Parenting Deaf and Hard of Hearing Kids: Choosing a Language (Part II)

This series is designed to help parents manage specific aspects of bringing up a child with a different learning path. The next few months we’ll be focusing on parents of deaf and hard of hearing kids. This article follows a previous article here.  Last time we spoke about deaf kids was here: Diagnosis, Keeping Devices on Kids, Sports and Activities.

Part I focussed on the importance of early language acquisition and briefly reviewed different methods. This article will draw on the experience of three people with different perspectives, to give you more informal insight.

We were very lucky to have input from three experts and parents. Phoebe Tay is a Deaf teacher from Singapore. She speaks of her journey growing up oral in a predominantly hearing society to discovering the Deaf community, where she learned about Deaf culture and Deaf identity. Toshiko Clausen-Yan shares experience as a hearing mother to a multilingual oral son. We also spoke to Joyce Lew, a speech-language therapist and certified auditory-verbal therapist who migrated from teaching using the auditory-oral method to concentrating on auditory-verbal.

A Speech-Language and Auditory-Verbal Therapist on Oral Methods: Joyce Lew’s Experience

Joyce started her career in Singapore at a time when screening tests were rarer, and kids came into her office quite late. “They had already learned how to get by with lip-reading and mostly came from hearing families”, she recalls. Their families didn’t really have the time to learn a whole new language (like signing) to be able to stimulate them soon enough. “Parents were really just desperate to connect with their kids. They wanted activities to do that would teach their kids language, now.”

Joyce initially focussed on auditory-oral methods. “But research [at the time] suggested that if we continued teaching kids language through lip-reading, they would likely plateau in language acquisition because we read and spell based on how words sound.” So she decided to test auditory-verbal methods in her work.

At first, it was difficult for children to accept to learn relying only on their residual hearing. “It felt extremely unnatural at first,” she says “we had to think of all kinds of ideas to bring the focus away from the lips. But within a few months, there were moments of automatic listening and verbal responding while the kids were busy with their heads down in play.”

In some cases, residual hearing can be used to access language.

A few years later, as newborn screening became mainstream and more and more hard of hearing babies arrived with hearing devices, auditory-verbal became a norm. She says “some of the reasons are associated with the relative ease that babies experience in getting used to hearing devices and in learning how to listen without first learning how to lip-read.”

After a decade in her field, Joyce is convinced communication is key to developing language. And that parents tend to communicate more with their child if they are comfortable with the chosen language.

From Oral to Signing and Deaf Culture: Phoebe Tay’s Journey

 

Phoebe’s life changed when she started to use both English and Auslan

Phoebe was born deaf and diagnosed around three and half years old. At the time in Singapore, oral methods seemed to be the only option. Moreover, spoken and written English were expected to be understood by everyone. With the use of hearing aids and residual hearing, Phoebe was able to pick up English. She fared well enough in school and her language skills “started to bloom from upper primary onwards.”

 

Yet communicating wasn’t always easy. “It was okay to communicate in one to one setting”, she says “but classroom and group settings were tough.” Phoebe points out that language development is not just linked to academia, but also to social development. She felt like she couldn’t quite fit into the hearing world. Almost like language was a barrier.

Then she went to Australia, where she learned Australian Sign Language (Auslan). She suddenly discovered a language she could acquire, as well as a whole new culture. “I started to feel more confident, and signing helped me get a better sense of self-esteem.” Realising that she could use both Auslan and English changed her life.

There’s growing evidence that being part of a Deaf community and developing a Deaf identity helps build a child’s resilience. For Phoebe, this effect was palpable even as an adult. “I use aids, but they have their limitations. And they don’t make me a hearing person.” At the end of the day, “some kids will fail at oral methods no matter how hard they try because they simply can’t hear enough”. They still deserve to have a language they can succeed in naturally.

When Cochlear Implants Are Combined with Auditory-Verbal Therapy: A Mother’s Modern Tale

Toshiko’s second son was born profoundly deaf. Her family chose to give him the most mainstream life possible. This was possible according to doctors, who recommended cochlear implants at a very early age: only seven months old! Despite their natural fears regarding invasive surgery and the high cost, they chose this option.

