Layout Image
  • Home
  • About
  • Contact
  • Quilts

Archive for Fine motor

Ending the lockout

By Goddess in Progress · Comments (10)·   December 15th, 2011

For the last six weeks, Ellie has been on strike during her weekly physical therapy appointments. Oh sure, she would seem agreeable enough with her big smiles and blowing raspberries.  But rolling over? Which she is perfectly capable of doing? No thanks. Grabbing toys? No interest. Nada.

It got to the point that going to the appointments was almost embarrassing. “I swear, she really does roll over at home. She does… you know… touch things from time to time instead of weirdly recoiling her hand when you try to give her something.”

We had really been spoiled. For the first four or five months of PT, there was noticeable improvement virtually every single week. Either she’d be doing something altogether new, or would be steadier and stronger at a previous skill.  Halloween came along, and Ellie decided it was time to take a little break.

Phyiscal Therapy

She wasn’t going backwards, exactly. In reality, it was clearly just a plateau. Normal. To be expected, even, after making so much progress. But with a baby who is already delayed, it’s frustrating when you stop seeing progress you’ve gotten used to. It’s hard not to get anxious over it.

Thankfully, in the last week, Ellie seems to be picking up the developmental pace once again.  Sitting up even steadier than before, and finally starting to use her hands to grab a toy or stuffed animal, instead of just using them to prop herself upright. In fact, not only will she pick up the rings from the floor in front of her, but she’ll transfer them to the other hand, AND put them in her mouth! Fine motor, cognition, and oral de-sensitizing, all in one easy toy!

Phyiscal Therapy

The fine motor stuff was starting to worry me, but I’m happy to say there’s been a noticeable improvement recently. Lots more grabbing and reaching, and suddenly in love with one of those four-key piano toys from my mother-in-law. She was even kind enough to show off for both the physical therapist AND the early intervention therapist this week. Everyone is thrilled to have her back with the program.

Phyiscal Therapy

Even the feeding therapy stuff has been going a little better. She likes to explore those teething biscuit cookies, and lets me poke around her mouth with this textured brush we use to try to tone down her gag reflex.  They’re small steps, but good ones for us.

Though I knew on a logical level that a plateau in her progress was totally normal and shouldn’t be worrisome, waiting for new skills to show up was really stressful and had me feeling quite discouraged. On an average day, I am only just holding the worry at bay, so it doesn’t take much to push me over the edge.  Seeing her master new tricks again? Suddenly all feels right in the world.

Comments (10)
Categories : Child Development, Infants
Tags : Early Intervention, feeding therapy, Fine motor, Gross motor, occupational therapy, physical therapy

Ellie, 9 months

By Goddess in Progress · Comments (10)·   November 28th, 2011

I have a particular gift for dates. I can remember the date I saw U2 when I was a freshman in high school, the date of my college graduation, and plenty of other random things. I remember a lot of birthdays. Well, sort of. I can tell you someone’s birthday, no problem. I remember the several days ahead of time that it’s coming.  And then the actual day arrives and I completely forget until two or three days later.  Such was Ellie’s nine-month birthday. Totally knew it was coming, totally forgot on the day of (last Friday, for the record).

Anyways, my sweet girl is now nine whole months old. Three-quarters of the way to her first birthday. We’ve just had her nine-month pediatrician visit and her semi-annual Early Intervention evaluation, so I’ve got a pretty good picture of where she stands.

Nine Months

As for the vitals, she’s about 17lb12oz, and 25.5″. That remains a perfectly average weight and a WAY BELOW AVERAGE length. Short and squishy, that’s my girl.  Lucky thing got four shots this morning. It was supposed to be three, but the ancient pediatrician accidentally gave her HepA instead of HepB, so she got them both. When is my regular pediatrician coming back from maternity leave, again?!

EI re-evaluates kids every six months to make sure they still qualify for services (the child has to show at least a 30% delay in one or more areas to qualify). Ellie qualifies automatically based on feeding alone.  They scored her at “0 months / newborn” in the area of “self care,” which is entirely feeding at this age.  Frankly, they’d probably give her a negative score if they could. She eats nothing. She wants to eat nothing. She gags on everything. The feeding specialist we see through the hospital is visibly disappointed by her total lack of progress, and has proclaimed Ellie a “tough nut to crack.”

