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Occupational Therapy

Child PlayingServices     Staff     Appointments     Success Story     FAQs   What Consumers Say About OT

April is National Occupational Therapy Month!   

Learn how occupational therapy can help your child improve their
"skills for the job of living." TLC is offering free OT screenings during the month of April
(by appointment only) and free parent workshops. Click here for more details.

The Occupational Therapy Department provides evaluation and therapy for children of all ages with sensory integration and/or sensory modulation, motor planning, visual motor, fine motor, and gross motor delays.

301.424.5200 x128 (phone)
301.424.8063 (fax)
Email

 


Services  
  • Screenings
  • Comprehensive evaluations
  • Sensory Integration and Praxis Tests, if applicable
  • Individual and group therapy sessions
  • Flexible therapy hours
  • Workshops for parents, professionals, and schools
  • Sensory integration summer camp
  • Handwriting summer program 
  • Interdisciplinary treatment program
Child Writing

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Staff  

Occupational therapists are licensed by the State of Maryland.

Debra Patton, OTR/L, Director, Occupational Therapy
Shirley Anderson, M.S. OTR/L, Occupational Therapist
Jessica Cusimano, OTR/L, Occupational Therapist

Child Playing

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Appointments  

Evaluations and therapeutic services are by appointment only. Please contact us at 301.424.5200, ext. 153 for more information or to schedule an appointment.

Child Playing

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A Success Story
  Megan
Born prematurely, Megan has cerebral palsy. At 20 months when her pediatrician recommended TLC's physical therapy department, Megan could not maintain her balance when sitting or standing. After eight months of therapy at TLC, she could do both. And this was just the beginning.

Megan started elementary school wearing braces and using a cane. By the fifth grade, she only needed a walker. By the seventh grade, Megan was able to walk through school without support. She received physical therapy twice a week from when she was an infant through her high school years. After each of four surgeries to correct bone alignments or lengthen tendons and hamstrings, Megan endured intensive rehabilitation therapy to regain her strength.

Progress was not easy. Megan credits Grace Deeley, her "capable, loving, wonderful therapist," with giving her the courage and tenacity to achieve her goals. Grace once told Megan that when she could walk down TLC's long corridor unassisted, Grace would take her out for ice cream. The perfect incentive for a growing child, Megan met her goal soon after, and as promised, Grace treated Megan and her friends.

Grace would join Megan on the first day of school every year to explain to classmates why Megan wore braces. Together Grace and Megan explained that the best way to help Megan was to let her do it herself.

Today, Megan teaches third grade at a local elementary school. On the first day of school every year, she brings in her old braces and walker. She explains to her young students why she once needed these things. Everyone needs help, and she promises her students that they will work together to help each other shed their crutches and become self-sufficient.

"I don't know where I'd be today without TLC. Grace inspired me and gave the motivation and self-confidence not only to walk independently, but to achieve anything I want in life."

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FAQs

Q: How do I know when my child needs an occupational therapy evaluation?

A: There are several signs that indicate that a child may need evaluation from an occupational therapist. For instance, if your child is experiencing difficulty acquiring age-appropriate motor skills, playing with other children, and handling transitions, he/she may be experiencing sensory integration difficulties. If you are concerned that your child's behaviors or tendencies may have a sensory or motor basis, contact an occupational therapist to determine whether an evaluation is necessary.

Q: How do I know my child needs occupational therapy (OT) to improve handwriting skills?

A: Signs that a child may need OT may include difficulty recognizing or forming his or her manuscript or cursive alphabet, complaining that handwriting tires them easily, or they may have difficulty sitting for a handwriting task.  Sometimes a parent or teacher may notice a child's pencil grasp is immature or that a child has difficulty sitting in their seat.

Handwriting is a high level fine motor planning skill. Neuromuscular, sensory integrative, and motor control are the roots of sensory motor function needed for handwriting skills. Cognitive and psychosocial functions work in conjunction with sensory motor functions for independence in handwriting. An occupational therapist will assess a child’s strength in the above components and combine some or all of the components of sensory and motor modalities for a child to achieve independence in handwriting.

Q: What are the components of neuromuscular, sensory integrative, and motor control needed in handwriting?

A: Postural control, muscle tone, and upper body stability are the components of neuromuscular skills. Tactile, visual regard, kinesthesia, visual perception, and motor planning are the sensory integration pieces of the puzzle. Activity tolerance, bilateral integration, visual motor integration, fine motor control, and in-hand manipulation complete the motor control needed for handwriting skills.

Q: What are the components of cognitive and psychosocial skills related to handwriting?

A: These may include attention, visual, verbal, and auditory memory, sequencing, interests, self-concept, self-control, and coping skills.

Q: What are some activities to help a child strengthen one of the following handwriting components?

A: There are both sensory and neuromuscular activities that can help children improve their handwriting.  Some sensory activities may include shaving cream play, painting, or chalk activities. Neuromuscular activities will include animal or wheelbarrow walks, Play-Doh play, climbing tasks, puzzle play, coloring tasks, Lego play, Perfection, and/or Operation games.

Q: What is sensory integration? How do you evaluate it?

A: The term sensory integration refers to the neurological process of taking in sensory information through the body and organizing this information to be able to respond in a functional way. For example, a child reaches to catch a ball that is tossed to him, or brushes away a bug that she feels land on her arm. It is an unconscious process that occurs every day. A child's sensory integrative abilities are evaluated by standardized evaluations, clinical observations, and a parental and/or teacher report. 

 

 

 

 

 

 

 

 

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2301 Research Blvd. Suite 110 & 220
Rockville, MD 20850
301.424.5200
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9975 Medical Center Drive
Rockville, MD 20850
301.738.9691
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14910 Broschart Road
Rockville, MD 20850
301.251.1369
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