Of course, this meant many years of intense speech therapy. “As soon as he had his cochlear implant, he got the same exposure to language as a hearing child,” she says. Sometimes it can be hard to get children that young to focus on tasks (like speech therapy) and keeping their devices in place, “but you have to keep in mind the long-term goals.”  Over time, her son has been able to learn several languages, including English, Mandarin, Japanese and Norwegian in natural settings.

Implants are getting more and more sophisticated and invisible.

For Toshiko’s son, the implants worked so well he can hear very minute sounds. “The advancement of technology has made this possible and we embrace all advancement that makes life simpler and better,” she says. In fact, he can now pick up calls directly to his implants, which he thinks is pretty neat.

She has a few words of encouragement to parents of children born deaf: surround yourself with people who are supportive and positive. “I did not allow people to cry or feel sad for him in front of him,” she remarks. “Stay positive, and keep your child feeling positive.”

As a brief conclusion

We hope these three testimonials will help you with parenting your child. Remember: each family is different. We hope yours will thrive!

Additional Links

Looking for some of our sources? We used some of these links. Send us more by commenting below!

Disclaimer: these blog posts are intended as exploratory articles for parents of recently diagnosed children. They do not constitute medical advice and cannot replace a medical opinion.

Parenting Deaf and Hard of Hearing Kids: Choosing a Language (Part I)

This series is designed to help parents manage specific aspects of bringing up a child with a different learning path. The next few months we’ll be focusing on parents of deaf and hard of hearing kids. Last time we spoke about deaf kids was here: Diagnosis, Keeping Devices on Kids, Sports and Activities.

Over nine out of ten deaf and hard of hearing kids are born into hearing families with almost no connections to other deaf or hard of hearing people. Their parents have to quickly grasp the ins and outs of their child’s specific form of hearing loss while making decisions about how to communicate with their little one. Our aim here is to introduce you to different options, without claiming to have a blanket solution for all families.

Back to Basics: Communication vs. Language

If you’re a parent, you probably measure your child’s development against standard milestones. Communication and language skills are often a focal point: they help us understand our child and be understood by him. On a very practical level, it’s such a relief to go from guessing why he’s frustrated or ecstatic, to handing him the glass of water he’s asking for and sharing his joys.

Of course, parents of deaf and hard of hearing kids face the same practical need. But there’s also additional urgency for them. While parents of hearing kids know their child is constantly picking up language (even though they aren’t showing yet), parents of deaf and hard of hearing kids don’t know exactly what their child may or may not be picking up. “Kids are hardwired to learn a language, be it oral or visual,” says Joyce Lew, a speech-language therapist and certified auditory-verbal therapist, “but they need to be exposed to one.”

Babies only have a few years to gain solid understanding of language.

If deaf and hard of hearing kids aren’t exposed to an accessible language, they are at risk for language deprivation. In short, their brains aren’t learning what language is. They must acquire strong foundations in a first language during the critical early years. Those who don’t will have difficulty learning any language in the future, even non-oral languages because their brains haven’t yet formed the necessary connections. “While individual cases vary widely, the younger we see the kids, the more confident we are of the outcome,” says Joyce.  Thus parents have about 4 years to make sure their child is equipped to build a strong foundation in a first language, irrespective of which one they have learnt.

Different Viable Communications Methods

Here’s a brief overview of main communications methods used today.

Auditory-verbal or oral methods focus on using only residual hearing. Therefore children learn how to concentrate on the actual sounds with very little visual help. These methods typically work best for people who can hear across the speech spectrum, using hearing aids and/or cochlear implants.

Auditory-oral or cued speech methods teach children to combine listening with lipreading and visual cues. Cued speech provides additional visual elements for words that look the same on lips. For example, when speaking, hand gestures will specify the first letter of a word, like between “pat” and “bat”.

Manual communications modes include different forms of “sign language”. Many variations exist and some are not considered “languages” in their own right. The easiest way to understand is that Manual English (which includes SEE) is a literal transcription into signs, whereas other sign languages (like ASL for the US, Auslan for Australia, SGSL for Singapore etc) have their own grammar and internal logic.

Girls learning sign language.

Total communication methods allow for the use of all of the above methods in the acquisition of language. The underlying idea is to help kids pick up language with a combination of approaches, which may or may not include sign language, using cues, lipreading and maximising residual hearing.

