Showing posts with label executive function. Show all posts
Showing posts with label executive function. Show all posts

Wednesday, January 3, 2018

Fine Motor and Executive Function Skills with a Winter Theme

Fine Motor and Executive Function Skills with a Winter Theme from the Winter Skill Builders Packet Three Free Sample Pages

Fine Motor and Executive Function Skills with a Winter Theme

Do you struggle to find the time to plan out therapy sessions?  These no-prep activities encourage fine motor and executive function skills with a Winter theme.  And… they are FREE!  The black and white pages are super easy to print off and start working with students right away.  This three-page free sample download is from the Winter Skill Builders packet, created by Thia Triggs, school-based Occupational Therapist.

DOWNLOAD YOUR FREE SAMPLE PAGES FOR FINE MOTOR AND EXECUTIVE FUNCTION SKILLS WITH A WINTER THEME

Winter Skill Builders at Your Therapy Source

School-based Occupational Therapist, Thia Triggs, has designed this differentiated Winter Skill Builders digital download to: 
◦ Build fundamental fine motor and executive functioning skills for kindergarten-age kids.
◦ Target specific CCSS literacy and math skills in ways that interest and engage even the most reluctant children.
◦ Provide differentiated yet equivalent materials so you can easily provide the just-right level of difficulty and challenge for a group with diverse skills.

Winter Skill Builders Features:

  •  Teacher’s Guide for each of the six units.
  • Occupational Therapy tips and tricks for explicit instruction, developmental sequence, and breaking tasks into their smallest steps so all children can learn.
  • Specific differentiation tools and support.
  • Specific objectives for fine motor, visual motor, and executive function skill development.
  • Detailed table of contents so you can easily find what you need at a moment’s notice.
  • No-prep, print-and-use printables.
  • 61 pages.
  • Secular winter-themed worksheets.

FIND OUT MORE.

Fine Motor and Executive Function Skills with a Winter Theme from the Winter Skill Builders Packet Three Free Sample Pages

The post Fine Motor and Executive Function Skills with a Winter Theme appeared first on Your Therapy Source.

Wednesday, October 4, 2017

Executive Functions, Motor Abilities and Daily Functioning in Children

Executive Functions, Motor Abilities and Daily Functioning in Children

Executive Functions, Motor Abilities and Daily Functioning in Children

The Journal of Occupational Therapy, Schools and Early Intervention published research on the contribution of executive functions beyond motor ability to the participation in daily life activities of children. The participants included 22 children (5–6 years old) who received occupational therapy services and 22 typically developing peers (5-6 years old).   Each child was evaluated with motor and executive functions’ tests and their parents completed the Children Participation Questionnaire. After controlling for motor ability, inhibitory control was the significant contributor to the child’s participation. An interaction effect of motor ability and inhibitory control significantly predicted the child’s independence level in participation. Supporting the inhibitory control ability of young children with motor difficulties may be a pathway for achieving our ultimate goal to enable and promote children’s participation.

Data analysis after controlling for motor ability indicated the following:

  • inhibitory control was the significant contributor to the child’s participation.
  • there was an interaction effect of motor ability and inhibitory control which significantly predicted the child’s independence level in participation.

Inhibitory control is the ability of children to control their impulses in situations to select a more appropriate response in order to achieve the end goal.  The researchers concluded that addressing the inhibitory control ability of young children with motor difficulties may promote children’s participation.

Reference:  Rosenberg, L., Jacobi, S., & Bart, O. (2017). Executive functions and motor ability contribute to children’s participation in daily activities. Journal of Occupational Therapy, Schools, & Early Intervention, 1-12.

Read about self-regulation and inhibitory control here.

Play games that encourage children to practice inhibitory control like Simon Says.

This digital download includes 68 body position cards (full page), 13 Simon Says Stop cards and 25 game ideas to use with the Simon Says cards.  It also includes all the 81 picture cards in a smaller size (2.5″ by 3.25″ – nine cards to one page).  Print the cards or play the Simon Says game using the electronic PDF on a screen or a tablet.  This activity encourages body awareness, bilateral coordination, motor planning and following directions.  FIND OUT MORE.

