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Strong Bodies, Strong Minds, Strong Hearts.

Helping Kids SHINE!

kidSHINE offers individual pediatric occupational therapy evaluations and 1:1 occupational therapy sessions, uniquely designed to support each child's success in his or her daily "occupations", including school, play, and activities of daily living. We offer occupational therapy services in Rowley, Boxford and Amesbury, Massachusetts.

kidSHINE offers a one of a kind program, EXERSHINEkids, an OT inspired, intense physical exercise group programs for improving strength, motor skills and self regulation skills in children of all ages and ability levels. This evidence based, trademarked, thematic program targets sensory foundations and motor development while teaching strategies and fostering peer cooperative skills and confidence.

kidSHINE offers unique indoor/ outdoor summer programs that enable children to build skills while also challenging themselves physically and socially. Intensive week long programs provide a motor and sensory boost with exciting themes like Warrior Week and Brain Games.

Our Mission

A child's ability to achieve goals relies on physical, cognitive, social and perceptual development. Through innovative group and individual services, kidSHINE facilitates and enhances a child's development and helps each child to uncover and enhance his or her individual strengths.

What Parents Think

I highly recommend Amy Wheadon and kidSHINE. She has an incredible ability to explain child development and provide information and suggested activities for parents, caregivers and teachers to create opportunities to assist children to overcome difficulties and reach their potential. Take a look at her website and Facebook page to see the fun children are having! kidSHINE is fantastic!

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Occupational Therapy | kidSHINE | Massachusetts

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The kidSHINE program builds strength, skills & confidence in children. Licensed and Registered OT's design and teach all programs to facilitate growth and promote development of motor and social skills. Occupational therapy service with locations in Rowley, Amesbury & Boxford, Massachusetts.

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Account: kidshine.ot

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American Society of Hand Therapists: Student Workbook

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American Society of Hand Therapists: Student Workbook

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Gabe Byars, OTR/L; Capriana Field, OTAS; and Kiersten Watkins, OTAS

Hand rehabilitation, also called hand therapy, is a group of assessments and interventions aimed at testing and restoring hand function after injury. This video series explains and demonstrates how the occupational therapy (0T) practitioner can assess hand range of motion, strength, and sensation as well as how to treat deficits in these areas. These videos also cover how to recognize and treat edema in the hand.

Previously, you learned how to measure range of motion, strength, and sensation as individual concepts, but now you are able to practice them together in a way that allows you to treat a specific condition. Many occupations rely heavily on hand use; thus, the OT's goal is to help clients engage more fully in their desired occupations. Understanding how to apply these concepts to hand therapy is vital to helping our future clients succeed.

This video demonstrates how the OT practitioner can administer common hand-function assessments.
Hand Functional Testing Video Transcript
Hand Performance Assessment Tips

Purdue Pegboard Test

Have your client preform the test by placing as many pegs as possible in the holes within 30 seconds. Your client will perform two trials.

For the first trial, have your client use their dominant hand.

For the second trial, have your client use their nondominant hand.

Have your client perform an assembly trial using both hands, timed for one minute.

Have your client assemble in this order: peg, washer, collar, washer.

Score the number of assembled pegs, and multiply that by the number of correctly placed pieces.

Quick DASH

Ask your client assessment questions that reflect their self-reported perceptions of their shoulder, arm, and hand disability.

Note: The minimally clinically important difference equals scoring 9-11.3

This video demonstrates how the OT practitioner can measure hand-specific range of motion (ROM) and strength.
Hand Strength and ROM Testing Video Transcript
Hand Range of Motion Tips

Goniometry

Align the goniometry's stationary arm with your client's joint.

Have your client bend the joint that is being measured.

Move the goniometer's adjustable arm to match your client's movement.

Add MCP, PIP, and DIP measurements together to calculate your client's total hand and finger active range of motion.

Distance

Measuring Grasp

Use a tape measure.

Measure from the distal palmar crease to the fingertips.

Measuring Opposition

Use a tape measure.

Measure the distance between the pad on the pinky and the pad of the thumb.

Hand Strength

Manual Muscle Testing

Dynameter and Pinch Gauge

Have your client sit with their elbow unsupported at 90 degrees.

Test the affected side first, then compare it to the nonaffected side.

Test three different types of pinches-lateral pinch, pincer grasp, and three-jaw chuck.

Measure pinch strength three times for each pinch type.