How to Start Exploring and Choosing

Each case is different. As you explore, you’ll run into advocates of each type of method. Some will focus on making your child’s deafness as invisible as possible, others will want to open doors to Deaf culture and identity. Together they will complement the advice you’re getting from your doctors. How much residual hearing your child has and her prospects of learning sounds are important factors.

You’ll also take into account the community you live in – or want to live in. You need to know you’ll have enough support in your community to go forward with your choice. How much time and resources do you have to invest?  For example, if you are confident you can learn to sign and that your child will have a community of Deaf people to interact with, this will impact your choice.

We’ll be exploring experience from three interviewee’s in part II. Check it out here.

Additional Links

Looking for some of our sources? We used some of these links. Send us more by commenting below!

Disclaimer: these blog posts are intended as exploratory articles for parents of recently diagnosed children. They do not constitute medical advice and cannot replace a medical opinion.

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New Year, Same Promise, Exciting Developments

The old year is closing, the new one is coming. We thought now would be the right time to reflect on 2017 and give you a taste of what is yet to come. As you know, our goal is to become the go-to platform for families in search of solutions adapted to their developmental differences. We’ll continue to pursue this goal.

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Photo credit: Aaron Burden

2017: Developing Community and Awareness

Those of you who’ve followed us from the beginning know Irisada is still young. As the online platform grew, we also wanted to get to know our community better. So just under two years ago, we opened a Facebook page.  This year we worked on strengthening our community of followers and pursuing socially responsible goals.

We held several fun giveaways, including Hua Hee card games to help fight against dementia and Senseez Pillows for kids with sensory needs. We also held a fundraiser to give back to the community when we launched T-Jacket (a vest that helps autistic children relax by simulating a hug) on Irisada.

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Part of our aim is also to build awareness around a wide range of conditions and explore the kinds of products and anecdotal tips that help families live fuller lives. Over the past six months, we focused on different conditions, striving to share tips from other parents in similar situations. Here’s a quick recap in case you’ve missed some of them:

2018: Same Promise, Exciting Developments

With already more than 300 products available for a range of conditions and abilities, we’ll be continuing to find the best solutions for your families. We’ll expand product ranges and cater to new conditions, including those linked to mobility and the elderly, to give you more choice.

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As for our community, we’ll be actively discussing specific points in our specialised Facebook groups. One such group is already running (The Discussion Group for Solutions and Tools for Special Needs), feel free to join, and we welcome suggestions for groups you’d like to see set up.

In terms of blog articles, we’ll be delving deeper into some of the conditions already mentioned, reach out to us if you have specific topic suggestions.

We look forward to the coming year with you. Keep following us on Facebook and Instagram. Get in touch with comments and suggestions. And of course, send us product ideas or reviews. You are the reason Irisada exists, you’re part of our story!

Last but not least: Happy New Year and thanks for following our adventures!

Playing with Children on the Spectrum: Developing Faculties and Playtime

This series is designed to help parents manage specific aspects of bringing up a child with a different learning path. This month we’ll be looking at what parents and specialists have to say on raising children on the autism spectrum. Previously we wrote about the diagnosis stage here and helping parents here.

All parents know that play is fundamental in a child’s development, be they neuro-typical or facing specific challenges. But playtime is also a unique moment to interact with your child and create bonds. We spoke to Delia Yeo, a speech and language therapist, and Ladislas de Toldi, co-founder of Leka, to know more about how play can help children on the autism spectrum develop skills and bond.

Playing and Engaging with People

Games stimulate and motivate children, through fun and the desire to win. Yet both experts stress that children on the spectrum often have difficulty engaging with playmates, remembering  rules or using all the concepts necessary to win.

Therapists like Delia “look at several aspects of how the child plays to understand how he or she understands the world”. Like an alternative mapping, Delia is able to identify what types of play are easy, which ones are hard. She chooses specific types of games accordingly centred on internal feelings, external sensations, sitting, physical activity, etc.

In some cases, Delia has to teach a child to play before she can teach them skills through play. She starts with simpler games, ensuring she can interact and engage, before moving on to complex games. Most importantly, she has to look for what the child enjoys. “I choose the game depending on the child’s interest, [so] they [will] have a gleam in their eye and connect”.

Games and Technology

Traditional games like hide and seek, puzzles, swings or anything another child might play are used to help autistic children learn skills. Nowadays, thanks to technology, new games have emerged, some of which are more high-tech than anything a neuro-typical child will use.

