Opening remarks
Hello, dear parents! We look forward to meeting you and your kid to create a prosthesis, which we hope would make the kid's life more interesting, brighter, and open up new opportunities and horizons.
We understand that accepting any changes, even positive ones, requires efforts from both the little being and the whole family. Therefore, for the prosthetic procedure to go smoothly and for the kid to get used to the kid's new hand faster, we need to make preparations — both physically and psychologically.
We have assembled a team of experts — physicians and prosthetists, who have prepared this book for you.
We hope that here you will be able to find answers to your questions about preparation for prosthetics and getting used to the prosthesis. However, if something remains unclear, we are always in touch with you and ready to provide additional information.
Why can’t one put on a prosthesis right away or why is preparation necessary?
The Motorica team has already provided prostheses to 238 children. We know from our own experience that children often have different relationships with their prostheses. Some kids wear their prostheses every day and always wear them at school, while others use them once a week for 15 minutes.
There are many factors influencing the frequency of using a prosthesis, and one of them is preparation for prosthetics. Before we find out how exactly we can help your kid come to prosthetics in the right physical and psychological condition, let's formulate the global goals of preparation.
Building up sufficient arm muscle strength. We try to make our prostheses as light as possible; nevertheless, a prosthesis for a kid’s arm is an additional and unusual weight. In order for the arm to get tired less, move better with the prosthesis, and for the kid to be less capricious, the muscles need to be prepared for the future load, that is, their strength needs to be trained. In some cases, it is also necessary to work on increasing the range (scope) of motion in the joints. However, we warn about such cases individually and always select a set of special exercises.
Expansion and improvement of the kid’s existing abilities for self-care and use of the hand in everyday life. Generally, most of our primary school-age patients with a unilaterally specific limb are fully adapted to everyday life. They cope with all the tasks typical for their age on par with their peers, sometimes even surpassing them in some ways. Zippers and laces are common difficulties, but these are minor problems. The situations that really worry us are when the kid is completely unable to cope with normal tasks of the kid's age without your help, i.e. the kid is completely dependent on you in all or many aspects of life. This situation is dangerous because the kid internally feels some kind of inferiority and gets used to your role in the kid's life. It would be very difficult to encourage the kid to start doing something with the prosthesis, because the kid is simply not used to doing anything independently. Now is the time to amend it, even if it concerns very simple things, from your point of view.
Development of coordination skills, which help quickly master the control of a prosthesis. There are many examples showing that children and adults who have been involved in sports requiring good coordination (for example, gymnastics) and then lost a limb, learn to use a prosthesis much faster. They feel much more confident than their peers without sports experience. What does this mean for us? The better a kid feels their body as a whole and the better the kid can control it, the easier they would be able to get used to a new device.
Improvement of the posture and correction of its changes. For good arm movements, the kid's body must be very stable. A strong body is the foundation underlying all our movements.
Development of a positive attitude towards the prosthesis in the kid. Perhaps, this paragraph should have been written first. It is this attitude, which largely determines whether the prosthesis remains a toy or a mother’s “whim” undeservedly forgotten on the shelf, or becomes an integral part of the kid’s life, increasing the kid's capabilities.
When should you start preparations?
Preparations need to start today. The more time we have to prepare, the better we can work on all the aspects mentioned above.
In addition, it is known that it takes at least 3 weeks to develop a lasting habit. Other scientists put the figure at 66 days. One way or another, if we start early, by the time the prosthesis is installed the kid will already have developed a useful habit, and adding the use of a prosthesis to this habit will be easier.
If our prosthetists and doctors have informed you that it will take some time to collect the documents, this gives you a head start in terms of preparation. Please do not delay starting the work. A small kid will be able to get used to a change in the daily schedule more easily, and you will be able to achieve excellent results and optimally approach the moment of prosthetics.
How to prepare for prosthetics?
The entire preparation block is divided into 3 conditional parts:
- Physical training
- Special activities to prepare the arm for prosthetics
- Psychological training
Before we proceed immediately to the exercises and recommendations, let's note the following: an individual approach to a kid’s rehabilitation is the most correct one. Through this tutorial, we try to convey all our great experiences; however, unfortunately, we cannot see the kid. The work of a rehabilitation therapist occurs not only within the framework of thought processes, but also involves an in-person examination and manual procedures.
