Gabbi Katzenellenbogen OT

Gabbi Katzenellenbogen OT Paediatric occupational therapy private practice in Sandton
- Sensory integration
- DIR Floortime
- SOS feeding

✨   ✨What does it mean to be over-reactive to proprioceptive input?Some children are more sensitive to movement and pres...
17/02/2026

✨ ✨
What does it mean to be over-reactive to proprioceptive input?

Some children are more sensitive to movement and pressure.
Input that others hardly notice can feel overwhelming to their body 🧠💛

You might notice that they:
🚫 Avoid climbing, jumping or rough play
🧍‍♂️ Seem stiff, cautious or fearful with movement
🪜 Struggle with stairs or uneven surfaces
🤗 Dislike hugs or firm touch

These children aren’t being difficult or anxious on purpose.
👉 Their nervous system is working hard to help them feel safe in their body.

With the right support, pacing and graded proprioceptive input, children can build confidence, body awareness and trust in movement 🌱

If this sounds like your child, an occupational therapist can help guide supportive strategies and activities.

✨   ✨Under-reactive to proprioceptive input — what does that mean?Some children need MORE input to feel where their body...
10/02/2026

✨ ✨
Under-reactive to proprioceptive input — what does that mean?

Some children need MORE input to feel where their body is in space 🧠💪

These are often the kids who:
🚧 Crash into people or furniture
✏️ Chew on pencils, clothing or toys
🔄 Are constantly moving or fidgeting
💥 Use too much force (hello broken crayons!)

They may be described as “rough” or “busy” — but they’re not being naughty.
👉 Their body is actually seeking feedback to help them feel more regulated and aware.

Proprioceptive input is usually very calming and organising for these kids. Activities like pushing, pulling, lifting, chewing and deep pressure can make a big difference 💚

If this sounds familiar, an OT can help identify your child’s sensory needs and suggest supportive strategies.

✨   ✨What is the Proprioceptive System?Proprioception is often called our “hidden sense” — but it plays a HUGE role in e...
03/02/2026

✨ ✨
What is the Proprioceptive System?

Proprioception is often called our “hidden sense” — but it plays a HUGE role in everyday life 💪🧠

It helps children (and adults!) know where their body is in space, how much force to use, and how to move smoothly without always watching their body.

💡 Think about:
✏️ How hard to press when writing
🤗 How tight to hug
🪜 How to walk up stairs without looking
🧩 Body awareness, coordination & self-regulation

When proprioception isn’t working efficiently, children may seem clumsy, seek lots of movement, or struggle with motor planning and regulation.

The good news? 💚
This system LOVES input — things like jumping, pushing, pulling and heavy work can be incredibly regulating and supportive.

🎧🏡 Auditory System — Tips for Home!Home can be a wonderful place to help children build tolerance to sound or create cal...
02/12/2025

🎧🏡 Auditory System — Tips for Home!

Home can be a wonderful place to help children build tolerance to sound or create calm, depending on their sensory needs.

Here are some ideas to try:
✅ Soft background music or white noise
✅ Quiet play spaces with minimal clutter
✅ Visual cues instead of repeated verbal reminders
✅ Give warnings before loud sounds (e.g. vacuum or blender)
✅ Headphones/ear defenders for busy outings

Every child experiences sound differently — tuning in to how they respond is the first step to helping them thrive 💛
Small changes = big support 🙌

🎧📚 Auditory Tips for the Classroom!Some children experience sound more intensely than others.Supporting auditory over-re...
25/11/2025

🎧📚 Auditory Tips for the Classroom!

Some children experience sound more intensely than others.
Supporting auditory over-reactivity helps kids feel safe, focused, and ready to learn. 💛

Here are a few helpful strategies teachers can try:
✅ Noise-cancelling headphones during busy/noisy times
✅ A calm corner or quiet zone to reset
✅ Seating away from noisy areas (windows, doors, pencil sharpener)
✅ Predictable routines & clear transitions

Every brain processes sound differently — let’s make space for that 🤍

Small adjustments can make a BIG difference in a child’s school day 🙌

19/11/2025

🧩 Puzzle-Building Tips to Build Visual Skills!

