Shoe Tying Archives - Carolina Therapy Connection

Helping Children Develop Self-Care Skills

Posted on November 2, 2021October 4, 2023

What are types of self-care skills?

As children learn and grow, they have a drive to be independent and do things on their own. One area that an occupational therapist address in childhood development are their activities of daily living (ADLs), also known as self-care skills. Self-care skills are skills that are required to manage a person’s basic needs including:

Brushing teeth
Dressing (upper/lower body dressing, zippers, belts, shoe tying)
Bathing
Grooming (brushing/styling hair, nail cutting)
Self-feeding
Toileting

What are the building blocks necessary for self-care skills?

Executive functioning skills (i.e. attention, sequencing, initiation of task)
Fine motor skills (hand & finger strength, object manipulation)
Receptive & expressive language (comprehension and alternative forms of communication to communicate wants, needs, thoughts and ideas)
Sensory processing (tolerating sensory stimulation in the environment, such as grooming or dressing tasks for tactile processing)
Coordination & motor planning (moving body through space in a functional way)

What age should my child be able to engage in self-care tasks?

It is important to understand that all children develop at their own pace and that is okay! Remember — there is no penalty for being cautious about your growing child, and if there is a problem acting early can make all the difference. Self care skills are the every day practice of the foundations skills for academic performance and not just life skills. According to the CDC and American Academy of Pediatrics, below are a few of the developmental milestones pertaining to self-care skills in early childhood development.

6-12 months

Drinking from a cup
Holding a bottle or cup independently
Using tongue to move food around mouth
Feeding self small crackers or other small pieces of food

1-2 years

Settling themselves to sleep at night or during the day
Attempting to brush teeth
Removing own socks
Cooperating with dressing by extending an arm or leg

2-3 years

Using toilet with assistance and having daytime control
Attempting to manipulate large buttons
Distinguishing between urination and bowel movements, and names them correctly
Using a napkin to wipe face and hands
Feeding self simple meals using a fork or spoon
Taking socks and shoes off

3-4 years

Unbuttoning and buttoning large buttons
Feeding self without difficulty
Tolerating different clothing textures, seams, tags etc
Toileting independently
Brushing teeth independently or with supervision only
Dressing and undressing self (only requiring assistance with laces, buttons, and other fasteners in awkward places)

4-5 years

Choosing weather appropriate clothes
Dressing self independently
Attempting to bathe and groom with supervision only

5-6 years

Dressing independently
Able to manage morning and night time routine with supervision only
Settling independently for sleep
Able to manipulate more difficult fasteners and tie shoes

6-7 years

Showering or taking a bath independently
Independently toileting during the day and at night
Preparing simple meals (i.e. cereal)
Independent grooming (combing hair, brushing teeth, flossing)

7-8 years

Showering independently
Taking on more responsibilities (i.e. chores)
Preparing simple meals and helping with more complex meals (i.e. making a sandwich, using the microwave, spreading condiments, pouring from a larger container into a cup)
Interest in taking on more complex grooming tasks – nail cutting, tolerating hair cuts, styling hair

How can an occupational therapist help address self-care difficulties?

Create a routine: Developing a consistent routine with a child can help them know what is expected of them and when to complete their self-care tasks throughout the day. Creating a routine may require a visual schedule or reward chart, something that an occupational therapist can help your child and family plan, develop, and implement in the home!

Improve fine motor skills: Almost all self-care skills require adequate fine motor skills, such as brushing teeth, using utensils, buttons, zippers, tying shoes, and more! An occupational therapist can help improve your child’s fine motor skills to increase independence of their self-care tasks.

Sensory integration: some children may have difficulty tolerating grooming or dressing tasks which can indicate a challenge with tactile processing. They may also have difficulty with tolerating hair cuts, nail cutting, or teeth brushing. Seeing an OT to address these sensory processing concerns can help your child to improve their ability to register and tolerate tactile input to improve their ability to complete these self-care tasks using a variety of treatment strategies.