Therefore, to develop an optimal plan for training with your kid, it is best to contact a specialist in your location. Even if the kid has no experience with upper limb prostheses, you can discuss the general goals of the training or give them this material to read. If necessary, our rehabilitation therapist will contact the doctor working with your kid, and together we will be able to develop the correct preparation plan.
We will tell you below, which specialists you can contact for help.
Physical training for prosthetics is aimed at:
- Strengthening the muscles of the back, abdomen and upper limbs;
- Prevention of posture disorders;
- Enhancement of stamina; and
- Development of a habit of training.
No matter how much you tell your kid about the benefits of exercises, the kid will not show any interest in it if they don't see a clear example in front of the kid. Tell them that you would like to feel better and wake up easier in the morning. That's why you're thinking of starting to do gymnastics. However, you really don’t want to do this alone. Ask for help — say that it would be much easier for you to train together. Get the rest of your family on board and join you at least a few times a week.
To benefit from your exercises, you need to follow 8 simple rules.
- The exercise should be fun! Turn on some music, add your funny comments and jokes, come up with funny names for the exercises; for example, those related to your kid’s favorite characters. The exercise may end with a fun game or dance that the kid will look forward to.
- The exercise should be regular! Choose a schedule convenient for you to exercise 4-5 times a week, but be sure to maintain the frequency. Exercise even if your kid is sick (in this case, the exercises should be symbolic, for example, doing them only with the kid's arms in bed).
- Choose a convenient time. If the kid has trouble getting up in the morning, waking up 30 minutes earlier will be a real challenge for them. In this case, do your exercises, for example, after the day-care centre or nap-time.
- It is advisable to do exercises on an empty stomach and then start eating.
- The duration of exercises may vary depending on age and patience of the kid. For two-year-olds, 5 minutes will be more than enough. For older children, you can slightly increase the duration of the exercises (up to 20–25 minutes).
- Kids get bored of repeating the same exercise, even the most useful one, several times. Therefore, you should offer the kid different, albeit similar, exercises and repeat them 2–6 times.
- Endurance in young children is not developed — they need a short rest after several exercises. For this purpose, after 1–3 exercises, let the kid walk in place and breathe at their own pace.
- Ensure safety during your training — it is important to remove all unnecessary objects from the floor so as not to slip on them, choose comfortable clothes and non-slip shoes. Be sure to start with a warm-up and end with a cool-down.
CAUTION! Before performing exercises, consult your doctor and ask if there are any contraindications to certain movements and loads.
Special activities to prepare the arm for prosthetics
We are often asked whether kids with upper limb disabilities need to be massaged? There is no clear-cut answer to this question, since certain medical procedures can be recommended only after an in-person examination of the kid and a detailed study of their health specifics. A proper body massage cannot cause any harm; however, you must remember that it is not suitable for effective muscle training.
Active movements are best for training muscles. Nevertheless, we still recommend doing a home arm massage “at home”. Such a massage helps prepare for wearing a prosthesis, decrease the size of the arm by reducing swelling, improve blood supply, and therefore, the growth and “frost resistance” of the limb.
The massage should be done several times a day:
- Stroking: lightly stroke
with your palms the entire surface of the arm from its lower part to the upper part, twice for 7-10 seconds.
- Rubbing: rub the arm gently with your palm until the tissues become slightly warm; this procedure should be not longer than 10 seconds. Repeat the stroking procedure.
- Kneading: gently knead the arm with your fingers. The procedure lasts on average 30 seconds; after kneading, be sure to repeat the stroking procedure. The total duration of the kneading is 2-5 minutes. Then, repeat the rubbing procedure.
- Vibration: relaxing light patting for 5 to 10 seconds. After that, repeat stroking.
We do not offer specialised training of limb muscle strength at this age yet, as it is very difficult to teach a small kid to perform them correctly through printed text.
IMPORTANT! Make sure your kid uses both their right and left hands in play and everyday activities! When swimming in the bathtub,
- let the kid hit the water with the hand; when helping mom in the kitchen,
- let the kid hold items. that is, you always should find “important” things to do for the specific hand. All this also prepares the arm for future loads.
Psychological preparation for prosthetics
The unknown frightens the most. When you are three years old and completely dependent on other people, it frightens even more. Therefore, the kid must understand what, how and when will happen, and what are the parents’ emotions about this. Kids very strongly reflect the emotions of “their own” adults — we all know this from the saying “calm mother, calm kid”. In our case, we also need a happy mother.
