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Early Intervention Speech Therapy

Warm Weather Therapy Tips

Published April 28, 2009 11:00 AM by Stephanie Bruno
Well, hello Summer! Here, where I live and work in the northeast section of the US, right outside of Philadelphia, the temperatures this weekend were anywhere from 88-92 degrees! Hot, hot, hot for the last week in April!

So now that spring is officially here (the weather has finally caught up with the calendar!), the daily routines of the families we work with are going to start to change. Children tend to be outside playing more and families often take trips to the local park. These opportunities are ways in which we can broaden our therapeutic scope and expand the arena for communication.

So, for today's post I wanted to share some ideas that I have implemented in the past during my home care sessions and will shortly become a part of my weekly routines whenever appropriate!

  • Hit the Road, Jack! —Take advantage of the nice weather and suggest to your families that you do a group walk to a local park. Sometimes, just a walk around the block can spark the child's focus and create a whole new scenario for building communication. Many times, these activities are already a part of the family's daily routine, so if that is an aspect you need to be mindful of during therapy, plan with the family ahead of time to make it a part of your session for the following week.
  • Get Movin'!—Or, just step outside and use the family swing-set! Most children love motion and many crave it. For children diagnosed with autism and/or have significant sensory needs, movement can be very soothing. I have met with great success in the past when using swings during speech therapy. The repetitive motion of back and forth often helps to organize the child. I have seen eye contact improve and the child's overall social focus becomes more appropriate.

    In addition, many children who love to swing are motivated to use the words and signs we have worked hard all winter to teach. When I have a child on a swing, we practice saying repetitive phrases, such as "1, 2, 3!" and "Ready, set, go!". In addition, the child needs to either say or sign "more please" in order for me to give another push. I have also found that they will say "stop" and "all done" more readily when they have had enough.
  • Start your Engines!—Use the child's bike, scooter, etc. to help build language! Just like in the second example above, the child can practice asking for "more" and saying "stop", etc when on one of their favorite toys.

    I recently showed up at a home for therapy and the little boy was outside on a Big Wheel with his siblings. He did NOT want to go inside when I arrived, so we decided to do speech outside in the sun on his Big Wheel. It was the most appropriate independent and spontaneous speech I had heard from him in several weeks! It was a really successful session and I was thrilled to see him engaged with his siblings and the neighborhood children!

Please share other outside activities you use during your speech sessions!

7 comments

Stephanie:  Would like to email you.  Have a possible job offer with early intervention..needs tips, where to look for what the literature is saying and I thought you might be the perfect Go To person for this.  Enjoy your page very much on my facebook! You inspire!

Carol, Speech/Language - Grad Student May 5, 2009 10:46 AM
Greer SC

Stephanie,

I loved your adaptability and use of the good weather! It's funny, I am from CT and also enjoyed that hot weather last week. I arrived at a little boy's house and found him sending cars down a ramp into a swimming pool. We used the pool as reinforcement for artic work for a full hour and I got more out of him than usual. It's always good to be flexible and go where the child is having fun!

Sherry Artemenko SLP

http://www.playonwords.com

Sherry Artemenko, SLP May 4, 2009 9:18 PM
Southport CT

Love the blog - as I gather ideas from numerous sources and yours is one I peruse often.  Outdoor therapy is a hit with most of the young clients I see.  Play structures and equipment are awesome for working on basic concepts (verbal & ASL) such as in/out, under/over, up/down, items such as slide, swing, and actions ie. run, jump, slide, bounce, crawl, etc.  Motor activities really seem to wake up Broca's area as kiddos start by laughing up a storm and then speech seems to flow!

jeneane douglas, Speech/P.T. - CLSPA-LPTA, Easter Seals May 2, 2009 11:29 AM
Salem OR

I have also taken advantage of the warm weather and doing therapy outsied.  One of my kids has been outside whenever it was hot so that's where I did therapy.  We blew bubbles and worked on "pop" "more" "big/little bubble", etc.  We play catch, sing songs.  One time his mom was pulling out the weeds so we worked on "pull." It was great and very motivating for him.  Thanks for the additional ideas.

Daphnie Doirin May 1, 2009 5:47 PM
NY

Love this blog, too, as it exposes me to an area I have yet to work in - EI - and it also gives me ideas for the kids I work with (K-5th grade).  I am especially looking for warm weather ideas as I am doing the summer program and do NOT want to be doing therapy at a table in this hot modular!  I do have a collection of beach balls that I've divided into sections with a Sharpie, and written words such as present tense irregular verbs, single nouns, nouns, artic words, etc. and we toss the ball back and forth or around in a group and wherever your finger lands, that's the word you have to give the past tense for, the plural form, a describing word, or just say the target word 3-5 times.  The lids love it!  For younger kids, eye contact, turn-taking, sequence (who's next?), color-naming, and if you're artistic, you could draw simple objects onto the sections and have the child name them.  You could also tape pictures on the ball (people, toys, household objects, food, etc.) and that would allow you to swap the pictures out.  Laminate them first if you want to reuse them.

Pam, speech-language - SLP, elementary school May 1, 2009 3:04 PM
Milton NH

Thank YOU for reading and tuning in each week!!

stephanie bruno, blog author April 28, 2009 5:02 PM

I've been following this blog and loving it!  I actually look forward to it every Tues and Fri.  I started working in EI recently and have used some of the great ideas that you have shared. Just wanted to say thanks!

Lauren, SLP April 28, 2009 2:35 PM

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