Syncing Success: A Better Way to Manage ADHD Without Medication

Posted on March 1, 2024March 4, 2024

Attention Deficit Hyperactivity Disorder (ADHD) poses unique challenges for individuals of all ages, affecting their ability to focus, organize tasks, and regulate impulses. While traditional interventions often involve medications and behavioral therapy, a groundbreaking approach has emerged in recent years – the use of the Interactive Metronome (IM) as an innovative tool for managing ADHD symptoms. In this blog, we’ll explore the relationship between Interactive Metronome and ADHD, shedding light on how this rhythmic training can make a significant difference in the lives of those navigating the complexities of ADHD.

Understanding ADHD and its Challenges

ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. Individuals with ADHD may find it challenging to sustain attention, complete tasks, and regulate their behavior, impacting academic, professional, and personal aspects of their lives. Traditional treatment approaches often involve a combination of medications and behavioral therapy, but the search for non-invasive, complementary interventions has led to exploring innovative tools like the Interactive Metronome.

Interactive Metronome and ADHD: A Rhythmic Approach

The Interactive Metronome operates on the principle that precise timing and rhythmic synchronization can positively influence neural pathways related to attention, coordination, and executive functions. Here’s how IM is making waves in the realm of ADHD management:

Enhanced Attention and Focus: IM exercises require participants to match their movements to a rhythmic beat with millisecond accuracy. This process engages the brain’s attention and timing centers, fostering sustained attention and focus improvements, essential components for managing ADHD symptoms.

Improved Executive Functions: ADHD often involves challenges with executive functions like working memory, organization, and impulse control. The structured nature of IM exercises helps strengthen these cognitive processes, providing individuals with practical skills to navigate daily tasks more effectively.

Sensory Integration: The combination of auditory and visual cues in IM promotes sensory integration, a critical factor in ADHD management. Individuals can develop better self-regulation and coordination by syncing sensory information with motor responses.

Individualized Treatment Plans: Therapists at Carolina Therapy Connection can tailor IM programs to address the specific needs and challenges of individuals with ADHD. The customizable nature of IM allows for a personalized approach, ensuring that the training aligns with each participant’s unique cognitive and motor profile.

Real-life Success Stories

The impact of Interactive Metronome on ADHD management is not just theoretical – there is a growing body of research-based evidence supporting its effectiveness. Many individuals undergoing occupational therapy at Carolina Therapy Connection have reported significant improvements in attention, impulse control, and overall quality of life after incorporating IM into their ADHD treatment plan.

In the evolving landscape of ADHD management, the Interactive Metronome stands out as a promising avenue for individuals seeking alternative and complementary approaches. By tapping into the power of rhythmic synchronization and precise timing, IM offers a dynamic and engaging method to address the core challenges associated with ADHD. It’s not just about keeping time; it’s about syncing success despite ADHD’s unique challenges. Our Occupational Therapists and Certified Occupational Therapy Assistants at Carolina Therapy Connection are certified in the Interactive Metronome. They can utilize this as an essential part of a child’s treatment plan. The Interactive Metronome can be used as a standalone treatment, but we see the best results when incorporated into diverse therapeutic programs.

Call us today to learn more about the Interactive Metronome and whether your child would benefit from this amazing therapeutic intervention!

Why Does My Child Put Everything In Their Mouth?

Posted on May 24, 2023October 4, 2023

What is Oral Sensory Seeking?

Oral Sensory Seeking is the constant desire or need for a child to place objects in or touch their mouth. Children who have an oral fixation usually feel the need to constantly chew or suck on something. Depending on the age of the child, this may or may not be appropriate. As a parent, this can be difficult to navigate, especially due to the risk of choking on small objects. We know it is impossible to have eyes on your child every minute and scary to feel like you need to keep everything picked up off the floor and out of reach at all times. The oral stage of development that happens from birth to 21 months involves an infant’s pleasure center being focused on the mouth and lips, which are used for sucking and feeding. This is the age when the infant puts everything in the mouth—from hands, fingers, wrists, toys, pacifiers, clothing, blankets … just about anything within hands reach. One of the first prominent objects the baby’s mouth becomes accustomed to is a mother’s breast, for milk. In this blog, we will explore some of the reasons why your child may continue seeking additional oral sensory needs when it is no longer age-appropriate and activities to help them with this behavior.