Adaptation & modification of tools and the environment: An occupational therapist can recommend different types of adaptive equipment (i.e. button hook, weighted utensils, shoe horn, etc.) to help increase independence in self-care skills. They may also get creative by providing tips for adapting the environment to promote independence in the home.

Executive functioning skills & attention to task: If your child has difficulty with their higher level cognitive skills then self-care may be difficult. Seeing an OT could be helpful by implementing and utilizing a variety of treatment strategies for increasing attention, initiation of tasks, sequencing steps of an activity and more!

Caregiver/parent training: An occupational therapist may be able to provide tips and strategies to parents in the home for carryover of self-care skills into daily routine.

How can Carolina Therapy Connection help?

Through demonstrated excellence in clinical, school, and home-based practice, Carolina Therapy Connection’s occupational therapists provide screening, assessment, consultation, and treatment to children having difficulty with a wide variety of needs, including difficulty with self-care skills. We believe it is critical to make therapy as fun and motivating as possible by celebrating the small victories as well as major achievements. We have a strong focus on helping your child develop the skills appropriate to their age and current stage of development. We also use a holistic approach and evidence-based practices to help your child develop and grow to their greatest potential. If your child is having difficulty with any of the skills discussed above, call our clinic today at 252-341-9944 for a FREE occupational therapy screening! We currently provide occupational therapy services in Greenville, Goldsboro and New Bern, NC!

References

Holland, B. (2017, February 14). Top 10 ways occupational therapy can help children with self-care. Chicago Occupational Therapy. Retrieved November 2, 2021, from https://chicagooccupationaltherapy.com/articles/top-10-ways-occupational-therapy-can-help-children-with-self-care/.

Admin, K. S. W. (2016, November 27). Self care skills. Kid Sense Child Development. Retrieved November 2, 2021, from https://childdevelopment.com.au/areas-of-concern/self-care/self-care-skills/.

Centers for Disease Control and Prevention. (2021, January 22). CDC’s Developmental Milestones. Centers for Disease Control and Prevention. Retrieved November 2, 2021, from https://www.cdc.gov/ncbddd/actearly/milestones/index.html.

Teaching Your Child Shoe Tying

Posted on June 17, 2021October 4, 2023

Why is learning shoe tying so important?

Parents typically think about tying shoes just before, or around Kindergarten. However, many children are around age 6 or older when they are ready to learn this task. This is because this task requires fine motor skills of dexterity, in-hand manipulation, and bilateral coordination. That is why it is important to make sure the child is ready for the task before introducing something too challenging or potentially discouraging. Knowing all the skills that shoe tying incorporates should also bring to light what a great opportunity shoe tying is – you can work on dexterity, in-hand manipulation, and bilateral coordination every single day! No matter what method you use, tying shoes requires learning and recalling several steps in a row. This helps to build sequencing skills, visual memory, motor planning, focus and attention to complete the task.

Why does my child want to give up on shoe tying?

When putting your shoes on, it’s typically when you need to go somewhere. In the routine of trying to get to school, a play date, the doctor, or even therapy sessions, sometimes you may be in a rush. Parents tend to buy their children shoes that have permanently tied laces, flip flops, crocs or velcro straps. Parents want to make things easier for their children. If you can avoid a struggle, why not? Although getting through the days can be tough for a parent, patience is a beautiful thing to foster in a society that can’t seem to wait for anything. Making something easier might seem good now, but not necessarily in the long run. When a child is learning how to tie their shoes in therapy, we ask that they practice a lot at home as well. This is because one time a week isn’t going to make much of a difference. The more they practice and the more they are encouraged by parents, the faster and stronger they’ll be with this challenge.

What shoe tying tips will help my child learn?

