Client Profile
- Name: Aanya P. (Name changed for confidentiality)
- Age: 4 years 8 months
- Gender: Female
- Diagnosis: Fine Motor Delay
- Referred by: Pediatrician
Background Information
Aanya’s parents brought her to the centre with concerns that she struggled to use crayons, hold a spoon properly, and button her clothes. Her teacher also noticed difficulty during craft activities and handwriting readiness tasks.
Birth and developmental history were largely normal, with mild delays noted in early play and self-help skills. There was no medical or sensory impairment reported.
Assessment Findings
Occupational Therapy Evaluation:
Grasp Pattern: Immature grasp (fisted grip) during coloring and utensil use.
Hand Strength: Reduced grip and finger strength.
Bilateral Coordination: Difficulty using both hands together effectively.
Eye-Hand Coordination: Poor accuracy when cutting or placing small objects.
In-Hand Manipulation: Limited ability to rotate and shift small items (e.g., beads, blocks).
Sensory Observation:
- Slight tactile sensitivity noted during messy play (sand, clay).
Therapy Plan
Goals:
Intervention Strategies:
Progress Over 5 Months
- Improved grip strength and transitioned from fisted grasp to tripod grasp.
- Successfully able to button/unbutton clothes and use scissors safely.
- Increased endurance for coloring and drawing activities.
- Enhanced participation and independence in school tasks.
- Parents reported pride and excitement in her growing confidence.
Outcome
Aanya’s progress highlights how play-based occupational therapy helps children gain independence and self-confidence. Consistency, creativity, and parent participation are key to fine motor development.
Maintenance sessions are continued monthly to sustain progress.
