LSVT-BIG and Its Impact on the Lives of Children With Neurological Conditions 
Sarah Sidwell Sarah Sidwell

LSVT-BIG and Its Impact on the Lives of Children With Neurological Conditions 

As occupational therapists, we frequently work with children who have neurological conditions that impact their ability to move, participate, and engage in daily activities. Diagnoses such as cerebral palsy, Down syndrome, and pediatric stroke can affect strength, coordination, motor planning, and body awareness. These challenges often extend beyond motor skills and influence a child’s confidence, emotional regulation, and participation at home and school. Occupational therapy plays a vital role in supporting these children by addressing functional movement within meaningful, real-life activities.

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Why Participation in Home Program Drives Better Carryover in Physical Therapy
Sarah Sidwell Sarah Sidwell

Why Participation in Home Program Drives Better Carryover in Physical Therapy

In physical therapy, progress doesn’t happen only in the clinic. What patients do between visits often determines whether gains made during treatment translate into meaningful, lasting improvements in daily life. This process, known as carryover of skills, is strongly influenced by a patient’s participation in a home exercise program (HEP).

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Taming the Tantrums: Using a Visual Schedule and Sensory Tools for Smooth Transitions 
Sarah Sidwell Sarah Sidwell

Taming the Tantrums: Using a Visual Schedule and Sensory Tools for Smooth Transitions 

Tantrums are communication. When we shift our focus from “stopping the behavior” to “supporting the transition,” everything changes. Visual schedules and sensory tools don’t just reduce meltdowns—they build independence, confidence, and trust. 

Remember: smooth transitions are a skill, not a personality trait. And like any skill, they can be taught, practiced, and supported—one calm transition at a time. 

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How Sensory-Based Vestibular Processing Impacts Child Development — and How Occupational Therapy Can Help 
Sarah Sidwell Sarah Sidwell

How Sensory-Based Vestibular Processing Impacts Child Development — and How Occupational Therapy Can Help 

The vestibular system is one of the most powerful—and most overlooked—sensory systems. Located in the inner ear, it is the body’s built-in way of understanding movement, balance, spatial orientation, and gravity. 

Accurate processing of vestibular input allows us to feel grounded, organized, safe, and regulated. Without it, one may feel as if they are lost in space. 

Vestibular processing plays a key role in all areas of life, including motor, social, emotional, cognitive, and sensory development. 

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 A Guide to Help With Daily Living Skills including Sensory Challenges: 
Sarah Sidwell Sarah Sidwell

 A Guide to Help With Daily Living Skills including Sensory Challenges: 

 As a pediatric Occupational Therapist (OT), one of the most rewarding parts of my job is helping children gain independence in their Activities of Daily Living (ADLs)—the everyday tasks we call self-care skills. These aren't just chores; they're the building blocks for confidence, self-esteem, and a successful future! 

As a pediatric Occupational Therapist (OT), I often see that difficulties with self-care skills—the Activities of Daily Living (ADLs)—are not just about poor coordination. For many children, the root of the struggle lies in sensory processing. Tasks like teeth brushing, hair combing, or managing sticky foods can be overwhelming, painful, or confusing due to sensitivities to touch, sound, smell, or movement. 

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Physical Therapy Services For Kids With Down Syndrome
Sarah Sidwell Sarah Sidwell

Physical Therapy Services For Kids With Down Syndrome

Down Syndrome, also known as Trisomy 21, is a genetic condition in which a child is born

with a duplication of chromosome number 21. Children with Down Syndrome often present

with developmental delays and appear behind in motor skills compared to same-aged

peers. With motor function, children with Down Syndrome may present with low muscle

tone, hypermobility, strength, balance, and postural deficits along with motor delays.

Physical therapists are movement experts that can help children improve their gross motor

skills, function, independence, and assist with these deficits that may be seen.

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Why Many Patients Choose Private Pay Over Insurance 
Sarah Sidwell Sarah Sidwell

Why Many Patients Choose Private Pay Over Insurance 

 If you’re reaching out for care, you’re probably not thinking about billing rules or insurance policies—you’re thinking about getting help in some area for your child. But the way care is paid for can have a real impact on how quickly you’re seen, how much care you receive, and how smoothly the process goes. 

That’s why many patients ultimately choose private pay. Not because it’s about spending more—but because it’s about getting the care you need without unnecessary barriers. 

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 🧩 7 Signs It’s Time for an Occupational Therapy Evaluation 
Sarah Sidwell Sarah Sidwell

 🧩 7 Signs It’s Time for an Occupational Therapy Evaluation 

As parents, we all want our children to feel confident, capable, and happy in their everyday routines — whether that’s getting dressed, writing their name, or making friends on the playground. But sometimes, certain skills don’t come as easily as we expect. That’s where occupational therapy (OT) can help. 

