Sunday, March 22, 2015
Sunday, February 8, 2015
Primitive Reflexes
These are a few of the books I ended up reading when Preston finally received a diagnosis and I was seeking answers as to how I could help him. I wish I had kept track of everything I read, but at the time I was just trying to gain as much knowledge as possible. I borrowed books from friends, checked out books from the library, and read several articles online. This is just a stack of books that I ended up owning. Some of the books talk about how to help a child with a particular diagnosis, some talk about the way nutrition influences development, and others talk about the importance of movement in a child's development. Several books discuss primitive reflexes. Because I feel they are so important to understand, I'm going to talk about them a little bit here as well.
Brain balance has a bottom up approach to achievement. Rather than focus on tutoring a child with academic challenges, or finding programs for behavioral challenges, they start from the bottom (developmentally speaking) and move up from there. At the bottom of the pyramid are primitive reflexes. Brain balance tests for eight of these and scores each one. Level 4 is the highest level, meaning that particular reflex is still at the level of a newborn. The reflex hasn't been integrated at all. Level 0 means the reflex doesn't show up anymore. At level 0, the reflex has been fully integrated. New, more efficient neural pathways have been created, which basically takes things from a state of survival (which the infant needs) to exploration and learning (where a toddler should be). When primitive reflexes are fully integrated, higher level learning is more efficient.
So what are primitive reflexes? They're reflexes developed in the womb (mostly) that are meant to aid in the birth process and help an infant survive when he/she is born. Most people have heard about the sucking reflex and many are also familiar with the rooting reflex. Both reflexes aid the infant in feeding, an extremely important aspect of survival. Many people have also experienced the death grip an infant has when they put their finger against the palm of an infant. That, too, happens automatically. It's a primitive reflex. I knew all this before my reading began. What I didn't realize was how many reflexes infants have. There are a whole heck of a lot of them and if they don't get fully integrated, they can cause all sorts of different problems in development.
Brain balance tests for eight primitive reflexes and works on integrating those reflexes. There is actually a lot of research around retained primitive reflexes and their effect on child development, and yet it doesn't seem to be common knowledge, even within the medical field. Doctors know about infant reflexes and pediatricians test infants for them, but I don't know of any pediatricians that test toddlers to see if they still have them present after a year. I'm not sure why that is exactly, but it's so strange to me.
Why do primitive reflexes matter? Basically it's less efficient wiring of the brain. It causes kids (and adults) to react to a given situation automatically rather than being able to fully think it through and decide how to react. It keeps one or more areas of development (behavioral, emotional, cognitive) at the survival stage instead of fully allowing higher level thinking to take place. The degree to which it affects children varies greatly, but basically that's the best way I can think to describe it. I'll try to explain it in a little greater detail and give examples when I talk about each reflex individually.
There are a lot of reasons this can happen. I find myself picking apart every little detail of my life and finding ways to blame myself for the challenges my children are facing. Not exactly healthy. A lot of it is difficult to control. Stress and nutrition before and during pregnancy (in both women and men), environmental toxins, long, difficult deliveries, cesarean delivery, premature birth, etc. The list of risk factors is extensive and a bit overwhelming. In my opinion, it is best to focus on these types of details before you have children to help give your children the best chance of proper development possible. It is also helpful when trying to decide if your children may have retained primitive reflexes to be aware of things that may increase the likelihood. However, I think the tendency to blame oneself for a learning disability or behavior problem is unhealthy. Most parents are doing the best they can and truly want the best for their children. So dwelling on the past too much can be detrimental. If you want more details, I highly recommend purchasing "Disconnected Kids" by Dr. Robert Melillo. He discusses many risk factors in great detail. There is also a genetic factor that he believes affects 38% of children with a brain imbalance. The other 62% is thought to be environmental. I believe our clan happens to fall into the 38% that is genetically predisposed to some crossed wires in the brain, although for sure there are environmental factors that influenced the development of our children.
So for the purpose of this post, I will not go into great detail about why a child may end up with retained primitive reflexes. We parents have enough guilt. However, there are two I will discuss because I feel that they have a much bigger impact on child development than we realize, and parents actually have a great deal of control over these two factors. The first one is movement (or lack thereof), and the second one is screen time. Here's the thing. In order to integrate primitive reflexes, infants need A LOT of movement. We're not talking active toddlers here. I'm talking about little babies. Their movements are small and seemingly insignificant most of the time, but they're actually super important. Lying on their tummy, lifting their head off the ground, turning their head, focusing their eyes on moving objects, putting their hands and feet in their mouth and realizing they're attached to them, etc. It's actually hard work being a baby! Those little movements have to happen over and over again in order for a new and better neural pathway to be formed and eventually utilized. So...what does that really mean?
Limit contraptions as much as possible. Yes, we have to strap infants in car seats, but don't leave them in there when you're not driving. Put them in their bed, on the floor, or carry them. They need to feel natural movement and have the ability to move their head, neck, arms, legs, and feet as often as possible. So basically everything you can avoid, just do. Bouncy chairs, swings, saucers, etc. Swings serve a purpose because they are at least rocking the infant, but they still limit head movement so it's best to use them occasionally and not solely rely on them. Infant contraptions are necessary sometimes and impossible to avoid altogether, but the tendency today is to overuse them. Less is best for sure!
Limit screen time. Every time I mention this one, people get nervous. They already think they are limiting screen time or they justify what screen time they do give their kids because it's "educational." To give you an idea of what is meant by limiting screen time, Dr. Melillo suggests that children should not even see a screen before the age of 3. In Brain Balance, they limit screen time to 30 minutes a day. You can save up your screen time over the week and use it in a larger chunk if you want. That's what we have opted to do. My kids generally watch one movie a week (90ish minutes). They save up and usually watch a movie on Friday night. We have chosen not to do more than that during the week because school often requires some screen time and that way we feel they still stay under the recommended time allotment even if they have to watch a 5 minute YouTube video about Shakespeare or complete a math assignment on the computer. We have always been careful about screen time and I'm sure are quite extreme compared to most, but when we started the program, we realized how much more we had to limit. We still do not own video game systems or ipads. Part of that was a decision we made long ago, part of it is financial, and now the decision is based on what we believe our kids need. I know it's tempting to use the TV as a babysitter so you can shower or make dinner. I SO GET IT!! My boys had way more screen time when they were toddlers and preschoolers than I wish they would have. They were educational shows and "good wholesome" programs. They even helped them learn their letters and numbers. But they were not what they needed. Movement and sensory experiences are what young children need. Period. Love, a healthy environment, nutritious food, and lots of sensory experiences - hearing music, smelling a flower, feeling mud and water between their fingers and toes, tasting healthy foods with different textures, etc.
