Richard was quite tired from actively participating in field day. We spent our 15 minutes of class time discussing community participation and the ways citizens can become involved and make a difference in their communities. Richard then played a quick game on the desktop with a classmate before being picked up for his eye therapy appointment.
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. Richard was seen outside and in his room for his treatment session today. He is getting excited for the end of the school year. Today we worked outside on ocular motor skills and graphomotor development. Luke was able to track and hit a wiffle ball with a bat 3/5 times during today sessions. We continued outside using chalk on the cement to practice writing Richard's first and last name in cursive. Richard needed min-mod auditory cues to write his first name and wrote it several times. OT provided with a visual demo and example to copy to write his last name in script. Richard appears proud that he is able to write in cursive; however, needs more practice to make this a functional form of written communication. I hope he continues to practice writing in script this summer and in the future. Great session.
Richard worked on visual perception and visual motor activities completing age appropriate mazes and copying geometric shapes drawn on grid paper. 2 out or 4 shapes he required minimal verbal cues to correctly draw the image. He ended the session completing 10 minutes of keyboarding skills with good positioning and finger isolation to locate the correct keys, using visual and auditory cues from computer and looking at his keyboard to find the keys.
Richard is working on completing the last few pages of his handwriting book, as he focuses on posture, pencil grip. placement of the letters, and the proper positioning of the words.
Richard continued to work on executive functioning skills with the use of a timer to clean and organize his belongings and pick up trash/scrap paper in his room. The timer was stopped anytime he stopped working then restarted again when he returned to work. Short time segments such as 1-2 minutes appear to be most helpful to him at this time. Richard continues to demonstrate good finger positioning and correct finger use on keys with minimal verbal cues and increased time during keyboarding. He is currently working on Reach out letters O, B, and A with 86% average accuracy and 8 WPM.
Richard began his session with a fine motor warm up of pencil aerobics (pencil pushups and inchworm) 10 times each. He completed mazes to work on visuals perception/motor skills with good accuracy. He continues to present with limited thumb DIP mobility which can result in thumb fatigue and pain when writing for long periods of time. It is recommended that he continues to use an adaptive pencil grip for correct positioning when writing.
Richard had a great last session. He worked on TH words in conversation and in sentences. He also worked on 2 listening comprehension passages. Met with Richard’s mother and went over progress and goals. He has been a pleasure to work with this year! He met 4/5 goals.