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Core Strengthening for Kids: Simple, Play-Based Exercises for Better Posture
Sarah Sidwell Sarah Sidwell

Core Strengthening for Kids: Simple, Play-Based Exercises for Better Posture

Good core strength is one of the most important foundations for your child’s success in school, at home, and during play. As a pediatric occupational therapist, I often see children who struggle with handwriting, self-feeding, attention, and coordination. Many of these challenges trace back to the same place: the core.

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Pediatric Sports Injuries: When to See a Physical Therapist for Sprains and Strains
Sarah Sidwell Sarah Sidwell

Pediatric Sports Injuries: When to See a Physical Therapist for Sprains and Strains

As youth sports continue to grow in popularity, so do the injuries that come with them. From soccer and basketball to gymnastics and track, kids are pushing their limits — and sometimes their bodies push back. While bumps and bruises are often part of the game, sprains and strains can be more serious, especially in for kids with growing bodies. Knowing when to seek professional help can make a big difference in how well and how quickly your child recovers.

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Emotion & Body Coding: A Clinical yet Spirit, Body, Mind Pathway to Healing for Kids and Adults
Sarah Sidwell Sarah Sidwell

Emotion & Body Coding: A Clinical yet Spirit, Body, Mind Pathway to Healing for Kids and Adults

In today’s fast-paced world, more families are seeking effective ways to support emotional wellness, reduce stress, and reconnect with a sense of inner balance. One method bridging the gap between clinical understanding and spiritual healing is Emotion Code® and Body Code®, created by holistic physician and chiropractor Dr. Bradley Nelson. 

This system is transforming the way children and adults release stored emotional energy, improve emotional regulation, and support whole-body wellness, and can help achieve goals. 

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Why Parent Participation & Follow-Through Are the Keys to Success in Pediatric OT, PT, and Speech Therapy
Sarah Sidwell Sarah Sidwell

Why Parent Participation & Follow-Through Are the Keys to Success in Pediatric OT, PT, and Speech Therapy

When a child receives occupational, physical, or speech therapy, the goal is always the same: to help them build the skills they need to thrive in everyday life. Therapists play an essential role in assessment, treatment planning, and skill-building—but the progress a child makes during weekly sessions is only one piece of the puzzle. The biggest gains often happen between appointments, and that’s where parents and caregivers make all the difference.

Below is a look at why parent involvement matters so much, what it really looks like day-to-day, and how you can support your child’s therapy journey for the best possible outcomes.

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Boredom For The Brain
Sarah Sidwell Sarah Sidwell

Boredom For The Brain

Boredom fuels creativity and imagination. When the brain isn’t being fed constant stimulation, it naturally starts wandering inward. This “default mode network” (the brain’s daydreaming system) begins making loose, playful, unexpected connections—exactly the kind that fuel creativity. Children often generate their most imaginative play after they’ve moved through that uncomfortable “I’m bored” stage. It strengthens problem-solving skills. Boredom creates a kind of mental “itch” to do something meaningful or engaging. That discomfort nudges the brain to invent new ideas, seek new solutions, or explore new activities. It’s essentially a catalyst that pushes us to figure things out ourselves. 

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Echolalia in Autism: Is My Child Just Repeating Phrases, and How Can We Build Spontaneous Language?
Sarah Sidwell Sarah Sidwell

Echolalia in Autism: Is My Child Just Repeating Phrases, and How Can We Build Spontaneous Language?

Some children frequently communicate by repeating lines from their favorite television shows, or directly imitating what others say to them. This form of communication is called echolalia. Echolalia refers to repeating words, phrases, or sentences spoken by others. It can occur immediately (right after hearing something) or be delayed (repeating something heard earlier — even hours, days, or weeks later).

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Understanding Primitive Reflex Integration
Sarah Sidwell Sarah Sidwell

Understanding Primitive Reflex Integration

Primitive reflexes originate in the brainstem and are present before birth. They help newborns adjust to life outside the womb by supporting early movement, sensory development, and neural growth.

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What is Childhood Apraxia of Speech? The 5 Signs That Signal a Motor Speech Disorder, Not a Simple Delay
Sarah Sidwell Sarah Sidwell

What is Childhood Apraxia of Speech? The 5 Signs That Signal a Motor Speech Disorder, Not a Simple Delay

Every child learns to produce speech sounds and talk at their own pace. Some children pick up new words almost overnight, while others take a little more time to find their rhythm. It’s normal for early speech to sound a bit “off” at first—like “buh” for “ball” or “poon” for “spoon.” Most of these sound differences are just part of typical development and fade as kids gain more control over their mouth movements and as they age.

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Understanding Prelinguistic Skills: The Building Blocks of Communication
Sarah Sidwell Sarah Sidwell

Understanding Prelinguistic Skills: The Building Blocks of Communication

Before babies say their first words, they’re already busy learning how to communicate. These early skills — called prelinguistic skills — form the foundation for language development. By understanding and supporting these skills, caregivers can help children build strong communication abilities that will support them for life.

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