Feeding therapy sucks. I literally dab my pinky finger in the smallest amount of baby food you could imagine, and try to get Ellie to let me put it near her mouth, on her lips, or even just barely inside her mouth. Sometimes it’s borderline acceptable. And then sometimes it touches her tongue the wrong way and we have a two-minute gagging fit. It is so, so demoralizing.  But we have to keep trying to walk the very fine tightrope of gently pushing her to try to get her used it it and to tame the gag reflex, while not going too far or too fast and creating/strengthening an aversion that will set us back several more months. It’s awful. I hate it. Period.

Nine Months

Gross motor skills scored at 5 months. On the one hand, Ellie’s sitting is getting very good. She’s rolling back and forth quite a bit, especially at naptime. She has even (after the evaluation, of course) started to get herself from sitting, down to her belly, then rolled over onto her back. It’s not terribly graceful and usually involves a slow faceplant, but it does seem to be quite intentional.  She still lacks a lot of strength in her arms, and puts very little weight on her legs. Much work yet to be done here.

Nine Months

Fine motor skills were even lower at 3 months. That might be a little low, in my opinion, but regardless, she still needs a lot of work. One problem we’re having is that she is not terribly motivated by toys, so trying to entice her to grab something is very hard. Her own toes? No problem. Your face? For sure. Bright shiny baby toy? Meh.  She is a lot more likely to grab things and play with them if she’s reclined or supported while sitting. When she’s sitting on her own, it seems like she’s using all of her energy to keep upright, nothing left for those little fingers.

Cognition was placed at 7 months, and the evaluator even wondered if it would have been higher if her fine motor skills were better. Some of the things they look for the baby to do to demonstrate understanding involves using their hands to manipulate objects. So it’s not necessarily that Ellie didn’t understand something, but potentially that she just didn’t have the fine motor skills to act on it. Regardless, I’m very happy that she falls with a fairly normal range on this one.

Receptive and expressive language were at 5 and 7 months.  She makes a lot of different sounds, consonants and pitch and range and all of that, which is excellent. She doesn’t consistently respond to her own name, though.

And finally, social and emotional development. Clearly, she is Daniel’s sister – they scored her at 10 months.  I couldn’t tell you exactly what it is she does that makes her a social overachiever, but she is most definitely an interactive baby. She loves to smile at people, loves to have company, loves to be entertained.

Nine Months

Feeding crap aside, I am really happy with all of this. I am especially thrilled that, at least for now, her cognition, language, and social skills are reasonably within the normal range. Every delay has its challenges, for sure. But the fact that she is so sociable, the fact that she seems to be making strides toward communication… well, that makes the rest of it downright bearable if you ask me.  Motor skills I can work with. We can practice, we can strengthen, we can adapt. That spark in the eyes? That seems harder to cultivate, harder to compensate for.

Maybe I’m way off base, I have no idea. All I know is what I’ve got, and I am so glad that my girl has plenty of spark.

Comments (10)
Categories : Birthdays, Child Development, Infants
Tags : cognitive development, developmental delays, Early Intervention, feeding therapy, Fine motor, Gross motor, NaBloPoMo, Social/emotional development

Try not to spill…

By Goddess in Progress · Comments (15)·   August 28th, 2009

Both kids have been rather obsessed with drinking from regular cups and/or my big water bottle recently.  And, actually, have been getting reasonably good at it! So, this morning, I decided to make a switch. From now on, meals will all have milk in an open cup.  For our first breakfast, not too shabby.  Significantly more of it ended up in their mouths than in their bibs or on the floor. That’s success in the world of toddlers! And, I have to say, they were pretty jazzed about the whole thing.

Open Cups

In the meantime, does anyone have a recommendation for where to find small (like 4 ounce) break-resistant cups? The Take & Toss ones are OK if I don’t fill them too much, but I think a smaller cup might be nice.

Open Cups

Comments (15)
Categories : Child Development, Toddlers
Tags : Fine motor, open cups, sippy cups

See, I knew he was a genius

By Goddess in Progress · Comments (11)·   March 3rd, 2009

This morning, we hosted three lovely folks from Early Intervention.  For anyone out there who is not familiar with EI, it’s a pretty awesome thing.  Basically, if you or your pediatrician have concerns about your infant or toddler’s developent from birth through age 3, you can request an evaluation.  They will send out a team (developmental specialists, occupational therapists, and the like) and do a complete evaluation on your child.  That means, if you call because you’re worried about speech, they’ll evaluate your child for fine and gross motor, too.  The eval is free, they billed my insurance.  And if you qualify for services (generally by showing a 30% delay in one or more areas), they’ll send someone to the house to work with your child.  A win-win situation, if you ask me!

