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
We love working in Southeastern Michigan as we get to work with hard-working families and amazing businesses like Emagine who intentionally create special experiences for members of the community that can get overlooked.
Join Emagine For A Sensory Friendly Movie!
Sensory Friendly Screenings provide modifications to the theatre atmosphere without modifying the film for those who experience sensory issues.
Sensory Friendly Film Screenings
Select Emagine locations will host a unique, sensory friendly screening twice a month, with specific modifications made to ensure an enjoyable experience for individuals with sensory needs and their supporters. Their sensory friendly programing makes going to the movies a more enjoyable experience for families, children, and teens with sensory needs. All sensory friendly films will be shown in 2D. *Note there are no modifications made to the film.
What does Sensory Friendly mean?
First, it means sensory friendly experience (lights up a bit, sound down a bit). Second, if your child needs to get up, move, dance, sing…No problem. Third, guests are welcome to bring a safe snack for any food allergies or food avoidance/restrictions.
First Showing of the Day. On-Sale dates vary. Check the website or Emagine app for theatres and showtimes.
The Little Mermaid Saturday, June 3, 2023
Elemental Saturday, June 17, 2023
Where
Tickets are available at the box office, online at Emagine-Entertainment.com or through the Emagine App. To purchase tickets and for a full list of showtimes visit Emagine-Entertainment.com On-Sale dates vary. All films, locations, dates, and times are subject to change.
Film Synopsis
The Little Mermaid (Rated PG) The Little Mermaid is the beloved story of Ariel, a beautiful and spirited young mermaid with a thirst for adventure. The youngest of King Triton’s daughters and the most defiant, Ariel longs to find out more about the world beyond the sea and, while visiting the surface, falls for the dashing Prince Eric. While mermaids are forbidden to interact with humans, Ariel must follow her heart. She makes a deal with the evil sea witch, Ursula, which gives her a chance to experience life on land but ultimately places her life – and her father’s crown – in jeopardy.
Elemental (Rated Pg) Follows Ember and Wade, in a city where fire-, water-, land- and air-residents live together.
In addition to Sensory Friendly Movies
Join Emagine Entertainment For A Variety Of Specialty Screenings
Providing Open Caption, Sensory Friendly, Dementia Friendly, Breakfast & a Movie, and Lunch & a Movie Screenings
Join Emagine Entertainment this June as they host a variety of specialty screenings for their guests. Each month guests can watch some of the newest film releases with an enhanced experience. Open Caption screenings provide subtitles for those with hearing impairments. Sensory Friendly Screenings provide modifications to the theatre atmosphere without modifying the film for those who experience sensory issues. Dementia Friendly screenings provide exclusively selected classic movies and musicals and encourage audience participation while providing guests with special door-to-door service. The Breakfast and a Movie and Lunch and a Movie allow guests to enjoy a full meal and concessions while they enjoy their film.
Open Caption Film Screenings
Select Emagine locations will host Open Caption showings of some of the newest film releases on Sunday and Wednesday afternoons all month long. Guests who experience hearing impairments will be able to enjoy the movie-going experience with audio subtitles displayed on the big screen for all to see. All open caption movies are shown in 2D. *Note: there are no modifications made to the film.
Locations: (Michigan) Novi, Rochester Hills, Royal Oak, Hartland, Woodhaven, Quality 10 Powered by Emagine, (Minnesota) Eagan, Lakeville, Monticello, Rogers, White Bear, Willow Creek, (Wisconsin) Geneva Lakes, (Illinois) Frankfort, (Indiana) Noblesville, Portage
Films: On-Sale dates vary. Check the website or Emagine app for theatres and showtimes.
