Oral Motor Program 3 times a day

Brushing program every two hours

Youtube (how to do skylers brushing skyllernathan

Autism Brushing Protocol

1. Hold brush horizontally (across) if clothes are off, vertically (up/down) if clothes are on.
2. Hold right hand, brushing right arm in an up/down motion, turn child's hand to reach whole arm (5-8
times).
3. Brush right hand (5 times) each side.
4. Hold left hand, brush left arm, (5-8 times).
5. Brush left hand (3-5 times) on each side.
6. Brush child's back in random order (5-8 times).
7. Brush right leg in an up/down motion (5-8 times), and brush right foot (3-5 times) on each side.
8. Brush left leg (5-8 times) and brush left foot (3-5 times) on each side.
-

Make sure to NEVER brush the stomach, neck or head.

Brush with firm pressure
Avoid all light touch
Check brush each time (stiff scratch, too soft)
Repeat every TWO hours!

Sensory based activities all day long

YOUTUBE & READ

-Sensory Processing Disorder (SPD) Dr. Lucy Jane Miller

Structured ADLs and daily schedule (Helps him know what to

expect and anticipate in his schedule each day)

In order to accomplish this, a large safe space with mats, ceiling suspension
systems for swings, and other moveable equipment is recommended. In this
environment, you and your team can promote his engagement in activities
that match his sensory and motor needs.

Language
1. Make color coded cards with parts of speech on them and have
Egu first sort them into categories and then construct sentences.
Simple to complex sentencesnoun & verb.then add the other
parts.
a. Other variations can include-

i. You can also use magnetic strips and a magnetic

board to organize the words,
ii. Chalk board with different color chalk to write them
on the board. Have a damp sponge available to let
him wipe the board.
iii. You can have him string beads with letters on them
into words and then sort and assemble words into
sentence
Example: All the parts of speech will be color coded verb red,
pronoun blue, verb red, preposition green, adverb purple etc....

Vreau

s merg n afara.
Vreau verb / s merg / n/
afara adverb purple
Pronou
n

Verbs in

EU

Vreau

indicati
ve
present

Noun
s

Prepositi Adver
Verbs in
b
subjunctive on
present
(conjunctiv)

afar
a

merg

2. Give many different words to be put together to make

sentences/statements.

EU Vreau s merg acas.

Parts to the whole
I suggest you take cardboard pentagon cut outs and glue them onto
an inflated balloon to achieve a similar parts to the whole task that is
construction based.
Variations1. After the pentagon is constructed. Have him construct a
sentence with his word cards. Then take another blank
pentagon cardboard cutout and have him write each word on
the tile and affix it to the pentagon structure using Velcro
fasteners. Then have
him read the sentence again.

Vreau s merg acas.

2.

Have him assemble each word using the following system.

Place a box with each letter bead in front of him and have him select one
bead at a time and place it on a pipe cleaner. V-r-e-a-u Use a different
2

color pipe cleaner for each word to match the part of speech. Have him
continue this until he has completed the sentence. Now have him read
each word on the pipe cleaner. Then have him put them in order of the
sentence and read it again.

Weaving

Materials Needed:

a variety of decorative papers, felt or

fabrics
tag or poster board
pencil
ruler
scissors
glue
stamps
stamp pads
paint
brush
Photocopy or trace the pattern to a piece
of tag board or poster board to make a
template. Fold a piece of decorative paper.
Place the template on the decorative paper
and trace around the edges of the
template. Make sure to match the folded
side of the paper with the place on fold
mark on the template. Indicate cutting
lines. Holding template and colored paper
together (or use paper clips), tightly cut
around template to make piece A. Repeat
to make piece B.