Executive Functions, Motor Abilities and Daily Functioning in Children

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Monday, September 18, 2017

Brain Benefits of Sensory Motor Groups

Brain Benefits of Sensory Motor Groups

Brain Benefits of Sensory Motor Groups

Do you provide group therapy sessions?  Is it ever a struggle for children to participate?  Do you find that some children have the motor skills when playing alone but then have difficulties when they start playing in a group game?  Participating in sensory-motor group games requires additional executive functions than playing alone.  Sensory-motor groups add on another level of cognitive load i.e. impulse control, higher motor planning, self-regulation, etc.  Providing group therapy sessions or offering additional opportunities for group motor play (i.e. recess, physical education or in class games) may help with executive functions, coordination skills and higher level motor tasks.

Here are 3 evidence based reasons to support brain benefits of sensory-motor groups:

Participation in group motor skill games and complex motor tasks may possibly induce neurogenesis in the hippocampus and physiological changes in the cerebellum.

Skills acquired during complex motor tasks and cognitively demanding group games may transfer to executive functions.

There is a close interrelationship between motor control and executive functions such as:

  • the co-activation between the prefrontal cortex, the cerebellum, and the basal ganglia during several motor and cognitive tasks
  • both having a similar developmental timetable.
  • both skills requiring sequencing, monitoring, and planning.

Research indicates that increasing the mental engagement in physical activity by adding coordination and cognitive demands result in superior effects on executive functions when compared to physical activities without increased cognitive loads.

Reference:  Aadland, K. N., Moe, V. F., Aadland, E., Anderssen, S. A., Resaland, G. K., & Ommundsen, Y. (2017). Relationships between physical activity, sedentary time, aerobic fitness, motor skills and executive function and academic performance in children. Mental Health and Physical Activity, 12, 10-18.

Read Tips for Successful Pediatric Group Therapy Sessions.

Here are 3 resources for sensory-motor groups to encourage movement and learning:

The ABC's of Movement

The ABC’s of Movement®- Combine Movement with Literacy  – The ABC’s of Movement® is a pdf document of educational flash cards that combine movement with literacy development. Kids love these colorful flash cards that merge learning the alphabet with twenty six fun, noncompetitive movement activities. Designed for children of all abilities from preschool through 2nd grade, these flash cards were developed by a physical therapist with learning and physical development in mind. Ideal for home and school use. These bright, bold letters and full color photographs of children make learning easy and fun!

Movement Flashcards

Movement Flashcards – Movement Flashcards digital download includes 10 aerobic exercises with flash cards templates. Students can get physical activity while reviewing material. The 10 aerobic activities include: run in place, jumping, hopping, squats, lunges, skipping, twists, cross crawls, jumping jacks and marching. Each page includes a picture image of the aerobic exercise along with a blank template to type in 18 flash cards. You choose what to work on for academic material.

Cardio Skip Counting digital download includes 3 videos and worksheets to get moving and working out while practicing skip counting by 2s, 5s and 10s to 100. Each video takes the students through skip counting while performing different aerobic exercises such as marching in place, running in place, cross crawls, trunk twists, lunges, squats and more! All you have to do is open the Powerpoint Presentation or the video files and select the movie you want to play. The worksheets include number writing practice and an aerobic activity. The students have to write in the missing numbers and then perform an exercise while counting to 100 by 2s, 5s or 10s.

Brain Benefits of Sensory Motor Groups

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Friday, September 8, 2017

How To Help Students Take Organized Notes

Students Take Organized NotesHow To Help Students Take Organized Notes

Do you work with students who need help taking organized notes?  Do you have students who struggle with working memory?  The Cornell Note Taking System helps students to take effective, organized notes and study the material.

The Cornell method was a system created by Walter Pauk, an education professor at Cornell University, to provide students with a systematic format for condensing and organizing notes.

Help Students to Take Organized Notes

The Cornell Note Taking System is divided into several steps:

Step 1:  Record Notes – Write notes in the note taking column on paper that is divided into different sections.  See below to download your FREE copy of the template.  Use short sentences or phrases for the notes.

Step 2:  Key Points/ Questions –  When the class period is over, write the key points or questions in the left-hand column on the paper.  This step helps students to clarify meaning, strengthen memory skills and assist with studying.

Step 3:  Recite – Cover the notes section and in your own words recite out loud the answers to the questions that you formulated in step 2.  This step helps students with understanding the material and long term memory.