Spider-Man: Across The Spider-Verse Sunday, June 4, 2023 Wednesday, June 7, 2023
Transformers: Rise Of The Beasts Sunday, June 11, 2023 Wednesday, June 14, 2023
Elemental Sunday, June 18, 2023 Wednesday, June 21, 2023
The Flash Sunday, June 25, 2023 Wednesday, June 28, 2023
Dementia Friendly Screening
Dementia Friendly Screenings include exclusively selected classic movies and musicals presented in a unique setting with softer sound and ambient lighting. Guests are able to interact during the presentation and encouraged to talk back, clap, tap their feet, sway, sing along and get up and dance. Emagine works with Dementia Friendly Saline to provide guests with a special door-to-door experience guided by a team of dementia friendly “Purple Angels.” These staff and volunteers act as guides for the guests beginning the moment they arrive until the moment they leave. More information can be found on Emagine’s website. Tickets can be purchaseddirectly through Dementia Friendly Saline.
Location: Emagine Saline
Films: Showings are the second Wednesday of each month.
Meet Me In St. Louis Wednesday, June 14, 2023 Pre-Show Mingling: 1:15-2:00PM Film Begins: 2:00PM
Breakfast And A Movie Screening
Each month, Emagine hosts a Breakfast and a Movie showing, at select theatres, of one of the newest family-film releases. Tickets are $24 each and include a full breakfast buffet, a 44oz. popcorn, and a 21oz fountain drink as well as a ticket to the showing.
Location: Emagine Royal Oak, Emagine Palladium, Emagine Canton
Film: On-Sale dates vary. Check the website or Emagine app for more information.
The Little Mermaid* Sunday, May 28, 2023
Spider-Man: Across The Spider-Verse Sunday, June 4, 2023
Spider-Man: Across The Spider-Verse Sunday, June 4, 2023
Senior Lunch And A Movie Screening
Each month, Emagine Royal Oak hosts a special Senior Citizen Lunch and a Movie. Tickets are $24 each and include a full lunch buffet, a 44oz. popcorn and a 21oz. fountain drink as well as a ticket to the showing. This offer is valid for guests aged 55 and up.
Location: Emagine Royal Oak
Film: On-Sale dates vary. Check the website or Emagine app for more information.
About My Father Tuesday, June 20, 2023
Where: Tickets are available at the box office, online at Emagine-Entertainment.com or through the Emagine App.
Film Synopsis
Spider-Man: Across The Spider-Verse (Rated P) Miles Morales returns for the next chapter of the Oscar®-winning Spider-Verse saga, an epic adventure that will transport Brooklyn’s full-time, friendly neighbourhood Spider-Man across the Multiverse to join forces with Gwen Stacy and a new team of Spider-People to face off with a villain more powerful than anything they have ever encountered.
Transformers: Rise Of The Beasts (Rated P-13) Returning to the action and spectacle that have captured moviegoers around the world, Transformers: Rise of the Beasts will take audiences on a ‘90s globetrotting adventure with the Autobots and introduce a whole new breed of Transformer – the Maximals – to the existing battle on earth between Autobots and Decepticons. Directed by Steven Caple Jr. and starring Anthony Ramos and Dominique Fishback, the film arrives in theatres June 9, 2023.
The Flash (Rated P-13) Worlds collide in “The Flash” when Barry uses his superpowers to travel back in time in order to change the events of the past. But when his attempt to save his family inadvertently alters the future, Barry becomes trapped in a reality in which General Zod has returned, threatening annihilation, and there are no Super Heroes to turn to. That is unless Barry can coax a very different Batman out of retirement and rescue an imprisoned Kryptonian… albeit not the one he’s looking for. Ultimately, to save the world that he is in and return to the future that he knows, Barry’s only hope is to race for his life. But will making the ultimate sacrifice be enough to reset the universe?
He Little Mermaid (Rated PG) The Little Mermaid is the beloved story of Ariel, a beautiful and spirited young mermaid with a thirst for adventure. The youngest of King Triton’s daughters and the most defiant, Ariel longs to find out more about the world beyond the sea and, while visiting the surface, falls for the dashing Prince Eric. While mermaids are forbidden to interact with humans, Ariel must follow her heart. She makes a deal with the evil sea witch, Ursula, which gives her a chance to experience life on land but ultimately places her life – and her father’s crown – in jeopardy.