Diagram 1

Diagram 2

Diagram 3

Position folded heart pieces A and B on work

surface. Weave strips as shown in diagrams 1 and
2. Begin by sliding Strip 4 through Strip 4. Then
slide Strip 6 through Strip 4. Strip 5 slides
through Strip 3. Strip 3 slides through Strip 6.
Strip 4 slides through Strip 7. As you weave the
last strips you will need to carefully bend the
strips as you slide one through the other.
Continue weaving and slide Strip2 through Strip
5. Strip 6 slides through Strip 2 and Strip 5 goes
through Strip 1 and so on until weaving is
completed (see Diagram 3). Straighten strips and
sections and glue or tape on handles and add
decorations. Fill heart with candy or dried flowers
or something special for your valentine.
Try mixing paper colors and patterns. Cut A from
checked or a colorful decorative print paper and
cut B from origami, metallic or handmade paper.
Watch what happens when you weave the
combinations together. Draw designs or use
rubber stamps to decorate your woven hearts. Try
enlarging or reducing the size of the heart pattern
and make lots of different size hearts!
You can also use fabric, cardboard, pipe cleaners,
straws and ropes glued onto the top of the heart
paper and the ends left free for weaving,
materials that you could use to make woven
hearts?

Weaving Project -more advanced

5

Use a large frame (you can make them yourself)

12 inches by 12 inches at first and then reduce the size over time as
his dexterity becomes better. When you start him on this task you will
have to
see what will work best for him to start.
There are two ways:
1. Using a shuttle will separate the rows for him to make it easier
for him to manipulate the weaving through the loom.
2. You can teach him the in and out method. In this method he will
go over and under each (warp) vertical line with the horizontal
weaving of the weft you pull through each strand. Make your
Weft the size of a diameter of a crayon and the Warf the same.
You can use strips of cloth or thick rope to make the tapestry.
After he masters this you can make it more challenging by
reducing the size of the weft material you use, and then you can
make pattern cards and place underneath the loom for him to
follow.
3. You can also have him weave paper projects to teach him this
concept.

Tangram Puzzles

You can make Tangram Puzzles with increasing

complexity. These are great activities to add to
his obstacle course and inside the tent activities.

Tool Use
Construct cars, planes, trains, boats, and houses that can be
assembled using hand tools.

Rolling a Dice
This game can easily be made by drawing the shapes and
numbers and painting them onto a sheet. This is another project
that Egu can work on from start to finish (part to the whole). I
would suggest doing the painting outside. First paint the whole
sheet and let it dry. After the solid background is painted use
stencils of shapes and have him stamped on the color using a
sponge and paint. When it dries Egu can add the numbers using a
marker. For the dice you could use a block of foam and cover it
with plastic pockets that you can slide in cards with different
information on it in order to play the game. Initially you can use
the colors, numbers and then do adding and subtracting. A mat can
also be made for reading in which he would roll the dice hop on
the left foot, right foot, both feet to the number/shape, pick up a card read it and do what is says on the card.
I would suggest modifying the mat so that it is longer and so it is not so visually busy.

2
1

(more like this)

Word Search

Names of the family members- bean bag toss.

A
A
I
B

L
D
L
A

I
I
I
B

N
Y

Put writs weights on Eugs writs. Make a grid using shallow boxes and glue them all together. In the back of
the box glue the large letter or the happy face. Then have Egu stand in front of the grid and throw the bags
into the name you call out. Spell each letter as you go. If, he misses have him pick it up and stand on the
mark and throw again. Be sure to make it the just right challenge so he can be successful.

Variation

V iubesc!

Eti biat
mmica lui
mare!
Isus te
iubete!

Velcro Dart Throw

Cover the target with Velcro and put strips of Velcro on ping pong balls, and small balls of different
weights. With wrist weights have Egu throw the balls toward the target. You can put letters on the target
and have him hit a letter and then go toss the bean bag in the name grid above. This can be added step-bystep into an obstacle course sequence. You can also put numbers on the rings and use it for math games as
well.

