What are fine motor skills?

Fine motor skills involve the ability to use the smaller muscles of the hands and fingers to engage in everyday activities. Some examples of fine motor skills include; fastening buttons, opening lunch boxes, tying shoe laces, printing and handwriting and using scissors. Fine motor skills are also essential for performing every day self-care tasks, academic skills, and leisure activities.

Does my child have fine motor difficulties?

Your child may have fine motor difficulties if they have an awkward or immature pencil grasp, produces messy, slow or laborious writing skills, demonstrates difficulties with scissors, has trouble performing self-care tasks independently (including buttons, zippers or tying shoes), or tires easily when engaging in tasks that involve fine motor abilities.

What is involved in the occupational therapy session?

The first session would involve an initial assessment to determine areas of difficulty. Following assessment, the occupational therapist will develop a program to help address the underlying pathology that may be contributing to fine motor difficulties. Some areas commonly addressed to improve fine motor ability include; hand dominance, bilateral integration, finger isolation and hand and finger strength.

What is the expected outcome of a fine motor occupational therapy program?

Your child should improve in school readiness, academic performance of colouring, drawing, writing, cutting and pasting skills, and mastery of self-care tasks with the help of individualized therapy sessions and home or school programming.

What is Sensory Processing Disorder?

Sensory processing disorder is when an individual has difficulty with organizing and responding to information that comes through the senses. There are two primary types of sensory processing challenges; hypersensitivity (which can lead to sensory avoiding behaviours) and hyposensitivity (which can lead to sensory seeking behaviours). Individuals are not always one or the other but often a combination of both.

What are sensory avoiding behaviours?

Individuals who demonstrate sensory avoiding behaviours may react negatively to a wide range of environmental triggers resulting in outburst or avoidance of certain stimuli. Some examples of triggers can include loud sounds, uncomfortable clothing, crowded spaces, or certain food smells or textures. Individuals who demonstrate sensory avoiding behaviours may be easily overwhelmed by people and places, seek out quiet areas in noisy environments, are easily startled by sudden noises, refuse to wear certain clothes or resist being touched or hugged.

What are sensory seeking behaviours?

Individuals who are under-sensitive to stimuli will often demonstrate sensory seeking behaviours. Examples of sensory seeking behaviours include; constantly touching objects, playing roughly or taking physical risks, a high tolerance for pain, frequently squirming and fidgeting, constantly moving, invading other’s personal space, or being clumsy and uncoordinated.

How can an occupational therapist help address sensory processing disorder?

An occupational therapist can help to address the concerns associated with sensory processing disorder by developing a specific program tailored to the individual to either increase or decrease the tolerance for sensory exposure. For individuals that exhibit tendency in hypersensitive, the basic approach involves presenting the child with sensory challenges of gradually increasing difficulty to reduce or extinguish the extreme reaction to specified stimuli. For individuals with hyposensitive reactions, a sensory diet (activities designed to provide the nervous system with the sensory input required to stay focused and engaged) would be established to placate their sensory seeking behaviours.

This service includes:

• Comprehensive Assessment: Evaluating the individual’s physical condition, mobility requirements, and daily activities to recommend the most appropriate wheelchair.

• Trial and Fitting: Offering opportunities to trial different wheelchair models and ensuring a proper fit for comfort and functionality.

• Funding Application Assistance: Leading or supporting individuals through the application process for funding agencies, including Manitoba Possible, to secure financial support for their wheelchair. This includes:

  • Documentation Support: Helping gather and complete all necessary medical and personal documentation required for the application.

  • Application Submission: Assisting with the submission of the application to ensure it meets all criteria and deadlines.

  • Follow-up: Providing ongoing support to address any questions or additional requirements from the funding agency.

This service includes:

• Detailed Needs Analysis: Assessing the individual’s physical capabilities and specific needs to recommend the most suitable mechanical lift.

• Home Environment Evaluation: Examining the layout and accessibility of the home to ensure the recommended lift can be safely and effectively used.

• Safety Training: Providing comprehensive training for caregivers and family members on the proper use of mechanical lifts to prevent injuries and ensure smooth operation.

• Funding Application Assistance: Supporting individuals through the application process for funding from the Manitoba Home Care Program Equipment Pool and other agencies. This includes:

  • Preparation of Required Documents: Assisting with the collection and completion of all necessary medical and personal documentation.

  • Application Process Guidance: Offering step-by-step guidance to ensure the application is correctly filled out and submitted on time.

  • Ongoing Support: Providing follow-up assistance to address any additional requirements or questions from the funding agency.

This service includes:

• Personalized Equipment Assessment: Identifying the most appropriate adaptive devices based on the individual’s unique needs and preferences.

• Trial and Training: Offering opportunities to trial different equipment options in partnership with medical equipment providers and providing training on their use to ensure comfort and effectiveness.

• Ongoing Support: Providing continuous support and adjustments to equipment as needed to accommodate changing needs and ensure optimal functionality.