ADL Milestones
Fine Motor Skills
OT Strategies
Impact on Family
Bonus
100

By what age can children take off simple clothing like tshirts with minimal help?

Age 4

100

This fine motor grasp is essential for pinching a zipper pull or pushing a button through its hole

Pincer grasp

100

 This behavioral theory supports giving Noah praise or a reward when he successfully completes part of his dressing routine.

 What is positive reinforcement?

100

This emotion is commonly felt by Noah’s parents in the morning due to the extra help he needs with dressing.

What is stress?

100

At what age should children be able to cut and spread with a knife?

5 years old

200

At what age do many children begin to manage large buttons independently?

Age 5

200

What bimanual skill is needed for zippering?

Differentiated bilateral coordination

200

According to this theorist, Noah can learn dressing skills by watching caregivers model the task.

Who is Bandura?

200

 Because Noah struggles with buttons and zippers, his parents often need to wake up earlier, impacting this aspect of daily life.

What is the family’s morning schedule?

300

A child who can put on a tshirt but struggles with fasteners is likely having difficulties with this two-handed skill:

Bilateral coordination

300

What type of muscles impact fine motor manipulation skills like pincer and three-jaw chuck?

Intrinsic muscles

300

 According to Vygotsky, this type of support provided by a caregiver helps Noah learn new skills like zipping and buttoning.

What is scaffolding

300

Noah’s difficulty with dressing can lead caregivers to spend more time helping him, reducing the amount of time available for this type of morning activity.

What is preparing for work or school?

400

What executive functioning skill may be challeneging for a child who forgets the sequencing of dressing?

Motor planning

400

What is combining sensory input with motor actions that enables purposeful hand use and supports motor planning development?

Visual-motor integration

400

This OT strategy uses toys such as blocks, tweezers, and small objects to strengthen Noah’s three-jaw chuck and pincer grasp for dressing tasks.

 What is fine motor skill practice?

400

Parents may feel concerned about Noah’s independence and school readiness, especially when comparing him to peers, demonstrating this type of family impact.

What is parental worry or concern about development?

500

What sensory area causes frustration during dressing tasks due to clothing textures?

Tactile processing

500

When Noah needs help with dressing, his caregivers must divide responsibilities differently during the morning routine, affecting this broader family pattern.

What is the distribution of family roles or routines?

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