 Step 4: Reflect – Think about the material you are learning to make connections with previous facts, ideas, and experiences.

Step 5:  Review – Write a summary of the notes at the bottom of the page in your own words.  Review all the material weekly to prepare for future tests.

DOWNLOAD YOUR FREE CORNELL NOTE TAKING TEMPLATE

Looking for more note taking templates?  Check out the 11-page packet of Cornell Note Taking Templates.

Reference:  Cornell University.  The Cornell Note Taking System.  Retrieved on 9/8/17 at http://ift.tt/2gaj4w4.

Help Students to Take Organized Notes

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Wednesday, March 29, 2017

10 Tips for Written Expression for Students with Working Memory Deficits

10 Tips for Written Expression for Students with Working Memory Deficits

Working memory is used when a student needs to think and remember at the same time.  For written expression, a student has to brainstorm ideas, organize thoughts, plan, construct sentences, remember correct grammar and review the writing format all while remembering what words need to be written on the paper.  Therefore, written expression can be difficult for student with working memory deficits.  Some students may omit words, repeat words, miss errors or forget what was to be written.

Here are some tips for written expression for students with working memory deficits:

  1. reduce overall cognitive load by focusing only on the writing assignment with no distractions
  2. keep work space well organized
  3. make the writing assignment requirements shorter
  4. repeat the sentence orally a few times before starting to write the sentence
  5. complete a first draft where grammar and spelling can be corrected
  6. use abbreviations or symbols in the first draft
  7. provide overall feedback on the first draft and the student can revise before handing in the final copy
  8. teach the student to create an outline or use a graphic organizer before starting to write
  9. when revising check for only one error at a time i.e. step 1: check document for spelling step 2: start over and check document for punctuation step 3: start over and check document for legibility, etc.
  10. if working memory deficits are significant the student may need a scribe to help be the writer’s short term storage

Reference:  Kaufman, A. S., & Kaufman, N. L. (2015). Essentials of working memory assessment and intervention. M. J. Dehn (Ed.). John Wiley & Sons.

 

Working Memory Exercises

Working Memory Exercises: Working Memory Exercises includes the materials to create 20 memory challenges (the 10 Level 1 exercises are in categories and the 10 Level 2 exercises are not categorized) recording sheets for each category in double lined (Handwriting without Tears® style), dotted lined (Zaner-Bloser® style) or regular lined paper and answer sheets. In addition, both levels come with additional visual cues if the exercises are too difficult. This download is great for classroom use, therapy sessions or to send home with a student. These activities are reproducible to print to use over and over again with all the children that you teach. FIND OUT MORE INFORMATION.

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Thursday, March 2, 2017

Exercise and Working Memory in School Children

Exercise and Working Memory in School Children

Pediatric Exercise Science published research examining the role of exercise on the cognitive development in children including working memory (WM) and inattentiveness in a large sample of 2897 schoolchildren (7-10 years old).  Data was collected using the n-back task (2- and 3-back), the attentional network task (ANT) and parent questionnaire with information about the extracurricular exercise of their child and commuting to school.

The results indicated that:

  • exercising twice per week or more was associated with higher working memory scores and inattentiveness scores at baseline when compared with exercising only once per week or less.
  • active commuting for more than 50 min was associated with better 3-back scores at baseline, as compared with passive commuting.
  • no consistent associations were found between physical activity and cognitive growth.

The researchers concluded that children with high levels of physical activity performed better in cognitive tasks.

Reference:  López-Vicente, M. et. al. (2016). Physical Activity and Cognitive Trajectories in Schoolchildren. Pediatric exercise science, 28(3), 431-438.

50 Sensory Motor Activities for Kids

50 Sensory Motor Activities for Kids – This is an electronic book of 50 sensory motor activities that get children moving. This collection of creative, fun filled activities promote fundamental motor skills, sensory processing, motor planning and body awareness. The book is divided into three sections – Games to Play in Small Spaces (classroom or small room), Games to Play in Large Spaces (gymnasium or outdoors) and Games to Play with Bean Bags. The activities require simple equipment such as bean bags, hoops, rope, balls, etc.  FIND OUT MORE.