Take the average of the three pinch measurements, for example, the average of three lateral pinch measurements, etc.

This video explains how the OT practitioner can assess hand sensation and how to measure edema.
Hand Sensation and Edema Testing Video Transcript
Hand Sensation Tips

Edema

Measuring Pitting

Push down on an edema area, which will create a depression or pit in the skin.

Measure the depth of the depression and the time it takes for the skin pit to rebound.

2mm depression-barely detectable, immediate rebound (+1).

4mm deep pit-a few seconds to rebound (+2).

6mm deep pit-10-12 seconds to rebound (+3).

8mm very deep pit-> 20 seconds to rebound (+4).

Volumetric Measurement

Fill a measuring basin with water.

Place a measuring cup beneath the basin's water spout.

Place your client's hand in the water basin and hold the basin's handle.

Wait until water stops flowing out of the basin's spout.

Record how much water is in the measuring cup.

Figure-Eight Circumferential Measurement

Use a tape measure.

Measure across the distal palmar crease around the back of your client's hand and around. Create an X on the dorsal aspect of the hand, and create two parallel lines on the palmer aspect of the hand.

Record your measurements.

This video teaches and demonstrates techniques that the OT practitioner can use to increase range of motion (ROM) and strength in their client's hands.
Hand Interventions Video Transcript
Range of Motion Interventions Tips

Joint Blocking

Block all of your client's joints except the one you're working on so that you can focus on movement at one joint.

Joint blocking helps train muscles to work independently of one another.

Tendon Glides

Move the joints of your client's hand through full range of motion.

Perform the following positions in any order as long as you use all the positions.

Place-and-Hold

Place your client's hand in a position such as the closed fist, and have them hold it until they fatigue, then relax.

Place-and-hold is an isometric strengthening exercise.

Functional Tasks

Gentle gripping, reaching, turning, and manipulating objects.

Functional tasks are everyday tasks for your client to practice.

This video explains and demonstrates interventions that the OT practitioner can employ to perform scar massage and to reduce their client's edema.
Edema Interventions and Scar Massage Video Transcript
Edema Interventions and Scar Massage Tips

Manual Edema Mobilization-this helps send extra fluid to the heart.

Start squeezing upstream, working proximal to distal.

Create a space by the heart, then move fluid into that space away from the extremity and towards the heart.

Apply pressure in a circular motion on either the anterior or posterior surface of the extremity.

The skill here is to move the skin; it's not the same as massaging the muscles.

Scar Massage

Move the scar in all planes such as forward and back, side to side, and in circles.

Be aware of hypersensitivity.

Perform the massage for about five minutes, as tolerated.

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Occupational Therapy Skills for Physical Dysfunction

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Gabe Byars, OTR/L; Capriana Field, OTAS; and Kiersten Watkins, OTAS Hand rehabilitation, also called hand therapy, is a group of assessments and interventions aimed at testing and restoring hand function after injury. This video series explains and demonstrates how the occupational therapy (0T) practitioner can assess hand range of motion, strength, and sensation as well as how to treat deficits in these areas.

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RDP Presentation: Orthotic Intervention for UE 

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RDP Presentation: Orthotic Intervention for UE 

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RDP Presentation: Orthopedics and UE Injuries

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RDP Presentation: Orthopedics and UE Injuries

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Commitment to Diversity, Equity and Inclusion

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Commitment to Diversity, Equity and Inclusion

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6ep_Sensory systems - Activities  Strategies

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I am so excited to bring to you, the one, the only, the Pediatric Pocket Guide for Occupational Therapists + 6 expansion packs!

This year I made it one of my goals to create another guide, but I wanted it to be useful for OT students and OTs alike. My passion is in pediatrics and I always want to make sure that I am providing the best care for any kiddos that I see, but we all know how hard it is to remember all of those milestones, reflexes and skills!

There is only one other OT pocket guide out there (OTReference Pocket Guide, which I own and used every day during my acute care rotation), and after reaching out to the creator to see if she had something for pediatrics in the works, she encouraged me to take on the project and make my own! Thus, the Pediatric Pocket Guide for OTs was born.

Since I am not currently working, I made creating this guide my full-time job. The creation of this guide and the expansion packs took about a month of research, formatting, illustrating, and meeting with manufacturers to bring it to life (at about 100 hours per week I might add).

What's in the Guide?

