Luke was seen in his room for a 45 minute treatment session. Focus of treatment continues to be improving his postural control, fine motor coordination, visual motor skills, handwriting, sensory processing abilities and self-regulation for increased self awareness and self management. Began treatment outside with having Luke participate in an obstacle course that involved following multiple step directions - it involved drawing infinity eights (working on crossing midline) with chalk on pavement, hopscotch and lastly jumping jacks. Luke did well crossing midline to draw eights but needed verbal cues to continue to work and follow a path in a coutner clockwise direction. He needed verbal cues of "star" - "solider" to perform jumping jacks. He does not have higher level gross motor coordination to do a smooth and quick jumping jack at this time. In general a child is most likely be able to perform a smooth and coordinated jumping jack at the age of 5-6 so this is a skill Luke can develop.