 

 

 

 

 

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Monday, February 20, 2017

Motor Skills and Executive Function

Motor Skills and Executive Function

Mental Health and Physical Activity published research on the relationships between physical activity, aerobic fitness, and motor skills to executive functions and academic achievement in 697, ten year old children.

The results indicated the following:

  • no relationships were observed between moderate to vigorous physical activity and executive functions or academic performance.
  • sedentary time was related to executive functions and academic performance in English in boys.
  • aerobic fitness was associated with executive functions and academic performance in boys only.
  • motor skills were associated with most measures of executive functions in both girls and boys and academic performance in girls.

The researchers concluded that the strongest independent associations were observed for motor skills to executive functions. Sex-specific associations were observed for aerobic fitness and motor skills. Programs that increase both aerobic fitness and motor skills may positively affect executive functions and academic performance.

Reference: Aadland, K. N., Moe, V. F., Aadland, E., Anderssen, S. A., Resaland, G. K., & Ommundsen, Y. (2017). Relationships between physical activity, sedentary time, aerobic fitness, motor skills and executive function and academic performance in children. Mental Health and Physical Activity, 12, 10-18.

25BilateralCoordinationExercises

Need activities that include aerobic fitness and motor skills?  Check out 25 Bilateral Coordination Exercises.

The post Motor Skills and Executive Function appeared first on Your Therapy Source.

Thursday, January 5, 2017

Acute Exercise and Executive Function in Children

Acute Exercise and Executive Function in Children

Psychophysiology published research on the effects of acute exercise on executive function in 20 healthy, 8-10, year old children.  This study compared the effect of an acute bout of continuous or intermittent, moderate-intensity treadmill exercise on executive function in young children. Participants in the continuous exercise group ran at 90% of gas exchange threshold whereas the participants in the intermittent exercise group performed six consecutive 2.5 min blocks of exercise.  The intermittent exercise block was designed to reflect children’s typical activity patterns, comprising 45 s at a heavy intensity, 33 s at a moderate intensity, 10 s at a severe intensity, and 62 s at a low intensity.

Assessment of executive function included the Stroop task before the submaximal exercise bouts and after, at 1-, 15-, and 30-min intervals and near-infrared spectroscopy (NIRS) to measure cerebral perfusion and oxygenation.

The results indicated that:

  • in both conditions, Stroop performance was improved at 1 min after compared to before and the improvements were maintained until 30 min after.
  • NIRS (oxyhemoglobin, total hemoglobin) explained a significant amount of variance in the change in Stroop performance for the intermittent group only.

The researchers concluded that an acute bout of exercise, of either an intermittent or continuous nature, improves executive function in children, and effects are maintained for ≤ 30 min following exercise cessation.  Therefore, it is recommended that children should participate in bouts of physical activity during the school day.

Reference:  Lambrick, D., Stoner, L., Grigg, R. and Faulkner, J. (2016), Effects of continuous and intermittent exercise on executive function in children aged 8–10 years. Psychophysiology, 53: 1335–1342. doi: 10.1111/psyp.12688

Mini Movement Breaks

Mini Movement Breaks – This download is a collection of 60+ quick sensory motor activity cards. The mini movement breaks are quick and require no equipment. The movement breaks can be done indoors. Most of the movement breaks can be done with one child or a group of children. It does not get any easier than this to encourage sensory motor activities in the classroom or home.  FIND OUT MORE INFORMATION.

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Tuesday, November 29, 2016

Recess and Executive Functioning Skills

recess-and-executive-functioning-skills

Pediatric Exercise Science published research examining the effects of a physical activity program including both aerobic exercise and cognitively engaging physical activities on children’s physical fitness and executive functions.  Children from elementary school were divided into two groups – intervention (53 children) and control (52 children).  The intervention group participated in a 22-week physical activity program for 30 min during lunch recess, twice a week. Children in the control group followed their normal lunch routine. Aerobic fitness, speed and agility, and muscle strength were assessed using the Eurofit test battery. Executive functions were assessed using tasks measuring inhibition (Stroop test), working memory (Visual Memory Span test, Digit Span test), cognitive flexibility (Trailmaking test), and planning (Tower of London). The results indicated the following:

  1. children who participated in the congitively engaging aerobic exercise program showed significantly greater improvement than children in the control group on the Stroop test and Digit Span test, indicating improved inhibition and verbal working memory skills.
  2. no differences were found on any of the physical fitness variables.

