Special Education Today

21 October 2009

Wii Therapy: Findings in Motor Integration/planning and Sensory Systems

Can observing children using theWii help us learn more about their weaknesses and develop strategies to use the Wii to augment traditional therapy and educational practice?




The Wii mat for Outdoor Challenge is pictured above, along with the pipleslider game the students play when sitting on the mat. By leaning left or right and patting their hands, the can steer themselves down the slide.

My question at the top is quite a mouthful! We are struggling to get valid results from observing students using the Wii and find ways to use it to support their goals. They love to play the Wii and it can be a real motivating factor. Whether we are looking at social interaction and systems that students work in with autism, or orthopedic issues in motor integration and planning, our efforts are showing some positive results as we have used the Wii in several situations this fall.

I have been working with a PT/OT and a early childhood specialist in an early childhood program. We have been bringing students in from the morning and afternoon sessions to "play". They have more speech and social goals than orthopedic ones. We have used the Outdoor Challenge game mat to play games like Mole Stomper, Pipe Slider and Timber Trail. All of these involve skills like running in place, foot/eye coordination, left/right orientation, balance, anticipation and developing problem solving systems, etc.


It has been enlightening to see how these young children develop better skills through trial and error, but we have also been able to pinpoint certain deficiencies in age-appropriate developmental skills within the motor planning, fine motor and right/left skills. We have also noticed that the students that have speech issues do not necessarily have motor planning issues as well when using the Wii, but most everyone has some area of deficiency when using the Wii that we can monitor and work on skill strengthening.
We have 2 TV stations coming out to the classroom tomorrow to tape the students and our therapists and myself on the pilot program. If we get a video clip of the piece to share online, I will link to it.

Since we have developed this program, we have been able to use it for some high school age students with autism as well. The thing we are noticing with them is that when they have to do something out of their sensory system - something that cause them to have to adjust and "tweek" their receptive sense, there can be some learning and higher tolerance as an outcome. For example, if we ask a student to take off their shoes and stand on the Wii Fit Board to play a balance game, they might refuse or have a hard time dealing with doing something in their sock feet. The lure of the game and the motivational factor there might be the ticket to get them to comply and give it a try. When this happens, the door can open to new sensations and willingness to try. We have had similar instances with sitting on a mat on the floor, being in sock feet on the mat and putting the strap on the Wii remote around a wrist.

We have just purchased the components for a second system that will go into a student autism group in a high school to work on social and sensory developmental goals. We also have a fourth grade deaf boy who is in a wheelchair and will be using the Wii therapy to do some eye/hand coordination and integration of a speech device with game symbols and basic communication to play with the teacher and a peer.

This has been an interesting journey. I have actually been so busy that I have had to focus on other directions and let this go. In spite of my negligence at times, the teachers and specialists have owned the program and run with it. They have been sharing results and ideas, and proposing new ways to apply the games to student needs. It is taking on a life of its' own!

We have a goal to develop improved data collection forms and develop some tutorials and helps for specialists and teachers to integrate games. We are a long way from that yet - but things are definitely taking shape.
More to come as things develop.

Note: The Wii is not used for official diagnosis, evaluation or screening. It is only used as another tool to see what students can and cannot do and give them a fun and motivating way to develop and achieve goals - approaching them from a different angle.
All the best,
Lon

9 September 2009

Wii Therapy, AIM, AAC and Everything in Between: Welcome Back!

I have taken a huge bit of the summer to be offline and rest, spend time with family, etc. I am excited to get back to writing and bring posts that will encourage and stimulate your creative juices. We just returned from a great trip to Toronto and now - back to it!
With Labor Day is behind us, it is time for gearing up towards goals for children and for me, pressing onwards to new goals in my knowledge and professional development. I know that we are being told that stimulus funds are available for AT and I am writing and developing recommendations for items for Autism and AT for our districts. I will have to share them and get your feedback.
I am on a state AIM committee that is working on our implementation of print diability materials in a timely manner and will be developing our protcols for requests and connecting teachers and students with materials, knowing qualifications for access, etc.
My biggest surprise in the projects I have been involved in has been the interest in the Wii as therapy. We tested it out last spring and it seemed very successful. I am going to an ECSE classroom today to work with some children for their motor skill activity time. We have two local TV networks that are working on stories on what we are doing and we are continuing to develop our data collection sheets this fall and fine-tune things. I am working on developing some overlays with speech devices to incorporate with the Wii therapy so we can develop some communication goal work alongside the motor work as well.
I stumbled across some new successes using neuro-feedback for dyslexia with great results. The doctor that has been doing this work has agreed to an interview and so I will be writing about this and setting up a time this fall for him to share what they are doing with you.
There is so much to do and so little time. Just take a deep breath and remember to pursue the things that give you joy. Those will being about your greatest success...
Have a great fall and do great things out there!

