Tier OT Services, PC

02/15/2026

🙌🩷

02/02/2026

🙏🏻

01/29/2026

01/26/2026

01/24/2026

Echolalia can sound like 'copying'... but it’s often communication in disguise.

When a child repeats phrases from you, school, YouTube, or their favourite show, it isn’t usually random — it can be their way of processing language, managing anxiety, or finding the words when their brain feels stuck.

This one-page guide explains what echolalia is, why it happens, and how to respond in a way that builds connection (and communication) instead of shutting it down.

To SAVE, click on the image, tap the three dots, and choose Save. Facebook only.

01/24/2026

Love this ✅❤️🎉

01/15/2026

🙌

01/15/2026

10 reasons to incorporate prone extension into the day!
1. When the neck is in extension, the brain stem is activated, which in turn promotes self-regulation.
2. Promotes nervous system organization.
3. Prone extension and full body flexion are foundational skills for gross motor development and quality of movement.
4. Supports overall sensory integration
5. A great dose of full body proprioceptive input
6. Promotes and supports body awareness and motor planning
7. Works on core strength
8. Promotes ocular motor development
9. Supports shoulder girdle strength and stability (essential for writing skills and fine motor development)
10. It's easy to incorporate throughout the day, it's free, and fun!

01/15/2026

Attn: parents & OT/PT friends! ✅

Children with CP have 41% LESS muscle growth in their lower limbs.

In this MRI study, those who’d ever had Botox below the knee clustered around the 6th centile for calf muscle growth. Those who’d never had Botox were closer to the 19th centile, while height and tibia growth were similar in both groups.

Is this just CP’s natural history… or are repeated Botox cycles contributing to slower muscle growth?

In all fairness - kid with more severe spasticity maaaay have been more likely to have Botox BUT one thing we can say for sure - Botox is NOT leveling the playing field - at all!

I'll say it again - the cost, risk, trauma, and potential harm of Botox should make you stop and think if the benefits (or lack there of) are worth it (despite their lovely big green circle above the worth it line in Novak's State of the Evidence)

Kids were age between 8 - 18 yrs (n = 66), almost two-thirds were GMFCS Level I, with the rest mostly Level II. Topography was mixed — hemiplegia and diplegia were most common, and over two-thirds of the kids received Botox

https://www.nature.com/articles/s41390-025-04558-0?fbclid=IwY2xjawPCULxleHRuA2FlbQIxMABicmlkETFlQlg1T0VBZzFmUzROV2lJc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHg9-d0bm1iLyVyawgNNyiktQAsoN52A33XfKKfYmSrJGOquRrT07-pPK9rBS_aem_Gqe_Z21-Lio30qdxiVj2Sg

01/15/2026

110% 🙌🙌🙌