Consider the following chronological observation: Child engaged in 60-minute OT session in daycare setting to work on reach/grasp/release and feeding skills. With min for facilitation of movement at elbow, child demonstrated ability to use UE to reach, grasp, and release 5 objects with 1-2 verbal cues per object and used UE to stabilize self for unsupported sitting at table. Child was able to feed self with ~50% spillage, but demonstrated significant limitations in chewing action with ~3 rotary chews & swallowing ~90% of food without chewing. Child required verbal cues throughout session to maintain attention to task. Child wore soft thumb spica orthosis for entire session.

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