All the best to you,
Lon

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11 June 2009

Wii Therapy Baseline Sets Stage for Program Pilot



Our ESD released the following article this week. From this I have had several newspapers and two TV stations call for further stories. I thought I would share the article below:


"Nintendo Wii has taken the video game industry and many American households by storm, and now the game system is starting to be used as a form of physical and occupational therapy to help improvement movement and motor skills.
When Pendleton Academies closed its doors last fall, the Umatilla-Morrow Education Service District (UMESD) acquired several used Nintendo Wii game consoles. They were handed down to UMESD Assistive Technology Specialist Lon Thornburg, who began to research the use of Wii systems in physical and occupational therapy with special needs students. The results?
“Wii-hab.”
Now Thornburg, physical therapist Jodi Garberg and occupational therapist Christi Sullivan are working together to create a pilot program for the Wii therapy. They spent two days observing students using the system and several games at Sandstone Middle School and Hermiston High School to develop a baseline of activities and design a data collection model for the program.
The trio are hoping to create a pilot program that will be used for six months at a time at two different schools (to be determined) next year. They’ll study the effectiveness of the system to motivate special needs students, as well as how well it helps to improve their communication and motor skills. The pilot program will also give them the opportunity to improve the program, its uses and effectiveness, as well as refine the data collection model.
“We think it’ll also be a good tool for diagnosing what some of these kids can’t do,” Thornburg said. “I think there are just tons of possibilities with this system.”
Thornburg emphasizes that this program is not something for kids to have the chance to just fool around with.
“We want to make sure people understand we’re being very clinical about this,” Thornburg said. He noted that the only expenses so far have been to purchase several Wii games, such as the sport pack, Outdoor Challenge and Wii Fit. All of the consoles and remotes were donated when Pendleton Academies closed.
The Wii Fit aerobics and balance programs have fun therapeutic movements such as the hula hoop, penguin slide, ski slalom, tightrope walk and balance bubble. The Outdoor Challenge features a “mole stomper,” trampoline, water slide, jump rope and trail rider. These games help special needs students to improve their balance and motor skills.
Through his research, Thornburg has found other physical and occupational therapists across the country who are using the Wii systems in rehabilitation centers, assisted living centers and even for war veterans in VA medical centers.
“Doing the physical therapy can be quite painful for some of the veterans, so using the Wii helps them with their therapy while helping to take their minds off the pain by doing something fun,” Thornburg said.
Thornburg also has connected with Mershon Hinkel, an occupational therapist in Philadelphia known as the “Wii OT.” The pair have shared various Wii therapy ideas and experiences.
By refining the program through the pilot project, Thornburg hopes to collect enough tangible and effective data and experiences to apply for grant funding to help the program take flight in more schools with the UMESD’s physical and occupational therapists."


All the best to you!

Lon



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7 May 2009

Piloting Our Own Wii Therapy to Support OT in the Schools


Wii-abilitation or Wii-therapy is becoming more and more popular. I can tell by the increase in posts, articles and sites about it online. As I shared not too long ago, we were given a Wii, leftover from a program that had been closed. The Wii had some parts missing and the Wii Sports CD scratched beyond use. I got a call from a director asking me if we could use it for assistive technology somehow.
I went through the storage tub and sorted through broken remotes and odds and ends (there had been 2 Wiis at one time) and got enough working pieces to make up one good set. I bought an Outdoor Adventure mat and game, a Wii Fit board and Wii Play. I went online and printed off a good Wii Fit tutorial that lists all the activities and put together overviews from resources online for the Outdoor Adventure and the Wii Play.
We had a "launch" at a monthly OT/PT meeting last week and I gave the specialists an arsenal of articles supporting the use of the Wii in schools, veterans hospitals, care facilities, etc. I began to get requests from therapists to come out to some schools and help them get started.

