Gabbi Katzenellenbogen OT

Gabbi Katzenellenbogen OT Paediatric occupational therapy private practice in Sandton
- Sensory integration
- DIR Floortime
- SOS feeding

13/03/2026

Deep pressure for calm bodies ⚽✨

“Ball squashes” are a simple and fun way to give children deep pressure input, which can help the body feel more calm, organised, and regulated.

To try this activity, have your child lie on their tummy while you roll or press a large therapy ball over their body. The steady pressure through the muscles and joints provides powerful proprioceptive input that can help children relax and feel more grounded.

💡 Tips:
• Use slow, firm pressure (always watch your child’s cues)
• Avoid the head and neck area
• Turn it into a game – pretend you’re “squashing pizza dough” or “rolling a steamroller”
• Great before homework, mealtimes, or bedtime to help the body settle

Always make sure your child enjoys the activity and feels comfortable.

Obstacle courses are a fun and powerful way to give children proprioceptive (heavy work) input 🧠💪You don’t need fancy eq...
10/03/2026

Obstacle courses are a fun and powerful way to give children proprioceptive (heavy work) input 🧠💪

You don’t need fancy equipment — an indoor obstacle course can easily be created using chairs, cushions, mattresses, tunnels, or blankets.

🧩 Crawling, climbing, pushing, pulling, and balancing all provide rich proprioceptive input, which supports:
✔️ Regulation
✔️ Body awareness
✔️ Focus and attention

Obstacle courses are especially helpful for children who struggle to sit still, feel “busy” in their bodies, or need help organising their movements.

Keep it playful, keep it safe, and follow your child’s lead 🤍

Proprioception (or “heavy work”) gives the body the deep input it needs to feel calm, organised, and grounded 🤍If your c...
03/03/2026

Proprioception (or “heavy work”) gives the body the deep input it needs to feel calm, organised, and grounded 🤍

If your child struggles with regulation, focus, or sleep, adding proprioceptive activities at home can make a big difference.

💪 Easy ideas to try at home:
• Pushing laundry baskets
• Jumping on a trampoline
• Tug-of-war or pillow wrestling
• Carrying groceries
• Wall sits or bear walks

Consistent heavy work helps children feel more connected to their bodies and better able to cope with daily demands.

✨   ✨What does it mean to be over-reactive to proprioceptive input?Some children are more sensitive to movement and pres...
17/02/2026

✨ ✨
What does it mean to be over-reactive to proprioceptive input?

Some children are more sensitive to movement and pressure.
Input that others hardly notice can feel overwhelming to their body 🧠💛

You might notice that they:
🚫 Avoid climbing, jumping or rough play
🧍‍♂️ Seem stiff, cautious or fearful with movement
🪜 Struggle with stairs or uneven surfaces
🤗 Dislike hugs or firm touch

These children aren’t being difficult or anxious on purpose.
👉 Their nervous system is working hard to help them feel safe in their body.

With the right support, pacing and graded proprioceptive input, children can build confidence, body awareness and trust in movement 🌱

If this sounds like your child, an occupational therapist can help guide supportive strategies and activities.

✨   ✨Under-reactive to proprioceptive input — what does that mean?Some children need MORE input to feel where their body...
10/02/2026

✨ ✨
Under-reactive to proprioceptive input — what does that mean?

Some children need MORE input to feel where their body is in space 🧠💪

These are often the kids who:
🚧 Crash into people or furniture
✏️ Chew on pencils, clothing or toys
🔄 Are constantly moving or fidgeting
💥 Use too much force (hello broken crayons!)

They may be described as “rough” or “busy” — but they’re not being naughty.
👉 Their body is actually seeking feedback to help them feel more regulated and aware.

Proprioceptive input is usually very calming and organising for these kids. Activities like pushing, pulling, lifting, chewing and deep pressure can make a big difference 💚

If this sounds familiar, an OT can help identify your child’s sensory needs and suggest supportive strategies.

✨   ✨What is the Proprioceptive System?Proprioception is often called our “hidden sense” — but it plays a HUGE role in e...
03/02/2026

✨ ✨
What is the Proprioceptive System?

Proprioception is often called our “hidden sense” — but it plays a HUGE role in everyday life 💪🧠

It helps children (and adults!) know where their body is in space, how much force to use, and how to move smoothly without always watching their body.

💡 Think about:
✏️ How hard to press when writing
🤗 How tight to hug
🪜 How to walk up stairs without looking
🧩 Body awareness, coordination & self-regulation

When proprioception isn’t working efficiently, children may seem clumsy, seek lots of movement, or struggle with motor planning and regulation.