Because I feel that primitive reflexes are SUPER important, I'm going to try to explain each one in greater detail in future posts. Hopefully it won't be a month before my next post. ;)
Brain balance has a bottom up approach to achievement. Rather than focus on tutoring a child with academic challenges, or finding programs for behavioral challenges, they start from the bottom (developmentally speaking) and move up from there. At the bottom of the pyramid are primitive reflexes. Brain balance tests for eight of these and scores each one. Level 4 is the highest level, meaning that particular reflex is still at the level of a newborn. The reflex hasn't been integrated at all. Level 0 means the reflex doesn't show up anymore. At level 0, the reflex has been fully integrated. New, more efficient neural pathways have been created, which basically takes things from a state of survival (which the infant needs) to exploration and learning (where a toddler should be). When primitive reflexes are fully integrated, higher level learning is more efficient.
So what are primitive reflexes? They're reflexes developed in the womb (mostly) that are meant to aid in the birth process and help an infant survive when he/she is born. Most people have heard about the sucking reflex and many are also familiar with the rooting reflex. Both reflexes aid the infant in feeding, an extremely important aspect of survival. Many people have also experienced the death grip an infant has when they put their finger against the palm of an infant. That, too, happens automatically. It's a primitive reflex. I knew all this before my reading began. What I didn't realize was how many reflexes infants have. There are a whole heck of a lot of them and if they don't get fully integrated, they can cause all sorts of different problems in development.
Brain balance tests for eight primitive reflexes and works on integrating those reflexes. There is actually a lot of research around retained primitive reflexes and their effect on child development, and yet it doesn't seem to be common knowledge, even within the medical field. Doctors know about infant reflexes and pediatricians test infants for them, but I don't know of any pediatricians that test toddlers to see if they still have them present after a year. I'm not sure why that is exactly, but it's so strange to me.
Why do primitive reflexes matter? Basically it's less efficient wiring of the brain. It causes kids (and adults) to react to a given situation automatically rather than being able to fully think it through and decide how to react. It keeps one or more areas of development (behavioral, emotional, cognitive) at the survival stage instead of fully allowing higher level thinking to take place. The degree to which it affects children varies greatly, but basically that's the best way I can think to describe it. I'll try to explain it in a little greater detail and give examples when I talk about each reflex individually.
There are a lot of reasons this can happen. I find myself picking apart every little detail of my life and finding ways to blame myself for the challenges my children are facing. Not exactly healthy. A lot of it is difficult to control. Stress and nutrition before and during pregnancy (in both women and men), environmental toxins, long, difficult deliveries, cesarean delivery, premature birth, etc. The list of risk factors is extensive and a bit overwhelming. In my opinion, it is best to focus on these types of details before you have children to help give your children the best chance of proper development possible. It is also helpful when trying to decide if your children may have retained primitive reflexes to be aware of things that may increase the likelihood. However, I think the tendency to blame oneself for a learning disability or behavior problem is unhealthy. Most parents are doing the best they can and truly want the best for their children. So dwelling on the past too much can be detrimental. If you want more details, I highly recommend purchasing "Disconnected Kids" by Dr. Robert Melillo. He discusses many risk factors in great detail. There is also a genetic factor that he believes affects 38% of children with a brain imbalance. The other 62% is thought to be environmental. I believe our clan happens to fall into the 38% that is genetically predisposed to some crossed wires in the brain, although for sure there are environmental factors that influenced the development of our children.
So for the purpose of this post, I will not go into great detail about why a child may end up with retained primitive reflexes. We parents have enough guilt. However, there are two I will discuss because I feel that they have a much bigger impact on child development than we realize, and parents actually have a great deal of control over these two factors. The first one is movement (or lack thereof), and the second one is screen time. Here's the thing. In order to integrate primitive reflexes, infants need A LOT of movement. We're not talking active toddlers here. I'm talking about little babies. Their movements are small and seemingly insignificant most of the time, but they're actually super important. Lying on their tummy, lifting their head off the ground, turning their head, focusing their eyes on moving objects, putting their hands and feet in their mouth and realizing they're attached to them, etc. It's actually hard work being a baby! Those little movements have to happen over and over again in order for a new and better neural pathway to be formed and eventually utilized. So...what does that really mean?
Limit contraptions as much as possible. Yes, we have to strap infants in car seats, but don't leave them in there when you're not driving. Put them in their bed, on the floor, or carry them. They need to feel natural movement and have the ability to move their head, neck, arms, legs, and feet as often as possible. So basically everything you can avoid, just do. Bouncy chairs, swings, saucers, etc. Swings serve a purpose because they are at least rocking the infant, but they still limit head movement so it's best to use them occasionally and not solely rely on them. Infant contraptions are necessary sometimes and impossible to avoid altogether, but the tendency today is to overuse them. Less is best for sure!
Limit screen time. Every time I mention this one, people get nervous. They already think they are limiting screen time or they justify what screen time they do give their kids because it's "educational." To give you an idea of what is meant by limiting screen time, Dr. Melillo suggests that children should not even see a screen before the age of 3. In Brain Balance, they limit screen time to 30 minutes a day. You can save up your screen time over the week and use it in a larger chunk if you want. That's what we have opted to do. My kids generally watch one movie a week (90ish minutes). They save up and usually watch a movie on Friday night. We have chosen not to do more than that during the week because school often requires some screen time and that way we feel they still stay under the recommended time allotment even if they have to watch a 5 minute YouTube video about Shakespeare or complete a math assignment on the computer. We have always been careful about screen time and I'm sure are quite extreme compared to most, but when we started the program, we realized how much more we had to limit. We still do not own video game systems or ipads. Part of that was a decision we made long ago, part of it is financial, and now the decision is based on what we believe our kids need. I know it's tempting to use the TV as a babysitter so you can shower or make dinner. I SO GET IT!! My boys had way more screen time when they were toddlers and preschoolers than I wish they would have. They were educational shows and "good wholesome" programs. They even helped them learn their letters and numbers. But they were not what they needed. Movement and sensory experiences are what young children need. Period. Love, a healthy environment, nutritious food, and lots of sensory experiences - hearing music, smelling a flower, feeling mud and water between their fingers and toes, tasting healthy foods with different textures, etc.
Because I feel that primitive reflexes are SUPER important, I'm going to try to explain each one in greater detail in future posts. Hopefully it won't be a month before my next post. ;)
Thursday, January 8, 2015
We're Back!
