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Elizar is four years old and he has been in our preschool program since infancy. Elizar is of African American descent and is adopted by two White/Caucasian mothers. He is a sociable child, always walks in with a smile when he gets dropped off.

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Medical Condition: Hyperkinetic Movement Disorder and ADHD.

Scenarios: During circle time activities that revolve around movement and dancing, Elizar gets overstimulated and excited that he ends up pushing himself on to the other children and unintentionally hitting them.

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As a holistic practice, (Philadelphia, T. C. H, 2025.) recommends physical therapy for children with Hyperkinetic Movement Disorders : Stretching, strengthening and range of motion exercises can be helpful in some cases, as can therapy to alter posture. These are safe practices that can be implemented in the classroom.

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Philadelphia, T. C. H. of. (2025.). Movement disorders in children. Children’s Hospital of Philadelphia. https://www.chop.edu/conditions-diseases/movement-disorders-children

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Recommended suggestions for Elyzar's accommodations incorporated into lesson planning and curriculum with the rest of the children:

Plan movement mid day or before the day. Examples: sports, morning run, yoga, meditation, following breathing practices.

Art class/time: Create stress ball with all the students! Not only is it a fun process, but the children can utilize them when they need it, if they are stressed or needing it for relaxation.

During demonstrations invite student participation! it sparks children's curiosity to learn and promotes critical thinking, which can help with neutral redirection from overstimulation.

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Finding(Aspiranti & Hulac 2021)discovered that in a few cases sensory toys don't work for all students, but with the participants (elementary children) the result that their attention span increased from 67%-88% with sensory toys were distracted fewer times and had higher scores on the written expression assignment, with higher gains for the students with ADHD.

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Aspiranti, K. B., & Hulac, D. M. (2021). Using Fidget Spinners to Improve On-Task Classroom Behavior for Students With ADHD. Behavior analysis in practice, 15(2), 454–465. https://doi.org/10.1007/s40617-021-00588-2