Development
This immature grasp pattern is commonly seen around ages 2-3 and involves all fingers facing the paper while holding the crayon with the forearm facing down.
What is the Digital Pronate grasp?
HHA
What is Hand-Held Assist?
A child stabilizes the paper with one hand while cutting with the other.
What is bilateral coordination?
The treatment approach where an OT helps a dysregulated child process input/information from their environment and body instead of immediately entering full raccoon panic mode.
What is Sensory Integration?
This side of the hand is where mature skills use takes place.
What is the radial side?
Age where typically developing child can independently complete showering.
What is 7-8 years?
IADLs
What are instrumental activities of daily living?
A child uses their eyes together to look at a near target without one eye wandering off to explore the clinic independently.
What is convergence?
This teaching approach involves helping a child complete all but the final step of an activity so they experience success first and gradually learn the full sequence.
What is Backward Chaining?
This part of the brain helps coordinate balance, movement timing, and motor control.
What is the Cerebellum?
What age can typically developing children complete a correct jumping jack?
What is 5-6 years?
VMI
What is Visuomotor Integration?
The skill needed to remember where letters go on a page, keep spacing organized, and avoid writing like a tiny raccoon with a crayon.
What is visual spatial awareness?
The OT strategy where activities are made slightly easier or harder depending on the child’s performance level.
What is Grading?
This position happens when laying on the back with the palms faced up.
What is supination?
This developmental milestone supports integration of the ATNR reflex, bilateral coordination, crossing midline, and eye-head dissociation.
What is crawling/creeping?
BOS
What is Base of Support?
This skill helps a child write with a pencil instead of snapping the lead every three seconds.
What is force modulation/grading?
The intervention approach where an OT changes the size of paper, pencil, seating, or visual layout to help a child succeed.
What is Environmental Modification/Adaptation?
The biggest muscle responsible when a child toe-walks due to anatomical reasons.
What is the Gastrocnemius?
Occasional intermittent toe-walking may be developmentally appropriate up to approximately what age?
What is 2 years of age?
WB
What is Weight Bearing?
A child can rotate a pencil in their fingers to use the eraser without using the other hand.
What is rotation (a type of in-hand manipulation)?
When a child struggles to coordinate the upper and lower body together during tasks like crawling, jumping jacks, or maintaining posture at a desk, an OT may target integration of this primitive reflex.
What is the Symmetric Tonic Neck Reflex (STNR)?
This sensory receptor in muscles and joints helps detect body position and movement.
What are proprioceptors?