Professional Documents
Culture Documents
All About
Motor Skills
For children and teens who may have dyspraxia or developmental
coordination disorder, children who may have a
developmental disability, children who simply
struggle with their motor skills or children
who want to improve their motor skills.
BY:
Christel K.A. Seeberger
BSc.O.T., OT(c), OTR, OTReg.(NB)
Table of contents
03 Introduction
04 Chapter 1 What is Praxis?
06 Chapter 2 Get Your Family Moving
08 Chapter 3 Winter Gross Motor Fun for Kids and Adults
10 Chapter 4 Your Family’s New Best Friend: Heavy Muscle Work in 27 Ways
12 Chapter 5 Playground Skills Every Child Needs to Learn
14 Chapter 6 Just Have a Ball: 6 Ball Skills for Your Child to Develop
16 Chapter 7 Beyond 20/20 vision: Use the Visual System to Help
Your Child Develop Motor Skills
18 Chapter 8 The Best Ways to Teach Your Child to Ride a Bicycle
20 Chapter 9 13 Effective Ways to Help Children with Motor Skills
23 Chapter 10 How to Ensure Computer Ergonomics for Children
Copyright ©2013
Christel K.A. Seeberger Professional
Corporation Inc.
All rights reserved. No part of this publication may be reproduced in any form or by any means, including
scanning, photocopying, or otherwise without the permission of the copyright holder.
2 All About Motor Skills
Introduction
All About Motor Skills
With almost 2 decades of experience helping children and teens who have dyspraxia or
developmental coordination, children with a developmental disability and children who just
struggle with their motor skills, I want to share my own best practices and lessons learned.
Children, from toddler to teen, need to spend a lot of time, every day, in fun ways mostly, to
develop and master the ability to move with ease and purpose.
This eBook is designed to help promote your child’s physical abilities and expand the
repertoire of activities your child can have fun with while improving their motor skills.
Each chapter is a stand alone series of exercises and guidelines to help you and your child.
You will find dozens of ideas in the following chapters, each validated in our occupational
therapy practice.
Sincerely,
Christel
Christel K.A. Seeberger
BSc.O.T., OT(c), OTR, OTReg.(NB),
Occupational Therapist
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Let’s talk about praxis. Praxis is the process by which a lesson or skill is started with an idea,
actionned, practised and successfully mastered..
Understanding that praxis is a process by which a lesson or skill is started with an idea,
actioned, practised and successfully mastered will help you and your child in learning new
skills.
Children with praxis challenges, including motor planning difficulties have difficulty organizing
their environment and themselves in that environment. What we take for granted in learning a
routine, generally takes them longer. Multi-step directions may be performed slowly or not at
all. Learning a new skill may require multiple repetitions, and trial and error until the child
develops a motor plan to carry out the activity on their own. It’s not uncommon for these
children to have difficulty organizing their thoughts and language too, in order to express
themselves.
Understanding the importance of praxis will help in being more patient and more aware of the
motor skill challenges your child faces every day.
The following praxis test is one that occupational therapists use for school aged children or
adults.
Have you child see how many different things s/he can do or make with a pipe cleaner using
just the pipe cleaner and his/her body? If we don’t have a pipe cleaner on hand we substitute
string, wax covered string, etc.
Scoring
0-6: When your child scores between 0 and 6 you might want to ask an occupational
therapist for help.
6-12: With a score of 6 to 12 encourage your child to keep thinking and trying,
Provide help and ideas if s/he is stuck! And maybe see an occupational therapist if
your child has difficulty learning new activities.
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Do active play and play-time compete with “screen time” in your household? Remember that
screen time includes television, video games, computers, cellular phones and any size screen.
Occupational therapists help increase and improve that all-important primary occupation of
play with children. Occupational therapists look at three things when we help children; the
child’s abilities, their actual occupations or activities and their environment. Here are 15 OT
(occupational therapy) guidelines to help make positive changes in all three areas to get your
child and you family moving.
1. Schedule time each day to participate in physical activity with your child.
3. Be a good role model and get moving. Have your child join you on their bike when you go
for a run or walk.