IMPORTANT! Make sure that even before the preparation for prosthetics begins, the kid should know how it happened that they don`t have a hand. To do this, tell how the baby grows and develops in the mother’s belly, that all babies are born very different. They have different eye colours, hair colours and different weights. Share your emotions with the kid — tell them how much love you felt when you saw them, how happy you are that the kid was born strong, brave, kind, etc.
Once the kid has no false ideas about the story, you can move on and tell about the magic hand, Cybi-hand or robo-hand. Choose a name for the prosthesis that your kid will like. Although further in the text we call the prosthesis a prosthesis, when communicating with your kid we recommend you using the “childish” name.
How to tell the kid about upcoming prosthetics?
It is important to tell your kid about the prosthesis when the kid is in a good mood. The kid's attitude towards the upcoming event will be determined by how you and the people who are important to the kid feel about it. Here are some tips to make the wait for your prosthetics an interesting and pleasantly exciting time.
Tell your kid what they will be able to do with a prosthesis — for example,
to ride a bike or scooter much faster. Tell about the prosthesis attachments (you can find out more about them from the Motorica managers). Nobody knows your kid better than you, and we are sure that you know what they dream about, what the kid would like to do better — use this knowledge!
The prosthesis can be whatever the kid imagines. Invite them to think about what the kid wants the prosthesis to look like. Draw the “perfect” prosthesis of your dreams, choose the colour and design together, relate the prosthesis to your favourite cartoon characters and sincerely admire your kid’s creation.
Talk to the teachers at the day-care centre. It would be great if the children at the kindergarten could draw a magic hand together, and then look forward to seeing the prosthesis in real life.
Try not to mention the prosthesis when your kid is having trouble with something or is upset. It is not necessarily right that information about the prosthesis could lift their mood, and we don’t want associations with bad emotions.
Watch cartoons about people with superpowers, about cyborgs and robots. Below we listed some cartoons that we found interesting. Please watch the cartoon yourself before showing it to your kid. Try to assess how interesting it will be to them, and how it fits into the parenting style adopted in your family.
List of cartoons: “Hero Factory”, “Robot Kid” (“Robotboy”, “Astroboy”), “Marty the Iron Boy”, and “Transformers”.
Surely, not all kids will be interested in cartoons about robots and cyborgs. However, you can always write your own bedtime fairy tale, in which the hero’s life would echo situations that have happened today or not so long ago with your kid. Let the fairy tale hero have a magic hand that gives the kid superpowers, strength and helps them to get out of difficult situations.
While watching cartoons or listening to evening fairy tales, note that the main characters also have it hard, but they never give up. Explain that the prosthesis will give the kid superpowers, but to develop them, the kid will need to try hard, train, and do all the superhero exercises.
Immediately 1-2 weeks before the prosthetics, it is necessary to “become active” again and remind where you are going and why. The best thing to do is to make a holiday out of your trip to get a prosthesis — on the way back or on the next day to stop by the zoo, fun fair or cafe. It is better to discuss the plan for the “festive” day immediately before the trip, so that the kid does not have time to “burn out” on the idea.
Do not overdo it! Be proactive in responsiveness to your kid's desire to discuss the prosthesis, but don't push the topic too often. It is not our goal to tear the kid away from their usual way of life and usual games.
Be sure to tell your kid in advance how exactly the prosthesis will be installed, what will be done and why. You can use phrases like: "We have told you that they are making a superhero/magic hand for you in Moscow. Now, it is almost ready, and we are very happy about it and cannot wait to try it on. We will finish the hand together — your help will be needed. Let me tell you how you need to help. First, they will make a special glove for your hand — it will be molded from warm plasticine. You will need to give your hand and try on this glove a few times. Please tell us how your hand feels in the glove — is it comfortable or does it squeeze somewhere. Then we'll insert the superhero hand into this glove, and you'll finally be able to try to grasp something with it. At first, it won’t be easy; you’ll need to get used to the superhero hand. However, I will help you, and everything will definitely work out.”
