Paediatric OT: Resource Diary

Paediatric OT: Resource Diary This page aims to create a resource to promote optimal developmental outcomes in children. This page incorporates a holistic view of each child.

Each child and family can benefit from our professional support in the areas of developmental, physical, cognitive, behavioural, emotional, language, learning and social challenges. Our vision includes understanding the child within each of these areas and improving such abilities and skills within a multidisciplinary integrated team.

21/07/2026

Many picky eaters aren’t refusing fruit and vegetables because they dislike the taste. They’re avoiding the unpredictability.

For children with sensory sensitivities, the brain likes foods that are safe, consistent and predictable.

Think about a plain piece of pasta. Every bite looks, feels and tastes almost exactly the same.

Now think about a strawberry. One strawberry might be:

* Sweet, another sour.
* Firm, another mushy.
* Juicy, another dry.

The child’s brain never knows what to expect.

The same is true for vegetables:

* One carrot is crunchy, another is soft.
* One cucumber is watery, another slightly bitter.
* A banana might be green and firm today, but soft and spotty tomorrow.

For a sensory-sensitive child, that unpredictability can feel stressful rather than enjoyable.

That’s why many children prefer foods like:

* Chicken nuggets
* Plain pasta
* Crackers
* Dry cereal
* Chips
* White bread

These foods are manufactured to be almost identical every single time. They are predictable, reliable and “safe”.

As feeding therapists, we don’t simply tell children to “take a bite.” Instead, we help their brains learn that new foods can become familiar and safe through gradual, pressure-free exposure. Over time, as a child gains confidence with similar textures, colours and flavours (a process called food chaining), their range of accepted foods often grows.

A child isn’t being difficult—they’re seeking predictability. Understanding this changes the goal from “making them eat” to helping them feel safe enough to explore new foods.

16/07/2026

OT Tip: A mouse pad or thin foam sheet under the paper provides extra sensory feedback, helping children become more aware of how much force they’re using when they write

Why does it work? When children press too hard, the pencil sinks into the soft surface instead of staying stable. That extra movement gives immediate feedback that they’re using more pressure than they need.

Over time, they naturally start adjusting their pencil pressure to keep the pencil gliding smoothly across the page.

It’s a simple way to build body awareness without constantly saying, ‘Press softer.’

Remember though, excessive pencil pressure is often a sign that a child is compensating for something else—like reduced proprioception, poor motor control, or an inefficient pencil grasp. So this strategy works best as part of a bigger OT approach, not as a quick fix.

This strategy can be especially helpful for children who:
✏️ Break pencil tips
✏️ Tear the paper
✏️ Complain of hand fatigue
✏️ Have difficulty grading pencil pressure

Remember: the goal isn’t to remind children to “write softer”—it’s to help them feel what “just right” pressure is.

Have you tried this strategy before? Let me know how it worked!

09/07/2026

Food Chaining: A Gentle Way to Help Kids Try New Foods

Does your child only eat a handful of “safe” foods? Instead of expecting them to suddenly eat something completely different, try food chaining.

Food chaining introduces a new food by choosing one that is very similar to a food your child already enjoys.

🥒 Today’s example: Cucumber ➡️ Radish

If your child loves cucumber because it’s cool, crunchy, and crisp, a radish can be a great next step. Although the flavour is a little different, the texture is familiar, making it feel less overwhelming.

When introducing a new food:
✔️ Start with foods that look, feel, or taste similar to a preferred food.
✔️ Let your child explore it first—touch it, smell it, lick it, or take a tiny bite. Every interaction is progress!
✔️ Avoid pressure. The goal is to build confidence, not force eating.
✔️ Celebrate curiosity just as much as tasting.

Remember, learning to enjoy new foods is a journey, not a race. Small, consistent steps help children expand their food variety while keeping mealtimes positive and stress-free.

💚 One familiar food can be the bridge to many new ones.

