Ideas at Play: An Occupational Therapy (OT) Podcast

Ep. 25 Hand Strengthening for Handwriting

Michele presents research that offers a completely different perspective on OT handwriting intervention. While previous episodes emphasized task-specific training (doing writing to improve writing), this study suggests that students receiving specialized resistance exercises—putty, rubber bands, clips—significantly outperformed control groups on handwriting legibility. We discuss the mechanisms behind these results and share practical strengthening activities OTPs can use in their sessions or use as home (or car) programs. We explore this alternative viewpoint, discuss the conflicting evidence, and let you decide how this fits into your OT practice. Plus, hear about Lacy's McDonald's shoe-tying success story and the Yuka nutrition app that's perfect for OT feeding interventions.

We share our own thoughts in the Research Review and encourage you to read the article too.

Kumar, M. A., & Nagalakshmi, P. (2023). Effectiveness of specialized resisted strengthening activities to improve handwriting legibility in autism spectrum disorder: a quasi-experimental study. The Indian Journal of Occupational Therapy, 55(2), 57-60.

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; handwriting; writing; strengthening; fine motor; autism; ASD; school-based; intervention

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