Bedtime Tooth Brushing Visual Schedule

Getting four kids tucked into bed is a nightly circus.  There are lost toothbrushes, smears of toothpaste, pajama shenanigans, and one last bounce on the beds.  Then, it’s lights out and always a few calls for one last hug from mom or dad.  


But one thing that helps with my kids is to have a routine in place.  A bedtime tooth brushing visual schedule works when there are small kids in the house! 


When the kids know what to expect, they know what is happening next. When kids know what is coming up, behaviors can improve.  It’s a phenomenon that I’ve seen in potty training three of my children, and it’s something I’ve witnessed with back-to-school morning routines.  


So, when things get a little out of control and the bedtime sillies become contagious, there is no better way to round up the sleepy troupes and go over our bedtime routine.


This bedtime routine schedule is kid-made and hands-on (literally!) and the perfect way to get kids to brush their teeth each night as part of the family routine, and an easy way to encourage parents to read out loud with the kiddos…even when getting the kids into bed seems more circus-like than calm!

This bedtime routine visual schedule will help kids learn to use good oral hygiene by making sure they brush their teeth each night, part of a great family nighttime routine.

Bedtime Routine Schedule to Nighttime Tooth Brushing and Bedtime Story



Since we’ve had so much luck with our back to school morning schedule story stones, and potty training visual schedule, we decided to try this Finger Print Bedtime Schedule.  The fact that kids get to create the schedule manipulatives and use the stickers each night allows kids to really visualize and comprehend each step of their bedtime routine.  


When you make your bedtime schedule stickers with your kids, they can see that each step of the family routine happens in a certain order.  Use the crafting time as an opportunity to talk about the steps that happen before bed, why it’s important to brush their teeth, and favorite family bedtime stories.


You’ll need just a few materials to make your own hands-on bedtime routine schedule:
Yellow washable paint
Black marker
White label sheet (Sticky back paper that is used to create labels)
Paper for making the chart


On the paper, write out the steps of the family’s bedtime routine.  We followed the three steps in our The Three Bees book and wrote out “Brush”, “Book”, and “Bed”.  


This bedtime routine visual schedule will help kids learn to use good oral hygiene by making sure they brush their teeth each night, part of a great family nighttime routine.

Next, use yellow paint to create fingerprints on the label sheet.  Fingerprint projects are an excellent way to sneak in fine motor skills, especially finger isolation.


Once the fingerprints are dry, use the black marker to draw on a smile and bee details.  This was a simple job that my eight year old loved to do.  


Cut the bees from the label paper and you’ve got instant bee stickers!  All you need to do now is wait until bedtime to work your way through the night time routine as a family.


This bedtime routine visual schedule will help kids learn to use good oral hygiene by making sure they brush their teeth each night, part of a great family nighttime routine.

We hung our bedtime routine schedule on the bedroom wall.  I had my kids stick a bee sticker after they brushed their teeth and then after we read a book as a family.  As they were tucked into bed, my husband and I stuck one last bee sticker beside “Bed” and we turned out the lights.


This bedtime routine visual schedule will help kids learn to use good oral hygiene by making sure they brush their teeth each night, part of a great family nighttime routine.

My kids got the chance to try out Orajel™ PAW Patrol™ products and were excited for a fun toothbrush and toothpaste to add to our nighttime routine.  I was happy to see their smiles and know that Orajel™ PAW Patrol™ products are a great way to transition your little one(s) to fluoride toothpaste to help protect against cavities to keep young teeth and gums healthy.”


Why use a visual schedule? 

Schedule charts are great for kids of all ages and all developmental levels, but they work especially well with children who demonstrate difficulties in the following areas: 

  • communication  
  • Learning problems
  • difficulty with flexibility
  • Behavior problems



When children are sleepy at the end of the day, it can be overwhelming to follow through with the night time routine.  A kid-made visual schedule like these bees is the perfect way to encourage healthy oral hygiene and family time through nightly books.  When it becomes routine, it’s easy to turn the night time circus into peace!


I’ve got something fun to share:  Scholastic and Orajel are teaming up to encourage parents to make reading out loud to their children and brushing their teeth part of their families’ bedtime routines.  


You can visit Scholastic.com/read2me to find tons of resources that are designed to get parents excited about including reading in the nighttime routine.  There is even a FREE Scholastic e-book called The Three Bees.  This is the book that we read and based our bee routine schedule on.  


By visiting scholastic.com/Read2Me, you’ll also find the 100 Best Read-Aloud Books and essential articles from the editors of Scholastic Parents. 


Best of all, you can join in on the Read2Me Tonight Challenge where parents take a photo or video of them reading out loud to their children as part of their bedtime routine for a chance to win all 100 Best Read-Aloud Books and a PAW Patrol™ “Brushers Bundle” from Orajel. 


