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Showing posts with label LD. Show all posts
Showing posts with label LD. Show all posts

Thursday, April 15, 2010

Crossing Midline


If you've had a child in speech, occupational, or physical therapy you may have heard about the importance of "crossing midline". When my children were younger, I heard from therapists that it was very important for babies to spend time on their tummies. In addition to helping the brain make connections as the child views things from different perspectives, changes in positioning provides different proprioceptive and vestibular input. Being on the tummy encourages a child to push up with her arms, which strengthens the upper body muscles. This is important for a growing child so she can develop the muscle tone and strength needed to reach over her head or move the arms outward and across the body with a good range of motion. Without such development, the child will have difficulty sustaining a physical posture or repeating motions without rapidly fatiguing. Therapists also work on helping a child to "cross midline" in a number of ways. When a child can reach her right hand across to the left side of her body and vice versa, she is crossing her midline with her arms. In addition to these large movements, a child crosses midline when reading as her eyes move from one side of the page to another without moving her entire head as she reads. The tongue crosses midline as it moves food from side to side to position the food onto the molars for chewing. When any of these activities occur, information is transferred from one brain hemisphere across the corpus callosum to the other brain hemisphere. The corpus callosum is a fibrous band between the two hemispheres and allows for the exchange of information between the right and left hemispheres of the brain. This side-to-side sharing of information is important for fluency in processing and acting on information received. When information is not readily crossing from one side of the brain to the other, there is usually a learning glitch or struggle. In the picture above, you can see that this child tended to paint in the same area, primarily on the right side of the paper. This same child, when the paint utensil was placed in his left hand, painted primarily on the left side of the page. This was just one indication that he was not readily crossing midline and might need some help to develop in that area. One of my favorite resources for addressing this and other brain processing issues is the book Brain Gym. It provides descriptions and illustrations of simple exercises that promote crossing midline, increasing alertness, improving handwriting, readiness for reading, and more. The exercises can be done by both children and adults in just a few minutes prior to a specific task. I have used the "brain buttons" and other exercises from Brain Gym to increase my alertness when feeling the fatiguing effects of a long car trip. With my AD/HD children, I had them do some exercises between school assignments to ready their brains and bodies for focused attention to the task at hand. Such simple exercises are easily implemented and help the brain develop pathways across the midline of the brain, resulting in more efficient processing and learning.

Thursday, October 15, 2009

My Joke Answer Is...

If you work with AD/HD children, you know how easily they get bored. It's a balancing act to find work that challenges them without being so simple their attention wanders or so difficult that they become frustrated. My personal goal when teaching is to try and have the child working in an area of strength and achieving success about 80% of the time at a minimum. The more difficult work (in our case, things like listening tasks without visual or tactile cues) takes up about 20% of the time. I want my children to learn to sit down for sustained periods of time. They do need to listen without having a bunch of props to grab their attention. So I work on those things but make sure that they are experiencing success in their assigned tasks at least most of the time. One of the aspects of AD/HD that makes finding such a balance tricky is that our kids may perform differently from day to day or in various settings. This is especially true if the AD/HD is comorbid with other learning disabilities. So how can we tell if we are accomplishing the goal of challenging our children without frustrating them? Sometimes we just have to read the body language and listen to what our children are saying. "This is stupid" may well translate into "I don't understand and I feel stupid." "I'm bored" may mean "I need to move around and find ways to alert myself again". A child who looks droopy may be fatigued on a task and needs to switch to something else for awhile and then come back to the first task. In my daughter's case, I often get unmistakable clues by how she responds to a question. If she is muttering under her breath, I am challenging her and approaching melt-down levels. If she answers matter-of-factly, I am usually right on with getting her to think but not frustrating her. Since Beckie likes variety and creativity, if I don't provide enough amusement in our lessons she will often deliver it herself. I knew she was not feeling challenged when I asked her a question and she gave it a few second's thought before replying, "My joke answer is..." and then went on to tell me the real answer. This was Beckie's way of letting me know she knew the correct answer but it was not very interesting to her and her joke answer spiced things up a bit. The longer you work with a child, the better you become at reading their cues and figuring out when you are challenging them too much or not enough. Don't worry if you don't feel like you have a good grasp on it yet. In my experience, children show us over and over again what they need until we recognize it. If we don't catch on right away, they will give us many more opportunities.