Whats Missing?
To play
Place two objects on a tray (the more items, the more challenging the game so for now
start with two and then move up in number). Tell Egu to look at the items on the tray.
Name them together (the more you discuss the items, the more likely he is to remember
themso describe each what color or shape each item is or what it is used for).
Cover the items with a tea towel. Ask Egu to close their eyes without him seeing remove
one item from under the cloth. Ask him to open his eyes, remove the cloth and tell you
Whats Missing!
Variations
masinaUse more items and allow him to look at them and then cover them up and ask
him to pick out what was on the try by using pictures of each item and put them onto a
board until all the items are identified. Put only one or two distracters and then increase
the number of distracters. Next have him match the item to the word. Then have him
write the words in sand. Then have him put letter beads on the pipe cleaners to spell a
word. Then place letter cards on the floor and have Egu bounce on the trampoline, turn
around three times and then go to look on the floor for the first letter of a word that you
have put up on the board For example,

MASINA

as Egu organizes the letter tiles together be sure he does them in order.

I Went Shopping (be sure he has on weights, or the weighted vest

with this activity)
Give Egu a shopping bag and tell him he is going shopping. The aim of the game is to
follow directions and to remember the items he is to purchase at the store.
To play
Have a picture of three items to start with on a board. Have him select what he wants to
buy. Then go to a pre-planned area in the house where the store is set up. Let him select
the item to purchase. Give each item a price at the store 5 lei; etc. Let him select the item
and emphasize the price and put it in the bag. Have him pretend to carry the bag home.
Say, I went shopping and bought a ____, identify what he bought.
The second time Egu will continue, I went shopping and bought a (have him select the
word from the board). Continue taking turns to shop and remember the items purchased
in order as the list gets longer and longer. The bag will get heavier and heavier.
Variations

10

This game can be adapted to many different dramatic scenarios, for example, I went on
holiday and packed my bag or I went to school and took
You can also adapt the game so Egu has to spell what he is going to buy with letters of
the alphabet and then match words, with pictures and write them down and then go for
the item.
Egu can work on learning to name and identify letters, numerals, phonic blends or sight
words with sounds. For example, by providing him with sensory or tactile experiences
when he is rehearsing the information in a fun, engaging way.
These can include:

Writing the letters or numbers in sand

Forming the letters or numbers with play dough, pasta or wool
Painting the letters, numbers or words
Painting the letters, numbers or words outside with water or chalk on the ground
Decorate the letters numbers or words by gluing on sequins and sparkles
Making the words with letter tiles, beads etc.
Jump, clap or stomp as you count or recite the words
Print the letters, words or numbers onto index cards (two for each) and play a memory game

These types of experiences are particularly important for Egu who learns best by doing
by doing rather than listening or observing alone. He needs hands-on and physically
involvement while doing the task of learning. To reintroduce him to using the education
room as a fun experience we want to change the room a bit. Here are some suggestions:
Re-Decorate the Education Room
1.

Paint one wall white where the book shelves are and above the
shelves display art work that Egu has done. Make a frame on the
wall out of tape for each picture. Under the picture put the words
Refill with his latest creations.

Meu cel mai bun lucru...

2.

Paint the other walls and the ceiling all the same color and choose one that is relaxing. The most
relaxing colors are generally believed to be cool shades such as green and blue. Occupational therapists,
psychologists agree that blues and greens evoke feelings of calm, balanced, and less emotional. They
use these hues, especially a sage green, in hospitals, test centers, and television stations to ease nerves
and attenuate harsh emotions. Although no definite findings have been revealed some researchers
believe that this reaction may be due to the effect of wavelengths or the brain chemistry, or the
linguistic associations, and cultural meanings.

3.

In the corner put a Teepee with a large opening in the front, but, not to deep. You will be doing some
activities in the Teepee and want it to be large enough in the front to support you and Egu. Also, the
opening to be large enough for you to sit outside and have Egu inside as he works on various activities.
The Teepee should be nestled into the corner so it is surrounded by two walls. See the picture below.
Make the base of the tent out of plastic for easy washing and clean up. Place a soft foam mat with a
blanket over it.

11

Options:
1. Ball chair
2. Air Seat Cushion

Bean bag chair is to be placed

next to the Teepee.
Make sure the chair and table are the correct measurement for Egus body. His feet must be on the floor,
and the table height should be appropriate.

