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| Self-Help As children grow, they are expected to start doing things for themselves. They have to learn to tie their shoes, go to the restroom, wash their hands, and eat while they are at school. An Occupational Therapist can assist children who have difficulty in these areas. Tying Shoes- OT's work on the fine motor skills needed to tie shoes. They may also teach the children adapted methods of tying shoes. In some cases it may not be possible for a child to learn to tie their shoes, then the OT will explore other options like velcro, elastic shoelaces, or slip on shoes. Manipulating Fasteners- Children with fine motor difficulties often have difficulty manipulating fasteners. Children have the opportunity to practice these skills while in Occupational Therapy. An OT can also adapt clothing so that it does not require buttons or zippers. Toileting- An Occupational Therapist may work with children on their toileting skills. Children often just need practice and verbal or tactile cues to pull up and down their pants, wash hands, and other toileting activities. Feeding- Some children need their environment or eating utensils modified in order to be functional in the cafeteria. A table may need to be raised or lowered and/or adaptive eating equipment may need to be given. There are a wide variety of adaptive eating utensils that OT's can provide. Occupational therapists can work with children on oral motor skills that can improve lip closure and chewing skills.
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