Libby was seen for a 45 minute treatment session in her room for occupational therapy services this week. Focus of session continues to be on improving her fine motor skills, visual motor skills, sensorimotor processing/registration skills, ocular motor development and self-help abilities. Today's sessions began with hand strengthening exercises to increase her endurance for writing using a tripod grasp pattern versus thumb wrap grasp. Continue with Print Island practice. Today's session focused on learning the concept of lower case letter sizing and where letters are placed on the writing line. Libby was instructed using the terminology from Print Island. Tall letters are called "leaf letters" (b, d, f, h, k, l , t) some letters stay in the middle of the writing line and they are called "trunk letters (c, o, a, e, i, m, n, r, s u, v, w ,x and z), and lastly she learned the letters that go under the writing line are called "root letters" (g, j, p, q and y). OT will continue to reinforce line placement, sizing and formations of the lower case letters. Good session.