Sensory & Regulation Clinical Protocol
Heavy Work Before Transitions
What this is for
Short bursts of muscle-and-joint work placed just before the transitions that are usually hard — leaving the house, starting homework, coming to the table. Heavy work gives the nervous system organizing input at the moments it needs it most.
What you’ll need
- Nothing required — household objects only
- Optional: laundry basket, groceries, backpack with a few books
Step by step
Map your hard transitions
For two or three days, note which transitions reliably produce distress. Pick the two most difficult ones to start.
Choose the work
Pick activities your child can do semi-independently: pushing a loaded laundry basket down the hall, carrying groceries in from the car, animal walks (bear walk, crab walk) to the next room, wall pushes, or wearing a backpack with two or three books on the walk to the car.
Place it immediately before
Timing matters more than duration. Five minutes of heavy work directly before the transition outperforms twenty minutes an hour earlier.
Make it a job, not a demand
Frame the activity as a real job that helps the family. Children read the difference between purposeful work and imposed exercise.
Keep the slots fixed
Run the same activities at the same transition points daily for two weeks before judging the result.
What to watch for
You are looking for smoother transitions: fewer refusals, quicker recovery, less escalation. Keep brief notes — the change is often gradual enough that families miss it without a log.
When to stop and call your practitioner
Stop and consult your practitioner if an activity causes pain, if your child shows signs of joint hypermobility being aggravated, or if transitions become harder rather than easier over two consistent weeks.
