As an occupational therapist, I am always looking for new information from the physical therapists as to how to strengthen the legs to improve gait and use stairs. I recently had the opportunity to sidewalk with a physical therapist and learned that I could strengthen the rider's quadruceps's by having the child sit sideways and march the legs. This involved lifting the knees as though marching. Then she asked the child to extend the legs (again in side facing position) and lift each foot to touch her hands. Strengthening these muscles should help with lifting the legs up to the next step.
I did this activity again later with one of my clients. but I incorporated a squeaky dog toy so that each time the child's knee or foot reached up to touch it, I made it squeak. This really goes to show how much we can learn from one another's disciplines.
I would love more ideas from physical therapists............
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.com
Tuesday, January 27, 2009
Tossing Hoops for Bilateral Coordination

Grasping large hoola hoops develops strength, bilateral hand use and opens up the chest, promoting erect sitting posture. Children also enjoy pretending that its a steering wheel. Gently helping the child to rotate the hoop as they drive their "steering wheel" helps to decrease muscle tone and increase range of motion. Yesterday, I used the hoops to toss over the large basket used for basketball. since the basket (which is on a stand) is fairly high, it was easy for them to succeed. The set up shown here is quite a bit more challenging and can be used with kids who have pretty good coordination. They can toss these large rings to land over the toy pony. I placed the pony inside a crate to stabilize it. This activity may be performed while sitting facing forward, sideways or backwards and if performed while prone over the horse's barrel like superman, they work on prone extension. The prone extension position strengthens the neck, shoulders and arm muscles.
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Thursday, January 22, 2009
Vehicle Pictures to stimulate Visual Perceptual Skills

Many of my hippotherapy children, especially the boys are fascinated by the tractors, diggers and other vehicles around the farm. I decided to exploit this by hanging vehicle pictures around the arena. These include: the shown pick up truck, train, ship, digger, tractor, firetruck and motorcycle. I just realized that I left out the airplane which would be useful when teaching the kids to hold the arm extension or "airplane position".
I taped the pictures to one side of a manila file folder and cut out a shape. The picture and cut out are covered with clear contact paper to make them last longer. I attached velcro to the shape so that the children can attach the shapes much like a form board. Staple around the folder's borders to keep the two sides closed.
I am teaching the children to pull the reins/stop at their favorite vehicle. So far, the pictures have been good motivators. Reaching for the shapes and larger picture also work on reaching, grasping and balance skills.
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.comTuesday, January 20, 2009
Warm-up exercises for Therapeutic Riding or Hippotherapy

Warm- up exercises are a great way to stretch in preparation for a therapeutic riding or hippotherapy session and also work on motor planning skills. Riders may do different stretches in imitation of an instructor or the other riders. This is particularly important when working with a rider with increased muscle tone.
Warm up exercises may include reaching upward, touching near the pony's ears, touching the tail, touching one's own foot with the hand on the same side as the foot and then the opposite side and arm circles.
More info at:http://www.trozarks.blogspot.com/
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.com
Tuesday, January 13, 2009
Making a Snake with Magnetic Rocks
I found these magnetic rocks at a gift shop and was impressed by how strong the force was when making this snake. I used them yesterday with a girl who stood on top of the horse. My sidewalker and I stabilized her at the ankles and she was so busy playing with the magnets that she forgot to be scared.
Another child was motivated to use both hands together and reach as I handed him rocks to add to the snake.
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.com
Sunday, January 11, 2009
Visiting Myakka State Park
My husband George and I fit in a little riding during our vacation to Myakka State Park in Florida. Spats and Rocky were old and slow but the scenery gorgeous and the trails were located a few miles from the park.
Check out the video below of the wild pigs we saw just outside the campground. You can hear the voices of children playing nearby. We have been trying to catch a photo for the past 15 years and this year they were just hanging out on a frequently travelled trail.
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.com
A hippotherapist's Interview
Check out my interview at:
http://equus.thomases.org/
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.com
http://equus.thomases.org/
Barbara Smith, M.S., OTR/L, author of The Recycling Occupational Therapist
Horseot.com
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