The researchers concluded that a physical activity program including aerobic exercise and cognitively engaging physical activities can enhance aspects of executive functioning in primary school children.

Reference:   van der Niet, Anneke G.; Smith, Joanne; Oosterlaan, Jaap; Scherder, Erik J. A.; Hartman, Esther; Visscher, Chris. Effects of a Cognitively Demanding Aerobic Intervention During Recess on Children’s Physical Fitness and Executive Functioning.  Pediatric Exercise Science . Feb2016, Vol. 28 Issue 1, p64-70. 7p. 2 Charts.

Motor Minute ChallengesMotor Minute Challenges is an electronic book of 20 sheets to complete that encourage fine motor, visual motor and gross motor skills. Complete each challenge sheet by finishing pictures, mazes, physical activities and more. Time the tasks for 1-3 minutes or let the child complete each one at his/her own pace. These pages are great for challenges at home, indoor recess time and rainy day activities.  Find out more information.

Read the archives for more articles on the benefits of recess.

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Tuesday, October 18, 2016

Link Between Visual Motor, Object Manipulation Skills, Executive Function and Social Behavior

Link Between Visual Motor, Object Manipulation Skills, Executive Function and Social Behavior

Research Quarterly for Exercise and Sport published research on 92, three to five year old children to establish a link between early visual-motor integration skills and executive function and a link between early object manipulation skills and social behaviors in the classroom during the preschool years.  Each participant was evaluated for visual-motor integration skills, object manipulation skills, executive function, and social behaviors in the fall and spring of the preschool year.  The results indicated the following:

  1. children who had better visual-motor integration skills in the fall had better executive function scores in the spring of the preschool year after controlling for age, gender, Head Start status, and site location, but not after controlling for children’s baseline levels of executive function.
  2. children who demonstrated better object manipulation skills in the fall showed significantly stronger social behavior in their classrooms (as rated by teachers) in the spring, including more self-control, more cooperation, and less externalizing/hyperactivity after controlling for social behavior in the fall and other covariates.

The researchers concluded that children’s visual-motor integration and object manipulation skills in the fall have modest to moderate relations with executive function and social behaviors later in the preschool year.

Reference:  MacDonald, M., Lipscomb, S., McClelland, M. M., Duncan, R., Becker, D., Anderson, K., & Kile, M. (2016). Relations of Preschoolers’ Visual-Motor and Object Manipulation Skills With Executive Function and Social Behavior. Research Quarterly for Exercise and Sport, 1-12.

Teaching Catching, Throwing and Kicking Skills

Teaching Catching, Throwing and Kicking Skills is loaded with information to help children learn object manipulation skills. It is in PDF format and in Word (therefore you can edit the pages).  This packet includes the age progression of each skill, visual picture cards with step by step directions, tips on teaching the skills, letter home to parents regarding teaching the skills, different ways to practice the skill and data collection to track progress. The activities are reproducible to use over and over again with all the children that you teach.  FIND OUT MORE INFORMATION.

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Thursday, July 28, 2016

Physical Exercise and Functional Outcomes in Children with ADHD

Physical Exercise and Functional Outcomes with ADHD

The Journal of Attention Disorders published a meta-analysis on the possible beneficial effects of exercise in alleviating ADHD functional outcomes in children.  After searching various databases, 10 studies for a total of 300 participants on the effects of physical exercise on motor skills and executive functions in children with ADHD were included.  The analysis revealed the following:

  1.  exercise had a significant effect on functional outcomes, ie executive functions and motor skills, in children with ADHD 
  2.  longer exercise intervention duration was consistently associated with larger effect sizes.
  3.  effect sizes were not related to exercise intensity, mean age of participants, or gender distribution.

Reference:  Ruta Vysniauske, Lot Verburgh, Jaap Oosterlaan, and Marc L. Molendijk. The Effects of Physical Exercise on Functional Outcomes in the Treatment of ADHD: A Meta-Analysis. Journal of Attention Disorders 1087054715627489, first published on February 9, 2016 doi:10.1177/1087054715627489

Get Moving Flashcards

 

 

Get Moving Flashcards – Get Moving Flashcards is a collection of 5 physical activity breaks (jogging in place, marching, squats, jumping jacks and trunk twists) randomly placed between flash cards. Basically, the slides will move along, the child says the letter out loud, air writes the letter or writes the letter on paper. Anytime a movement slide shows up the child performs that movement.  FIND OUT MORE INFORMATION.