Then, simply share that entry via the site to social media, earning an extra chance to win!


When you add reading to your night time routine, you are building a bond and memories that will last a lifetime. 


Be sure to visit scholastic.com/read2me and check out the resources there.  Use them to help make reading and brushing part of your child’s nighttime routine!


This bedtime routine visual schedule will help kids learn to use good oral hygiene by making sure they brush their teeth each night, part of a great family nighttime routine.

This is a sponsored conversation written by me on behalf of ORAJEL. The opinions and text are all mine.

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How to teach a child to zip their coat

how to teach a child to zip a coat
Here, you’ll fid a zippering activity that can be used for how to teach a child to zip their coat. Teach kids how to use a zipper doesn’t need to be complicated. It can be a complicated functional skill for kids and process.  Managing two hands together at the belly level, using one hand to hold down the zipper chamber AND the zipper pull AND the end of the zipper…all while the OTHER hand is holding the end of the zipper and trying to thread it into the chamber…it’s a motor planning process that requires a few essential skills to say the least.  Check out our resource on steps to zipper a jacket for a breakdown.
 

How to teach a child to zip their coat

 
The simple act of zippering a coat requires: bilateral coordination, finger isolation, open thumb web space, separation of the two sides of the hand (on BOTH hands), motor planning, pinch strength, eye-hand coordination, pincer grasp, and tripod grasp (most often of the non-dominant hand). Whew! It’s no wonder that teaching kids how to zipper can be such a complicated  orchestration of fine motor skills
 
I have a few zipper activities coming your way, and first up is this bread tie zippering activity.  It’s a fun way to work on they physical skills needed for managing a zipper, using items you probably have in the house.
Zippering activity that works to teach a child to zip a coat using fun materials like a ribbon and bread ties.

Teaching Zipper Skills

When it comes to teaching zipper skills, there are several skills kids need to develop in order to manage a zipper.

 
This post contains affiliate links.
 
There are some nice quality zipper tools out there that will help your child learn how to zipper clothing.  Some of the best products are ones that encourage a child to become independent while practicing the skills needed to learn how to use a zipper and fasten clothing. Looking for manufactured zipper tools?  Try a zipper board, a clothing fastener vest, or a fun cargo vest with zippers for creative play and zipper practice.
 
Here are all of those skill areas needed for managing a zipper.  Click on each link for creative activities to build these skills:
 
So, you could purchase zippering products online to practice zippering, struggle with a difficult coat, or use what you’ve got:
Plastic bread ties
 
 
How to teach a child to zip a coat using a ribbon and a bread tie.
 
And, that’s all you need to practice zippering in a fun way.
 
 
I mean, “tools”. Really, the kids will get a kick out of this and practice the motor skills needed to pinch a zipper, hold down the end of the zipper, and the really tough part of the process: separating the tow sides of the hand holding the zipper chamber.  And, recycling those plastic bread ties makes trash into a treasured moment when a kiddo can shout, “I did it!” then next time they zipper their jacket. 
 
Use this zippering activity for a fun way to teach a child to zip a coat
 

Zippering Activity

This simple ribbon activity uses plastic bread ties.  First, knot both ends of a wide ribbon.  Pinch the ribbon and slide the bread ties onto the ribbon.  That’s it; your zipper tool is done. 
 
Next, we’re going to practice.  To help kids learn to zipper (a real zipper),  they need to hold the bottom of the zipper while the other side is engaged into the chamber. They need to hold the bottom of the zipper between the thumb and middle/ring fingers while pinching the chamber down with the thumb and pointer finger. 
 
Use the ribbon to practice this skill by holding the ribbon down strait and taunt and pinching a bread tie between the thumb and pointer finger.  We held the ribbon tightly in a couple of ways: You can pin the ribbon to your child’s shirt, or have them hold the end of the ribbon under their chin. The latter method allows them to look down while they are completing the coordinated movements, much like zippering requires. 
 
Then, use the other hand to pull the zipper ties all the way up and all the way down the length of the ribbon.
 
You could (and should!), of course, practice zippering a coat during trips outside, and during non-busy/non-rushed periods of the day.  However, this simple activity makes working on the individual parts of zippering a little more fun.  Add this activity to typical zippering practice to work on those skills.
 
 
Help kids learn how to zipper clothing using recycled materials that you probably have in your house. This activity works on all of the individual skills needed for the motor planning of zippering a zipper and uses just a ribbon and plastic bread ties.
 
 
 
You’ll love these DIY self-care hacks: 

Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

Ultimate Guide to Teaching Kids to Get Dressed

Kids grow up fast.  They are snugly newborns one day and before you know it, they are heading off to preschool (I don’t want to think about those older years!).  Those first few years of childhood are loaded with learning and growth. One area of independence is when kids learn to dress themselves.  Many parents have questions about when kids learn to get dressed on their own, how to help their child in this area of self-care, and what might be stopping their child when there are difficulties.  


