tag:blogger.com,1999:blog-78785271378440829032024-03-13T16:43:45.184-07:00Tana Jimenez, PTTana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.comBlogger82125tag:blogger.com,1999:blog-7878527137844082903.post-23714049382981712552020-03-28T14:48:00.001-07:002020-03-28T14:49:01.018-07:00<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-UPH0lrHSfCQ/Xn_Fh4YI-JI/AAAAAAAAASc/iUpTywy6v3A7xa8n3myftBuN03YksvpJwCLcBGAsYHQ/s1600/hokey-pokey.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" height="240" src="https://1.bp.blogspot.com/-UPH0lrHSfCQ/Xn_Fh4YI-JI/AAAAAAAAASc/iUpTywy6v3A7xa8n3myftBuN03YksvpJwCLcBGAsYHQ/s320/hokey-pokey.jpg" width="320" /></a></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: x-large;"><b>Music
and Movement Song Ideas</b></span></span></div>
<div align="CENTER" style="margin-bottom: 0in;">
<span style="color: #e6e6ff;"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: xx-small;"><b>Tana
Jimenez, PT, MPT</b></span></span></span></div>
<div align="CENTER" style="margin-bottom: 0in;">
<br /></div>
<div align="CENTER" style="margin-bottom: 0in;">
<span style="color: #93c47d;"><span style="color: #93c47d;"><span style="color: #e6e6ff; font-size: small;"><span style="font-family: "trebuchet ms" , sans-serif;"><b><span style="color: black;">I know that a lot of you are finding yourselves in a situation where you need to be providing Telehealth PT services. To help make your sessions fun and productive and to give some HEP ideas, here is a list of songs to help promote gross and fine motor skils. They also help with development of imitation skills, following directions, and body awareness.</span></b></span></span></span></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;">Gross
Motor</span></span></div>
<ul>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=4aVO_31rNQw">Animal
Action</a>” by Greg and Steve/Kids In Motion </span></span>
</div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=0ke3LKcjWTU">Bounce</a>”
by the Imagination Movers</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=Ve91V4258Ps">Can
You Do It?</a>” by the Imagination Movers</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=_TR8FF-xSQU&list=PLn4s8r0gyEetqBcFGqBcJJmLylNKaWDoK&index=27">Can
You (Point Your Fingers and Do the Twist?)</a>” by the Wiggles</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;">Chicken
Dance”</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=mUlEIReOZDQ">Clap
Your Hands</a>” by Old Town School of Folk Music</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=bQHjg0vhQKw">Dance
Kung Fu</a>” by the Imagination Movers</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=hnYJmkHYn8k">Do
the Monkey</a>” by the Wiggles</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=pcFt8B0Si-U&list=PLn4s8r0gyEetqBcFGqBcJJmLylNKaWDoK&index=20">Do
the Propeller</a>” by the Wiggles</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=ZanHgPprl-0">Head,
Shoulders, Knees, and Toes</a>” by Super Simple Songs</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=OZ72_mLcNdM&list=PLn4s8r0gyEetqBcFGqBcJJmLylNKaWDoK&index=17">Hot
Potato/Fruit Salad</a>” by the Wiggles</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=eClGqjHz790">If
You're Happy and You Know It</a>” by Super Simple Songs</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=dsaQrAgPbOs">Mover
Music</a>” by the Imagination Movers</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=mphEg-bwMAg&list=PLn4s8r0gyEetqBcFGqBcJJmLylNKaWDoK&index=3&t=0s">Say
the Dance, Do the Dance</a>” by The Wiggles</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=mL8s0bw2kuM">Shakable
You</a>” by the Imaginaion Movers</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=QkT2Z5rmms0">Shake
my Sillies Out</a>” by Raffi</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=pJjgxXCkMYk">The
Hokey Pokey</a>” by Ray Anthony</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=XOQ_Dh7__wU&list=PLn4s8r0gyEetqBcFGqBcJJmLylNKaWDoK&index=93">The
Shimmie Shake</a>” by The Wiggles</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=vPrmY7labLA">We
are the Dinosaurs</a>” by Laurie Berkner</span></span></div>
</li>
</ul>
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<div style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;">Fine
Motor/Fingerplay</span></span></div>
<ul>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=XqZsoesa55w">Baby
Shark</a>” by PINKFONG</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;">BINGO”
(The KidZup Toddler Tunes version is my favorite)</span></span></div>
</li>
</ul>
<ul>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=EJx2CmnLeIo">Open,
Shut Them</a>” by Turtle Interactive</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=OaT4Atg4Jwg">Put
Your Finger in the Air</a>” by Rainbow Songs</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=KXfTXCIXIq8">Slippery
Fish</a>” by Kinder Tunes <span style="font-size: x-small;">(please excuse the
grammatical error in the song!)</span></span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=U9ey2k0Zis8">The
Itsy Bitsy Spider</a>” by Patty Shukla</span></span></div>
</li>
<li><div style="margin-bottom: 0in;">
“<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><a href="https://www.youtube.com/watch?v=294YdHoFDfM">Wheels
on the Bus</a>” by Old Town School of Folk Music</span></span></div>
</li>
</ul>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;">To
Purchase, please use the following affiliate links to help me earn
money to buy therapy supplies for my low-income patients:</span></span></div>
<div align="CENTER" style="margin-bottom: 0in;">
<br /></div>
<ul>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;">Greg
and Steve </span><a href="https://amzn.to/2QTI3Vc"><span style="font-family: "trebuchet ms" , sans-serif;"><i>Kids
in Motion</i></span></a></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;">Imagination
Movers </span><a href="https://amzn.to/2UnpP0i"><span style="font-family: "trebuchet ms" , sans-serif;"><i>In
a Big Warehouse</i></span></a></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;">Imagination
Movers </span><a href="https://amzn.to/33T8Ups"><span style="font-family: "trebuchet ms" , sans-serif;"><i>Rock-O-Matic</i></span></a></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-style: normal;">Kidzup
</span></span><a href="https://amzn.to/2QTGg2h"><span style="font-family: "trebuchet ms" , sans-serif;"><i>Best
Toddler Tunes</i></span></a></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-style: normal;"><span style="font-weight: normal;">Laurie
Berkner </span></span></span><a href="https://amzn.to/2UqL4P2"><span style="font-family: "trebuchet ms" , sans-serif;"><i>The
Best of The Laurie Berkner Band</i></span></a></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-style: normal;">Old
Town School of Folk Music featured on</span></span></span><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><i>
<a href="https://amzn.to/2QTIQp8">Bloodshot Records: Fun For All
Ages Sampler</a></i></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-style: normal;">Patty
Shukla </span></span></span><a href="https://amzn.to/3dyj8jP"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><i>Nursery
Rhymes with Patty</i></span></span></a></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-style: normal;">Raffi</span></span><span style="font-family: "trebuchet ms" , sans-serif;"><i>
<a href="https://amzn.to/3dBtE9I">The Best Of</a></i></span></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-style: normal;">Ray
Anthony featured on</span></span><span style="font-family: "trebuchet ms" , sans-serif;"><i>
<a href="https://amzn.to/2WObDiu">One Hit Wonders of Pop Radio</a></i></span></span></span></div>
</li>
<li><div align="LEFT" style="margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: medium;"><span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-style: normal;">The
Wiggles </span></span><a href="https://amzn.to/3ax4V4M"><span style="font-family: "trebuchet ms" , sans-serif;"><i>The
Best Of</i></span></a></span></span></div>
</li>
</ul>
<div align="LEFT" style="margin-bottom: 0in;">
<br /></div>
<br />Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-53265929467239043682015-11-14T07:25:00.001-08:002015-11-19T18:30:23.188-08:002015 Gift Guide<span style="font-size: large;">Are you looking for a gift for a child who struggles with gross motor skills? Look no farther!</span><br />
<br />
<b><u><span style="font-size: large;">Rody</span></u></b><br />
<br />
<span style="font-size: large;">Rody is a fun alternative to a peanut ball for working on balance skills and trunk/leg strengthening. His legs offer more stability and his ears are a handy place for kids to hold on while they bounce. Not only is Rody super cute, but they come in all kinds of fun colors. </span><br />
<br />
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B001OUUZ5U&asins=B001OUUZ5U&linkId=KKHK34X5ZZXRDHUF&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000XSAZUO&asins=B000XSAZUO&linkId=PSGIBIA74YHD2WC3&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000NZQEF2&asins=B000NZQEF2&linkId=JUYCT6A27646C5KW&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000SJVJGC&asins=B000SJVJGC&linkId=WJIRSLAV2IWEMDT6&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00005BAHT&asins=B00005BAHT&linkId=7KUAXWUD3YLAJARP&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe>
<br />
<br />
<br />
<b><u><span style="font-size: large;">Teeter Popper</span></u></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">This toy is similar to a standard rocker or balance board, but with one fun feature -- it's suction cup bottom provides great auditory feedback! The suction cups also provide a bit more stability for those who struggle with their balance. WARNING: This may not be the best choice for those who are sensitive to sound. For them, try a standard rocker board.</span><br />
<br />
<div style="text-align: center;">
<span style="font-size: large;"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00KY5HE9Q&asins=B00KY5HE9Q&linkId=OU7VMQPNVPY2GJBB&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00L53GZUU&asins=B00L53GZUU&linkId=5GTVKMT6ECFWR2BO&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe></span><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B001FVTQDU&asins=B001FVTQDU&linkId=4GQU6GRA2DAUHESH&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe>
</div>
<br />
<br />
<b><u><span style="font-size: large;">Wobble Deck</span></u></b><br />
<br />
<span style="font-size: large;">For a different type of challenge, try the Wobble Deck.</span><span style="font-size: large;"> By playing one of its 3 games, kids' balance is challenged even further. Because it moves in multiple planes, this toy is more appropriate for kids 4 and up with good balance.</span><b><span style="font-size: large;"></span></b><br />
<b><span style="font-size: large;"><br /></span></b>
<div style="text-align: center;">
<br /><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000GAYMDA&asins=B000GAYMDA&linkId=BMXDFE4HVKL4JPUC&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe>
</div>
<br />
<br />
<b><u><span style="font-size: large;">Magic Moves Electronic Wand</span></u></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Not only does this toy encourage movement, but it also helps kids to follow simple commands. Kids will move like animals, dance, or freeze -- perfect for motor group activities, as well!</span><br />
<br />
<div style="text-align: center;">
<span style="font-size: large;"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B006X9KUL6&asins=B006X9KUL6&linkId=6TRD6LEP5I2OEKNM&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;"> </iframe></span><br />
<span style="font-size: large;"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B006X9KUL6&asins=B006X9KUL6&linkId=6TRD6LEP5I2OEKNM&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;"> </iframe></span>
</div>
<br />
<br />
<b><u><span style="font-size: large;">Cat in the Hat "I Can Do That!" Game </span></u></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">This is a quieter option to encourage movement and following directions. Some of the activities are quite silly, which just makes them more fun! It also comes in a smaller card game version.</span><br />
<br />
<div style="text-align: center;">
<span style="font-size: large;"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B0016LKFXE&asins=B0016LKFXE&linkId=VHNY2IAW7O6ALQGI&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B003P8QI8M&asins=B003P8QI8M&linkId=G3O5UZDCTPSSQXMT&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe></span>
</div>
<br />
<b><u><span style="font-size: large;">Twister Moves</span></u></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">This is another fun game to encourage gross motor skills, balance, and following directions. The CD will instruct players to step on the colored circles to dance along with the music. It's a bit fast-paced, so it may frustrate beginners. And because the instructions ask the players to step on certain colors, it may be difficult for those with visual impairments.</span><br />
<br />
<div style="text-align: center;">
<span style="font-size: large;"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00008ZCEI&asins=B00008ZCEI&linkId=N5DTTE4ESNHZ4EFV&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe></span>
</div>
<br />
<b><u><span style="font-size: large;">Hopscotch Rug</span></u></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">This is a way to bring hopscotch indoors during inclement weather and to add some cute decor to your home at the same time. These are a fun way to learn numbers, sequencing, counting forwards and backwards, jumping, and hopping.</span><br />
<br />
<div style="text-align: center;">
<span style="font-size: large;"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B0141J63OC&asins=B0141J63OC&linkId=UBY2F5GU3QG554QX&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B004DJ52SO&asins=B004DJ52SO&linkId=MABBGVFXTREZS4VJ&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B009613OBG&asins=B009613OBG&linkId=JOWRPE5PS24L3U5Y&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe></span>
</div>
<br />
<b><u><span style="font-size: large;">Bean Bags</span></u></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Bean bags are a painless way to learn throwing and catching. Throw them into a bucket, play corn hole, throw them into hula hoops laid on the ground or taped to the wall, try to strike a target -- the possibilities are endless. And as a bonus, they come in really cute colors and shapes that can add to the learning by teaching colors and letters. "Throw the bean bag with the letter A." "Catch the green frog!"</span><br />
<br />
<div style="text-align: center;">
<br /></div>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000X38FRO&asins=B000X38FRO&linkId=ECTXPSFPVI34V5QM&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B0009NW6CI&asins=B0009NW6CI&linkId=HMJ6FKD3OPPLV753&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B0009NU7EW&asins=B0009NU7EW&linkId=MFXKIAZRGWYF6U3I&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00I0ZZ21E&asins=B00I0ZZ21E&linkId=UVFEZOBUU6MEULUH&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B0037NA994&asins=B0037NA994&linkId=KQFGA7J55ZOG434O&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-37584124638952763782014-04-07T22:21:00.002-07:002014-04-07T22:21:44.480-07:00Fun Ways to Encourage Tummy Time<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/--Z5QkCFaA78/U0OGRu30vPI/AAAAAAAAAOI/I0hS5euLjLs/s1600/Joey+and+Thaddy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/--Z5QkCFaA78/U0OGRu30vPI/AAAAAAAAAOI/I0hS5euLjLs/s1600/Joey+and+Thaddy.jpg" height="284" width="320" /></a></div>
<br />
<br />
<span style="font-size: large;">Tummy time is important for an infant's development. Here are fun ways to encourage tummy time with your little one:</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>1. Put baby on your chest </b></span><br />
<br />
<span style="font-size: large;">Babies enjoy being held, so lay back and put baby on your chest to enjoy some face time. Seriously, who can resist their child's sweet face? If baby can't tolerate being all the way on his or her tummy, lay on an angled surface.</span><br />
<br />
<span style="font-size: large;"><b>2. Use a <a href="http://www.biddybelly.com/" target="_blank">Biddy Belly</a></b></span><br />
<br />
<span style="font-size: large;">I reviewed this nifty toy in a previous post: <a href="http://tanajimenezpt.blogspot.com/2011/10/products-i-love-biddy-belly_25.html" target="_blank">Products I Love - Biddy Belly</a></span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-pA6kqd57GUY/U0OGj4-q-_I/AAAAAAAAAOQ/5TI3JqCr34M/s1600/bb2-lukea.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-pA6kqd57GUY/U0OGj4-q-_I/AAAAAAAAAOQ/5TI3JqCr34M/s1600/bb2-lukea.jpg" height="171" width="320" /></a></div>
<div style="text-align: center;">
<span style="font-size: large;"> </span> </div>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>3. Find a fun tummy time mat</b></span><br />
