What Is the TheraSuit Method and How Does It Help Children Build Motor Skills?

MetroEHS therapist being interviewed about TheraSuit physical therapy

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
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Patient Populations

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

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October 12, 2021

Post Frenectomy Care

What is a Frenectomy?

A frenectomy is a minor surgical procedure involving the removal or modification of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far.

Frenectomy Care

Follow Post-Op Instructions:

  • Adhere strictly to the post-operative care instructions provided by your healthcare provider.

Pain Management:

  • Use recommended pain relief medications as directed.
  • Apply cold compresses to reduce swelling and discomfort.

Oral Hygiene:

  • Keep the area clean to avoid infections. Gently rinse the mouth with a saline solution as advised.
  • Avoid using mouthwash with alcohol as it can irritate the surgery site.

Dietary Adjustments:

  • Stick to soft foods and avoid hot, spicy, or acidic foods that may cause irritation.
  • Ensure adequate fluid intake to stay hydrated.

Stretching Exercises:

  • Perform any stretching exercises as recommended by the surgeon to ensure proper healing and flexibility.

Monitor Healing:

  • Keep an eye on the surgical site for signs of infection such as increased redness, swelling, or discharge.
  • Contact your healthcare provider if you notice any unusual symptoms.

Follow-Up Appointments:

  • Attend all scheduled follow-up appointments to monitor the healing process and address any concerns.
October 31, 2023

Fostering Gratitude in the Family

Gratitude is a valuable life skill that can enrich the lives of all individuals, including children on the autism spectrum. Teaching children with autism about gratitude can help them develop a more positive outlook, build stronger relationships, and improve their overall well-being. However, because children on the autism spectrum often have unique learning needs, it’s important to use tailored strategies to teach them about gratitude. Here are a few ideas.

1. Visual Supports

Visual supports are powerful tools for children with autism, as they process information in a more concrete manner. Create visual schedules or charts that incorporate gratitude activities into their daily routines. For example, you can design a “gratitude journal” with pictures or symbols representing things they are thankful for. During the month of November, you could draw a tree on a large piece of paper and add a leaf of gratitude every day with a drawn picture of what you are thankful or writing down simply one word. This can be a simple way to encourage them to reflect on positive aspects of their lives. As they add items to their gratitude journal, reinforce the positive feelings associated with each entry.

2. Social Stories

Social stories are narratives that describe social situations and appropriate behavior. You can create social stories that revolve around gratitude. Tailor the stories to your child’s interests and communication style. For instance, you might develop a story about a character who learns to express gratitude when someone helps them. Reading and discussing these stories with your child can help them understand the concept of gratitude and its importance.

3. Visual Modeling

Children on the autism spectrum often benefit from visual modeling, where they observe someone demonstrating a behavior or skill. Create visual examples of gratitude by using pictures, drawings, or videos. Show them how to say “thank you” or how to express gratitude through simple gestures. Repeated exposure to these visuals can help them imitate and internalize these actions. Make sure you are expressing your appreciation with the people around you while your child is watching.

4. Use Concrete Reinforcers

For many children with autism, immediate reinforcement is key to learning new behaviors. Use concrete reinforcers to motivate your child to practice gratitude. This could be as simple as providing a favorite treat or activity when they express gratitude, whether by saying thank you or engaging in a small act of kindness. The more they associate gratitude with positive outcomes, the more likely they are to embrace it.

5. Practice Mindfulness and Reflection

Gratitude often goes hand in hand with mindfulness and reflection. Teach your child techniques for being present in the moment and focusing on positive aspects of their lives. Simple activities like mindful breathing, meditation, or keeping a gratitude jar can help them develop an appreciation for what they have. Encourage them to reflect at bedtime about their day and share what they are thankful for, fostering a sense of gratitude as part of their daily routine.

Teaching children about gratitude is not only possible but also incredibly beneficial. Gratitude helps improve their emotional well-being, enhance their social interactions, and promote a more positive outlook on life. The key is to tailor your approach to their specific learning needs, using visual supports, social stories, visual modeling, concrete reinforcers, and mindfulness and reflection techniques. Remember that patience and consistency are crucial in helping children with autism develop this valuable life skill. By embracing these strategies, you can help them grow into more thankful, empathetic, and content individuals.

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.