Guest guest Posted June 3, 2011 Report Share Posted June 3, 2011 please share ideas as I am also working with a student with Selective Mutism. I have been doing reflex work with her for most of the year in school and she does talk during these sessions but in the classroom, there has been no carry-over with skills so far unless she is acting a part in a play. Thanks! On Fri, Jun 3, 2011 at 9:57 AM, <tierneyj@...> wrote: Hi Cheryl, Sorry I didn't get back to you sooner... I would love to connect with you and share thoughts on how to work with kids with selective mutism. I would be interested in knowing what has worked for you. My e-mail is tierneyj@.... Talk to you soon ~ Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to " treat " my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated. > -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2011 Report Share Posted June 5, 2011 The little girl I work with is almost 6 years old, and I have been using MNRI with her for a little over a year now. Along with her selective mutism, she is also a very strong toe-walker, so we have worked a lot with some of the neurostructural techniques as well as many of the foot, lower extremity, and spinal reflexes. Because of her significant anxiety, we have worked with some of the tactile protocol, especially embracing squeeze, as well as core tendon guard, fear paralysis, and the upper limb reflexes, especially hands supporting. Although she still has a ways to go, she has made wonderful gains in regards to her anxiety, and the gains have generalized to the other areas of her life - to the extent that her current school OT, who is new this year, has doubts about her selective mutism diagnosis! Despite all of this wonderful progress, however, she continues to be a very persistent toe-walker. If anybody has any thoughts on what I should be doing to make faster progress with the toe-walking, I would love your input! Thanks! Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to "treat" my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated.> -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2011 Report Share Posted June 5, 2011 Hi Jo Anne,Have you done the hands supporting reflex for 2 mins in each position (repeated daily for awhile)? This made such a nice shift in my own body, that I have been doing it with most of my kids and I do see a decrease in toe walking. It increases the awareness at the upper back, thus facilitating spinal pereze to activate at a higher level. As the trunk lifts up, the heels come down. Let me know what you find,From: Jo Anne Tierney <tierneyj@...> Sent: Sunday, June 5, 2011 9:34 PMSubject: Re: Re: Selective Mutism The little girl I work with is almost 6 years old, and I have been using MNRI with her for a little over a year now. Along with her selective mutism, she is also a very strong toe-walker, so we have worked a lot with some of the neurostructural techniques as well as many of the foot, lower extremity, and spinal reflexes. Because of her significant anxiety, we have worked with some of the tactile protocol, especially embracing squeeze, as well as core tendon guard, fear paralysis, and the upper limb reflexes, especially hands supporting. Although she still has a ways to go, she has made wonderful gains in regards to her anxiety, and the gains have generalized to the other areas of her life - to the extent that her current school OT, who is new this year, has doubts about her selective mutism diagnosis! Despite all of this wonderful progress, however, she continues to be a very persistent toe-walker. If anybody has any thoughts on what I should be doing to make faster progress with the toe-walking, I would love your input! Thanks! Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to "treat" my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated.> -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2011 Report Share Posted June 5, 2011 Hi , Thank you for the great suggestion! I have been doing hands supporting, but not nearly as consistently or intensively as you are suggesting. I will definitely try that - starting tomorrow! Would you recommend following that with spinal pereze and the lower limb reflexes? I know its hard to generalize, because every case is different, but when you say to repeat daily for a while, how long is a while....? Do you see changes as early as one month, or is it more like 3 months, or 6 months? Thanks again for the suggestion - I'll let you know how it goes! Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to "treat" my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated.> -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Hi Jo,I have been starting with fear paralysis reflex, because that seems to be what pulled everything inward to start with. Then I do hands supporting reflex (2 mins each position). I follow up with spinal pereze, some trunk extension, and foot tendon guard. I also tend to do the the 6-pointed star, so they know where their center is more. I facilitate (cue) the gait (walking) from the pelvis, so they change their center of gravity closer to S2 because the FPR seems to bring it up too high. I have a little girl who changed a LOT in the past 3 weeks (with a Mom who has been pretty religious about daily treatment). I have less carryover with the other kiddos, so it is a slower process, but still note change. Good Luck,From: Jo Anne Tierney <tierneyj@...> Sent: Sunday, June 5, 2011 10:34 PMSubject: Re: Re: Selective Mutism Hi , Thank you for the great suggestion! I have been doing hands supporting, but not nearly as consistently or intensively as you are suggesting. I will definitely try that - starting tomorrow! Would you recommend following that with spinal pereze and the lower limb reflexes? I know its hard to generalize, because every case is different, but when you say to repeat daily for a while, how long is a while....? Do you see changes as early as one month, or is it more like 3 months, or 6 months? Thanks again for the suggestion - I'll let you know how it goes! Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to "treat" my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated.> -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 ,Sorry to jump into your conversation, but this is right what I need with a particular client. Are you doing FP daily or just the other reflexes?On Mon, Jun 6, 2011 at 6:36 AM, Lilja <liljaurban@...> wrote: Hi Jo,I have been starting with fear paralysis reflex, because that seems to be what pulled everything inward to start with. Then I do hands supporting reflex (2 mins each position). I follow up with spinal pereze, some trunk extension, and foot tendon guard. I also tend to do the the 6-pointed star, so they know where their center is more. I facilitate (cue) the gait (walking) from the pelvis, so they change their center of gravity closer to S2 because the FPR seems to bring it up too high. I have a little girl who changed a LOT in the past 3 weeks (with a Mom who has been pretty religious about daily treatment). I have less carryover with the other kiddos, so it is a slower process, but still note change. Good Luck, From: Jo Anne Tierney <tierneyj@...> Sent: Sunday, June 5, 2011 10:34 PM Subject: Re: Re: Selective Mutism Hi , Thank you for the great suggestion! I have been doing hands supporting, but not nearly as consistently or intensively as you are suggesting. I will definitely try that - starting tomorrow! Would you recommend following that with spinal pereze and the lower limb reflexes? I know its hard to generalize, because every case is different, but when you say to repeat daily for a while, how long is a while....? Do you see changes as early as one month, or is it more like 3 months, or 6 months? Thanks again for the suggestion - I'll let you know how it goes! Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to " treat " my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated.> -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... -- Donna BatemanNeurodevelopmental Specialistwww.parentswithpurpose.comNatural Moms Talk Radio Interview Podcast: http://is.gd/4Wwib Mom to 26, Katy Kartchner 24 , Preston 22, Annie 20, Kent 18, Callie 15 (cured from dyslexia), Carson 13, Dawson 11 (brain injured--was severe now mild!) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Hi , Thanks for the great suggestions! I, too, work a lot with the fear paralysis reflex with the toe-walkers as it tends to be so hyperactive, especially for the kids with anxiety and sensory issues. When you work with the 6-ended star, do you do the passive or the active techniques? Also, not being a PT, I'm not quite sure how to facilitate at the hips. I tried it with one of my kids today, and it felt like I should be facilitating her in the direction of posterior pelvic tilt. It seems like that would bring the center of gravity back a bit. Is that right? She actually did walk flatter as we did that. I appreciate all your great suggestions - thanks! Jo Selective Mutism > > Â > > > > > My name is Kim and my 14 year old son has been diagnosed with Selective Mutism. I have declined any pharmaceutical methods to "treat" my son. I have heard that the MNrI method has been effective for children with SM. I do not live in an area that is holding a course but have ordered the manual and disc. Anything I can glean from this group will be appreciated.> -- Carol Lehmann, MS, OTR/LEden Central School635-6630 x50clehmann@... Quote Link to comment Share on other sites More sharing options...
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