Elemental (Rated PG) Follows Ember and Wade, in a city where fire-, water-, land- and air-residents live together.
About My Father (Rated PG-13) The hottest comic in America, Sebastian Maniscalco joins forces with legendary Italian-American and two-time Oscar® winner, Robert De Niro (Best Actor, Raging Bull, 1980), in the new comedy ABOUT MY FATHER. The film centers around Sebastian (Maniscalco) who is encouraged by his fiancée (Leslie Bibb) to bring his immigrant, hairdresser father, Salvo (De Niro), to a weekend get-together with her super-rich and exceedingly eccentric family (Kim Cattrall, Anders Holm, Brett Dier, David Rasche). The weekend develops into what can only be described as a culture clash, leaving Sebastian and Salvo to discover that the great thing about family is everything about family.
Meet Me In St. Louis St. Louis 1903. The well-off Smith family has four beautiful daughters, including Esther and little Tootie. 17-year-old Esther has fallen in love with the boy next door who has just moved in, John. He however barely notices her at first. The family is shocked when Mr. Smith reveals that he has been transferred to a nice position in New York, which means that the family has to leave St. Louis and the St. Louis Fair.
Once a child has been diagnosed with a Pediatric Feeding Disorder due to oral dysphagia or sensory processing disorder or, if diagnosed by a psychologist, ARFID (Avoidant/Restrictive Food Intake Disorder), they will likely be referred for treatment. Eating is a learned behavior. It is only instinctive for the first 6 months of life. Older children must either teach themselves, or be taught (Toomey). Treatment for a feeding disorder can be completed by a Speech-Language Pathologist (SLP), Occupational Therapist (OT), Board-Certified Behavior Analyst (BCBA), Dietician, or Psychologist. All of these disciplines have overlapping and unique approaches to treatment, so a Pediatric Feeding team that involves more than one specialist may be best for your child. As an SLP who is part of a feeding team that involves an OT and BCBA, some approaches to treatment that I utilize alongside the team include the Food Chaining Approach, The Sequential Oral Sensory approach (SOS), and the Escape Extinction approach.
Food Chaining has become recently popular due to a book written by Fraker and Cox called Food Chaining: The Proven 6 Step Plan To Stop Picky Eating, Solve Feeding Problems, and Expand Your Child’s Diet. To summarize this approach, clinicians and parents would “chain” from food that children currently enjoy by changing 1 aspect of the food at a time: either color, texture, flavor, or shape. For example, if a child enjoys cheetos, you might “chain” to orange veggie sticks (changing flavor), then to green veggie sticks (change in color), then to green veggie chips (change in shape), then to zucchini cut in a circle and placed on the chip (change of texture), then remove the chip. The child is now eating zucchini, and it was introduced slowly in a non-threatening manner! In this procedure, food is not forced on children- they are able to touch and explore it themselves, the clinician models eating it, and children are encouraged to take a bite, but they decide if they would like to try it or not. Using food chaining, children will slowly and positively increase their repertoire of acceptable food.
The Sequential Oral Sensory (SOS) approach was developed by Dr. Kay Toomey, a psychologist who specializes in Pediatric Feeding Disorders. This procedure includes another slow process of children having repeat exposures to foods prior to being forced to take a bite. For example, a child would tolerate a new food, let’s say apple slices, on their plate without expectation of eating it. Once that is tolerated, the apple will slowly and systematically move closer to their mouth, again without expectation of eating. They will touch it first with a fork or toy, then their hand, then put it on their arm, then their cheek, then kiss it, then lick it, then take a bite and spit it out, then chew, and finally swallow the apple slice. This could take a couple of days or even weeks. The idea is to allow children to have positive interactions with the food so that eating is enjoyable and they control what is placed in their mouth according to their comfort level. Eventually the child will be able to more quickly and independently follow the above steps with a new food to independently increase their diet. Children will gain confidence and learn that new foods aren’t as scary as they once thought.
