Interface with toy(s)
Grading Scale and activities parameters
Grading Scale
When assessing active visual motor movement, the tool can be placed in any position. Muscle tone and the level of physical/verbal engagement will vary at different grades. Ensure that visual contrast is addressed during testing and once you begin to engage the child/student in activities.
6 (Good+) - Intentional V/M skills: - The child can coordinate visual motor movements successfully and access the black space /small space on the push button buzzer or small tools (keyboard, pencil, iPad, and more) with or without setup and no physical and verbal cues.
The child may require a setup to access the activity.
5 (Good) – Lack of visual focus /awkward motor movement of (VM) skills- The child can coordinate visual motor movements to access the small, and medium space on the tool but lack visual attention. The child requires Verbal Cues only for redirection.
4 (Fair +) - Deliberate Intentional VM skills: The child can coordinate visual motor movements to access medium space on the tool. The child requires intermittent minimum physical support.
3 (Fair) - Reflexive/hypertonic intentional V/M skills: The child can coordinate visual motor movements to access large objects exhibiting gross motor involuntary reflexive movement patterns. Visual motor skills are in sync. The movement is intentional, and goal directed. The muscle tends to increase in tone during the activity causing difficulty to control movement and target objects. Requires consistent minimum physical support and verbal cues.
2 (Poor+) –Physical guidance/ intermittently lack the visual focus for V/M skills - The child can coordinate visual motor movements to access the tool medium/large space once placed in an anti-gravity position exhibiting sporadic non-visual focus. The child may be experiencing hypotonicity.
Requires moderate physical and verbal guidance for push button and /or medium-large tools/objects when placed in an anti-gravity position targeting the medium/large space (communication cells) and or medium/large objects.
1 (Poor) -Involuntary mixed movements of VM skills: The child moves body parts exhibiting no clear direction of visual motor focus. Severe physical and /or cognitive challenges. The child requires maximum physical and verbal guidance support.
0 ~ (Poor-) - Passive Movement: The student is unable to move one or more body parts requiring consistent passive movement support. The student sometimes randomly moves body parts with no clear direction and awareness of functional body movement. The student may present with severe rigidity and/or flaccidity resulting in severely limited active visual motor coordination and movements. The child requires consistent verbal and physical motor support to facilitate movement.
Considerations of activities/occupations Parameters
Use various size switches, writing tools, adaptive writing tools, small objects (keyboard, iPad, and more), electronic aids for daily living (EADL),
Use small to medium-sized switches for occupations/activities requiring easy access and manipulation. Engage the child in activities such as cooking play, communication devices, sign language, and literacy. These activities should interface with medium-sized switches and other interfaces to ensure easy access.
Use activities that does not require several steps to complete with success, for example if using a switch for a toy car ensure it can be activated with one touch and an action form the toy is received. This will allow for the child to regain a sense of where his/her is in space as the car is moving.
The child will require large specific objects/tools easy to manipulate. Ensure that tools and activities are placed appropriately allowing for full access. The activities must be placed at a specific distance to compensate for the movement pattern (extension). Consider a table, wheelchair tray and more for child’s physical support during activities. Keep activities simple
Use of large switches, large cell spaces, and large objects placed in anti-gravity positions. Place switches, materials, and more in a specific position that does not require a lot of movement against gravity.
Provide the child with cause /effects, set-up is required. Ensure that the target area to access the switch is large and visually clear (bright color and good contrast).
Provide child with simple activities that offers textures, contrast colors, easy to access and more. Easy to access with just a push/pull for example a switch. Toys that are cause and effects, books that child can press to hear, offer texture tools to touch and contrast color of toys, tools, objects and more.
Chin
Mouth
Head
Shoulder Right
Shoulder Left
Elbow Right
Elbow Left
Wrist/Hand Right
Wrist/Hand Left
Finger(s) Right Hand (thumb, index, middle, ring, and/or pinky)
Finger(s) Left Hand (thumb, index, middle, ring, and/or pinky)
Hip Right
Hip Left
Knee Right
Knee Left
Foot Right
Foot Left
Toe(s) Right Foot
Toe(s) Left Foot
Results of Targeted Body Parts (Active Functional Visual Motor Skills)