Autism Therapy: keyboard

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Canadian Journal of Occupational Therapy, by Phelan, S., Steinke L., and Mandich A., published in 2009, summarized May 7, 2009

A new approach to occupational therapy may be helpful in teaching children with autism to tie their shoes, keyboard, ride a bike, and do other daily tasks.

Motor problems are common in children with autism. This case study looks at a new treatment approach to treating autism, the Cognitive Orientation to Occupational Performance (CO-OP). The CO-OP approach was first designed to help children with movement (coordination) problems. The authors found that the CO-OP approach helped the two boys in the study learn to do a better job with day-to-day tasks. The authors note that the children's ability to perform the daily tasks varied over the course of the study.


Lisa Jo Rudy, who writes about autism for About.com, commented on a recent small study that seemed to indicate that children with autism may have poorer handwriting than their neurotypical peers. The study, done at Johns Hopkins School of Medicine and the Kennedy Krieger Institute, reported that poor handwriting may be tied to communication and self esteem issues for children with autism. They explained that the children with autism often lacked fine motor skills and may benefit from occupational therapy. Rudy added that what seems to happen is that children with poor handwriting are eventually given a keyboard to use. And since anyone rarely writes anymore, perhaps a keyboard is the place to start rather than worrying too much about handwriting issues.

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Project Blue Skies is part of a project using a special keyboard to help children with autism communicate with each other and online. The OrbiTouch keyboard has just two keys, and based on color and letter/number combinations, teachers can devise a play therapy-like curriculum for students to communicate. Project Blue Skies teachers say that "the two-grip device is ideal for people with autism because it is less distracting than a keyboard and does not require finger motion." The OrbiTouch keyboard was developed by Pete McAlindon of BlueOrb, who is a human-factors engineer.

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Orientation frustration

Apr 24, 2008 by Anonymous

            Something happened to the apostrophe key on my keyboard.  One of my darling little children seems to have pried the plastic apostrophe key off the board so now I have to press this green rubber nodule when I want an apostrophe or quotation marks.  Such fun!

            It’s been a busy week for us.  I went to that kindergarten orientation that I was urged again and again to attend.  We ended up leaving halfway through.  It was basically a reiteration of what Jonathan and I heard at the special needs kindergarten orientation a few weeks ago, only this was in the middle of the afternoon and without complimentary childcare.  I asked the principal if they were going to have an MLP classroom at our home elementary school and she replied that yes, they were going to have a bi-lingual MLP there.  So most likely, Thomas will not be attending that school.  She urged me to stay for the remainder of the “registration” - they handed us a flyer saying that registration would be in August.  I was so ticked off!  Like I’m going to hand over all the registration papers and monies so that the district geniuses can lose them when they transfer them to whatever school in Timbuktu Thomas will be attending.  They lost all of his stuff last August and he wasn’t even changing schools!  So I stormed off (the kids weren’t being great, which didn’t help) in a huff and the principal asked about Thomas before we left – like she’s going to do something about the injustice of it all.  The thing that angered me the most was that the special needs kindergarten people who gave the presentation a few weeks ago insisted that it was of utmost importance that we all attend our home school’s orientation.  It was completely unnecessary and I’m going to mention it at Thomas’ IEP meeting on May 6th.

            So after walking to this school and playing at the playground and explaining to Thomas that he might go to school there next year, he’s not going there.  The silver lining to this cloud is that the district starts school at 8:30 a.m. so Thomas will be on the bus and off to school in plenty of time for me to get Hayley to pre-school at 9 a.m.  I have to register her on Saturday morning and then get her over to her make-up dance class at 10 a.m.  Finally, Hayley will be able to start school and then, dare I even write it, I will have a couple of hours every Monday, Wednesday and Friday to myself to do “stuff.”