The Escape Extinction approach is an effective, evidence based approach used to aid with feeding problems across all ages and is often utilized in ABA therapy by a BCBA or Behavior Technicians under the guidance of a BCBA. Eating novel food items and non-preferred food items is broken down into easier steps to aid your child with succeeding in their feeding journey. Keeping the presentation of bites and the bite sizes predictable decreases anxiety and allows the child to feel more in control during meal times. We never move up in bite size until we are certain your child is able to handle the bite at that size and has the skills needed to properly lateralize the food item, masticate the bite, and take consecutive bites. Furthermore, this approach reinforces appropriate feeding behavior while extinguishing inappropriate or disruptive feeding behaviors by not allowing the child to escape from taking bites by using a non-removal of the spoon. Often times, children will spit out food, swallow food without chewing, pack bites, turn head away from the bite, or engage in aggression. When these behaviors occur, we do not remove the bite from their lips until the bite has been taken, and provide prompts and reinforcement for taking bites and chewing appropriately.
Children enrolled in the feeding program Metro EHS Pediatric Therapy are evaluated and treated as unique individuals, so these approaches, along with others, are often combined to best help your child experience success with eating.
Sources
Tooomey, Kay. SOS Approach To Feeding.
Tarbox, J and Tarbax, C. Training Manual for Behavior Technician Working with Individuals with Autism Spectrum Disorder. Retrieved from Sciencedirect.com.
Fraker, Fishbein, Cox, Walbert. Food Chaining: The Proven 6 Step Plan To Stop Picky Eating, Solve Feeding Problems, and Expand Your Child’s Diet. Da Capo Lifelong Books.
Greetings, fellow guardians of childhood! Today, we embark on an epic quest to uncover why early intervention in pediatric therapy is the ultimate secret weapon in the battle for our little heroes’ futures. Grab your capes, as we delve into the extraordinary world of neuroplasticity!
What is Neuroplasticity?
Imagine your brain as a high-tech superhero headquarters, constantly adapting and evolving with every new challenge and adventure. Neuroplasticity is the brain’s superpower that allows it to reorganize itself by forming new neural connections throughout life. This means that even if our tiny champions face developmental hurdles, with the right support and early intervention, their brains can reroute and expand like an elastic superhero — ready to tackle any villain that stands in their way!
The Sidekick Advantage: Why Early Intervention is Key
Just like every superhero has a trusty sidekick, children thrive when they receive early intervention in therapy. Research shows that the earlier kids receive therapeutic services, the more they can harness the powers of neuroplasticity to strengthen their skills, build resilience, and achieve their personal goals. Waiting too long can mean allowing obstacles to grow larger than life, much like letting a villain strengthen their force field!
Fighting Supervillains: Common Developmental Challenges
From speech delays, motor skill challenges to difficulties in feeding, utilizing early intervention means therapists swoop in like The Flash, delivering focused support to help children navigate these hurdles. With specialized tactics, our tiny heroes can battle their challenges and emerge triumphant, all whilst building confidence and unlocking their hidden potential!
The Dynamic Duo: Parents and Therapists Unite!
In this superhero tale, parents are the ultimate allies, teaming up with skilled therapists to devise personalized action plans tailored to each child’s unique needs. The synergy created by early intervention turns this duo into an unstoppable force—ready to level up skills in communication, socialization, and physical abilities. Together, they create a supportive environment where our little champions can flourish!
MetroEHS prioritizes early intervention in pediatric therapy because it isn’t just best practice; it’s a superhero saga ready to unfold with amazing successes! Using the incredible force of neuroplasticity, our little ones can script a future filled with hope, happiness, and triumph.