4. Have your family play together regularly. Five minutes of tag in the backyard counts!
5. A good family goal is to reduce daily screen time by 30 minutes a day and replace it with
30 minutes of physical activity.
6. What are your child’s favorite physical activities? Make room for these activities “in the
schedule”.
7. Ask your child what new physical activities s/he would like to try.
8. Make sure your child can engage in physical play every day.
10. Use a pedometer to help your child measure his/her steps each day. Make daily
step-count a family challenge. Establish a prize. The prize could be playing a new
game in the local playground or backyard.
11. Does your child have inside space to move? A space that is safe from breakables?
12. Have toys and games outside and entice your child to play with them. Make sure your
child knows how to play with them.
13. Never remove physical activity as a punishment. For example, instead of saying “You are
too excited, you have to stop playing and go to your room” (where there is lots of screen
time available) try a “movement-out” break like 10 jumping jacks, 10 sit-ups and 10 wall-
push ups before returning to the game.
14. Right after meals is a great time to get moving. A clean-up song with dance, can make
doing the dishes fun.
15. Movement BEFORE homework is also a wonderful way to get ready to work. Set a limit
with a timer, like 10 minutes of physical activity just before homework. Your child will be
more alert, have improved concentration and attention and get homework done faster.
These gross motor activities can be done outside in the snow, outside without snow or inside
on a carpet or mat. These winter gross motor fun activities are for any age. They can be done
indoors or outdoors. You do not need snow! They help develop core muscle strength (that
is the muscles at the center of your body, instead of arms and legs) as well as gross motor
coordination.
Christel: An intro is needed. Who are these exercises and play activities targeted at; 3,4,5 year
olds, kids with development problems? Other than fun, are there other benefits. Put yourself in
the readers shoes. There needs to be more detail.
Snowflake to snowball
Be a snowflake, lie on your back on the floor. Spread arms and legs, push out the hands
and feet to form a snowflake.
Become a snowball; pull arms and legs in and up to curl over your chest. Lift your head
off the floor; try to touch your chin to your chest! Hold your snowball tight. And then go
“splat” back to a snowflake on the floor.
Snowman Balance
Use an appropriate sized therapy or exercise ball with feet to provide extra stability,
choose a therapy ball without feet to make it harder.
Proprioception is one of your 7 senses (yes, there are more than 5). It is the sense of the
relative position of neighbouring body parts. So you always know where your body is in space,
even with your eyes closed. It helps you to know if you are moving and if you are moving with
the right amount of effort.
Occupational therapists know that proprioception is important for gross and fine motor skills
as well as coordination. Most importantly proprioceptive input has a powerful self-regulating
effect on the whole body. Heavy muscle work includes proprioceptive input. Occupational
therapists call it heavy muscle work because it implies moving and muscle activity that is a
little more intense. The activities should always be safe for age and ability. Occupational
therapists use heavy muscle work to give the needed body proprioceptive input. Need to wake
up? Complete some heavy muscle work. Need to calm down? Do some heavy muscle work.
Need to get “in the zone” or feel “just right”? Again it’s heavy muscle work that will help get
you there. Need to feel better after a bad day? Rely on heavy muscle work to change your
mood.
Here are some outdoor heavy muscle work games, activities, jobs and chores for the whole
family to do together.
1. Lift and carry toys out to the backyard or playground for play.
2. Push or pull boxes across the garage.
3. Pull a trash can or compost bin.
4. Wipe off the deck table after eating. Scrub surfaces with a brush.
5. Wipe off the deck chairs with a cloth and wring it out.
6. Carry buckets of water to clean with, or to water flowers, plants, shrubs and trees.
7. Pull a friend or items in a wagon.
If your child is going to school for the first time or joining a new school, visiting the school’s
playground before school starts is a great introduction to the school environment and may help
with those first day jitters.
1. The playground’s boundaries are important to learn. Many playgrounds are not fenced in.
Walk the boundaries with your child. Add a visual cue like a pylon as an additional marker
to learn where the boundry is.
2. The playground demands many social skills. Does your child know how to take turns?
Wait for his/her turn? Ask for his/her turn?
