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Occupational Therapist

Amy Wagenfield, PhD, OTR/L, SCEM, FAOTA

Location

Providence, Rhode Island 

 & West Palm Beach, Florida

Interviewed By

Olivia Doezema & Julia Gomez

Adaptive Playgrounds 

Research 

Occupational therapists are qualified to develop plans for accessible playgrounds given their knowledge of how to modify environments and adapt equipment to maximize independence (Stout, 1988).

Playground equipment allows children to engage in the occupation of play, which is important for physical, cognitive, and social development.  Furthermore, research has found that physical activity on the playground is linked with enhanced classroom performance (Mejeur et al., 2013).  

Children with disabilities have the same desires to have fun outside and enjoy recess as children who are typically developing. “By playing together, children with and without disabilities learn to appreciate each other’s similarities and abilities. Inclusive playgrounds benefit the development of all children, regardless of their developmental status or abilities” (Mejeur et al., 2013, p. 1).

Playground equipment is required to be accessible to children with disabilities and wheelchair-users according to the Americans with Disabilities Act (ADA) (Playworld, n.d.).  

Children with Autism Spectrum Disorder (ASD) can benefit from adapted playground equipment.  Sensory integration methods are used within occupational therapy when sensory-related issues are suspected to affect a child’s ability to access the general and special education curriculum, behave adaptively, and participate in activities at school (Roley et al., 2009).  Children with ASD often have difficulties processing and integrating sensory information. This is when OT can assist the child by using a sensory integrative approach as part of the intervention strategy (Schaaf et al., 2012). Specifically designed playground equipment can help provide necessary sensory stimuli to the children that use it.

ADA accessible playground equipment provides (Playworld, n.d.):

  • Wide enough pathways for children who use wheelchairs and other medical assistive devices

  • Opportunities for children at any developmental level to advance in physical skills such as balance and coordination

  • Quiet spaces for children when they experience anxiety or need a break

  • Durability and safety for all children including those who use wheelchairs

References

Mejeur, M., Schmitt, G., & Wolcott, H. (2013). A systematic review of the best practices for playground inclusion. [Unpublished

master’s thesis]. Grand Valley State University.

Playworld (n.d.). Special needs playground equipment. Retrieved from https://playworld.com/accessible-playgrounds

Roley, S. S., Julie Bissell, M. A., & Clark, G. F. (2009). Providing occupational therapy using sensory integration theory and

methods in school-based practice. American Journal of Occupational Therapy, 63(6), 823.

Schaaf, R. C., Hunt, J., & Benevides, T. (2012). Occupational therapy using sensory integration to improve participation of a child

with autism: A case report. American Journal of Occupational Therapy, 66(5), 547-555.

Stout, J. (1988). Planning playgrounds for children with disabilities. American Journal of Occupational Therapy, 42(10), 653-657.

doi:10.5014/ajot.42.10.653

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