Recommended Toys For Childhood Development

Recommended Toys For Childhood Development

By Ian Larson, AZOPT Physical Therapy Student

Birth to 3 months

During the first couple of months your baby needs plenty of tummy time and opportunities to reach for toys.  By the end of the third month your baby can hold their head up while on their tummy, and what better way to encourage your child than to use the tummy time prop up mat.(1.)

The tummy time cruiser is a great way to encourage your little one to push themselves on their elbows and arms.  This amazing toy will help your little one develop their arm and neck strength:

Twist and Fold Gym

Bright Starts Tummy Cruiser Prop & Play Mat(2.)                               

$24.99

The activity gym will help your child develop arm and trunk strength while they are on their back.

Infantino Vintage Twist and Fold Activity Gym (2.)

$39.99

4-7 months

Elephant Shape Sorter

Your baby has grown so fast and can now sit and reach for toys that are close by and bring them to their body.  Your baby may now be rocking on their hands and knees and creeping on his tummy.  Your child will also start to place their hands around toys. (1.) 

Here is a great toy to encourage your baby to reach for objects, identify shapes and begin to solve problems:

Growing baby elephant shape sorter (2.)

 $9.00

8-12 months old

Your baby amuses themselves by putting things in containers and taking them out again.  Your baby is getting closer to walking each day.  At this stage in their development the child should work on strengthening their legs and increasing their balance. (1.) 

This toy is great to build your baby’s balance and abdominal strength.  This toy will also help strengthen their leg by getting on and off the toy:

Rockin’ Tunes Giraffe (2.)

 $40.00

1 to 2 years old

During this time your child is moving around more and learning how to play through walking and some jumping.  This is a great time to encourage your child to walk as much as they can in order to improve their balance and leg strength. (1.) 

This toy is fantastic for your child’s development because it can be used for many activities that will help your child walk, balance, and improve their overall coordination:

Fisher-Price 3-in-1 Push N' Scoot (2.)

 $54.99

3-4 years old

Your child continues to be on the move.  At 3-4 your child should walk up and down stairs, kick , throw, and catch a ball.  Your child should also demonstrate run and ride a tricycle, hop, ride a tricycle, and walk forwards and backwards. (1.)

The little basketball set is a great way to enhance your child’s ball catching, and throwing skills:

Little Tikes Easy Score Basketball Set (3.)

 $39.99

This hopscotch fun rug is a timeless classic to strengthen your child’s legs, coordination, and balance while alternating between single or double limb jumping:

19 x 29 inch Primary Hopscotch Fun Rug (3.)

$19.99

5-7 years old                     

At these ages your child will enjoy complex tasks such as swimming, climbing, jumping rope, and other complex tasks. (1.)

This sports set is a fantastic way for your child to develop and strengthen a variety of hand eye skill, coordination, and balance:

Stats Multi Sport Set - Soccer, Hockey and Lacrosse(3.)

$29.99

This jump rope set is a great way to strengthen your child’s balance, coordination, and legs:

Stats Double Dutch Jump Rope (3.)

$7.99

References

1. Center for disease control and prevention. Developmental milestones( all ages).  http://www.cdc.gov/ncbddd/actearly/milestones/index.html.  Accessed October 19, 2013.

2. Fisher Price. Infantino Vintage Twist and Fold Activity Gym, Bright Starts Tummy Cruiser Prop & Play Mat, Growing baby elephant shape sorter, Rockin’ Tunes Giraffe  , and Fisher-Price 3-in-1 Push N' Scoot. Fisher Price online store. http://www.fisher-price.com/fp.aspx?st=900000&e=storethumb&pcat=fps_babygear. Accessed October 19, 2013.

3. Toys R Us. Little Tikes Easy Score Basketball, ,19 x 29 inch Primary Hopscotch Fun Rug, Stats Multi Sport Set - Soccer, Hockey and Lacrosse, and Stats Double Dutch Jump Rope. Toys R Us online store. http://www.toysrus.com/family/index.jspcategoryId=10811247&view=all. Accessed October 19, 2013.

Tips For Proper Work Station Ergonomics

Tips For Proper Work Station Ergonomics

By Doug Lehman, PT

If you have a job that requires primarily a seated position, poor posture can easily contribute to back, shoulder, and neck pain.  Spending lots of time on the computer in any setting can also be a problem if you are not using the correct posture. The good news is that there are a number of helpful tips that can improve your work station ergonomics and help decrease your symptoms of pain. 