1) Learning step by step on a shoe placed in front of them (tabletop level) – It is easier for children to learn how to tie their shoes on a tabletop level before learning how to tie it on their own foot. Some children practice in a long sit on the floor with a jump rope tied around their knees so that the movements are bigger and easier to understand. Your child can also practice on your shoes to make it more fun and motivating.

2) Having different colored laces (ex. 1 black lace 1 white lace) – This way, when explaining step by step, it is visually easier on your child to understand the difference in the laces and see each step visually.

3) Practice, Practice, Practice! – It takes time! Do not think it will happen overnight. Continue to practice and they will begin to get the hang of it! Don’t give up!

4) Use Backwards Chaining Techniques

Backwards Chaining is a technique used to teach difficult tasks by breaking them down into smaller parts. Backwards chaining occurs when an adult does each step of the task and allows the kid to do the very LAST step on their own. Essentially: breaking down the steps of a task and teaching them in reverse order. This gives the child an experience of success and completion with every attempt.

Below are the verbal cues we use at Carolina Therapy Connection for each step to teach the kiddos how to tie shoes! You can substitute your own steps for alternate methods:

Criss Cross or Make an X
Black Under White
Pull Tight
Make a loop or bunny ears
Push through
Pull tight

5) Laces are important! – Short laces are infuriating and difficult to manage when first learning this task because the child doesn’t plan ahead to leave enough room. Round laces easily fall untied, so flat ones are usually easier. Practicing with wire ribbon or pipe cleaners can help because it keeps its shape better than laces and allows the child to loosen their grip between each step.

The Takeaway Message

There are going to be some children that just can’t master this skill, and might they have other things that are much more important for them to be working on. In those situations, adaptive laces or shoes are a wonderful option. For many children, it’s simply about finding the right way to teach them, and following through with the practice it takes to master it. If your child is struggling with their self-care or fine motor tasks, call our clinic at (252) 341-9944 to set up a FREE screening! We will be happy to help you in whatever way we can.

Best Way to Teach My Child How to Tie Shoes

Posted on July 31, 2020November 7, 2023

The Best Way To Teach My Child How to Tie Their Shoes

Teaching your child to tie their shoes can be a long and frustrating task for parents. Luckily our occupational therapists break it down into easy steps for caregivers to teach their children. With a little practice and repetition, your child will be tying their shoes in no time!

Check out these tips and tricks from our occupational therapists on simple and easy ways to teach your children

What is the best way to teach my child how to tie their shoes? Easy…

*Learning step by step on a shoe placed in front of them (tabletop level)

It is easier for children to learn how to tie their shoes on a tabletop level before learning how to tie it on their own foot.

*Having different colored laces (ex. 1 white lace 1 orange lace)

This way, when explaining step by step, it is visually easier on your child to understand the difference in the laces and see each step visually.

**Practice, Practice, Practice!

It takes time! Do not think it will happen overnight. Continue to practice and they will begin to get the hang of it! Don’t give up!

*Use Backwards Chaining Techniques

Chaining is a technique used in ABA (applied behavior analysis) to teach difficult tasks by breaking them down into smaller parts. Backwards chaining occurs when an Adult does each step of the task and allows the kid to do the very LAST step on their own. Essentially: breaking down the steps of a task and teaching them in reverse order. This gives the child an experience of success and completion with every attempt.

Below are the verbal cues we use for each step based on the way some CTC therapists teach the kiddos how to tie shoes! You can substitute your own steps for alternate methods:

Criss Cross
Orange Under White
Pull Tight
Make a loop
Swoop
Push through
Pull tight

The parent would start by tying the shoe but allowing the child to ‘pull tight’ at the end. Over and over, the parent demonstrates the steps of shoe-tying, slowly, describing the procedure. With time, the parent fades back a step at a time, allowing the child to complete the ending steps instead of having to start with an untied shoe and remember what to do. This will allow the child begin to understand each step of the ‘Tying their own shoes’ process, while visually seeing it multiple times and physically being able to complete the task.

Here is a resource to help!

Shoe tying template