professional development over the years as a practitioner, one valuable skill set remains a constant. This integral part of development is always discussed at the beginning of each theory or model for paediatrics. It is the ultimate foundational skill required for us as human beings in order to begin our journey of  overall development; from infant > toddler > child > preteen > teenager > adult. 

These skills are safety and connection. 

The premise being, no developmental milestone or emotional and social skills can be obtained optimally without the foundations of safety & connection. 

Establishing a sense of safety and security is essential to all stages of development, with connection following this. 

As occupational therapists when working with our clients and families, we begin by establishing what safety looks like for each family, in order to use our therapeutic practices in the most efficient and successful manner. Before any goals can be targeted or reached, it is essential for a sense of safety and security to be built between our client and their therapist. 

As a therapist when working with families, to be able to identify their strengths, boundaries and what makes them feel most secure allows for adaptive intervention methods. When this occurs, there is a natural sense of relief and sense of calm that is not only beneficial for our parents and caregivers but with our children as well. If there is no sense of safety between the clinician and parent/caregiver, then the safety the child will feel with the therapist can be altered, impacting all therapy intervention and a child’s ability to achieve their desired goals and skills in regards to development. 

Safety and connection work simultaneously. 

Connection is a feeling. It is often described as the way in which someone unconsciously connects to another’s energy and then interacts with your own. Think about when you meet someone for the first time. With some people there is a sense of calm and connection straight away, like you have known them your whole life. But then others can also have the opposite effect, with a great sense of disconnection. These feelings are our internal navigation system that helps determine whether we are feeling safe and connected or whether there is a potential threat to our sense of safety. Acknowledging these feelings then allows us to make a choice on how to respond. 

Personally, many of my decisions as an adult, especially in work have been navigated by my sense of safety and connection. I wanted to provide the support that I didn’t have growing up in a small rural town. I want to provide the knowledge, research and intervention strategies that I have learned over my lifetime to families in order to enhance their sense of safety and connection, especially in our remote areas that lack greater levels of support. At the heart of my why is relationships. And establishing Explore and Soar as a safe and connected space for our families is paramount. 

Ensuring that your children feel a consistent sense of safety and connection is what allows them to evolve and grow as a human.  

Connection is established from birth, however due to individual differences for each child, parent and/or caregiver we all have different ways of establishing these connections or different individual reasons as to why some of us may have difficulty establishing connections.  

Connection is the foundation to any relationship and is paramount for all of us as humans to feel connected. The bond between parent and child from birth is where this all begins. A model that we use within Explore and Soar is the DIR Model (Developmental Individual Differences Relationships-Based Model originally developed by Dr. Stanley Greenspan) which allows us to work on providing strategies, interventions through parent coaching and relationship approaches to help our parents and children obtain a healthy parent-child connection. 

We seek to support the development of these skills in order to allow your children to enhance their own skills through a model of “Shared Attention and Regulation” – being the foundational pillar. 

It has been extremely exciting for us to explore the recent research addressing more specific developmental skills in relation to connection. These skills contribute to the beginning of development and enhance the child’s relationships and connectedness to both parent and self, ultimately allowing for future emotional and social development to occur.

So how do we as humans actually establish connectedness? 

We establish this through;

  • Mutual gaze – visually connecting in face to face interactions for connection of shared emotions which is foundational and earlier than shared attention (joint attention), through games with parent and child (Rollins, De Froy, Campbell, & Hoffman, 2021). 
  • Unconscious mimicry (shared actions), is linked to movement and body synchrony, outlining the importance of rhythmicity with movement, mirroring body language to connect to others (Peper, Van Der Wal & Begeer, 2016).
  • Synchrony – shared social timing, known as timed relationships, some examples include predictable rhythms of mother for baby to connect with such as heart rate, respiration, reciprocity (tone) of voice, sleep/wake cycles and an ability to have an interactive and rhythmic flow of interaction to connect the parent and child’s emotional state to match (foundations of co-regulation and regulation) (Feldman, 2007). 

These established skills result in a parent child synchronicity and connectedness, reinforcing the sense of safety as outlined above and supporting overall emotional skill development.

