Reason for Screening: R. was referred by his teacher for an occupational therapy screening to assess his fine motor and visual perceptual skills. The teacher is concerned over the fact that the child frequently writes letter backwards indicating a possible visual discrimination issues.
Background Information: R. is a 5-year-old boy who attends Trinity Christian Academy of Cape Cod. He is the eldest of two children born to Brazilian parents. He was born full term and without any complications at birth. He is from a Christian family currently residing in Cape Cod, Massachusetts. He is very active and loves to play baseball and soccer. No previous diagnosis. He once fell off a horse, but no major injury other than sprained elbow.
Screening …show more content…
demonstrated right hand dominance. He used this hand for 95% of the activities during the session. When he was asked to write his first name and last name, he performed the task with a quadropod grip (adequate pressure was applied), in which he held the pencil with his thumb, index, and middle finger while using his ring finger as his supporting finger. This grasp pattern is immature and suggesting that R. is not able to fully utilize the more functional tripod grasp pattern as of yet. He was consistent in the use of his dominant and non-dominant hand in fine motor skills, using his right for the task and left to stabilize the paper during handwriting. Furthermore, he completed the task without needing extra time. However, R.’s writing was not legible or consistent but basic he demonstrated putting efforts to stay within the lines. Writing legibility starts between 6 and 7 year olds so R. still has time to develop those skills. When asked to draw a person, R. successfully utilized bilateral hand use to open the and close the colored markers and he drew 3 recognizable human figures with 3 different hair color, nose, eyes, mouth, arms and legs. All the body parts were proportional in size, which indicates good spatial awareness. For design copy task, R. easily copied horizontal and vertical lines as well as circle, diagonal, letter X, square and triangle, except diamond. However, the ability to copy diamond is not usually …show more content…
is a 5 year, 2 months old who currently attends Trinity Christian Academy of Cape Cod. He was referred by his teacher for an occupational therapy screening to assess his fine motor and visual perceptual skills. During evaluation he demonstrated the ability to self-regulate, as he did not show frustrations and stress during the entire session even though he had troubles in some of the task. He exhibited an immature grasp pattern as held the pencil with his thumb, index, and middle finger while using his ring finger as his supporting finger. He was able to communicate effectively with the therapist. He made appropriate request. He demonstrated sustained attention to the directed tasks and had good eye contact. She was able to trace and cut, copy a design, and successfully completed the writing task. Although he wrote the S backwards, which could indicate visual discrimination issues, this is also common occurrence within her age group and that this mistake will disappear by the time she turns 6. While the issue does not need to be addressed at the moment, this is also something that needs to be monitored by the parents and the teachers to make sure she progress. At this time, there is no need for occupational therapy intervention. However, she could benefit from having the parents incorporate games that teaches left and right or trace letter in multiple textures to address number and letter reversals. Moreover, environmental
Background Information: R. is a 5-year-old boy who attends Trinity Christian Academy of Cape Cod. He is the eldest of two children born to Brazilian parents. He was born full term and without any complications at birth. He is from a Christian family currently residing in Cape Cod, Massachusetts. He is very active and loves to play baseball and soccer. No previous diagnosis. He once fell off a horse, but no major injury other than sprained elbow.
Screening …show more content…
demonstrated right hand dominance. He used this hand for 95% of the activities during the session. When he was asked to write his first name and last name, he performed the task with a quadropod grip (adequate pressure was applied), in which he held the pencil with his thumb, index, and middle finger while using his ring finger as his supporting finger. This grasp pattern is immature and suggesting that R. is not able to fully utilize the more functional tripod grasp pattern as of yet. He was consistent in the use of his dominant and non-dominant hand in fine motor skills, using his right for the task and left to stabilize the paper during handwriting. Furthermore, he completed the task without needing extra time. However, R.’s writing was not legible or consistent but basic he demonstrated putting efforts to stay within the lines. Writing legibility starts between 6 and 7 year olds so R. still has time to develop those skills. When asked to draw a person, R. successfully utilized bilateral hand use to open the and close the colored markers and he drew 3 recognizable human figures with 3 different hair color, nose, eyes, mouth, arms and legs. All the body parts were proportional in size, which indicates good spatial awareness. For design copy task, R. easily copied horizontal and vertical lines as well as circle, diagonal, letter X, square and triangle, except diamond. However, the ability to copy diamond is not usually …show more content…
is a 5 year, 2 months old who currently attends Trinity Christian Academy of Cape Cod. He was referred by his teacher for an occupational therapy screening to assess his fine motor and visual perceptual skills. During evaluation he demonstrated the ability to self-regulate, as he did not show frustrations and stress during the entire session even though he had troubles in some of the task. He exhibited an immature grasp pattern as held the pencil with his thumb, index, and middle finger while using his ring finger as his supporting finger. He was able to communicate effectively with the therapist. He made appropriate request. He demonstrated sustained attention to the directed tasks and had good eye contact. She was able to trace and cut, copy a design, and successfully completed the writing task. Although he wrote the S backwards, which could indicate visual discrimination issues, this is also common occurrence within her age group and that this mistake will disappear by the time she turns 6. While the issue does not need to be addressed at the moment, this is also something that needs to be monitored by the parents and the teachers to make sure she progress. At this time, there is no need for occupational therapy intervention. However, she could benefit from having the parents incorporate games that teaches left and right or trace letter in multiple textures to address number and letter reversals. Moreover, environmental