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Can Occupational Therapy effectively improve a child’s attention?

Occupational therapy improves child’s attention through different approaches-

Sensory-based approaches for regulation and attention

  • Sensory Integration therapy: Targets attention challenges rooted in sensory processing differences.
  • Alert (Engine) Program: Uses sensory and cognitive strategies to help children notice and adjust their “engine speed” for better attention and concentration.
  • M.O.R.E. Program: Incorporates movement (motor), oral input, respiratory work, and eye contact to support sensory regulation and attention.
  • Wilbarger Protocol (Deep Pressure Proprioceptive Technique): A structured deep-pressure approach to reduce tactile defensiveness and support regulation and attention. Must be evaluated and guided by a trained therapist.

Language Stimulation – Improving Children’s Language Ability through Play

Play is one of the key mediums for children to learn language in their development. However, how should parents effectively aid children in improving their comprehension and communicative skills through play?

 

We are going to introduce ROCK method for language stimulation, ensuring that both parents and children have a joyful time learning through play.

 

  1. Repeat what you say – key words/stress sounds and elaborate:
  • Parents can choose 3-4 key words or stress sounds in relation to the current game and repeat them when playing with your children. For example, when playing a cooking game, parents can repeat simple names of food (e.g., bread, biscuits, pie), utensils (e.g., knife, bowl, plate), verbs (e.g. wash, cut, cook) and onomatopoeia (e.g. umm, wow)
  • Parents should observe children’s behavior and use key words and stress sounds to elaborate (e.g., “It’s time for Mary to cut the cake – cut, cut, cut”)

 

2.Offer opportunities for children to express themselves:

  • When playing games, parents can place items in places children cannot reach to encourage them to request for help using language.
  • If children cannot use language to communicate their needs or feelings effectively, parents can demonstrate the correct saying and ask them to repeat (e.g., Can you say, “Help me.”)
  1. Cue
  • Parents should play with children face to face. Not only does it allow for eye contact, but children can also visualize the oral movements you are making when speaking to them.
  • When taking turns, parents should place the toys or items children are focusing on near the corner of your eye to build eye contact.

4.Keep it fun and follow children’s interest:

  • When playing with children, avoid taking the lead in the activity, let your children decide how to play, and what to play with.
  • Parents can mimic the way children plays, for example, if the child uses a banana as a telephone, parents can pick up another toy as a phone and play pretend with them.
  • Converse with children face to face and practice turn-taking.

How can you tell if my child has problem with articulation (pronunciation and talking)?

If a child has difficulties with articulation they might:

  • Become overly frustrated when communicating with others.
  • Produce speech that is difficult to understand even for familiar listeners.
  • Have difficulty linking together more than one or two sounds.
  • Tend to use only vowel sounds (very open mouthed noises).
  • Produce speech that is unclear alongside dribbling and messy eating skills.
  • Produces speech that is less clear than other children of the same age.
  • Produce an interdental lisp (e.g. tongue protruding between the teeth when saying a /s/ or /z/ sound) if over the ages of 3.5 – 4 years.
  • Be school aged and still having difficulty saying several sounds.

What can be done to improve attention?

  • Repeat instructions: When you have given an instruction to a child, encourage them to repeat it back to you to ensure that the child has grasped/understood what is expected.
  • Sensory Integration therapy: To addresses attention difficulties that are sensory in nature.
  • Eye contact: Get close to the child to ensure they are able to hear you and see your face;  get down to their level.
  • Simple language: Use clear, specific language when making requests and, if necessary, show them what you want them to do.
  • Reduce background noise and distractions: To help a child maintain attention long enough to grasp the information required to complete a task.
  • Develop Receptive Language: Improve your child’s receptive language (i.e. understanding of language) so that they are better able to understand expectations and information and are therefore better able to respond to information.
  • Alert (Engine) program to promote self-regulation through sensory and cognitive strategies to help improve attention and concentration.
  • M.O.R.E program uses physical (motor) components, oral organization, respiratory demands, and eye contact to assist with sensory regulation to help improve attention.
  • The Wilbarger Protocol (Deep Pressure Proprioceptive Technique) is a therapy program designed to reduce sensory or tactile defensiveness and assist with sensory regulation and thus attention.

How can I tell if my child has problems with preschool readiness?