I personally love working within this field because you can learn so many different models of support and expand your intervention approach and strategies for all children, as no child is ever the same. As I continue to work in this field, I have begun to see each model overlap and support one another.

Safety and connection is vital in building the foundations to co-regulation and regulation. It greatly impacts social development which we will be discussing in greater detail next month.

Articles

Geller, S. (2018). Therapeutic Presence and Polyvagal Theory: Principles and Practices for Cultivating Effective Therapeutic Relationships. From Porges and Dana (2018) Clinical Applications of the Polyvagal Theory: The Emergence of Polyvagal-Informed Therapies. New York: WW Norton 

Feldman, R. (2007). Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions. Journal of Child psychology and Psychiatry, 48(3-4), 329-354. 

Peper, C. L. E., van der Wal, S. J., & Begeer, S. (2016). Autism in action: reduced bodily connectedness during social interactions?. Frontiers in psychology, 7, 1862. 

Rollins, P. R., De Froy, A., Campbell, M., & Hoffman, R. T. (2021). Mutual gaze: An active ingredient for social development in toddlers with ASD: A randomized control trial. Journal of Autism and Developmental Disorders, 51(6), 1921-1938.

Until next time,
Jess

ORIGINALLY PUBLISHED MARCH 3, 2022

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School Readiness

exploreandsoar · 17 January 2024 · Leave a Comment

SCHOOL READINESS

Another month gone! That means that 2022 is fast approaching us. And with a new year, comes a new group of children and their families making the scary and exciting transition into ‘big school!’


Transitioning into the primary school setting can be a tricky time for lots of children. It is a very exciting period, filled with new friends, new teachers and new activities. But it can also be a stressful time, as there is a lot of change in our routines, structures and expectations within every day. It is important that we support our children to make a happy, supported and successful transition into ‘big school’.

School readiness skills are about more than just reading, writing and maths. It is easy to get caught up on these details, wanting our kids to be proficient in basic handwriting, counting, or even being able to identify letters and words. It is however, really important to look at the whole picture and holistically support our children to build all of the smaller less recognised skills that will support them in achieving success in Kindergarten.

School readiness refers to the foundational skills that support a child’s body, mind and wellbeing as they transition into the primary school environment. 

The first thing to remember when starting the transition to school, is that your child is going to school to continue to learn and develop their skills such as reading, writing and maths. These are not skills that they are expected to be perfect at on their first day. However, there are lots of activities and tasks that children will be expected to independently perform when they start Kindergarten. These range from self-care skills, to fine and gross motor skills, and even social and play skills. 

Let’s start by thinking about the self-care skills that a child needs to be able to independently complete within an average school day. They will need to be able to dress themselves in their school uniform at the start of the day, undress/dress to go to the bathroom at school, and undress at the end of the school day. School uniforms often have buttons, zips, shoelaces and even ties depending on the school you are attending. Children will be expected to be able to go to the toilet independently without supervision during the school day. At lunch and recess breaks children will be expected to open and close their own lunch boxes, unwrap snacks and packaging such as chip packets, zip-lock bags, drink bottles and lids.

Developing a child’s fine motor skills is another important step in preparing them for success in school. For the transition to school, focus on building basic foundational skills such as being able to open and close a school bag. Teacher’s may expect that children can hold a pencil and use it to write their own name, draw a person, form pre-writing shapes (vertical line, horizontal line, circle, x, diagonal line), and colour in an up to down and circular motion. Other skills that will be explored are holding and using scissors to cut paper and gluing for arts and craft. 

Another important skill set to support the transition to school, will be a child’s use of gross motor skills. I’m not talking about being able to play a full game of team sports such as soccer or netball but it is important that our kids are able to safely play on playground equipment and participate in common childhood games such as tips, hopscotch, hide and seek or bullrush. Age-appropriate gross motor skills for children transitioning to school include running, jumping with two feet, hopping on one foot, skipping and balancing. It is also important for children to have developed core strength and postural stability for use within the classroom so that they are able to sit cross legged on the mat for floor time, as well as sit in their chair at the desk for extended periods of time while they complete activities. 

