Thursday, November 02, 2006

Of little boys fingers and how writing should be done



Had a meeting yesterday with Mr 6's pediatric occupational therapist ( P O/T). She saw him last week at school and assessed him. ( will the "assessing" of this boy ever end?) He has the pencil grip of a 4.5 year old and has hyper extended thumbs. His thumb at the first joint bends in a "U" almost which is a sign of low muscle tone, hence he pushes harder on the pencil or crayon to attain a better grip, he writes from the elbow or the shoulder, instead of the wrist. P, the P O/T; suggested a sloped writing board for him which was implemented almost immediately. We discussed about how children are taught too early the foundations of cursive script and get hooked on the little tails they need to place on their letters instead of the basic "ball and stick" version of learning to write of yesterday. Mr 6 does not recognise where a word ends and starts when he is attempting to write, he spaces all letters at equal intervals regardless of if they are part of a new word or not. SO you have s o m e t h i ng l i k e t h i s h a p p e n i n g b u t w i t h i l l f o r m e d l e t t e r s.
Hard to read isn't it? Imagine it scrawled all over an A4 sheet.
Anyway I have some more therapies to work with him on, join the dots are a good one but not too high in the numeric range so he can concerntrate on going from dot to dot. Any activity which helps upper body strength, hanging from the trapeze, climbing, etc. Getting him to air write his letters with correct starting point and formation in the air is good for his muscles to remember the formation of the letter, using a blackboard or white board allows the wrist to have the right curve to it needed for writing skills. Holding a coin to the palm of his hand with his ring and pinkie finger helps to increase the power part of the hand ( see you learn something new everyday). Getting him to write one really well formed and correctly initiated word instead of sentence will go a long way to helping him. And surprise of all, using UNLINED, yes UNLINED paper, as children like him get caught up in the mish mash of letter formation, tails, spelling and then top it all of with trying to keep it all on a line..Well, no wonder he is struggling.
I am glad his teacher bought it up and now the therapies need to be implemented at home but the P O/T wants Mr 6's aide to work on some of them with him during literacy... We'll see. I know his teacher will attempt to incorporate as many as possible into the classroom as she can. on that note, the P O/T mentioned that she found Mr 6's teacher to be patient, in control and aware of all aspects of the classes needs; a rare find indeed. This from a professional who spends her days in various classrooms in many local schools. Kudos to you Mrs R, as the kids say "You Rock".

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