BB_4_Kids_Rev_0_2011_04_26_Handout 26/04/2011

Transcription

1 Trish Wisbey-Roth Olympic/Specialist Sports Physiotherapist Masters of Sports Physiotherapy( AIS/UC) Active Rehabilitation consultant Director: Take Control Active Rehab Tahnee Westbury BAppSc(OT) AccOT Occupational Therapy Director/Clinical Manager : HoPALoNG Occupational Therapy for Children Based on the principle that play is a very effective educational structure to develop fine and gross motor skills in primary school children. Play is a vital skill for children to master in terms of fine/gross motor skill, socialisation and confidence development. Friendly interaction and positive competition between children of similar ages can enhance the child's motivation, effort and attention to the play task at hand. Optimises efforts to master a complex skill e.g. Jumping over an object. Play based group activity is a great progression from one on one therapy. Research based, innovative children s exercise classes. Tasks progressed in function & strength. Small group, play based classes for 5-12 year olds. Designed and run by skilled Physiotherapists and Occupational Therapists with many years experience working with kids. Works on developing fine (particularly for academic tasks) and gross motor skills, balance, awareness, posture, core strength and motor planning. Has objective and validated pre and post program assessments, Parent satisfaction surveys. Maximum 4 in a class for individual attention within a fun, social setting. Develops functional fine and gross motor skills in Children aged 5-12 with progressed levels of difficulty. Reinforces underlying skills built on by teachers and special needs educators. Compliments or as a progression to one on one Occupational, Physiotherapy and Psychological intervention. Develops and moulds social skills including verbal comprehension and following instructions, fair play, sharing, taking turns and participating as part of a team. Delayed fine and gross motor development. Writing and hand/eye co-ordination issues. Low muscle tone, postural issues, aches & pains. Poor balance, co-ordination and motor planning. Diagnosis of ADHD, Autism, Aspergers, Depression, Anxiety, Dyspraxia/Physical disability Referrals from GP s; Pediatric specialists; Physios; OT s; Speech therapist; Psychologists ; Sports instructors/coaches ; School environment where possible. Games developed within Bounce back 4 kids can be generalised to school playgrounds. Support training for teachers providing ideas for fine/gross motor skill games as pause exercises between daily learning tasks. Mentoring to offer ideas for school sport activities. Advice on play equipment for fine and gross motor skill development which could be made available to kids to use at recess/lunch breaks. Bounce Back Classes

2 FINGER AND WRIST POSITION STRENGTH PINCER GRIP DEVELOPMENT IN HAND MANIPULATION OPTIMAL PENCIL GRIP FINGER AND WRIST EXTENSION STRENGTH HAND INTRINSIC STRENGTH PRECISION GRIP STRENGTH BUILDING SHOULDER AND UPPER BODY CONTROL EYE /HAND PRECISION ACTIVITIES EYE/HAND CO ORDINATION FOR CATCHING AND THROWING EYE TRACKING OF MOVING OBJECTS Bounce Back Classes

3 PROGRESSED WITH CHANGES IN: BASE OF SUPPORT; SPEED OR STRENGTH; TIME RESTRAINTS; NOISE DISTRACTION; AND VISION CHALLENGES JUMPING, BOUNDING, SKIPPING AND CROSS BODY ACTIVITIES UPPER BODY MOBILITY WHILE MAINTAINING CORE STABILITY. SHOULDER AND UPPER BODY STRENGTH UNDER LOAD. SITTING AND STANDING POSTURE WITH SUPERIMPOSED BALANCE/STRENGTH CHALLENGES. Use of the Bruininks-Osteretsky ( BOT2 Brief) as an objective assessment of fine and gross motor skill ability before and after the to assess fine and gross motor skills 8 week Bounce back4kids 8 week program. BOT2( brief) yields a single score or overall motor proficiency, whilst containing enough detail to provide an overview of motor strengths and weaknesses. One of the only standardised tests of motor function available for school aged children. Bounce Back Classes

4 120 Primary school children were classified according to academic learning, being successful or unsuccessful and the children were also assessed with the BOT2 to assess fine and gross motor skills. The BOT2 scores were found to be significantly better in academically successful children then unsuccessful children. Research finding: The BOT2 can be useful in investigating unexplored aspects of motor development and their influence on academic learning. Initial Assessment: 13/10/10 Raw Score 11/72 Well Below Average % Rank 1% Final Assessment:10/12/10 Raw Score 32/72 Average % Rank 58th % Improvement of 57% Subcategories: Fine motor skills (Subtests 1,2,3,4,5,6,7) PRE 11/37; POST 24/37 Balance & Co ordination (Subtests 8, 10, 11) PRE 0/16; POST 6/16 Speed, Agility & Strength (Subtests 9, 12a/b) PRE 0/19; POST2/19 Initial Assessment: 15/2/11 Raw Score 33/72 Well Below Average % Rank 2% Final Assessment:19/4/11 Raw Score 54/72 Average % Rank 52th % Improvement of 5o% Subcategories: Fine motor skills (Subtests 1,2,3,4,5,6,7) PRE 24/37; POST 31/37 Balance & Co ordination (Subtests 8, 10, 11) PRE 7/16; POST 16/16 Speed, Agility & Strength (Subtests 9, 12a/b) PRE 2/19; POST9/19 Questions? Trish Wisbey-Roth Take Control Active Rehab 4/91 Mulga Rd, Oatley West Phone: admin@takecontrol.com.au Tahnee Westbury 34 Pindari Rd Peakhurst Heights 127 Croydon Rd, Croydon Phone: help@hopalong.com.au In hand manipulation Pincer grip development Finger and wrist extension strength Individual finger joint stability and control. Optimal pencil grip. Hand intrinsic strength. Grip strength. Eye /hand precision activities Bounce Back Classes

5 Eye/hand co ordination for catching and throwing. Eye tracking of moving objects. Balance activities in standing, sitting and one legged activities. Balance challenges with varied: base of support; speed of activity; time restraints; noise distraction; and vision challenges. Jumping, bounding, skipping and cross body activities Upper body mobility while maintaining lower body and core stability. Progressed core stability( abdominal, gluteal and spine dynamic control) with upper and/or lower body challenges. Shoulder and upper body strength under loads of body weight and challenged balance. Ideal sitting and standing posture trained and challenges with superimposed balance challenges. Left/right brain co ordination activities, with superimposed balance and eye/hand challenges Group speed, agility, and co ordination games with time constraints Bounce Back Classes