When most people think of healthy vision, they typically think of getting their eyes checked by their regular optometrist to make sure they can see clearly and that their eyes are free of disease.  While this is a very critical and important thing to do as a part of overall wellness, this isn’t where the road ends. There is SO much more to healthy vision than seeing 20/20.

 Getting an annual eye exam is not the end; it is just the beginning!

 help to emphasize the relationship that the eyes, brain, body, and mind all have with one another. We have worked closely with the NVPI team to provide our families with a helpful snapshot of some information regarding the visual system and overall eye wellness. 

Kids (and adults) go through life working so much harder than they have to because the optometrist tells them they see 20/20, YET they still have trouble seeing …the words are still blurry, they get frequent headaches, and their eyes always feel fatigued. This is because their eyes are not working together as a team to gather information. The structure is there but the function is not.

70-90% of what we learn and perceive is actually processed through our visual system. It also takes from birth to age 15 for our visual skills to process. 

Did you know that there are actually a total of 17 visual skills and generally ONE of those (Central Distant Acuity), is tested on most eye exams? NVPI actually tests all 17 skills to ensure proper results and diagnosis.

 seeing objects at the sides when continuing to look straight ahead

 understanding whether seen objects are close to or far from each other

 both eyes working together to achieve clear, comfortable vision

the eyes’ ability to quickly move or “jump” between different focal points

 both eyes’ smooth movements tracking a moving target

both eyes working together, toward each other, to focus on a nearby object

 the eye continues to change its focus between near and distant objects

the eyes’ ability to maintain focus on close-up activity

an analysis of the information about an image (visual/spatial learning or picture thinking

employing visual information to direct the body’s movements in a coordinated way

employing visual information to control the movement of hands, fingers, and feet

understanding what is being seen and using cognition to process this information

using vision together with other senses in order to perform complex tasks

The two videos below from Dr. Graebe at NVPI help to best explain what Vision Therapy is, as well as best explain the correlation between one’s vision and learning. It is very often that the school struggles your child might be experiencing, go hand-in-hand with vision-related concerns. 

Healthy Vision - More Than Seeing 20/20

One of my favorite traditions of the holidays is stockings. There’s just something SO FUN about searching and finding “all of the things” for that special someone and seeing how many items you can make fit in that elongated sock.

This year, I’ve gathered a list of ten popular sensory-sensitive items that would make great stocking stuffers for the kiddos on your list! Sensory play helps to encourage problem-solving and creativity. The clinicians at Marshall incorporate sensory play into sessions to help improve things such as but not limited to:

Use the links below to stem some inspiration and cross off a few kiddos on your list this year!

Sensory-Friendly Stocking Stuffer Ideas

The holidays are right around the corner and while they are a time that should be filled with joy and family traditions, for families of children with feeding challenges this can also be a time of increased stress, worry, and frustration for parents and children alike. The good news is that the holidays offer endless opportunities to foster our children’s love of food and help them to learn about new foods in a non-threatening way. Here are some ideas for helping your child not only get through holiday meals but enjoy the experience and expand their interactions with new foods in the process.

Taking the Stress out of Family Gatherings

During the holidays many of us get together with family to share in special meals. Large family gatherings and meals can be especially challenging for children with sensory and feeding difficulties. The sensory experience can be overwhelming and may lead to meltdowns if their needs are not recognized and addressed. When our body is bombarded by sensory input without a way to accurately process that input, it goes into fight or flight mode and our digestive system takes a back seat while the body focuses on getting through the experience. It is important that we are aware of our children’s sensory arousal and are offering them strategies to make the experience more comfortable. Family gatherings are NOT the place to try to get your child to eat green bean casserole for the first time! Here are some strategies to decrease the stress and make gatherings a pleasant experience.

Social Stories: Social stories are a great way to talk to a child about activities that are coming up and prepare them for big events. Start reading a social story about your holiday plans a few weeks in advance to give them time to process what is coming.

If your child does not handle changes to routine or travel well, consider having family come to you.

If you do need to travel to a relative’s home, talk to them about having a quiet room where your child can retreat to if they need a break from all of the activity. Bring some favorite toys and activities with you to make your child feel more comfortable in the new environment.

Consider dimming the lighting to decrease the sensory input that your child is trying to process. Dimmed lighting can often help with calming an upset child (or an overwhelmed adult!).

Be aware that the smell of all of the various foods combined, while it may smell delicious to us, may be overpowering for our kids who are highly sensitive to smell, which in turn decreases their appetite.

Likewise, the sight of all of those unfamiliar foods on the table may be visually over stimulating for your child. Consider serving the food in another room and having your child sit on one end of the table instead of in the middle so that they are not surrounded by foods that they are not yet ready for.

Depending on the severity of your child’s aversions, having them eat prior to the large family gathering can reduce the pressure of eating with so many new foods around.

