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 5, 2023

A Mother and Daughter’s Journey

A Mother and Daughter's Journey

Kris Krajewski: Hi, I am Kris Krajewski. I am the director of PT, OT and Speech Therapy Services at MetroEHS. I am a clinical fellow mentor, a speech language pathologist, and a mom. And this is my daughter McKenna. McKenna is a therapy assistant at our Rochester Hills location.

Mckenna Krajewski: So as therapy assistant, they clean, do desk work and sanitize, take temperatures, taking care of clients, make sure they're safe and healthy, help them with their work and special needs. It makes me feel amazing and happy to be there for them. I am very, very proud.

Kris Krajewski: I got teary listening to McKenna talk about it because what, what is most important to me for children or anybody of any age, but in particular my child, is that they are happy. A large part of that happiness comes from feeling connected and having a purpose, um, and knowing that you have somewhere to go where you're valued and you're important. And so I see that happening at Metro with McKenna, with her job as a professional. I'm really proud of MetroEHS for thinking about people at, you know, both ends of that age spectrum, right? We have our little littles coming in at a very young age, and we are still interested in what happens to our kiddos when they get out into the world of work. Um, and to me that's a really important message.

A Family's Journey with a Special Need Diagnosis is a beautiful journey! Listen from some more of our MetroEHS Family's stories > HERE

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.

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.