Metrotelepractice In Metropolitan Detroit

History of TheraSuit

Richard and Izabela Koscielny are physical therapists, who have a daughter diagnosed with cerebral palsy and tried out suit therapy with her. After significant improvements with the suit, they modified and created their own suit specialized for therapeutic benefits, called TheraSuit™.

How Does TheraSuit Work?

• TheraSuit worn over a prolonged time will correct proprioception and accelerate progress with functional strengthening
• Skills practiced become more fluent when TheraSuit is worn
• TheraSuit facilitates the development of new gross and fine motor skills faster than typical therapy approaches

Benefits Seen with TheraSuit

• Retraining the central nervous system
• Restores ontogenetic development
• Provides external stabilization
• Normalizes muscle tone
• Aligns the body to as close to “normal” as possible
• Provides dynamic correction
• Normalizes gait patterns
• Provides tactile stimulation
• Influences the vestibular system
• Improves balance
• Improves coordination
• Supports weak muscles
• Decreases uncontrolled movements in ataxia and athetosis
• Improves body and spatial awareness
• Provides resistance to muscles to further enhance strengthening
• Improves speech production and fluency through head control and trunk support
• Promotes gross and fine motor development
• Helps decrease contractures
• Helps improve hip alignment through vertical loading

Patient Populations

• Most major neurological diseases/diagnoses:
  
  • Autism
  • Down Syndrome
  • Cerebral Palsy
  • Cerebral Vascular Acciden
  • Traumatic Brain Injury
  • Spinal Cord Injury

• Posture/alignment asymmetries

Intensive Physical Therapy Schedule

• Intensive physical therapy is meant to be done 3 hours/day, for 5 days/week for 3-5 weeks
• Recommended to complete 3-4 intensive bouts of therapy throughout the year
• Breaks between the bouts have been shown to be more beneficial for the patient vs continuously pushing for months on end
• Recommended to complete HEP 1-hour/day to compliment exercises done in intensive, allowing the patient to not only maintain, but improve their functional abilities
• The schedule of 4  weeks was created specifically in order to change the neuro-pathways, and allow for increased improvements

In General

• Week 1 works on correct muscle activation and beginning to complete basic concentric exercises
• Week 2 works on solidifying concentric movements and working into eccentric movements
• Week 3 solidifies the eccentric movements and introduces isometric holds
• Week 4 focuses all on isometric holds, working into more complex exercises, as well as creating POC and HEP for time off between bouts of intensive

Work to decrease primitive reflexes and general movements that are present → goal-directed movements → selective effective strategies → refining skills → maintaining through practice

As April and Autism Awareness Month have come to a close, we’re highlighting the incredible work of MetroEHS Pediatric Therapy in Metro Detroit. With multiple locations and more on the way, MetroEHS is dedicated to helping families with children on the autism spectrum and those needing specialized therapy. Today, we’re focusing on a universal challenge for parents: potty training.

Joining us are Deanna Coker, a board-certified behavioral therapist analyst, and Kelly Johns, the director of physical therapy at MetroEHS. They share valuable insights on potty training, addressing common issues and providing practical solutions.

Recognizing Readiness for Potty Training

Kelly Johns emphasizes that recognizing when your child is ready for potty training is crucial. Key signs include:

- Extended Bladder Control: Holding their bladder overnight or for several consecutive hours.

- Interest in the Potty: Playing with their diaper, showing curiosity about the toilet, or performing a "potty dance."

- Communication: Telling you they need to go or showing signs they’re aware of their bodily functions.

Addressing Potty Training Challenges

Sometimes, despite a parent’s best efforts, potty training can hit a snag. Deanna Coker points out that issues such as regression, frequent nighttime accidents, or persistent constipation might indicate underlying problems like pelvic floor complications.

Assisting with Physiological Challenges

To support children struggling with potty training, Kelly recommends several strategies:

- Blowing Bubbles: This helps relax the pelvic floor. Encourage your child to blow bubbles while sitting on the toilet or during playtime.

- Using a Squatty Potty: This stool ensures a proper 90-degree angle, aiding in effective bowel movements.

- Belly Breathing: Teach your child to focus on their belly rising and falling, which can help with relaxation and control.