In OT, we love puzzles — not just because they’re fun, but because they build essential visual-perceptual and problem-solving skills.

Here’s an easier way to tackle a new puzzle 👇
1️⃣ Turn all the pieces picture-side up
2️⃣ Choose one part of the puzzle to start with — e.g. an animal
3️⃣ Find the colours and patterns that match that animal
4️⃣ Build that animal first
5️⃣ Choose another animal/section
6️⃣ Build the rest of the picture from there

✨ Starting with a meaningful part of the picture is often easier than doing the border first — especially for kids!
This approach supports:
✅ Visual closure
✅ Spatial awareness
✅ Attention to detail
✅ Organisation + frustration tolerance

🔉 Under-reactivity to Sound — What Does It Look Like?Some children hear sounds, but their brain may not fully register o...
18/11/2025

🔉 Under-reactivity to Sound — What Does It Look Like?

Some children hear sounds, but their brain may not fully register or respond to them. This means they may need more input or repetition to process what’s being said.

These children might:
• Seem like they’re not listening
• Often ask “What?” or need things repeated
• Not respond to their name right away
• Struggle to understand speech in noisy places

It’s important to remember —
They’re not ignoring you on purpose.
Their brain just needs more support to process sound. 💛

If this sounds familiar, OT can help strengthen auditory processing and improve everyday participation.

12/11/2025

🧩 Working on Visual Perceptual Skills
In this activity, the adult builds a simple DUPLO tower while child copies it.
Then comes the fun part 👀
The child closes their eyes, the adult makes 1–2 sneaky changes, and the child has to spot the differences and fix their tower!

This type of play helps kids build important visual perceptual skills like:
✅ Visual memory
✅ Visual discrimination
✅ Figure–ground awareness
✅ Attention to detail
✅ Problem-solving

These skills are essential for reading, writing, copying from the board, building puzzles, handwriting, and more!

Fun + learning = OT magic 💛

🔊 Over-reactivity to Sound — What Does It Mean?Some children hear everyday noises more intensely than others.Their brain...
11/11/2025

🔊 Over-reactivity to Sound — What Does It Mean?

Some children hear everyday noises more intensely than others.
Their brain interprets common sounds like an alarm, which can feel overwhelming.

Kids who are sensitive to sound may:
• Cover their ears
• Get upset in noisy or echoey spaces
• Startle easily
• Avoid group activities
• Feel bothered by sounds others don’t even notice

This can lead to anxiety, meltdowns, or avoiding social situations — not because they’re “difficult,” but because the world feels too loud.

The good news?
💛 Sensory-friendly strategies and OT support can make a BIG difference.

If this sounds like your child, you’re not alone — reach out, we’re here to help!

05/11/2025

🌟 Tummy Towel Rides! 🌟

In this activity, a toddler lies on their tummy on a towel while an adult gently pulls them across the floor.
Simple, playful — and packed with benefits!

This movement provides:
✅ Vestibular input — helps with balance, body awareness, and regulation
✅ Back extensor muscle strengthening — builds core + postural muscles needed for sitting, crawling, and play
✅ Calming + organizing sensory input — great for helping little bodies feel more regulated and focused

Towel rides are a fun way to support development while enjoying playtime together 🤗

Always go slow and follow your child’s lead!

👂 What is the Auditory System?Our auditory system is so much more than just our ears — it’s how the brain interprets and...
04/11/2025

👂 What is the Auditory System?
Our auditory system is so much more than just our ears — it’s how the brain interprets and responds to sound.

It helps us:
✅ Understand speech
✅ Tune in (or tune out!) sounds
✅ Follow verbal instructions
✅ Stay calm or alert depending on what we hear

For some children, sounds may feel too much or not enough — and this can affect attention, learning, and behaviour.

If your child struggles with noisy spaces, following instructions, or seems overly sensitive to sound, support from an OT could help 💛

29/10/2025

Instead of drawing on paper try these fun alternatives- Shaving foam, hot chocolate powder and sugar. This works on the tactile system and provides great feedback into the fingers to learn how to draw letters and numbers.

Address

173 Rivonia Road
Sandton
2196

Opening Hours

Monday 08:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

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