Richard demonstrated excellent participation throughout the session with movement breaks. He started with activities to work on integration of the ATRN reflex. Moderate right elbow bend was noted 75% of the time. With verbal cues Richard was able to maintain correct positioning 90% of the time. Richard also worked on eye/hand coordination, while drawing with bilateral hand drawings (fair accuracy) and lazy 8's with good accuracy. His tactile awareness of letter formation (back writing and guessing and drawing the letter) has significantly improved to 90% accuracy. He still needs to work on letters b and d.