Read all of our Functional Skills and tips for creating childhood independence here.

 
This month’s post in the Functional Skills for Kids series is all about teaching kids to get dressed on their own.  If you’ve been following along with this series, you know that each month ten Occupational Therapists and Physical Therapists are joining together to cover functional skills of childhood.  You can catch up on all of the posts in this series here.
 

How to Help Kids Get Dressed on Their Own: Childhood Independence with Dressing Skills

Tips from Occupational Therapist and Physical Therapist bloggers on how to teach kids to get dressed on their own with modifications to prerequisites for independence with self-dressing skills.

Use these One handed shoe tying techniques to build skills with one handed dressing tasks.

Tips to help kids to get dressed on their own
Be sure to stop back to see what the Functional Skills for Kids team covers next month!

Independence with Dressing Skills

dressing skills for occupational therapy

Here we are covering dressing skills as an ADL that are used in occupational therapy dressing interventions, as well as dressing skills for preschoolers and all ages, specifically the underlying fine motor skills needed for dressing skills.

These self-dressing skills are typically initiated in the toddler years, however if a toddler has little to no awareness or regression in these skills, a look at toddler behavior red flags may be in order. Self-dressing is part of child development at this stage. Let’s cover this in greater detail…

Dressing skills

“I can do it myself!”  


It’s a phrase that most parents hear at one time or another as their child begins to develop the skills needed for independence in self-care.  Sometimes, however, there are factors that interfere with appropriate development of function.  

Parents may wonder when their child will begin to pull on their shirt or don shoes and socks with independence.   The ability to dress one’s self with independence requires the development of many fine motor skills.


This month in the Functional Skills for Kids series, we are exploring Dressing as an activity of daily living. Stop by to see all of the posts in the series here.

 
Fine motor skills needed for independence with dressing. Kids and parents will like these ideas to build independence. Part of the Functional Skills for kids series by Occupational Therapy and Physical Therapy bloggers.

Dressing Skills that Require Fine Motor Skills

Pulling on socks, managing buckles, and tugging on a hat.  There are many portions of self-dressing that require fine motor skill development;

  • Pulling socks off requires a pinch grip, strength in the hands, and bilateral coordination.
  • Putting socks on requires arch development, opposition of the thumb, intrinsic hand strength, bilateral coordination, wrist extension and ulnar deviation.
  • Pulling pants up requires eye-hand coordination, bilateral coordination, and wrist and hand stability.
  • Fastening snaps and pulling up zippers on pants (Clothing fasteners will be addressed in another month’s topic)
  • Donning and doffing undergarments requires pinch grasp
  • Threading a belt through belt loops requires bilateral coordination, prehension grasp, pincer/tripod/functional grasp and wrist positioning
  • Fastening a belt buckle requires tripod grasp and bilateral coordination, hand dominance or preference, extended wrist and ulnar deviation.
  • Donning and doffing a shirt requires bilateral coordination, crossing midline, extrinsic and intrinsic muscle strength of the hands, and forearm supination and pronation.
  • Donning an doffing a coat requires bilateral coordination, crossing midline, extrinsic and intrinsic muscle strength of the hands, and forearm supination and pronation.
  • Clothing fasteners such as buttons, zippers, snaps, buckles, and ties require intrinsic and extrinsic muscle strength, prehension grasp, in-hand manipulation, hand preference and bilateral control and eye-hand coordination.
  • Pulling on boots requires a hook grasp of the hand, strength, and proximal stability.
  • Donning a winter cap requires precision grasp, bilateral coordination, and motor planning.
  • Shoe tying and one handed shoe tying require motor planning, visual perception, fine motor skills, balance, and more.
If it seems as though every step of dressing requires fine motor skill development, that is because it’s true!  Each step of each dressing task requires many fine motor skills.
 
Fine motor skills needed for independence with dressing. Kids and parents will like these ideas to build independence. Part of the Functional Skills for kids series by Occupational Therapy and Physical Therapy bloggers.
 

Fine Motor Manipulation Skills that are Necessary Independent Dressing

Let’s break down these fine motor skills a bit to see how they are helping a child complete tasks independently.  
 
