Occupational Therapy -> Handwriting


Handwriting is a complex task used throughout the lifespan. Writing requires fine motor skills, visual motor skills, attention, sensory processing, efficient posture and set up of materials, visual memory, bilateral coordination, and visual processing skills. Occupational therapists address handwriting using direct teaching of the skill, intervention to address underlying deficits, adaptations or modifications of tools and activity demands, or alternative forms for written expression (i.e., voice to text into a computer).

Minor focus areas

Goal Bank

  • Given an initial directive, Alfonzo will utilize a dynamic tripod grasp and write upper and lower case letters of the alphabet with accurate letter formation, spacing, and line orientation with 90% accuracy as evaluated/determined by teacher/therapist observation and classroom samples over 5 weeks to demonstrate appropriate form when writing.
  • Given minimal cuing, Dwain will copy 7-7 short phonemes on half inch lined paper with at least 90% accuracy for line placement and sizing as seen in 7/7 opportunities over a 7 week period.

Visual Schedule Cards

Reference links

  • Pre-Writing Skills/Strokes | Handwriting Author: Tools to Grow - Handwriting is a complex process of recording language by hand, often by using paper and a pen or pencil. The production of legible and efficient handwriting requires intact skills in the areas of postural control, eye hand coordination, visual perception, fine motor control, ocular control, and pencil grasp. A child’s handwriting abilities have significant influence on their academic performance.
  • Handwriting Author: American Occupational Therapy Association - Handwriting is a complex process of managing written language by coordinating the eyes, arms, hands, pencil grip, letter formation, and body posture. The development of a child's handwriting can provide clues to developmental problems that could hinder a child's learning because teachers depend on written work to measure how well a child is learning. Occupational therapists can evaluate the underlying components that support a student's handwriting, such as muscle strength, endurance, coordination, and motor control, and parents can encourage activities at home to support good handwriting skills.