Bryce was seen at the school for an occupational therapy consultation. He is in grade 4 and he has a special education assistant. Observations were conducted in the computer lab.

Topics:
1. Gross Motor Skills
2. Fine Motor Skills
3. Computer Skills
4. Sensory/Behavioural Skills

Clinical Impressions:

1. Gross Motor Skills
Bryce tends to walk with a wider base of support but his teacher and special education assistant reported that he does not tend to trip and they are not concerned about his safety. He is also able to run and play on the climber at recess.

2. Fine Motor Skills
Bryce is right hand dominant. He is able to copy words and he is very good at drawing and colouring pictures. When he is asked to print his alphabet he tends to mix up his capital letters and lower case letters and some of his letters are upside down or backwards such as g, f, s, u. Some of his numbers are also backwards. It would be beneficial for Bryce to spend some time working on the letters and numbers he is having difficulties with on work sheets.

3. Computer Skills
Bryce is able to type using his right index finger with a regular keyboard. He is also able to use a mouse to target and click on items.

4. Sensory/Behavioural Skills
Bryce’s teacher and special education assistant reported that he is doing fairly well in the classroom. He had some difficulties with transitions and he tends to run away occasionally.

Recommendations/Plan:

Printing/Alternative to Written Output
It would be beneficial for Bryce to spend some time learning the formation of the letters and numbers he is having difficulties with. A printing program was provided to the school and the teacher reported that she also has printing sheets that can be used in the classroom.

It would also be helpful for Bryce to spend time learning the keyboard and to participate in easy typing programs.

It has been a pleasure to work with Bryce and his dedicated school team.

- a letter from an Occupational Therapist