Richard worked on fine motor dexterity and visual motor integration skills. He was able to complete a moderately difficult maze, only drawing outside the lines 3 times. He was not wearing his glasses today however, he demonstrated an improvement in this skill since the last session. Richard continued to work on finger dexterity to assist with pencil control during writing. Began with Finger Aerobics-finger flexion and extension, 10 times each, while maintaining a tripod grasp with moderate difficulty. Richard required moderate verbal and visual cues to shade 3 inch, forms diagonally and side to side.