How important is OT?

Hi all,

Sorry but another probably very silly question from me, but how important is OT to your child, how did/does it help? 

The reason I ask is that Luke finally got seen by an OT after months on the waiting list and it was all abit rushed as she phoned and came out the same day, so didnt really have chance to put my thoughts in order.

Anyway she asked lots of questions for some form and said he is tactile defensive but is obviously very bright and happy, and wont have any learning difficulties associated with autism and will go to mainstream school and as such she wont see him regularly to work with. How she worked this out in the time she was here who knows!

Unfortunately for me, she saw Luke on a very good day where he was pleasant and happy, did as he was asked and didnt really stim. She was very
impressed with him threading cotton reels and stopping doing something
when I said no and because he tolerates certain things(washing hair etc) while I sing to
him and isnt sat watching shiny stuff for hours he needs no help what
so ever!

She mentioned deep pressure exercises to help with the tactile stuff and is coming to show me this on Weds. Anyone heard of this?

My main issue is she says she will then just liase with portage to advise what can help his sensory issues where as I think his feeding himself and his ability to hold things properly isnt as it should be. He does not grip things with the right pressure and her explanation was that it was because he doesnt do messy play because of his sensory issues! It just doesnt feel right to dismiss these issues and I'm unsure whether I should voice my concerns again on Weds or if I'm just being completely neurotic as Lukes dad thinks! In another discussion of mine someone mentioned low tone so maybe thats why I'm so concerned the OT isnt going to do anything as I do think thats a possibility for Luke.

I know I should be thrilled she thinks hes great and wont need extra help but I cant relax about it so any help/thoughts will be appreciated even if to tell me to shut up lol

Mel x

 

 

Hi Mel,

I have had very little experience of OT but the little I have had I wasn't impressed.

I would take this time to  list the difficulties you know that Luke has .. run them past here first if you like..and when you meet up with her again you will be more prepared. 

I would concentrate more on not why he has difficulties but what can she suggest to help him.. there must be some sort of exercise to help him with his grip :)

Leanne - Community Champion

Thanks Leanne

I have experience of OT with my daughter but she has very obvious difficulties so I'm just not sure if I'm expecting too much from this OT.

I have looked into low tone and this would cause his difficulties and from what I have read is quite common in children with Autism, so I'm just going to be honest tommorrow and let her know my concerns.

If she still doesnt feel he needs help then I will ask for advice on exercises or equipment to help him. Hes not going to do great in school as she predicted if he cant even hold a crayon!

Mel x

 

Hi Mel,

I had the same concerns with Alistair, aged 5 he couldn't hold a crayon let alone draw anything.. now almost aged 9 he can write really well and draw very detailed pictures ,he holds his pen beautifully. All self taught :) 

We got him an etch a sketch thing with a pen and he used this, he found it much easier to write and draw with because there was less friction. Initially I would draw dots of very basic shapes or just lines and get him to join them up, at the start I would have to hold his hand on the pen so that he knew what to do..he progressed from there. 

Leanne - Community Champion

Hi Mel

My son is 5 and his only ever seen an OT twice with me and once at school.  His actually going to see him again on Monday, all he did was ask certain questions and then give me suggestions as to what to do about them, there seemed to be not much follow up at all, I have been told that OT appts are really hard to get so I would definately note everything down and go through everything with her now since she has said she won't be working regularly with him.

I must say, how on earth she managed to come to all the conclusions she did from 1 visit is beyond me, did she have a crystal ball in her bag?!! 

Tracy - Community Champion

 

Tracy and Leanne,

Leanne, I know the kind of drawing thing you mean. I did try Luke with one as my daughter has one and finds it really easy to write on but Luke was much more interested in the movement of the thing that erased the picture. You pull it across and it then moves back on its own to erase the picture. He loves anything with movement so I need to try and find a similar thing without that on. Its good to know pencil control etc can be improved though.

I feel much better about the whole thing now as I was completely honest with the therapist when she came back and she explained everything better and really took my concerns seriously. She still believes that dealing with the sensory issues is the way to go as the underlying cause but did give some ideas on working on things if we wanted. She said his tone is within normal range (though his hands still seem floppy to me) and some of his problems could be motivational too, eg he has a pincer grip to thread cos he enjoys that and likes watching the movement of the threader and the reels on the string but has no idea how to hold crayons as he doesnt see the point in drawing cos it holds no interest for him. She suggested using felt tips to entice him with taking the lids on and off because he will like the movement so I am going to try that.

She warned against getting him to feed himself as he is already a very picky eater and we would stress and upset him more, so if we want to we will only try self feeding with things he really likes such as yoghurt or rice pudding.

She is coming back with portage in September to do the deep pressure thing as we didnt have time, but she reassured me that she didnt dismiss Lukes problems, she often doesnt do other visits and was sorry that she obviously hadnt explained things very well.

So I feel much better about things and she recommended a book called the Out of Sync Child which I have ordered and to research sensory processing to explain things more.

Thanks Mel 

 

Hey Mel

Well I'm glad you feel you've sorted things out.

In my opinion OT COULD be the most important thing for our kids, looking at sensory issues, tone issues, self-care skills.  The reality is you are unlikely to get much.  We finally got a good OT after lots of rubbish ones, but the reality is that very little is address by the NHS.  Matthew is pretty much dismissed by OT apart from the odd recommendation that frankly you could get from other parents on here!  We've now gone private with some of our OT issues and are hoping to get more help from that. 

I'd definitely go for the deep pressure stuff.  Matt is really helped by this, EXCEPT we can't get him to sit long enough to have it.  He used to have cranial osteopathy and that worked in a similar way.

One good thing they can do though is write recommendations for bits of equipment so you can get grants for them.  For example Matt has a weighted blanket and some different cushions for sitting on.

Demi

Hi Demi,

I do feel better about things but I've just finished reading the book she recommended and it all seems much more complicated than she made out. I agree with you about it being really important and I find it strange that nothing else is done when sensory issues affect everything, much more than I realised.

I've had experience with OT with my daughter for different reasons and I guess I assumed the OT would do much more than it seems she will be doing.

The deep pressure sounded strange at first but I do find he likes pressure on his tummy, I calmed him today after a tantrum by hugging him tight while he sat on my knee and he moved my hand to his tummy and pressed. Will find out more when she comes next month and then I think the portage worker adapts her program to do it.

I guess we might have to go down the private route one day if I feel he needs it.

Mel x

Hi Mel

Well one of the OTs told me something recently, which went roughly like:  "the theory of Sensory Integration is currently under review after some large research studies called it into question.  The advice from the College of whatever is not to promote SI until issues are resolved and clearer guidance can be issued".  So i was told that IF she was allowed to use SI she MIGHT tell me to .......  So this could be a reason?

Experiment with the deep pressure.  I've been using it with Matt for three years.  It started off as a restraint but developed into a calming technique. They are pretty good at telling you what they need.  Sometimes matt will ask me to squeeze his head, or do hammers on his legs or rub his back.  Sometimes I have to take more control.  It remains the only way I can get him out of a tantrum or an aggressive mood.  Have you tried a weighted blanket or doggie or anything?

Demi

Hi Demi,

I've never used a weighted blanket or anything, heard of them but never really sure what they were used for.

Will look into them, not sure about a doggie as Luke hates cuddly toys depending on the material.

Mel x