Hi Renee,

I work in the schools. I feel your recommendations are appropriate. Strategies 
for the student to work on in the classroom means that he is receiving 
intervention everyday instead 1x/weekly. Could you provide details of your 
findings. There are many reasons besides hand strength that can lead to poor 
penmanship. In our county FM/poor handwriting is the  number one request that 
leads to an OT referral for assessment. Looking forward to your response. As 
for research, you might try AOTA website. Talk to you soon.

Wayne

--- On Fri, 2/19/10, Renee Lowrey <renee.low...@mmsean.com> wrote:

> From: Renee Lowrey <renee.low...@mmsean.com>
> Subject: [OTlist] Evidence?
> To: otlist@otnow.com
> Date: Friday, February 19, 2010, 4:18 AM
> I am working in a school district
> where we provide ‘hands-on’ consultation.
> I work with a student to see which intervention strategies
> (accommodations/modifications) will work best and then
> education teachers on
> how to use and follow through with the
> recommendations.  I recently
> completed an eval on a student for handwriting legibility
> (per mom).  I
> recommended acc/mods for home & school and provided
> some strengthening
> activities that could be incorporated into the natural
> context of his school
> day.  Unfortunately, but mom was not satisfied with
> these recommendations.
> She wants us to work on hand strengthening (like in the a
> clinic) setting so
> his hand doesn’t get tired when he writes (He’s in 3rd
> grade now).  No
> matter how I explain how services are better provided in
> the context of the
> classroom and how the acc/mods will allow him to
> participate in his
> education, she is not satisfied.  She doesn’t want
> him to depend on the
> acc/mods, which she thinks will result in decreased hand
> strength and
> therefore illegible handwriting.  Does anyone know of
> any research regarding
> the efficacy, or lack thereof, of hand strengthening
> exercises and improved
> hand writing; or of the benefits of a consultation model
> rather than an
> direct, pull-out model in school systems?  Any info
> will be most
> appreciated.
> 
>  
> 
> Thanks,
> 
>  
> 
> Renée L., OTR/L
> 
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