The following table is based on average recommendations from several sources, and should be used as a guide. Child
factor to consider. You will get the best fit if you can measure your child as described above, but if that is not practical u
consider whether the child is bigger or smaller than other children of the same age. When in doubt, go the next size up

On the table I recommend putting textured mats that Egu can run his hands over when working on table top
tasks. The types of textures can vary, but, look to see which type he likes the most. Have two alternate
lighting sources. When he is starting to look too tired, not only change the activities with a sensory break,
but also offer him a change of lighting with a hot red. When he is getting agitated, put on the blue, green
tones. Do not be surprised if he has a preference!

Music as well as light can be used to calm and to stimulate. Music also influences
emotion and mood. Relaxing music stimulates the release of oxitocin in the brain. This

12

hormone has a relaxing effect on the body to reduce anxiety and stress. One of the most
stressful times for parents can be the arrival of a new baby. Settling a young bub into any
sort of routine can be difficult. Sleep deprivation or lack of good quality sleep is almost
universal for new parents, but it goes beyond that for many who have difficulty getting
children off to sleep or have wakeful nights way beyond the newborn stage and into the
terrible twos. This is a huge issue and in this post I can only just begin to scratch the
surface but I would like to begin with three questions to put the situation in context:

How would you feel if you were uprooted from the most enjoyable party to be suddenly told you
have to lie down and sleep?
How would you feel if you were extremely tired and wanted sleep but were constantly barraged by
noise and stimuli that kept you awake?
How would you feel if you just wanted some time off to relax but social/work demands kept you
in performance mode?

Babies and young children are no different from adults in their needs, except that they are
adult dependent and have little personal control over their environment. They are
relatively powerless to effect positive change and are dependent on their ability to
communicate their needs to you. The environment is something that adults have control
over. Lets look at how music plays a part in this. In a world of constant background
noise, sound can be a negative influence if it is not tempered with silence. The principles
of music for calming are:

Less sound, less movement is calming

Routine provides security
Music combined with routine is magical

And these are some practical steps you can take:

As sleep time approaches, reduce the background noise level and reduce social stimulation
Use massage with music to calm at bath time or bedtime your touch provides reassurance
Use the music as a cue during the bedtime settling routine

Educational Music Games for Kids: Fun Interactive Classical

Music ...

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educators, and artists who understand what kids want in a game AND what ...
www.interactiveclassics.com/ - Cached - Similar- Block all interactiveclassics.com results

13

Behavioral Expectations through Play

1.

Newborn Baby Doll- Dramatic Play

You will want to do all the things that you will be doing with the new baby. Have
Egu do the tasks with you. Demonstrate affection toward the baby and teach him to
do so as well. Never treat the baby as a toy. But, use dramatic play to show the
expected behaviors for the doll. Put the baby up in a secure place and if Egu wants to
play with the baby, have him request the doll. Always supervise the play. You want
to communicate that the baby means we are all together in our family.

2.

New Baby Bingo Game

Make a card with pictures of things related to the new baby coming. For example, pictures
of the family, the place the baby with sleep, diapers, mommy nursing the baby, birthday
cake, etc. Teach Egu how to play bingo. When he wins the game by getting four in a row, be
sure to say, Bingo, copilul se nate.
VariationThe Bingo Card can be a large floor mat. He can take turns throwing bean bags onto the
square of the Bingo Card that is called out. You can also make four picture dice and have
him roll them and then throw the bean bag on the picture that comes up on the dice. Bingo,
copilul se nate.

3.

Bake a Cake for the Baby- Have Egu work with you to bake a cake for the baby. Since he does
not like sweet things I would make the cake out of his favorite foods. I saw he liked white plain
pasta. That would work find with slices of bread cut into circles with a cookie cutter and then
stacked with pieces of pasta and them make another layer. Sing happy birthday to the new baby.
Put a candle and have him blow it out. Then of course eat the cake. If, he gets adventurous you
could have him frost the cake with a mixture of soft creamy Telemac cheese and other preferred
food items.

