Libby was seen in an office for a 45-minute treatment session with focus of session on improving her fine motor skills especially in the area of grasp patterns, ocular motor skills (saccades), self care skills, handwriting, as well as improving her flexibility for wearing different clothing and wearing her hair different ways. Upon arrival to pick Libby up she was independently brushing her hair in the art room. We began treatment in room with going over her last week's hair and clothes options. She didn't seem to have had practiced as much this week wearing different things or different styles of hair. Reviewed the first five letters of the uppercase alphabet that we we're learning and reinforcing from last week. We reviewed the letters A,B,C,D and E in a multi-sensory format. First we traced over our glitter letter index cards which had now dried from last week. OT had her say the letter, the letter sound and draw a little picture on the index card of a thing that started with the letter sound. Next, we made the letters out of sticks from Handwriting Without Tears Program. Libby was able to identify A,B,C, and E well but struggled with the uppercase letter D - wanting to call it B. We wrote each letter, using a coconut as a starting point and auditory cues for formations. She wrote them adequately with this type of assistance. Lastly, we worked on ocular motor skills with tracking and saccades activities. Libby did well trying to separate her head from eye movements. By the end of the session she was able to recognize D. Good work today and she is a pleasure to work with.
Assignment
Practice identification of the first five letter of the uppercase alphabet
We played on the drum set and snare drum practice pad. We played some basic rhythms with our hands as we sang some songs at the same time. We even made up our own silly lyrics to some of the rhythms. We played on the piano, and talked about the 7 letters of the musical alphabet, and how they repeat as we move up and down the keyboard. We named the notes on each of the keys on the piano.
Libby was seen in an office for a 45-minute treatment session with focus of session on improving her fine motor skills especially in the area of grasp patterns, ocular motor skills (saccades), self care skills, handwriting, as well as improving her flexibility for wearing different clothing and wearing her hair different ways. Began today's session going over her hair and dress from last week. She told OT that she wore a dress to church. She let the OT put her hair up during session for a star on her star chart. She is continuing to work on getting a prize. For today sessions, OT worked on only five letters of the uppercase alphabet to improve recognition and recall. Libby's session involved a multisensory approach to learn the letters "A,B,C,D and E". At the beginning of the session Libby accurately was able to identify B,C and E. She didn't know A and was confusing D with B. We made each letter on an index card, traced them with glue and sprinkled then with glitter. She enjoyed learning this way. Once dry she will be able to reinforce the movement pattern and identification of the letters by saying the letter name, sound while forming them with her finger. Lastly, worked on Libby's tracking by having her participate in game where she had to follow little object with her eyes without moving her head. Great participation and concentration during today's session.
Assignment
Continue to practice identifying the first five uppercase letters of the alphabet