            Thomas is still doing well at school.  Yesterday, a police officer came to visit Thomas’ class.  The kids got to try on handcuffs (Thomas refrained from that particular activity), sit in the police cruiser and listen to the sirens.  Thomas loved sitting in the car and he was able to actually tell me the officer’s name when I asked!  I said, “Thomas, what was the policeman’s name?”  He said, “It was just ‘policeman’!”  I explained that the officer had a name.  “What was his name, Thomas?  It was Officer…”  And then he told me!  I couldn’t believe that he could remember, but he did give me a plausible last name of the police officer.  I thought that was great!

            I’ve had it with the bed-sharing again.  I finally had to mention “sleep study” again to try and whip things back into shape.  Those kids come in every night now and I wake up sweating with someone’s (not Jonathan’s) elbow in my face and knee in my rear.  I mentioned sleep studies in the bathtub tonight and Hayley said she’d like to do one.  Thomas looked at her and said, “Hayley, you don’t know what you’re talking about!”  Too true.  We’ll see who comes in tonight.

            So I’m waiting for that IEP meeting to hopefully find out where Thomas will be going to school next year so I can go to THAT orientation instead.  Or maybe I’ll just show up the day before school starts with a greasy birth certificate, coffee-stained immunization records and a dubious-looking check to hand to whatever poor sap is behind the desk that morning.  That may be what happens just because I bet they won’t know where the MLP class is going to be in early May.  I just hope that Thomas doesn’t have to be bussed too far.  Our school district is fairly large and sprawling, so he could have to ride the bus for quite a while every day, depending.  I’m a little concerned about that.

            I’m excited for Hayley to start pre-school and get some socialization at long last.  I’m hoping they’ll teach her a little about how everyone is different and it’s not polite to stare, point, or loudly say, “Mommy!  Why is that old lady’s hair blue?”  (Luckily, that old lady’s hearing was apparently not what it used to be and I escaped that situation.)  She’s just like every other kid when it comes to pointing at someone who looks different, walks differently or has any characteristic that doesn’t jive with Hayley’s definition of “normal” which is probably a bit skewed, to say the least.  I’ve been trying to tell her, after we’re home or in the car, that it’s not polite to point or talk about how people are different when they can hear us.  How do I do this?  Does anyone have any words I can use that an almost four year-old will understand?  If you read my blogs regularly, you already know that I have a tendency to get a bit wordy and use some goofy vocabulary.  Unfortunately, I find myself doing that with the kids and I don’t notice so much when their eyes glaze over.  Sometimes, Hayley will say, “Mommy?  I don’t understand your words!”  At least she can tell me when nothing is getting through.


Music Therapy Resources

Nov 28, 2007 by Anonymous

A great resource in Southern Illinois for musical equipment and sheet music for music therapists and other special ed teachers is Byassee Keyboard and Sound. Any of the great folks there can help you in person or over the phone or Internet.


Angelic weekend

Mar 11, 2007 by Anonymous

            What an eventful weekend!  It started Friday morning when Hayley and I went to Thomas’ school for the Art Show.  The whole way there, Hayley sat in the back seat saying, “Going to an art show!  Going to an art show!”  She was excited.  I was wary.  Last year, whenever I showed up at school, Thomas would flip out a little bit.  I understood why; I wasn’t supposed to be there.  I was not part of his school schedule.  Friday, I told him that Hayley and I would be at school today to see the art show, and he seemed excited.  When we walked into his classroom, he smiled kind of shyly.  Hayley went over to him right away and said, “Oh, hi Thomas!  What a good boy!” and she gave him a hug.  Thomas’ teachers thought that was really cute.  So did I.  Unfortunately, Thomas thought that we were going to go home right away; that I was just picking him up.  I did get him to stay for about forty-five minutes, however.