 

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Tuesday, June 28, 2016

Why Do Children Need Opportunities to Use New Motor Skills They Learn?

Children Need Opportunities to Use the SKills they LearnDuring therapy sessions, we frequently break down activities into smaller parts or chunks to make it easier for children to learn new motor or life skills.  As the child progresses with those individual parts of the skill, the child then practices the entire activity as a whole. Sometimes this is done in an isolated environment (ie therapy room) and sometimes in the real environment (ie classroom).

Keep in mind, in order for the child to learn and retain the skill, the child must apply that skill in meaningful and functional activities.  This helps to lay the neural networks to achieve and retain the skill.

After the child completes the skill provide formal and informal feedback to help them improve. Use self assessment techniques allowing the child to determine what needs improvements.   This will again help lay the groundwork for strong neural networks for the skill.

So why do children need meaningful opportunities to practice new motor or life skills?  It creates strong neural networks in order to transfer the skill in different situations or to learn additional new skills.

The post Why Do Children Need Opportunities to Use New Motor Skills They Learn? appeared first on YourTherapySource.com Blog.

Wednesday, March 23, 2016

5 Best Answers to a Child's Questions to Encourage Executive Functioning Skills

5 Best Answers to Encourage Executive Functioning SkillsToday's post is by a guest blogger, Paige Hays, OTR.  She is an occupational therapist who provides in-home, pediatric occupational therapy services in the south metro area of the Twin Cities, MN through Paige Hays, Therapy Services, LLC. She is a mother of 2 girls, avid DIYer, and a highly skilled and experienced OT. She specializes in working in pediatrics, with diverse expertise ranging from cognition and sensory issues to working with children with neuromuscular disabilities or complex medical needs.  Today she offers the 5 best answers to a child's questions to encourage executive functioning skills.
Anyone who works with children knows that children ask A LOT of questions.  They ask because they want to learn things.  They ask because they already know things and just want to confirm it.  They ask to make conversation.  They ask to get attention.  And sometime they just ask (and ask, and ask, and then ask again).   The truth is that children are trying to talk to us, trying to engage with us, and trying to learn from us.  It is a teaching moment- don’t miss it!
Many of the children I work with as an occupational therapist struggle with executive functioning skills (such as children on the autism spectrum, children with learning disabilities and attention disorders, and children with developmental delays).  One of the best tools (and habits) I use as a therapist is that I rarely answer children's questions directly.  Instead, I find that giving answers that encourage the child to think and respond are a great way to develop executive functioning skills and higher level thinking, such as:
  • making inferences
  • using logic and reasoning
  • problem solving
  • flexible thinking
  • making predictions
  • critical thinking and skepticism
  • social and conversation skills
5.  What do you think?
Example: Child: Why can't I eat the playdoh? Adult: What do you think?
The quickest and easiest answer.  Often a great way to stop repetitive questioning when the child knows the answer and is just seeking attention or needs to confirm a rule or boundary (remember children learn through repetition, so confirming an answer they already know is an important part of learning to control one’s behavior and develop self-regulation skills).  I also find that for children with oppositional or defiant behavior patterns this is an approach to build shared control and promote compliance.  For children who struggle with social skills, this may be an attempt at engagement and by asking a question in return you can continue to work on the co-regulation skills needed for functional conversation skills.

  1. How can we find out?  Who could we ask?  Where could we find that answer?
Example: Child: Why is the balance beam tippy today?  Adult: I'm not sure, how could we find out? (and how can with fix it?)
When there is actually an answer to be discovered, giving them clues about how they could find out on their own.  This is a great chance to provide a “just right challenge” for their cognitive skills by providing hints and clues (scaffolding) and leading them to discover an answer.  The process of discovery is a great time to work on the steps of problem-solving: initiation of action, making a plan, executing a plan, monitoring and self-correction of work, and task completion.
  1. I don't know, let's make a guess together.
Example: Child: Why is the swing squeaking?  Adult: I don't know, let's look closely and make a guess together?
When there isn't an answer or there is not an age-appropriate answer, it is ok to make a guess together (or a theory or hypothesis for older children).  This is a great time to focus on flexible thinking skills, especially for children who are very literal or think in absolutes (black and white thinking).  The cognitive skill of making a guess can be hard for children, but with a therapist role modeling for them it can stretch them more complex thinking skills (don’t be surprised if a child’s guess is completely wrong, being right or wrong isn’t the point!)