What are Oral Sensory Seeking Behaviors?

When a child chews, mouths, sucks, or bites non-edible objects and/or edible objects frequently, we will call this an oral sensory seeking behavior. It can also involve harmful behaviors like biting. Some children who are seeking out oral and tactile (touch) sensory input will bite parts of their body, such as the arms, legs, feet and hands. Although oral seeking behavior can help children regulate their bodies and emotions at times, it can also prevent children’s learning if the child is constantly looking for objects to put in their mouth, or cause harm when they bite or suck on themselves. If children are distracted by finding objects or fixated on this behavior, it can affect their ability to focus at school or on an activity at hand.

Here is a list of common oral sensory seeking behaviors:

Excessive or frequent licking and/or chewing of random objects or toys
Excessive or frequent chewing of soft items or clothing (shirt sleeves, bed sheets, blankets, stuffed animals)
Biting toys or people, especially when unprovoked or when overly excited
Chewing the inside of the cheeks or biting/sucking on lip
Biting nails
Grinding teeth
Stuffing mouth with food or holding food in mouth for a long period of time
Drooling or spitting purposefully

How Can I Help My Child With Oral Sensory Behaviors?

Although there are a variety of ways to provide oral sensory input to children in a safe way and to replace oral sensory behaviors.. no child is the same when it comes to the solution. Our occupational therapists at Carolina Therapy Connection recommend that you experiment with these activities as part of your child’s sensory diet and notice what tends to calm, alert, and/or regulate them.

Create a FREE sensory diet with this template from “Your Kids Table” HERE!

Oral Sensory Seeking – Chewing Activities

Chewing crunchy foods, chewy foods, gum etc.

Use a chewy jewelry or other sensory chew toys

Vibrating chew toys (for kiddos who need that extra sensory input!)

Various Activities for Sensory Input

Blowing bubbles or blowing up balloons
Suck on sour candies, lollipops, ice cubes, etc.
Clicking tongue
Drink various textures through a straw (apple cause, milkshakes, yogurt, pudding, etc.)
Whistles, party blowers, kazoos, harmonicas, pinwheels etc.
Make a bubble mountains with dish soap and water

How can Carolina Therapy Connection help?

Occupational therapy addresses any barriers that affect someone’s physical, mental and emotional wellbeing, which includes sensory integration difficulties. Sensory integration refers to how your body recognizes, processes, and responds to information received by our sensory systems on an individual and combined level.This includes our traditional 5 senses, sight, touch, taste, smell, and hearing; however, we also have proprioceptive and vestibular sensory systems. Often times, oral sensory processing or seeking difficulties are paired with other sensory system difficulties. Occupational therapists use sensory integration therapy by exposing a child to sensory stimulation in a structured and organized way. The goal of sensory integration therapy is to adapt the child’s brain and nervous system to process sensory information more efficiently.

At Carolina Therapy Connection, we offer Sensory Integration Therapy and play-based treatment intervention that is specifically designed to stimulate and challenge all of the senses. Sensory Integration involves specific sensory activities (swinging, bouncing, brushing, providing oral sensory input and more) that are intended to help your child regulate his or her response to incoming sensory input. The outcome of these activities may be better focus and attention, improved behavior, and even lowered anxiety. Our therapists may work on lowering a patient’s negative reactions to touch, help them become better aware of their body in space, and work on their ability to manage their bodies more appropriately (run and jump when it’s time to run and jump, sit and focus when it’s time to sit and focus, etc.).

Our occupational therapists will complete an initial evaluation to become familiar with your child’s strengths, weaknesses and daily routine. Following the evaluation, they will create an individualized treatment plan and goals to address any concerns with development. We take pride in making therapy enjoyable and fun for your child, so that they can be motivated to live their life to their greatest potential. If you are interested in a FREE occupational therapy screening in the Greenville, Goldsboro, or New Bern, NC areas, call us at (252) 341-9944.