Take Leka, for example, a small, round, ball shaped robot developed by a French start-up with specialists in several countries. The robot uses artificial intelligence and is designed to help children progress on their cognitive, motor, social and communications skills. Less intimidating than a human, the robot interacts directly with children, setting the rules and congratulating them when they succeed. They get a real sense of accomplishment when they are able to crack the game. Amongst other games, Leka plays hide and seek and Simon Says, and new games are added every week.

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Leka, the robot, happy face

“The most important thing”, says Ladislas “is figuring out what each child enjoys. It’s the only way to open the door. And if they only like Dreamworks animated movies, then so be it.” In fact, Leka are very humble in their approach. They advise parents and organisations consider all their options before investing in Leka, because at the end of the day, their objective is to make sure the robot is bringing out the best in children.

“There are so many incredible new ways of interacting with children on the spectrum now. I’m impressed by some apps on the iPad, that have non verbal children interacting with the world, and I’m stunned by how apps like Sidekicks are helping people with autism communicate with their families.” Children on the spectrum can greatly benefit from technological playthings, which unlock new opportunities to learn and communicate.

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A child plays with Leka the robot

Is All Play Work Disguised as Fun?

Delia recommends that “parents should always play without a teaching goal in mind”. The tendency to test their child might take all the fun out of playing. Just the act of spending quality time together and fostering engagement is valuable. As they play together, the child will learn some things naturally from them, in a softer, less goal oriented way.

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Family play time, in this case with Leka the robot

“My advice is to simply follow your child’s lead. Join and imitate her at first, and as your play grows, her ideas will grow too. You’ll be “teaching” by supporting her experience in play”. As you do so, Delia suggests introducing your ideas and small challenges into games. They will encourage your child to problem solve around them, or create unity in a scattered game.

Delia recalls an autistic teen who was brought up with very little play. “He was very compliant and would carry out tasks, but seemed robotic and detached.” Recently, as she has worked around discovering what he likes and doesn’t like, and developing his ideas through play, she has seen the teen grow in confidence and become a real playmate. “He used to interact because he was supposed to, not because he wanted to. Now he’s pulling his weight in our interaction!”

Happy playtime!

Additional Links

Some additional links for parents looking for more information. Please also suggest more to us, which we can add to the list.

  • For more about Leka you can also visit here. Leka is currently looking for financial partners. Contact Ladislas at ladislas@leka.io for any inquiries,
  • An example of a sidekick app,
  • A review of Ron Suskind’s book on using Disney sidekicks at home to communicate with their son Owen,
  • Link to the film about using Disney sidekicks. 
  • Autism Speaks has a very long list of apps here

Note: all photos in this article are curtesy of Leka

HOW TO USE THE RIGHT PUZZLES FOR YOUR HOME THERAPY NEEDS (PART 2)

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In our previous article, we talked about the benefits of puzzles and the types of puzzles to choose from. Now let’s be practical and talk about how to teach concepts with them!

HOW TO TEACH?

How do we teach a child how to solve a puzzle? We went through some speech therapists, occupational therapist, homeschooling and Montessori style articles and extracted some ideas. We’ll also be referencing back to the same article in  HubPages.

Non-connecting puzzles with just 2 – 4 pieces are good for kids at a developmental milestone or age of 0 to 24 months. The ones with big pegs are good for gripping for players with not so good fine motors skills, so the child can focus on the matching activity without getting too discouraged.

It is recommended to progress to puzzles with more pieces after they have mastered the smaller ones. When first working on bigger puzzles, present a few pieces at a time. Let them play with those pieces and figure out the pictures first before attempting to match.

For alphabet or number puzzles, it is also a chance to work on letter or number recognition and speech (sounds of consonants and vowels). Separate the pieces by rows and present them one row at a time.

Connecting puzzles  are more complex and can feel like a leap from their non- connecting counterparts. They require far more advanced perceptual skills. Most of them do not have reference pictures and therefore require the child to either work on memory or on logic, which they clearly have not fully developed yet. A tip that Rose Mary shared was to trace the pieces on the board or keep a notebook of pictures of the finished puzzles. Heidi Song suggests writing the numbers behind each piece and on the board itself. How simple and smart these suggestions are!