In the original guide you will find 17 pages consisting of:

Reflexes (onset, integration, testing)

Developmental Milestones up to 24 months

Handwriting Development and Grasps

Scissor Skill Development

In-Hand Manipulation Skills

Dressing Skills

Visual Skills

Feeding and Oral-Motor Skills

Assessment Overviews

Common Conditions in Pediatrics

Emotions Reference Card

American Sign Language Cards (the alphabet, hello, no, yes, please, thank you, sorry, toilet, more, hungry, thirsty)

How to Calculate Adjusted Age for Pre-Term Infants

Common Abbreviations for Pediatric Documentation

There are also 6 expansion packs that you can add on to your guide:

American Sign Language Expansion Pack (7 pages)

Feeding Expansion Pack (3 pages)

Oral Anatomy

Feeding Terminology

Quick Screening Observation Checklist

Vision Expansion Pack (2 pages)

Eye Anatomy

Vision Terminology

Pediatric Vision Conditions

Tummy Time Expansion Pack (2 pages)

Illustration of Infant in Tummy Time that can be used for parent education

Benefits of Tummy Time

Head Shape Illustrations (Normocephaly, Brachiocephaly, Scaphocephaly, Plagiocephaly)

First-Then Expansion (1 page)

Use this card to give your kiddo a visual to let them know what to expect during therapy (i.e. first wash hands, then play)

On the back of the card is a blank clock (both analogue and digital) to give your kiddo a visual reminder of the time, or even to practice writing and reading the time!

Notes Expansion (1 page)
On the front of this card is a space to write your name, while on the back it is blank, giving you plenty of room to jot down quick notes, or even to use for communication in instances where verbal communication may be ineffective

Features:

The binder ring allows you to rearrange the contents of your guide and add on any expansion pack of your choice!

The laminated cards are water/dirt resistant (I wouldn't suggest dunking them in a bucket of water, but if some liquid splashes on them, it is easy to sanitize/clean!)

You can use dry-erase markers on the cards, this is great for the Notes Expansion and the First-Then Expansion

At 3″ wide x 5″ tall, this lightweight guide is perfect to keep in your pocket and pull out for a quick reference during sessions or while documenting

How to Order:

You can purchase the guide and expansion packs on my Etsy (OTCaroline).

If you would like to make a bulk order, email me at otcaroline.llc@gmail.com and we can see what our options are!

I am also happy to share that in my efforts to remain sustainable and eco-conscious, while also producing a physical product, I made it a goal to work with a small, local business and to use recycled shipping materials. I work with a small printing company in my area to manufacture these guides, therefore reducing my carbon footprint and taking away the need to produce the guide in mass quantities or use unsustainable shipping methods, while keeping costs low. I also chose to use eco-friendly shipping materials, specifically recycled shipping materials that can also be reused, to keep my environmental impact as small as possible (so please, keep and use the bubble mailer if you order a guide!)

Questions, Comments, Concerns, Recommendations?

My business email is always open and I am happy to answer your questions! I try my best to check my email daily and respond promptly.

Business email: otcaroline.llc@gmail.com

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It's here! It's here! I am so excited to bring to you, the one, the only, the Pediatric Pocket Guide for Occupational Therapists + 6 expansion packs! This year I made it one of my goals to create another guide, but I wanted it to be useful for OT students and OTs alike.

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Cape Cod Hand & Upper Extremity Therapy is an out-patient rehabilitation practice that specializes in hand and upper extremity rehabilitation

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Physical Therapy for Neck Pain, Back Pain, Orthopedic Injuries & Sports Injuries | PTandMe.com

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If you suffer from neck pain, back pain, orthopedic injuries, or sports injuries, browse PTandMe.com for more information on physical therapy clinics and treatment programs.

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Functional Outcome Questionnaires: Lower Back Pain

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Functional Outcome Questionnaires: Lower Back Pain

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Free Training Resources: Hand Therapy Academy

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Free Training Resources: Hand Therapy Academy

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HEP Handouts and Resources | Hand Therapy Academy

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We are going to be sharing some big things through Hand Therapy Academy, and this will be your hub for those resources.

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Guidelines for Level II OT Fieldwork Experience

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Guidelines for Level II OT Fieldwork Experience

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Practice Advisory Services provided by students in FW Level II final

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The Pedi OT Exercise Movement | Facebook

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Welcome to an OT community of practitioners committed to promoting fitness, movement and exercise in their pediatric clients! Especially during the changing climate of the pandemic, so many of our...