Pediatric Occupational Therapy

The Visions team welcomes Kristin Wittmayer!

Kristin, a licensed, pediatric occupational therapist, has joined Visions at the Vision Therapy Center at 6144 S. Lyncrest Avenue, Sioux Falls. 

Kristin is a prominent pediatric occupational therapist in Sioux Falls and has extensive OT experience in addition to many certifications, special studies and areas of interest.  We are very excited that she is joining our practice!  Her passion for the well-being of every child she serves is self-evident!  She is well known for her specialty experience in Sensory Processing Disorders.

More information on her training and specialties can be found here: Meet Kristin Wittmayer >>.

What is Pediatric Occupational Therapy?

Pediatric occupational therapy focuses on helping children develop the skills they need to grow into functional, independent adults. Physical impairment, impaired sensory processing, injuries and a host of other issues can hamper a child’s ability to perform common tasks or progress normally through the stages of social or cognitive development.

The longer a child goes without learning these skills, the more the problem compounds as the child ages—which makes the skills of a pediatric occupational therapist critical to their patients.

Pediatric occupational therapy can benefit children who fall into several categories, from premature infants, to kids with ADHD, to children struggling to read or write. What areas can pediatric occupational therapy address? Consider the following list:

  • Cognitive skills – remembering letters, shapes, and sequences
  • Fine motor skills – finger dexterity, wrist and forearm control, and hand strength
  • Gross motor skills – balance, strength, postural control, and body coordination
  • Self-care tasks – dressing (including use of fasteners and shoe tying), bathing, and self-feeding
  • Social skills – taking turns, transitioning between tasks or activities, listening, maintaining personal space, and following directions

When working with children, pediatric occupational therapists often incorporate play into practice as a way of motivating them and reducing any anxiety or fears they might feel toward therapy. Play can involve games, toys, puzzles, songs or physical activities. In all cases, the goal of pediatric occupational therapy is not only to help children adequately progress but to challenge them appropriately at the “just- right” level, helping to build self-esteem and confidence when it comes to their capabilities and aptitude.

Schedule an evaluation with Kristin today, by calling our office at 605.271.7100

A referral is not needed in order to schedule an evaluation.

Can My Child Benefit from Occupational Therapy (OT)?

Who may benefit from OT?

Some conditions for which your child may benefit from OT services are:

  • birth injuries or birth defects
  • sensory processing disorders
  • attention difficulties
  • traumatic injuries (brain or spinal cord)
  • learning problems
  • autism/pervasive developmental disorders
  • mental health or behavioral problems
  • developmental delays
  • post-surgical conditions
  • neurodevelopmental disorders
  • neurological conditions
  • cancer
  • anxiety or excessive worrying
  • cerebral palsy and other chronic illnesses
  • chromosomal abnormality (Down syndrome, Ehlers-Danlos syndrome, etc.)
  • Tourette syndrome or chronic tic disorders

What can parents hope to see accomplished through OT?

Occupational therapists work with children and their families to achieve the following results:

  • help kids work on fine motor skills so they can grasp and release toys and develop good handwriting skills as well as perform self-care tasks (fasteners, shoe tying)
  • address hand-eye coordination to improve kids’ play and school skills (hitting a target, batting a ball, copying from a blackboard, etc.)
  • help kids with developmental delays learn basic tasks (such as bathing, getting dressed, brushing their teeth, and feeding themselves)
  • help kids with behavioral disorders maintain positive behaviors in all environments (e.g., instead of hitting others or acting out, using positive ways to deal with anger, such as writing about feelings, breathing techniques, or participating in a physical activity)
  • teach kids with physical disabilities the coordination skills needed to feed themselves, use a computer, or increase the speed and legibility of their handwriting
  • work with kids who have sensory and attention issues to improve focus, body awareness, and social skills

Can your child benefit from occupational therapy?

Does your child have difficulty with, or do you have concerns for your child in the following areas?