Anyways, I called about Daniel.  I had a very odd, specific concern.  Basically, he still drools what seems like an awful lot (though, of course, it slowed down noticeably once I made the call a few weeks ago!).  And he has some difficulty chewing certain foods.  In particular, ones that you can’t just easily mash, but have to really break down with your teeth.  Crackers are no problem, nor are most kinds of fruit.  It’s not that he dislikes crunchy things or smooth things.  But with, say, a piece of tortellini… he’s most likely to mash it up in his mouth (getting out the yummy filling) and then spit out the actual pasta if it’s even the slightest bit al dente.  And it’s not a question of dislike.  He’ll ask for more tortellini (or clementine wedge, or grape, etc.).  And he eats a reasonable amount of food, is gaining weight, etc etc.  It’s not a huge problem, and I honestly suspected that we probably would not qualify for EI services.  But I just wanted it to get checked out and maybe get some suggestions for how to work on it.

So, three women came to my house this morning.  All very friendly, all fairly young.  Basically, two of them played with Daniel while the third asked me some health history-type questions.  It was fascinating to watch.  Each toy or object they’d bring out of the bag was designed to get at a particular behavior.  See if he’d do pretend play, model behavior, stack blocks, match shapes.  As far as he was concerned, of course, he was just playing with these nice new people.  He was his usual charming, sociable, talkative self.  There were a few things when they would ask him a question, and I had to stop myself from chiming in “c’mon, buddy, you know that one!”  Especially when it’s something he most definitely knows/understands/is capable of.  But he’s a toddler, and sometimes he’s just going to elect not to participate.  And you can tell those times, because he gives you the Daniel face.  It looks something like this, but with a bit more brow furrowing:

The D Face

Oh, and when it came time to check on his chewing? I gave him some clementine for a snack, which he always mashes and then spits out.  Except when the nice lady is there watching him.  Then he swallows segment after segment.  Show-off.  Way to make mommy feel silly.

At any rate, at the end of the eval, they will let you know how your child did, basically scoring them at a particular number of months for each developmental area.  So, if he were scoring right on target, that would be 19 months.  He would have to score at 14 months or below to qualify for services.  How did he do?

Gross and Fine Motor Skills: 19 months

Spoken language: 20 months

Receptive (understanding) language: 22 months

Cognition and problem-solving: 24 months

Social interaction: 26 months

Oh, and the feeding/chewing is under the umbrella of “self-care,” where he scored… 19 months.  She did notice the drooling, and said that he does show a little bit of low muscle tone in the lip area, which usually would lead to speech concerns. Not with my chatterbox.  She suggested having him use a straw (which he already does), and try sucking thicker things like yogurt or smoothies.  Also blowing raspberries, buzzing your lips, and trying to blow bubbles are all good for that kind of muscle tone.  For things specific to food, she suggested that we try to work on more foods with mixed textures, which is where he seems to have a hard time.  So try dipping things, like fruit in yogurt or cracker in hummus, or even try eating things like soup that have more than one texture in the same bite.

Yeah.  Basically, my kid rocks.  Obviously, as his mother, I have long suspected it.  But nice to have outside confirmation. :-)   He did particularly well on imitating unfamiliar sounds (zoop! zip!), finding a hidden toy in several different variations, and grouping similar objects together.  He showed good understanding of basic shape puzzles, even if he couldn’t quite get the triangle to fit properly, and did a great job labeling familiar objects with the correct word.  I’m so proud.

All of this is not entirely just to brag about my own kid (though, it’s my blog, so I can do that), but also to say that getting evaluated by Early Intervention was a really good experience.  The people were nice and great with the kids, and gave immediate and helpful feedback even though we didn’t qualify for any ongoing services or therapies.  Birth to age three, people.  If you have any worries, use it!

Comments (11)
Categories : Child Development, Feeding, Toddlers
Tags : cognitive development, Early Intervention, Fine motor, Gross motor, language development, Social/emotional development

The Clappers

By Goddess in Progress · Comments (7)·   October 2nd, 2008

As promised, photos of the clappers…  They’re just tickled by their new trick!