<br />
<span style="font-size: large;">When I had my first baby, I questioned the necessity of a tummy time mat. However, if your child is resistant to tummy time, there are some really neat tummy time mats out there! Some have flat mirrors, while others have different textures. Some have toys attached and others have a water-filled insert. Find something that will capture your little one's attention and have some fun!</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>4. Sensory Play</b> </span><br />
<br />
<span style="font-size: large;">Give your little one something fun to do while on his or her tummy that also encourages sensory integration. Here are some fun ideas:</span><br />
<ul>
<li><span style="font-size: large;"> Put a toy that lights up and/or plays music in front of baby to encourage her to push up and reach while on her tummy.</span></li>
<li><span style="font-size: large;">Put a cookie sheet in front of baby and put some water or whipped cream into it to encourage exploration and splashing. <i>Supervise your child all all times during this activity! </i></span></li>
<li><span style="font-size: large;">Put a mirror or <a href="http://shop.aph.org/webapp/wcs/stores/servlet/Product_Mini-Lite%20Box_1-08661-00P_10001_11051" target="_blank">light box</a> in front of baby to encourage visual stimulation and pushing up on his forearms or palms.</span></li>
</ul>
<span style="font-size: large;"><b>5. Use a therapy/exercise ball</b></span><br />
<br />
<span style="font-size: large;">If you have an exercise ball or a <a href="https://store.schoolspecialty.com/OA_HTML/ibeCCtpItmDspRte.jsp?minisite=10206&item=93115" target="_blank">peanut ball</a>, lay your baby on the ball on his or her tummy. Roll baby forward and back toward your face or a mirror to give him or her something interesting to look at. On a regular ball, you can also rock baby from side to side. Oftentimes, baby will extend his or her trunk while on the ball, encouraging prone extension for strengthening. <i>Please hold your child at all times while he or she is on a ball! (unlike the photo below)</i></span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-Gx8ARckXoSQ/U0OHJ-pLw1I/AAAAAAAAAOY/eYZ7Xcq3TCA/s1600/straightRoll-main.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-Gx8ARckXoSQ/U0OHJ-pLw1I/AAAAAAAAAOY/eYZ7Xcq3TCA/s1600/straightRoll-main.jpg" height="235" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: large;"><i><span style="font-size: x-small;">photo from http://www.especialneeds.com/straight-roll.html</span></i></span></td></tr>
</tbody></table>
<div style="text-align: center;">
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<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-75790229073246691532013-04-25T13:27:00.002-07:002013-04-25T13:27:24.927-07:00Diastasis Recti (Part 5) - Postpartum Exercise<span style="font-size: large;">I just wanted to share an interesting article with you. It's about postpartum exercise, particularly following a C-section, but I was impressed that diastasis recti was mentioned.</span><br />
<span style="font-size: large;"><br /></span>
<div style="text-align: center;">
<a href="http://www.moveforwardpt.com/AskPT/Detail.aspx?cid=3da9148e-f738-4b9b-93e6-a1c851287b3b" target="_blank"><span style="font-size: large;"><b>Ask a PT: Exercises After Childbirth</b></span></a></div>
<div style="text-align: center;">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-BTpRqPEF4fY/UXmRPIdKZ5I/AAAAAAAAANc/llkVSXgNDR8/s1600/Pregnant+woman.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://2.bp.blogspot.com/-BTpRqPEF4fY/UXmRPIdKZ5I/AAAAAAAAANc/llkVSXgNDR8/s1600/Pregnant+woman.jpg" height="320" width="212" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Image courtesy of <a href="http://www.freedigitalphotos.net/images/view_photog.php?photogid=3849">imagerymajestic</a> / FreeDigitalPhotos.net</td><td class="tr-caption" style="text-align: center;"> </td></tr>
</tbody></table>
<div style="text-align: center;">
<br /></div>
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-64958677891743277922013-03-09T11:19:00.003-08:002013-03-09T11:19:45.857-08:00Part I - Lose Your Mummy Tummy DVD<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"><a href="http://www.diastasisrehab.com/diastore/product_info.php?cPath=1_5&products_id=8" target="_blank"><img border="0" height="320" src="http://1.bp.blogspot.com/-J4NVv0teHYk/UTuEWHA1c6I/AAAAAAAAAMs/Jpcpg5QNHjc/s320/lymt-dvd.jpg" width="227" /></a></span></div>
<div style="text-align: center;">
<br /></div>
<br />
<span style="font-size: large;">My last month of pregnancy was more difficult than we anticipated.
Aside from the pain I consistently experience during the 2nd and 3rd
trimesters and my diastasis recti, I was diagnosed with gestational diabetes. My blood sugar was well-controlled and my baby was a good size until week 38,
when I was told that baby was measuring at 40 weeks and my sugars were
starting to go haywire. As a result, I had to be induced by 39 weeks.</span><br />
<br />
<span style="font-size: large;">Fortunately, my baby boy was born perfectly healthy with no signs of hypoglycemia or jaundice. Unfortunately, mommy suffered some injuries during the birth process and I was just given a clean bill of health and cleared for full activity yesterday. </span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><span style="font-size: large;"><a href="http://2.bp.blogspot.com/-Kpm2ZEbMaV8/UTuEorT0aqI/AAAAAAAAAM0/-WkLlaOztQs/s1600/100_3619.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="200" src="http://2.bp.blogspot.com/-Kpm2ZEbMaV8/UTuEorT0aqI/AAAAAAAAAM0/-WkLlaOztQs/s200/100_3619.JPG" width="150" /></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Mommy's little angel at 8 weeks</span></td></tr>
</tbody></table>
<div style="text-align: center;">
<br />
<div style="text-align: left;">
<span style="font-size: large;">As a result, I will begin my<a href="http://www.diastasisrehab.com/" target="_blank"> Tupler Technique</a> post-partum exercise program! I will be watching the <a href="http://www.diastasisrehab.com/diastore/product_info.php?cPath=1_5&products_id=8" target="_blank"><i>Lose Your Mummy Tummy</i></a> DVD and using Julie Tupler's technique to help correct my diastasis recti and get back into shape.</span></div>
</div>
<br />
<span style="font-size: large;">Along the way, I will share embarrassing photos of myself and keep you informed of my progress. Wish me luck, as with 4 little boys running around, it's hard to find quiet time to myself!</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Here is my mummy tummy before starting the Tupler Technique:</span><br />
<span style="font-size: large;"><br /></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-94DrGFVTlM0/UTuHe7oZDxI/AAAAAAAAAM8/olOC36GphUY/s1600/100_3622.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="213" src="http://3.bp.blogspot.com/-94DrGFVTlM0/UTuHe7oZDxI/AAAAAAAAAM8/olOC36GphUY/s320/100_3622.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Though this is embarrassing to show publicly, I'm sucking up my pride in trying to help other mamas out there!</td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"></span></div>
<div style="text-align: center;">
<span style="font-size: large;"><br /></span></div>
<span style="font-size: large;">Please excuse my topographical roadmap -- when mama is only 4'11", baby has nowhere to grow except straight out!<span style="font-size: large;"> And after 4 pregnancies, this<span style="font-size: large;"> is what happens.</span></span> Hopefully, the next series of photos will look a lot prettier than this...</span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com2tag:blogger.com,1999:blog-7878527137844082903.post-15143344263182259382013-03-09T11:14:00.000-08:002013-03-09T11:20:22.486-08:00Partial Review of Perfect Pushing DVD<span style="font-size: large;">I haven't blogged for quite a while, but I'm back with an 8-week-old baby boy!</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-iZO3Iqq5kbc/UTuJvK4NbYI/AAAAAAAAANM/hB1eFh0CqAg/s1600/DSC00378.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="http://3.bp.blogspot.com/-iZO3Iqq5kbc/UTuJvK4NbYI/AAAAAAAAANM/hB1eFh0CqAg/s320/DSC00378.JPG" width="240" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Welcome to the world, baby J!</span></td></tr>
</tbody></table>
<div style="text-align: center;">
<br /></div>
<span style="font-size: large;">My last month of pregnancy was more difficult than we anticipated. Aside from the pain I consistently experience during the 2nd and 3rd trimesters, I was diagnosed with gestational diabetes. My blood sugar was well-controlled and my baby was a good size until week 38, when I was told that baby was measuring at 40 weeks and my sugars were starting to go haywire. As a result, I had to be induced by 39 weeks.</span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"><a href="http://www.diastasisrehab.com/diastore/product_info.php?cPath=1_5&products_id=41" target="_blank"><img border="0" src="http://3.bp.blogspot.com/-P2hhnT8iEAk/UTuIlSADCcI/AAAAAAAAANE/kUi_fnaXRvo/s1600/perfect-pushing-cover.gif" /></a></span></div>
<div style="text-align: center;">
<br /></div>
<br />
<span style="font-size: large;">I had every intention of having a fantastic birth experience using the techniques learned from the <a href="http://www.diastasisrehab.com/diastore/product_info.php?cPath=1_5&products_id=41" target="_blank"><i>Perfect Pushing</i></a> DVD, but God had other plans for me. My epidural worked a little too well and I was having a very difficult time pushing, so I was unable to put Julie Tupler's techniques into practice. I ended up having a vacuum-assisted delivery and was literally one push away from an emergency C-section. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">So here is a partial review of<i> Perfect Pushing:</i></span><br />
<br />
<span style="font-size: large;"><u>Pros</u>:</span><br />
<ul>
<li><span style="font-size: large;">All the exercises are clearly explained as they are being demonstrated</span></li>
<li><span style="font-size: large;">The exercises themselves are not difficult </span></li>
<li><span style="font-size: large;">I like to think that using these techniques enabled me to make one final push to avoid an emergency C-section</span></li>
</ul>
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<span style="font-size: large;"><u>Cons</u>: </span><br />
<ul>
<li><span style="font-size: large;">I would have loved it if pregnant women of all shapes and sizes were shown performing the exercises.</span></li>
<li><span style="font-size: large;">This is just my personal opinion, but the cover image of a baby being squeezed out of a toothpaste tube is a bit creepy to me.</span></li>
</ul>
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-1347973131641048402012-11-30T18:13:00.000-08:002012-12-04T09:29:06.550-08:002012 Gift Guide - Sports Toys<div style="text-align: left;">
<span style="font-size: large;">Here are some gift ideas for the special preschool<span style="font-size: large;"> and elementary-</span>aged kids in your life who may need a little help with their gross motor skills:</span></div>
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</span><br />
<u><span style="font-size: large;">Basketball Hoop</span></u><span style="font-size: large;"><br />
</span><br />
<span style="font-size: large;">Basketball hoops are fun in general, but they also help kids learn to throw underhand, to throw with accuracy, and to tiptoe and jump to slam dunk. We have the Fisher-Price Give Me Five Sports Center, which includes basketball, hockey, soccer, football, and baseball. It may be discontinued, which is unfortunate because it's a great toy that "grows" with your child. There are several kids' basketball hoops on the market, however, so you'll be able to find a suitable one.</span><br />
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<br /><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B001NLISDG&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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<span style="font-size: large;"></span><u><span style="font-size: large;">Soccer Net</span></u><br />
<span style="font-size: large;">Soccer drills are a great way to help kids practice balance and kicking with accuracy. You can make a goal out of something as simple as two plastic cups or cones, or you can get something like the Talk To Me Soccer Set, which gives auditory feedback when a child scores a goal.</span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B004GXIG4O&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe></div>
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<span style="font-size: large;"></span><u><span style="font-size: large;"><span style="font-size: large;">Baseball Equ<span style="font-size: large;">ipment</span></span></span></u><br />
<span style="font-size: large;">Aside from being's America's pasttime, baseball<span style="font-size: large;"> includes a lot of fundamental gross motor skills. From throwin<span style="font-size: large;">g to catching, from batting to running, it may be <span style="font-size: large;">perceived as a slow game, but it provides a full-body workout.</span></span></span></span><br />
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<span style="font-size: large;">A fun gift is a baseball set that includes a tee, a light ball, and a plastic bat. Children can learn hand-eye coordination as they strike a small, stationary object. You can always start with a 6" rubber ball, then progress down to a standard-sized baseball. Once your kiddo hits the ball, it's time to run the bases!</span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B001EB9F3C&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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<br />
<span style="font-size: large;">And naturally, what family doesn't play catch? We recently bought our two older sons (6 and 4) child-sized baseball gloves and within a week or two, they were fielding ground balls and (sometimes) catching slow line drives.<span style="font-size: large;"> <span style="font-size: large;">If your child is havi<span style="font-size: large;">n<span style="font-size: large;">g <span style="font-size: large;">difficulty cat<span style="font-size: large;">ching, start off with a velcro "glove" and a tennis ball to allow more room for error.</span></span></span></span></span></span></span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0028AECR2&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0047CLNHQ&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe> </div>
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<u><span style="font-size: large;"><span style="font-size: large;">Balance Beam</span></span></u><br />
<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;">Gymnastics has grow<span style="font-size: large;">n in popularity over the last 20 years, so your little aspiring <span style="font-size: large;">gymnast may love to get a balance b<span style="font-size: large;">eam! Start simple by having your ch<span style="font-size: large;">i<span style="font-size: large;">ld walk on it with a shuffling pattern with his or her feet parallel and as balance improves, have y<span style="font-size: large;">our child walk on it with a normal gait pattern, <span style="font-size: large;">walk sideways, and wa<span style="font-size: large;">lk backwards. </span></span></span></span></span></span></span></span></span></span></span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0062GLAZU&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B006CRPM1W&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"> </span></span></span></span></span></span></span></span></span></span></span></span></div>
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<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;">For safety, choose a balance b<span style="font-size: large;">eam that is only a couple inches off of t<span style="font-size: large;">he ground. For younger children, choose one th<span style="font-size: large;">at is about 6" wide, for older children you can use the sta<span style="font-size: large;">ndard 4" width.</span></span></span></span></span> </span></span></span></span></span></span></span></span></span></span></span><br />
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<u><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;">Gol<span style="font-size: large;">f o<span style="font-size: large;">r <span style="font-size: large;">Hockey Set</span></span></span></span></span></span></u><br />
<span style="font-size: large;">Play<span style="font-size: large;">ing golf and <span style="font-size: large;">ho<span style="font-size: large;">ckey will help your ch<span style="font-size: large;">ild with hand-eye coordinati<span style="font-size: large;">on, trunk rotation, and balance. Besides, it's fun!</span></span></span></span></span></span><u><span style="font-size: large;"><span style="font-size: large;"> </span></span></u><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B00000IZZD&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B000XSAZVS&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B002YE28LY&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<u><span style="font-size: large;"> </span></u></div>
