Brecksville occupational therapy

A Child’s “Occupation” is Play – A Brecksville Occupational Therapy Perspective

Those first introduced to the world of early intervention therapy are often confused as to why children would need occupational therapy. After all, kids don’t have “occupations,” right?

Actually, they do!

As our Brecksville occupational therapy practitioners can explain, children’s “occupations” involve the business of growing and developing. That means picking up fine and gross motor skills, learning to communicate and socialize, grasping self-care, feeding, and emotional regulation, and overall navigating the world around them. Play is the means through which kids master their neurological and biological development. Engaging in activities that are both fun and creative helps kids to ultimately become independent adults.

That is why play-based occupational therapy is so effective. As noted by the American Occupational Therapy Association (AOTA), it is often through play that kids learn to make sense of and engage with the world around them. Occupational therapists help children who are struggling in certain areas – most frequently with neurological, muscular, and social/communication skills due to a developmental delay, disability or injury/illness. We do this through sensory-rich play that offers opportunities for them to develop/master those skills while also having fun. We never want sessions to feel like work, even if that’s ultimately what they are.

How Brecksville Occupational Therapy Practitioners Use Play-Based Therapy

As occupational therapists, we use play not only to address the child’s goals, but also to help motivate them to challenge themselves.

Some of the ways we work with children during play-based occupational therapy include:

  • Helping to modify toys or the environment so that the child can get just the right of sensory input without being overwhelmed.
  • Recommending to parents activities for play and toys that can offer just the right amount of challenge for a child so that they are learning/working on a skill set, but also still having fun. We can also incorporate play into a variety of exercises that are geared toward helping build on the child’s abilities and strengths.
  • Crafting our sessions around play opportunities that encourage social skills like turn-taking and neurological skills like problem-solving. We’ll take in the unique priorities and routines of your family when formulating strategies you can use to incorporate this kind of play in your everyday life.

Some examples of toys and activities that we frequently use to work on certain skills:

  • Manipulative play with toys like board games, play dough and LEGOs. What we’re looking for here is boosting the child’s dexterity and hand-eye coordination.
  • Sensory-rich play with things like finger paints, magnets, kinetic sand, water toys, balls and beads. Lots of kids we work with struggle with sensory dysregulation. Playing with toys that incorporate sight, sound, tough, smell, and movement helps them work on sensory integration and regulation.
  • Imaginative play with things like dolls, puppets, phones, stuffed animals, etc. Pretend play is an excellent way for kids to practice key social skills.

It’s important that whatever toy or activity we use is appropriate to both the child’s age and maturity level. Toys and activities need not be expensive to be effective. Although our occupational therapists can conduct sessions in the home, at school, or in other settings, one benefit of in-clinic sessions is that we have a wealth of tools and toys within arm’s reach.

Our occupational therapy team works with kids with a broad range of disabilities, delays and challenges. If you’re interested in our play-based occupational therapy services in Brecksville-Broadview Heights, our team would be happy to connect with you!

Therapy & Wellness Connection – your connection to a life without limitations – is a pediatric therapy center providing occupational therapy, physical therapy, speech therapy and ABA/behavior therapy to children in Northeast Ohio. We also offer summer camp, day programs, education services, vocational counseling and more. Call us at (330) 748-4807 or send us an email. Serving Brecksville, Akron, Cleveland and surrounding communities in Northeast Ohio.

Additional Resources:

Learning Through Play, American Occupational Therapy Association

More Blog Entries:

Fun Fall Activities From Our Akron Occupational Therapists, Oct. 8, 2021, Brecksville Occupational Therapy Blog

child developmental regression

Child Developmental Regression & What To Do About It

Child developmental regression is when a child loses certain developmental skills they previously acquired. It might seem as if they’re almost moving backward in their development. This is different from developmental delay, when kids reach certain milestones later than expected or their developmental progress flattens or stalls.

The condition is pretty rare, though it is sometimes associated with a number of diagnoses, each warranting prompt attention and intervention. The good news is that for the more common conditions, treatment can be effective when problems are caught early.