Whew...that was a much bigger break than we anticipated. We have still been doing home exercises and following the diet, but after the boys had their three month reassessment, it was so close to the holidays that we ended up taking the rest of December off before we officially started part 2 of sessions at Brain Balance. Dylan had a big role in the play Savior of the World (El Salvador Del Mundo) and had so many practices and rehearsals that coordinating schedules would have been nearly impossible. Plus the holidays are chaotic even on a normal year. But we're back and we're thrilled to continue to grow and develop with the amazing staff at Brain Balance.
After MUCH prayer and pondering, we have decided to have Dylan join Preston for the last half of our six month journey. I'll spare you the details. Suffice it to say, we know that's what Dylan needs right now and so that's the direction we're taking. Both Dylan and Preston started back this week.
December was an emotional month with lots of highs and lows. My desire to help Preston has driven me to a lot of independent research on the brain and some of the factors that affect development. I am so grateful for the Brain Balance program and all I have learned there, but continue to read and study on my own as time allows. It seems like every time I read or reread a book related to neurology or child development, I learn more my and something new clicks. Because of some of this research, I am more aware of some of the signs that point to potential problems in the future. That is probably both a blessing and a curse. Either way, after noticing retained primitive reflexes in Marissa, Marcos and I have decided to have Marissa (our 4 year old) start doing home exercises with the boys. I had always intended on having the whole family do home exercises together, but realized after starting the program how difficult monitoring multiple children simultaneously can be. Marissa joined them on occasion, but I never made it a mandatory thing for her. However, we have now decided to have her join them three times a day for home exercises rather than waiting until the boys finish the program. This has definitely taken from our already limited time and added to my own stress, but we are grateful to have tools to use when such things arise, and feel it unwise to wait with the new understanding we have. For all intents and purposes, Marissa would be considered neuro-typical. She has no diagnosed learning or behavioral problems. But retained primitive reflexes can cause all sorts of problems that very greatly in intensity and can emerge at different times throughout one's life. Needless to say, home exercises have truly become a family affair.
I had always intended to blog more and explain this process along the way, but as we got started on this journey, I realized just how limited my time was, especially with children struggling behaviorally as major developmental changes take place. It's AMAZING, but SUPER INTENSE! For the most part, I have lived in survival mode for the past several months. As such, I have had to limit my posts to brief updates on the boys' progress. However, my desire to bring hope to parents with children who struggle with all sorts of learning and behavioral problems reminds me of the need to share this knowledge. I know when I start talking about food sensitivities, nutrition, supplements, home exercises, eye patches, ear plugs, smells, music, core strength, balance, screen time, right brain and left brain, it is overwhelming. There is so much information and research behind everything we do. Hopefully my next several posts will help break it all down a bit so it's easier to understand.
Saturday, December 13, 2014
Preston's 3 Month Assessment
If you haven't read the post about Dylan's progress, start with that one. I went into more detail about what some of the tests mean, but didn't want to repeat the information again in this post. It will make more sense that way.
Primitive Reflexes
In primitive reflexes, Preston improved one level in three of the eight primitive reflexes that are tested at Brain Balance, two levels in one primitive reflex, and stayed the same in four primitive reflexes. I actually was surprised that so many didn't move because we are so vigilant with exercises, but I know that in time they will move. And if it's like most things with Preston, it will take a long time and then out of nowhere a huge leap in development will be seen.
During Brain Balance sessions, Preston spends half of his time in the sensory motor room and the other half in the cognitive room. Most of his gains in these areas can be attributed to the time spent in the sessions.
Vision
From level 1 to level 7, with 15 being the goal in OPK. Again, that is the test where black and white alternating lines move across the screen from left to right and their eye movements while watching the screen are tracked for one minute. The results of this one actually surprised me because I feel like Preston still struggles so much with this exercise, but I'm super happy about his progress. Moving 6 levels on anything in 3 months is AWESOME!
VOR is when you start out looking straight ahead at an object and then turn your head to the side but keep your eyes on the object. You can see that Preston has moved from a level 9 to a level 13. But...it's even cooler than that. When he was first evaluated, he got to level 9 with help. The person giving the test actually had to help him turn his head on the first evaluation because it's difficult for a lot of the younger kids to understand what is being asked of them. So the first test was with someone physically turning his head while he tried to keep his eye on the object in front of him (I think it was just looking at himself in a mirror) and the second test was turning his head on his own. That is so much bigger than 4 levels of improvement because the "control" part of the test is different.
Synchronization
Preston is way above his age level on the balance beam. He started out at age 10 and is now at age 16.
On gait and aerobics, which measure the bilateral coordination, he improved from age 4 to age 6.
On the interactive metronome, which measures processing, rhythm, timing and motor planning (again, read Dylan's post for more details) Preston improved from age 5 to age 7.
We are thrilled with the progress Preston has made in just 3 months! It's incredible!
In primitive reflexes, Preston improved one level in three of the eight primitive reflexes that are tested at Brain Balance, two levels in one primitive reflex, and stayed the same in four primitive reflexes. I actually was surprised that so many didn't move because we are so vigilant with exercises, but I know that in time they will move. And if it's like most things with Preston, it will take a long time and then out of nowhere a huge leap in development will be seen.
During Brain Balance sessions, Preston spends half of his time in the sensory motor room and the other half in the cognitive room. Most of his gains in these areas can be attributed to the time spent in the sessions.
Vision
From level 1 to level 7, with 15 being the goal in OPK. Again, that is the test where black and white alternating lines move across the screen from left to right and their eye movements while watching the screen are tracked for one minute. The results of this one actually surprised me because I feel like Preston still struggles so much with this exercise, but I'm super happy about his progress. Moving 6 levels on anything in 3 months is AWESOME!
VOR is when you start out looking straight ahead at an object and then turn your head to the side but keep your eyes on the object. You can see that Preston has moved from a level 9 to a level 13. But...it's even cooler than that. When he was first evaluated, he got to level 9 with help. The person giving the test actually had to help him turn his head on the first evaluation because it's difficult for a lot of the younger kids to understand what is being asked of them. So the first test was with someone physically turning his head while he tried to keep his eye on the object in front of him (I think it was just looking at himself in a mirror) and the second test was turning his head on his own. That is so much bigger than 4 levels of improvement because the "control" part of the test is different.
Hearing
The next part of the test is hearing. I can hardly type this part without getting emotional. There are two parts they test. One has more to do with their perception of sound and the other is auditory processing, which has to do with how they process the sound.
When we started testing Preston to figure out why he was struggling developmentally, we learned that he had difficulties on both ends of communicating. This website does a pretty good job of explaining the communication process. The steps to communication are listed on nursing-help.com as follows: ideation (sender decides to share and develops an idea or selects information to share), encoding (putting meaning into symbolic forms - speaking, writing, or nonverbal behavior), transmission, receiving (receiver's senses of seeing and hearing are activated as the transmitted message is received), decoding of the message (the receiver defines words and interprets gestures during the transmission of speech) and response or feedback (sender must know that the message has been received and accurately interpreted.