Transitioning from Bottle to Cup

Posted on February 15, 2022October 4, 2023

When should my child transition from their bottle to a regular cup?

It’s time to transition off the bottle! The American Academy of Pediatrics recommends transitioning from a bottle to a cup when your baby is about 15 months old. You might think it is time for those adorable sippy cups! BUT, current research is clear, and many therapists are recommending skipping the sippy cup altogether and moving straight to an open cup or a straw cup.

Many parents decide to use a sippy cup because they think that’s what they are supposed to do. Sippy cups were not designed as a tool for proper oral motor and feeding development, but instead were created to keep the carpets clean! The occasional use of a sippy cup is nothing to worry about, as it can be great for those long car rides and times where cleanliness matters. It is important to note that if your child has a medical reason to use a sippy cup, follow your pediatricians recommendations (i.e. some children require a valved sippy cup for safety). Despite the convenience of a sippy cup, parents should be aware that it is easy to become dependent on anything that makes life less messy, so when it’s possible to bring out the regular cup or straw, do it!

Why should I skip the sippy cup?

At only 12 months of age, your baby is developing a more mature adult-like swallow pattern! As opposed to the anterior-posterior suckle pattern infants use with a bottle, at only a year old, the tongue begins to stay in place or even move backward and rise while pressing on the alveolar ridge (the hard, ridged spot just behind the front teeth). The tongue will rise, push, and propel the food backwards! When your little one drinks from a bottle or a sippy cup, the spout prevents their tongue tip from elevating, often forcing the tongue down or requiring them to stick their tongue out in order to drink. If the tongue doesn’t rise to the alveolar ridge at rest and when swallowing, the brain creates a habit to keep the tongue on the floor of the mouth. This can contribute to oral motor weakness, and an impaired oral phase of the swallow.

According to the American Speech-Language and Hearing Association, when the tongue sits low in the mouth it often forces the mouth to rest in an open position, which leads to mouth-breathing instead of your little one breathing through their nose. Long-term use of a bottle or sippy cup may also lead to dental concerns. The immature pattern of an anterior tongue thrust during the swallow increases the risk of pushing their teeth forward and creating a dental malocclusion. The tongue, lips, cheeks, and jaw all play important roles in both articulation of speech sounds and eating, and little ones with weaker oral motor skills may be at increased risk for a speech sound delay.

What are the benefits of using a regular cup or straw?

Open cups and straw cups help build normal movements in oral musculature.
Using a straw helps your child develop lip, cheek and tongue strength.
Open cups provide practice using the mature pattern of swallowing that will allow your child to safely drink and eat.
Straw drinking supports a child’s early articulation of speech sounds.
Regular cups and straws encourage proper breathing patterns and prevent mouth breathing.

What’s the best way to make the transition from the bottle to a cup?

When beginning to make the transition from a bottle to a straw cup or regular cup, it’s important to start small! This process can take time and it’s important to know it won’t happen overnight.

Start by introducing an open cup at mealtimes. You can hold the cup for your child to sip from the side of the rim to get them comfortable.
A great straw sipping cup is the Talk tools Honey Bear Straw Cup, which allows your child to squeeze the bottle so they can get comfortable with using a straw to start out with.
Offer both straw cups and open cups to allow for comfort with various drinking cups.
Use a weighted straw cup, which is spill-proof and allows a child to drink from any angle!

How can Carolina Therapy Connection help?

Your child may need speech therapy if they have difficulty with speech/articulation (pronouncing sounds or words) or using words to communicate. Because the muscles and structures used for speech (such as lips, tongue, teeth, palate and throat) are also used in drinking and eating, a speech and language pathologist may also help with feeding, drinking and swallowing difficulties, also known as dysphagia.

While using a sippy cup does not necessarily mean your child will need speech therapy, it’s considered best to encourage oral motor development by using open cups or straw cups at home! Ditch those sippy cups, and check out the spill-proof options for open cups and straw cups they make these days! Spill-proof….now that’s a concept we can ALL get behind!

As always, if you have any questions about your child development, call our clinic at 252-341-9944 to speak with one of our speech-language pathologists!

Written by: Ashley R. Holloway, MS, CCC-SLP