Comments (7)
Categories : Child Development, Photos, Toddlers
Tags : Fine motor

Check that box

By Goddess in Progress · Comments (7)·   October 1st, 2008

The kiddos continue their developmental progress, with new bits and pieces seemingly every day. As a mom, of course, you can’t help but worry.  I found a developmental checklist the other day from an Early Intervention service provider, and I thought I’d take a look.  As to be expected, they’re “ahead” on some things, and there are others that they don’t yet do that they arguably should.

One thing that is always on lists that has always bugged me is clapping.  In the child development class I took back in the spring, here were all of these 9-month-olds clapping.  My kids?  Yeah, not so much.  But, then, I suppose I don’t clap a lot in front of them, so whatever.  I tried doing it more.  No interest.  It’s a small thing, and they seem to be doing well otherwise on fine and gross motor stuff, but it was this little thorn that kept bugging me.

Last night, all of a sudden, Daniel started clapping.  I encouraged him, he kept going.  Wohoo!  Did other things for a few minutes, tried again – more clapping!  Yay!  M called on his way home from work and I let him know of this new trick.  As I was telling him that Daniel could do it… Rebecca walked up and with a look of “oh, sure, so that’s what we’re doing now?”, she started clapping, too.  Even better, a few minutes later, I simply said “clap,” without demonstrating or even really looking at them, and clap they did.  Wohoo!  Motor skills and language comprehension!  I tried again this morning, and it was no fluke.  We have clappers.  Whew, check off that box.  [I'll try to get a picture later today. Daniel is so entertained by clapping, it's frigging adorable.]

In other developmental news:

Daniel is taking a few steps at a time, now many times a day.  Sometimes it takes a bit of encouragement, and sometimes he just decides to do it on his own.  He has such a great excited, proud smile on his face when he does it.  He’s still a little unsure and unsteady, but he’s getting there quickly.  He’s also gotten very good at figuring out how to climb on one thing to get at something higher.  Such as climbing on Daddy to get to the couch, or climbing on the new Ikea chairs to get on top of the new table.

Rebecca has also figured out the chairs-to-table bit, and every now and then I turn around to find her standing on top of the table.  There’s going to be a loud thud followed by screams in my near future.  Speaking of loud thuds and screams… both kids are getting better at the feet-first method of getting down from things like the couch.  But not all the time, and Daniel crawled himself right off of our bed the other day before naptime.  Thankfully he landed on the carpeted part, but the carpet ain’t that thick and he had a nice welt on his forehead.  Poor kiddo.  I saw it happen, but just couldn’t grab him in time.  And so many times he’s crawled near the edge and come right back… oh, we all have to have our bad mommy days, don’t we?

I wrote about speech development the other day for HDYDI, and since then I’ve noticed even more attempts at imitation of words.  Rebecca is very clearly trying to indicate “dog,” it’s just that she has a lot of words that sound like “da-da.”  But her comprehension is good.  When I ask her to find her bear or a ball, she gleefully finds the right thing most of the time.  Daniel, I swear to you, is now saying “light” in addition to signing it (it remains his only sign).  It sounds more like “yacht,” but he’s done it several times.  And for further proof that he really is M’s son… my mother-in-law informs me that “light” was his first word, too. Funny, huh?

Comments (7)
Categories : Child Development, Toddlers
Tags : Fine motor, Gross motor, Language

Cute as can be

By Goddess in Progress · Comments (5)·   August 15th, 2008

I haven’t been successful in capturing it on video, but I had to make note of some of my very favorite super-adorable things the kids do right now.

Daniel is a chatterbox, and I love his sweet little voice.  He’s got quite a range, going from gravelly to shrieking and practically yodeling, and sometimes just talking softly.  The yodeling is clearly for his own entertainment, he loves to make his voice do funny things.  When he’s climbing the stairs or otherwise moving and concentrating, he often does this funny, growling “word” that would probably be “Gof” if I tried to spell it.  But it almost sounds like he’s chewing something. It makes me laugh almost every time. Another “word” of his is “dob”.  As in “dob a-dob a-dob.”  No idea what it means, if anything, but it’s friggin adorable.  I also think that, at least 50% of the time that it seems like he’s waving, he’s actually making the sign for “light!”  One last thing: he apparently is part-dog.  He just loves carrying things around in his mouth when he crawls or climbs.

