Description of graphical content is included between Description Start and Description End. Transcript Start Audio Description: A title reads, "A Science Lesson using a Support Bench." [ Slide start: ] read by narrator Narrator: Some background on our student. Jack has Microcephaly, Hypotonic Cerebral Palsy, Dysgenesis of the Corpus Callosum, and C-V-I or Cortical Visual Impairment. At the time of this video, Jack was able to role over independently. He was working on sitting with support. He is not able to get into a prone on elbows position. His vision report states that he has visual responses in the midline to inferior regions, with visual loss throughout the superior range. He responds well to red light. [ Slide start: ] read by narrator In this video, we see Jack, who is three years old. He is lying prone on a support bench with his hands in a tub of water, and his feet in a tub of dirt with pine cones. We see him, here, with his OT, Patty, who repositions him, changes materials, and offers information and language modeling about what he is doing. [ Slide end: ] This is a shortened version of a session that took place at the Penrickton Center for Blind Children. [ Slide start: ] read by narrator The support bench is a "perceptualizing aid" that allows a child to be active in prone position on the chest or stomach. It allows a child to use and develop muscles of the back, neck, arms and legs. Activity in prone is necessary to develop such gross motor skills as, attaining prone on elbows, prone on extended elbows, learning to reach for items in prone, attaining four-point positioning, or crawling. [ Slide end: ] When Jack is placed in prone, on a mat, on the floor he maintains his arms and legs in extension. He does not reach for toys and lifts his head minimally. When placed on the support bench, he has full range of motion available in the arms and legs. Jack is also able to move his head fully. As you will see, Jack is able to bring his hands to his mouth. He is also able to practice lifting his head in prone. Audio Description: A title reads, "The lesson" Jack's legs are able to feel or act on items placed near his feet. Jack: [verbalizing] Narrator: As the video begins we see Jack exploring with both his hands and bare feet. There are rocks in the tub of water and pine cones in the tub of dirt. Jack vocalizes while moving while moving his hands in the water. The radio is on in the background. Patty places pine cones amidst the rocks in the water, near Jack's hands. Jack moves the rocks with his hands. After pausing, he splashes some more and moves the rocks with his hands. [radio playing] [rocks tumbling] Narrator: Patty arrives and lies down on the floor next to Jack. Note that she does not speak immediately. Jack vocalizes and Patty places more rocks in the water. Jack: [verbalizing] Jack: [verbalizing] Narrator: Patty gently moves the rocks to be more directly in front of Jack. Jack: [verbalizing] Audio Description: New, video segment. [rythmic banging in background] Jack: [verbalizing] Narrator: Patty imitates Jack's vocalizations. Jack: [verbalizing] Patty: [verbalizing] Narrator: They continue with vocal play, taking turns back and forth. Patty: [verbalizing] Jack: [verbalizing] Patty: [verbalizing] Jack: [verbalizing] Narrator: Jack moves the rocks in the water with his right hand. Patty labels this for him saying, "You put your hands in the water. There's rocks in the water. Your feet are in the dirt with the pine cones." Patty: Your feet are in the dirt with the pine cones. Yeah. You're licking your hands. Jack: [verbalizing] Patty: Yeah. [radio playing] Jack: [verbalizing] Patty: That's work lifting that head up. Jack: [verbalizing loudly] Narrator: Jack puts both hands in the water, splashing, vocalizing, and then bringing his hands to his mouth. [rocks tumbling] Jack: [verbalizing] Jack: [verbalizing] [rocks tumbling] Jack: [verbalizing] [rocks tumbling] Narrator: He becomes very excited banging in the water and lifts his legs up out of the dirt. [rocks tumbling] [splashing] Jack: [verbalizing] Narrator: Patty switches the tub under Jack's feet, replacing the dirt and pine cones with sunflower seeds. Audio Description: A title reads, “Ending the activity with a conversation and review.” Patty: Okay. Those are sunflowers seeds by your feet, now. [talk radio playing] [rocks tumbling] Narrator: Patty moves the rocks around in the water, and they make noise as they move. Jack puts his toes down, tentatively, in the tub of sunflower seeds. Both feet relax in the tub. [ Slide start: ] Description Start: Title: Content: Description End: Audio Description: New video segment. Narrator: Patty talks to Jack about what he's doing; with his hands in the water, and bringing his hands up to his mouth, and putting his feet down in the sunflower seeds. Patty: Pushing those rocks and picking them up with your hands. And then you decided to put your feet down in the sunflowers. The sunflower seeds are where we put in dirt sometimes. [rocks tumbling] Patty: Yes, those are the rocks. [rocks tumbling] Patty: Yep, that's the water. Jack: [big sigh] Patty: [sigh] Yeah, you did a lot of hard work. Narrator: Patty tells Jack that she is going to get him off his tummy and do something different. Patty: We'll do something different now, okay. Narrator: Patty combined the use of language to name what Jack was doing while also allowing plenty of time for Jack to explore on his own. Fade to black.