To ensure that the kid is prepared and calm, some aspects of the prosthetics can be practised at home:
- Apply a warm towel to the kid's arm (so that during prosthetics the kid is not frightened by the sensation of warm orthophyte — the material from which the sleeve is made (we called it a “glove” above — this makes it easier for the kid to understand what we are talking about). Try on large and small gloves, discussing with the kid whether they are comfortable, where they squeeze, strangle or, on the contrary, are loose. The same can be done with shoes, just as an example;
- Make a glove out of plasticine in the shape of mother’s hand, foot, or any item, which interests your kid.
On the very day of the prosthesis, remind your kid once again about how the glove will be tried on and that the kid needs to tell you about the sensations. If you know that your kid may be embarrassed to say that the kid is uncomfortable, come up with a secret sign — for example, if the kid winks at you twice, it means everything is fine, once — the hand is uncomfortable in the prosthesis.
To make sure your kid feels comfortable during the prosthetic procedure, you can bring along a favourite toy and snacks. Please remember that we are always close by and ready to answer all your questions, and help in all aspects of preparation for prosthetics.
Who can help prepare for prosthetics?
If you have the time and appropriate opportunities, during preparation for prosthetics you can call on resources of a rehabilitation centre, both public and private. These centres can provide a comprehensive health assessment of the kid and select exercises to develop those aspects, which are required for prosthetics specifically for your kid.
At your first meeting with a rehabilitation therapist, tell the kid that your kid is preparing for prosthetics and that therefore you would like to focus on creation of sufficient strength in the arm muscles and sufficient range of motion, expansion and improvement of the kid’s existing abilities for self-care and use of the arm in everyday life, development of coordination skills, and improvement of the posture.
A modern rehabilitation team necessarily includes a psychologist and an ergotherapist. A psychologist is able to more thoroughly prepare a family for prosthetics, understand hidden fears, teach how to respond correctly to uncomfortable questions, and to tell you how to properly motivate a kid to use a prosthesis. Keep in mind that if you cannot find a psychologist in your location, you can consider the possibility of remote sessions. Nowadays, they are quite accessible and effective. Moreover, given the kid’s age, the specialist will work primarily with you.
An ergotherapist is a specialist whose work is aimed at maximizing a person’s adaptation to the environment, taking into account preserved functions, and at developing hand motor skills. The kid is able to prepare the hand for prosthetics, and later teach how to use the prosthesis, and select special devices to enhance the kid’s abilities. The term “ergotherapist” is new for our country; these specialists are few in number. If you cannot find an ergotherapist, you can try to resort to a speech therapist or an occupational therapist/social adaptation specialist.
In addition, the Motorica company has its own team of doctors who are always ready to provide assistance, develop an individual programme for getting used to the prosthesis, and discuss all aspects that concern you. We are as open as possible to communication with specialists who immediately work with your kid, and are ready to answer all questions and consider possible wishes. Please contact Alina Sergeevna Kuzyakina, our rehabilitation therapist, without hesitation. Alina studied rehabilitation in Canada and can suggest modern and effective methods of rehabilitation for upper limb prosthetics.
What is important to understand before prosthetics
All families have their own ideas about the prosthesis, their own motivation for using it, and perhaps their own concerns. We would like to highlight some key points that are of great importance, but which, in our experience, are rarely communicated in prosthetic companies.
Today, a prosthesis cannot completely replace a normal hand, but our task is to give the kid the opportunity to get used to it, learn how to use it and choose those activities in which, over time, the prosthesis would be comfortable.
You might have a question: "If a prosthesis doesn't replace a hand, what is it for?” This situation arises especially often in families with already grown and fairly independent kids — “The kid can do everything without a prosthesis. Do we really need prosthetics?”
The question is legitimate. Our answer is:
The prosthesis helps the back muscles to develop correctly. Back posture does matter. Firstly, a straight back is beautiful; secondly, when posture is changed, sooner or later painful sensations arise. It will be difficult for a kid to sit at a school desk or carry a school bag, and there will be limitations in active movement or playing sports. Once a change in posture has already occurred, then it is extremely difficult to “unbend” the spine and correct everything. This is why it is important to avoid this situation or to prevent its further development if disorders already exist. Let's not forget about the arm muscles — the prosthesis can train the muscles, then in the shoulder area one arm will not look thinner than the other. Surprisingly, the special needs of one arm causes changes in the other limb over time. When you refuse to use a prosthesis, all the load falls on the second arm. Because of this, its joints, ligaments and fascia become overloaded. In foreign literature, this is called overuse syndrome — a conditionally “healthy” arm begins to hurt and requires close monitoring and treatment.