Interconnecting puzzles are typically jigsaw puzzles. If your child does not have the focus for a bigger puzzle or you do not have enough time, simply get your child to work on small sections of the puzzle at a time.

OT mom here has 2 methods of working with puzzles. One is to work on the borders first. The other is to group similar pieces together like what Rose Mary did here.

With jigsaw puzzles, you might have to spend a fair amount of time setting up. Make sure all puzzles pieces are faced up before starting the game with your child. This will help children with limited patience who may lose interest if parents take too long setting up. Another method is to involve them in the set up by getting them to help flip over the pieces that are facing down.

It is also useful to note that, before starting a puzzle, it is good to lay down some rules so that children can benefit from the session. For jigsaw, we should encourage children to take a good look at the completed puzzle before taking the puzzle apart. We should also remind the child to work on  one puzzle first before moving to the next to avoid distraction or getting  pieces mixed up.

 

WHAT ELSE TO THINK ABOUT?

A Special Purposed Life, a pediatric speech therapist blogger, walks us through what to think about when buying puzzles. Depending on their stage of development, one can choose puzzles based on the speech goals we want to achieve for them.

For instance, if your child is working on single words, use puzzles that have animals, vehicles, fruits and so on and work on words like animals sounds (‘moo’ for cows, ‘baa’ for sheep, ‘beep-beep’ for cars, etc). Every time they respond to the sound, be it mimic or mouth the word, reward them with the piece and guide them to put it in the right location. Other words they can learn are verbs and preposition such as ‘go’, ‘move’, ‘in’, ‘put’, etc. (We will, in future, include a list of sounds you can make for each type of object.)

If they are working on two words or more, you can say things like ‘I want dog’ or ‘I want the dog’, ‘Find the truck’, etc. You can even find puzzles to teach colours and sentence structure at the same time by saying ‘I want red bear’, ‘I want blue bear’, etc

Are they working on a particular consonant sound such as /b/, /p/? You can use alphabet puzzles to work on these sounds by applying the same technique as used for the animal puzzle. Or you can reuse the transportation puzzle, by presenting a boat for the /p/ sound. This was what we learnt at AVT: say /p-p-p/ and when the child responds, present the boat. Let the child play with it for a while and get him or her to place it in. If the child does not respond, present the boat anyway after the third articulation. If using the alphabet puzzle, do not attempt all letters at one sitting.

It is important to note that puzzles with sounds might not be recommended for training speech as it can be distracting and the human voice is after all better than mechanical sounds. However, for the purpose of occupational therapy, it can be something fun and more attractive to a child with ASD, for instance.

Additional tips: for families who are bilingual, allocate one language to one parent. Play the same puzzles in the same manner but with both languages at separate sessions. This introduces variety so the child can familiarise herself or himself with concepts without getting bored. Also, the consistency helps the child be effectively bilingual as he or she has a good learning model for both languages. At the same time, the other parent can take a break (play can be exhausting for adults too!)

 

Check out these other articles for even more ’puzzling’ tips:

 

Check out these videos too:

 

Do visit our site for more exciting products. Our vendors are not big warehouses, but therapists or specialists in the field and are experts in selecting and curating products carefully and meaningfully. We work hard to bring to you as many great products as we can source from around the world so you can make the best choices for yourself.

If you found this post useful, kindly like us here, or sign up for our newsletter here.

Thank you.

Team Irisada

Assistive Tech Fair in Norway

This week, we were at an assistive tech fair in the far north of the world. So what is interesting over there (or here)?

Mobility and Sports

So the Scandinavians are big on getting out there and nothing can quite get in the way, definitely not a disability. The first section were different types of mobility equipment. There were a lot of unusual ones such as the ones in the picture below. They are much nearer to the ground, good for outdoors and skiing.

Outdoor wheelchairs

A picture with three outdoor purposed wheelchairs. Behind the wheelchairs, there are banners and a screen illustrating the use of the wheelchairs

This can be used on the beach. When not in use, it can float on water. This video shows how a man transferred from it quickly onto a canoe on a beach. https://www.youtube.com/watch?v=iShrnJOTDTg

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An outdoor 3-wheelchair with 2 big balloon rear wheels and a smaller front wheel. The seat is nearer to the ground than a regular wheelchair.

