Libby was seen in her room for a 45-minute treatment session after two week winter break. Libby was happy and worked well during today's sessions. The focus of therapy on fine motor skills specifically grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. OT has also focused on sensory processing and having Libby be more comfortable with wearing a variety of clothes (weather appropriate) and different hairstyles (only wants to wear her hair one way which is down). Began treatment session with fine motor exercises with putty and finding hidden toys/little objects to increase hand strength. Continued with visual discrimination and tracking tasks to work on ocular motor skills via mazes and "I Spy" book. Libby enjoyed doing mazes - with minimum to moderate difficulty. When maze got difficult and she had trouble figuring out the way she wanted to "quit". OT helped her stick with it and get through maze before going to next one. Libby needs encouragement when things have increased difficult but with encouragement she is able to be successful. We continue to work on handwriting and reviewing/practicing letters she has already learned. Today we focused on the "c" first letter group and specifically the letters "d, g and q". Libby continues to need max. assistance to write the lower letter "d" with a "c" first. She practiced "g and q" and wrote them adequately; however, they need more practice. Libby worked well today!


rapper snappers which are tubes you have to pull with two hand to make longer. Once Libby pulled the tubes we made different letters with these tubes. Reviewed the letters we previously learned which were "r, n , m, f, h, p , b , f, a, c, o, and d." Libby did best with visual cues, visual boundaries and auditory cues. She has the most trouble forming the letter "d" using the "c" first method. Libby was excited to show OT how she could write words today. Good session.

Libby was seen in her room for a 45-minute treatment session after two week winter break. Libby was happy and worked well during today's sessions. The focus of therapy on fine motor skills specifically grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. OT has also focused on sensory processing and having Libby be more comfortable with wearing a variety of clothes (weather appropriate) and different hairstyles (only wants to wear her hair one way which is down). Began treatment session with fine motor exercises with rapper snappers which are tubes you have to pull with two hand to make longer. Once Libby pulled the tubes we made different letters with these tubes. Reviewed the letters we previously learned which were "r, n , m, f, h, p , b , f, a, c, o, and d." Libby did best with visual cues, visual boundaries and auditory cues. She has the most trouble forming the letter "d" using the "c" first method. Libby was excited to show OT how she could write words today. Good session.

Libby was seen in her room for a 45-minute treatment session after two week winter break. Libby was happy and worked well during today's sessions. The focus of therapy on fine motor skills specifically grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. OT has also focused on sensory processing and having Libby be more comfortable with wearing a variety of clothes (weather appropriate) and different hairstyles (only wants to wear her hair one way which is down). Began Libbys session with hand strengthening activities to create a more stable base for fine motor tasks. Libby does well with different exercises/games to increase her hand strength. We want to build the strength of the intrinsic muscles in her hands and endurance for writing and other fine motor tasks. We continue to work on learning handwriting through Print Island. When provided with visual and auditory cues Libby is able to write approximately 50% of the lower case alphabet well. She is being taught these lower case letters using a multi-sensory approach which encompasses auditory, visual tactile and kinesthetic cues. She learn well with this approach. She continues to make gains with letter recognition of both upper case and lower case letters. Progress has been steady this school year and she continues to be a pleasure to work with.

This morning, Libby and I created a number line. We taped together sheets of copy paper, used a yardstick to draw the line, and wrote the numbers 1 through 20. Then, Libby used her mini kangaroo to hop forward or backward on the number line to help her find the answers to stories that we made up.

1. Review last week
2. Prop Swap- we each used the prop pulled from the bag in a unique way and then swapped every 60 seconds
3. Free play with props.

Review what we mean by past and present. Show Libby pictures of objects from the past and the present. Compare and contrast the pictures...not just the objects, but also the picture quality to show how things change over time.

Use clay to form letters and say their sounds. Play letter bingo for recognition. Read we & get story, introducing how we & get are spelled and look. Practice sounding out words from the -ot and -op word families.

Libby completed her interactive calendar. She read her vocabulary words. She worked on her calendar talk activity. She listened to the Indian story of the Three Sisters' Legend. She helped to make the Three Sisters' Vegetable Stew.

Introduce chapter 4 with activity in workbook. Talk about the meaning of the words past and present.

Play letter bingo to recognize letter sounds and symbols for lower and upper case while out of order. Reread sight word book for you & and. Point out the words on the pages. Write the words on the white board. Read together from Frog and Toad.