The purpose of the website is to increase communication skills, but it is helpful for me to use the information to explain Preston's challenges. At 4 years old, he struggled with ideation (so coming up with a new idea - even when given a new toy or activity) was hard for him and the decoding stage of hearing was a challenge, which is what eventually lead to his diagnosis of Auditory Processing Disorder. He could physically hear, but couldn't interpret what was being said or asked of him. In other words, the problem with his hearing was with his brain, not his ears. I found this article that breaks APD down in a way that's pretty easy to understand if you want more information.
This is the part that makes me cry! You have to know that Preston had already made significant progress in his auditory processing with the other therapies we had done with him the past few years. But from his initial test in August to today, Preston went from level 11 to level 15 (100%) in his perception of sound. And in auditory processing (the way he processes that sound in his brain) he went from age 4 to age 11. In three months! So my child who had a diagnosis of Auditory Processing Disorder and could not understand what I was asking him a few years ago, is now more than three years older than his chronological age for auditory processing. Seriously! It's INCREDIBLE!! He was already doing so well compared to where he had been. So well. But in three months, he gained 7 years of ability in this area.
Smell
His sense of smell has moved up 3 levels from 8 to 11, with the end goal being level 15. He's definitely improved in this area. He notices what I'm cooking, good smells, bad smells, etc. He's even become a pickier eater (which I know doesn't sound like a good thing, but it is developmentally speaking).
Touch
Preston's sense of touch on his arm went from a 4 year old level to a 7 year old level. He's almost to his age level on that. Amazing! And his sense of touch on his legs improved from age 5 to age 9. Again...incredible!
Fine Motor
Preston went from age 2 to age 5 in fine motor skills. Again, absolutely amazing! He has struggled with fine motor skills for so long. Everything has been a challenge. It always felt like his hands were just randomly attached to the ends of his arms the way he moved them around and tried to maneuver things. We still have a ways to go, but three years gain in three months is awesome!
Core Muscle Testing
All the core muscle testing is based on age. You can see that he's made substantial gains in all the different core strength tests. I can't imagine that the push-ups test is completely accurate. It's quite possible that he is at a 5 year old level, but I don't think he was at age 4 before. When we started the program, he would whine and complain about how hard push-ups on the wall were and would only do 2 or 3. Now he is doing around 10 push-ups on his toes in one minute. To me, that is much greater than a one year improvement in push-ups.
Spacial Awareness
Preston's maturity of balance and equilibrium is still at level 13, with 15 being the goal. However, he has improved two years in his proprioception, from age 3 to age 5. We still have a ways to go, but two years improvement in proprioception is awesome!
I explained a little bit about proprioception in my post on Dylan's 3 month assessment, but am including the link here as well. If you don't know what proprioception is, this will give you a better idea.
Synchronization
Preston is way above his age level on the balance beam. He started out at age 10 and is now at age 16.
On gait and aerobics, which measure the bilateral coordination, he improved from age 4 to age 6.
On the interactive metronome, which measures processing, rhythm, timing and motor planning (again, read Dylan's post for more details) Preston improved from age 5 to age 7.
Academics
You can see from his scores how difficult learning is for Preston. I was told he was pretty tired of testing by the time they got to the cognitive portion of the test. The testing took close to 3 1/2 hours with only one short break after the sensory motor portion. I'm guessing some of the results of the second test can be attributed to his desire to be done with testing. I doubt his listening comprehension decreased from the 63rd percentile to the 27th percentile, although sometimes regression happens in certain areas before big leaps in development. We have a long way to go with academics, but he will progress as primitive reflexes are integrated and his sensory motor skills continue to improve. Again, it's a building block process with the cognitive being the third section of the pyramid. So...it makes sense that his gains in this area were smaller. However, I did want to point out one significant gain in ability - oral expression. This shows his oral expression going from the 4th percentile to 37th percentile. That's HUGE and one of the things we have noticed most. He has so much to say and is able to express himself so much better now. And discovering just what he has been thinking about now that he is better able to express himself has been the most joyful part of this whole process.
Parent Observations
I had a billion forms to fill out while the boys were testing. It was like taking the ACT again, but with two other kids to watch during the process. So stressful and time consuming! It took me 3 1/2 hours.
Three of the four forms are forms used by schools or clinicians to help determine a possible diagnosis for a child being evaluated for a specific disorder. The other one is a test specific to Brain Balance and was much longer and more detailed than the other three. The Brown's Scale is a test to screen for ADD/ADHD, GADS is a form to screen for asperger's, and GARS is a form to screen for autism. I included these just so you can see how much improvement he has made with regard to behaviors at home observed by a parent. It's pretty substantial.
It's crazy when I look at pictures from this past August. Preston has always been the child I have to watch the most for weight-gain, but with the chaos in our family as a result of a job change and move (which fell through and created even more chaos), he really chunked out this past summer. The physical differences alone are INSANE! The recent picture is a little goofy, but I wanted to get a picture with his shirt off so the pictures would be similar. Of course once his shirt was off, he decided to "flex" his muscles and the awkward pose is a result of his desire to show off his bulging muscles. Gotta love it!
It's strange to say he's a different kid, but in so many ways, he really is. He's still my precious Preston, a boy without guile, filled with love and compassion for everyone. But his ability to function well in the world has increased dramatically. We've still got a long way to go and a lot of hard work ahead of us, but I am so filled with hope for this boy and his future. At one point, Marcos and I had no diagnosis and no direction as to why Preston had so many developmental delays. We weren't sure if he would even be able to live on his own one day, if he would graduate from high school, or if he would be able to get a job. We had so many questions and very few answers. At the time, we grieved for Preston and the future every parent wants for their child. We were grateful for the spirit entrusted to our care and knew he was unique and extraordinary in every sense of the word, but we had to let go of some of our expectations for his future. I kept seeking answers. They came little by little thanks to an all-knowing God who loves me perfectly and directs my life when I ask, wait patiently, and am willing to take action when answers come. I never gave up hope, but I always worried how much progress Preston would make and what his future would like. Today I can say that I finally feel confident that Preston's potential for growth is immeasurable. It is not easy!! The past three plus months have been incredibly challenging for our family. It has required time and effort and going against the grain, which can feel lonely and isolating at time. I have to shout it from the rooftops! There is HOPE!! A child with challenges can improve and make huge gains in development. It's truly incredible! We are so thrilled with Preston's progress and can't wait to see the changes that occur in the next three months of this journey.
Friday, December 12, 2014
Dylan's 3 Month Assessment
The boys had their 3 month assessment this week. We got the results today and are so excited about the progress they have made!
