somatosensory;

posural functions;

cognitive development;

sensory integration;

vision;

social/cultural

1 reach

2 grasp

3 carry

4 voluntary release

5 bilaterla use/inhand manipulation

reach steps:

( VBSUOR)

visual regard;

batting;

hold at midline;

symetrical bilateral reach;

unilateral reach

open hand

refinement of reach pattern

factors that influence development:

integrity;

ROM;

strength;

tone

P to D control

precision ( thumb to finger)and power grasps (entire hand)

** determined by object or activity, pattern used

hook;

power;

lateral pinch;

3 jaw chuck;

tip pinch;

spherical;

cylindrical;

disc;

finger to palm;

palm to finger;

shift;

simple/complex rotation;

with and w/o stabilization

increase control of arm and fnger mvmnt.;

decrease non discriminative response to touch; increase visual control/cognition

bilateral hand use:

asymmetry

bilateral hand use:

symmetry

2-3 years;

depends on; devpment and refinement of grasp and all hand skills, motor skills, cogntive skills, planning for task

ball throwing;

tool use;

play;

self-care;

school(handwriting)

inadequate isolation;

poor grading;

poor timing;

sensory processing issues;

trunk mvmnt issues;

pencil grasp;

L/R discrimination;

finger isolation;

eye hand coord.;

small motor mvment

writing ABCs by memory;

copying;

dictation;

composition

letter formation;

spacing;

size;

slant;

alignment

ranges;

peer expectation;

interfere w/participation

postural control;

UE stability;

grasp

sensoryprocessing;

neuromuscular;

motor

spacing( letters and words);

line orientation;

sizing;

formation;speed