3. On climbing structures, the best place to hold a child is at their hips; it gives you more
control than hanging on to an arm.
4. A good suggestion is to not allow your child to climb to a place where you cannot help
quickly.
5. Respect your child’s requests to come down; trust is important when learning new skills.
6. Teach your child to climb by demonstrating alternating arm motions and hand grasps
7. Climbing also requires learning how to alternate steps with each foot. Allow time for your
child to master climbing skills.
8. And most importantly: what goes up must come down! Teach climbing down from the
start. Don’t always lift your child off the structure unless it is an emergency; provide
support and directions to go in reverse.
10. Teeter Totters are good for developing balance. Ensure your child has gained their
balance before lifting them in the air. Teach your child to leave their feet down and ready
(not resting up on the board). Teach your child to hold on with both hands at all times.
Slowly increase the height.
11. Does your child respond to an adult’s request to stop? Or come here? These are
important safety skills to teach your child. You can start teaching this skill in a game
format, like follow the leader, but make sure you transition the skill outside of the game
context for safety.
12. When teaching your child how to use a swing, instruct as follows. Sit down. Hold the rope
or chain tightly. Lean back while moving the legs and feet straight out front. When the
swing moves, lean forward while at the same time pulling the feet in and under the seat.
Lean back again, with the legs stretched out. Repeat until you go higher and higher.
Last but not least, teach your child how to slow down and stop the swing too.
When learning to play on equipment, RESPECT your child’s preferences (and fears);
ENCOURAGE exploration, ENSURE safety, TEACH, MODEL and PRACTICE new skills
and you will all have FUN.
Ball skills work many different gross and fine motor movements, grasping skills, eye-hand
coordination, motor planning and so many more. And you don’t have to use balls either;
bean-bags, balloons, scarves and plush toys can all be used as a “ball”.
Occupational therapists use the following exercises to develop a child’s gross and fine motor
movements.
These skills are introductory to intermediary; take your pick and have fun.
1. Roll and corral a ball, seated with legs forming a “V”. You can roll and corral a ball
standing up too. CHRISTEL – Explain how. The description below, sounds more like
soccer than corralling a ball.
Can your child kick a ball at a target or between two targets? Start close, and then move
back. Use a target to “knock over”. The greatest laughs will occur if you are the target
that gets knocked over in a dramatic fashion.
2. Large exercise balls are fun to push or roll. No rule says you have to roll the ball forward;
on hands and knees, have your child put his/her head down and roll the ball through
their legs.
Together (you and your child) lie down on your stomachs, backs or sides, several feet
apart and roll or pass or toss or kick a ball to each other. Get your child’s head out of
“upright” to make it harder-but-smarter because that works on balance, eye-hand
coordination and visual tracking.
3. Have your child sit and balance on balls of different sizes from small (or several very
small ones) to large with his/her feet off the ground. Playing humpty-dumpty is always a
hit. Rocking over balls, belly first is sure to get some laughs (safety first: arms out). Have
your child reach over a large ball backwards for a good muscle stretch.
5. Next step is one-handed tossing, throwing and catching. Practice both underhand and
overhead. Be motivated by throwing a ball into or towards a target like a pail, tree or
whatever you can imagine. A hoop can be a whale’s mouth on a blanket that is the ocean!
6. Aim for success in bouncing and then catching a large ball with both hands before moving
to one hand. Under inflation takes a bit more strength to bounce, but is easier to catch.
Over inflation or hard balls are easier to bounce but they can be hard to catch! You can
also “catch” with tools other than your hands: use a racket, material, bucket, etc. to add
variety.
In this chapter, you’ll be introduced to several ideas to get children to “move”, integrating their
motor skills with visual skills.
As occupational therapists we know that the integration of the visual and vestibular systems is
pretty essential to our survival. But our sedentary lifestyles in front of a 2 dimensional screen
(I don’t think 3D movies count here) has certainly diminished all our abilities to be skilled at
moving our bodies through space, eyes open and ready to respond.