Often when we are with extended family or friends we have higher expectations of our children’s behavior than we do at home. Be mindful that children are not made to sit for long periods of time and engage in adult table talk. If your child has finished eating after 20-30 minutes and everyone wants to stay at the table to talk, allow your child to get up from the table and engage in a quiet play task while the grown-ups finish.

If it is going to result in a meltdown, do not use this time to encourage your child to try new foods. Make sure they have some of their preferred foods available and allow them to eat those at the family meal.

If your child is ready for it, they can take a small amount of the new foods and put them on their plate without the expectation that they will eat them all. If they are not ready for this step, don’t push it!

One of the best ways to get your kids to ultimately eat a wide variety of foods is to expose them to foods in a fun, no pressure way. The holidays afford so many opportunities to learn about new foods without any pressure to eat them, allowing children to build a positive relationship with food.

String popcorn: what a great tradition that seems to have gone by the wayside in recent years. Not only is your child learning to interact with food, they are getting to work on their fine motor skills as well! Add cranberries for increased exposure to new foods.

Make cookies: have your kids help by adding the dry ingredients, cutting out shapes with cookie cutters, rolling the dough into balls, decorating the final product, the possibilities are endless! Here are 19 Christmas cookie ideas for making with kids.

Create holiday themed art using foods: get your kids involved in making arts and crafts projects for teachers, grandparents and friends using foods in place of traditional art tools.

Make stovetop potpourri: this is such a fun activity that allows kids to work with aromatic dry ingredients. These make great gifts for teachers and therapists when packaged in individual plastic gift bags and smell so nice when you cook them on the stove in a pot of water.

Bring your kiddos into the kitchen and have them help with the meal preparation! If they are not ready to touch the foods being prepared, have them help by holding the bowl, reading the directions, or stirring the pot. Kids especially love when they get to use kitchen utensils. These kid safe knives are a great way to get them involved!

Give them some left over dough from cookies or pie crust, cookie cutters, nuts, or whatever other toppings you’d like and let them go to town building their own pies and cakes.

Have your kids help to arrange a veggie platter to take to a holiday party. Look at this cute Christmas tree veggie platter. Remember, they do NOT have to eat the veggies (but if they do want to try a bite we won’t stop them!)

Remember above all else, this is a time for building memories with your family. Focus on the activities that your children enjoy, there will always be time to work on the hard things later.

Holiday Feeding Recommendations

As the holiday season approaches, parents are faced with excitement and nerves. While it is a fun time of the year where kids can spend time with their families, it can be a stressful time for children with special needs. Some things to consider during this holiday season are how to help prepare your child for transitioning between different holidays and giving them an idea of what to expect. As we all know from this year, transitioning can be very hard especially for those kids who need a little extra help understanding changes to routine. Here are some strategies to help your child throughout this holiday season:

This is critical for those who thrive off of routine and visual cues. A visual calendar can be very helpful in preparing the child for transitioning and helping them anticipate what is coming next. There are plenty of visual schedules to chose from. You can make it yourself, buy it in a retail store or online. You can customize your calendars with pictures of holiday characters, the child doing the activity, or a countdown until a certain date so they know what to expect. Get the child involved in making the calendar through taking pictures and allowing them to decorate it how they see fit.

Social stories can be very helpful especially with children who have a hard time with changes and children with autism to understand what is coming next and how to prepare his/her body for it. You can ask your therapist for specific social stories and customizing them to fit your child’s needs. The social stories can range from holiday social skills to holiday dining etiquette.

While the holiday season can be very fun, it can also be overwhelming to those who have sensory processing disorders. While a feast with family is calming and relaxing for most, it can send some children into a “sensory overload”.  Having scheduled quiet time to allow your child to decompress from the extra activities and external stimuli that can be overwhelming (i.e bright lights, certain scents, loud noise/music, etc) can be a great way to include them and also allow them to get what their body needs. Also, having supports such as ear plugs, headphones, and a quiet room to retreat to can be great options to prevent them from  becoming overstimulated. For those who are “sensory seekers”, we recommend that you find activities that offer the child to move/carry something heavy or eat chewy/crunchy food to help calm their system down. Also, allowing the child to have “movement breaks” can help reduce their sensory seeking behaviors as well. Listed below are several options for sensory strategies to use during the day to help keep your child calm and regulated.

We hope these strategies help and that you have a wonderful holiday season,

Mallory Goettl MS OTR/L and Ellen Snyder MSOT OTR/L

Decreasing Stress Around the Holidays

Even under normal circumstances, returning to school can be stressful for parents and children alike. Transitions, uncertainty, and change in general are just plain hard. Returning to school under the restrictions of COVID, however, only exacerbates the worries that parents and children are experiencing.

For children there are some helpful things parents can do to help. Putting into practice some or all of these strategies can help alleviate some of the fears and anxiety that surround this dreaded annual transition.

General

Healthy Vision - More Than Seeing 20/20

Sensory-Friendly Stocking Stuffer Ideas

Holiday Feeding Recommendations

Decreasing Stress Around the Holidays

Easing Back to School Fears and Anxiety