Examples of the conditions most commonly associated with child developmental regression are:

  • Autism spectrum disorder. This condition isn’t always associated with child developmental regression, but as researchers have noted, it is the most frequent condition in which regression is diagnosed. In rare instances, it can be associated with Heller’s Syndrome, also known as child disintegrative disorder (CDD). This is characterized by late onset (age 3 and older) developmental delays, social function, motor skills, and even cognitive function. Children with CDD will develop typically for the first 2 to 10 years before sharply regressing.
  • Neurodegenerative disorders. These include conditions like Rett’s Syndrome and Metachromatic leukodystrophy.
  • Trauma or stress. Traumatic or stressful events can cause some children to regress in some respects or act younger than their age. Examples of this include things like potty accidents, sleep disturbances, decreased independence and behavior disruption.

For this article, we’re focusing primarily on regression as it pertains to autism. It should be noted though that with the other conditions, medications, therapies, and other supports are known to help manage symptoms, prevent complications, and improve life quality.

What We Know About Child Developmental Regression and Autism

Regression with autism appears to occur very rapidly or gradually. In either case, the child struggles to regain skills they’ve lost.

Some researchers have concluded that while regression among some kids with autism can be very real, many instances are more likely a pileup of deficits and missed indicators that finally become unmistakable. Parental reports that classify the onset of autism can often be flawed – not because parents aren’t paying attention to their kids, but because they usually aren’t child developmental experts who even know what to watch for.

In other words, loss of social interest or communication deficits can take place at varying ages and to different degrees – it just becomes more noticeable at certain points. When it happens to kids who are little older, it can appear drastic and sudden. When it happens in kids who are a lot younger, it can seem very subtle.

In the past, doctors used to think that “regressive autism” was a subtype of autism, but the more we learn about the condition, the more those lines have been blurred. One study published in the Journal of Developmental and Behavioral Pediatrics found as many as 1 in 5 cases of autism involved regression – a rate that has risen as we’ve grown to include more people with unique presentations of autism.

Often, it looks something like this: An 18-month-old who seemed to be developing typically “withdraws suddenly,” ignoring his own name, talking less (to the point of not talking at all), ignoring engagement with other kids to play almost exclusively with inanimate objects, losing previous interests, and appearing to obsessively focus on a few things or activities. This may occur at the same time as the child begins to display behavior characterized as “odd” and repetitive.

Although doctors used to consider “regressive autism” to be its own subset of the condition, physicians increasingly argue that such classifications aren’t as pertinent because most kids with autism lose some skills, and there is a lot of variation on the types of skills they lose, to what degree, and at what age. A study published in the journal Autism in 2016 found that there were a range of onset patterns, with some parents reporting early developmental delays with no skill loss to no delays and then a clear loss of skills. Ultimately, this may tell us something about the onset of the condition, but it doesn’t necessarily change the approach and treatment in helping kids “catch up” in their social, emotional, and communication skills.

Child developmental regression typically occurs among children younger than 3, with the average age being around 21 months. The risk of children losing their developmental skills becomes increasingly unlikely the older they get, but early intervention speech therapy, occupational therapy, and ABA therapy can help them retain what they have and make gains where they’ve fallen behind.

Early Intervention Therapies Can Help Kids Who Have Developmental Regression

When it comes to children with autism, regardless of the onset pattern, waiting for the child to “catch up” on their own simply isn’t going to work.

Our Brecksville speech therapy, occupational therapy, ABA therapy, physical therapy, and special education team work together as a team in formulating an early intervention plan that can help children on the autism spectrum communicate, play, and learn. Our approach is going to be based on the skills they have compared to the skills they should be displaying for a child their age.

Therapy is not a “quick fix” solution. It is a commitment for families, but is well-established as one of the most effective means of treating children who’ve experienced developmental regression attributed to autism.

Therapy & Wellness Connection – your connection to a life without limitations – provides speech therapy, occupational therapy, ABA therapy, physical therapy, and special education services to children in Akron, Cleveland, Brecksville-Broadview Heights and surrounding communities. We also offer summer camp, day programs, vocational counseling and more. Call us at (330) 748-4807 or send us an email

Additional Resources:

Why Act Early if You’re Concerned About Child Development, U.S. Centers for Disease Control and Prevention

More Blog Entries:

At What Age Should My Child Begin Brecksville Speech Therapy? Oct. 16, 2021, Brecksville Speech Therapist Blog

Brecksville occupational therapy kids

Does My Child Need Occupational Therapy?