Our vestibular systems provide us with important information: which way is up? And, where
am I going? One of our constant practices in therapy is to get everyone’s head out of “upright”
to engage that under stimulated vestibular system. And then, we do something that requires
watching, listening and timing other body movements. Yes, all of that can be great fun too!
Here’s how with one great big tool: an air filled camping mattress.
Use an air filled camping mattress or foam mattress and put it in your play area.
2. Even better, roll or somersault to knock bowling pins on the mattress over. Just about
anything non-breakable can stand in for the bowling pins.
3. Don’t forget to teach your child to tuck their chin into their chest before doing a
somersault.
4. Then roll or somersault while playing “I spy” for an object on the facing wall.
6. Do you have a “reacher” or “grabber” or large spoon? Have your child stand in the
middle of the air mattress and pick up small toys placed around it.
7. Now have your child try to stand on one leg and do the same.
9. Encourage your child to see how long s/he can stand “still” on two legs on an air
mattress with eyes open. Is it a long time?
10. Now do the exercise again with eyes closed. Hope you get to one second.
11. Ready for some really hard work that is disguised as play? Have your child try standing
on one leg on the air mattress, eyes open and then eyes closed! Don’t forget to balance
things out and try the other leg too.
12. Have your child place their arms out for balance, arms on hips or arms overhead to really
make core muscles work while standing on an uneven and moving surface.
13. These activities can be done on a floor, but it is more fun and challenging to do the
excercises on an unstable surface.
14. Even just a foam underlay is enough to challenge everyone’s core muscles and make that
visual system integrate a little bit.
Doing the above playful exercises on an air or foam mattress are great for the visual, vestibular
and motor systems!
Helmets
It’s always safety first. When learning to ride a tricycle, have your child wear a helmet. Bicyclists of all
ages must wear helmets that fit. Discard helmets after one high intensity impact.
Use the moniker “2V1” to guide helmet fit: two (2) fingers width from level helmet to brow; V-shape
straps around both ears and one (1) finger between chin and strap.
Choose a helmet that is government approved.
Training wheels
When installing training wheels, do not place both training wheels on the ground, as this eliminates
rear wheel traction. The bicycle should always have a little bit of lean. After your child learns to pedal,
steer and brake, continue to raise the training wheels in small increments until they are no longer
needed.
More skills
Ride in a straight line. Start with one pedal in the two o’clock power position, which gives a
solid pedal stroke to start until the other foot reaches the pedal. Look straight ahead while
pedaling.
Learn to stop. When the bicycle has front and rear brakes, apply both at the same time. Using
just the front can launch the rider over the handlebars. Using just the rear limits braking power
and the bicycle may skid.
Turning is a combination of a little leaning and very little steering. Keep the inside pedal up and
look through the turn. When a novice rider turns his/her head, arms and shoulders follow,
causing a swerve.
Is gym class a challenge for your child who isn’t sports minded?
Do you worry about your child’s fine or gross motor skills developing on track?
These occupational therapy strategies work for any child, not just children who are clumsy.
1. Ask don’t tell. This is first because it is hardest. We all tend to “tell” when our child
struggles, be it a motor skill or life skill, don’t we? Ask your child what is s/he is trying to
do? Can your child verbalize that s/he is trying to kick a soccer ball into the right corner
of the goal? Can your child visualize her/himself kicking a soccer ball into the right corner
of the goal? Being able to describe and visualize the goal will help your child develop a
motor plan to accomplish it.
2. Coaching, instead of adjusting. This is second because it is the second hardest! We all
tend to want to step in and help when something goes wrong. But children (read ev-
eryone) learn(s) by doing. So, coach first and step in with your physical help only when
asked or when safety is compromised.
3. One thing at a time. Remember the first time you tried to parallel park? (My adage “back
up until you hit the car behind you, drive forward until you hit the car in front” really
didn’t break it down into enough steps. The strategy was less than successful despite the
beater I learned to drive on, standard at that). Identify and practice the steps required to
learn a new skill . There are a lot of steps to any new motor skill.
4. Make it fun. While competition is a motivating factor for many children, making it fun goes
a long(er) way to capturing interest.