If a child has difficulties with preschool readiness they might:

  • Get easily frustrated when expectations are placed upon them.
  • Struggle to follow instructions in daily activities.
  • Rely on parents/teachers to perform self care tasks for them (e.g. dressing, hygiene).
  • Not be toilet trained (day time).
  • Be socially immature.
  • Have poor understanding of simple questions (who, what, where).
  • Struggle with formulating sentences.
  • Respond in only short sentences to questions.
  • Be difficult to understand (due to poor articulation or use of words).
  • Have a difficulty understanding consequences of their behaviours.
  • Not be interested in looking at books and/or doing sit down activities.
  • Not interact well or easily with their peers.
  • Have limited play skills (short duration, narrow range, find it difficult to play alone and/or with peers).
  • Not be willing to engage in new activities and/or to be guided about how to develop new skills.

What’s the earliest age a child eligible for an Autism asssessment?

Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication and behavior. ASD diagnosis can be done as early as 2 year of age by a paediatrician or clinical psychologist.

How can you tell if my child has problems with attention?

If a child has difficulties with attention they might:
  • Not attend to a task when required/requested to do so.
  • Miss details in instructions.
  • Repeatedly makes the same mistakes (due to not learning from past attention).
  • Be unable to listen to all of the information presented.
  • Find it physically difficult to either calm down (as they are too physically active) or to ‘wake up’ as they appear sleepy and lethargic.
  • Begins a task but then gets distracted by something else and then ‘forgets’ to complete what was asked of them.

Why is visual perception important?

Good visual perceptual skills are important for many every day skills such as reading, writing, completing puzzles, cutting, drawing, completing math problems, dressing, finding your sock on the bedroom floor as well as many other skills. Without the ability to complete these every day tasks, a child’s self esteem can suffer and their academic and play performance is compromised.

 

  • Completing puzzles or dot to dots.
  • Planning actions in relation to objects around them.
  • With spatial concepts such as “in, out, on, under, next to, up, down, in front of.”
  • Differentiating between “b, d, p, q”
  • Reversing numbers or letters when writing.
  • Losing place on a page when reading or writing.
  • Remembering left and right.
  • Forgetting where to start reading.
  • Sequencing letters or numbers in words or math problems.
  • Remembering the alphabet in sequence,
  • Coping from one place to another (e.g. from board, from book, from one side of the paper to the other).
  • Dressing (i.e. matching shoes or socks).
  • Discriminating between size of letters and objects.
  • Remembering sight words.
  • Completing partially drawn pictures or stencils.
  • Attending to a word on a printed page due to his/her inability to block out other words around it.
  • Filtering out visual distractions such as colorful bulletin boards or movement in the room in order to attend to the task at hand.
  • Sorting and organizing personal belongings (e.g. may appear disorganised or careless in work).
  • With hidden picture activities or finding a specific item in a cluttered desk.

What is literacy?

  • Phonological awareness (i.e. the awareness of what sounds are and how they come together to make words). It includes the ability to rhyme, segment words into syllables and single sounds, blend sounds together, identify sounds in different positions in words and manipulate sounds within words.
  • Reading (i.e. the ability to decode written symbols and signs, understand the meaning of words and coordinating these skills together in order to read fluently).
  • Spelling (i.e. the ability to arrange letters in the correct order to make words that are communally understood).
  • Written communication (i.e. the physical performance of handwriting, typing, spelling, grammar and story planning).

What are the building blocks necessary to develop preschool readiness?

  • Self regulation: The ability to obtain, maintain and change emotion, behaviour, attention and activity level appropriate for a task or situation.
  • Sensory processing: Accurate processing of sensory stimulation in the environment as well as in one’s own body which effects attention, behaviour and learning.
  • Receptive language (understanding): Comprehension of spoken language (vocabulary, instructions, questions, concepts) for group instructions as well as peer interaction.
  • Expressive language (using language): Formulating sentences that have age appropriate grammar (e.g. using pronouns ‘he/she’ correctly) and word order, using specific vocabulary, and telling a simple story.
  • Articulation: The ability to clearly pronounce individual sounds in words and sentences.
  • Executive Functioning: Higher order reasoning and thinking skills (e.g. working out how to make the desired building, collecting the materials and overcoming challenges in the process).
  • Emotional development/regulation: The ability to perceive emotion, integrate emotion to facilitate thought, understand emotions and regulate emotions. It also means responding  age appropriately to a frustration and managing to ‘contain’ tantrums or recovering quickly from an upset.
  • Social skills: Determined by the ability to engage in reciprocal interaction with others (either verbally or non-verbally), to compromise with others and to be able to recognise and follow social norms.
  • Planning and sequencing: The sequential multi-step task/activity performance to achieve a well-defined result.