Richard worked on fine motor dexterity skills to improve writing fluidity and legibility. He began with 10x2 reps of pencil aerobics/wood pecker. While maintaining a tripod grasp on the pencil, he was to flex and extend his fingers. He demonstrated moderate difficulty with thumb mobility during this exercise. Followed with coloring 2-3 inch areas within an image in different directions. Richard continues to struggle with side to side but this skill is improving with practice.