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<u><span style="font-size: large;">Trampoline with Support Bar</span></u><br />
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<span style="font-size: large;">If your child is having difficulty jumping, try one of these fun trampolines! The support bar allows children to bear some weight through their upper extremities so their lower extremities don't have to work so hard. The bar also helps them to maintain balance. These are also great for children who seek the sensory input from jumping and the bar will help them to remain safe and in control as they bounce.</span><br />
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<span style="font-size: large;">Before shopping, don't forget to consider the trampoline's weight limits. Some models also have removable bars.</span></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0026HUP7I&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe></div>
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<span style="font-size: large;">This trampoline from Urban Rebouding is designed for adults, so it has a larger weight capacity. The support bar is removable, but it a bit high for young children. Another great feature is that the legs fold inward so that it stores flat.</span></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B000Q6JO0U&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe></div>
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<span style="font-size: large;"><u>Target Practice</u></span><br />
<span style="font-size: large;">We use this nifty velcro target in pediatric therapy clinics all the time. It's a nice size, providing a good sized target for your child. And the fact that the ball sticks to it provides instant feedback regarding the accuracy of his or her throw. The fact that you can keep score is a plus for those more-competitive kids.</span></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B000ASBIJE&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-58674692017827602822012-11-26T12:59:00.003-08:002015-11-14T07:44:37.008-08:002012 Gift Guide - Ride-On Toys<span style="font-size: large;">Last year, I wrote my gift guide by ages. This year, I'll be doing it by category. Today, <span style="font-size: large;">I'm starting with ride-on toys for <span style="font-size: large;">children <span style="font-size: large;">fro<span style="font-size: large;">m babies to elementary-age.</span></span></span></span></span><br />
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<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><u>Playskool Walk <span style="font-size: large;">'</span>N Ride </u></span></span></span></span></span></span><br />
<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;">Convertible push toys are great because they're
multifunctional and can be used for a relatively long period of time. I
really like the Playskool Walk 'N Ride because it can entertain children
from infancy up until 2-3 years of age. Infants can play with the
spinners, roll it back and forth, and open and close the door on the
front. Older babies can use it as a push toy to practice walking with
support.<span style="font-size: large;"> I like the fact that this particular toy allows a baby who is learning to walk to use a narrower base of support and does not ex<span style="font-size: large;">tend so far backwa<span style="font-size: large;">rd that the child needs to lea<span style="font-size: large;">n too far forward to walk safely.</span></span></span></span> Young toddlers can use it as a ride-on toy to help with
balance and lower extremity strengthening. Both my 9-month-old
and 3-year old enjoyed playing with it last year and my now<span style="font-size: large;"> 21-month-old still u<span style="font-size: large;">ses it frequently</span></span>. Our<span style="font-size: large;"> Walk 'N Ride</span> stays indoors and has
survived 3 very active boys.</span></span></span></span></span></span><br />
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<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;"></span></span></span></span></span></span><br /></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00004T2WP&asins=B00004T2WP&linkId=PQZ7LEU3D5XVQ4EI&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00JYCN6L0&asins=B00JYCN6L0&linkId=V67NLZIMKLN32ROQ&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
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<u><span style="font-size: large;">Kiddi-O Smoovy</span></u><br />
<span style="font-size: large;"> The Smoovy is made by Kettler, so you know you're getting a good quality, sturdy toy. The price can be a bit off-putting, but Kettler products last a very long time, so if you pla<span style="font-size: large;">n to use this with more than one child, it's a worthwhile investment.</span></span><br />
<span style="font-size: large;"><span style="font-size: large;"> <span style="font-size: large;"> I like the Smoovy because it's stur<span style="font-size: large;">dy and stable. <span style="font-size: large;">It's a great ride-on toy for toddlers be<span style="font-size: large;">cause there is less risk of <span style="font-size: large;">topp<span style="font-size: large;">ling<span style="font-size: large;">, it rolls smoothly, and it was designed by Physical Therapists.</span></span></span></span></span></span></span></span></span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B003NWCBTU&asins=B003NWCBTU&linkId=CR6ZOWFKEXAA4HC2&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
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<u><span style="font-size: large;">Pewi Ybike</span></u> <br />
<span style="font-size: large;">The <span style="font-size: large;">Pewi Ybike is another multi-functional ride-on toy. Like the Walk 'N Ride, i<span style="font-size: large;">t can be used bot<span style="font-size: large;">h as a push toy for beginning walkers and a ride-on toy for toddlers. <span style="font-size: large;">The caster wheels al<span style="font-size: large;">lows the Ybike to roll<span style="font-size: large;"> in any direction, so it will offer more of a challenge to beginning w<span style="font-size: large;">alkers as they need to control its direction.</span></span></span></span></span></span></span></span> <span style="font-size: large;">As a ride-on toy, the caster wheels will allow kids to roll in any direction, challenging their balance and trunk control in several planes.</span> <span style="font-size: large;">The narrow seat also allows children with impaired hip mobility to sit on the seat safely.</span><br />
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<span style="font-size: large;"><u>Wheely Bug</u></span> </div>
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<span style="font-size: large;">Like the Ybike, the Wheely Bug has caster wheels that allow it to roll in any direction. It's also super-cute and comes in a bumblebee, ladybug, mouse, tiger, pig, and cow. The seat is a bit wider, so it would provide a nice stretch for kids with tight hip abductors. The Wheely Bug also comes in two sizes, so you can select what is mo<span style="font-size: large;">st appropriate for your child.</span></span></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000GX0B3M&asins=B000GX0B3M&linkId=WELL2AS2RXPMPRD4&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00LC39QUO&asins=B00LC39QUO&linkId=5L3V5WUGPYCKXNHA&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00LC315W6&asins=B00LC315W6&linkId=4CRZVKMGXIL2MQ4J&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
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<span style="font-size: large;"><u>PlasmaCar</u></span><br />
<span style="font-size: large;">Similar to the Roller-Racers of the '80s, the PlasmaCar relies on a turn of the handlebars to roll. My kids love riding their friends' PlasmaCars because they provide a smooth ride on hard, level surfaces. These are great for building trunk strength and balance as children control the direction by both steering and leaning. These can get going pretty fast, so make sure your child wears a helmet when riding a PlasmaCar. I have seen less-expensive versions of PlasmaCars, but am unsure of their quality.</span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B000GUGY1S&asins=B000GUGY1S&linkId=MIT3BCPA3B6V5KOZ&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00IGXVCUU&asins=B00IGXVCUU&linkId=Z7Q2VMCGS6ILHOOT&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
</iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="//ws-na.amazon-adsystem.com/widgets/q?ServiceVersion=20070822&OneJS=1&Operation=GetAdHtml&MarketPlace=US&source=ac&ref=qf_sp_asin_til&ad_type=product_link&tracking_id=tajipt-20&marketplace=amazon&region=US&placement=B00DATQONA&asins=B00DATQONA&linkId=3X3APP3MV7DEERPC&show_border=false&link_opens_in_new_window=true&price_color=333333&title_color=0066C0&bg_color=666666" style="height: 240px; width: 120px;">
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<span style="font-size: large;"><u>Balance/Strider Bike</u></span></div>
<div style="text-align: left;">
<span style="font-size: large;">These are basically small bicycles with no pedals that allow children to practice balancing on two wheels with the security of being able to place their feet on the ground. They are a bit expensive, but if you're handy, you can buy a small bike and remove the pedals while your child is learning to balance.</span></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: left;">
</div>
<div style="text-align: center;">
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B001AIONOU&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B003KN26KQ&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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<br /></div>
<div style="text-align: left;">
<span style="font-size: large;"><u>Weplay Pedal Walker</u></span></div>
<div style="text-align: left;">
<span style="font-size: large;">This is a fun toy for older kids that they can ride standing up. As their balance and control improves, the handles can be removed to provide an additional challenge. </span></div>
<div style="text-align: left;">
<br /></div>
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<br /></div>
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</div>
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<br />
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B00428JJ80&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
</div>
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com2tag:blogger.com,1999:blog-7878527137844082903.post-27669545122943340922012-10-30T20:55:00.002-07:002012-11-07T14:57:10.821-08:00Physical Therapy for Multiple Sclerosis<div style="text-align: center;">
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</xml><![endif]--><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";"><span style="font-size: x-small;">The original version of this post can be found at https://www.ourcarecommunity.com/Html/CareResourceCenter/Articlesdesc/can-physical-therapy-help-control-symptoms-of-multiple-sclerosis/CatDesc/30/149/rehabilitation.</span> </span></span></div>
<br />
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Approximately
350,000 people in the United States have a diagnosis of Multiple
Sclerosis. Celebrities with <span style="font-size: large;">a diagnosis of</span> Multiple Sclerosis include
talk show host Montel Williams, actress Annette Funicello, actress Teri Garr, journalist Neil Cavuto, former first lady of Massachusett<span style="font-size: large;">s </span>Ann Romney, singer/<span style="font-size: large;">actress </span>Lena Horne, and comedian Richard Pryor.</span></span><br />
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<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-6zzBa4a8qEQ/UJAqNfo-3nI/AAAAAAAAALw/OYaXJTL0Po4/s1600/annette.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="200" src="http://1.bp.blogspot.com/-6zzBa4a8qEQ/UJAqNfo-3nI/AAAAAAAAALw/OYaXJTL0Po4/s200/annette.jpg" width="151" /></a></td></tr>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-E35ZHDeQHmU/UJAqSOxtzSI/AAAAAAAAAMA/Y7Kgd1_RVN8/s1600/Richard_Pryor_(1986)_(cropped).jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="200" src="http://2.bp.blogspot.com/-E35ZHDeQHmU/UJAqSOxtzSI/AAAAAAAAAMA/Y7Kgd1_RVN8/s200/Richard_Pryor_(1986)_(cropped).jpg" width="162" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Richard Pryor (photo by Alan Light)</td></tr>
</tbody></table>
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<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">What
is Multiple Sclerosis?</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Multiple
Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous
system. MS is usually diagnosed between
20 and 40 years of age and is more common in women than in men. Inflammation from MS causes damage to the outer la<span style="font-size: large;">yer of</span>
nerve cells, which slows down or stops nerve signals. The cause of MS is not known, though it is believed that it may be the resul<span style="font-size: large;">t of genetics, a virus, or environmental factors.</span></span></span></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Symptoms
of Multiple Sclerosis</span></u></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">MS
has a multitude of symptoms, which include:</span></span></div>
<br />
<ul>
<li><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Fatigue</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Weakness
</span></span></li>
<li><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Impaired
balance</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Muscle
spasms</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Tremor
</span></span></li>
<li><span style="font-size: large;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">A</span></span><span style="font-family: "Times New Roman","serif";">bnormal
sensations (including numbness, tingling, or a crawling sensation)</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Difficulty
with gross motor movements, such as walking</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Difficulty
with fine movements, such as writing, eating, and manipulating clothing fasteners</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Bowel problems (including constipation
and/or leakage of stool)</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Problems
with urination</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Double
vision</span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Gradual
vision loss</span></span></li>
<li><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Hearing
loss</span></span></li>
<li><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Difficulty swallowing</span></span></li>
<li><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Difficulty speaking clearly </span></span></li>
<li><span style="font-size: large;"><span style="font-family: Symbol;"><span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"></span></span><span style="font-family: "Times New Roman","serif";">Decreased
attention, memory, and decision-making ability</span></span></li>
<li><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Depression
</span></span></li>
</ul>
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<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";"><span style="font-family: "Times New Roman","serif";">Since
there is such a wide range of symptoms, the abilities of people with MS can
vary greatly. </span>Symptoms
usually come in episodes, which come and go over the course of several days,
weeks, or months. Heat, fatigue, and
stress often exacerbate symptoms. </span></span></div>
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<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Physical
Therapy for Multiple Sclerosis</span></u></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">While
Physical Therapy cannot help all symptoms, it can help to build up endurance,
increase strength, improve balance, assistance with moving more normally, to
learn energy conservation techniques, and to provide caregiver training. These PT sessions can take place in a home
health care setting, as part of an adult day care program, at an assisted living facility, in<span style="font-size: large;"> skilled nursing facilities</span>, a<span style="font-size: large;">nd in outpatient clin<span style="font-size: large;">ics.</span></span></span></span><br />
<br />
