Beverly, 

The acc/mods in place are effective and he is able to keep up with his work
at school without difficulty.  Mom reports he struggles at home to complete
writing activities though.  I wonder how much is physical and how much is
psychological?!  Although I have tried to educate mom on educational vs.
medical model of services, she wants us to 'fix the problem' rather than
provide the support we are providing for him to be successful.
Unfortunately, mom is an SLP in the same district, so I'm not quite sure why
she doesn't understand we are trying to help her son : (

Thanks so much for your input : ) 

-----Original Message-----
From: [email protected] [mailto:[email protected]] On Behalf
Of Beverly Elkins
Sent: Friday, February 19, 2010 5:26 PM
To: [email protected]
Subject: [OTlist] Hand strengthening

Renee,    
    The child may benefit from some hand strengthening through functional
task (play). I haven't worked with peds for some time now. Given this
child's age would strengthening be appropriate? 
It sounds as though positioning for postural support/stability would be the
most appropriate/effective in this case. How is handwriting during your
sessions with the child utilizing your accommodations/modifications? If it
is effective, what better "outcome study" could a parent hope for? Also, how
is the child's attention to task during handwriting activity and in general
overall? Another thought, how is his vision? I'm interested in what you
determine.
Beverly Elkins, OTR/L

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