Category Archives: physical therapy

The Importance of Enthusiasm

by Jennifer Latt

This year has been unique for all of us in so many ways.  If I am being completely honest, I have to admit that when we were told we were moving towards doing virtual therapy this past spring, I thought “I can’t do it!”  I had no vision how this could take place and I doubted myself even more.  I have learned it takes a lot of planning and communication with the families.  When I work in the Easterseals building, it is pretty easy for me to roll in and get started with a session.  I have been working in the physical therapy department for years.  I have a plethora of ideas in my head that I can pull out for whatever I think we need to work on that day.  I know what the PT gym has in it, as far as things to play with and use, to help our children meet their sensory needs.  At first, I thought “how am I going to get all this information across to parents?”   I began to do my research on virtual sessions and then I needed to just buckle down and give it a shot.

My first plan of attack was to come up with what I wanted to accomplish with my session for a particular child.  Next, I would try to find pictures of the activities or I would actually have my son step in and I would take pictures of me helping him in different positions to show families what I was doing.  I would email these plans to the parents the night before so they could prep.  I also asked families to give me a list of items that they had at home, favorite toys, and even take a picture of their playroom so I knew what I could work with.

It has truly been a joy to be able to connect with families during this time.  I know that most people would not wish to be trapped at home trying to work and teach their kids and get their therapies in.  However, it has been so amazing for me to be able to connect with families and get the opportunity to see how they interact.  It has also been beneficial for families to get a greater understanding of what we do and why we do certain activities.

The one obvious down side of all of this for me has been the frustration of not being hands on with the children and not always being able to elicit the intended results.  Flexibility has been the key!  I want to applaud all the parents out there who have had to put their homes and their lives on display.  It is not easy trying to take over the role of therapist or teacher, and understand what we are asking you to do.  Know that from my point of view I think the families have been remarkable through all of this.  The most important thing I wanted to share is, that as parents, you need to allow yourselves to be silly during your sessions with your children.  I know that taking on the role of therapist can be intimidating and overwhelming with all of your other responsibilities. In my experience, I know that when I show some silliness, it makes for a much more productive and fun session for not only the child, but also myself. Some of my most fun sessions are often the most engaging and productive. So give yourself permission to not stress about doing it perfectly, and just enjoy this time as much as possible. Your energy sets the tone for your child.

I would like to give several life examples of how this could play out.  I coach high school basketball.  It is easy for me to order the girls around and tell them to run and do one activity after the other. If this was always my approach, they would quickly resent me.  Instead, I constantly cheer them on and offer positive reinforcement.  I run with them and do the activities too, so they know they are not alone.  I offer incentives.  For so many free throws made, I will make them brownies.  If a player really hustles during a game I will bring them a treat.

Both of my children started taking Suzuki piano at a very young age.  It was incredibly difficult and stressful to say the least, especially for my son.  He learns differently and memorizing very complex songs was at times an impossible task.  We did fight!  Yet, I knew this was good for him in so many ways.   I could have continued to fight or I could change my ways.  I came up with incentives.  I would cheer him on and hug him.  I would have incentive charts for so many repetitions of lines played.  I would have his figurines lined up on the piano and when he played through a required line we would play make believe with the figurines.

As parents, when you are asking your children to do activities for school or therapy, don’t be afraid to cheer and get silly and dance around, and make it fun.  Be willing to do the activities with your kids or do it first and then have them do it.   During music time, clap your hands and sing and dance with your kids. If you put on an exercise video, then put on a funny workout outfit and do it with your kid.  During PT for example, if your child has to kick a ball so many times, then when he is done lift him up and spin him around or give him hugs and tickle him so that he associates having fun during therapy.  If you are ever in the Easterseals building when I am doing therapies, you are likely to hear me singing bad renditions of made up songs about what we are doing in the moment.  I even like to break out with Queen’s ”I like to ride by bicycle” when working on riding a bike.  I promise, that we as therapists, are not going to laugh at your silliness during the sessions.  You and your child will feel much better and connected to each other when the task is fun and not just something to get done.  I know that this may all seem like common sense but often we get bogged down with just getting the task done or fitting as much as we can in our allotted times that we forget what it feels like to be a kid.