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";"><span style="font-size: large;"><span style="font-size: large;">During the initial evaluation, the p<span style="font-size: large;">hysical the<span style="font-size: large;">rapist will record a thorough history, incl<span style="font-size: large;">uding other medical <span style="font-size: large;">diagnoses, medications that the patie<span style="font-size: large;">nt is taking, and difficulties that th<span style="font-size: large;">e patient is experiencing.</span></span></span></span></span></span></span></span></span></span> <span style="font-size: large;">The PT will then assess a pat<span style="font-size: large;">ient's ran<span style="font-size: large;">ge of motion, strength, sensation, balance, and functional mobility<span style="font-size: large;">, p<span style="font-size: large;">aying close attention to the quality of movement and any compensatory patterns.</span></span></span></span></span> </div>
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<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Direct
PT treatments will include endurance training to help patients
increase their physical endurance. This
training may make use of a stationary bike, a pool, a treadmill, or while
performing everyday activities. PT will
also incorporate strengthening activities , which may help patients avoid
compensatory movements, enhance joint stability, and allow them to perform
activities of daily living more easily and efficiently. Balance training also will be a major part of
PT treatment to help patients decrease their risk of falls, allowing them to
move throughout their homes and in the community safely. Finally, transfer and gait training are vital
parts of PT treatment, as a physical therapist will help patients learn to
perform common movements such a moving in bed, standing from a chair, and
walking in the safest and most efficient way possible.</span></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">A <span style="font-size: large;">p</span>hysical <span style="font-size: large;">t</span>herapist may recommend varying types of adaptive equipment to aid MS
patients with mobility, safety, and energy conservation. The <span style="font-size: large;">p</span>hysical <span style="font-size: large;">t</span>herapist may want to schedule
a home visit
to perform an assessment of the home’s safety and accessibility. A cane or walker will help people with
balance difficulties to walk with more stability. A commode helps to make toileting easier
since the seat is elevated and it includes armrests that a person can push off
from to facilitate standing up. A shower chair allows people to sit while they
bathe to ensure safety and to help them conserve energy as they perform hygiene
tasks. <span style="font-size: large;">Grab bars, particularly in the bathroom help to give support when a person with MS tries to move in<span style="font-size: large;"> a confined and possibly sli<span style="font-size: large;">ppery room.</span></span></span> Finally, a wheelchair or electric
scooter may be recommended for those who are unable to walk safely or who are
unable to walk in the community for long distances due to deficits in balance,
decreased strength, or imp<span style="font-size: large;">aired</span> endurance. </span></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">During
the course of PT treatment, patients with MS will learn to make lifestyle
changes to help avoid exacerbation of symptoms and to help conserve
energy. Lifestyle changes often include eating
a balanced diet, avoiding heat, stress, and fatigue, and modifying one’s home
to make it safer and more accessible. </span></span></div>
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<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Conclusion</span></u></span></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";"><span style="text-decoration: none;"><br /></span></span></u></span></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">While
there is no cure for Multiple Sclerosis, Physical Therapy treatment can help slow a person’s
functional decline and allow a person to live independently for as long as
possible. In the case of functional
decline, a Physical Therapist can help patients adapt to their changing
abilities and recommend the best equipment and lifestyle changes to accommodate
them. Hopefully, with the help of a
Physical Therapist, people with Multiple Sclerosis will be able to postpone
having to move to an assisted living facility or <span style="font-size: large;">skilled nursing facility.</span></span></span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-QKSNQF3PEOE/UJChG73Jl3I/AAAAAAAAAMU/Vl9HgpFJ3u0/s1600/MultipleSclerosis.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-QKSNQF3PEOE/UJChG73Jl3I/AAAAAAAAAMU/Vl9HgpFJ3u0/s320/MultipleSclerosis.jpg" width="247" /></a></div>
<div style="text-align: center;">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";"><span style="font-size: large;"> </span> <span style="background-color: white;"></span></span></span></div>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-12893330156208657432012-10-29T11:24:00.001-07:002012-10-29T11:24:40.781-07:00Diabetic Foot Ulcers<span style="font-size: large;">In the United States, nearly 19 million people have been diagnosed with Diabetes. Diabetes is a chronic disease in which the body's glucose levels are higher than normal, resulting from the body's inability to produce and/or use insulin properly. There are several different types of Diabetes, including Type I Diabetes, Type II Diabetes, and Gestational Diabetes.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Symptoms of Type I Diabetes include:</span><br />
<ul>
<li><span style="font-size: large;">frequent urination</span></li>
<li><span style="font-size: large;">excessive hunger or thirst</span></li>
<li><span style="font-size: large;">unusual weight loss</span></li>
<li><span style="font-size: large;">fatigue</span></li>
<li><span style="font-size: large;">irritability</span></li>
</ul>
<span style="font-size: large;">Complications of Diabetes include heart disease, stroke, high blood pressure, peripheral neuropathy, blindness, kidney dysfunction, Diabetic ulcers, charcot foot and amputations.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><u>What is a Diabetic Foot Ulcer?</u></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">While nonhealing wounds, or ulcers are commonplace in hospitals and nursing homes, people living in the community are also at risk and frequently will develop a diabetic foot ulcer. A diabetic foot ulcer is a wound that is located on the ball of the foot, the side of the foot, or beneath the big toe. They form as the result of decreased sensation caused by neuropathy, skin changes (dry, peeling, cracking), improper footwear, and decreased circulation to the leg and foot. Because of the underlying Diabetes, diabetic foot ulcers are often slow to heal and may go undetected for some time due to decreased sensation.</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/-Fsv5C7l4HgQ/UI7I7iTOjFI/AAAAAAAAALc/-PsZf-fleBw/s1600/Diabetes_Foot_Ulcers-2.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="260" src="http://4.bp.blogspot.com/-Fsv5C7l4HgQ/UI7I7iTOjFI/AAAAAAAAALc/-PsZf-fleBw/s400/Diabetes_Foot_Ulcers-2.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: large;"><span style="font-size: x-small;">Accessed from http://trialx.com/curebyte/2011/06/17/clinical-trials-and-related-photos-for-diabetes-foot-ulcers/</span></span></td></tr>
</tbody></table>
<div style="text-align: left;">
<span style="font-size: large;"> <span style="font-size: large;">A<span style="font-size: large;">t first, you may notice a re<span style="font-size: large;">ddened area that will not blanch<span style="font-size: large;"> <span style="font-size: large;">(</span>turn white<span style="font-size: large;">)</span> when you apply pr<span style="font-size: large;">essure to it with your finger</span>. This is a Stage I ulcer. S<span style="font-size: large;">tage II ulcers appear like blisters. A Sta<span style="font-size: large;">ge III ulcer is open and crater-like.</span></span></span></span></span></span></span></div>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><u>Preventing Diabetic Foot Ulcers</u></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">There are several ways to help prevent Diabetic foot ulcers:</span><br />
<ul>
<li><span style="font-size: large;">Keep your skin clean and dry</span></li>
<li><span style="font-size: large;">Do not apply lotion or moisturizers between your toes, as this may encourage infection</span></li>
<li><span style="font-size: large;">Wear proper footwear that is not too tight, does not rub, and does not have complicated straps and buckles which create pressure areas</span></li>
<li><span style="font-size: large;">Perform daily skin checks, looking for areas of redness, blisters, or open areas</span></li>
<li><span style="font-size: large;">See your doctor regularly</span></li>
</ul>
<span style="font-size: large;">If you notice an ulcer developing on your foot, please see your doctor immediately! The sooner treatment begins, the less complicated the wound will get, decreasing your risk of a hospital stay, IV antibiotics, intense wound care, and/or an amputation.</span><br />
<br />
<span style="font-size: large;"><u>Treatment of Diabetic Foot Ulcers</u></span><br />
<br />
<span style="font-size: large;">There are many treatment options for Diabetic foot ulcers, depending on the severity of the condition. These options include:</span><br />
<ul>
<li><span style="font-size: large;">keeping the wound clean and moist (new cells will not grow in a dry environment) </span></li>
<li><span style="font-size: large;">using appropriate bandages and/or wound dressings</span></li>
<li><span style="font-size: large;">antibiotics (topical solutions, <a href="http://en.wikipedia.org/wiki/Silver_nitrate#Antimicrobial_uses" target="_blank">silver nitrate</a>, oral antibiotics, or IV antibiotics) to fight infection</span></li>
<li><span style="font-size: large;">wound debridement by a Physical Therapist or other wound care specialist. This can be non-selective (i.e. <a href="http://ptjournal.apta.org/content/80/3/292.full" target="_blank">pulsed lavage</a>) or selective/sharp debridement using scissors, scalpels, tweezers, etc.</span></li>
<li><span style="font-size: large;"><a href="http://en.wikipedia.org/wiki/Negative_pressure_wound_therapy" target="_blank">negative pressure wound therapy</a> (AKA wound vac) </span></li>
<li><span style="font-size: large;">surgical debridement</span></li>
</ul>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><span style="font-size: large;"><a href="http://1.bp.blogspot.com/-h5JFYeUu6go/UI7HboAZ5TI/AAAAAAAAALM/Pz1rar_3s6o/s1600/suture+kit.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="http://1.bp.blogspot.com/-h5JFYeUu6go/UI7HboAZ5TI/AAAAAAAAALM/Pz1rar_3s6o/s320/suture+kit.jpg" width="236" /></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: large;"><span style="font-size: x-small;">Suture set used for sharp debridement</span></span></td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><span style="font-size: large;"><a href="http://3.bp.blogspot.com/-5k9b9EgA-Jk/UI7H0gThHHI/AAAAAAAAALU/u4Zv4cPte80/s1600/Pulse-Lavage-Instrument.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="227" src="http://3.bp.blogspot.com/-5k9b9EgA-Jk/UI7H0gThHHI/AAAAAAAAALU/u4Zv4cPte80/s320/Pulse-Lavage-Instrument.jpg" width="320" /></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: large;"><span style="font-size: x-small;">Pulsed Lavage</span></span></td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><span style="font-size: large;"><a href="http://1.bp.blogspot.com/-dp-EP1dbz_4/UI7HR6Pw5oI/AAAAAAAAALE/92ixaGSYlMs/s1600/wound+vac.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="http://1.bp.blogspot.com/-dp-EP1dbz_4/UI7HR6Pw5oI/AAAAAAAAALE/92ixaGSYlMs/s320/wound+vac.jpg" width="306" /></a></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: large;"><span style="font-size: x-small;">KCI Wound Vac</span></span></td></tr>
</tbody></table>
<br />
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com3tag:blogger.com,1999:blog-7878527137844082903.post-91227144909294116002012-10-27T22:28:00.001-07:002012-10-28T06:08:27.346-07:00Homeschooling and IEP's - An Impossible Combination?<span style="font-size: large;">When my husband and I were newlyweds, he stated that he wanted his children to be homeschooled. I was a bit dubious, mostly because I doubted my abilities to educate my own children. What if I wasn't good at it and my kids underachieved??? But my teacher husband promised to support me and when my oldest son turned 4, we dove into homeschooling. After all, how hard is it to teach preschool?</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">My son thoroughly enjoyed his homeschool preschool curriculum and we had so many opportunities to go on fun outings/field trips. However, I noticed that he was having difficulty with his fine motor skills, particularly writing and drawing, and he seemed to have some sensory processing issues. The district recommended that we place him in a Kindergarten readiness class 2 days a week so that a member of their staff could observe him and report on his progress. Upon the advice from his Pre-K teacher, I requested an IEP from our school district, but since he did not have a formal diagnosis, they could not proceed. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">When he turned 5, he was "old enough" to be formally diagnosed with ADHD, which we knew all along. He started a homeschool Kindergarten program through the county and was thriving academically, though he continued to struggle with his writing skills. As the school year progressed, the expectation for written work increased and he became more frustrated, more oppositional, and more unwilling to do his schoolwork. We revisited the IEP process and thanks to an incredible RSP teacher who took the time to look at my son's work samples, we were on our way!</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">My son's IEP recommended 40 minutes of RSP per day and 45 minutes of OT per week. He was to be mainstreamed the rest of the time, since he was doing well academically. We enrolled him in the public school for the last 2 months of the school year, but were undecided as to continue there or resume homeschooling for first grade.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">I contacted several homeschool programs, including charter schools and not a single one of them would accept my son's IEP as written. Some schools felt that since I would be his primary teacher, I should provide those services (since when am I a Special Ed teacher or Occupational Therapist?). Others said that our family would have to seek those service privately and pay for them on our own. Yet others insisted on holding their own IEP meeting so that they could decide what services he should receive. Frankly, this last group of schools frustrated me the most -- we had already dragged my poor son through the assessment process and he had to go through it again? What was wrong with his current IEP? Why wouldn't they answer my questions about all this? Who is on their IEP team? No answer. How do these schools provide services, and by whom? No answer. Why did the emailed letter from one school say he has "exceptional needs" when he is mainstreamed and performs well academically? No answer, except re-sending the email.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">I find it sad that families of children with special needs have no options other than traditional public schools. We pay our taxes. We should get the services we pay for. Many families (including ours) cannot afford hundreds of dollars per month on therapy services. Many families cannot afford private school, either. And it seems that homeschool programs are less than willing to accommodate IEPs from a school district as they are written and provide services as recommended. Last I checked, charter schools are public schools that receive public funds, so they should honor IEPs <i>as written</i>. Interestingly, section 51745(c) of California Ed Code states "No individual with exceptional needs may participate in Independent Study, unless his or her individualized educational plan (IEP) specifically provides for that participation." (<span style="font-size: large;">I</span>nterestingly, there is an official difference betwe<span style="font-size: large;">en homeschooling and independent study, but I can't get a straight answer without legal<span style="font-size: large;">ese as to what exactly the difference is)</span></span> Here is the "official" definition of "exceptional needs" in the state of California:</span><br />
<br />
<pre>56026. "Individuals with exceptional needs" means those persons who
satisfy all the following:
(a) Identified by an individualized education program team as a
child with a disability, as that phrase is defined in subparagraph
(A) of paragraph (3) of <a href="http://us-code.vlex.com/vid/sec-definitions-19195003" target="_blank">Section 1401 of Title 20 of the United StatesCode</a>.
