Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Began treatment session with ocular motor pusuits activity involving sentence tracking. Richard was able to find 11 words inside a scrambled paragraph within 1 minute 3 seconds with one cue and for his second triall he was able to find 10 words in 34 seconds without help. His time keeps getting faster for visual pursuits (tracking). Today we continued working on cursive review. He was able to identify the letter "i,u,w,r,j,t" in script but could not identify the letters "s and y". He was able to identify the letters "c, o, a, d, and g" but not "q" (thought it was a y). Lasly, he could identify the "e,l" in script. We will continue to work on writing and identification of the lowercase alphabet in cursive. Good session.

Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. We discussed the concept of probelm size and reaction size today. Gave him different scenarios and said how would you feel if.....and what size is this problem.....i/e/ Carolina scribbled on your homework, there is a lion in your room, Mom's away for work, overslept and can't eat breakfast, starving and lunch was still 20 minutes away. Luke does an adequate job identifying the size of problems when given these scenarios and is able to say correct reaction and reaction size. At this time, Luke is better able to label and say these things but has difficulty carrying them out in everyday life.

Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Began treatment speaking about whole body listening and reviewed which each part of the body is responsible for doing. Worked on crossing midline with making gumballs in gumball machine activity. Luke has a motor pattern of making the letter "o" in a clockwise movement sequence which has him not crossing midline. We are trying to rewire this motor sequence to the correct counter clockwise movement which will help him with his writing. He continues to require verbal cues for this counter clockwise movement. We worked on making his numbers with verbal cue rhymes like "a circle and a line this is a nine' and "make an S do not wait go back up and shut the eight". Worked on regulation some today as we read the book "The Way I Feel" by Janan Cain. He talked about some of his feelings today. Good session in the end.

Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Luke was in good spirits today. Went over whole body listening and what it means to have your whole body involved in listening. Whole body listening means the following: Ears: hear what is being said, Eyes: are on the speaker, Mouth: is quiet, Body: is still, Brain: understands what speaker says, Heart: care about what the speaker says. While OT was explaining this Luke was humming which is opposite of what mouth should be doing during whole body listening. After this lesson he worked in the Print Island workbook to write a sentence. He required both verbal and visual cues to produce great handwriting with proper form and line placement. Good session.

Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Today we used the Print Island workbook to write sentences. Luke was given a popsicle stick with a face and we are calling this "space man" because he helps to make spaces between words. Today we also worked on intrinsic muscles of the hands by squeezing clothespins with letters on a dowel to make and read words. He was able to make and read the words "man, can and men". Good session and good week with adequate listening and following directions. He is becoming more teacher- directed yet is still self-directed at times.

Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Luke participated in a group (with two peers) scavenger hunt during first ten minutes of treatment session. Worked on self regulation and control during sessions (not to run, share with peer, work as a team,etc.). This was exciting and hard to do but Luke tried. Once back in room continued working on handwriting with focus on letter formations and line placement. He continues to require verbal cues especially for the "c" group or swing around the tree letters. Fun session.

Luke was seen in his room for a 45 minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Began treatment with completing a Valentine's Day card for Luke's mother which involved writing and cutting. Also worked on fine motor skills and intrinsic muscles of the hands with crumbling small pieces of paper for a Valentine's Day project. Luke continues to need cues for form the lower case letters correctly. He is better able to listen to and make corrections when he forms and sizes the letters the incorrect way. Good session.

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.

Richard was seen for OT to work on core strength and visual perceptual skills. He was able to complete sustained flexion (popcorns) ball kicks 10x2 reps with a short break between reps. Moderate difficulty observed keeping his feet from touching the floor between kicks while wearing shoes. When shoes were removed the activity was much easier for him. We will continue to work on completing this exercises with the extra weight his shoes provide. Ended the session completing mazes while focusing on slowing down and remaining within the lines. Able to complete with improved accuracy.

Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Began session Michigan tracking program which requires Richard to scan a jumbled paragraph to find words of a sentence mixed within. He is timed as he scans left to right and top to bottom. These are the same eye movements required for reading. Richard had two trials of scanning today. He was able to find 10 words in 1 minute and 2 seconds. For his second trail he was able to find 8 words in 45 seconds with no errors. We continued with the cursive writing review. Today we went over lowercase letters j and p. Richard expressed that he was concerned with his writing. I told him that he is learning script writing well and it is more effiecient that writing in print and that he is doing well. Good session.