How Does a Wobble Board Help With Sensory Integration Therapy?

How Does a Wobble Board Help With Sensory Integration Therapy?
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Wobble boards, also called balance boards, are often used in sensory integration therapy. There are two kinds of wobble boards: rocker boards that can move in one plane of instability at a time, such as forwards-backwards or side-to-side, and true wobble boards that can move in any direction, which is more challenging. In sensory integration therapy, rocker boards are used first and true wobble boards are introduced only once the child has made sufficient progress.

Skills Developed with a Wobble Board

Vestibular stimulation is movement that stimulates the semicircular canals in the inner ear. Proprioception is the sensation registered by joints and muscles as they engage in heavy muscle work. Activities on a wobble board can provide both vestibular and proprioceptive stimulation to a child with a sensory processing disorder. Balance boards are used in therapy to help children who have gravitational insecurity, which is a fear of movement stemming from sensory integration dysfunction. The small, subtle movements provided by a rocker-type balance board can also help a child who has poor balance and equilibrium reactions.

Positioning on a Wobble Board

The starting position depends on the child's level of ability. Initially, use a rocker-type board in a side-to-side position. If skills are very poor, then the child can lie on her tummy, or sit with her legs out straight in front of her, or balance on her hands and knees. Once equilibrium reactions have matured, progress to upright kneeling and then to standing. Once the use of the rocker board has been mastered, the activities can be done on a true wobble board.

Activities on a Wobble Board

Children learn best through play, so making use of an activity or game will increase their cooperation on the wobble board. If the child is in a lying, sitting or kneeling position, place small items on the floor within reach and ask the child to reach out to pick up the items and place them into a container on the board, while maintaining balance and equilibrium. A child who is kneeling in an upright position or standing can toss a beanbag at a target or play a catching-throwing game with an adult while keeping his balance.

Warning

Wobble boards and balance boards should be used only under adult supervision. Ensure the environment is free from objects that can cause injury if the child falls off the board. The activities and positions suggested above are guidelines and should be used only under expert supervision. Consult your local occupational therapist for further information and guidance.

References

Article reviewed by Lori Newhouse Last updated on: May 17, 2011

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