(b) Their impairment, as described by subdivision (a), requires
instruction, services, or both, which cannot be provided with
modification of the regular school program.
(c) Come within one of the following age categories:
(1) Younger than three years of age and identified by the
district, the special education local plan area, or the county office
as requiring intensive special education and services, as defined by
the State Board of Education.
(2) Between the ages of three to five years, inclusive, and
identified by the district, the special education local plan area, or
the county office pursuant to Section 56441.11.
(3) Between the ages of five and 18 years, inclusive.
(4) Between the ages of 19 and 21 years, inclusive; enrolled in or
eligible for a program under this part or other special education
program prior to his or her 19th birthday; and has not yet completed
his or her prescribed course of study or who has not met proficiency
standards or has not graduated from high school with a regular high
school diploma.
(A) Any person who becomes 22 years of age during the months of
January to June, inclusive, while participating in a program under
this part may continue his or her participation in the program for
the remainder of the current fiscal year, including any extended
school year program for individuals with exceptional needs
established pursuant to regulations adopted by the State Board of
Education, pursuant to Article 1 (commencing with Section 56100) of
Chapter 2.
(B) Any person otherwise eligible to participate in a program
under this part shall not be allowed to begin a new fiscal year in a
program if he or she becomes 22 years of age in July, August, or
September of that new fiscal year. However, if a person is in a
year-round school program and is completing his or her individualized
education program in a term that extends into the new fiscal year,
then the person may complete that term.
(C) Any person who becomes 22 years of age during the months of
October, November, or December while participating in a program under
this act shall be terminated from the program on December 31 of the
current fiscal year, unless the person would otherwise complete his
or her individualized education program at the end of the current
fiscal year.
(D) No school district, special education local plan area, or
county office of education may develop an individualized education
program that extends these eligibility dates, and in no event may a
pupil be required or allowed to attend school under the provisions of
this part beyond these eligibility dates solely on the basis that
the individual has not met his or her goals or objectives.
(d) Meet eligibility criteria set forth in regulations adopted by
the board, including, but not limited to, those adopted pursuant to
Article 2.5 (commencing with Section 56333) of Chapter 4.
(e) Unless disabled within the meaning of subdivisions (a) to (d),
inclusive, pupils whose educational needs are due primarily to
limited English proficiency; a lack of instruction in reading or
mathematics; temporary physical disabilities; social maladjustment;
or environmental, cultural, or economic factors are not individuals
with exceptional needs.</pre>
<br />
<span style="font-size: large;">So let this be a warning to those of you who are hoping on homeschooling your children with special needs: It will not be an easy decision-making process. You and your child may have to revisit the assessment process yet another time. Your child may not receive the services he or she requires. You may have to make a large financial sacrifice to obtain these services for your child. You may have to jump through hoops just to get answers. You will most likely be asked to send your child's IEP paperwork to the school before they will consider enrollment. You may have to make the difficult<span style="font-size: large;"> decision w<span style="font-size: large;">hether to homeschool, or whether to enroll in publi<span style="font-size: large;">c school to obtain necessary services paid for w<span style="font-size: large;">it<span style="font-size: large;">h your tax dollars</span></span>.</span></span></span></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">My advice: Do your research. Advocate for your child. Do not sign anything without being 100% confident in what you are agreeing to. If you are <span style="font-size: large;">completely committed to homeschooling, recognize that you may need to do so without<span style="font-size: large;"> the assist<span style="font-size: large;">ance and support of an IEP.</span></span></span> Do what is best for your child<span style="font-size: large;">.</span></span><br />
<br />
<span style="font-size: large;"><span style="font-size: large;">I<span style="font-size: large;"> wish you the best of luck! </span></span></span><br />
<br />
<span style="font-size: large;"><span style="font-size: large;"><span style="font-size: large;">Please feel free to share your experience<span style="font-size: large;">s in the c<span style="font-size: large;">omments. I'd love to hear<span style="font-size: large;"> how different families have dealt with this.</span></span></span> </span> </span></span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-10216454762529442172012-10-21T18:52:00.001-07:002012-10-21T18:58:44.593-07:00Benefits of Standing<span style="font-size: large;">When a person experiences an accident, a prolonged illness, or a chronic medical condition, they often spend a much of their time in bed or sitting in a chair. My previous post regarding the <a href="http://tanajimenezpt.blogspot.com/2011/11/hazards-of-inactivity.html" target="_blank">Hazards of Inactivity</a> addresses the risks involved with prolonged immobility and now I'd like to discuss the benefits of standing.</span><br />
<br />
<b><span style="font-size: large;">Benefits of Standing:</span></b><br />
<ul>
<li><span style="font-size: large;"><u>Increased bone density</u>: A guided standing program maximizes weight bearing through the long bones and assists in skeletal development, which may prevent or stabilize osteoporosis. </span></li>
<li><span style="font-size: large;"><u>Improved cardiovascular functioning</u>: People who stand can
build cardiovascular endurance and reduce swelling and pooling of blood
in the lower extremities. Ongoing standing has also been shown to
increase circulation and reduce orthostatic hypotension.</span></li>
<li><a href="http://blog.easystand.com/2009/04/standing-program-improve-bowel-function/" target="_blank"><span style="font-size: large;">Improved digestion and bowel function</span></a></li>
<li><a href="http://www.ncbi.nlm.nih.gov/pubmed/11952654" target="_blank"><span style="font-size: large;">Increased integrity of the hip joint</span></a></li>
<li><span style="font-size: large;"><u>Prevention of contractures</u>: A guided standing program helps to prevent contractures of the lower extremity.</span></li>
<li><a href="http://www.ncbi.nlm.nih.gov/pubmed/17515690" target="_blank"><span style="font-size: large;">Increased strength</span></a></li>
<li><span style="font-size: large;"><u>Improved respiratory function</u>: <span style="font-size: large;">A guided standing program may help increase oxygen intake by allowing lungs to
completely expand, which in turn can reduce the incidence of upper
respiratory infections such as pneumonia.</span></span></li>
<li><span style="font-size: large;"><u>Preventing skin breakdown</u>: Frequent positional changes, including standing, can reduce the risk of pressure sores and other forms of skin breakdown. </span></li>
<li><a href="http://www.ncbi.nlm.nih.gov/pubmed/8420525" target="_blank"><span style="font-size: large;">Reducing spasticity</span></a></li>
<li><span style="font-size: large;">Benefits people with diagnoses of Multiple Sclerosis, stroke, traumatic brain injury, cerebral palsy, spina bifida, etc.</span></li>
</ul>
<b><span style="font-size: large;">What does a standing program entail?</span></b><br />
<span style="font-size: large;">A guided standing program is tailored to each individual. Usually, a person's rehab and medical team will collaborate to develop the most appropriate standing program which includes the type of stander, the ideal positioning to accommodate the patient's unique needs, the amount of time spent in the stander, and where this program will take place (home, school, PT clinic, etc.).</span><br />
<span style="font-size: large;"><br /></span>
<b><span style="font-size: large;">What is a standing frame?</span></b><br />
<span style="font-size: large;">A standing frame is a piece of medical equipment that allows those with physical limitations to stand with support, while ensuring proper alignment and positioning. There are several types of standers such as prone standers, sit-to-stand standers, and mobile standers.</span><br />
<span style="font-size: large;"><br /></span>
<br />
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-oAuIMfNSqVM/UISjl2VA2DI/AAAAAAAAAKg/b9jjIlnvZXU/s1600/ps_tray_easel_child_3.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="200" src="http://3.bp.blogspot.com/-oAuIMfNSqVM/UISjl2VA2DI/AAAAAAAAAKg/b9jjIlnvZXU/s200/ps_tray_easel_child_3.jpg" width="188" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Prone Stander (image from <a class="site" href="http://www.theradapt.com/Store/ShowProduct.aspx?ID=51">www.theradapt.com</a>)</td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/-15FEtgd0AR4/UISkEPG6FyI/AAAAAAAAAKo/_iCVMOsw6I4/s1600/easystand-evolv-5.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="179" src="http://4.bp.blogspot.com/-15FEtgd0AR4/UISkEPG6FyI/AAAAAAAAAKo/_iCVMOsw6I4/s320/easystand-evolv-5.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Sit-to-Stand Stander (image from www.easystand.com)</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-7eStSclD2LU/UISkrOzc_PI/AAAAAAAAAKw/NO-vnnZ4UMU/s1600/rifton-dynamic-stander.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="200" src="http://1.bp.blogspot.com/-7eStSclD2LU/UISkrOzc_PI/AAAAAAAAAKw/NO-vnnZ4UMU/s200/rifton-dynamic-stander.jpg" width="160" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">MobileStander (image from www.rifton.com)</td></tr>
</tbody></table>
<br />
<b><span style="font-size: large;">Contraindications:</span></b><br />
<span style="font-size: large;">People should consult a physician before initiating a standing program if they have the following medical conditions, because prolonged standing may have an adverse effect:</span><br />
<ul>
<li><span style="font-size: large;">orthostatic intolerance</span></li>
<li><span style="font-size: large;">severe contractures</span></li>
<li><span style="font-size: large;">weakened skeletal structure such as Osteogenesis Imperfecta, or severe Osteoporosis</span></li>
<li><span style="font-size: large;">hip subluxation</span></li>
</ul>
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-4737718943138089752012-10-20T07:12:00.000-07:002012-11-26T08:10:15.647-08:00Physical Therapy Following a Stroke<div style="text-align: center;">
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</xml><![endif]-->This is another version of an article I had written for <a href="https://www.ourcarecommunity.com/Html/CareResourceCenter/Articlesdesc/the-benefits-of-physical-therapy-after-a-stroke/CatDesc/30/148/rehabilitation" target="_blank">Our Care Community</a>:</div>
<br />
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<br />
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Experiencing
a stroke can be a life-changing event for both patients and their
families. Sometimes, a stroke can leave
very few aftereffects, but other times, the resulting disability can be
severe. Fortunately, people who
experience strokes are surrounded by a qualified medical team which may include
physicians, nurses, physical therapists, occupational therapists,
speech-language pathologists, respiratory therapists, recreational therapists
and social workers.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Effects
of a Stroke</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">A
stroke can occur in any area of the brain and the extent of injury can vary
greatly. Depending on the location,
size, and type of stroke, patients may experience paralysis on one side of the
body, abnormal muscle tone, difficulty controlling one’s movements, difficulty
understanding or producing language, impaired balance and body awareness, and
difficulty swallowing. These will cause
deficits in a person’s mobility, self-care, communication, eating, and bowel
and/or bladder control. Physical Therapy addresses a patient’s difficulties in moving in bed, transferring to and
from bed, balance, walking, and moving about one’s home and community. The goal of PT after a stroke is to help
patients regain as much independence as possible.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Acute
Care</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">People
who are hospitalized following a stroke are often surprised to see a Physical
Therapist so soon. Depending on the type
and severity of the stroke, Physical Therapy (PT) during an acute care hospital
stay can range from activities as simple as tolerating positional changes while
maintaining stable vital signs to walking throughout the halls. Acute care PT may include bed mobility
training, stretching, active and passive range of motion, simple therapeutic exercises,
training in how to transfer into and out of bed, wheelchair mobility training,
and learning to walk (gait training).</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Acute
Rehabilitation</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">After
the acute hospital stay, patients may be transferred to acute rehab. During acute rehab, patients will have the
opportunity to participate in therapy for approximately 3 hours per day, 6 days
per week. The specialized care that
patients receive in acute rehab include exercise programs, PT to improve
functional mobility, OT to improve self-care, Speech Therapy to address
communication and swallowing issues, Recreational Therapy, and bowel/bladder retraining. During PT sessions, treatment will focus on
regaining as much functional mobility as possible while using the most
appropriate assistive device, be it a cane, walker, or wheelchair.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Transitional
Care/Skilled Nursing</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">The
PT treatments that occur in a hospital’s transitional care unit (TCU) or in a
skilled nursing facility (SNF) are similar to those in acute rehab. However, the amount of therapy a patient
receives may vary, depending on the areas of greatest need. PT sessions may include stretching,
therapeutic exercise, balance training, transfer training, wheelchair mobility
training, gait training, and car transfer training. Upon discharge from the TCU or SNF, patients
usually return home or to an assisted living facility, so caregiver training is
an important part of PT in these settings.