If we’re doing it right, those peering into a pediatric occupational therapy session will think it just looks like, well, playing! But those glimpses can leave a lot of people confused about what exactly occupational therapy is and why it’s needed for kids. Our Brecksville pediatric therapy team is happy to explain.

As noted by the American Occupational Therapy Association (AOTA), occupational therapy is a branch of health care that helps people of all ages with physical, sensory, social, or cognitive problems. It’s a broad discipline, but the primary goal is helping people to achieve independence in all areas of life. We look at what barriers are standing in the way of that.

Occupational therapists may work with adults who have suffered from strokes or serious injuries to regain their independence. With children, we are working to help them achieve independence they likely did not have in the first place. We do this by assisting them when they’re struggling with developmental delays, fine motor skills, gross motor skills, social skills, oral motor skills, visual processing, or sensory disorders. Mostly, we work with children who have some marked developmental delays or diagnosed disabilities, but we do sometimes work with kids on one-off (but important) skills – like handwriting – with which they may be struggling.

How Occupational Therapy Can Help Your Child

In examining whether a child needs our Brecksville occupational therapy services, we look at what day-to-day difficulties they are having at home, at school, and in their community. Often, they’re grappling with challenges that don’t affect most typically-developing children (or don’t affect them the same way).

A great occupational therapist will support not only the child but the child’s family too.

Some of the areas in which we can help:

  • Developmental delays. This is when a child is behind other kids their same age in certain areas of development. It’s typically flagged when a child fails to meet certain developmental milestones such as sitting, crawling, walking, learning at an age-appropriate level or failing to develop age-appropriate social and play skills.
  • Fine motor skills. Fine motor skills are essential to so many basic tasks of daily living. These are the sorts of fine movements that are needed to do things like hold a pencil, use scissors, button a shirt, feed yourself, etc. It often involves the fine motor of the fingers, but it can also be issues with the toes, wrists, tongue and lips. If your child has trouble feeding themselves, picking up/holding small objects or avoids things like puzzles and coloring, they might have fine motor skill issues. We can help!

    Gross motor skills. These include the wider movements of body parts like arms, legs, and core. These are the movements that help us control our body. If a child is having difficulty with movement, balance, or strength, an occupational therapist can help them strengthen these skills to improve independence.

    Visual processing. This is the skill that allows us to make use of what we’re seeing. It’s how our brain interprets the information it’s receiving visually. A child with visual processing issues is going to have trouble with things like recognizing letters, shapes, and numbers, finding objects among other objects, visually tracking objects, copying items from the board onto their paper, or ascertaining right from left. An occupational therapist can help.

    Oral motor/oral sensory. This is when the child struggles to control the muscle movements of the face and mouth. You’ll notice this is an issue if your child has excessive drool, chews in the front of their mouth rather than in the back, struggles with drinking from a cup or straw when their peers have no trouble, or is an excessively picky eater. Our occupational therapy team has many tools and strategies we can use to help with these problems.

    Sensory processing. This is how we make sense of information gleaned from our five senses (sight, smell, touch, taste, sound, and hearing). Kids can be either overly-sensitive or under-stimulated by sensory input. Kids with sensory processing issues (particularly common among those on the autism spectrum) may be constantly moving/jumping/bumping/crashing, under-reactive to certain issues, emotionally reactive or have trouble adjusting to change. They may also have a really tough time calming themselves down with they’re upset.

    Social interactions. Humans are social creatures. Our ability to understand social cues and form positive relationships with those around us is central to our ability to function in daily life. If a child has difficulty engaging socially, adapting to new environments, or communicating (delayed language skills or hyper-focused on a single subject), it can impede their ability to function. We have lots of strategies we can teach to help them in these areas.

    Learning difficulties. Sometimes referred to as learning disabilities, these are often related to developmental delays and certain conditions. A child with a learning difficulty may be unable to concentrate or focus, be easily distracted, struggle to follow instructions and complete work, have poor impulse control, or need lots of extra help learning new material.