Academics:
I debated even including this part for a couple of reasons. First, people tend to be quick to judge a book by its cover in all things "school" related. It's one of the quickest way to throw a label on someone. Second, I didn't know whether or not Dylan would mind others seeing these "official results." He tends to be very hard on himself even though he's a very capable and pretty gifted kid. He has never struggled with learning. NEVER! His struggles are more related to behavior and attitude most of the time so we've been very careful not to push him academically beyond his desire to learn and grow. And he has blossomed with skill development as a result. Third, some of the results may be due to the fact that we homeschool our kids. For example, Dylan has always been at grade level with math, but has never been in a timed test for math. I know they work on timed tests a lot with basic math skills in school and that is something we've chosen not to do with our kids. I care much more that my kids LOVE learning and understand the overall concept being taught than that they are fast or at the "top of their class" so to speak.
That being said, I chose to include the results of the cognitive portion because he has made some pretty significant jumps in his cognitive testing and I thought that was worth including here.
Brain Balance has a different approach than most because it starts learning over at the bottom of the developmental chain. Most approaches look at cognitive on one side and behavior on the other. Brain Balance takes more of a building block approach. One area builds on the next. You can see the pyramid in the results picture below. At the bottom you have primitive reflexes, then sensory motor, then cognitive, and finally instruction.
Primitive Reflexes
Primitive Reflexes (infant reflexes) are supposed to be present in infants, but be integrated by the age of 1. A few examples of primitive reflexes are rooting, sucking, and the death grip (palmar grasp) infants have when you put your finger next to their hand. Most people know about a few reflexes, but there are actually a number of infant reflexes that affect a lot of things if not properly integrated. These reflexes serve a purpose in a newborn. They help the infant survive - in the womb, during the birthing process, to be able to eat, to help them learn to crawl and eventually walk, to catch themselves if they fall, etc. But by the time a baby enters toddlerhood, the primitive reflexes should be fully integrated. The old instinctive way should have been replaced with a new and better neural pathway. However, for many children the primitive reflexes remain past a year. There are many things that can cause this - maternal stress during pregnancy, premature or difficult labor, lack of movement during the first year of life (too many baby contraptions and not enough moving time on the floor or being carried by mom, etc.) There is also a genetic factor that makes it more likely in some families than in others. Here's the part that TOTALLY ANNOYS me!! Pediatricians test for infant reflexes. They want to make sure they are present because if they aren't, it means there is a problem. But they don't test after a year to see if they are still present. Honestly, if we could get pediatricians to understand this and change the way they test somewhat, we could probably do more for kids who now are red flagged for future problems (whether great or small). That would give direction and real meaningful "early intervention" for parents who most likely haven't seen too many signs of problems yet (except in the most extreme cases). Okay, rant over. But really people. This whole primitive reflexes thing is a big deal. I'm going to do separate posts on some of the primitive reflexes because I think it's important that people understand what they are, ways to tell if your child might still have the reflex, and how that reflex may negatively impact them.
Primitive Reflexes (infant reflexes) are supposed to be present in infants, but be integrated by the age of 1. A few examples of primitive reflexes are rooting, sucking, and the death grip (palmar grasp) infants have when you put your finger next to their hand. Most people know about a few reflexes, but there are actually a number of infant reflexes that affect a lot of things if not properly integrated. These reflexes serve a purpose in a newborn. They help the infant survive - in the womb, during the birthing process, to be able to eat, to help them learn to crawl and eventually walk, to catch themselves if they fall, etc. But by the time a baby enters toddlerhood, the primitive reflexes should be fully integrated. The old instinctive way should have been replaced with a new and better neural pathway. However, for many children the primitive reflexes remain past a year. There are many things that can cause this - maternal stress during pregnancy, premature or difficult labor, lack of movement during the first year of life (too many baby contraptions and not enough moving time on the floor or being carried by mom, etc.) There is also a genetic factor that makes it more likely in some families than in others. Here's the part that TOTALLY ANNOYS me!! Pediatricians test for infant reflexes. They want to make sure they are present because if they aren't, it means there is a problem. But they don't test after a year to see if they are still present. Honestly, if we could get pediatricians to understand this and change the way they test somewhat, we could probably do more for kids who now are red flagged for future problems (whether great or small). That would give direction and real meaningful "early intervention" for parents who most likely haven't seen too many signs of problems yet (except in the most extreme cases). Okay, rant over. But really people. This whole primitive reflexes thing is a big deal. I'm going to do separate posts on some of the primitive reflexes because I think it's important that people understand what they are, ways to tell if your child might still have the reflex, and how that reflex may negatively impact them.
Anyway, there are 8 primitive reflexes that they test for at Brain Balance. For each of these reflexes, you are given a score of level 1-4, 4 meaning it hasn't been integrated at all (it's still at the level of a newborn) and 1 being it's almost gone, but there is still part of the reflex lingering. Neither of my boys had any primitive reflexes that were fully integrated.
You can see from the picture that Dylan had three out of 8 that hadn't integrated at all, which actually surprised everyone (including those testing him). That's part of the reason we decided the home program would be good for him because the exercises we do at home (3 times a day) are geared toward helping integrate the primitive reflexes. You can see from the dots that Dylan moved 1 level in 4 primitive reflexes, 2 levels in 2 primitive reflexes and stayed the same in the other two. We have a long way to go before they are all integrated, but we are definitely making good progress.
The next area of focus in the pyramid is sensory motor. Dylan didn't have exposure to a lot of this because much of what they do takes place during the Brain Balance sessions. But...he still made some significant gains in a couple of areas that are worth mentioning.
Vision
His eyes didn't improve on the OPK (they actually went down, but I wonder if it was just a bad moment of the test because in my opinion he has improved quite a bit in this area). It's basically black and white vertical lines that move from left to right. You're supposed to track the lines with your eyes and they measure how many times your eyes move in a minute. On VOR, however, he is at the highest level. Wa-hoo! This is when you are looking forward and turn your head to the side but keep your eyes on the object in front of you. We already mentioned being able to cross his eyes in a previous post so I won't say too much more about that now. Basically his eyes move more fluidly than they did before, which is super important.
Hearing
Dylan was already really good with skills related to hearing, but it's worth mentioning that he's at the top of where they would want him to be. Basically with hearing there are steps to actually "hear" and "interpret" correctly. Some have to do with your actual hearing, but a lot of them have to do with what's taking place in your brain. I'll explain it a little more in Preston's progress report since he really struggled in this area.
Smell
Dylan's sense of smell remained the same. There are 15 levels and he's at a level 14. So he's fine, but he could improve one more level with smells. Again, he didn't receive as much sensory motor stuff because he was only doing the home program so the lack of improvement makes sense.
