Why Do Some Children With Autism Toe Walk—and What Can Parents Do?

a child's feet with little smily faces drawn on each toe

Are you concerned about your child’s toe walking habits? Toe walking, a common concern for parents, can sometimes be associated with autism spectrum disorder (ASD). Understanding the connection between toe walking and autism is crucial for early intervention and support.

What is Toe Walking?

Toe walking refers to a walking pattern where a person walks on their toes or the balls of their feet without their heels touching the ground. While occasional toe walking in toddlers is common, persistent toe walking beyond the age of two may indicate an underlying issue.

The Connection with Autism

Toe walking is often observed in children with autism spectrum disorder (ASD). While not all toe walkers have autism, studies suggest that many children with ASD exhibit toe walking behavior. Children with Autism often have higher sensory seeking behaviors, and being up on their toes gives them deep sensory input through their feet and in their contracted calf muscles. This connection can lead to more targeted interventions and support from therapists and parents.

How Can a MetroEHS Physical Therapist Help?

Physical therapy plays a crucial role in addressing toe walking in children, especially those with autism. A skilled physical therapist can:

  • Assess the Underlying Causes: A physical therapist will conduct a comprehensive evaluation to identify any underlying factors contributing to toe walking, such as muscle tightness, sensory issues, muscle weakness, or lack of range of motion.
  • Develop Individualized Treatment Plans: Based on the assessment, the physical therapist will create a personalized treatment plan tailored to your child’s needs. This plan may include stretching exercises, strengthening activities, balance training, or different sensory inputs.
  • Educate and Empower Families: MetroEHS Physical Therapists work closely with families to educate them about toe walking and provide strategies for home exercises and activities to support their child’s progress.

Toe-walking can impact your child long-term if left untreated:

Toe walking will impact your child’s overall body positioning, posture, and muscles. With toe walking, because of these impacts, it will also change the load of the body’s joints and likely cause chronic pain as the individual ages. It is common for toe walkers to lose range of motion in their ankles, preventing them from being able to reach their heels to the ground and causing their Achilles tendon to shorten. In more severe cases, if the Achilles tendon shortens too much, the only way to regain that length is with a surgical lengthening.

Take the First Step Towards Support

If you’re concerned about your child’s toe walking or suspect they may have autism, early intervention is key. Schedule an evaluation with a qualified physical therapist who specializes in pediatric care. Together, we can help your child take confident steps towards improved mobility and independence.

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December 8, 2023

Unlocking the Power of Play: 5 Beneficial Toys for Children Aged 0-10 Years

‘Tis the season of shopping! During all the hustle and bustle, MetroEHS wanted to offer a few tips for how to shop smart for your little superhero! At MetroEHS, we know that play is a crucial aspect of a child’s development. This means choosing the right toys can significantly impact a child’s cognitive, physical, social, and emotional growth. During this season of giving, we thought we could explore five suggestions for beneficial toys that cater to the developmental needs of children, as well as share our Amazon Shopping Idea list that was created by some of our amazing and knowledgeable MetroEHS therapists.

Sensory Toys and Building Blocks for Littles (0-2 years):

In the early stages of life, infants rely heavily on their senses to understand the world and face-to-face time during play time is paramount. Through engaging directly with beloved caregivers and family members by singing simple songs, reading nursery rhymes, and playing silly fingerplays like peekaboo, little ones learn to enjoy level appropriate toys as well as time with caregivers.

Sensory toys with high contrast patterns are the most engaging selection for children aged 0-2 years. This includes toys with different textures and sounds and toys that allow for simple problem solving.  Aim for easy to grasp toys that target multiple senses for the sensorimotor stage of play in order to promote motor skill development and learning.  Ensure toys are free from small parts that could pose a choking hazard. Be sure to engage with your child by narrating what they are feeling and doing with the toy with simple language (e.g., “Big ball!” if playing with a ball). soft, cold, bumpy, hard, etc.).

Children are natural builders and playing with building blocks can enhance their motor skills, spatial awareness, and creativity. Choose colorful blocks that are easy for small hands to manipulate. Building activities also promote problem-solving, social skills, and cognitive development as children experiment with different arrangements and structures. Engage with your child by verbalizing and encouraging them to “put on”, “knock down”, “kick over”, “put in”, “take out”, or use narration of colors and counting to practice those ever-important verbal skills. Make playtime learning time!

-Pretend Play for Toddlers (2-4 years): Preschoolers love to pretend and role play. Toys that simulate real life tasks (cooking, tools, costumes) are great for cognition and development of the imagination. They also foster independence, social and emotional skills, overall language, and critical thinking.

-Games for Early School-Aged Kids (4-6 years): Board games tailored for young children offer a fun way to introduce early learning concepts such as counting, color recognition, and basic literacy. Games like “Memory” or “Chutes and Ladders” encourage social interaction, turn-taking, and strategic thinking. Games like “Sneaky Squirrel” and “Twister” can foster fine and gross motor skills. Ensure the games are age-appropriate and encourage cooperative play, fostering important social skills.

-STEM Toys for School-Aged Children (6-10 years): As children progress through the school years, STEM (science, technology, engineering, and math) toys can play a vital role in developing critical thinking and problem-solving skills. Look for age-appropriate science kits, robotics, or construction sets that engage children in hands-on learning experiences. These toys not only make learning fun but also prepare children for the challenges of a technology-driven future. Consider games like Headbandz, which can allow your child an opportunity to practice vocabulary skills. Card games are a great time to play with your child in which your child can think strategically, for instance Uno, Phase 10, and Old Maid, can be fun for early school age children.

