Tag: Fine motor skill

Slow Processing Speed…is it due to weak motor skills, weak auditory processing skills or weak executive function skills?

ADHD, Executive Functioning, Learning, Processing Speed, Thinking Skills, Visual Processing, Writing


 

Slow processing speed can be due to more than just weak motor skills. Sarah’s experience highlights some of the more complex factors that should be considered for a child with slow processing speed.

Sarah is a diligent, athletic and caring 15-year-old girl. Sarah has always done well in school, but not without support. When Sarah entered ninth grade at her new high school her study skills deteriorated and she began to have trouble completing her homework and turning it in. In spite of Sarah’s best intentions she was not able to pull up her grades and complete her work. Based on recommendations from her school Sarah was evaluated to see if any learning issues were hindering her progress. The results of the evaluation demonstrated that while Sarah has an overall cognitive potential in the average range, her Processing Speed Index was significantly below her Verbal Comprehension and Working Memory Index scores.

The findings from Sarah’s evaluation indicate that her processing speed deficit is due to her difficulty with visual discrimination, auditory processing, and weak executive functioning skills. While inattentive ADHD was not completely ruled out, the examiners felt that Sarah’s main area of challenge was in the area of executive functioning rather than ADHD. Observation of Sarah during testing demonstrated her difficulty with task initiation. Sarah’s auditory processing weakness resulted in a difficulty understanding directions. Without a complete understanding of directions Sarah often did not know what she was expected to do on the tasks presented. Sarah’s response to not fully understanding the directions given to her, was to stop and try to figure out what she was supposed to do before she began working. This delay significantly impacted the time that it took her to complete the tasks. In addition, without a full understanding of directions Sara often did not complete the tasks fully.

 Sarah’s challenge with executive functioning skills was evident in her difficulty starting tasks, as well as her difficulty organizing her thoughts and language as she listened to instructions. The combination of weak auditory processing skills along with weak organization and problem solving skills made it extremely difficult for Sarah to begin a new task.

 Sarah’s fine motor skills, reading skills and language skills were in the average range. Her slow processing speed affected her performance on writing and math tasks. In addition, Sarah needed extra time for reading comprehension tasks due to the complex language and organization processing required to comprehend the material.

 Recommendations to help students like Sarah

Classroom Recommendations and Accommodations

  • The following recommendations are suggested for use in the classroom:
    • Students will benefit from cueing so they know what to expect – check in with them periodically and preview what is to come.
    • Help students organize the information they hear in meaningful ways, including chunking the information into shorter steps or connecting new information with previously learned information.
    • Preview new concepts with students so they know what to expect – this will decrease stress and help with attention and engagement in the classroom.

 

Executive Function/Memory Skills

  • Build strategies to help students analyze, prioritize, and execute specific steps in a given assignment.
  • Encourage students to think through responses and take their time; many students with processing speed issues develop a compensatory strategy to rush through in order to finish work in time; these students would benefit from slowing down to process the information more deeply.
  • Teach students to stop and read directions carefully prior to starting a task.
  • Break down tasks and follow the order-checking work along the way.
  • Build memory skills by building associations to preexisting knowledge.
  • Rehearse new information to help encode it.
  • Encourage students to visualize what they are going to do before they begin a task.
  • Teach students strategies to increase engagement such as use of reminders (which can be set on devices such as the iPhone) to help build attention, awareness, structure and independent work habits.
  • Teach students to use self-talk to organize learning and performance strategies and to focus attention on tasks.
  • Teach students strategies to help recall information, such as PAR:

P= Picture it.
A= Associate it
R= Review it.

 

  • Teach students study and memory strategies such as:

o   “Chunking” information into more manageable units

o   Rehearse new information to help encode it

o   Use notecards to review information

 

Visual-Perceptual Strategies

  • Use of graphic organizers to depict information visually and increase retention of ideas.
  • Note-taking techniques that will present and summarize heard information visually.
  • Exercises to sharpen the ability to attend to visual detail and to express similarities and differences between images.

 

Processing Speed/ fine motor skills

  • Allow extra time for tests, usually time and a half.
  • Provide extra time for students to complete in-class assignments.
  • Train students in time management techniques to become aware of the time that tasks take.
  • Teach typing skills to enable students to type as fast as they think.
  • Allow students to use the computer for all writing tasks.