Touch
Dylan's sense of touch didn't improve. In fact, it went down a level on the arms. This is one area that we feel needs some work. Dylan was the hyper-sensitive child who hated tags on his clothing, the line on his sock being off at all, shoes that were too tight, etc. He has gotten more tolerant of these things over time, but it's still an area where he needs improvement. His sense of touch is definitely off and it affects him in more ways than we know I'm sure.
Fine Motor
Dylan's fine motor skills were at age 7 and didn't improve. It's amazing to get the results of some of these tests and realize how many things your child struggles with that he is compensating for somehow. In general, Dylan functions well in the world, but it is now clear to us that in many ways he has had to adapt the way he does things. So when he says he hates writing, he really does. His cognitive ability to read and write is high, but his ability to physically write well is much lower.
Core Muscle Testing
Dylan was doing pretty well with his core muscle strength on the first test, but made significant improvements in three of the six areas. He went from age 9 to age 11 in lateral core, from age 5 to age 9 in brachiation (4 years...that's HUGE!!), from age 6 to age 10 in sit-ups.
Spatial Awareness:
Dylan's balance and equilibrium are pretty good. He still needs to come up a couple levels in PRNG (I can't remember how they test that now that I'm typing this...). Proprioception needs some work. The test for proprioception is scored by age, rather than level. He was at a 5 year old level before and now is at a 6 year old level. Most people don't even know about proprioception. Proprioception is the 6th sense. It's basically the ability to sense yourself in your environment, to know where your limbs are in relation to the rest of your body and other objects that surround you.
This is a good link that explains proprioception a little bit better. http://www.spdaustralia.com.au/the-proprioceptive-system/ On SPD Australia's site, it states,
"Proprioception is the process by which the body can vary muscle contraction in immediate response to incoming information regarding external forces, by utilizing stretch receptors in the muscles to keep track of the joint position in the body.
Proprioception and kinesthesia, the sensation of joint motion and acceleration, are the sensory feedback mechanisms for motor control and posture. These mechanisms along with the vestibular system, a fluid filled network within the inner ear that can feel the pull of gravity and helps the body keep oriented and balanced, are unconsciously utilized by the brain to provide a constant influx of sensory information. The brain can then send out immediate and unconscious adjustments to the muscles and joints in order to achieve movement and balance."
SPD Australia gives a good example that is pretty easy to understand. They use the example of moving your finger. In a normal person, everything works together well and you effortlessly move your finger once you make a decision to do so. In someone with poor proprioception, they actually have to compensate for the lack of proprioception. Instead of it being an automatic and effortless process, they need to think about the movement in order to make it happen. They concentrate on moving their finger, and may even have to look at their finger to make it move the way they want it to. So basically this 6th sense isn't as strong as it should be for a child of Dylan's age.
Synchronization:
As far as balance is concerned, Dylan is doing excellent. The balance beam test is graded by age. He was at age 13 when he started the test and is now at age 15 as far as his balance is concerned. He's also at age 15 for his bilateral coordination. So basically he can move forward and back, sideways, etc. on a balance beam without falling off or losing his balance. They have you look at the ceiling sometimes, throw a bean bag from one hand to the other while walking, etc. to change the level of difficulty.
The interactive metronome is an exercise that has them clap, slap their leg, or tap their foot forward or backwards to the rhythm. Dylan improved one year, but is still only at age 7 for this. The Brain Balance employee who discussed our results with us described it as a movie you are streaming online. You know how once in awhile the sound is not in sync with the way their mouths are moving. It pretty much makes you nuts to watch a movie like that! Well, this is kind of like that. He's just a tiny bit behind when anticipating the timing of the next beat.
Academics:
I debated even including this part for a couple of reasons. First, people tend to be quick to judge a book by its cover in all things "school" related. It's one of the quickest way to throw a label on someone. Second, I didn't know whether or not Dylan would mind others seeing these "official results." He tends to be very hard on himself even though he's a very capable and pretty gifted kid. He has never struggled with learning. NEVER! His struggles are more related to behavior and attitude most of the time so we've been very careful not to push him academically beyond his desire to learn and grow. And he has blossomed with skill development as a result. Third, some of the results may be due to the fact that we homeschool our kids. For example, Dylan has always been at grade level with math, but has never been in a timed test for math. I know they work on timed tests a lot with basic math skills in school and that is something we've chosen not to do with our kids. I care much more that my kids LOVE learning and understand the overall concept being taught than that they are fast or at the "top of their class" so to speak.
That being said, I chose to include the results of the cognitive portion because he has made some pretty significant jumps in his cognitive testing and I thought that was worth including here.
We were so happy to see Dylan's progress. There are several areas that need more attention, but overall for how much effort we have put in, he has made some amazing gains in his progress. He, however, saw the test and was immediately discouraged that everything wasn't 100% yet. And that is why we still have work to do. :)
Monday, December 1, 2014
Absence
For the handful of people following our progress, I'm sure my lack of posts has been frustrating. Want to know the brutal truth? Brain growing is filled with lots of ups and downs. LOTS! We are only partway through this journey, but I already know this will be worth it in the end. But the day-to-day stuff can be very trying, both physically and emotionally. I feel lonely and isolated much of the time. People don't know how exactly to include us, since so much of life includes screen time and food that's outside of our dietary restrictions. Plus, we're super busy so actually fitting anything extra in is really difficult right now, even if it's something we'd really like to do.
I have two younger kids who I worry are being neglected in this whole process. It's hard to spread time evenly between children anyway, but with exercises three times a day, schoolwork, Brain Balance sessions, and the extra time required to shop and cook, my time is so limited. The behavior of my younger kids slips and I wonder if it is developmentally appropriate, if they are reacting to this process, or if we are going to have to start exercises with the younger kids at some point because it seems we are part of the 38% that has a genetic predisposition to a brain imbalance (although environmental factors are always involved).
I typed an entire post a couple weeks ago about some pretty rough days with Dylan, but didn't publish it. He tends to be more reactive and impulsive in nature and those moments can be pretty big in a 10-year-old boy whose brain is going back through stages typical of a toddler. I've struggled a lot with how much to share publicly because as much as I want to document this process, part of my job is to protect my children. People can be very judgmental, quick to label, and slow to forget negative behavior. Human nature is to remember the bad and forget the good. After much pondering, I have chosen to turn to a smaller group for support during trying times rather than document the details for the rest of the world to scrutinize. Suffice it to say, it has been very difficult dealing with the bad behavior element of the program. And of course with two kids, even when one is having an awesome breakthrough, the other one may be struggling so much that it's hard to even want to celebrate the good. A couple of times I've been on the verge of a complete breakdown. I've needed help. I've needed a break. And yet the times when I most need a break, my kids are so difficult that I don't even dare ask. It's an exhausting place to be! Some moments I just don't want to be THE PERSON who has to deal with anything and everything when no one else can. I don't want to be the only one who can calm a meltdown or talk things through with an explosive personality. So...survival mode. That's where I've been. That, and the fact that I had to gear up to make it through Halloween and Thanksgiving, no easy task when your kids are gluten, dairy, soy and peanut free at the moment. So a lot of extra time was spent coming up with activities we could do to take the focus off of food and to plan and prepare food that would allow my kids to still enjoy the holidays.