The good news? 💚
This system LOVES input — things like jumping, pushing, pulling and heavy work can be incredibly regulating and supportive.

🎧🏡 Auditory System — Tips for Home!Home can be a wonderful place to help children build tolerance to sound or create cal...
02/12/2025

🎧🏡 Auditory System — Tips for Home!

Home can be a wonderful place to help children build tolerance to sound or create calm, depending on their sensory needs.

Here are some ideas to try:
✅ Soft background music or white noise
✅ Quiet play spaces with minimal clutter
✅ Visual cues instead of repeated verbal reminders
✅ Give warnings before loud sounds (e.g. vacuum or blender)
✅ Headphones/ear defenders for busy outings

Every child experiences sound differently — tuning in to how they respond is the first step to helping them thrive 💛
Small changes = big support 🙌

🎧📚 Auditory Tips for the Classroom!Some children experience sound more intensely than others.Supporting auditory over-re...
25/11/2025

🎧📚 Auditory Tips for the Classroom!

Some children experience sound more intensely than others.
Supporting auditory over-reactivity helps kids feel safe, focused, and ready to learn. 💛

Here are a few helpful strategies teachers can try:
✅ Noise-cancelling headphones during busy/noisy times
✅ A calm corner or quiet zone to reset
✅ Seating away from noisy areas (windows, doors, pencil sharpener)
✅ Predictable routines & clear transitions

Every brain processes sound differently — let’s make space for that 🤍

Small adjustments can make a BIG difference in a child’s school day 🙌

19/11/2025

🧩 Puzzle-Building Tips to Build Visual Skills!

In OT, we love puzzles — not just because they’re fun, but because they build essential visual-perceptual and problem-solving skills.

Here’s an easier way to tackle a new puzzle 👇
1️⃣ Turn all the pieces picture-side up
2️⃣ Choose one part of the puzzle to start with — e.g. an animal
3️⃣ Find the colours and patterns that match that animal
4️⃣ Build that animal first
5️⃣ Choose another animal/section
6️⃣ Build the rest of the picture from there

✨ Starting with a meaningful part of the picture is often easier than doing the border first — especially for kids!
This approach supports:
✅ Visual closure
✅ Spatial awareness
✅ Attention to detail
✅ Organisation + frustration tolerance

🔉 Under-reactivity to Sound — What Does It Look Like?Some children hear sounds, but their brain may not fully register o...
18/11/2025

🔉 Under-reactivity to Sound — What Does It Look Like?

Some children hear sounds, but their brain may not fully register or respond to them. This means they may need more input or repetition to process what’s being said.

These children might:
• Seem like they’re not listening
• Often ask “What?” or need things repeated
• Not respond to their name right away
• Struggle to understand speech in noisy places

It’s important to remember —
They’re not ignoring you on purpose.
Their brain just needs more support to process sound. 💛

If this sounds familiar, OT can help strengthen auditory processing and improve everyday participation.

12/11/2025

🧩 Working on Visual Perceptual Skills
In this activity, the adult builds a simple DUPLO tower while child copies it.
Then comes the fun part 👀
The child closes their eyes, the adult makes 1–2 sneaky changes, and the child has to spot the differences and fix their tower!

This type of play helps kids build important visual perceptual skills like:
✅ Visual memory
✅ Visual discrimination
✅ Figure–ground awareness
✅ Attention to detail
✅ Problem-solving

These skills are essential for reading, writing, copying from the board, building puzzles, handwriting, and more!

Fun + learning = OT magic 💛

🔊 Over-reactivity to Sound — What Does It Mean?Some children hear everyday noises more intensely than others.Their brain...
11/11/2025

🔊 Over-reactivity to Sound — What Does It Mean?

Some children hear everyday noises more intensely than others.
Their brain interprets common sounds like an alarm, which can feel overwhelming.

Kids who are sensitive to sound may:
• Cover their ears
• Get upset in noisy or echoey spaces
• Startle easily
• Avoid group activities
• Feel bothered by sounds others don’t even notice

This can lead to anxiety, meltdowns, or avoiding social situations — not because they’re “difficult,” but because the world feels too loud.

The good news?
💛 Sensory-friendly strategies and OT support can make a BIG difference.

If this sounds like your child, you’re not alone — reach out, we’re here to help!

Address

173 Rivonia Road
Sandton
2196

Opening Hours

Monday 08:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

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