Durable medical equipment such as a 3-in-1 commode, walker, or
wheelchair are also ordered for the patient before discharge so that patients
can have all the necessary equipment to use in the home setting.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Home
Health PT</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">When
a patient returns home or moves into an assisted living facility, they will
often participate in home health PT. The
aim of home health PT is to help a person to function and move safely and as
independently as possible in the patient’s home environment. Treatment sessions may entail a home safety
evaluation, re-enacting common daily tasks (such as moving about the home, getting into and out of the
shower, carrying laundry, or preparing meals), continuing caregiver training,
and prescribing a home exercise program.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><u><span style="font-family: "Times New Roman","serif";">Outpatient
Physical Therapy</span></u></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">After
“graduating” from home health PT, patients may need to participate in
outpatient physical therapy to fine-tune their skills. Outpatient PT occurs in a hospital-based or
private clinic and often includes therapeutic exercise, stretching,
strengthening, balance training, advanced gait training (often out in the
community), and home program prescription.
Upon discharge from outpatient PT, patients are often encouraged to
participate in a community-based exercise program such as a guided aquatic
exercise class, a balance class at the local senior center, or a daily walking
program.</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Though
having a stroke can be a devastating experience for the patient and family
members alike, Physical Therapy helps to return patients to the greatest amount
of functional independence as possible. </span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-Y-thOm31ClM/UH-FQM3v4hI/AAAAAAAAAKM/Ghr0mq9O0Wc/s1600/stroke+awareness.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-Y-thOm31ClM/UH-FQM3v4hI/AAAAAAAAAKM/Ghr0mq9O0Wc/s1600/stroke+awareness.jpg" /></a></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com5tag:blogger.com,1999:blog-7878527137844082903.post-6811226992298439082012-10-09T09:08:00.000-07:002012-10-29T10:31:32.483-07:00Diastasis Recti (part 5) - Frequently Asked Questions<b><span style="font-size: large;">Does it hurt?</span></b><br />
<span style="font-size: large;">No, it does not hurt. On a 0-10 pain scale, I would have to say that it's a 1 at its worst. Before I was diagnosed, I would mention to my husband that my abs felt odd and that I wanted to take it easy. But that has been the extent of it. </span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-3KodUWbBQ4E/UHR9PW8PeDI/AAAAAAAAAJ4/K4Jx_8f-Kss/s1600/painscale.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="261" src="http://1.bp.blogspot.com/-3KodUWbBQ4E/UHR9PW8PeDI/AAAAAAAAAJ4/K4Jx_8f-Kss/s320/painscale.gif" width="320" /></a></div>
<div style="text-align: center;">
<br /></div>
<span style="font-size: large;"> </span><span style="font-size: large;"><br /></span>
<b><span style="font-size: large;">If it doesn't hurt, then what does it feel like?</span></b><br />
<span style="font-size: large;">Other than feeling "odd" at times, I occasionally feel a stretching sensation in my abdominal region. This sensation is similar to the stretching I felt during my first pregnancy, though it is more localized to my upper abdominal region. </span><br />
<span style="font-size: large;"><br /></span>
<b><span style="font-size: large;">Does it look funny?</span></b><br />
<span style="font-size: large;">At this point, you can't really tell that I have diastasis recti by looking at me. The only time someone can see anything unusual is when I move in a way that increases my intraabdominal pressure, such as coughing, laughing or performing a sit-up (which is not recommended -- it's just how my OB assessed me). I will say that I can feel a gap between the two side of my rectus abdominus muscle, especially at the upper aspect.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">I have seen photos online of more severe cases and though they can be a bit scary-looking (especially photos of the severe herniations), cases like those are rare. If you receive proper care and support, that isn't likely to occur. Of course, I have 14 more weeks of pregnancy to go, so I'm trying to stay calm during all this. Doing my exercises and wearing my splint help boost my confidence.</span><br />
<br />
<span style="font-size: large;">I also will add that though I a<span style="font-size: large;">m measuring large for my gestation<span style="font-size: large;">, the baby <span style="font-size: large;">measured <span style="font-size: large;">normal on ultrasound.</span></span></span></span> </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-68528321419609320422012-10-02T12:14:00.005-07:002012-10-09T09:09:09.323-07:00Diastasis Recti (part 4) - Research<div style="text-align: center;">
<span style="font-size: x-large;">Research Articles regarding Diastasis Recti</span><br />
<br />
<div style="text-align: left;">
<span style="font-size: x-large;"><span style="font-size: large;">Here is a list of research articles about Diastasis Recti so that you can learn more about the condition and the various treatment options. I am not endorsing any one treatment option and am just including the studies so that my readers can make informed decisions regarding their medical treatment. Remember, everyone is different and everyone's Diastasis Recti can present differently. Always consult your doctor first! </span></span></div>
<div style="text-align: left;">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-Hnssa70fK7U/UGs9B1RGi3I/AAAAAAAAAJk/bS6ANMdA-xY/s1600/diastasis-recti-before-after.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="220" src="http://1.bp.blogspot.com/-Hnssa70fK7U/UGs9B1RGi3I/AAAAAAAAAJk/bS6ANMdA-xY/s320/diastasis-recti-before-after.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">from<u> <a class="site" href="http://www.bodyalignpt.com/nyc-diastasis-recti-tupler-technique.html">www.bodyalignpt.com</a></u></td></tr>
</tbody></table>
<div style="text-align: center;">
</div>
</div>
<br />
<span style="font-size: large;"><b><u>Diastasis Recti and Pregnancy</u></b></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>Ranney B (1990 Oct). Diastasis recti and umbilical hernia causes, recognition, and repair. <i>S D J Med</i>, 43(10): 5-8.</b></span><br />
<span style="font-size: large;">This article discusses how to recognize diastasis recti in post-partum women. These women expressed a desire for post-operative improvements in firmness and function of the lower abdominal wall. The article also discusses methods of recognition and repair of diastasis recti of varying severities.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>Boissonnault JS, Blaschak MJ (1988 Jul). Incidence of diastasis recti abdominis during the childbearing year. <i>Phys Ther</i>, 68(7): 1082-6. </b></span><br />
<span style="font-size: large;">This
study determined that diastasis recti occurred most often at the
umbilicus (belly button). There was a significant relationship between
the timing during a woman's pregnancy and the presence or absence of a
diastasis recti. It was initially noted during the second trimester,
but incidence peaked in the third trimester. The researchers concluded
that it is important to assess for diastasis recti above, below, and at the umbilicus throughout pregnancy.</span><br />
<br />
<span style="font-size: large;"><b>Bursch SG (1987 Jul). Interrater reliability of diastasis recti abdominis measurement. <i>Phys Ther</i>, 67(7): 1077-9.</b><br />This
study's goal was to provide data regarding the incidence and degree of
diastasis recti, to describe the measurement system used, and to
determine the interrater reliability of the measurements. Forty women
who were immediately post-partum were tested via palpation by four
raters. This measurement system was found to be unreliable among
raters. All 40 subjects had some degree of diastasis recti and the
authors conclude that the incidence and severity of diastasis recti may
be underdiagnosed and that a reliable method of measuring the amount of
separation is needed. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>Mota P, Pascoal AG, Sancho F, Bo K (1988 Jul). Test-retest and intrarater reliability of 2D ultrasound measurements of distance between rectus abdominis in women. <i>J Orthop Sports Phys Ther</i>, [Epub ahead of print]</b></span><br />
<span style="font-size: large;">This research study found that u<span class="highlight">ltrasound</span> imaging is a reliable method for measuring the inter-<span class="highlight">rectus</span> <span class="highlight">distance</span> at rest and during abdominal crunch and drawing-in exercises</span><br />
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<h1>
<span class="highlight"></span></h1>
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<span style="font-size: large;"><u><b>Diastasis Recti Treatment</b></u></span><br />
<br />
<b><span style="font-size: large;"> Chiarello CM, Falzone LA, McCaslin KE, Patel MN, Ulery KR (2005 Spring). The Effects of an Exercise Program on Diastasis Recti Abdominis in Pregnant Women. Journal of Women's Health Physical Therapy, 29(1): 11-16.</span></b><br />
<span style="font-size: large;">This research study used the Tupler Technique and found that the occurrence and size of Diastasis Recti is much greater in non‐exercising pregnant women than in exercising pregnant women. </span><br />
<br />
<h3>
<span style="font-size: large;"><b>Tadiparthi S, Shokrollahi K, Doyle GS, Fahmy FS (2011 Oct 20). Rectus sheath plication in abdominoplasty: assessment of its longevity and a review of the literature. <i>J Plast Reconstr Aesthet Surg</i>, 65(3): 328-32.</b></span><span style="font-size: large;"> </span><span style="font-size: large;"> </span></h3>
<span style="font-size: large;">The article concludes that plication (folding over and tucking loose tissue, then suturing it together) with non-absorbable sutures is long-lasting and durable.</span></div>
<br />
<b><span style="font-size: large;">Hickey F, Finch, JG, Khanna A (2009 Jun). A systematic review on the outcomes of correction of diastasis of the recti. <i>Hernia</i>, 13(3): 287-92.</span></b><br />
<span style="font-size: large;">Though it is primarily cosmetic, except in the case of herniation, there is high patient satisfaction after surgical correction of diastasis recti.</span><br />
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<b><span style="font-size: large;">Palanivelu C, Rangarajan M, Jateaonkar PA, Amar V, Gokul KS, Srikanth B (2004 Jul-Aug). Laparoscopic repair of diastasis recti using the 'Venetian blinds' technique of plication with prosthetic reinforcement: a retrospective study. <i>Aesthetic Plast Surg</i>, 28(4): 189-96. </span></b></div>
<div class="auths">
<span style="font-size: large;"> This was written by plastic surgeons, so they advocate surgical repair of diastasis recti for cosmetic reasons and to restore abdominal muscle function. The authors state that use of a prosthesis is necessary to prevent recurrence.</span></div>
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<h1>
<span style="font-size: large;">Nahas FX, Ferreira LM, Mendes Jde A (2004 Jul-Aug). An efficient way to correct recurrent rectus diastasis. Aesthetic Plast Surg. 28(4). 189-96.</span></h1>
<h1>
<span style="font-weight: normal;"><span style="font-size: large;">I need to get my hands on the full text of this study for all the details, but basically they conclude that </span><span style="font-size: large;">the procedure of advancement of the recti muscles seems to be a reliable method for correcting <span class="highlight">recurrent</span> <span class="highlight">rectus</span> <span class="highlight">diastasis</span> in patients with surgically repaired rectus abdominus muscles that were inserted laterally, near the ribs. </span></span></h1>
</div>
</div>
<div class="auths">
<b><span style="font-size: large;">Nahas FX, Augusto SM, Ghelford C (1994 Jan). Should diastasis recti be corrected?</span><span style="font-size: large;"><i>.Aesthetic Plast Surg</i>. 21(4): 285-9.</span></b><br />
<span style="font-size: large;">The researchers performed CT scans on patients who had surgical repair of their diastasis recti. After 6 months, they had complete correction. </span><b><span style="font-size: large;"><br /></span></b></div>
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<b><span style="font-size: large;">Asaadi M, Haramis HT (1994 Jan). A simple technique for repair of rectus sheath defects. Ann Plast Surg. 32(1): 107-9.</span></b><br />
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<span style="font-size: large;">This study describes one particular surgical method that has shown no recurrence or herniation.</span><br />
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<br />
<h1>
<span class="highlight"><u><span style="font-size: large;">General articles regarding Diastasis Recti </span></u></span></h1>
</div>
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<div class="cit">
<b><span style="font-size: large;">Brauman D (2008 Nov). Diastasis recti: clinical anatomy. <i>Plast Reconstr Surg</i>. 122(5): 1564-9.</span></b><br />
<span style="font-size: large;">92 abdominoplasty patients were studied and the researcher found that: the linea alba only stretches 1-2 inches, abdominal wall protrusions can be caused by distension of the entire abdominal wall, significant protrusions can occur without diastasis, and those with flat abdomens may still have a diastasis.</span><br />
<br />
<b><span style="font-size: large;">Repta R, Hunstad JP (2009 Jun). Diastasis recti: clinical anatomy. <i>Plast Reconstr Surg</i>. 123(6): 1885; author reply 1885-6. </span></b><br />
<span style="font-size: large;">This is a comment regarding the article mentioned above. I hope to find the full text soon because I'd love to know what everyone has to say about this! </span><br />
<br />
<b><span style="font-size: large;">Braekken IH, Majida M, Ellstrom Engh M, Holme IM, Bo K (2009 Dec). Pelvic floor function is independently associated with pelvic organ prolapse. <i>BJOG</i>. 116(13): 1706-14.</span></b></div>