To make matters worse, there are all sorts of folks with good intentions who insist on making sure you KNOW your child is acting up. This has maybe been the most difficult part for me. Rarely is a child JUST acting up at school or at church. Usually the bad behavior is pretty widespread. If it's relatively new or isolated behavior and you know there's a lot going on at the time, maybe, just maybe you can ignore it. Maybe, just maybe, you can give me the benefit of the doubt and not assume I am the worst parent ever because I don't have four perfect children sporting their latest trophy, designer clothes, and sparkling smiles. Yep, I know he/she is having a hard time listening and behaving, is talking back, and struggling to deal with life. We all are right now! Whether in the program or not, our family is experiencing this program together and it's taking its toll on everyone. I know in general things look fine on the outside, but the Brain Balance program is pretty major. I mean, really. Kids often start this program with one or more major diagnoses: autism, asberger's disease, ADD, ADHD, OCD, ODD, dyslexia, dyscalcula, dyspraxia, sensory processing disorder, auditory processing disorder, etc. And when all is said and done, they may not even fall on the autism spectrum anymore, find many of their disabling symptoms have fallen away, or no longer qualify for an IEP because they have improved so much. Imagine what that feels like. Just imagine. Years of developmental milestones that were never reached coming and going as if in fast forward mode as your brain attempts to catch up a lagging hemisphere, as well as get rid of retained primitive reflexes that cause all sorts of problems. Yeah, it's life changing. But it is NOT EASY!! Nothing worthwhile ever is it seems.
Hopefully that helps explain the lack of posts. No, I did not stop blogging. No, we did not stop Brain Balance or fall off the gluten free, dairy free wagon over the holidays. But yes, it's been a rough few weeks.
After a post that was way too long and negative, I have some good news. Wait for it. Wait for it. ;) Dylan and Preston have their 3 month reassessment at Brain Balance tomorrow so we should have some official testing results to post within the week. I am so excited....and nervous! But mostly excited. I know they have made progress and I can't wait to see how far they've come and also to get a feel for how much more work we have ahead of us. I need a little boost in motivation right now and I know this will help.
I have two younger kids who I worry are being neglected in this whole process. It's hard to spread time evenly between children anyway, but with exercises three times a day, schoolwork, Brain Balance sessions, and the extra time required to shop and cook, my time is so limited. The behavior of my younger kids slips and I wonder if it is developmentally appropriate, if they are reacting to this process, or if we are going to have to start exercises with the younger kids at some point because it seems we are part of the 38% that has a genetic predisposition to a brain imbalance (although environmental factors are always involved).
I typed an entire post a couple weeks ago about some pretty rough days with Dylan, but didn't publish it. He tends to be more reactive and impulsive in nature and those moments can be pretty big in a 10-year-old boy whose brain is going back through stages typical of a toddler. I've struggled a lot with how much to share publicly because as much as I want to document this process, part of my job is to protect my children. People can be very judgmental, quick to label, and slow to forget negative behavior. Human nature is to remember the bad and forget the good. After much pondering, I have chosen to turn to a smaller group for support during trying times rather than document the details for the rest of the world to scrutinize. Suffice it to say, it has been very difficult dealing with the bad behavior element of the program. And of course with two kids, even when one is having an awesome breakthrough, the other one may be struggling so much that it's hard to even want to celebrate the good. A couple of times I've been on the verge of a complete breakdown. I've needed help. I've needed a break. And yet the times when I most need a break, my kids are so difficult that I don't even dare ask. It's an exhausting place to be! Some moments I just don't want to be THE PERSON who has to deal with anything and everything when no one else can. I don't want to be the only one who can calm a meltdown or talk things through with an explosive personality. So...survival mode. That's where I've been. That, and the fact that I had to gear up to make it through Halloween and Thanksgiving, no easy task when your kids are gluten, dairy, soy and peanut free at the moment. So a lot of extra time was spent coming up with activities we could do to take the focus off of food and to plan and prepare food that would allow my kids to still enjoy the holidays.
To make matters worse, there are all sorts of folks with good intentions who insist on making sure you KNOW your child is acting up. This has maybe been the most difficult part for me. Rarely is a child JUST acting up at school or at church. Usually the bad behavior is pretty widespread. If it's relatively new or isolated behavior and you know there's a lot going on at the time, maybe, just maybe you can ignore it. Maybe, just maybe, you can give me the benefit of the doubt and not assume I am the worst parent ever because I don't have four perfect children sporting their latest trophy, designer clothes, and sparkling smiles. Yep, I know he/she is having a hard time listening and behaving, is talking back, and struggling to deal with life. We all are right now! Whether in the program or not, our family is experiencing this program together and it's taking its toll on everyone. I know in general things look fine on the outside, but the Brain Balance program is pretty major. I mean, really. Kids often start this program with one or more major diagnoses: autism, asberger's disease, ADD, ADHD, OCD, ODD, dyslexia, dyscalcula, dyspraxia, sensory processing disorder, auditory processing disorder, etc. And when all is said and done, they may not even fall on the autism spectrum anymore, find many of their disabling symptoms have fallen away, or no longer qualify for an IEP because they have improved so much. Imagine what that feels like. Just imagine. Years of developmental milestones that were never reached coming and going as if in fast forward mode as your brain attempts to catch up a lagging hemisphere, as well as get rid of retained primitive reflexes that cause all sorts of problems. Yeah, it's life changing. But it is NOT EASY!! Nothing worthwhile ever is it seems.
Hopefully that helps explain the lack of posts. No, I did not stop blogging. No, we did not stop Brain Balance or fall off the gluten free, dairy free wagon over the holidays. But yes, it's been a rough few weeks.
After a post that was way too long and negative, I have some good news. Wait for it. Wait for it. ;) Dylan and Preston have their 3 month reassessment at Brain Balance tomorrow so we should have some official testing results to post within the week. I am so excited....and nervous! But mostly excited. I know they have made progress and I can't wait to see how far they've come and also to get a feel for how much more work we have ahead of us. I need a little boost in motivation right now and I know this will help.