SensoryEating FeedingKids HealthyEatingHabits ParentTips ChildDevelopment

09/07/2026

25/06/2026

Fine Motor Activity for Grip & Hand Strength

Why this helps:
● Strengthens the small muscles of the hands
● Develops grip and pinch strength
● Improves finger coordination
● Supports pencil grasp and handwriting skills
● Encourages hand endurance for school tasks.
⚫️ provides propriocpetion through the finger joints

Make it fun:
● Time how quickly your child can move all the pins.
● Sort pins by colour or follow a pattern
● Pretend the pins are giving the ball a headache and they need to be removed.

22/06/2026

Our children’s bodies are designed to move. Through active play, they develop the foundation muscles of the trunk, shoulders, hips, and back that provide stability for everything they do.

Think of the core as the body’s central support system. When the core is strong and stable, the arms, hands, legs, and eyes can work efficiently. When it’s weak, everyday tasks become much harder.

🚩 Signs a weak core may be impacting your child:
• Poor posture and slouching
• Leaning on furniture or resting their head on their hand
• Fatigue during schoolwork
• Difficulty sitting upright on the floor
• Reduced attention and concentration
• Messy handwriting
• Poor pencil control
• Difficulty with dressing tasks
• Challenges with balance and coordination
• Avoidance of physical activities
• Difficulty crossing the midline
• Reduced endurance for play and sport
• Weak shoulder stability affecting fine motor skills
• Fidgeting and constantly changing position to find suppor.

The body needs stability before it can develop skill.

The good news?
Core strength doesn’t have to be built in a gym.

The best way to develop it is through play:

COMMENT: CORE below and I’ll DM you a list of physical activities that boost your child’s core strength

Movement isn’t just exercise.
It’s how children build the foundations for learning, attention, handwriting, confidence, and independence.

Strong core. Strong body. Strong learner.

PediatricOT HandwritingSkills SchoolReadiness GrossMotorSkills SensoryDevelopment KidsNeedPlay

11/06/2026

Why do we use crawling as an activity in therapy even as the child gets older.

• Builds core strength for sitting, posture, and handwriting stability

• Develops shoulder stability needed for writing, cutting, and fine motor tasks

• Integrates and strengthens both sides of the brain (bilateral coordination)

• Supports visual tracking skills (important for reading and copying from the board)

• Improves coordination between arms and legs (cross-pattern movement)

• Strengthens wrist and hand muscles for better pencil control

- provides proprioceptive sensory input that is calming and improves body awareness and regulation

• Helps with body awareness (knowing where your body is in space)

• Lays the foundation for later skills like skipping, sports, and coordination tasks

• Can improve attention and regulation by organising the nervous system.

- helps reflex integration

04/06/2026

Why Is Crossing the Midline So Important?

What is crossing the midline?
Crossing the midline is when a child reaches across the centre of their body with a hand, foot, or eye. For example, using the right hand to pick up an object on the left side.
It may seem like a simple skill, but it’s an important building block for learning!

Why does it matter?
✔ Helps the two sides of the brain work together efficiently
✔ Supports reading and tracking across a page
✔ Improves handwriting and pencil control
✔ Develops bilateral coordination (using both sides of the body together)
✔ Supports sports skills and coordination
✔ Makes everyday tasks more efficient

Signs a child may find crossing the midline difficult:
• Frequently swaps hands during activities
• Turns their whole body instead of reaching across
• Has difficulty with handwriting or copying from the board
• Appears clumsy during ball skills and playground activities

Easy ways to encourage crossing the midline:
• Figure-eight drawing
• Cross-body marching
• Windmills (touch opposite hand to foot)
• Reaching games
• Dance actions that cross the body

Crossing the midline isn’t just about movement—it’s about building the brain connections needed for learning, coordination, and independence.

SchoolReadiness LearningThroughMovement BrainBodyConnection OTTips KidsDevelopment

10/02/2026

Maximum Proprioception for regulation!

27/01/2026

Creative ways on working on fine motor control, eye hand coordination, visual tracking and so much more….

Address

Practices Based At: Emmarentia In JHB And ROSE Therapy Centre Kyalami
Kyalami

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