            I loved the art show.  It was really cool; they had the kids “copy” masterpieces like Van Gogh’s “Starry Night” and Piet Mondrian’s color-block pieces.  The teachers took pictures of the kids and then turned some of them to negative to look like Andy Warhol’s works and arranged them in groups of four.  There was a section for each artist that showed the original painting or composition and then the kids’ pictures were displayed around it.  They had snack stations (Thomas and Hayley’s favorites) and art stations with ink stampers, paint brushes and crayons.  We had a lot of fun.  Thomas and Hayley were really well-behaved – so good, in fact, that a photographer from the local paper took our picture while we were observing some of Thomas’ artwork.  The photographer was watching us, waiting for a good photo opportunity, but both Thomas and Hayley stared at her and plastered goofy smiles on their faces.  They definitely know the camera-drill.  She asked them to pretend she wasn’t there, so I engaged Thomas and asked him to find his name.  (All of the kids’ names were on their particular pieces of art.)  He said, “It’s right there,” and nodded to his picture.  The photographer stood and waited so I asked Thomas to point to his name, which he did.  Click, click, click – she got what she needed.  I don’t know if our picture made it in, but I’m sure someone will let me know if my children, at their very young ages, have already gotten their fifteen minutes of fame.

            Yesterday, we had to take Thomas and Hayley to the doctor with us.  Both Jonathan and I had check-ups, and since our internist doesn’t handle pediatrics, his receptionist really enjoyed our visit.  So did the doctor, until Thomas and Hayley dismantled the protective paper roll that was hung on the back of the exam table.  He said he didn’t mind, but I was surprised he saw us both together with the kids in the room.  Next time, he might ask that we come in one at a time so that the kids won’t have to come in.  Actually, we did schedule separate appointments, but SOMEONE (not me) forgot his appointment on Friday night so we both squeezed in together Saturday morning.  Other than the paper thing, the kids were really, really good.  Actually, lately it’s been Hayley that we have a problem with.  She’s not loud or destructive, she just doesn’t listen to us.

            We went out to dinner last night with my side of the family because my sister’s company is moving her to California and we’re probably not going to be seeing her very often.  A whole slew of us were there, and my sister decided that she wanted one last real Chicago meal, so we went out for deep-dish pizza.  The meal was a little later than Thomas and Hayley are used to eating, and the pizza took FOR-EVER to be served, but despite all that, they were very good.  It got a little hairy at the end, but it was already way past their bedtime and everyone was, as always, very understanding.

            We stopped at my sister’s place before going home and the kids had fun on the stairs.  She gave them a stuffed shark named Bruce from “Finding Nemo” and a little toy car one of her roommates got in a Happy Meal not long ago.  Thomas didn’t want to leave, but Jonathan and I were getting tired.

            Today, we decided we had to replace the kid’s beds.  Thomas has been sleeping on a toddler bed for the last two years, and it has seen better days, to say the least.  Prolonged jumping and general wear and tear has lately rendered it broken-down and possibly unsafe.  We also decided it was time to move Hayley to a toddler bed.  By the time Thomas was her age, he had been in a toddler bed for over a year.  So I first let my fingers do the walking.  We had kicked around the idea of buying him a car bed, but once I found out the price (not including the mattress) we decided to get him just a regular twin-size bed and put Cars sheets on it.  We presented the idea to Thomas this morning again, as we have been talking to him about it for a few weeks now.  His response was, “I don’t want a new bed.  Just a new car.”  We took the kids to Toys ‘R’ Us (my keyboard won’t do a backwards “r”) first to get Hayley’s bed and bedding, and that was a bit short-sighted.  We had discussed a plan of attack prior to setting out.  We thought that maybe I could just run in for the bed and sheets but then we decided that we wanted to see what else they had, possibly for Thomas.  Well, Thomas can smell a toy-car section like a bloodhound and it wasn’t long before we were wandering through the aisles of cars while Thomas hollered about which way he wanted the cart to go.  He had his heart set on a large, orange and radio-controlled Range Rover that cost far more than we were willing to pay for a “just-stop-screaming-and-let’s-get-out-of-here” toy.