  1. What could happen if you ____?  (Or, how would that make ____ feel?)
Example: Child: Can I wear my tutu in OT?  Adult: What might happen to a tutu while we swing or play with shaving cream today?  How would you feel if your tutu got dirty?
Children often ask "what if" or "can I" questions.  Rather than answer, let the child think about the reasoning behind the answer.  It is a great chance to make predictions about consequences of actions (a key part of developing self-regulation).  This is a great way to build social skills as well, focusing on theory of mind, social thinking, and emotional regulation skills.
  1. Give an outrageous or silly answer and let them correct you.
Example: Child: Can I wash my hands?  Adult: Nope, this week at OT we are only washing our elbows and ears.
My favorite response is to give an answer that makes absolutely no sense.  Children love to correct adults and be "right," and this gives a wonderful chance to have your child try to convince you through logic skills.  This also helps to build a healthy amount of skepticism (and critical thinking skills) that all children need.  This can be hard for children who are very literal or struggle with language skills, but can also present a great opportunity to build social skills, sense of humor, while promoting higher level thinking skills.
Here is more information about executive function by Paige Hays Therapy Services, LLC
Don't forget to check out the Paige Hays Therapy Services Blog and follow on Facebook 

Tuesday, January 19, 2016

Improved Executive Functioning with 5 Minutes of Physical Activity

Physical Activity, Affect and Executive Functioning in Boys with ADHDThe Journal of Attention Disorders published research on two studies to investigate the role of physical activity on the affect and executive functioning of children with symptoms of ADHD. One study explored the association between physical activity and affect in the daily lives of children with varying degrees of hyperactivity.  The second study randomly assigned children with ADHD a physical activity or a sedentary task before working on a executive function task.
The results indicated the following:
  1.  Lack of physical activity was shown to relate to depressed affect, more strongly in participants with severe hyperactivity symptoms.
  2. The physically active participants showed improved executive functioning after only 5 min of vigorous activity; the sedentary control participants showed no improvement.
The researchers concluded that increasing the level of physical activity in children with and without ADHD might improve affect and executive functioning.
Mini Movements Brain Breaks from http://yourtherapysource.com/minimove.html
Title: Mini Movement Breaks
By: Your Therapy Source
Summary: Download of 60+ quick sensory motor activity cards for school,
home or therapy clinic.  FIND OUT MORE AT http://www.yourtherapysource.com/minimove.html
Reference:  Caterina Gawrilow, Gertraud Stadler, Nadine Langguth, Alexander Naumann, and Antje Boeck.  Physical Activity, Affect, and Cognition in Children With Symptoms of ADHD.
Journal of Attention Disorders. February 2016 20: 151-162, first published on July 26, 2013 doi:10.1177/1087054713493318

Sunday, December 13, 2015

Top 10 Category Freebie


Challenge executive functioning skills and handwriting with this Category Game Top 10 Challenge Freebie. This free download includes a single lined recording sheet and 6 category cards.  This is game is suitable for 1 player and groups.  Just print enough recording sheets for each player.  If you do not want to write the words, grab a hole punch. Punch out the number in the category card each time you say a word from the category. If you don’t have a hole punch, color in each circle.