Rebecca, when she isn’t insisting that you help her walk, has become quite a little bookworm.  It has happened a number of times, but I’d say yesterday she sat for a solid 25 minutes, carefully turning the pages of one book or another.  This morning it was Pat the Bunny, and she took that little pointer finger, turned the page, and patted that darn bunny.  So small and perfect.  She also now makes funny faces just for the sake of being silly.  She kind of juts out her chin and puckers her lips, making kind of a funny “oooh” sound.  Silly girl.  And god help you if she decides she wants you to help her walk and you don’t get up fast enough.  Ooh, 12-month-old temper tantrum!

Comments (5)
Categories : Child Development, Photos, Toddlers
Tags : Cognitive, Fine motor, Gross motor, Language, Social/emotional

Hey, Fork You, Buddy!

By Goddess in Progress · Comments (5)·   August 13th, 2008

Now that I have two no-longer-Babies on my hands, we’re introducing all kinds of new skills.  For one, we’re in the midst of transitioning from formula and bottles to milk and sippy cups.  I wrote about it today on HDYDI, so please feel free to leave any suggestions.  We’re down to half-milk, half-formula in their bottles, and I hope to be totally done with formula by the end of the weekend.  Hooray!  No more buying the giant cans of Enfamil, six-at-a-time!  The trick seems to be getting them to recognize their sippy cups (which they otherwise have no trouble with) as a legitimate source of hunger-thirst satisfaction.

The other thing I did was grab some new utensils.  It’s a big shift, to go from “no, please don’t grab that spoon and smear pureed sweet potato all over your head” to “here, try this!”  But we got the Gerber Fun Grips fork & spoon at Target the other day.  And last night, I decided to give it a shot.  I speared a piece of meatball, and handed it to Rebecca.  Would you know she maneuvered it perfectly into her mouth in under 10 seconds?  I guess I didn’t give them enough credit!  They got it right away, and Rebecca even attempted to feed herself some yogurt on the spoon (messy, but generally successful).  I managed to snap some pictures at breakfast this morning.

Comments (5)
Categories : Child Development, Feeding, Toddlers
Tags : Fine motor, Solids

One thing I love

By Goddess in Progress · Comments (1)·   May 1st, 2008

A developmental tidbit that makes me thrilled beyond belief: both kids are now consistently able to hold their own bottles! Wahoo! I know some kids do this earlier, and I think I sort of discouraged it a few months ago. But now, it’s awesome. So awesome, in fact, that it enabled my mom and me to go to Ikea today (which is not at all nearby), and when the kiddos got hungry, we just reclined the seats and handed them their bottles! A few minutes later, they’d both nearly polished their 7-oz bottles. Hip hip, hooray! More on mom’s visit, the Ikea trip, and more… later. Having my mom around was nice, but it kind of took away my usual quiet time, so I’m exhausted!

Comments (1)
Categories : Child Development
Tags : Fine motor

Hello, World!

By Goddess in Progress · Comments (0)·   November 30th, 2007

Both babies are becoming noticeably more aware of the world around them. Eye contact is no longer fleeting, but steady. And they love it! Songs, playing with their hands and their feet, belly kisses, tickles… they look you right in the eye and smile (or laugh!) in delight. They don’t just crane their necks to watch TV, but to watch the dog walk by, or watch me fold laundry. Instead of idly focusing on whatever is in front of them, they choose something and stick with it. They stuff their whole fists in their mouths, or in Rebecca’s case today, just her tiny thumb. They stare at and swing for (and grab) toys like the links or the giraffe hanging from their playmat. They were distracted from eating, of all things, for an hour yesterday at a friend’s house. They were just so interested in all of the other babies playing, things going on, new surroundings.

Four months ago, my friend told me she thought the four-month mark was practically magical for her kids. Seemingly overnight, they were happier, sleeping better, and overall more fun to be around. If the last week is any indication, that may be true for mine, too. They’re just so much FUN, all of a sudden! Oh sure, they have their crabby times and their meltdowns. But if we’re having a decent-to-good nap day, it’s like a party at my house. They wake up happy and ready to play, sing, read, whatever. Sure beats the hell out of a nap strike.

Comments (0)
Categories : Child Development, Infants
Tags : Cognitive, Fine motor, Gross motor, NaBloPoMo, Social/emotional
Next Page »
   

Got to pay the bills!

Archives

Search

Grab My Button



NaBloPoMo – November 2011

NaBloPoMo 2011

Superhero Photo E-Course

Alltop, confirmation that I kick ass

How Do You Do It?

Add to Technorati Favorites

Goddess in Progress
Copyright 2006-2011 All Rights Reserved
iThemes Builder by iThemes
Powered by WordPress