{"id":8878,"date":"2022-03-28T06:00:27","date_gmt":"2022-03-28T12:00:27","guid":{"rendered":"https:\/\/blog.summit-education.com\/?p=8878"},"modified":"2022-05-11T14:37:46","modified_gmt":"2022-05-11T20:37:46","slug":"making-exercise-fun-and-motivating-for-the-pediatric-population","status":"publish","type":"post","link":"https:\/\/devsite.hooliv.com\/blogs\/general\/making-exercise-fun-and-motivating-for-the-pediatric-population\/","title":{"rendered":"Making Exercise Fun and Motivating for the Pediatric Population"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.47&#8243;][et_pb_row _builder_version=&#8221;3.0.48&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;3.19.10&#8243;]<\/p>\n<h5 style=\"text-align: center;\"><strong>Written By: Jacqueline Grimenstein, PT, C\/NDT, CKTP<\/strong><\/h5>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/l_new.local\/wp-content\/uploads\/Blog-Playtime-JG.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8893  alignleft\" src=\"http:\/\/l_new.local\/wp-content\/uploads\/Blog-Playtime-JG.jpg\" alt=\"\" width=\"261\" height=\"261\" srcset=\"https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG.jpg 1732w, https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG-300x300.jpg 300w, https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG-1024x1024.jpg 1024w, https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG-150x150.jpg 150w, https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG-768x768.jpg 768w, https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG-1536x1536.jpg 1536w, https:\/\/devblogsite.hooliv.com\/wp-content\/uploads\/Blog-Playtime-JG-1080x1080.jpg 1080w\" sizes=\"(max-width: 261px) 100vw, 261px\" \/><\/a>Gone are the days when children played outside most of the day unsupervised and unstructured. We have eliminated much of the challenging playground equipment and pickup games of play that allowed for the development of strength and motor skills. Societal changes have played a role in decreased muscle strength as gross motor play activities have moved to a more structured format as opposed to free play. With the advent of the \u201cback to sleep\u201d recommendations, many children start out at a disadvantage when it comes to developing strength. It has emphasized the need for extended tummy time during awake hours so children can efficiently use core muscles that are at an advantage when prone. Fortunately, children with an intact neuromotor system can continue to develop motor skills that allow for play skills and competitive play, regardless of these societal changes.<\/p>\n<p>However, for children with motor dysfunction, the development of strength and coordination are even bigger challenges.\u00a0 Disturbance in the neurological system might have led to issues with timing and sequencing of the muscles turning on and off at the right time or the child might have spasticity, athetosis, or ataxia in the case of cerebral palsy.\u00a0 For the most part though, children learn to move in whatever patterns they can generate, often initiating with the extensor muscles and extremities; thus, developing weakness in the core muscles.\u00a0 This can lead to poor posture, decreased range of motion, and a reliance on the extremities for upright posture.\u00a0 It can contribute to poor endurance, obesity, and decreased cardiovascular function.<\/p>\n<p>When these issues begin to interfere with everyday function and participation, the child might be referred to physical or occupational therapy or both. As therapists, our role is to maximize the child\u2019s functional skills. The challenge becomes how to do this in a fun, but purposeful way.\u00a0 We refer to this as \u201cplay with a purpose\u201d.\u00a0 Being a pediatric therapist is a rewarding, challenging, fun, but an exhaustive profession.\u00a0 The therapist needs to be \u201con\u201d to keep the child engaged. When therapy is fun, the child wants to come back and will work to perform.\u00a0 It is important for the therapist to know the goal for the session and structure the activities to meet that goal.\u00a0 It is equally important for the therapist to communicate to the parent or caregiver which muscles or skills are being focused on so the parent understands that it is not just playing, and is able to incorporate this kind of purposeful play at home.<\/p>\n<p>&nbsp;<\/p>\n<h5 style=\"text-align: center;\"><strong>Check out the video below for at-home therapy practice strategies!<\/strong><\/h5>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"\/\/www.youtube.com\/embed\/Uo7hMiAU-Fk\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p>So now for the challenge \u2013 what type of play is fun and yet builds strength and coordination?\u00a0 It begins with a thorough assessment to determine the primary areas of weakness that are most impacting the child\u2019s function. It must include activities that can be carried out in the home as we cannot make meaningful changes in one to two sessions a week with no carryover.\u00a0 The activities should also be age-appropriate, even if the child\u2019s developmental age is significantly delayed.\u00a0 Start by finding out about the child\u2019s interests, hobbies, favorite things, and preferred activities. For example, one can make \u201cmountains\u201d and slides from couch cushions, balance activities while stepping from pillow to pillow, and increase range and vestibular work while dancing or doing martial arts movements. Building obstacle courses both inside and out using ordinary items in the house is fun and can be used to vary the level of difficulty.