<div class="cit">
<span style="font-size: large;">Diastasis recti may be a factor in <a href="http://www.online-medical-dictionary.org/term/pelvic%20organ%20prolapse" target="_blank">pelvic organ prolapse</a>. </span></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B000AMEKF4&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=0977091716&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B002806GIU&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=1606939653&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-20022911258530179832012-09-29T16:00:00.003-07:002012-10-09T09:08:59.298-07:00Diastasis Recti (part 3) - Tupler Splint<span style="font-size: large;">I got a nifty package in the mail this week and was so excited when I saw that it was my <a href="http://www.diastasisrehab.com/diastore/index.php?cPath=1_7" target="_blank">Tupler Technique Women's Package</a>!</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">I wore my splint for the first time today. It was a bit tricky to put on the first time, but after watching the <a href="http://www.diastasisrehab.com/diastore/product_info.php?cPath=1_7&products_id=68" target="_blank">video</a> on the Tupler Technique website, I was able to get it on. Once on, it felt like a nice, tight bear hug. I wore the splint on my family's outing to the zoo in 95 degree heat and I wasn't horribly uncomfortable and hot while wearing it. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">*Keep in mind that I am only 4'11" and short-waisted, so take that into account:</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><u>PROS</u>:</span><br />
<ul>
<li><span style="font-size: large;"> Easy to don once you get the hang of it</span></li>
<li><span style="font-size: large;">Comfortable to wear (I wore mine over a maternity camisole)</span></li>
<li><span style="font-size: large;">My belly and back felt very supported while wearing the splint </span></li>
<li><span style="font-size: large;">I did not experience any problems with the splint riding up or down</span></li>
<li><span style="font-size: large;">Since it does not extend past the hips, I had no problem going to the bathroom or changing clothes while wearing it. (though those would be opportune times to readjust the splint to ensure proper fit)</span></li>
</ul>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><u>CONS</u>:</span><br />
<ul>
<li><span style="font-size: large;">At $48, it can be cost-prohibitive for some, but seriously, the relief I felt was worth more than $48!</span></li>
<li><span style="font-size: large;">Because I'm short-waisted, the arms of the splint would get bunched up if I did any sort of bending. (but I shouldn't be bending anyway -- good body mechanics, right?) When this did happen, it was a little lumpy under my clothes.</span></li>
<li><span style="font-size: large;">If you have your heart set on a white splint, they only come in size L and XL. </span></li>
</ul>
<br />Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-83018706167706693632012-09-15T13:06:00.001-07:002012-10-09T09:08:48.529-07:00Diastasis Recti (Part 2)<span style="font-size: large;">** Update 9/13/12 **</span><br />
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<div style="text-align: left;">
<span style="font-size: large;">I just received an email from Helene Byrne with BeFit-Mom. She sent me this link to a fantastic resource: <a href="http://befitmom.com/abdominal_separation.html" target="_blank">Diastasis Recti or Abdominal Separation</a>.</span> <span style="font-size: large;">
Other than providing an overview of Diastasis Recti, this site includes
a list of movements that should be avoided and videos of exercises that
pregnant women can perform to lessen the severity of the condition.</span> <span style="font-size: large;">I've
been performing pilates-type transversus abdominus bracing exercises
and pelvic tilts in supine, which are similar to the first 2 videos
which show exercises in standing. I will start the exercises in
standing tonight!</span> </div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=0977091716&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-48512642125382167212012-09-15T11:02:00.002-07:002012-10-21T18:59:00.222-07:00Pediatric PT Toolkit - Footstool<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-dCzKDWCe3wo/UFTCMXCr6YI/AAAAAAAAAJQ/5TGg3QwJW_o/s1600/forsiktig-childrens-stool__27903_PE083276_S4.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="http://2.bp.blogspot.com/-dCzKDWCe3wo/UFTCMXCr6YI/AAAAAAAAAJQ/5TGg3QwJW_o/s320/forsiktig-childrens-stool__27903_PE083276_S4.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">from www.ikea.com</td></tr>
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<span style="font-size: large;"> A simple footstool is a great tool to include in your pediatric therapy toolkit. I use mine all the time!</span><br />
<br />
<span style="font-size: large;">Here's how I use a footstool in my pediatric PT sessions:</span><br />
<ul>
<li><span style="font-size: large;"> For children who are just learning to sit with trunk control, I like to have them 90-90 sit on the stool so that they can practice sitting without trunk support, but with proximal stability.</span></li>
<li><span style="font-size: large;">A footstool is a perfect height for small children to use to support themselves as they practice tall kneeling. I have found that using a coffee table just encourages them to pull to stand. </span></li>
<li><span style="font-size: large;">I will have children practice seating themselves on the stool to develop body awareness and motor planning skills. </span></li>
<li><span style="font-size: large;">I have children step up onto the stool to build lower extremity strength and to help them learn how to step up onto curbs and up stairs.</span></li>
<li><span style="font-size: large;">I have children step down off of the stool to work on eccentric control of their lower extremities so that they can step down from curbs or stairs safely.</span></li>
<li><span style="font-size: large;">When families don't have stairs in their homes, I use a footstool and a piece of study furniture to mimic 2 steps.</span></li>
<li><span style="font-size: large;">I'll have kids stand with one foot on the floor and the other on the stool to introduce single-limb stance. </span></li>
<li><span style="font-size: large;">When testing with the Peabody Developmental Motor Scales - II, or when practicing jumping down from an elevated surface, the footstool comes in handy. If you can, try to find one that is 7 inches high (or as close as possible) so that you can use it for standardized testing.</span></li>
</ul>
<span style="font-size: large;">Ikea has a nice, sturdy, inexpensive (only $4.99!) footstool, but if you don't have an Ikea near you, footstools are relatively easy to find. I keep mine up-side down in my therapy bag so that I can nest my other goodies inside of it.</span><br />
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<span style="font-size: large;">This one is nice because it folds, but it's 8 1/2" high, so you can't officially use it for the PDMS-II.</span><br />
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<span style="font-size: large;"> </span>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B004VNYX4G&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe></div>
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<span style="font-size: large;">This one is nice and safe and sturdy, but a bit pricey. It's only about 6" high, so again, you can't officially use it for the PDMS-II unless you place it on a 1" high surface first.</span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0009OLSY4&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-75004515511341439112012-09-11T12:30:00.001-07:002012-10-09T09:08:36.422-07:00Diastasis Recti<span style="font-size: large;">It's always an interesting juxtaposition when the Physical Therapist becomes the patient. Since becoming a PT, I've had to undergo PT 3 times -- once for a severe ankle eversion sprain, once for pregnancy-related sciatica and diastasis of the pubic symphysis, and once for a partially torn rotator cuff. I now find myself back in the position where I will have to undergo PT for diastasis recti.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">I am currently pregnant and noticed that when I coughed one evening, only the upper left portion of my abdominals contracted. Intrigued (and a bit freaked out), I asked my husband if he observed the same thing, or if my vantage point of my swollen belly from a supine position was the culprit. Unfortunately, he observed the same thing. A week or so later, my OB-Gyn confirmed my suspicion.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">If you've never heard of <a href="http://www.mayoclinic.com/health/diastasis-recti/AN02153" target="_blank">diastasis recti</a>, it occurs (often during pregnancy) when the vertical line dividing the left and right halves of the rectus abdominus muscle (AKA linea alba) splits and the two sides of the muscle separate. Fortunately, this can be treated with an abdominal binder and physical therapy. In more severe cases, the diastasis can herniate, causing the pregnant woman's uterus to push through the opening. In these cases, postpartum surgery may be indicated to repair the tear.</span><br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-ji5foE7Ayhk/UE-P6mVR6FI/AAAAAAAAAI8/r-vv6zOIR3o/s1600/diastasis.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="281" src="http://2.bp.blogspot.com/-ji5foE7Ayhk/UE-P6mVR6FI/AAAAAAAAAI8/r-vv6zOIR3o/s320/diastasis.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">from www.diastasisrecti.org</td></tr>
</tbody></table>
<div style="text-align: center;">
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<span style="font-size: large;">Since I am not yet in my third trimester, I just have to sit and wait and hope that nothing gets worse. In the meantime, I am using good body mechanics, doing some simple exercises, wearing a belly support in an attempt to approximate the two sides of my rectus abdominus muscle as much as possible, and praying that I don't experience the joy of a herniation. If a woman experiences a painful herniation, insurance should cover the surgical repair. (unfortunately, they will most likely cover stitching the two sides together, not a tummy tuck -- darn!)</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">After baby comes, we'll have to see if I need surgery, or if I can just go to PT. After performing extensive research, I decided that I want to use the <a href="http://diastasisrehab.com/" target="_blank">Tupler Technique</a> to help repair my diastasis. I have the program on my Christmas wish list so that I can be ready to go right after baby comes in January! I briefly considered becoming licensed, but realized that flying back and forth between California and New York is not feasible for me, especially in my present condition.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">As my journey progresses, I will update my condition and how I have dealt with this. I want to be able to help other women with diastasis recti make the best decisions they can regarding their wellness. </span><br />
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<div style="text-align: center;">
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<div style="text-align: left;">
<br />
<span style="font-size: large;">** Update 9/13/12 **</span></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<span style="font-size: large;">I just received an email from Helene Byrne with BeFit-Mom. She sent me this link to a fantastic resource: <a href="http://befitmom.com/abdominal_separation.html" target="_blank">Diastasis Recti or Abdominal Separation</a>.</span> <span style="font-size: large;"> Other than providing an overview of Diastasis Recti, this site includes a list of movements that should be avoided and videos of exercises that pregnant women can perform to lessen the severity of the condition.</span> <span style="font-size: large;">I've been performing pilates-type transversus abdominus bracing exercises and pelvic tilts in supine, which are similar to the first 2 videos which show exercises in standing. I will start the exercises in standing tonight!</span></div>
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=0977091716&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe> </div>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com2tag:blogger.com,1999:blog-7878527137844082903.post-78211874349037321492012-09-10T11:03:00.002-07:002012-09-21T13:55:29.914-07:00Dehydration: Signs, Symptoms, and Prevention<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-cSidX6SaJkg/UE4q2gk5HuI/AAAAAAAAAIo/kVxYV85nRZc/s1600/ice-water-glass.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://4.bp.blogspot.com/-cSidX6SaJkg/UE4q2gk5HuI/AAAAAAAAAIo/kVxYV85nRZc/s200/ice-water-glass.jpg" width="150" /></a></div>
<div style="text-align: center;">
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<span style="font-size: large;">In my practice, especially with the geriatric population, I frequently notice that my patients show signs and symptoms of dehydration. During this summer's heat wave, I have noticed this a bit more frequently and try to ensure that my patients drink water during and after their therapy sessions. </span><br />
<br />
<span style="font-size: large;">Since the body is composed mainly of water, maintaining proper hydration is vital! Severe complications of dehydration include seizures, heat exhaustion or heat stroke, kidney failure, coma, and ultimately death. (Scary, I know!) </span><br />
<br />
<span style="font-size: large;">Signs and Symptoms of dehydration include:</span><br />
<ul>
<li><span style="font-size: large;">lack of tears</span></li>
<li><span style="font-size: large;">decreased blood pressure caused by decreased blood volume</span></li>
<li><span style="font-size: large;">dizziness or lightheadedness</span></li>
<li><span style="font-size: large;">fatigue</span><span style="font-size: large;"> </span></li>
<li><span style="font-size: large;">muscle cramping</span></li>
<li><span style="font-size: large;">decreased skin elasticity (often called "tenting")</span></li>