Effective Potty Training Methods

Deanna shares essential potty training tips:

1. Ditch the Diapers: Transition your child to underwear to help them feel the wetness of accidents.
2. Stay Hydrated: Encourage your child to drink plenty of fluids to ensure they need to use the bathroom regularly.
3. Set a Schedule: Take your child to the potty every 20 minutes initially, allowing them to sit for a few minutes each time.
4. Positive Reinforcement: Use rewards like a sticker chart to celebrate successes. This visual progress tracker can be highly motivating for children.

Deanna shares a personal anecdote about using a princess-themed sticker chart for her daughter, highlighting how such simple tools can make the process enjoyable and rewarding for children.

MetroEHS Pediatric Therapy provides comprehensive support for various therapy needs, including ABA, speech, occupational, feeding, and physical therapies. With their expanding network of locations, they are readily accessible to families across Metro Detroit.

For more information or to find the nearest MetroEHS location, visit http://metroehs.com

**Thank you, Deanna and Kelly, for sharing your expertise and practical advice.** Potty training can be a daunting task, but with these tips, parents can navigate this essential milestone more effectively.

Parents often ask one important question before preschool or kindergarten begins:

"Is my child ready?"

Many people think school readiness simply means knowing letters, numbers, or colors. While those skills are certainly helpful, they are only one small piece of the puzzle.

The truth is that successful classroom participation depends on many developmental skills working together.

Can your child:

✔ Follow simple directions?

✔ Transition between activities?

✔ Sit with a group?

✔ Ask for help?

✔ Play alongside peers?

✔ Manage big emotions?

✔ Hold crayons and scissors?

✔ Listen during story time?

✔ Walk safely in a classroom?

These everyday abilities often have a much bigger impact on classroom success than academic knowledge alone.

Why School Readiness Matters

The first few years of school help shape confidence, friendships, communication, and lifelong learning habits.

When children enter school with strong foundational skills, they're often able to:

• Participate confidently
• Build friendships
• Follow classroom routines
• Learn alongside peers
• Become more independent

For children with autism, these foundational skills often benefit from early, coordinated support.

Introducing Superhero Academy

MetroEHS created Superhero Academy to help children ages 2-6 develop the skills needed for preschool and kindergarten through integrated therapy.

Unlike traditional therapy where each discipline works independently, Superhero Academy combines:

ABA Therapy

Occupational Therapy

Physical Therapy

Speech Therapy

Our therapists collaborate to help children practice the same skills across every therapy session.

Instead of isolated goals, children experience one coordinated learning environment.

Learning Through Play

Every month introduces a new superhero mission.

Children learn through:

• Structured play
• Sensory activities
• Group learning
• Social interaction
• Movement games
• Classroom routines
• Communication opportunities

The result is therapy that feels fun while building real-world school skills.

The Four Hero Disciplines

Sensory Squad (Occupational Therapy)

Helping children develop:

• Fine Motor Skills
• Self-regulation
• Sensory processing
• Independence

Mighty Mover (Physical Therapy)

Helping children improve:

• Balance
• Coordination
• Strength
• Motor planning
• Confidence

Communication Champion (Speech Therapy)

Helping children build:

• Expressive language
• Listening skills
• Social communication
• Early literacy

Learning Legend (ABA)

Helping children develop:

• Classroom behaviors
• Emotional regulation
• Functional communication
• Cooperation
• Peer interactions
• Independence

Building Real School Skills

Throughout the year, children practice:

• Following routines
• Listening to teachers
• Sharing
• Taking turns
• Transitioning between activities
• Solving problems
• Managing emotions
• Communicating wants and needs
• Participating in groups
• Becoming independent learners

Every milestone helps prepare them for the classroom.

Celebrating Every Hero

Children earn Hero Badges as they master new skills throughout the year.

At graduation, every child receives a Superhero Cape or Hero Champion Medal and a diploma celebrating everything they've accomplished.

Because every child deserves to feel like a superhero.

Ready to Begin?

If your child is between the ages of 2 and 6 and has been diagnosed with autism and you’ve been interested in an ABA program, Superhero Academy may be the perfect next step.

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