Sensory Activities -

Visual & textual

Fill one of the bags with a few drops of food coloring and some shaving
cream. You'll need a lot less than you think because you don't want the bag to
be very thick once you push all the air out. Push the shaving cream down to the
bottom and squeeze as much air out as you can before sealing the bag. Then
let your kids go crazy smooching it all around until you get the color effect
you're after. My favorites were the ones with two colors that weren't
completely mixed. Q-tips aren't the most obvious choice for a perfect tool for

drawing in the shaving cream. One thing to note: you'll is that after 12-24 hour
the shaving cream starts to morph and, although it does become sparkly; the
whole thing goes a little limp.

14

Read a book with one or two sentences per page about something of his interest.
For example

A young monkey named Sari woke up. He knew there was trouble.
If you like you can make your own books. Copy and paste the images add your Romanian text below and
you have it (http://www.magickeys.com/books/)

Since he has fairly good fine motor get beads with alphabet letters and pipe cleaners and spell out words
(has the texture of the pipe cleaners). Then he can line up the pipe cleaners to make phrases. Take the
same words and write what has on pipe cleaners. Next step is computer skills.
Nouns, adj, verbs, articulation, prepositions-some are square, rectangle, oval, each the same color (teaching
classification of each). The same words we used in the book. Pull out the tile, she gets the tile if she can
read the word correctly.
For Math: counter (1=yellow counter) 1+1=2 she would trace.
Sequentially break down tasks-what are the accesses?
Jackie needed sensory input first-gave her all she needed when she first came into clinic. Brain eventually
matured enough to only need 15 minutes of spinning (need for spinning started at 45 mins)
We need to develop his sculpting skills.
He needs a lot of affirmation/reassurance
Your self is made by the feedback we get from others
This is how much I love you, lets do things together
Lycra swing the up and down (on his stomach like hes flying, body in swing and hands out to do an
activity). Spinning evokes speech so perfect time to do language things 1,2, 3 go). Another position is like
a typical swing.
PECS to say what he wants to do
Swing with stalk in the middle

15

diarhama
organized shelves-so he can get materials
Teach him various shapes to draw from
Need more variety of textures (tactile items)
3-sided pencil grip
Sound scape type music
Full color change light machine (tri-color light)
Swiss disk/cushion in chair
Dizzy disk to dance on (more like a lazy susan)
Bean bag to tuck in corner or tent (give him flashlight to look around in there)
Hand vibrators
One side of desk or on heater put textures
When dancing tell him which was he is going (forward, backward, LT, RT)
Let him climb up you so he has to motor plan and use his muscles
Wheel barrel to pick up things in environment (organizing to his body)
Plastic for floor
To help him come to what you want him to do follow his lead, massage body, try 1,2,3. Rubbing with
textures on body. Bring out different activities. Put him in her lap
Needs a smaller space because too many distractions

SUGGESTED ADDITIONS TO HIS CURRENT PROGRAM

1. Oral Motor Program 3 times a day
Recommend advancing oral motor program to treat praxis to 3 times a
day 7 days a week. Work with the SLP to establish the exercise.

Brushing program every two hours

Autism Brushing Protocol

1. Hold brush horizontally (across) if clothes are off, vertically (up/down) if clothes are
on.
2. Hold right hand, brushing right arm in an up/down motion, turn child's hand to reach
whole arm (5-8 times).
3. Brush right hand (5 times) each side.
4. Hold left hand, brush left arm, (5-8 times).
5. Brush left hand (3-5 times) on each side.
6. Brush child's back in random order (5-8 times).
7. Brush right leg in an up/down motion (5-8 times), and brush right foot (3-5 times) on
each side.
8. Brush left leg (5-8 times) and brush left foot (3-5 times) on each side.
-

Make sure to NEVER brush the stomach, neck or head.

Brush with firm pressure
Avoid all light touch
Check brush each time (stiff scratch, too soft)
Repeat every TWO hours!