<li><span style="font-size: large;">dark urine</span></li>
<li><span style="font-size: large;">constipation</span></li>
<li><span style="font-size: large;">dry mouth</span></li>
<li><span style="font-size: large;">thirst </span></li>
<li><span style="font-size: large;">sunken fontanels (in infants) </span></li>
</ul>
<span style="font-size: large;">Obviously, the signs and symptoms listed above can be signs and symptoms of a number of medical problems. However, if you or someone you know presents with several of the signs and symptoms listed above, try increasing your water intake and see if your symptoms improve. However, if you suspect that someone is dehydrated and he or she demonstrates altered mental status, lethargy, and/or coma, call 911!</span><br />
<br />
<span style="font-size: large;">Dehydration can be formally diagnosed in many ways. Core body temperature can be an indicator of dehydration, as is lower blood pressure (hypotension). Blood tests and urinalysis also are helpful in diagnosing dehydration. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Here is a list of ways to prevent dehydration from the Mayo Clinic- <a href="http://www.mayoclinic.com/health/dehydration/DS00561/DSECTION=prevention" target="_blank">Dehydration: Prevention.</a></span><br />
<br />
<span style="font-size: large;">Fortunately, in most cases, dehydration can be easily treated by giving clear liquids, either by mouth or by IV infusion. Clear liquids include water, fruit juice, sports drinks, clear broth, popsicles, or gelatin. </span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com1tag:blogger.com,1999:blog-7878527137844082903.post-26742879318267135452012-09-08T20:51:00.001-07:002012-10-11T14:58:03.368-07:00Lymphedema<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-TmevPWyv6V0/UEwR05WPV-I/AAAAAAAAAIM/ld3wkkl1uxM/s1600/lymph.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="http://2.bp.blogspot.com/-TmevPWyv6V0/UEwR05WPV-I/AAAAAAAAAIM/ld3wkkl1uxM/s400/lymph.jpg" width="308" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">from www.summitmedicalgroup.com</td></tr>
</tbody></table>
<div style="text-align: center;">
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<span style="font-size: large;"> <a href="http://www.nlm.nih.gov/medlineplus/ency/article/001117.htm" target="_blank">Lymphedema (AKA Lymphatic Obstruction)</a> is a condition in which the vessels of the body's lymph system fail to drain lymph fluid properly, which often causes swelling, or edema, in the affected extremity. Lymphedema occurs when lymph nodes are removed or enlarged, often as a result of cancer treatment. It is also caused by injury, skin infections, and congenital abnormality of the lymphatic system. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">A Physical Therapy evaluation of lymphedema includes taking a detailed
history, performing a functional assesment, measuring the circumference
of both the affected limb and the opposite limb, <a href="http://virtualmedstudent.com/links/physical_examination/pitting_edema.html" target="_blank">assessing the grade of the edema</a>, measuring active/passive range of motion, and assessing strength. Treatments for lymphedema often include <a href="http://www.lymphedemapeople.com/wiki/doku.php?id=manual_lymphatic_drainage_mld_complex_decongestive_therapy_cdt" target="_blank">manual lymph drainage</a>, therapeutic exercises, compression, and patient education. </span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-AfQvY-UBeqo/UEwR1V-4mLI/AAAAAAAAAIU/u1p74X3cCts/s1600/lymphedema.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-AfQvY-UBeqo/UEwR1V-4mLI/AAAAAAAAAIU/u1p74X3cCts/s1600/lymphedema.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">an example of upper extremity lymphedema</td></tr>
</tbody></table>
<div style="text-align: center;">
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<span style="font-size: large;">To prevent the development of lymphedema, or to prevent the condition from worsening, it is vital that patients comply with lymphedema precautions and perform proper skin care:</span><br />
<br />
<span style="font-size: large;"><u>Precautions</u></span><br />
<ul>
<li><span style="font-size: large;">Avoid a tourniquet effect on the affected limb, avoiding elastic bands or ACE bandages for compression.</span></li>
<li><span style="font-size: large;">Avoid putting a blood pressure cuff on the affected limb.</span></li>
<li><span style="font-size: large;">Avoid temperature extremes.</span></li>
<li><span style="font-size: large;">Avoid hot water, saunas, hot tubs, and heat packs.</span></li>
<li><span style="font-size: large;">Be careful when cutting your nails. </span></li>
<li><span style="font-size: large;">Avoid cutting your cuticles during manicures or pedicures, especially at a salon. </span></li>
<li><span style="font-size: large;">Avoid needle sticks to the affected limb.</span></li>
<li><span style="font-size: large;">Avoid cuts, insect bites, burns, and other injuries to the skin of the affected limb.</span></li>
<li><span style="font-size: large;">Do not lift more than 5 pounds with the affected arm unless wearing a compression sleeve.</span></li>
<li><span style="font-size: large;">Do not perform prolonged, strenuous resistance exercises unless wearing a compression sleeve.</span></li>
</ul>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><u>Skin Care</u></span><br />
<ul>
<li><span style="font-size: large;">Keep your skin clean. </span></li>
<li><span style="font-size: large;">Keep the skin of the affected limb moisturized with low pH lotion.</span></li>
<li><span style="font-size: large;">Wear sunscreen when outdoors.</span></li>
<li><span style="font-size: large;">Wear insect repellent.</span></li>
<li><span style="font-size: large;">Wear gloves when cooking and gardening.</span></li>
</ul>
<span style="font-size: large;">I have the privilege of working with a PTA who is a Certified Lymphedema Therapist. She has a fantastic talent and her patients love her! If you're in southern California and need a CLT, contact me! </span><br />
<br />
<span style="font-size: large;">Here is a link to a video about rehabilitation after breast cancer surgery: http://www.cnn.com/video/#/video/health/2012/10/10/breast-cancer-rehab.cnn. </span><br />
<ul>
</ul>
Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-49879316834148437382012-08-31T16:27:00.003-07:002012-10-21T18:59:19.295-07:00Pediatric PT Toolkit - Bubbles!<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-8ZnaODO-GQc/UEFGzuIlyrI/AAAAAAAAAH4/Gjl8zLtLW-k/s1600/bubbles.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-8ZnaODO-GQc/UEFGzuIlyrI/AAAAAAAAAH4/Gjl8zLtLW-k/s1600/bubbles.jpg" /></a></div>
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<span style="font-size: large;">As inexpensive and simple as they may be, I love using bubbles during my therapy sessions. It doesn't hurt that most young children love bubbles, as well!</span><br />
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<span style="font-size: large;">Here's how I like to use bubbles:</span><br />
<ul>
<li><span style="font-size: large;"> Blow bubbles, then have kids practice kicking them to help them with single-leg balance. As their balance improves, have them stomp on them.</span></li>
<li><span style="font-size: large;">Likewise, older children can jump on the bubbles to pop them. </span></li>
<li><span style="font-size: large;">Give kids a paddle or racket and have them work on hand-eye coordination by whacking the bubbles.</span></li>
<li><span style="font-size: large;">Blow a bubble, then catch it on the wand. You now can control the height of the bubble, so children can practice standing up on their toes to pop it.</span></li>
<li><span style="font-size: large;">I also use them as a reward. If children perform a PT-directed task, they can be rewarded by being allowed to play with the bubbles as they wish for a minute or two.</span></li>
</ul>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">I must say that some parents have complained about my using such as simple tool to motivate their children, since they expect to see sophisticated therapy equipment such as ball pools, trampolines, and suspended swings, but when working in the schools or in a child's home, complex equipment is not at all practical or realistic. Bubbles are a fun, cheap, and easy way to help children learn their gross motor skills!</span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com2tag:blogger.com,1999:blog-7878527137844082903.post-30151824091314891942012-08-30T12:33:00.003-07:002012-08-30T12:33:47.834-07:00Baby Bath Seat Recall<span style="font-size: large;">Summer Infant has issued a <a href="http://www.summerinfant.com/batherrepairkit" target="_blank">voluntary recall</a> of their Mother's Touch Deluxe Baby Bathers due to a defect that has unfortunately led to skull fractures in babies. The product as a label warning of fall hazards, but apparently, caregivers have not heeded this warning.</span><br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-zYqaA6cnM1U/UD-_OBRZUiI/AAAAAAAAAHk/k0h5tEfuIB4/s1600/bther.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="318" src="http://2.bp.blogspot.com/-zYqaA6cnM1U/UD-_OBRZUiI/AAAAAAAAAHk/k0h5tEfuIB4/s320/bther.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">This is a photo of one style of the recalled bath seat, courtesy of www.summerinfant.com</td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
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<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Four kids down the line, I seem to recall reading that bath seats were unsafe. Something tells me that infants weren't meant to be carried in these seats, either. To me, the more moving parts something has, the less likely someone should be carrying their child in it.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Parents, if you have one of these, please go to <a href="http://www.summerinfant.com/batherrepairkit" target="_blank">Summer Infant's recall website</a> to learn how to get a repair kit. I would hate to hear of any more precious babies fracturing their skulls.</span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-72684290819430726562012-08-28T22:13:00.001-07:002012-08-31T16:18:13.601-07:00Thank You, Senator Santorum.<span style="font-size: large;">All politics aside, I have to thank Senator Rick Santorum for his strong defense of the unborn and those with disabilities during tonight's GOP convention speech. I have frequently wondered why people with "acquired" disabilities are viewed as courageous, tenacious, and strong; while many unborn children with congenital disorders are considered burdensome and disposable. To me, the only difference between the two groups is location -- outside the womb vs. inside the womb. As someone whose practice ranges from early intervention to skilled nursing, I have worked with people from all stages of life and with widely ranging abilities, and can say that every single one of these people has had value and dignity. Whether it is helping a child to be able to simply roll over or take those special first steps or helping someone return home to end life with dignity while surrounded by loved ones, I work my hardest to help<i> all</i> my patients reach their goals.</span><br />
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<span style="font-size: large;">So, thank you Senator Santorum for acknowledging the inherent dignity in every person, born or unborn. Thank you for sharing how your beautiful daughter Bella has touched so many lives. Thank you for being living proof that choosing life is always rewarding, however difficult the choice may be.</span><br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-Gv0_4EPhnU4/UD2kn6UfIUI/AAAAAAAAAHQ/8sLO_39zMJw/s1600/rick-santorum_bella-santorum.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-Gv0_4EPhnU4/UD2kn6UfIUI/AAAAAAAAAHQ/8sLO_39zMJw/s1600/rick-santorum_bella-santorum.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Rick and Bella Santorum</td></tr>
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<span style="font-size: large;">I look forward to hearing what the Democratic Party has to say about this issue.</span>Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0tag:blogger.com,1999:blog-7878527137844082903.post-6883435171392782322012-08-28T10:01:00.000-07:002012-08-28T10:19:28.830-07:00HABA Building Blocks Giveaway and Quickie Review<span style="font-size: large;">The Blog "<a href="http://islandlife808.com/giveaways/haba-building-blocks-domino-giveaway/comment-page-1/#comment-1301278" target="_blank">An Island Life</a>" is hosting a HABA block giveaway! </span><br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-KvZ21LPJXDg/UDz5SMjscII/AAAAAAAAAG8/_pz56AJhRPY/s1600/haba1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="195" src="http://1.bp.blogspot.com/-KvZ21LPJXDg/UDz5SMjscII/AAAAAAAAAG8/_pz56AJhRPY/s320/haba1.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">photo from An Island Life</td></tr>
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<div style="text-align: left;">
<span style="font-size: large;">I like to use blocks in my PT sessions. I know that my focus is gross motor and not fine motor, but they're a great way to get kids to practice gross motor skills as they build. You can have a child practice tall kneeling or half-kneeling as they build on a table. A child can practice rising up on his/her toes while building a tall tower. Practice kicking by having kids kick block structures over.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Haba blocks are gorgeous and very well made. If you don't win the giveaway, you can buy some for yourself and your kiddos here:</span><br />
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<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B00067Y4AO&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0002HZLVY&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
<iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=tajipt-20&o=1&p=8&l=as1&asins=B0002HZLVO&ref=tf_til&fc1=779977&IS2=1&lt1=_blank&m=amazon&lc1=8877FF&bc1=666666&bg1=666666&f=ifr" style="height: 240px; width: 120px;"></iframe>
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Tana Jimenez, MPThttp://www.blogger.com/profile/16814925594877596765noreply@blogger.com0