Richard presented with an increased arousal level today. We began the session with a movement break. He demonstrated improved coordinating during alternate arm/leg strides, jumping jacks and cross crawls 20 each. Richard also was able to sustain a plank for 4 minutes, showing an improvement full body strength. OT continued to help Richard with organizational skills by setting the timer for 2 minutes to help him clean and organize his belongings in his room before getting started with our activities today.
Worked on fine motor coordination and strengthening followed by pencil pushups to encourage thumb mobilization while writing. Moderate difficulty noted with this skill. Richard continues to utilize a thumb wrap grasp when he does not use a pencil grip.