Fine Motor Skills Needed in Dressing: 
  1. Extrinsic Muscle Strength: The extrinsic muscles move the fingers and thumb in full flexion and extension.  They enable a power grasp on functional items. The extrinsic muscles are essential for cohesive work alongside the intrinsic muscles of the hands during dynamic grasp patterns.
  2. Intrinsic Muscle Strength: The intrinsics allow us to use graded movements, shape the arches of the hands, and enable dexterity and precision.  They control the flexion and extension of the Metacarpophalandeal joints and power movements such as finger adduction, finger abduction, thumb abduction, thumb adduction, thumb flexion and thumb opposition.
  3. Prehension: There are three types of prehension grasps-static grips, gravity dependent grips, and dynamic grips. 
  4. In-Hand Manipulation: This fine motor skill typically develops around two years of age.  Between 2-3 the child progresses in palm-finger translation and shift.  However, at this age, they may prefer to manipulate objects between two hands instead of within one.  Read more about in-hand manipulation skills here.
  5. Hand Preference and Bilateral Control: From the age of 2-3, a child will switch hands to avoid crossing the midline,  They may show use of a preferred hand, but it may switch between activities.
  6. Eye-Hand Coordination:  Eye-Hand Coordination is accuracy of reach and control of the arm in space, guided by vision.  During dressing tasks or any functional skill, the reach should be accurate and controlled, and directed by the shoulder’s stability and mobility.  In reaching for items, the hands and eyes should work together with smooth visual tracking of the hand and with the eyes guiding the hand. 
  7. Precision of Release: There should not be immature releasing patterns noted during dressing tasks.  These might include flinging or dropping objects.  Rather, the child should be able to release items while their arm is positioned in space and with controlled motions.  Read more about precision of release.
  8. Motor Planning: During functional tasks, there should be coordinated movements with appropriate positioning and posturing.  Read more about motor planning here
  9. Separation of the Two Sides of the Hand: Separation of the two sides of the hand allows for stability and power with precision of the thumb, pointer finger, and middle finger. 
Fine motor skills needed for independence with dressing. Kids and parents will like these ideas to build independence. Part of the Functional Skills for kids series by Occupational Therapy and Physical Therapy bloggers.

 

Biomechanical Postural Control in self-dressing

Before the fine motor skills can be used in functional tasks, such as dressing, there are biomechanical skills that are prerequisite.  
These are proximal stability skills that enable distal precision and control.
  • Postural Control– Proximal to the arm is the upper body.  Postural instability will effect the use of the forearm, wrist, hand, and fingers and complicate the motor planning and use of the hands in functional reach.  When we reach with two hands, we shift our weight and move our body’s center of gravity.  Without dynamic control of one’s posture, shifts in weight will result in over or under reach of distal motions.
  • Shoulder stability with motion– Fine motor use of the hands requires stability of the shoulder joint.  The joint needs to maintain stability even during motion and in all planes for controlled arm positioning.
  • Control of the forearm– The arm between the elbow and wrist moves in supinated and pronated motions.  Supination is essential for many precision tasks and allows us to see what our fingers are doing in tool or fastener use.  Pronation is typically used for power grasps and hook grasps in functional tasks.
  • Wrist Position–  A functional wrist position is essential for precision grasp and manipulation. Extension of the wrist controls the length of the finger flexor muscles to an optimal position for grasp and precision.  Positioning the wrist in 40 degrees of wrist extension allows for efficient muscle function.  The wrist also moves with radial and ulnar deviation.  A position of 15 degrees of ulnar deviation promotes stability and force in the ulnar side of the hand.
  • Palmer Arches- While palmer arch development is a component of fine motor skill development in itself, it is also a proximal stability source for precision of the distal fingers.  Appropriate arch development provides positioning and stability to allow for fine motor dexterity of the fingers.  
Fine motor skills needed for independence with dressing. Kids and parents will like these ideas to build independence. Part of the Functional Skills for kids series by Occupational Therapy and Physical Therapy bloggers.

 

Tips to Promote Independence in Dressing Skills

 
When fine motor skills are the problem area behind decreased independence in self-dressing, it is helpful to build individual skills.  
 
Children should be provided with many repetitions of self-care skills in environments where dressing tasks are happening naturally. 
  • Dressing practice happens at the beginning and end of the day but there are many opportunities for working on the fine motor skills needed in dressing tasks.  
  • Donning shoes and socks can happen before going outdoors and when coming into the home.
  • Toileting is a way to practice lower body clothing management throughout the day.  
  • Children can further build independence with dressing through pretend play by using dress-up clothes.  
  • Repetition can be a strategy for increasing opportunities for practice.  
  • Provide various dress-up clothes in different social roles for many ways to practice dressing skills. 
  • Encourage role play as a technique to build fine motor skills in dressing: Children can dress a baby doll.
  • Provide alternate opportunities to practice fine motor skills needed for dressing such as toys to help kids practice dressing skills.
 
 
 
 
Fine motor skills needed for independence with dressing. Kids and parents will like these ideas to build independence.
 
 
 
Develop fine motor skills needed for functional tasks with these activities:
 

Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.