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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