Ergonomics are design factors, for the workplace, intended to maximize productivity by minimizing your fatigue and discomfort.  Some companies have an ergonomics department which will assess your work station and order any necessary equipment.  If your company does not have this department, here are some examples of what can be done to best prevent pain:

First of all, your feet should be flat on the floor.  If your chair needs to sit high to reach your work station, you still need somewhere to support your feet.  When buying a new stool is not an option, an old phone book usually works just as well.

Your hips and knees should rest at approximately a 90 degree angle.  As a general rule, your knees should be level with your hips, or slightly below, when seated.

Your elbows should be bent to 90 degrees when working on a keyboard.  You should not have to reach up or down to get to your keyboard.  Your shoulders should be relaxed and not elevated.  Your wrists should not be bent up or down while working.  A wrist support for the keyboard and mouse are useful.

Your chair should have good support for your low back, so be sure to use it!  Sitting on the front edge of the chair for an extended period of time does NOT allow for good back support.  If you do not have good support on your chair, a lumbar roll should be used.  A small pillow or rolled up towel can be just as effective as a professional lumbar roll. 

Remember to change positions often to allow your muscles to work and rest.  Changing positions allows for better posture and blood flow to your tissues.

And finally, your monitor should be at eye level.  An old phone book can again be used to help raise a monitor to the proper level.

With these tips, you are capable of completing an ergonomic assessment to your own work station.  Spending the time now can help reduce current pain or prevent future problems!  If you are experiencing back, shoulder, or neck pain, call us at 623-242-6908 to schedule an evaluation.

When Should I Be Concerned About my Child’s Development?

When Should I Be Concerned About my Child’s Development?

By Josh MacDonald, OTR/L

Kids Place Clinic Director and Pediatric Occupational Therapist

As pediatric therapists, we get asked this question a lot.  Parents will ask us about their child’s eating habits, if their child should be walking by 12 months, why their child cannot tie their shoes in first grade, and countless other areas of childhood development.  Through our many years of experience we are able to offer our best and most reasonable answer based on typical development; however, many times the best answer begins with “it depends.”

If you are blessed to have a child without any major medical concerns, you will inevitably spend time worrying over every other aspect of their development and growth.  When an area of development seems to be lagging behind, most people turn to the Internet for answers.  Unfortunately, the Internet is full of conflicting data and just enough information to thoroughly confuse and frustrate parents.   So if not the Internet, then where should you turn for answers?

Our first suggestion is to spend time around other children the same age.  Get your child involved in play groups or play dates with other children the same age.  This will give your child a chance to work on socialization skills and peer play as well as give you a chance to see what other kids are doing.  There is no “one right answer” to when a child should acquire any given skill.  Because each child develops differently you are likely to find out that your child excels in some areas and not in others.  Whether it happens in a church nursery, park play group, or one-on-one play date, give your child lots of chances to play with others.  They will learn from the skills of others as well as improve their social skills.

If you still have concerns about your child’s development, you can browse the Internet, but we urge caution.  Stick to websites attached to institutions with substantial reputations.  Stay away from any website whose parent organization you don’t know or can’t identify from their home page.  Also stay away from individuals’ blog posts or websites.  There might be accurate information, but you can’t distinguish the difference between good and bad blog sources.  Below are a couple suggestions of the type of sites you can research:

University of Michigan: http://www.med.umich.edu/yourchild/topics/devmile.htm

State of Florida Family Health Agency: http://www.floridahealth.gov/alternatesites/cms-kids/families/child_family_info/your_childs_development/development_milestones.html. 

If spending time around other children of similar age and research on reputable websites leaves you concerned or uncertain, you can ask your doctor for a referral for an evaluation with a Physical, Occupational or Speech Therapist.  These specialists will be able to complete an initial evaluation between 45-60 minutes and give you solid information (based on experience and standardized tests) about your child’s development.  If additional services are necessary, they will help you determine which specialist is best suited for your child.  This may mean a visit to a different clinician (developmental optometrist, neurologist or developmental pediatrician), but the value of being certain is worth the extra appointment. 

It isn’t easy being a parent, and life is full of questions.  We all want the best for our kids.  Knowing how to achieve that is not easy.  There are options and resources available to help you answer these questions.  If you are still unsure, feel free to contact us at Kids Place, and we will work with you to schedule an appointment for an evaluation.

Incorporating Proper Body Mechanics

Incorporating Proper Body Mechanics

By Pamela Guevarra,PT, DPT

Often times, patients will ask me if the combination of physical therapy and exercise will be enough to heal their neck or back problems.  Don’t get me wrong, treatment by a physical therapist and a specialized home exercise program contribute heavily and play a significant role in achieving your treatment goals.  But is it enough?  Not entirely.  So then the question becomes, what more will help you achieve your goals and avoid future recurrences?  The answer is proper body mechanics.