Sunday, November 9, 2014
Our Budding Artist
I'm not sure I can accurately express what the pictures above mean to me. Preston was not a toddler who colored with crayons. EVER. The other kids would bring their pictures home with scribbles or neatly colored hair, but Preston's was blank with his name written at the top by the adult helping him that day. Every. Single. Time. It happened at church. It happened in preschool. It was just a reality. We had bigger fish to fry at the time. He wasn't talking. He couldn't dress himself. He didn't even try. He couldn't follow one-step directions, let alone two or three-step directions. So I didn't think much of his lack of artistic ability. He never even held onto a crayon or marker until about age 4. A couple months after he went through the Sensory Learning program (just before he turned 5) he brought me a paper from Primary. It had two big circles, each with two smaller circles, and what clearly looked like sticks for hands and legs. It was very basic and so light you could barely see the drawing itself (because his fine motor skills were so poor at the time) but I could tell he was actually trying to draw a picture of himself and of me. I started to bawl like a baby! He was a little nervous at my reaction. "What's wrong, Mom?" I just replied, "Nothing. I'm just really, really happy. Sometimes moms cry when they're really happy." He looked at me like I was completely crazy and I put him in his carseat. Then I went into the church to show my husband (who had to stay late for a meeting). I could not believe it! It shocked me! Since then, I have realized Preston's love for art and creativity, but lack of ability due to struggles with his fine motor skills. For awhile he would finish his drawings and then continue to fill an entire paper with every color of the rainbow surrounding the picture he had colored. I think something from the lights really triggered a greater awareness of colors for him and it's almost like he thought and saw in color in a way I cannot comprehend.
Last week, Preston brought me the drawing pictured at the top of this post. He's a big fan of minions so it didn't surprise me that he had drawn minions, although I was quite surprised at how much more accurate his drawings are becoming. I wish I had a "before" and "after" picture, but all his older drawings are safely tucked away in a box in the attic, and I'm not sure I could find one that would accurately portray the improvement he has made anyway. Not only could I tell he had drawn three minions, (instead of having to ask him what he had drawn) but he had included other details in the picture. He has NEVER done that. EVER!! He has never drawn people and included a sky or sun or flowers. So when I saw an entire picture surrounding his minion drawings, I about fell over. Then he proceeded to tell me all about the picture. "Do you know what this is, Mom? It's a picture of three minions who are friends who were hiking through the jungle and saw 10 monkeys climbing a great, big tree. They waved to a lizard sitting on a rock in the middle of the ocean. It was funny to see a squirrel swimming in the water. It was a sunny day and they saw a flower while they were walking on the grass." Holy Moly! He just told me an entire store about his drawing. And it was cute. And creative. And not something he'd seen in a television show or movie. AMAZING! He went downstairs for a few minutes and came back with tape and asked me if he could put the picture on my bedroom door. And so began the art door in my bedroom. I noticed his name at the top of the paper and then realized what he had done. He went downstairs and wrote his name and two of his friends' names on the picture. He named the minions. Then he told me he was the middle one because he was the tallest. He spelled correctly and legibly. His brain thought through multiple steps to draw a picture, create a story, and then relay it to me. For those who have children who are neurotypical and are used to young children coloring pictures or telling stories, this may seem like a strange mom "bragging" about her kid's random artwork, but to those who understand all the neurological gaps in his development, I tell you this is HUGE! The skills required for his brain to complete so many operations at once are a great big deal! It's another really amazing leap for Preston. And it comes at a really good time because we have had several REALLY HARD weeks in a row. It was all I could do to hold on for dear life and continue with all the steps required each day.
The second picture is a pumpkin he drew for Halloween. Nothing special, except that he drew it without my knowledge and taped it to what has now become his art door.
The third picture he brought home from church today. It's a picture of him washing windows (I know it resembles a monkey bird, but it's Preston). See the window on the one side and the bucket and squeegee on the other side? So cute! I'm guessing they had a lesson about serving others or helping your mom and dad because he also brought home four hearts. He kept telling me, "I can't tell you what those hearts are for, Mom. You'll have to wait and see." But he came in and asked me for stuff to wash the windows and proceeded to do so (no they're not perfect and yes he used a TON of Windex, but it was so cute how much he cared about following through with his assignment from church). After lunch and afternoon exercises, he headed out back to rake leaves and again mentioned something about hearts and not being able to tell me about them. I was just glowing! Seriously! How sweet is this child! First of all, he understood the lesson. Second, he thought of something he wanted to help with, drew it, and came home and followed through on it. Third, he was actually excited to serve. Can you see how HUGE this is for him? He has NEVER done anything like that before. EVER! And he even attempted to keep it secret. His 007 skills are a bit lacking, but he didn't flat out tell me what he was doing and that's something. It was totally ADORABLE!! I could just squeeze him!
I included the last picture because Dylan has been coloring Pokemon pictures lately so when I saw this coloring page with Pokemon written on it, I thought for sure Dylan had written it. Nope! It was Preston. His handwriting has improved a ton. Yes, he still uses upper and lower case letters randomly throughout words, and I'm sure he was looking at a card or something else to get the correct spelling from, but still. The fact that I could mistake his handwriting for Dylan's is crazy. Now to Dylan's credit, his handwriting is much better than this, but because Preston's used to be so difficult to decipher, it took me a minute to realize Preston had written it. Also, we have tried every pencil grip in the universe (and I am not exaggerating here) to try to help him learn to grip a pencil correctly. He just could not do it. He still gripped a marker more or less like a baby. It's gradually become more of a pencil grip with ALL his fingers resting on the pencil, and now I think he's dropped the pinkie. It's still not perfect, but it's looking more and more like a regular pencil grip. And that is not because we've been working on it more. The work has been done - over and over and over. But as his ability and strength increase and some of his primitive reflexes start to recede, he is able to do things he couldn't do before.
I had forgotten what "normal" looked like from the time Dylan was a toddler and preschooler to the time Preston reached that age. I knew he was behind and struggling, but we were dealing with so many challenges that it was easy to overlook obvious ones. When my 2 year old daughter (who is now 4) started trying to put her clothes and shoes on by herself one day and could hold a crayon correctly to scribble, I realized that these steps are supposed to occur naturally. She was doing things that Preston could not do as a 5 year old (and hadn't really attempted on his own). I realized that you are not supposed to have to work with a child for hours and hours for them to kind of sort of catch onto the concept of a new skill like that. It's supposed to develop naturally. For him, understanding was always a challenge so his auditory processing skills needed to improve, but fine motor skills are a big deal. They affect so much of what an individual is able to do. Although I don't know exactly where he's at with fine motor skills right now, Preston's drawing and writing skills are definitely improving. Yay to progress!
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