Tuesday, June 16, 2015

Working Memory, Fine Motor Skills and Early Numeracy in Cerebral Palsy

Working Memory, Fine Motor Skills and Early Numeracy in Cerebral Palsy - www.YourTherapySource.comChild Neuropsychology published research exploring the relationship between working memory, non-verbal intelligence, linguistic skills, counting, fine motor skills and early numeracy in 56, six year old children with cerebral palsy.   Each child was evaluated for early numeracy performance, working memory, non-verbal intelligence, sentence understanding and fine motor skills. In addition, basic counting performance was assessed.
The results indicated the following:
1.  working memory and fine motor skills were significantly related to the early numeracy performance of the children.
2.  counting was a mediating variable (a variable that explains a relation or provides a causal link between other variables) between working memory and early numeracy
The researchers concluded that working memory for early numeracy performance in children with cerebral palsy is important and warrants further research into intervention programs aimed for working memory training.
Reference:  Van Rooijen M, Verhoeven L, Steenbergen B. Working memory and fine motor skills predict early numeracy performance of children with cerebral palsy. Child Neuropsychol. 2015 Jun 12:1-13. [Epub ahead of print]

Monday, June 15, 2015

Challenge Working Memory Skills and Practice Handwriting

working memory level 1 freebie from http://yourtherapysource.com/workingmemory.htmlHere is a freebie to practice working memory skills.  This freebie is one of the Level 1 exercises.
Working Memory Exercises encourage:
  • visual memory skills
  • working memory skills
  • handwriting practice
  • executive function skills

Friday, April 3, 2015

Executive Function in Adolescents Born Extremely Premature and Extremely Low Birth Weight

executive function adolescents from www.YourTherapySource.com/blog1Pediatrics published research on 228 adolescents who were extremely preterm (EP; <28 weeks) birth and extremely low birth weight (ELBW; <1000 g).   Each participant was assessed with multiple executive function (EF) tasks, and parent- and self-ratings of behavioral EF. The Rey Complex Figure and Behavior Rating Inventory of Executive Function parent report were also administered at age 8 years, to determine if there was a change in scores between childhood and adolescence.

The results indicated the following:

1.  EP/ELBW adolescents performed more poorly than controls in the following areas - verbal processing speed, attentional control, cognitive flexibility, and goal-setting but not psychomotor reaction time.

2.  group differences were similar across tasks.

3.  during childhood to late adolescence, EP/ELBW children improved their accuracy of the Rey Complex Figure copy more than controls.

4.  parent report indicated that executive behaviors were largely stable over time in both groups.

The researchers concluded that adolescents born EP/ELBW have poorer EF skills across multiple domains than controls and recommend multidomain, longitudinal assessments in this high-risk population.

Reference:  Executive Function in Adolescents Born <1000 g or <28 Weeks: A Prospective Cohort Study.  Alice C. Burnett, Shannon E. Scratch, Katherine J. Lee, Jeanie Cheong, Karissa Searle, Esther Hutchinson, Cinzia De Luca, Mary-Ann Davey, Gehan Roberts, Lex W. Doyle, and Peter J. Anderson , on behalf of the Victorian Infant Collaborative Study Group
Pediatrics 2015; 135:4 e826-e834; published ahead of print March 23, 2015, doi:10.1542/peds.2014-3188

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Wednesday, October 8, 2014

Physical Activity and Executive Control in Children

Physical activity executive function www.YourTherapySource.comPediatrics published research on 221 children (7-9 years old) who were randomly assigned to either a 9 month after school physical activity program or a wait list group. Following the intervention various measurements were recorded: changes in maximal oxygen consumption, electrical activity in the brain and behavioral measures (accuracy, reaction time) of executive control.

The intervention was every school day for two hours. Each session included at least 70 minutes of moderate to vigorous physical activity.

The results indicated the following:
1. fitness improved more among intervention participants from pretest to posttest compared with the wait-list control group.
2. inhibition and cognitive flexibility improved more in the intervention group from pretest to posttest compared with control.
3. only the intervention group increased attentional resources from pretest to posttest during tasks requiring increased inhibition.
4. improvements in brain function on the inhibition task and performance on the flexibility task correlated with intervention attendance.

The researchers concluded that the physical activity intervention enhanced cognitive performance and brain function during tasks requiring greater executive control. These findings demonstrate a causal effect of a physical activity program on executive control.

Reference: Effects of the FITKids Randomized Controlled Trial on Executive Control and Brain Function. Charles H. Hillman, Matthew B. Pontifex, Darla M. Castelli, Naiman A. Khan, Lauren B. Raine, Mark R. Scudder, Eric S. Drollette, Robert D. Moore, Chien-Ting Wu, and Keita Kamijo. Pediatrics peds.2013-3219; published ahead of print September 29, 2014, doi:10.1542/peds.2013-3219
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