            We bought it.  What suckers we are!  Jonathan rationalized it by saying that he would play with it, too.  It was amazing how Thomas’ mood immediately improved by a hundred percent as soon as we left the thing in the cart and it appeared that we intended to purchase it.  Thomas chattered happily to the cashier who asked rather skeptically if we wanted her to put the car in a bag.

            Then, it was our intention to go out to lunch.  We found a Chili’s, which the kids are used to, and pulled in the parking lot and parked.  Next began the daunting task of convincing Thomas that he could not bring the car into the restaurant.  My excuse was that they didn’t allow toy cars that big in Chili’s.  To my amazement, Thomas actually accepted that and willingly left his new toy in the car while we went in and had a very pleasant lunch.

            Also to my amazement, Jonathan and I don’t dread taking the kids to restaurants anymore!  It’s finally happened!  They can sit down, amuse themselves with crayons and kid’s menus, and not scream or cry or otherwise be obnoxious until the food comes!  That is a big relief.  We’ll just have to see if we can conquer Hooters again.  It’s one of my and Jonathan’s favorite restaurants and the last time we were there, Thomas was atrocious.  We had to leave before we finished eating.  It was about one year ago, actually, before Thomas was diagnosed.  We’ll see.  We have to take baby steps right now.

            After lunch, we convinced Thomas to just go and look at the beds to see what he thought.  He seemed agreeable, so we went to our nearest bedding emporium and chose a mattress for him.  The salesman was a little confused since Jonathan and I kept explaining to Thomas over and over again that this would be his new bed.  We would take the little-boy bed out of his room and replace it with this big-boy bed.  We would buy new Lightning McQueen sheets and this would be his new bed and he would sleep in it from now on.  I finally told the salesman that Thomas is autistic and we have to be very sure that he understands what’s going to happen and agrees to it before we purchase a new bed, take it home, dismantle the old one and set up the new one only to find out that he will not, under any circumstances, sleep in it.  In another complete turn-around, Thomas was surprisingly on-board with the whole thing, answering “yeah” to all of our questions.  He was excited!  We were cautiously optimistic.

            We came home, spent a couple hours dismantling and assembling, and Thomas is now in his room, but not yet asleep.  We’ll see what happens.  I think the time change has something to do with this late night, but he is being quiet and hasn’t complained.  I was actually more concerned about Hayley, since she has never had the power to get out of her crib by herself before.  I thought for sure that she would make one or two surprise appearances this evening before getting the picture that even though she is able to get out of bed doesn’t mean that she is allowed to when it’s bedtime.  Happily, she went right to sleep and hasn’t made a sound.

            We have reasonably well-behaved children.  I am very pleased and content this evening, save for the fact that Thomas is inexplicably requesting water.  Of course!  He has a new mattress that isn’t covered in vinyl, so this is the perfect time to wet the bed.  I did purchase a waterproof mattress pad, but still!  We’ve also just started putting Thomas in underpants overnight instead of a pull-up, so we’re doubly-concerned.  I’ll just be happy if he goes to sleep eventually. 

            (Update:  I just checked on Thomas and he is asleep in his new bed, with the sheet and comforter all crumpled up around his upper body.  It’s amazing how angelic children look when they’re sleeping…but they did have a pretty angelic weekend.)


The Sound of Mucous

Nov 21, 2006 by Anonymous

We’re all sick. And I think Thomas has pink-eye.

Even as I sit here typing, I am painfully aware of all of the germs and wee creepy-crawlies that are most likely throwing rowdy parties all over the keyboard. When will all the sickness end? At least the kids won’t get the flu…or at least they won’t get whatever strain of the flu the CDC deems most threatening this season! I’m still sick and Jonathan is sick now, too. Just in time for Thanksgiving! Thomas missed the Halloween parade, and now he can’t go to school tomorrow when the class would surely be making cute little hand-turkeys.

