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The Sooner the Better: A Framework for Training Early Intervention Practitioners on Deaf-Blindness

Fine and Gross Motor Skills

Audiences: Families, MDT, SC, DSP
Recommended Practices: A4, E3, E4, E6, F2, INS1, INS2, INS4, INS5

This unit provides information about the impact of a dual sensory loss on fine and gross motor skills development and intervention strategies related to motor development.

Impact

PowerPoint Slides

IN Training (Part 2): Slides 12-14
These slides provide a brief description of the impact of deaf-blindness on motor skills.

Handouts

The Balancing Act
The author is a physical therapist and assistive technology specialist who explains the importance of balancing cognitive and motor tasks. A link to the SETT Framework (an assessment tool) is included.

Hold Everything! Twenty “Stay-Put” Play Spaces for Infants and Preschoolers with Sensory Impairments and Other Special Needs
This 50-page booklet provides detailed instructions for constructing each play space.

Strategies: Active Learning

PowerPoint Slides

IN Training (Part 2): Slides 16-17
These slides cover Active Learning principles and practices.

Videos

First SAL Experience
This video from Washington Sensory Disabilities Services shows a child's positive response to being in a Space for Active Learning (2:26). [Note: Click on the "Videos" tab and scroll to the last video on the page.]

A young boy plays in a Little Room (0:31).

Handouts

An Introduction to Dr. Lilli Nielsen's Active Learning
This brief article from 1995 lists Dr. Nielsen's recommendations for developing a child's environment.

Strategies: Hand-Under-Hand

PowerPoint Slides

IN Training (Part 2): Slides 18-19
These slides give a brief overview of hand-under-hand.

Videos

Joel Opens the Top
This video from Washington Sensory Disabilities Services shows the use of hand-under-hand with a child (1:45). [Note: Click on the "Videos" tab and scroll to the third video on the page.]

Handouts

Talking the Language of the Hands to the Hands
This 2003 article by Barbara Miles discusses the importance of hands to individuals who are deaf-blind and how to teach skills that facilitate hand development and expressiveness.

Strategies: Motivation to Move (Body and Spatial Awareness)

Videos

Christopher Uses His Walker 
This video from Washington Sensory Disabilities Services shows how a provider motivates a young boy to use his walker (2:11). [Note: Click on the "Videos" tab and scroll to the second video on the page.]

Joel Crawls
This video from Washington Sensory Disabilities Services shows a father helping his toddler crawl to the window (0:53). [Note: Click on the "Videos" tab and scroll to the fourth video on the page.]

A toddler plays on the floor, reaching for toys near him (2:42).

Photos

A child lays on a bed next to an Elmo toy.

Strategies: Responsive Environments

PowerPoint Slides

IN Training (Part 2): Slide 16
This slide describes responsive environments.

Videos

Barbara Purvis gives a definition (0:39).

Strategies: Safety and Security

PowerPoint Slides

IN Training (Part 2): Slide 15
This slide gives tips for safety, security, and predictability.

Participant Learning

Reflection:
Vision and hearing are our two distance senses. It has been said that "vision and hearing make the world an interesting place." Reflect on how a combined vision and hearing loss can have an impact on a child's desire to explore their world.