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dressing

Ever tried to dress using just one hand?  Try it today.  Then imagine being six years old and trying to dress with one hand.  On good days, it's challenging, and on bad days, it's a big stressor.  On this page, you'll find ideas to help your child learn to dress independently.  Of course, each child is different and your child will probably come up with his or her own special style.  

www.easyaccessclothing.com

Those Pesky Buttons
Most children are able to learn buttoning one-handed, albeit a year or two later developmentally than when most kids button. I believe that this is the most effective method available.

Of course there are many adaptive devices which are designed for one handed buttoning, all of which work adequately, but I find that most people like to button one handed instead (except for that last pesky button on the sleeve for the unaffected arm). The best place to see all of the options is in the Sammons/Preston catalog, which most OT or PT departments will have.

Lastly, there is always the option of modifying the clothing with velcro or some other fasteners.

Mittens
Polar fleece mittens that fasten with velcro are useful. Gymboree and Gap Kids carry these.

It is often times very difficult to keep a mitten on the affected hand. Many mittens are lost as they fall off when the child is playing outside and buried in the snow somewhere, to reappear in the spring. The ones that snap to the coat are often to difficult for our children to reattach, using yarn and crocheting a single strand and then sewing it to the mittens make sure this doesn't happen. This then strings through the coat. It can also be tightened before the coat is put on and this helps keep the mitten in the coat sleeve while playing outside. You will have to loosen it though once done, so they are able to get the mitten off and on while at school.

Putting on a Coat
From Amanda:
My son was taught to put his coat/cardigan/jacket on the floor inside up with the collar facing him. Then he reaches down to put both arms through the sleeve holes at once and lifts it up over his head. It is great to help him try to stretch his left arm by himself while at the same time allows him to use both arms simultaneously. I don't know about any of your children but Jake seems to be able to achieve a lot of maneuvers with his affected left limb if he does the same action with his unaffected right limb at the same time. (a kind of mirroring)

He first learned the coat technique when he was about two and a bit and it gave him such enormous pleasure that he was independent in this way and could put a coat on like his peers. Hope the coat trick helps.  

Zipping Coats

The zipper can be just to small for our kids to manipulate. To help alleviate this, attach a key chain to the end of the zipper and it makes pulling it up or down easier. This also works for backpacks.

Strapmates

For many of our children their affected shoulder is smaller than their non affected one. Keeping that bra strap in place on the shoulder is often difficult, if impossible. At JCPenney's they have a strapmate, which prevents the strap from slipping and can be found in their catalog. It attaches to both straps with a plastic clip and keeps them in place. This may also work for the two piece bathing suits your child will eventually want to wear as they enter their teen years.

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The information contained in this Children's Hemiplegia and Stroke Association (CHASA) Web site is not a substitute for medical advice or treatment, and CHASA recommends consultation with your doctor or health care professional.