Of course, since Thomas most likely has conjunctivitis, I will have to take him to the doctor tomorrow…all by myself. Even going to the doctor is not what worries me so much – it’s the eye drops we will have to administer if he’s got pink-eye. How in the world am I going to give Thomas eye drops? Even I, a neurologically-typical grown-up adult cannot stand eye drops. The antibiotics around Halloween was one thing…I could mix that into a cup of juice! I am already sweating at the thought of having to hold him down and get drops in his eyes. Would it be considered child abuse to hog-tie him to administer ocular antibiotics? Honestly, I don’t see it (no pun intended) happening any other way. At least, at least he will be okay to go back to school on Monday if we get him on the antibiotics tomorrow. Even twenty-four hours on the meds should make him okay for Thanksgiving. I should probably just have the pediatrician write a prescription for all of us, since I cannot fathom that just Thomas would get pink-eye. I know how contagious it is.

And the hits just keep on comin’.

Okay, enough of my pink-eye rant. Back to Thomas. The potty training is still going well…he usually has one accident every day or every other day. Getting him to listen to his body’s cues continues to be a struggle, but if we’re diligent about taking him to the bathroom, accidents can be avoided. At least we’re only buying diapers for one child now.

Thomas continues to enjoy singing! He was singing “Jingle Bells” today, and I’m not really sure where he picked it up. We haven’t sung it yet this season, but the morning bus driver was playing Christmas music this past week, so maybe that’s where he heard it. He really seems to like singing and even Hayley is picking up on it. She’s started asking Thomas to sing, too.

One of the greatest things he’s doing is answering when we call his name! We find this so encouraging and we know that he’s listening to us. Lots of times now, I’ll say, “Thomas?” and he’ll respond, “Yeah?” Then I ask him what he’s doing. He’ll say, “Oh, I’m um…just jumping on the couch.” He’ll ask me what I’m doing, too. We have these little conversations now! It’s so much fun and it catches me off-guard a lot of the time. Sometimes he’ll ask me a question and it’s so novel and strange to me that Thomas would ask me something that I have to take a minute to process that he’s waiting for a response. And after I respond sometimes, he’ll say, “Oh. Okay.” So cool!

Unfortunately, Thomas has been pretty rough with Hayley lately. Just tonight they were “playing” while I was putting away some laundry. I heard them laughing and carrying-on, when all of a sudden Hayley’s laughter turned to shrieks of pain. I went into Thomas’ room, soothed Hayley who said, “Thomas hurt it,” and went back to my laundry after a stern admonishment about not playing too rough. Five – no, one minute later, the same thing happened again. Thomas came running out of his room looking sheepish and Hayley was laying on the floor weeping. I had had enough. Jonathan was sick on the couch and all I wanted to do was put away some clean clothes, but no! Getting laundry done was just too much to ask. I was seriously thinking about taking the old baby-backpack out of storage and just carrying Hayley around papoose-style until she’s fourteen and better able to defend herself. I try to explain to Thomas that Hayley is too little for playing rough and he’s got to be more careful. The thing is that he knows when he’s hurt Hayley. He does understand that if she’s crying, she’s upset about something and he usually knows that he hurt her. Is this just brother-and-sister stuff, or is it happening because Thomas can’t understand when he crosses the line? I might be better off telling Hayley that when Thomas is playing too rough, she needs to come to me. The thing is that when Hayley is hurt, she just lays there like a lump until somebody comes to save her. A little more initiative on her part would help the matter greatly, I think.

So we’re off to the doctor tomorrow and my mother-in-law’s house on Thanksgiving, if we’re given clearance from the pediatrician. (Even if we’re not, I’m sure we’ll still go and issue the firm edict that nobody is to touch Thomas – or really any of us – without signing a waiver.) I’ll probably bring my antibacterial wipes and Lysol and wear them around my waist in a holster-type apparatus. Nothing says “Thanksgiving” like following your kids around all day, spraying and wiping down everything they touch. I’m banking on a goofy skin condition for Christmas that will have us up to our elbows in lotions and creams.

Happy Thanksgiving!



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