The outdoor wheelchair on the right is interesting as it is highly modifiable for different outdoor needs. A detachable shaft with a waist sling can be used so a parent can pull a child while hiking. Or parts of the frame can be removed and skis can be added to the base.

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A picture with two outdoor wheelchairs. The one on the left has skis on. The one on the right is much bigger and has two fat bike wheels and a slightly smaller front wheel. The back of the larger wheelchair has two handlebars and what seem like brakes similar to bicycles.

Luis Gran is the first wheelchair user that crossed Besseggen. We have been there and we know that it is not an easy route, some parts of this ridge are pretty steep.

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A picture in the mountains. In the foreground, three persons are helping a person sitting on a outdoor wheelchair along the ridge. One person is in front with waist slings attached to the wheelchair. Two other persons are behind pushing or lifting.

Photo credits: Taken from Aktiv Hjelpemidler AS website

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Picture of a child sized doll standing in an exercise machine with full body support. There are gliders at the base of the foot, braces at the knee level and supports around the hips, waist, chest and head. There is a handlebar above the waist level with a tabletop mounted on it.

A children’s tricycle with a larger seat and supports around. There is a back bar (for mounting different supports), a push handlebar and a basket at the back of the tricycle.

 

The left picture is a children’s bike that has extra support on the back and neck. The picture beside it is an exercise machine with full body support.
The bottom left picture shows a stroller with additional back and neck support. The bottom right picture is a light weight frame that allows kids with severe physical disability to stand and walk. We asked if it can potentially be uncomfortable or not good physically for the person to be on this for long hours. The sales person said that it should not but not enough research has been done in this area but there are some undergoing right now.

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A stroller with supports on the seat and a inclined footpad.

A picture of a child sized doll standing support by a frame with 4 wheels. There are braces and supports around the child, a handlebar attached to the supports at the back of the child and what looks like brakes on the wheels.

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The device on the left is a frame used to support a child during swimming.

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A tripod frame with a seat in the middle and 3 black buoy like objects around it.

The is an ergonomic wheelchair.

A children’s wheel chair with rounded cushions on the back and seat and foot pads on both sides of the seat.

This amazing bike allows parents to bring their kids out and get a work out too. It is roomy and provides ample support for the child’s head and neck.

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A tricycle with a big rounded cart at the front which can sit 2 children. One side of the cart has a child seat with supports.

Occupational/ Speech Therapy and Communication

These pads are a training system that responds to the touch of hands and feet. The light responds to the force or weight, allowing therapists to design a custom program to train the child’s motor skills and body awareness.

A lady standing on two different coloured pads that have lights in the front of the pads. Beside and in front of the pads, there are other similar pads of different colours placed near to them.

I like this wallet which has felt pages and symbol cards with velcro can be attached to it. Easy to bring around.

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There is a poster of symbols at the background of the picture. The foreground shows a ring note book with a symbol showing a person pointing to himself and words that says ‘meg selv’. Beside the notebook is a fabric wallet with fabric pages. On each page are cardboards of signs.

This is a beautiful series of books that talk about feelings and include symbols.

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6 colourful ring bounded books placed in a row overlapping. The first book is titled ‘forelskelse’ with a cartoon of a man with two hearts for eyes and smiling showing teeth

A ring bound book that is opened. The left page shows a heart with a man and a woman looking at each other with a heart between them. The right page shows a broken heart with a girl in tears. Below both pages there is a sentence and above the sentences there are symbols.

 

 

 

 

 

 

 

 

 

Caregivers’ Aids    /  Household Aids
Support arms. The white ones are feeding robots while the black one, though is powered, requires one to use one’s own hand and it provides the additional push.

The bed on the left is a shower trolley, the middle equipment is a multipurpose hygiene chair and the one on the right is also a hygiene chair.

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The sales person is demonstrating how this equipment helps a person get up from a chair and be transferred somewhere else.

This is a simple share on the different solutions out there and is not an endorsement by Irisada on any of the products.

HOW TO CHOOSE THE RIGHT PUZZLES FOR YOUR HOME THERAPY NEEDS (PART 1)

Abstract: This article is generally talking about the types of puzzles and how to use them for therapy (both speech and occupational) at home for kids with special needs. However, we firmly believe some of the techniques are also beneficial for teaching kids without special needs too. Note: tips here are based on compilation of the cited reference sources and also on our own personal experience of conducting therapy for our own children but they are not a replacement for medical or clinical advice. We combined both speech and occupational therapy tips as we believe both are essential for all types of children with or without special needs so  it would be good to have the other area of concepts at the back of our minds when we are conducting one type of therapy.

