Orientation & Mobility
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ORIENTATION AND MOBILITY

    Children who are blind or visually impaired need special training to teach them how to travel independently. This training is called orientation and mobility. Orientation covers knowing where you are, where you want to go, and how to get there. Mobility is the actual physical process of getting from one place to another. Your child should receive mobility training with an O and M specialist. There are many thing you can do to help your child. You are your child’s first mobility specialist.

    When your baby has been active in his/her crib and suddenly becomes quiet and motionless it may mean that he/she is listening carefully to the sounds around him/her. This the time to begin to help your baby associate sounds with people and object.

    Children need variety. Don’t leave your child in a playpen or crib for long periods of time. Carry them around with you. Have your child touch, hear, and smell lots of different objects. Have your child reach out for objects that make pleasant sounds; for example, a rattle, a ball with a bell, etc. This reaching to sound usually occurs at 10 to 11 months, but may vary greatly with special children.

    Once your child is crawling allow him/her to explore, first in the playpen, then in their room, and then in the entire house. Leave a favorite blanket or pillow to be discovered. Leave toys hidden inside a favorite blanket, maybe in another room.

    If your child is walking, there are many ways that you can help his overcome fear and become comfortable and safe in a variety of situations. The following are suggestions of things you can do to enhance your child’s orientation and mobility.

    When walking with your child rather than holding hands, extend your finger down and have your child hang onto it. Later your child may hold your wrist and eventually your arm.

 

FOUNDATIONS OF ORIENTATION AND MOBILITY (Second Edition)

Written by Editors:  Bruce B. Blasch, William R. Wiener, Richard L. Welsh

A Approximately in the range of 6-18 months old.
B
Approximately in the range of 12-36 months old.
C
Approximately in the range of 3-6 years old.

SKILL   A: INFANT  B: TODDLER  C: PRESCHOOLER
Concept of turns/accurate turns Make distinct turns (not  curves) when carrying or walking with infant  Continue making distinct turns when walking together. 

When walking together have a word or signal that you say or do whenever you make a turn to help the child clue into the fact that a difference in the movement is occurring.

Show child the difference between "turn" (90*), "turn around" (180*), and "turn all the way around" (360*).  Try to be consistent in your use of these terms.

Play (modified) "Mother May I" by asking the child to make one of the above turns (gross approximations), and if done correctly they will "find" you in front of them-reward with hugs, tickles, etc.

Continue with previous activities. 

Play a game where the child is the "driver" and you are the "car," and you turn whenever the child tells you  to (or makes motion as if turning the steering wheel). 

Talk about how turning changes the direction you are traveling-put items in front of the child and to the side he/she will be turning, and show how the relative location changes.

Analyzing traffic sounds and patterns Take infant to a variety of areas with different levels of traffic.  Be sure to include area with high levels of traffic.  Provide time to listen to the traffic and become used to it.

Help child to localize and reach for sounds-start with hand-over-hand, then physical assistance from shoulder, etc.

Use a sound maker that can be activated by hitting it and encourage child to make it sound each time he or she is correct.

Help child to learn to turn to face sounds.

While standing next to a street, talk about "loud" and "quiet" sounding cars.

While standing next to different types of streets, ask the child to tell when there are cars on the street and when there are no cars.

Talk about the different sounds made by "fast" cars and "slow" cars-play games with cars and act out going fast and slow, read stories about vehicles that go fast or slow.

On a quiet street, talk about how the sound of the car is quiet, then gets louder as it approaches, then gets quiet again.

As child demonstrates ability to localize sound, help him to point to and follow movement of car along the street.  Do this first on a quiet street, then on busier streets.

As child demonstrates understanding of spatial concepts, show child how traffic moves from in front to behind you when you are standing with the street beside you, and how traffic moves from side to side when you are facing the street.

Compass orientation

 

Begin to incorporate compass terms into your daily vocabulary-if possible, use them when giving directions to others or to describe locations of items in the house, etc. Identify three or four key locations in the house (or school) and refer to them with labels in compass term- i.e., call the front door the "east door" (or whichever direction it faces), talk about the clothes rack being on the north wall.

Play games to teach and practice basic spatial concepts, specifically "in front" and "behind."

Teach child about opposites-use physical movements as much as possible, i.e., the opposite of "stop" is "go," the opposite of " up" is "down," etc.

Continue with previous activities.

Play a game of "detective"-take the child to locations in the house that you have been identifying with compass labels and see if he or she can tell what it is (what direction it is associated with).

When walking between labeled compass locations, talk about how you need to turn to get from one to the other. As child demonstrates understanding of spatial concepts of "in front" and "behind," talk about north being in front of you when you are walking toward the north clothesrack.

As child demonstrates understanding of opposites, talk about north and south being opposites and 11 when north is in front of you, south is behind you."

Public transportation

Plan periodic family "field trips" -instead of driving downtown to go to the park at the outskirts and take a city bus, or take a cab to the grocery store occasionally.

Continue family "field trips" -talk with student about what transportation you will take, read a story about the type of transportation, play games with toy models of the type of transportation. Continue family "field trips"-give the child responsibility for portions of the trip, i.e., have him or her hold the money and hand it to the bus driver as you get on, have her ask the bus driver to tell when you are at your stop.
Mapping skills

Accustom child to wide variety of tactual materials help him or her to explore/ scan the entire item.

Provide child with a magnetic or Velcro map board -encourage him or her to make designs with the pieces.

Walk in a hallway carrying mapboard and as you walk from one end of the hall to the other, place magnets in a longer and longer line going away from child's body

Play a game with the child where you place a magnet on the board and he or she tactually searches for it using appropriate search patterns.

As child is able, play the above game and have the child tell where he or she found the magnet on the board (i.e., "near the top and hear the right side").

Help to child learn to make magnet lines that go all the way "across" the board or "from top to bottom. "

As child is able, continue as above, but also examine an intersecting hallway and place magnets to show the intersection.