A prosthesis is uncommon and stylish. Perhaps, this is not the strongest motivation for you and your kid right now, but as your son or daughter becomes a teenager it may come to the forefront.
Prosthetics is currently developing at a tremendous pace — new technologies and devices are constantly emerging. Bank cards and fitbits are already being built into adult and teenage prostheses, and who knows what lies ahead for us. However, to be able to use the coolest developments of the future, it is important to wear and be able to use the prosthetics of the present. Otherwise, the muscles may not be ready for installation of another type of prosthesis (bionic), and the prosthesis cannot be used.
According to scientific research, the earlier the first prosthesis is installed, the more likely it is that in adulthood a person will use it confidently and feel comfortable with it. However, it is important to understand that a preschool-aged kid is not yet able to wear a prosthesis all day. At first, put the prosthesis on for 10–15 minutes. The most important thing at this age is psychological adaptation to the prosthesis (not to scare,but to create a positive impression). Then, subsequently, the time of using the prosthesis will merely increase.
Checklist of readiness for prosthetics
- Your kid's daily routine includes regular home gymnastics/exercises, massage and upper limb training.
- The kid tries to use both hands in everyday activities.
- The kid wants to get a prosthesis or at least agrees to prosthetics.
- You have the right expectations — you understand that a prosthesis is important for health, but it cannot replace a hand yet.
- The kid understands how the prosthesis is installed.
- You are prepared to work with your kid at home, because without home training it is very difficult to get used to and adapt to a prosthesis.
- You have written down the contacts of Motorica, and you remember that for any questions related to the prosthesis and getting used to it, our medical team is ready to help.
Yay! The prosthesis is installed!
Let's discuss how to help your kid get used to it.
Let's remember that the main goal of prosthetics at this age is psychological adaptation to the new limb.
How long should your kid wear a prosthesis?
It is important to make using your prosthesis a habit, just like washing your hands before eating or brushing your teeth before going to bed; so, wear the prosthesis regularly. The optimal regime is daily for 5–15 minutes or less (as long as the kid can tolerate). Gradually, the time of using the prosthesis will increase.
When to put on a prosthesis?
It is better to offer the kid to play with the magic hand when the kid is not tired, is in a good, even mood and ready to learn new things.
What can a prosthesis do?
There is no universal recommendation on what to do with the kid while using a prosthesis. The main principle for the first time is to do what the kid really loves. It is important that the kid looks forward to putting on the prosthesis. In the first weeks after prosthetics, this may not necessarily be related to the prosthesis function — if the kid now likes to run races with you the most, let them run. At this time, the prosthesis is still on the arm, and the kid psychologically adapts to it and physically gets used to the new weight. In our experience, toy blocks and magnetic meccano toys are well suited. The general rule is to pick up large objects at first, and only then learn to pick up small ones.
Small children are often afraid to put on a prosthesis — in this case, place it among toys, and let the kid get used to it gradually. Take it out yourself and try to take items with it, so that the kid can see that the parents are interested in the new toy. Then invite the kid to help you, for example, by passing items. Over time, the kid will definitely want to try it. At this point, it is important to support them, even if the kid does not succeed right away.
If you don’t know which game to play so that it is interesting and useful for your kid, we are ready to help. Our team of doctors and prosthetists have prepared tasks and games for children of different ages. Write to us, we will be happy to share materials.
When should I suggest putting the prosthesis off?
The prosthesis should be put off before the kid gets tired, because when attention decreases, it becomes more difficult to pick up and hold objects, and failures cause irritation. Therefore, it is optimal to finish at the moment of success and switch the kid to another activity, having put off the prosthesis. We would like the child to expect the moment when the kid puts on the prosthesis, but not the moment when the kid takes it off.
In addition, the arm in the prosthesis may swell slightly for 2-3 weeks after prosthetics. This situation is normal, as the body needs to get used to the new load. Pay your attention (on the contrary, do not focus the kid’s attention on this) to whether there is any redness on the arm. Light marks from the prosthesis do not require special attention. However, in no case the kid should feel pain, and there should be no abrasions or blisters. If such a problem occurs, please contact Motorica and we will decide together what needs to be done.
Are there any special periods in getting used to the prosthesis?