Random puzzles

Puzzles

Puzzles and boardgames are frequently used by speech and occupational therapists to teach language and skills to kids with ASD or other developmental delays. As caregivers, we understand that it is not always efficient or economical to bring your child to the therapists since it involves adapting of schedule, travelling time, preparation of meals for the child before, during and after therapy (gotta keep the kiddo in absolute good mood to benefit from the session isn’t it?),  what about time away from your other kids (if you have them) and sometimes, the child is simply not in the mood.

So home therapy is highly encouraged as a supplement to your usual therapy sessions as it reinforces concepts. For those who are somehow unable to access therapy (though we highly recommend getting professional help) it will be an alternative and with enough practice, parents can actually acquire the competence.

Moreover, it is a fun way to bond with the child. See it as a chance to play with your child, albeit withjust a bit more structure.

WHY ARE THEY GOOD?

These articles from Child Development Institute  by Pam Myers and learning4kids have highlighted the different skills and concepts that children can pick up. Here we summarise the important points from the article and provide more information.

  • Hand-eye coordination: When moving, flipping and turning pieces, they can learn about the connection between hands and eyes. This enables the brain to envision how the puzzle needs to look or which piece is required. It facilitates the brain, eyes and hands to work together.
  • Fine motor skills: Small, specialized movements to hold and manipulate pieces. Acquiring motor skills through using pincer movement.
  • Gross motor skills: Stacking and moving larger pieces
  • Problem-solving: Discerning if the pieces either fit or not. Children figure out by looking at the different pieces and can test them out. They learn to solve problems logically.
  • Matching: For some puzzles, kids will have to identify which two puzzles look the same and match them
  • Shape recognition: Learning to recognize and sort shapes is part of an important development in children. Puzzle pieces need to be identified and sorted.
  • Memory: Child needs to remember which exact piece, which piece has a particular size, shape, colour, pattern, that didn’t fit now and places it aside, then picking it back up later when needed again.
  • Setting small goals: Child usually willover time develop a strategy of how to work on the puzzle more efficiently. He or she will then need to set small goals like finding all the corners before achieving the larger goal of completing the puzzle.
  • Socializing and teamwork: Working on puzzles with an adult or friend will help a child learn social skills.
  • Self esteem: When kids complete a puzzle, they feel a sense of achievement and pride. This builds up their confidence and self-esteem
  • Language and speech: As you talk about the different pieces to the child, they learn about the different names of the shapes, colours, images they see. They also pick up different prepositions, verbs, sentence formations, etc

 

WHAT PUZZLES TO CHOOSE?

So here are some of the variations to puzzles. We don’t want to clear out the entire toy store so let’s figure together what some of our preferences are. Well, as expected, mixing things up a little is the best.

  1. Material: wooden, foam, plastic, cardboard, magnetic
  2. Type (According to this article on HubPages by Rose Mary an OT): connecting, non connecting, interconnecting, others
  3. Complexity: number of pieces,
  4. Theme: animals, automotives, food, alphabets and numbers, colours, shapes, cartoons, etc

Wooden ones are typically more expensive, especially if you buy high quality ones. For toy lovers, I would invest in better quality ones as they last longer and have better finishes. Simply for the purpose of therapy, buying cheaper imitations work just as well, but do take note to sand off badly finished pieces as we do not want our kids to get scratched or splinters in their fingers (we have enough to deal with).

Foam ones, like plastic, are easy to bring around. Some kids might like their squishy texture, others not. Plastic ones are the most value for money. Magnetic ones are the most fuss-free as they do not fall all over the place and are easy to store (second favourite after wooden ones).

Cardboards are typically jigsaw puzzles which are just so fulfilling when we manage to complete them. And oh so good for developing patience and focus in our little ones. They can also be matching flashcards.

Mazes (which might or might not require a separate writeup, let’s see) are another type of puzzle that are super fun and great for training fine motor skills and problem solving.

For those who find regular jigsaw puzzles dull, they can add a punch by buying those with 3D effect.

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Thank you.

 

Team Irisada.