A Time for Assessment
One of the OT's has set up two days, one at a middle school and one at a high school where I will set up the Wii in a closed setting. Throughout the day, we will bring in various students and based on their motor level and ability, try some games out and decide what activities will support the unique needs of that student. Will it be eye-hand coordination, balance, fine motor, speeding up reflex action, or just getting a student out of a chair, onto a mat and letting them slide down the water slide steering with their hands on the mat?
I drafted up a rough data sheet for starters that has the student information on the top as well as motor ability and motor goals, and then lists all the games with space for notes. We can fill out a form for a student, check all the games that apply to the goal and get a baseline started.
If we can pilot a program in a couple of schools and get some data that shows this is helping students, we can use that to start more Wii's in more schools under the direction of the OT/PT's.
Wii and Communication?
I have an interesting case developing for a non-verbal student where we are going to incorporate some augmentative communication with the Wii Sports to allow this student to play against a classmate and use the Communication Overlays to choose games, make comments, take turns, build a Mii (I have made boards with all the head, eyes, nose, hair, etc. parts ready to use) and say "Good game!" A great Mii site to visit for some ideas for your boards is a Mii Creator site.
Some students need a motivator to use alternate forms of communication. We are trailing a Dynavox with a student that is doing terrific things because we are having him build sandwiches, make pizza and build and shoot a model rocket (this Friday!). He happens to be in the middle school where we are bringing the Wii, so I will build some pages for using the Wii and incorporate the Dynavox V into it.
Blending tools and supports is getting to be so much fun and I find it allows some of those unique needs kids have to be met in a way that just can't happen with a one-size-fits-all philosophy.

All the best to you!
Lon

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30 April 2009

Wii Jumps in as Therapy Tool for Special Education



I had reported on the Wii as "Wii therapy" this past winter and had asked for tips and ideas. I received several emails and comments about it. Since then, my assistive technology department has been given a Wii to use as a therapeutic support tool. I got on the Internet this past week and found that the number of articles and sites featuring the Wii for this purpose have grown considerably.
I "launched" our Wii program at a monthly meeting of our OT/PT specialist team yesterday. I set up the Wii and gave everyone a set of handouts on the games and articles that support the Wii in rehab settings. I shared examples of the Wii being used in hospitals for all ages, from 9 to 90. Stroke victims, veterans hospitals for military, special needs students in schools, all across the country are finding the following:

1. The Wii can divert the attention of the subject off of the pain associated with movement making it easier to do the movement while bowling, boxing, playing tennis, etc.

2. "Virtual PE" from a wheelchair is possible in special needs classrooms. Children can bowl and play baseball against other students in the classroom. One school even has a "game day" where a special needs class can play another class.

3. Teachers, specialists and assistants often hold and assist the student with the Wii remote to model movement, the swing, roll, punch, etc.

4. Better circulation of limbs is occurring.

5. Games support eye/hand coordination and students are able to "whack the ball out of the park" on the Wii when they have difficulty doing other eye/hand tasks. Maybe this will help.

6. Color and shape recognition is increasing.


There are quite a few articles online if you Google Wii therapy or Wii rehabilitation. One article I loved was: Wii Solutions for Special Needs from the special needs program at the Harry E. Blair Learning Center in Bakersfield, California. I would encourage you to check it out. There are some great pictures there too.
We have purchased a Wii Fit board to work with students who are not in wheelchairs. We have a game mat/game "Outdoor Adventure", which allows students with the ability to sit on the mat on the floor to slide down a water slide and use their hands to steer to the left or right. The Wii Sports games will allow students in chairs to use muscle groups while doing the tennis, boxing, bowling, baseball, etc.

The first student to use the setup will be a 12 year old in a chair that has lost interest in doing many of the activities the occupational therapist gives him to do at school:
"Stringing beads and other hand exercises have kind of reached their limit with him," the OT/PT director shared. "Maybe this will engage him and get the muscles actions we want him to get, and make it more fun for him."

I 'll keep you posted.

All the best to you!

Lon


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