Perkins Activity and Resource Guide Chapter 3: Motor Development: Gross and Fine Motor Skills: Second Edition: Revised and Updated
By Kathy Heydt and Monica Allon
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Perkins Activity and Resource Guide Chapter 3 - Kathy Heydt
Massachusetts
Contents
CHAPTER 1
Teaching Children with Multiple Disabilities: An Overview
CHAPTER 2
Foundations of Learning: Language, Cognition, and Social Relationships
CHAPTER 3
Motor Development: Gross and Fine Motor Skills
CHAPTER 4
Functional Academics
CHAPTER 5
Vocational Skills for All Ages
CHAPTER 6
Daily Living Skills
CHAPTER 7
Independent Living Skills
CHAPTER 8
Sensory Integration
CHAPTER 9
Developmental Music
CHAPTER 10
Orientation and Mobility
CHAPTER 11
Enhancing the Use of Functional Vision
CHAPTER 12
Adaptive Technology: Handmade Solutions for Unique Problems
CHAPTER 13
Techniques for Lifting Students Safely: Body Mechanics and Transfers
CHAPTER 14
Assistive Devices and Equipment
GLOSSARY
INDEX
CHAPTER 3
Motor Development:
Gross and Fine Motor Skills
by Kathy Heydt, P.T., M.Ed., COMS
and Monica Allon, M.S., OTR/L
Acknowledgments
Special thanks to the following individuals who read this chapter and offered ideas, information, and helpful criticism: Barbara Shea, PT, Sue Shannon, OTR, and Priscilla Chapin.
Chapter Outline
Introduction
Educational Guidelines
Range of Motion
Joint Range of Motion
Muscle Strength
Muscle Testing Grades and Scores
Muscle Tone
Reflex Development
Developmental Reflex Test
Posture
Common Posture Problems in Visually Impaired Students
Posture Screening Checklist
Balance
Gait Pattern
Taking a Single Forward Step
Sensation
Gross Motor Skills
Hula-Hoop® Jumping
Beanbag on My Head
Rolling Along
Tug of War
A Special Trap
Tractor Tread
Wheelbarrow Walking
High Stepping
Kick the Carton
I Can Walk Like That
Catch It If You Can
Squeaky Jumping
Beanbag Toss
Skipping
Balance Beam
Fine Motor Skills
Ping-Pong Flick
The Country Egg
Walk the Ball up the Wall
Rubber Band Stretch
Cutting with Scissors
Oobly Goop
Homemade Playdough
Suggested Activities to Encourage Specific Hand Skills
Resources
Suggested Materials
Annotated Materials
Distributors
Developmental Screening Checklist
Annotated Resources
Annotated Tools for Assessment
Bibliography
Glossary
Introduction
The development of motor skills follows a natural, progressive pattern. We all proceed through these stages at our own pace while remaining within certain identified norms. Motor development is cephalo-caudal, beginning at the head and progressing downward toward the toe. This can be seen in the development of a normal infant—the ability to hold her head up appears before she can sit up, crawl, or walk.
Motor development also occurs from proximal to distal, from the midline of the trunk outward to the fingers and toes. It is important to develop the ability to stabilize in the trunk. Without this development, the refinement of any skills with our arms, legs, hands, or feet will not occur. An infant cannot begin to crawl and bear weight on her arms and legs until she has the ability to stabilize her hips and shoulders. If this proximal stability does not occur, the baby will continue to collapse at every attempt to get on her hands and knees.
Gross and fine motor skills develop along a continuum. Generally, by eight months a baby can sit independently and begin to lift a cup with a handle. Around fifteen months most children can walk across the room and reach smoothly and accurately for an object. Without a good base in gross motor skills, fine motor skills may be lacking or delayed. For related information refer to the Developmental Screening Checklists in this chapter.
As in any area, interference with part of the system, be it visual, auditory, motor, etc., will cause delays in motor development. It has been well documented that visually impaired infants are consistently a few months behind their sighted peers (Fraiberg, 1977). In general, children totally blind since birth exhibit the greatest delays in motor development. If there has been some vision since birth or early intervention services, the involvement is not as great. This depends on the degree of visual impairment and the amount and quality of intervention services.
In addition, when you consider all of the disabilities, such as developmentally delayed, cerebral palsy, Down’s Syndrome, and autism, you realize that visual impairment is only part of the overall picture. Each disability brings along its own set of complications to interfere with motor development.
This chapter will include explanations and helpful activities in the areas that play an important role in motor development. If a student has difficulties in any of these areas (e.g. range of motion or muscle strength), the overall effects may be observed in delayed gross and fine motor skill development.
Educational Guidelines
Gross Motor
• Use a variety of teaching positions when possible
• sitting in a chair
• sitting on the floor (straight-legged, cross-legged, side-sitting)
• kneeling
• half-kneeling (one leg up, one leg down)
• Discourage W
sitting. It can promote
• unnecessary pressure on knees.
• heelcord tightness.
• joint laxity in the hips and, in extreme cases, dislocation.
• Encourage physical play during free time.
• Provide a safe enclosed area for physical play (fenced-in yard with no obstacles or drop-offs, barrier-free room with carpet).
• Allow student to use playground equipment, provide assistance as needed.
• Advocate for adaptive or regular physical education as part of the student’s weekly school schedule.
• Encourage the student to develop an interest in some type of routine physical activity, such as swimming, walking, running, hiking, stationary bike, dance, or gymnastics.
• Some students will need minimal physical assistance to come to a standing position. Do not pull a student up by the arms. The following suggested sequence may encourage the student to become independent and put less physical strain on the caregiver.
• Ask student to