  • Behavioral concerns
  • Transitioning from one place to another or from one activity to another
  • Tolerating loud/busy environments
  • Tolerating change in routine
  • Difficulties with buttons or fasteners
  • Handwriting concerns
  • Behaviors associated with getting dressed or putting socks/shoes on
  • Avoidance of messy activities such as finger painting, putting on sunscreen or lotion, or playing in the grass or sand
  • Clumsiness/awkwardness
  • Coloring or writing within the lines
  • Cutting on a line
  • Poor personal space/boundaries
  • Poor self-concept or self-esteem
  • Seems to be in constant motion
  • Avoids participation in novel or new activities
  • Fearfulness with swinging, riding bike, or being lifted into the air
  • Often uses too much or too little force when completing a task
  • Prefers playing independent of others or by him/herself
  • Exhibits “class clown” like behaviors
  • Poor eye contact
  • Difficulty keeping up with peers
  • Coordination difficulties
  • Lacks hand dominance (3 years old)
  • Difficulties falling or staying asleep
  • Muscle weakness or fatigue

Meet Kristin Wittmayer, MS OTR/L

Experience and Certifications

  • Master of Science degree in occupational therapy; 2006
  • Practicing Occupational Therapist at a Sioux Falls hospital, gaining 10+ years of pediatric experience
  • Certification in Ayres Sensory Integration, historically considered the “gold standard” for evaluation and treatment of sensory integration dysfunction; 2010
  • Advanced Practice Specialty Certificate in Neuroscience through Thomas Jefferson University in Philadelphia, PA; 2012
  • Kristin will be attending mentorship training at the STAR Center in Denver, CO, in the summer of 2018 to continue to update and expand her knowledge in the treatment of children with sensory processing disorders.

Additional Certifications & Courses

Other notable course completions and certifications can be found below.

  • DIRFloortime; 2017
    • Basic Provider Certification
    • Evidence-based treatment program for children on the autism spectrum, focusing on the Developmental and Individual differences of children and is Relationship based.
  • Brain Gym; 2016
    • Assists with improving concentration and focus, memory, academics, physical coordination, relationships, self-responsibility, organization skills, and attitude.
  • Mindfulness Based Stress Reduction (MBSR); 2015
    • Beneficial for assisting individuals with anxiety and pain related disorders.
  • Certification in Yoga Calm; 2015
    • Built on five foundational components including strength, stillness in body and mind, community, listening, and grounding and incorporating yoga-based movement in combination with social-emotional related activities.
  • Comprehensive Behavioral Intervention for Tics (CBIT); 2013
    • Treatment technique appropriate for children (>6 years) as well as adults with chronic tics, combining habit reversal and relaxation training.
  • Integrated Listening Systems (iLs): Practitioner Training and Supervision Training; 2013
    • The iLs is a device that assists with providing multisensory input in combination with regular treatment for sensory processing disorder and learning difficulties.
  • Neuro-Developmental Treatment (NDT) Baby Treatment by Lois Bly; 2012
    • This infant handling technique assists with motor skill acquisition through facilitation of functional movement patterns for those with muscle tone abnormalities.
  • Picky Eaters vs Problem Feeders: The SOS Approach to Feeding; 2008-2010

If you would like more information or have any questions about any of the above listed programs or to schedule an occupational therapy evaluation, please call (605) 271-7100.


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Visions Eye Care

6201 S. Minnesota Ave.
Sioux Falls, SD 57108
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| Email Us (605) 274-6717

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Visions Eye Care
Monday 8:00am–6:30pm
Tuesday 8:00am–5:30pm
Wednesday 8:00am–5:30pm
Thursday 8:00am–5:30pm
Friday 8:00am–5:00pm
Saturday By Appointment Only


Visions Therapy Center

6205 S. Minnesota Ave.
Sioux Falls, SD 57108
View Map
| Email Us (605) 271-7100

Hours for
Visions Therapy Center
Monday 8:00am–6:30pm
Tuesday 7:30am–5:30pm
Wednesday 8:00am–5:30pm
Thursday 7:30am–5:30pm
Friday 8:00am–5:00pm
Saturday By Appointment Only