\u00a0 For older children, it is still important to tap into their interests.\u00a0 They may shy away from structured, competitive play if they feel they cannot live up to the standard of play.\u00a0 If the child enjoys video games, encourage them to recreate or act out some of the actions or movements from the games.\u00a0 For a more structured approach, try martial arts, yoga, or Pilates.\u00a0 Develop challenges within the family for exercises like who can hold the plank the longest, how many sit-ups can each person do in 30 seconds. Model for parents different ways the children can watch television or play video or board games in prone, standing or sitting on stacked up pillows, to challenge the core and decrease static sitting time. Remember that families are busy so aim to keep it simple and enjoyable.<\/p>\n<p>Function and participation play equally important roles in successful pediatric therapy. As a therapist, allow yourself to find your inner child to make sessions fun, but be sure to keep your assessment-based goals in the forefront of all sessions. Include the family and child in choosing your activities so they will stay motivated to follow through at home.\u00a0 Be sure to register for my webinar <em><a href=\"https:\/\/summit-education.com\/course\/CSTRJG.1.2CREDIT\">Adaptive Strengthening Activities for Children with Motor Dysfunction<\/a><\/em> on April 13, 2022,\u00a0 to learn more about this topic and gain new insight as to how to keep pediatric therapy engaging, fun, and meaningful for children and their families.<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p><strong>Explore online continuing education courses from Jacqueline below:<\/strong><\/p>\n<p id=\"course-short-title\" class=\"course-short-title\"><span style=\"text-decoration: underline;\"><a href=\"https:\/\/summit-education.com\/course\/CINFCW.1.2CREDIT\"><strong>Children with Severe Impairments<\/strong><\/a><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><a href=\"https:\/\/summit-education.com\/course\/CSTRJG.1.2CREDIT\"><strong>Adaptive Strengthening Activities for Children with Motor Dysfunction<\/strong><\/a><\/span><\/p>\n<\/div>\n<div id=\"ticket-shelf\" class=\"style-scope ytd-watch-flexy\">\u00a0<\/div>\n<div id=\"merch-shelf\" class=\"style-scope ytd-watch-flexy\">Visit <a href=\"http:\/\/www.summit-education.com\/ce\">summit-education.com<\/a> for more information.<\/div>\n<div>\u00a0<\/div>\n<div>\u00a0<\/div>\n<div class=\"style-scope ytd-watch-flexy\"><strong>References:<\/strong><\/div>\n<div id=\"header\" class=\"style-scope ytd-item-section-renderer\">\n<div id=\"title\" class=\"style-scope ytd-comments-header-renderer\">\n<p>Strengthening Activities for Children with Motor Dysfunction <a href=\"https:\/\/www.tandfonline.com\/author\/Carlon,+Stacey+L\">Stacey L. Carlon<\/a>, <a href=\"https:\/\/www.tandfonline.com\/author\/Taylor,+Nicholas+F\">Nicholas F. Taylor<\/a> ,<a href=\"https:\/\/www.tandfonline.com\/author\/Dodd,+Karen+J\">Karen J. Dodd<\/a> &amp;<a href=\"https:\/\/www.tandfonline.com\/author\/Shields,+Nora\">Nora Shields<\/a>, Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disability Rehabilitation; 2013 Apr;35(8):647-55<\/p>\n<p>Michelle Mochan, The Benefits of Teaching Yoga to Young Children with Special Needs: Developing an Appropriate Methodology Laurentian University, Canada, International Journal of Technology and Inclusive Education (IJTIE), Volume 6, Issue 2, December 2017<\/p>\n<p>Schranz C, Kruse A, Belohlavek T, Steinwender G, Tilp M, Pieber T, Svehlik M. Does Home-Based Progressive Resistance or High-Intensity Circuit Training Improve Strength, Function, Activity or Participation in Children With Cerebral Palsy? Arch Phys Med Rehabil. 2018 Dec;99(12):2457-2464.e4. doi: 10.1016\/j.apmr.2018.06.010. Epub 2018 Jul 4. PMID: 30473019.<\/p>\n<p>Spaldiing, A, Kelly, L, Santopietro, J, Posner-Mayer, J. <u>Kids on the Ball: Using Swiss Balls in a Complete Fitness Program<\/u>, Human Kinetics Publishers, 1999<\/p>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Written By: Jacqueline Grimenstein, PT, C\/NDT, CKTP &nbsp; Gone are the days when children played outside most of the day unsupervised and unstructured. We have eliminated much of the challenging playground equipment and pickup games of play that allowed for the development of strength and motor skills. Societal changes have played a role in decreased [&hellip;]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1,127],"tags":[],"class_list":["post-8878","post","type-post","status-publish","format-standard","hentry","category-general","category-physical-therapy"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/8878"}],"collection":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/comments?post=8878"}],"version-history":[{"count":13,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/8878\/revisions"}],"predecessor-version":[{"id":9149,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/posts\/8878\/revisions\/9149"}],"wp:attachment":[{"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/media?parent=8878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/categories?post=8878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/devsite.hooliv.com\/blogs\/wp-json\/wp\/v2\/tags?post=8878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}