As a rule, children are enthusiastic about prosthetics and the appearance of a magic hand in their lives. In the first days or 1-2 weeks after installation of the prosthesis, parents often ask themselves: “Why do we need so many recommendations and information? Everything is fine as it is, we cannot entice the kid from the prosthesis.” The fact is that in childhood, a kid perceives the prosthesis as a new, interesting and bright toy, and this is exactly what we were striving for when creating it. However, there is one downside: a kid may get bored with any toy. Here we come to the crisis of the first weeks. After one, two or sometimes three weeks, the kid is already satiated with new impressions with the prosthesis, but the habit of using it has not been formed yet. It is often during this period that the prosthesis is laid on the shelf.
Now, everything is in our hands — it is important to support the kid’s motivation. For example, the kid may receive a sticker for each time a prosthesis is put on or your instruction is successfully fulfilled. Once the kid has collected 5 stickers, for example, instead of porridge for breakfast the kid can eat ice cream, or go to bed 30 minutes later, or go to the cinema on the weekend. You can also make a huge table for your kid or give the kid a diary (kids aged 5-6 especially like this game) so that the kid can set tasks together with you, and draw a grade in the diary — the sun, a cloud or rain. What kind of tasks could these be? For example, help mom mix a salad — serve her vegetables with a magic hand, or build a garage of toy blocks.
The most creative and patient parents create a whole story for their kids. For example, about the gnomes who helped make the superhero hand, and will now give tasks to check whether it really got to the superhero. Every morning, the little superhereo finds under the pillow a note from the gnomes, containing a task, which their mother reads to them. The kid completes the task, and in the evening finds a superhero candy on the crib — this means that the kid has done a great job.
What other crises exist in the use of prosthesis?
In addition to the crisis of the first weeks described above, seasonal difficulties can be distinguished as well. They are especially acute in winter, since in the cold period the use of a prosthesis is often associated with certain specifics. Let's look at the most common ones.
The prosthesis does not fit through the sleeves of outerwear.
Indeed, most manufacturers strive to make the sleeves of their jackets as narrow as possible so that the wind does not blow inside the clothing. This makes wearing the prosthesis much more difficult.
Our first recommendation is to try putting an ordinary plastic bag over the prosthesis when putting on outerwear. Later, when the hand has already passed through the sleeve, the bag can be pulled out and removed. This simple life hack will improve sliding and facilitate the movement of the prosthesis in the sleeve.
An alternative option is suitable for needlewomen — you may sew a zipper or clasp into the sleeve. Regular folks who do not have a sewing machine or special skills can turn to a tailor shop. Although, the easiest way for the future is to try on new clothes with the prosthesis immediately when buying them, and choose depending on how easy it is to put it on with the prosthesis.
The arm with the prosthesis gets colder.
It is important to understand that the blood flow and innervation (location of nerves) in an arm requiring prosthetics are usually different from those in a conditionally healthy hand. This is why one hand often gets colder than the other. In our experience, the prosthesis does not make this situation worse. However, if the kid feels discomfort in cold weather, remember that you can put a mitten or glove on the prosthesis.
Concerns that snow will get on the prosthesis.
This is not critical — the superhero's hand can withstand even worse things!
What to do during the crisis of the first weeks, seasonal or any other crisis? The answer is simple — call Motorica and we will help.
When to call Motorica?
All kids are so different, and it is simply impossible to foresee everything — that is why we always try to work individually and be close to the family throughout the entire period of using the prosthesis.
Please contact us if:
- The kid does not want to receive or wear a prosthesis;
- You don't know how to learn anything with a prosthesis or what to do when your kid wears a prosthesis;
- The prosthesis causes discomfort (squeezes, rubs) or pain to the kid;
- The prosthesis is broken; and
- You have any questions or suggestions.
Instead of a conclusion
Dear parents, in this tutorial we have tried to include the knowledge you need to get acquainted with the prosthesis. We hope this information was useful. Certainly, we can talk endlessly about prostheses, our wonderful strong and smart kids, developmental psychology and adaptation to a prosthesis — this topic is incredibly interesting. However, we understand that parents' time is a very valuable resource and finding time to study even more extensive material can be difficult. So, with this we say goodbye. Please remember that we are close by and ready to help in word or deed.
Good luck, dear parents! We look forward to meeting you and your kid!
Kind regards, the Motorica team.