Touch: apply deep pressure/massage prior to dressing or choose more textured clothing Movement: place clothing items far away from one another to encourage movement between items (bear crawls, crab walks, running, wheelbarrow walks, etc.) Visual: choose brightly colored or contrasting clothing Auditory: talk/sing through steps of dressing or play music during dressing routine Taste/smell: use scented lotions before dressing routine Body position: place clothing to encourage reaching or bending while dressing
My Child is...Sensation Seeking
Touch: choose textured clothing or add accessories (headbands, hats, belts, jewelry, etc.) Movement: place clothing items far away from one another to encourage movement between items (bear crawls, crab walks, running, wheelbarrow walks, etc.) Visual: choose brightly colored clothing or use visual demonstration/aide/mirror for dressing Auditory: talk through steps of dressing or play music/TV during dressing Taste/smell: use scented lotions or detergents Body position: alter dressing patterns each day
My Child is...Sensation Avoiding
Touch: rub your child's body with a towel before dressing, turn undergarments inside out or select clothing without elastic bands, seams, or tags use fabric softener Movement: gather and set clothes in one location before dressing Visual: keep shades drawn or use low lighting during dressing routine Auditory: turn off radios/TV and develop a set routine to avoid talking during dressing Taste/smell: use unscented products and detergent Body position: create a set dressing pattern each day or stay in one body position during dressing routine (standing, sitting on chair, sitting on bed etc.)
My child is...Sensation Sensitive
Touch: avoid clothing with tight spots (like elastic) or choose more natural fiber clothing Movement: place clothing at chest level in drawers/shelves Visual: create an area for dressing that is less visually stimulating and free from visual distractions, have your child look at you or one object in the room while dressing Auditory: provide limited verbal cues (only when needed) or turn off radios/TV Taste/smell: remove air fresheners from dressing room or avoid scented products Body position: simplify dressing tasks or follow same dressing sequence every day More Strategies for Dressing Success General Considerations Ensure that your child is in a stable and comfortable position while dressing Ensure that the environment is distraction-free Sit in front of, next to, or behind your child to provide assistance when needed Describe actions and body parts while dressing, e.g., "put your right foot in the shoe" Encourage your child to notice mistakes by looking in a mirror Try to practice dressing when there is no rush to finish, e.g., practicing on the weekends instead of before school
Developing Dressing Skills
Backward chaining: you begin the task and let your child complete the last step, gradually do less of the task until your child can complete all steps independently, e.g., the adult puts a t-shirt over the child’s head and helps them to get their arms through the holes, the child then pulls down the t-shirt at the front Forward chaining: your child does as much of the task as they can, then you complete the rest of the task (child needs to be motivated to initiate task!), gradually increase the number of steps the child completes until fully independent, e.g., the child puts each arm in a coat, the adult buttons up the coat Hand-over-hand: use your hands over your child’s hands to help complete a task, e.g., pulling up socks or fastening a zipper on a coat, but encourage your child to complete as much as they can by themselves Taking turns: you complete one step of the task, then your child completes the next step, you can vary who does which steps day-to-day so that your child learns every step
Managing Difficult Clothing & Fasteners
Socks: tube socks are easier to put on, socks with colored heels and toes can help your child put them on the right way, roll down the top of socks to make it easier for your child to put their feet in, socks with loops in the back can help your child pull up their socks Shoes: cut a large sticker in half and place it inside your child's shoes, your child can line up the stickers to see if they have their shoes lined up correctly before putting them on Buttons: practice with large, flat buttons and progress to smaller buttons, talk through each step of buttoning in terms of what the next step is, e.g., "find the button, open the hole, push it through, grab the button" Zippers: attach a key or curtain ring to the end of the zipper to aid your child with their grip on the zipper pull