Occupational Therapy Services

Kouli’s OT/ Sensory Gym is a pediatric therapy center located in Riverdale, NY (Bronx), created by Kouli E Nalpantidis, who believes children’s therapy services are best provided in a fun, energetic and caring environment where the needs of the child come first. At Kouli’s OT/ Sensory Gym your child will receive individualized attention from a dedicated and professional therapists who will work with you to determine the best approach to your child’s special needs. The Gym services children from birth to school age.  We work with insurance as an out of network provider and private pay.

Occupational Therapy
Occupational therapists help facilitate a child’s age-appropriate fine motor skills. Therapy focuses on improving hand writing, visual motor skills, upper body strength, attention span, organization skills, coordination and body/spatial awareness. Our OT’s also focus on encouraging age appropriate play skills, activities of daily living, and sensory integration.
Find out more about our occupational therapist

Sensory Integration Program
Sensory integration, is the ability to take in information through senses (touch, movement, smell, taste, vision, and hearing), to put it together with prior information, memories, and knowledge stored in the brain, and to make a meaningful response. Sensory integrative dysfunction is a disorder in which sensory input is not integrated or organized appropriately in the brain and may produce varying degrees of problems in development, information processing, and behavior. At Koulis OT/Sensory Gym we offer an innovative approach to sensory integration and strives to maintain a team-based model where the child’s needs always come first!


What Is Sensory Integration?

The three basic senses involved are: tactile, vestibular, and proprioceptive
Tactile System: information such as light touch, pain, temperature, and pressure. A dysfunction in this system may present itself in the following ways

  • When being touched, a child will withdraw
  • Refusing to eat certain foods or wear certain clothes
  • Refusing to having his/her face or hair washed
  • Avoiding use of his/her whole hand when manipulating objects
  • Avoiding getting his/her hands dirty (i.e., glue, sand, dirt, paint)
  • Hyper-sensitive – The child perceives light touch as painful
  • Hyposensitive – The child does not perceive deep pressure

Vestibular System: information on the position of your head (tilted, upright or downward-even with your eyes closed). A dysfunction within this system may manifest itself in two different ways:

  • Hypersensitive to vestibular stimulation – a child is afraid of swings, inclines, slides and climbing up ladders and/or stairs. This may result in the apprehension of walking or climbing on uneven surfaces. This child is often the clumsy child.
  • Hyporeactive/Hyposensitive – This child will seek out constant movement, for example, excessive body spinning, jumping, running and crashing

Proprioceptive System

Proprioceptive System: This refers to components of muscles, joints, and tendons that provide a person with a subconscious awareness of body position. This allows a child to sit still on a chair or on the floor without constant movement. It also allows for fine motor manipulation of objects such as: holding utensils, writing with a pencil, drinking from a cup, and buttoning a shirt. A dysfunction in this system may present in the following ways:

  • Falling on the floor
  • Poor posture
  • Minimal or no crawling
  • Difficulty holding small objects
  • Messy eater
  • Poor awareness of where the child’s body is in space
  • Poor motor planning skills