Pediatric Occupational Therapy

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Pediatric Occupational Therapy

Our Occupational Therapist offers a full range of occupational therapy services for the pediatric population. Whether your child needs assistance progressing through developmental milestones or needs assistance with self-care or other activities of daily living our pediatric occupational therapist can establish a treatment plan to address your child’s needs.


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Pediatric Occupational Therapy - Nashua, Parkersburg, and Waverly Clinics

Occupational therapy focuses on assisting children to develop the skills they need to be as independent and functional in all of their daily occupations as possible.  Children’s occupations include activities such as play, school, and self-care tasks.  Our pediatric occupational therapist is patient and family-focused to determine the child’s strengths, areas for improvement, and overall child/family goals. Pediatric occupational therapists work with children of various diagnoses/disabilities or after an injury or accident to maximize their function and quality of life.

What can occupational therapy help with?

  • Fine motor delays
  • Upper extremity  motion, strength and function
  • Hand-eye coordination skills
  • Visual-motor perception skills
  • Improving sensory processing skills
  • Age-appropriate self-care skills, such as:
    • Dress/undressing
    • Manipulating fasteners (snaps, zippers, buttons)
    • Tying shoes
    • Self-feeding (being able to use utensils...)
    • Hand washing 

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Our Occupational Therapists can provide treatment for:

  • Autism Spectrum Disorder
  • Genetic Conditions 
  • Neurological conditions, such as Cerebral Palsy
  • Developmental Delay
  • Children with fine motor coordination delays
  • Learning delays
  • Sensory processing disorders
  • Traumatic injuries (such as Traumatic Brain Injuries or Spinal Cord Injuries)
  • Juvenile Rheumatoid Arthritis
  • General orthopedic injuries and surgeries
  • Sprains and strains
  • Post-fracture care

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Indicators for Pediatric Occupational Therapy

  • Doesn't reach for/interact with toys by 6 months of age
  • Doesn't bring hands together at the midline by 6 months of age
  • Difficulty with age-appropriate self-care skills
    • Dressing/undressing by age 3
    • Unable to complete buttons or zippers by age 5
    • Unable to complete finger feeding by age 1
    • Unable to use utensils to feed self by age 2
  • Demonstrates difficulty processing sensory information which interferes with one or more areas of daily life
    • Demonstrates defensiveness or dislike of clothing or other textures
    • Becomes anxious or distressed with brushing teeth, brushing hair, trimming finger and/or toenails, haircuts, taking baths, etc.
    • Sensitivity to bright lights
    • Sensitivity to loud sounds
    • Difficulty sitting still and/or focusing
  • Difficulty cutting paper by age 4
  • Unable to draw/copy simple shapes by age 4
  • Unable to write letters by age 5 or poor handwriting in older children
  • Upper extremity weakness or discoordination

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Interactive Metronome

What is the Interactive Metronome

A program utilizing rhythmic beats through headphones and the use of a computer to assist with:

  • Attention/focus
  • Internal timing/regulation
  • Motor planning/coordination
  • Impulsivity 
  • Anxiety
  • Academic performance

Who could benefit from the Interactive Metronome?

  • Individuals with attention/focus difficulties
  • Individuals with sensory/self-regulation difficulties
  • Autism Spectrum Disorder
  • Individuals with motor planning issues

Physical Therapist Kristen Kahler

Pediatric Support Group - Waverly Clinic

This support group provides a place for families of children with varying levels of specialized health care needs to meet, learn, support, share, and grow together. The goal is to provide a safe and open-minded environment where families feel comfortable to share their successes and disappointments.

Our meetings range from an open discussion format to having guest presenters in to discuss their areas of expertise in the care of children with special needs.

Anyone who is a family member or a care provider for a child with special health care needs is welcome.

For more information, call (319) 352-5644 and ask for Kayla or Kristin.

Click here to follow our Facebook page:  “Supporting Families of Children with Special Needs.”


Support Group Meetings

Due to COVID-19 restrictions, at this time we are meeting virtually via Zoom! 

If interested in attending the Zoom meeting, please email Kristin at: [email protected]

Time: 5:30 - 7:00 pm

Dates for 2021: February. 2nd, May 4th, August 3rd, November 2nd 

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