Sensory based activities all day long

16

1. Morning preparation help with tasks such as clearing breakfast

dishes/table after his light meal.
2. Evening preparation put on pajamas, lay out clothes for morning,
help
Meals help set table, help with simple food preparation like cleaning
celery, say blessing, clear dishes, help unload dishwasher
3. Household cleaning: dust, shake rugs, help water plants, rinse
bathtub with water, wipe down counter top, put bath mats in
hamper
4. Pet care: feed, water, groom, exercise, help calm pets
5. Yard care: rake leaves, sweep walk, fill birdbaths with hose, shovel
snow
6. Clothing care: collect dirty laundry, sort and fold dry laundry,
deliver laundry, clean and organize shoes
7. Errands: get mail, or newspaper, help make shopping list, help
grocery shop, carry light bags
8. Gardening: hoe, plant, water, weed, harvest, clean fruits and
vegetables
9. Celebrations: make gifts or gift wrap, decorate, write invitations and
thank-you, help plan and prepare snacks.

Touch/Deep Pressure
Swaddle
Bear hugs
Backscratcher
Massage with/without lotion
Joint compressions
Therapy brushing
Warm bath
Scrub with washcloth/scrubby
Water play
Explore various textures
Sit in the sunshine/shade
Jump on crash pad
Log rolling
Use hand fidgets
Play with stuffed toys
Make mud pies
Use finger paint or other paints
Use glitter glue
Arts & crafts activities
Use foamy soap/shaving cream
Pet a dog, cat, or other animal
Mix cookie dough, cake batter

17

Roll up in a sarmale blanket

Sandwich between pillows
Use Play-doh, Gak, Floam, Sculpey, Silly Putty, clay
Sensory bin with dry rice & beans or other materials
Help with gardening
Vibrating toys - pens, balls,
Use vibrating toothbrush
Vibrator
Movement/Proprioception
Horse Back Riding is (excellent)!
Rocking (in your arms, horse back riding, rocking chair)
Crab Crawling on hands and feet
Commando crawling with full body
Walk
Run
Jump
March
Dance
Bunny hop
Wheelbarrow walk
Animal walks-duck, elephant,
Jumping jacks
Floor push ups
Wall push ups
Sit ups
Use swings
Playground slides
Use monkey bars-trapeze
Climb stairs
Climb ladders
Jump on mini-trampoline
Use Sit n Spin, Dizzy Disc Jr., or other spinning toy
Hop-It balls
Inflatable seat cushions
Bounce on a therapy ball
Ride a bicycle without training wheels
Ride a scooter/skateboard
Amusement park rides
Swimming
Push a grocery cart or stroller
Brain Gym and yoga exercises
Roll down a hill
Hokey Pokey
Play catch
Balloon tennis
Play hopscotch
Cartwheels and somersaults
Ice skating/sledding/skiing

18

Pogo Stick/Bungee Jumper

More Sensory Diet Activities for Egu
Listening/Auditory
Listen to favorite music on an IPOD
Discover calming vs. arousing music
Play musical instruments- piano,
Listen to sounds of nature outdoors
Singing
Humming
Whispering
Blow whistles, blow a sliding whistle
Sound Eaze/School Eaze CDs
White noise machine or CD
Observe silence
Identify and label sounds
Looking/Vision
Create a corner in the play room with some visual items like the following:
mobiles, lava lamps, bubble tube, Colored lights
Avoid fluorescent bulbs (visual flicker, noise, and mercury content in compact
fluorescents)
Leave out 5-10 toys at a time to avoid visual overload
Games and activities that develop visual skills mazes, dot-to-dots, I Spy,
drawing, flashlight tag,
Smell/Taste/Oral Comforts
Essential oils and scented candles
Explore personal preference and discover
invigorating (typically lemon and peppermint) vs.
calming (typically vanilla, rose, and sweet orange)
Smell flowers
Sniff spices and herbs
Blindfold smelling game
Explore tastes: sweet, salty, sour, spicy, bitter
Eat frozen/cool/warm foods
Explore textures: crunchy, creamy, chewy, lumpy
Chew gum/suck on lollipop
Blow bubbles
Suck thick liquid through straw
Use age appropriate chewy
Others:
Note: Avoid lavender and tea tree oil as studies show they
may cause hormonal imbalances in young boys

19