5. Work towards independence. There is a big difference between having fun with your child
and playing for your child. It is easy to get caught up in helping all the way, all the time.
Stand back and let your child learn from their success and failures.
7. Do generalize. When you child masters one skill, use that to help him/her master another.
Hitting a baseball with a bat is different than hitting a birdie with a badminton racquet.
When learning a new skill help your child remember how s/he figured out the last skill
s/he mastered that is similar to what s/he is learning. Did s/he stand differently? Do
something different with the eyes? Do something different with the arms? Do something
different with the feet?
* Stop before your start. That means to stop and think before you move.
* What is the goal?
* Hit the ball over the net, overhand with my tennis racquet in my right hand.
* What is the plan? I am going to stand on the left side of the court; my feet are moving
so I am ready to run towards the ball.
* Do? My partner serves and I volley.
* Check? Did I get the ball over the net? Did I hit overhand? Why or why not? What will
I do differently next time?
9. Be specific. “Catch the” ball is a different direction than “catch the ball with both hands”.
“Catch the ball with both hands, hold them high” is more specific still. Finally, “catch the
ball with both hands, hold them high and chest width apart” provides even greater detail.
10. Use your senses. Where are my eyes looking? What are my ears listening to? What are
my arms doing? Are they moving or still? What are my legs doing? Is my right leg doing
something different than my left leg? Where is my head?
11. Develop a mnemonic or script. Heard this one the other day, in jest, but it serves!
TGIF=toes go in first, for putting shoes on.
12. Use questions to compare and contrast learning situations. The best questions to ask
your child: what do you think? How was that time different? What was the same as
before?
STOP
GOAL
PLAN
DO
CHECK
From toddlers to teens, children are spending much more time on computers these days.
Limiting “screen time” is important for child and teen health.
Children are at risk for repetitive strain injuries just like adults. Symptoms, which may include
pain, tingling, numbness of fingers, hands or wrists should be brought to the attention of your
child’s physician. Pre-school and school-aged children alike should not sit in one position for
hours on end.
Teach and model good posture. Have your child frequently change his/her position for seated
computer tasks, writing tasks and other school work.
One problem that is often overlooked by many parent is that most computer desks and
furniture are adult sized.
The solution is to ensure the furniture you use supports your child while using the computer.
Arms should be “sticky” close to sides with elbows bent at 90 degrees when keyboarding or
using the mouse. Keyboard and mouse should be level with forearms parallel to them and not
require any reach, shoulders should be relaxed and wrists are neutral.
Focusing on a screen for a long time can highlight or exacerbate vision problems. Watch for your child
rubbing his/her eyes or complaining of headaches. When your child is reading, viewing or watching a
screen look for head tilting, closing one eye, or blocking one eye. These types of problems should be
brought to the attention of your physician, your eye care professional and an occupational therapist.
Head and monitor should be level with eyes at the top of the screen. Avoid glare from windows or
lights and sit at least 18” to 30” away from a computer screen.
Computers are a great tool, use them wisely to promote health rather than impede it.
Total Ability Solutions was created by Occupational Therapist Christel Seeberger to help parents, teachers, health pro-
fessionals and caregivers and the children they love, teach and take care of to develop and grow.
This series of eBooks provides easy solutions for parents, teachers, health professionals and caregivers to help children
with and without disability. The strategies and activities I share in these eBooks are field tested and proven with my 20
years of experience as an occupational therapist; I use them all daily in my practice.
Parents, teachers, health professionals and caregivers will find these eBooks invaluable to help them understand some
of the challenges children face as they learn and grow.
Each eBook provides detailed activities and thoughtful, easy strategies to help you as a parent, teacher, health profes-
sional or caregiver.
Follow these eBook strategies and activities and see improvement in your child’s abilities.
Child
49 ways
to say “I love you” to a child
.
Here’s an opportunity to break out of comments and reflect back the love and
that habit of using the same phrases and caring that you demonstrate.
surprise your child with encouraging and
supportive words. In 49 Ways to Say “I 49 Ways to Say “I Love You” to a
Love You” to a Child, you’ll be intro- Child is an easy to use, colorful book of Christel K.A. Seeberger
BY:
follow a proven step-by-step plan. Every colorful scissor practice worksheets and
pre-school children.”
