Virat was seen for an one-hour after school occupational therapy treatment session. Focus of treatment was on improving his fine motor development (grasp patterns, dexterity, and manipulation), sensory processing, motor planning/processing, bilateral coordination, ocular motor skills and upper extremity coordination. Began treatment with various ocular motor activities which consisted of tracking and scanning text (letters) left/right, up/down pattern while being timed using a specific program. Virat participated well in both activities. He required moderate assistance to find hidden objects in an I Spy picture book and took approximated 4 minutes to scan text to find the alphabet in alphabetical order hidden within. We continued treatment with a timed writing exercise and a manipulation and dexterity activity to improve his refined hand skills. Virat was able to write one 5 word sentence in two minutes while using a visual timer app on OT's phone. His writing was adequate for his age. During therapy Virat worked on motor coordination via SImon Says which incorporated both asymmetrical and symmetrical body movements. Virat worked hard and had fun. Lastly, we worked on the his keyboarding skills on the computer. Virat really enjoys learning how to keyboard and continues to concentrate on the home row letters "j" and "f" as well as finger placement for the home row. Great sesssion.

Libby seen in her room for a 45-minute occupational therapy treatment session. Focus of therapy has been on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Today for the the first time Libby wore a denim dress to school. This was the first time she has worn a dress and it was a bittersweet day because it was her last OT session. Please review her end of the year summary for the details of her progress in Occupational Therapy. During today's sessions we reviewed the letters "k, g and q" and Libby participated in fun craft fine motor activities which incorporated dexterity and manipulation skills. We had a fantastic year together and I will truly miss treating her, but am so happy she is doing so well.

Virat was seen for an Occupational Therapy evaluation. His skills were assessed using both standardized testing and clinical observations.Virat is a friendly 6 year 9 month old boy with strong vocabulary and cognitive abilities. He presents with delays in fine motor skills (grasp patterns). dexterity, manipulation, sensory processing, motor planning and processing, bilateral coordination, ocular motor skills and upper extremity coordination. Please refer to OT evaluation for further details and standardized test results.

Vierat was seen for an one-hour after school occupational therapy treatment session. Focus of treatment was on improving his fine motor development (grasp patterns, dexterity, amd manipulation), sensory processing, motor planning/processing, bilateral coordination, ocular motor skills and upper extremity coordination. Vierat came to this late afternoon session happy and alert. We began treatment with hand strengthening exercises in which Vierat had to find hidden objects in a resistive putty. We continued therapy with various fine motor activities to improve refined distal hand skills and to improve processing speed for this type of skills. Motor planning, bilateral coordination and upper limb coordination was addressed through various activities such as Simon Says and Basket catch game. Throughout the session voice volume was addressed with Vierat. Pretended that he had a volume knob and when his voice got "way" too loud indoors OT said we have to turn down the volume of your voice. Vierat understood and tried to modulate his volume to the appropriate level. Lastly, we worked on keyboarding using typing.com. Vierat was instructed on the home row letter "f" and "j" today. His processing speed to look at the screen and type the letter was delayed; however, this will improve with practice. His average typing speed just for these two letters was 4wpm. Great first session.

Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Began session with various fine motor activities to improve grasp pattern, visual motor skills, dexterity and manipulation skills. Libby reviewed all previous learned lower case letters of the alphabet and was able to form them all correctly except the letters g and k. She practiced these letters to get them right. Libby continues to be encouraged and reminded to hold her writing implement with an open web space.. She is able to quickly correct her tendency to thumb wrap when given this cue. She participated in a diamond painting card activity with good patience and control. Great session.

Libby was seen in her room for a 45 minute treatment session. Focus of therapy was on re-evaluation, fine motor and graphomotor development. Libby was given the Beery-Buktenica Developmental Test of Visual Motor-Integration skills. Please see her progress update for test results. Introduced Libby to using a "space girl" to put spaces between words when writing. " Space girl" is a popsicle stick that we made into space girl. Libby understands how to use her. Lastly, Libby participated in a writing task when she made her mother a Mother's day card with her OT. Great session.

Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Began treatment session with fine motor task aimed to increase the strength in Libby's hands to improve control and distal hand achieving mature grasp patterns. Began treatment with hand strengthening activity and continued with an activity to work on grasp pattern refinement and distal control. Libby was very interested in why she needed to change her grasp and told her OT that another one of her teachers is asking her to hold her writing implements the with an open web space versus a thumb wrap grasp pattern. Worked on lowercase letters in which she forms incorrectly - p, a, d, f and y. She continues to work hard and has made vast improvements throughout the year.

Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Began treatment session with fine motor task aimed to increase the strength in Libby's hands to improve control and distal hand achieving mature grasp patterns. Libby has been instructed on all the lowercase letters of the alphabet using Print Island - which is a multi-sensory program to teach graphmotor development. Libby seemed to enjoy learning with these visual cues, auditory cues, tactile and kinesthetic movements. She is now able to recognize and recall almost all if not all the letters of the lowercase alphabet comfortably. During today's session we played a game called "Cage the Monster". In order to put a bar on the monster's cage, Libby would have to form and place a lowercase letter correctly. She was able to form and size greater than 75% of the lowercase alphabet during this game. The letters she needs some assistance with were f, d (form only), and p (for line placement). Overall, she has done amazingly well with developing her handwriting skills and is establishing a solid foundation for academic success.

Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Began treatment session with fine motor task aimed to increase the strength in Libby's hands to improve control and distal hand achieving mature grasp patterns. Continued therapy instructing Libby on the correct letter formation, line place and size of the lower case letters "e and z". She was able to write both these letters well when provided with auditory and visual cues for start point and line placement. Reviewed previously learned lower case letters. Libby required verbal cues to form the lowercase letters "a, b and y". Lastly, Libby painted two Easter ornaments to continue to work on refined hand use. She is a pleasure as usual to work with and continues to make steady gains in all areas addressed.

Libby seen in her room for a 45 minute occupational therapy treatment session. Focus of therapy on improving her ocular motor skills, visual perceptual abilities, fine motor development, visual motor skills, sensory motor skills and graphomotor skills. Libby participated well in today's treatment session. began treatment with an activity aimed at increasing strength in the intrinsic musculature of Libby's hands. Libby was asked to use small "strawberry picker" (small metal tong-like instrument) to pick up small items and sort them into different compartments. She was able to complete this activity without showing hand fatigue and with an open webspace. She continued working on fine motor development with cutting activity. Libby required cues to hold the paper she was cutting with a supinated (thumb up) grasp pattern versus pronated or neutral hand position. Lastly, Libby continued working on her writing skills which continue to improve and develop. She was instructed on lowercase letter "v and x" today. She required verbal cues and practice to make letter "v" without lifting her pencil. She was able to form lowercase "x" without any difficulties. Libby continues to require verbal and visual cues to make the letter "a" with one movement versus picking up her pencil. She also has a motor memory to form her letter "y" from right to left versus left to right. We will continue to try to replace the incorrect motor memories with the correct formations. She is progressing well in all areas addressed.