-Art and Craft Supplies for Creative Expression (All Ages): Foster your child’s creativity with art and craft supplies. From coloring books and crayons for younger children to more advanced crafting materials for older kids, these activities help enhance fine motor skills, self-expression, and imaginative thinking. Consider providing a designated space for art projects, allowing children to explore their creativity in a supportive environment.

Choosing the right toys for children aged 0-10 years involves considering their developmental stage and providing opportunities for growth through play. Soft, sensory toys, building blocks, educational board games, STEM toys, and art supplies can all contribute to a well-rounded and enriching playtime experience. By selecting toys that align with a child’s developmental needs, parents and caregivers can actively support their journey of learning and discovery. Parents are a child’s first play partner. The importance of a parent engaging in play with their child cannot be minimized! Enjoy this special time with your child and make playtime beneficial for both of you.

Experienced MetroEHS Clinicians pulled together a great shopping list which includes some of the toys discussed in this blog. You can find that list here.

https://www.amazon.com/hz/wishlist/ls/2GKR4U81VUFCE?ref_=wl_share

July 14, 2023

Navigating Grand Parenting Challenges: A Pathway to Expertise and Support

In the fast-paced world of grand parenting, it’s crucial to stay informed and equipped with the best solutions for raising grandchildren. With approximately 3 million grandparents across the United States taking on the responsibility of raising their grandkids, there is a growing need for expert guidance and support. That’s where the podcast “It’s a Grand Life” comes in, connecting listeners with subject matter experts who understand the unique challenges faced by grand families.

A Valuable Resource:

In a recent episode, host Craig Nash warmly welcomed new listeners from Texas, Nevada, Colorado, Florida, and Alabama. He emphasized the importance of being informed about the best solutions for raising grandkids, setting the objective of “It’s a Grand Life” to present subject matter experts who can provide valuable insights and information.

Expertise in Pediatric Therapies:

The guest of the episode was Kris Krajewski, a speech and language pathologist with MetroEHS Pediatric Therapy, a group dedicated to pediatric therapy in Michigan. Kris shared her background and expertise in speech and language pathology, highlighting her passion for working with children and her personal experience as a parent of a child with Down syndrome.

Comprehensive Approach to Care:

MetroEHS offers a wide range of therapies, including speech, physical, and occupational therapy, as well as applied behavior analysis (ABA) and mental health services. Their focus is on a holistic and coordinated approach, providing support not only to the children but also to their families and caregivers. By incorporating various services, MetroEHS aims to address the unique needs of each child and help them reach their full potential.

Addressing Feeding and Swallowing Issues:

Kris shed light on pediatric feeding disorders, a relatively new diagnosis, and emphasized the importance of understanding the sensory challenges that some children face when it comes to food. MetroEHS provides interventions to help children develop tolerance for different textures and improve their chewing and swallowing abilities.

Navigating the Path to Treatment:

To begin the journey of seeking therapy services, Kris advised starting with a discussion with the child’s pediatrician, who can refer them to appropriate specialists for evaluations and treatments. MetroEHS collaborates with pediatricians, school districts, and insurance providers to ensure comprehensive and accessible care for children.

Supporting Grand Families:

The podcast episode acknowledged that the journey of raising grandchildren can be overwhelming, but it highlighted the importance of seeking help and support. MetroEHS welcomes inquiries and assists families in finding the right resources for their specific needs. Additionally, the Autism Alliance of Michigan was recommended as an excellent resource for families dealing with autism-related concerns.

Raising grandchildren comes with unique challenges, but resources like “It’s a Grand Life” and organizations like MetroEHS provide valuable expertise and support for grand families. By accessing specialized therapies and collaborating with professionals, grandparents can help their grandchildren thrive. Remember, you are not alone in this journey, and there are pathways to assistance and resources available to support you and your grand family along the way.

March 24, 2023

How Does Play Support Child Development?

Play is crucial for children’s physical, social, emotional, and cognitive development. Through play, children learn important life skills such as problem-solving, creativity, social interaction, and self-regulation. Play allows children to explore their environment, experiment with different ideas, and express themselves in ways that are natural and meaningful to them.

Play can take many forms, including physical play, imaginative play, sensory play, and social play. Children learn best through play that is meaningful and engaging to them, so it is important for parents, caregivers, and educators to provide a variety of play opportunities that are tailored to a child’s individual needs and interests.

What is play?

Play includes fun activities enjoyed independently or with others. Play has no rules, and people make up their own games. Play can be inside or outside. It uses things around us, like balls and sticks. Playing helps us learn how to get along with others and think about new things.

Types of play:

  • Social Play is when kids play together. For example, playing soccer.
  • Symbolic Play is when you pretend. You can do this from 18 months to 5 years old.
  • Practice Play is doing the same thing repeatedly to learn how to do it better. For example, you might practice throwing a ball.
  • Sensorimotor Play is used by infants. This means that they use their senses and move around. An example of this is shaking a rattle.
  • Constructive Play is when kids make something. For example, building with legos or painting with their fingers.    

Play helps a child…

  • Build Imagination and Creativity
  • Foster Cognitive Growth
  • Improve Literacy
  • Improve Emotional Well-Being
  • Encourage Greater Independence

Play is not just a fun activity for children but a vital part of their development. Therefore, it is essential to support and encourage play in children and create a safe and stimulating environment for them to explore and learn.