Elaine Shannon,
Professional Organizer,
Mother of 3 Children
child, including those with learning dif- best practices strategies to make learn-
ficulties, learns faster when they are ing how to use scissors fun.
having fun. Knowing the steps involved
in teaching scissor skills accelerates
BY:
Improve
Handwriting and Fine Mot
or Skills
Improve Handwriting and Fine Motor When it’s time to put pencil to paper,
“As a mother of a lefty,
FYI I am right handed, I
translate the teaching that
The tips in this eBook would
have struggled over the
came so effortlessly with years to
my right handed children.
be helpful for any parent
to print’ book. This eBook starts with Occupational Therapy tips and tricks and
fine motor skill development. Missing how to apply them so your child avoids
this step can lead to multiple problems being frustrated and sees handwriting BY:
Christel K.A. Seeberger
and frustration for a child and teacher. as a fun activity.
BSc.O.T., OT(c), OTR,
OTReg.(NB)
motor challenges, you would find that And with the improvement you’ll see an
many of the therapeutic activities and increase in your child’s confidence, self-
recommendations given are also esteem and happiness.
contained in All About Motor Skills. In Christel K.A. Seeberger
BSc.O.T., OT(c), OTR,
OTReg.(
BY:
Visit http://www.totalabilitysolutions.
experience as an occupational therapist com/ fine_and_gross_motor_skills_de-
to help parents, caregivers and teach- velopment/ for more information.
ers understand, learn and implement the
same therapies we use every day to help
children who have motor difficulties.
eBook#5
Sensory and Behavior Strategies E-BOOK NO.6
tions you may have been searching for. Sensory and Behavior
For parents and siblings who have a Whether your loved one faces challenges Strategies
family member, or teachers who have a of oversensitivity, under sensitivity and/
student with sensory challenges or even or motor clumsiness you’ll find dozens
Sensory Processing Disorder, the e- of strategies throughout the eBook. Each
Book, Sensory and Behavior Strategies of the 11 chapters zeros in on a specific
provides numerous strategies, insights topic and offers solutions for numerous
and solutions to better understand and situations you and your child may find
Christel K.A. Seeberger
BSc.O.T., OT(c), OTR,
OTReg.(NB)
BY:
Has your child been diagnosed as having In my new eBook, Help for Learning Help
for Learning Disabilities
a learning disability? Are you worried Disabilities, I share my best strategies
that your child has symptoms of a from my past 20 years as an Occupa-
learning disability like Attention Deficit tional Therapist with solutions and tips
Hyperactive Disorder (ADHD) or to help those who have or help a child
symptoms of Attention Deficit Disor- with a learning disability. You’ll find the
der (ADD)? Does your child have an strategies and guidance in each of the Christel K.A. Seeberger
BSc.O.T., OT(c), OTR,
OTReg.(
BY:
NB)
NB)
your child is usually time-consuming and and your child overcome the challenges
frustrating. In my 20 years of experience presented by teaching and learning daily
as an Occupational Therapist, I’ve seen living skills.
the struggles that parents face daily.
There is an easier path. Visit http://www.totalabilitysolutions.
com/the_best_ways_to_teach_self_
care_skills/ for more information.
eBook#8
Applied Behavioral Analysis In Applied Behavioral Analysis Programs
Programs Strategies-An Strategies you’ll find specific programs,
E-BOOK NO.9
Occupational Therapy Approach activities and charts that allow you to Occupational Therapy
Applied Behavioral Ana
teach skills and track progress for fine mo- Programs Strategies
lysis
tor skills; gross motor skills; praxis, motor
Has your child been diagnosed with an au-
coordination and motor planning; self-care
tism spectrum disorder (ASD)?
and self-help skills; sensory processing
Have the words Autism, Asperger’s, Perva-
skills and visual perceptual skills.
sive Developmental Disorder Not Otherwise
Specified been said to you? Are you now
This combined ABA-Occupational Therapy Christel K.A. Seeberger
BY: