TheraTree Pediatric Therapy
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What is Occupational Therapy?

In its simplest terms, occupational therapy providers help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes. Occupational therapy services typically include:

  • an individualized evaluation, during which the client/family and occupational therapist determine the person’s goals,
  • customized intervention to improve the person’s ability to perform daily activities and reach the goals, and
  • an outcomes evaluation to ensure that the goals are being met and/or make changes to the intervention plan.

Occupational therapy services may include comprehensive evaluations of the client’s home and other environments (e.g., workplace, school), recommendations for adaptive equipment and training in its use, and guidance and education for family members and caregivers. Occupational therapy practitioners have a holistic perspective, in which the focus is on adapting the environment to fit the person, and the person is an integral part of the therapy team. Read More...

⭐️Milestone Met⭐️

Charlie is rocking it out and making so much progress! He has had no accidents in the past month. We are so proud of you Charlie and love getting to work with you each week! 

⭐️Milestone Met⭐️

One of Caidence goals is to be more independent in some of her daily activities - like helping in the kitchen. Here we are working on making muffins. She had to read and follow the instructions. Today she was able to follow the instructions without any guidance needed. She was also able to find the objects she needed to make the muffins with no guidance. This was a great accomplishment for her because she always asks for help or for other adults to complete the task. She did awesome and met her goals that had been set for her!

Does my child need OT?

  • Easily Distracted
  • Poor Attention Span
  • Overly Sensitive to Touch, Movement, Sounds or Sights
  • Difficulty Accepting Change
  • Doesn't Skip, Jump, or Hop on One Foot
  • Activity Level Usually High or Low
  • Low Muscle Tone
  • Limited Play Skills
  • Walks on Toes
  • Picky Eater

  • Walks into People or Objects Frequently
  • Inability to "Unwind" or "Self-Regulate"
  • Excessive Drooling
  • Doesn't Chew Food Before Swallowing
  • Clumsy / Uncoordinated
  • Doesn't Feed Self
  • Constantly Touches People or Object
  • Poor Social Interaction
  • Difficulty Holding a Pencil or Handwriting (3+)

Milestone Met!

Weylin met a HUGE milestone and received his first haircut! This is absolutely amazing!! Before starting therapy, Weylin had a tough time tolerating when others touched, washed, or brushed his hair. Because of his sensitivities, Weylin's mom had expressed concern to his therapists about taking him for his first hair cut. Since then, Weylin has currently been improving his sensory processing and self-regulation skills to reduce some of his sensitivities. Even though he still isn't a fan of washing his hair, Weylin was able tolerate his first hair cut without any negative aversions. We are so proud of you Weylin!

Who benefits from Occupational Therapy:


Attention Deficit Disorder

Attention Deficit Hyperactivity Disorder

Anesthesia of Skin



Arthogryposis Multiple Congenita


Autism Spectrum Disorder

Brachial Plexus Disorder 



Cerebral Palsy

Club Foot


Congenital Heart Disease 

Cystic Fibrosis

Developmental Delay

Developmental Coordination Disorder

Developmental Disorder of Motor Function 

Developmental Disorder of Scholastic Skills


Down Syndrome



Edwards’ Syndrome

Ehlers Danlos Syndrome

Feeding Difficulties

Flail Joint

Fragile X Syndrome



Hemiplegia (right or lefts side)


Hyposthesia of Skin

Instability of Joints

Intellectual Disabilities

Joint Derangements

Juvenile Rheumatoid Arthritis 

Lack of Coordination

Lack of Expected Normal Physiological Development


Mitochondrial Disease

Muscle Weakness (generalized)

Oppositional Defiant Disorder

Osteogensis Imperfecta


Parasthesia of Skin

Patau’s Syndrome 


Pompe Disease

Prader-Willi Syndrome



Seizure Disorder

Selective Dorsal Rhizotomy

Sensory Integration Dysfunction

Short Gut Syndrome

Sickle Cell Disease

Spina Bifida

Spinal Cord Truma

Stiffness of Joints

Taylor Sachs Disease


Traumatic Brain Injury 

Turner’s Syndrome

Williams Syndrome


Aligning Body 

Applying Deodorant 

Applying/Removing Cosmetics


Bathing / Showering

Bed Mobility


Brushing / Flossing Teeth 

Caring for Skin, Ears, Eyes, and Nose

Carrying Objects

Cleaning Mouth 

Clothing Management 

Collecting Needed Materials

Contact Lens Management 

Cutting with Scissors


Empathizes with Peers and Adults


Eye Contact

Fasteners on Clothes 


Finger / Toe Nail Care

Following Directions (preferred or non-preferred)

Glasses Management 

Grading Muscle Force 



Hair Management (washing, drying, combing, brushing styling and trimming hair) 

Handle and Uses Tools 

Identifies Emotion 

Identifies Sensations in Body

Initiates and Carries out Conversation 

Lifting Arms

Lifting Objects 

Loss of Balance

Manipulating Objects

Matches Tone and Voice Level

Meal Preparation

Menstrual and Continence

Navigates Environment 

Opening/Closing Doors & Drawers

Organizing Environment 

Pacing Through Tasks

Personal Device Care

Personal Hygiene 

Play Exploration & Participation 

Positioning Body 

Pushing/Pulling Objects 


Removing Body Hair (ex. using razor, tweezers, lotion) 

Responding Appropriate to Adult Directives

Responds to Sounds Appropriately 



Searching for Needed Items 

Seeking Needed Verbal or Written Information

Self Feeding

Self Regulation 

Sequencing Body Movement

Sequencing Tasks 

Sleep Prepartion & Participation

Smooth and Timely Muscle Movements 

Social Interaction 


Swallowing / Eating Food or Fluid

Takes Turns

Toileting and Toilet Hygiene

Tolerates Sounds 

Tolerates Textures, Touch, Messy Play

Transitions Between Tasks 


Tying Shoes

Wheel Chair Mobility

⭐️Milestone Moment ⭐️

Nick met a milestone this week! Nick has a goal for shaving his facial hair. First off, he is now able to function his new electric razor. Today he also was able to get all the shaving cream off his face! Proud of you Nick and all your hard work on shaving.

The Role of Occupational Therapy With Children and Youth:

Occupational therapy practitioners work with children,youth, and their families to promote active participationin activities or occupations that are meaningful to them.Occupation refers to activities that may support thehealth, well-being, and development of an individual(AOTA, 2008). For children and youth, occupations are activities that enable them to learn and develop life skills (e.g., school activities), be creative and/or derive enjoyment (e.g., play), and thrive (e.g., self-care and care for others) as both a means and an end. Occupational therapy practitioners work with children of all ages (birth through young adulthood) and abilities. Recommended interventions are based on a thorough understanding of typical development and the impact of disability, illness, and impairment on the individual child’s development, play, learning, and overall occupational performance.Occupational therapy practitioners provide services by collaborating with other professionals to identify and meet needs of children experiencing delays or challenges in development; identifying and modifying or overcoming barriers that interfere with, restrict, or inhibit a child’s functional performance; teaching and modeling skills and strategies to children and their families to extend therapeutic intervention; and adapting activities, materials, and environmental conditions so children can participate under different conditions and in various environments.

"At TheraTree, I am one of the occupational therapists trained in feeding. SOS is one of the approaches I am trained in. I also love working on feeding because food and mealtime are a big part of our daily routines, holidays, and experience with others. If your child is having difficulty with feeding, please reach out and let us know! Here are some common reasons that children do not eat: pain, discomfort, immature motor/oral motor skills, immature swallow skills, sensory processing problems, learning and behavioral, nutritional. "

Kaitlin Alvey, MS, OTR/L❤️
Occupational Therapist

⭐️Milestone Moment⭐️

One of Nicholas' goals is to tolerate an adult brushing his teeth for at least 10 seconds. Nicholas had difficulties allowing someone to brush his teeth when he began therapy. Now, he runs to the bathroom independently and LOVES to brush his OWN teeth! He brushes his teeth at least 3 times during therapy and shows me his pearly whites when he is done! Way to go, Nicholas!! 

⭐️Milestone Moment⭐️

Way to go Kyson!! "I met another goal! I showed great improvements in my fine motor skills and strength. I love playing the popper game! I can pull them off the window and do not lose my balance at all!" 

Torticollis Treatment

Torticollis treatment falls within the Occupational Therapy Scope of Practice due to the impact Torticollis can have on daily occupations.

Torticollis can lead to developmental delays, which makes early intervention key! Depending on the age of the child at the time of referral will depend on the time frame of services. Treatment could range anywhere from 2 months to 10 months. Surgery may be recommended after 6 to 12 months of conservative treatment.

Occupational Therapy Treatment

Occupational Therapy Providers use a varitey of exercises, stretches, and home education programs to address torticollis and other conditions that may accompany torticollis, such as plagiocephaly.

  • Neck Passive Range of Motion: Activities as simple as napping on the affected side (supervised), “football” hold, and playing in side lying all address this section of treatment. 
  • Neck and Trunk Active Range of Motion: Supported sitting while looking towards affected side, and prone over a ball for active extension. 
  • Development of Symmetrical Movements: Moving arms and legs in diagonal patterns, grabbing toes, and squatting. 
  • Environmental Adaptations: Placement of books and toys, high chair placement, limiting carrier time, using different positioning devices. 
  • Parent/Caregiver Education: Tummy time for at least 1 hour every day, positioning when feeding, sleeping, and playing, and minimizing time in carriers.

⭐️Milestone Moment ⭐️

Maisyn had been working on achieving the goals to do threading. She would refuse and needed hand over hand guidance to be able to thread the beads. She would also toss the beads and refuse to do the aciivty. Today she met the goal. She was able to thread 8 big animals beads on the string. She was able to start to use a pincer grasp and she was able to pull the strung threw the beads with no help. This skill will help her with writte as well as doing her shoe laces as well as buttons. So blessed to see how she is growing and to hear how great she is doing at home.