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<blockquote data-quote="InsaneCdn" data-source="post: 549079" data-attributes="member: 11791"><p>Lisa... I'm just trying to think like the OTs we've worked with... and one thing they told us over and over was to NOT focus on the fine motor skills at the "fine" level - all it does is multiply the frustration. It's so "intuitive" to teach the specific skill you want to see, but for a kid with neuro-motor problems, all it does is reinforce the frustration. He needs to learn how to feed himself neatly, without a spoon. If he can't even get his hand to his mouth effectively, he is not ready for a spoon. difficult child used to over-stuff his mouth because... once he "connected" food with mouth, he didn't want to repeat the effort too often... so, HUGE bite. The more I insisted he use knife and fork to cut his meat, the more he persisted in "spearing" the meat and taking bites off. It really WAS a far bigger effort than I realized, until later.</p><p></p><p>This is one area where I'd love to be able to sit easy child down and explain what the long-term cost of avoiding Occupational Therapist (OT) is... because we've been there done that. You don't even need a diagnosis to pursue the Occupational Therapist (OT) intervention. You don't even need the Occupational Therapist (OT) to do most of the work - but you need an Occupational Therapist (OT) to lay out the stages for the skill in question, so that the progression steps are small enough and that you don't try to move ahead too quickly.</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 549079, member: 11791"] Lisa... I'm just trying to think like the OTs we've worked with... and one thing they told us over and over was to NOT focus on the fine motor skills at the "fine" level - all it does is multiply the frustration. It's so "intuitive" to teach the specific skill you want to see, but for a kid with neuro-motor problems, all it does is reinforce the frustration. He needs to learn how to feed himself neatly, without a spoon. If he can't even get his hand to his mouth effectively, he is not ready for a spoon. difficult child used to over-stuff his mouth because... once he "connected" food with mouth, he didn't want to repeat the effort too often... so, HUGE bite. The more I insisted he use knife and fork to cut his meat, the more he persisted in "spearing" the meat and taking bites off. It really WAS a far bigger effort than I realized, until later. This is one area where I'd love to be able to sit easy child down and explain what the long-term cost of avoiding Occupational Therapist (OT) is... because we've been there done that. You don't even need a diagnosis to pursue the Occupational Therapist (OT) intervention. You don't even need the Occupational Therapist (OT) to do most of the work - but you need an Occupational Therapist (OT) to lay out the stages for the skill in question, so that the progression steps are small enough and that you don't try to move ahead too quickly. [/QUOTE]
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