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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May 7, 2025

The Journey to Graduation in ABA Therapy – WDIV Segment #5

MetroEHS emphasizes that ABA therapy is not a lifelong commitment but a structured program aimed at equipping children with essential skills. From the outset, each child receives an individualized treatment plan tailored to their unique needs and developmental goals at MetroEHS Pediatric Therapy.

Dawn Sterling, Regional Director of Behavioral Health at MetroEHS, explains, “We like to think of working ourselves out of a job… it’s not necessarily a lifelong thing that you have to experience, especially for those that are in ABA therapy.” This perspective underscores the organization’s commitment to empowering children to achieve independence.

Individualized Planning and Early Intervention

The process of graduating from ABA therapy is highly individualized. Ashley Lewis, Clinical Director at MetroEHS, notes that planning for graduation begins early in the therapy process. “We like to start talking about graduation early… so that we know what goals that we want to go for and how we want to target each and every one of those goals,” she says. This proactive approach ensures that therapy is goal-oriented and progress is continuously monitored.

Early intervention is a cornerstone of MetroEHS’s philosophy. By engaging children in therapy at a young age, the likelihood of achieving developmental milestones and preparing for school increases significantly.

Life After ABA Therapy

Graduation from ABA therapy marks the beginning of a new chapter. Post-graduation, children may continue to receive support through other services offered by MetroEHS, such as speech therapy, occupational therapy, and participation in social or playgroups. These services aim to reinforce the skills acquired during ABA therapy and ensure their application across various environments .

The goal is to prepare children for success in school and beyond, fostering independence and confidence in their abilities.

Learn More About MetroEHS Services

MetroEHS Pediatric Therapy offers a comprehensive range of services designed to support children with developmental challenges. For more information about their programs and how they can assist your family, visit metroehs.com or call 248-970-8402

Embarking on the journey through ABA therapy with MetroEHS means partnering with a team dedicated to revealing the “super” in every child.

May 18, 2026

Questions to Ask Before My Clinical Fellowship Year

Starting your Clinical Fellowship year is exciting—but it can also feel overwhelming. Before you jump in, take a little time to reflect. Asking yourself the right questions now can help you find the best fit and start your career with confidence.

1. Who will my clients be?

Do you see yourself in pediatrics (schools, outpatient, hospital?) or working with adult patients (in the hospital, SNF, outpatient, or specializing?),? What areas draw you in? Articulation, AAC, literacy, language, or feeding? You don’t have to have it all figured out—but having a general direction helps.

2. What work environment fits me best?

Think about where you thrive! Do you prefer a fast-paced clinic , scheduling yourself in a school environment, or in home with your patients? Do you want to work closely with other professionals everyday or have more independence?

3. What kind of support do I need?

Your CF supervisor plays a huge role in your experience. Ask yourself: Do I want hands-on guidance? Frequent feedback? A team I can easily turn to with questions? An experienced mentor?

4. What do I want to learn this year?

Your CF isn’t just about completing hours—it’s about growing your skills. What do you want to feel confident in by the end of the year?

5. What are my non-negotiables?

Consider what matters most to you. Ask about caseload size (both appointments and number of patients/students whose cases you must manage), work-life balance, mentorship, or pay structure (W2 vs 1099). Knowing your priorities will help you make the right decision.

You can also ask about benefits! Some benefits make a big difference today like PTO, paid holidays (are they taken out of your PTO?), medical coverage, and more. Other will shape your future in a big way, like the retirement plan options.

6. How will I take care of myself?

This year can be demanding. Think about how you’ll manage stress, stay organized, and maintain balance so you can show up as your best self.

Your CF year is just the beginning. Taking time to reflect now can set you up for a more meaningful, supported, and successful start in the field. And if you can, find a mentor who will guide you through these sometimes-challenging questions.

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March 26, 2025

Why Is Early Intervention Feeding Therapy So Important for Children?

In the grand battle of dinnertime, where broccoli becomes a villain and picky eaters stage epic showdowns, there exists a team of superheroes ready to save the day—Pediatric Feeding Therapists! These mighty champions use their super skills to help babies, toddlers, and children with feeding challenges, ensuring every little hero gets the nutrition they need to grow strong.

The Origin Story: What is Pediatric Feeding Therapy?

Pediatric feeding therapy unites speech therapists, occupational therapists, and sometimes behavior analysts (yes, ABA superheroes!) to help children overcome feeding struggles. Whether it’s a sensory issue, difficulty with chewing, swallowing, or just a deep-seated dislike for anything green, these experts use science, patience, and fun strategies to turn mealtime mayhem into moments of mastery.

Many young heroes-in-training face powerful foes:

The Texture Titan – That sneaky foe who makes certain foods feel ‘icky’ or unbearable.

The Gag Goblin – The reason some kids struggle with new foods and textures.

The Avoidance Avenger – The mastermind behind food refusals and dinnertime battles.

The Autism Anomaly – Children with autism often experience heightened sensory challenges that impact eating habits.

Fear not! Early intervention in feeding therapy provides the best chance to defeat these villains before they gain strength. The sooner a child receives support, the more likely they are to develop healthy eating habits that last a lifetime.

In all seriousness, some pediatric feeding disorders are complex and often require a comprehensive approach individualized for each child and family. MetroEHS provides scheduling options dependent upon the family schedule and the severity of the diagnosis. All evaluations are performed by a Team of Feeding/Swallowing Specialists. MetroEHS Speech-Language Pathologists, Occupational Therapists, and Physical Therapists work in tandem with Parents to improve feeding and swallowing disorders.

The Power of Breastfeeding Support

For the tiniest superheroes just starting their feeding journey, breastfeeding support and lactation therapy can make a world of difference. Some babies face challenges with latching, tongue ties, or milk transfer, which can make feeding difficult and stressful for both baby and parent. Lactation consultants and feeding therapists work together to provide guidance on positioning, improving latch techniques, and addressing any underlying oral-motor issues. Early support ensures that even the youngest heroes get the nourishment they need to thrive from day one!

The Superpower of Early Intervention in Feeding Therapy

Early intervention is like unlocking a hidden superhero ability—striking before the villains take full control! The benefits of starting pediatric feeding therapy as soon as you suspect an impending battle or villainous origin story:

Building Healthy Eating Habits: Introducing a variety of foods early makes for a well-rounded diet.

Improving Oral-Motor Skills: Strengthening those tiny mouth muscles for better latch or better chewing and swallowing.

Reducing Mealtime Stress: No more dinnertime showdowns! Parents and children both enjoy a more relaxed experience.

Enhancing Independence: Teaching kids to confidently try new foods and textures on their own.

Assembling Your Feeding League

If your baby, toddler, or child struggles with eating, picky eating, or sensory issues, it’s time to call in the feeding therapy superheroes. ABA techniques, occupational therapy, and speech therapy can all work together to build confidence at mealtime.

Remember, every great hero starts somewhere and learns new skills best when they are small. With early intervention and the right team behind them, your little one can transform from a mealtime sidekick into a fearless food explorer!

Is your child ready to join the Feeding League? The adventure begins now!