I am most interested in what occupational goals your handwriting
students have. What is a handwriting student? How are they different
from other students? Are they different from each other? How are they
assessed? What do you use for outcomes? After the 'warm up' is
intervention individualised?
In a rural practice we are not specialised and have lots of 'one off'
situations.
I am reminded of a twelve year old boy who was referred to me because of
hand writing. At least that was the 'problem' from his teacher's point
of view. Through data gathering from his parents it was clear that his
lack of shoulder girdle development as an infant had not supported
finding his hands during the period when he would have been
differentiating his fingers. Although his shoulders had caught up he
used his hands like mitts with four fingers together and thumb
opposition. He had accommodated and adapted to manage most of what he
needed to do to survive both at home and in the school system. His desk
was messy because he shoved things into it and many things fell on the
floor. Part of a card playing family, he regularly squeezed cards 'too
hard'. In every area of his life there were required occupational
activities that were compromised but he managed somehow to get through.
I live in cowboy country. What was important to this young boy was
rodeo. He was an excellent horse man and lariat thrower. He was a member
of a competitive roping team and the excitement poured out of him as he
told me about that part of his life. Ropers usually have one position
that is their specialty but they work hard to make sure they can move
into any other position if the need arises. When I asked about this he
wilted and with tears in his eyes told me he couldn't tie knots. We
never did any hand writing exercises. It took about three months of
struggling to lift one finger at a time, putty, pinch grasp activities
including model building and lots of other things until he was able to
write more than one beautiful line of script before his hand cramped and
his writing became illegible but that was an artefact and barely noticed
by him. His whole focus was to have hands that could tie knots. We
worked together to develop short term goals to help him chart progress.
The important day for him was when although slowly with his team-mates
cheering him on and struggling to give him the time he needed he tied
down a calf. 

The expertise of the profession of Occupational Therapy is;

-       to become consciously aware of mismatches between basic
abilities and task demands (cognitive, psychological, social and
physical), which interfere with the performance of needed, wanted,
expected or potential occupations;
-       to analyze the mismatches; and
-       to design and offer interventions to resolve the mismatches.  


Joan Riches B.Sc.O.T., OT(C)
Specialist in Cognitive Disability
Riches Consulting
High River, Alberta, Canada
403 652 7928


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of susanne
Sent: October 23, 2008 7:32 PM
To: [email protected]
Subject: Re: [OTlist] ideas for fine motor warm ups for HW students??


On Friday, October 24, 2008 1:03 AM, Ron wrote:

> What the heck are HW Students?

Ah Ron - this cracked me up - that YOU asked this question and not I -
guess misery loves company:-)

BTW - after some thinking I came up with this guess: "Hand Writing
Students". Is that it, Angela?

warmly

susanne, denmark


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