Occupational Therapy Assistant

Category - Implementing Interventions

Sean, your 3-year-old student, scribbles by holding a marker with his wrist pronated, his thumb and the lateral side of his index finger pinching the marker, and the rest of his fingers curled around the marker. How do you correct this position?
  1. You place the marker in Sean’s fingers using the correct tripod position and tell him to hold his fingers in place.
  2. You give Sean broken crayons to draw with, forcing his fingers into a tripod grasp.
  3. You do not correct it because pronated grasp is appropriate for his age.
  4. Either B or C.
Explanation
Answer: D. Children of Sean’s age are just beginning to develop the fine motor skills necessary to hold crayons and markers with a tripod grasp. Most do not yet have this skill. One way to facilitate the development of grasp, however, would be to give Sean broken crayons to use. The crayons are so small that they must be held with the fingers close to the tip. But Sean could still color with his hand in a pronated position.
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