Bear in mind that all kids are going to develop at their own pace. But if you have concerns about your child falling behind or struggling in certain areas, the earlier we can intervene with occupational therapy, the better the chances they’ll be able to “catch up” to their peers and/or have the greatest shot at independence.

Therapy & Wellness Connection – your connection to a life without limitations – is a pediatric therapy center providing occupational therapy, physical therapy, speech therapy and ABA therapy to children with special needs in Northeast Ohio. We also offer summer camp, day programs, education services, vocational counseling and more. Call us at (330) 748-4807 or send us an email. Serving Brecksville, Akron, Cleveland and surrounding communities in Northeast Ohio.

Additional Resources:

Back to School Resources During COVID-19, AOTA

More Blog Entries:

Occupational Therapy vs. Physical Therapy: What’s the Difference? July 3, 2021, Brecksville Occupational Therapy Blog

Brecksville occupational therapy

Occupational Therapy vs. Physical Therapy: What’s the Difference?

Both occupational therapy and physical therapy practitioners are committed to improving lives. But often when parents come to us for services, in some cases recommended for both types of therapy, they aren’t all that clear on the unique role each plays. Physical therapy is generally better understood than occupational therapy, but both are equally vital in helping children with injuries, disabilities and delays reach their full potential.

The fields are quite similar, but they’re also unique in both scope and focus.

What is Occupational Therapy?

It’s probably worth first explaining occupational therapy. The name throws a lot of people off, as if it might have something to do with one’s job. The reality is that our Brecksville occupational therapists assist kids and young adults with a wide range of tasks that “occupy” their life. Many of the kids we work with are far too young for jobs, but offering assistance in finding and maintaining work could be goals for some of our teen or young adult patients.

Occupational therapists can help individuals focus on one major thing or just a few things, but are also dedicated to treating the “whole person.” That means we can help with everything from handwriting to self-care to social interactions to play. Occupational therapists in Ohio must have a master’s degree and be licensed through the state to practice.

What is Physical Therapy? 

These are our movement experts! Physical therapists are committed to helping children with conditions that impede their ability to move and can often offer ways to prevent injury, provide surgery and minimize pain.

Physical therapists in Ohio are required to earn a doctor of physical therapy (DPT) to practice. In addition to studying anatomy, kinesiology and neuroscience, these practitioners also study things like communication, child development and ethics. They too must be licensed through the state.

In What Ways Are Pediatric Occupational and Physical Therapists the Same?

As previously mentioned, both types of practitioners (OTs and PTs) are committed to wellness. Beyond that, both evaluate patients and offer customized plans of care. Treatment plans are monitored routinely for progress and also whether changes are needed.

They also treat many of the same conditions, such as brain injuries, spinal cord injuries, autism, down syndrome, torticollis, reflex integrations, proprioceptive awareness and neurological conditions. Further, both work with caregivers and family members to ensure patients have the support they need to thrive. Although OT and PT practitioners can both work in clinics, hospitals and nursing homes, ours practice in our Brecksville clinic as well as in patient homes and schools.

Both can become certified in specialties like pediatrics.

So What’s the Difference?

The primary difference between physical and occupational therapy practitioners is the scope of what they do. While physical therapists want to help people move better, occupational therapists are more focused on a holistic function that can include social, emotional and work-related scenarios. Whereas the physical therapist would be focused primarily on facilitating movement, the occupational therapist would also be concerned with developing/restoring the ability to complete certain functions.

If your child needs physical therapy, occupational therapy or both, our Brecksville pediatric therapy clinic is a one-stop-shop for both.

Therapy & Wellness Connection – your connection to a life without limitations – is a pediatric therapy center providing occupational therapy, physical therapy, speech therapy and ABA therapy to children with special needs in Northeast Ohio. We also offer summer camp, day programs, education services, vocational counseling and more. Call us at (330) 748-4807 or send us an email. Serving Brecksville, Akron, Cleveland and surrounding communities in Northeast Ohio.

Additional Resources:

Occupational Therapy Versus Physical Therapy, June 22, 2021, Medically Reviewed by Poonam Sachdev, MD, WebMD

More Blog Entries:

When Your Child Can’t Write His Name Yet: Tips From an Akron Occupational Therapist, June 18, 2021, Brecksville Occupational Therapy Blog