Proper body mechanics are certain positions of everyday activities that keep your spine and body properly aligned.  This ultimately prevents symptoms like pain and stiffness in the spine. These positions are further recommended for people without back problems to help prevent stress on the spine, to help conserve energy, and keep you safe.

Our joints do not like staying in stretched positions for elongated periods of time.  For example, think about a time when you felt pain or discomfort in your neck after painting the ceiling.  Or a time when you awoke with stiffness in your neck or back after sleeping on your stomach with your head fully rotated to one position throughout the night.  Maybe your neck started getting tired after sitting at your computer with the neck and trunk flexed.  All of these examples, and others, will cause stress on your spine, which leads to pain and potentially degenerative joint disease.

So let’s talk about ways in which you can help achieve proper body mechanics in your everyday life.  There are sometimes multiple ways of doing certain activities.  Choose the best option for you.  If these options do not work with for you, consult your physical therapist for other options.

Sleeping.

Things to check:

·         Your bed should be firm and not sag.

·         Your pillow should not be too big that your head is bent forward or too small that your head is extended backward.  Thus, you head and neck should align with the spine.

·         While sleeping, the pillow should only support your head and neck and not your upper back.

·         Try to avoid sleeping on your stomach with your head fully rotated to one side.

·         Instead sleep on your side or back or ¾ stomach using a body pillow.

·         It may take some restless nights of sleep to get used to sleeping on your back or side.

Image Courtesy of WebMD

To sleep on your side:

·         Place 1 or 2 pillows between your legs in such a way that the top leg is supported to prevent it from pulling the spine in rotation; OR

·         Sleep on your side with a small rolled towel under the waist to prevent sagging of the spine on the waist area.

To sleep on your back

·         This is the safest method if you have night pain.

·         Place a pillow under your knees placing the low back in a neutral position; OR

·         Place a small rolled towel under your lower back helping it maintain its curve.

Sitting

Things to remember:

·         For long periods of sitting, try to stand up at least once an hour to relieve your spine.

·         Ensure that when seated, your hips are higher than your knees.

·         In most cars, the driver’s sit with their knees higher than the lower back, which causes a lot of stress on your spine, especially during long drives for people with neck or lower back problems. 

Here are some tips to assist your seated posture:

·         Fold a pillow lengthwise or roll a large towel and place it on the back half of the seat so when you sit on the chair, your hips are higher than your knees. This places your pelvis in a neutral position which in turn helps correct your posture.

·         If it is not possible to place a rolled towel or a folded pillow on the seat, sit astride a chair and place feet under the chair. An alternative if you need to study or have to work over a desk is to sit at the edge of the chair and then bend your knees and put your feet under the chair.

Standing

Things to remember:

·         Avoid standing in one position for a long time. It relieves the stress not only on your spine, but it also helps with the circulation on your legs.

Prolonged Standing

What to do:

·         For prolonged standing, place your foot up on a stool and alternate your legs if possible.

·         In front of your sink, you can open the bottom cabinet and place your foot in there.

Lifting and carrying

Things to remember:

·         Check the distance to transfer the object so you can plan accordingly.

·         Assess the weight of the object so you can decide if you need to use 1 or 2 arms/hands to lift an object or if you need assistance.

·       Remember to widen your base of support by separating your legs, making sure you bend at your hips, not your trunk.

·         Objects should be as close to your body as possible.

For Lifting Smaller Objects

There are two ways to lift an object:

·    When picking up small objects from the floor or lower areas, remember the golfer’s lift: place one foot in front of the other, while holding on to something for balance and support, and kick the back leg up while reaching.  This will keep the spine in a neutral position.

·         To pick up a heavy item, squat, placing yourself close to the item, keeping your back straight and lift with your legs.  Do not lift and twist your body in a bent position.  If possible, stagger your stance - positioning one foot in front of the other before you lift - so you can easily take your first step.

Household Chores

Vacuum and mopping

·         Walk with the vacuum or mop, keeping them close to your body to avoid reaching and protect your back.

Cleaning high areas

·         When cleaning something high like a tall window or trying to retrieve an item from a high shelf, avoid reaching up.  Find and use a step stool to raise yourself high and be safe.

Practice and repetition are keys to incorporating proper body mechanics into everyday home and work activities.  The mix of treatment by a physical therapist, a specialized home exercise program by your physical therapist, and proper body mechanics will help you achieve your goals in physical therapy.  While the treatment and exercises will work to improve your flexibility, range of motion and strength, proper body mechanics will make all of this easier. 

As always, consult a licensed physical therapist at AZOPT if you begin to have problems with your neck or back.  We will help you with the appropriate body mechanics that you will need in your everyday and work activities based on your specific condition.