I want to end with one of my favorite pictures of my son from when he was little.  He had just received this dress up outfit for his birthday.  The pure joy on his face at dressing up and being silly is priceless.  Try to embrace this kind of enthusiasm when you are working on tasks at home.  Don’t give up.  Learning to let yourself go and be silly takes time.  If you have a bad day and a session with your therapists or teachers doesn’t go as planned, forgive yourself and your child.  Every day is a new opportunity.

Measuring Accomplishments

by Susan Lowenstein, MSPT

Booker T. Washington, American author, orator, educator, and advisor to many presidents once said, “You measure the size of the accomplishment by the obstacles you have to overcome to reach your goals.” 

So, that being said…let me tell you about a little boy I know named Miles. He is a 6 year old that is currently a student of mine at Easterseals of Southeastern PA, Bucks County Division. I have had the pleasure of watching him fight to overcome obstacles for the past 9 months, but he has been fighting an uphill battle for all 72 months of his young life.

Miles attending virtual therapy!

OBSTACLE #1: Born 8 weeks early.

OBSTACLE #2: Shared birthday with his twin brother so he was already small for his gestational size.

OBSTACLE #3: Has a mutation on his COL2A1 gene that causes several types of skeletal dysplasia, and his is closest to what is called hypochondrogenesis.

OBSTACLES #4,5,6,7 and 8: Has spinal instability, ongoing joint issues, hearing loss, significant vision issues, and a floppy airway.  

OBSTACLE#9: Intubated at birth

OBSTACLE#10: Received a tracheostomy at 3 months of age

OBSTACLE#11: Transferred to the ICU at Nemours DuPont (an hour away from home!)

So… why am I sharing all of this with you? Well, this is just the beginning of Miles’s story. He may have encountered countless obstacles… but he continues face each one head on and works to overcome them.

So…let’s look at all that Miles has ACCOMPLISHED so far in his 6 years of life.  

ACCOMPLISHMENT #1: Became strong enough to be supported by a home ventilator and home nursing support to go home, just 6 days shy of his and twin brother George’s 1st birthday! 

ACCOMPLISHMENT #2: Learned to taste foods by mouth (even though he needed a g-tube for nutrition) during the first year of his life

ACCOMPLISHMENT #3: Used his hands to gesture and request for food like yogurt and applesauce during his first year of life

ACCOMPLISHMENT #4: Re-learned how to accept some food orally again after cleft palate split at 18 months of age.  

ACCOMPLISHMENT #5:  Started sprinting (practicing time off the ventilator) when he was around 3 years old. Now he is at the point where he can spend nearly all of his waking hours without the ventilator.

ACCOMPLISHMENT #6: Sat upright in a highly supportive activity chair at 2.5 years old (despite his large head and short arms and trunk)

ACCOMPLISHMENT #7: Sat upright on the floor without any back support while playing with toys and watching the classroom smart board or TV at home at 5 years old

ACCOMPLISHMENT #8: Transitions from lying down into sitting up all by himself at almost 6 years old

And…just in the time that it has taken me to put this blog together…Miles has accomplished yet another 2 more feats!!! He can now pull himself up into a supported standing position at his walker all by himself (that’s #9), and has gotten strong enough to crawl over to a large couch cushion and pull all of his body weight up onto it (that’s #10).

Every accomplishment that Miles has achieved is testimony to his resilience, his amazing family and his team of health care and educational professionals. Together, we continue to imagine what he CAN do, not what he CANNOT do.

When people ask me what I do for a living, I tell them that I am a pediatric PT that works with children with complex physical and medical needs. Frequently, I am asked, “ Doesn’t your work make you sad?”  But to the contrary, I find it wondrous to work with children like Miles who are able to overcome obstacles and accomplish so much more than some people may have ever thought would be possible.

Miles, thank you for being such a fighter. We at Easterseals are behind you 100%, and we will continue to watch you hurdle through more obstacles and accomplish so much more accomplish in your future!

Miles proudly displays a certificate of accomplishment