Children learn and develop the majority of their foundational skills through ‘play’. Therefore, it is so important that our children transitioning into the school environment have developed social and play skills such as shared attention and engagement with peers. Children aged 4 years and older are expected to engage in ‘cooperative play’. This means that a child will play with other children, showing interest in both toys or the activity, as well as the other children or child they are playing with. At this age it is also expected that children will engage in pretend play themes and making use of their imagination within play. Further social skills that will be expected in the school environment include sharing, turn-taking, patience and whole body listening skills.

A skill that you might not have considered yet, but is imperative for success in the school environment is a child’s emotional regulation skills. This refers to a child’s ability to find and maintain the level of arousal in which they are able to best engage in the world around them. Think about whether your child can maintain and adapt their own emotions, behaviour and arousal appropriately to suit the activity and situation at hand. For example, if a child is playing a new exciting game, do they get over-excited and silly to the point that they are no longer able to engage in the game? Or, do they become angry or upset because the activity is too challenging for them and they don’t know how to ask for help? Additionally, can the child recover from heightened emotions such as anger or frustration, in an appropriate manner and time frame> All of these situations refer to emotional regulation skills and need to be developed for a successful transition to school. 

Lastly, let’s talk about our child’s ability to cope with and manage transitions themselves. The transition to school is a big one, but along with this there are many other smaller transitions to consider. These transitions begin early in the day from waking up and getting ready for school, to leaving home for school, being in the playground with friends, moving into the classroom for morning period, and so on and so forth throughout the day with lunch break, home time, ect. School days are very routine and structured, and children are expected to learn and follow these routines. Challenges that come with these transitions can be as simple as having to go to the toilet at a set time, rather than just going whenever you need to at home; only having a certain amount of time to eat your lunch; or moving back into the classroom appropriately after an exciting play break. 

Some children may still be having difficulties achieving success or independence in any one or group of these skills. This increases their risk of falling behind their peers and having to play ‘catch up’ or requiring additional support to be put into place to achieve success.  Therefore, it is immensely important that we support these children by actively facilitating the necessary skills for school readiness throughout pre-school.. 

If you’d like to help your child develop their school readiness skills, here are some ideas that you can do at home together. Often the repetition of everyday activities is a simple yet effective helping hand! Practice is key!

  • Encourage your child to open their own snacks and containers.
  • Encourage your child to start drinking out of a water bottle.
  • Encourage your child to be responsible for their own items, packing them, and then packing them away. 
  • Follow a morning and evening routine to support your child’s ability to understand and follow structures. This can be supported by the use of a visual schedule of ordered pictures of each step that needs to be performed. 
  • Support transitions within the home with the use of a visual and/or auditory timer to mimic the bell system used within schools and support your child’s understanding of time, space and transitions. 
  • Practice with your child getting dressed and undressed with their school uniform once you have bought it. 
  • Practice and role-play the drop-off and pick-up routine ahead of time. Also discuss and role-play changes in routine and unexpected events i.e., somebody else picking them up. 
  • Engage your child in arts and craft activities at home. Use pencils, crayons, paints, string and beads, scissors and glue to create masterpieces together. 
  • Encourage your child to participate in colouring in activities, tic-tac, toe, mazes, colouring in, dot to dots, etc. 
  • Engage your child in card and board games that will teach them turn taking, sharing, and problem solving skills. 
  • Play and create obstacle courses within the home to practice your child’s movement and gross motor skills. Include jumping, balancing and hopping. 
  • Teach and expose your child to common group games such as tips, hide and seek, bullrush etc. 
  • Facilitate safe social encounters with similar aged children for your child to practice play and social skills with. 
  • Support your child to identify their emotions and explore and practice different ways to calm their body when in a heightened state of arousal. For example, practice deep breathing, drinking cold water, movement breaks or other tricks that work for them as an individual. 

As Occupational Therapists, we also facilitate the development of all of the aforementioned skills through our one-on-one therapy intervention sessions, home programming and our school holiday ‘BIG School STARS’ transition to school group which Explore and Soar run in the January School Holidays. If you have concerns about any of the skills discussed in this post, just ask your therapist and they can help you best support your child to achieve the success they deserve at big school. We also have a transition to school activity handout on our website, click the link here to view and download it, to help with all the activities ahead over the next couple of months.

By supporting our children to build these foundational skills, we are giving them the tools and skills that they need to not only achieve success at big school, but to have the best time while doing it!

Until next time,
Georgia

ORIGINALLY PUBLISHED NOVEMBER 3, 2021

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Understanding Motor Planning and Coordination

exploreandsoar · 17 January 2024 · Leave a Comment

UNDERSTANDING MOTOR PLANNING AND COORDINATION

This month we are going to talk about motor planning and coordination.

Each child develops at a different rate and at Explore and Soar it’s our job to identify and offer intervention solutions to help that process. 

Developmental Coordination Disorder is what postural and motor sensory based disorders are diagnosed under, in the DSM-V. We use sensory based motor disorder definitions, information and research to help us identify behaviours consistent with this, as occupational therapists.

One of the most common reasons we find that children are referred to Explore and Soar is difficulty with gross motor skills. This could be concerns regarding poor coordination, appearing clumsy and falling over a lot, difficulty with crawling or an inability to jump with two feet at a time, to skip or to ride a bike. 

As part of our initial assessment process and during our intervention sessions, we pay close attention to how your child moves their body in various scenarios. This provides us with vital information regarding how your child is processing the varied types of sensory inputs around them.

Last year we wrote about Sensory Processing Disorders on our blog, how to correctly identify the warning signs and how to best assist your child. One of the types of sensory processing disorders that we only spoke briefly of was sensory-based motor disorders (SBMD) also commonly known as a developmental coordination disorder, as recently outlined in the DSM-V under the category of neurodevelopmental disorders.

In SBMD, we see children who have difficulties with “stabilising one’s body or thinking of/planning/sequencing or executing a series of movements based on sensory information outside and inside the body” (Miller, L.J., 2014, pg.14). SBMD can be categorised into two groups; Postural Disorder and Dyspraxia.

Postural disorder is seen in a child who has difficulty in maintaining the control of their body, to meet the demands of an activity. It involves our muscle tone, core strength and stability. It is the action part of all motor movements. 

Children who have difficulty with ideation (forming an idea in the brain), planning and sequencing (identifying what steps are involved) and execution of motor movements fall into the dyspraxia category. This can occur across all motor movements including gross motor, fine motor, visual motor and oral motor. This is known as the planning part of all motor movements.

Motor planning is an automatic subconscious process that occurs every time we seek to move our body. We tend to take this process for granted. It occurs with many common daily activities such as opening a door, putting a jacket on, writing our signature, or chewing our meals. Once acquired it becomes like riding a bike – once you know how to do it, it begins to happen without too much conscious thought. Everything we do can be broken down into steps that our brain automatically executes via motor movements for successful completion of the desired activity. Children who are experiencing difficulties with motor planning find such tasks difficult, awkward and exhausting because of the level of conscious energy they have to put into completing each and every task! 

One common result of motor planning difficulties is an impact upon the ability to form social connections and self-worth. This is often due to difficulties with oral motor (eg. speech), visual motor (eg. difficulties copying work from the board at school), fine motor (eg. difficulty with buttons, shoelaces) and gross motor skills (eg. difficulty keeping up with their peers at recess). 

So how do we address motor planning difficulties in OT sessions?

We practice all the steps involved – ideation, planning and sequencing, and execution – so that it eventually becomes an easy and automatic process for the child. We provide opportunities for the child to create their own ideas for an activity, we break skills down into smaller steps to achieve success and we provide high repetition rates to allow feed forward and feedback loops to develop around the sensory information the child receives from the world around them. This is where we apply our knowledge and skills of activity analysis as OT’s to coach and teach your child skills that allow them to increase their independence. 

This is not a quick process. It takes time to rewrite neural pathways in the brain for autonomic responses to sensory input. By addressing motor planning goals within intervention sessions, we are not only looking to increase a child’s skill level but also their self-esteem and confidence to complete activities that are meaningful to them, ultimately leading to a happier successful life!

If you have any questions around motor planning, please reach out to one of our therapists who will be able to provide more information to you.

Reference:
Miller, L.J. (2014) Sensational Kids: hope and help for children with sensory processing disorder (SPD). New York:Penguin Group.

Until next time,
Lori

ORIGINALLY PUBLISHED JUNE 2, 2021

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