 

Organization of language

  • Students may have excellent ideas but have difficulty organizing their thoughts. Building pre-writing will help them express their ideas more clearly.
  • Review of writing formats (Narrative, Expository, Descriptive, Compare/Contrast, Persuasive) would facilitate and structure written expression.
  • Reinforce the writing process for students in a systematic manner (Brainstorming or clustering, writing, editing). The Inspiration Program is a creative computer tool that helps students brainstorm and organize their ideas before writing.
  • Build students expressive lanuage skills by:

o   Building language categorization skills

o   Building rapid naming skills

o   Teaching them how to organize new information as they learn it to create associations they can use later to recall the information

o   Building flexible thinking skills

 

Increase reading comprehension

o   The SQ3R approach is recommended as an approach to studying information from text books

o   Teach students to preview reading material prior to class to ensure they are able to follow along during class time

o   Teach students to take notes at the end of each chapter of books they read. This will not only aid comprehension but assist in studying or finding information quickly when writing an essay

o   Pull out keywords and main ideas while reading to help put what students are learning into context

 

Hopefully Sarah’s academic achievement will improve as she builds strategies to help her overcome her areas of challenge. Building Sarah’s ability, and helping her develop strategies, to understand directions is the first step to helping her start tasks. Teaching Sarah how to break down and organize the steps to complete tasks will allow her to finish the tasks she starts. As Sarah develops these skills, it is hoped that she will be able to complete tasks in a timely manner, thereby increasing her processing speed.

 

 

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How Does A Low Processing Speed Score Affect My Child?

Executive Functioning, Learning, Processing Speed, Thinking Skills, Visual Processing, Writing

Question: My 16 year old son has just had an evaluation and he was given the following scores on the test: 
 PRI 132, VCI 130, WMI 110, PSI 76
. I don’t understand how exactly this affects him, though I do notice he is a bit slow on some activities. How does the combination of the factors above translate into his abilities?

My son also can be difficult to deal with. He often does not like to work on any work assigned to him (It’s difficult to get him to do homework), which causes him to sometimes not hand in homework assignments. He is also quite disorganized, and procrastinates often. Socially, he is withdrawn and shy, even with people he knows.  He does have a few friends, and he can be lively around them. I wouldn’t say he has any deficits in communication, as he can still communicate well, and I think he just does not prefer to communicate or is shy.

 Answer: Your child has developed a strong vocabulary and is easily able to explain his understanding of socially based concepts. Your child’ ability to quickly and efficiently process auditory information, especially verbal information, is excellent. His ability to perform visual spatial problem solving is also very strong.

However, while your child demonstrates well-developed cognitive skills his ability to process information at the level his reasoning skills suggest is compromised by several factors present in testing. First, your child’s ability to read and synthesize material in a timely manner may be affected by his weakness in visual-discrimination and processing speed. His weak processing speed impacts his ability to process visual information as quickly as his strong cognitive skills suggest. This can impact his ability to read, write and perform math problem quickly.

Taken together, the significant discrepancy  between your child’ Verbal Comprehension and his Processing Speed Indexes; along with the differences between Perceptual Organization and Working Memory Indexes and Processing Speed Index, reflects a need for extended time on academic tasks and tests. Therefore, it is recommended that your child be granted extended time on all assignments and tests, including standardized testing such as the SAT and ACT. Furthermore, Your child’s current profile confirms he has  a visual perceptual and visual motor processing deficit and accommodations are warranted to allow your child additional time, or a reduction in work on all academic tasks.

The issue of your son’s lack of desire to communicate could be due to many reasons. There is a great book out called Quiet: The Power of Introverts in a World That Can’t Stop Talking 
by Susan Cain. This might be a good book for you to read to determine if your son is an introvert, which may explain his lack of interaction with people around him.

The issue of his disorganization and difficulty completing homework may be due to weak executive functioning skills. You can learn more about executive functioning at http://executivefunctioning.com.

RECOMMENDATIONS & ACCOMMODATIONS

• It is recommended that the results of his evaluation be shared with your child so he may understand his profile of strengths and weaknesses and can adjust his learning and study strategies accordingly.

• Based upon your child’s status as a student with a Learning Disability, he should be provided the following accommodations:

  • Extra time on tests (at least 50%)
  • Extended time (at least 50%) on all standardized tests including ACT, SAT and AP tests

Improve your child’s Working Memory, Attention and Executive Functioning Skills

• The CogMed program is recommended to build your child’s working memory, which will help support his attention processing.

• A program designed to improve your child’s executive functioning skills (such as the K & M Center Executive Functioning Program) is recommended.

• A program designed to increase your child’s cognitive flexibility is also recommended (such as the K & M Flexible Thinking Program)

• Teach your child to use self-talk to organize his learning and performance strategies and to focus his attention on tasks

• Build strategies to help your child analyze, prioritize, and execute specific steps in a given assignment

• Break down tasks and follows the order checking work along the way

• Teach strategies to increase engagement

Writing


• Encourage pre-writing activities such as brainstorming and outlining

• Use of Inspiration (Inspriation.com) and Dragon Speak Naturally (http://www.nuance.com/dragon/index.htm) to help him organize his thoughts and share them.

• Re-Train the Brain (Retrainthebrain.com) can help fine motor skills to make writing easier.

Visual-Perceptual Strategies

• Use graphic organizers to depict information visually and increase his retention of ideas.

• Note-taking techniques that will present and summarize heard information visually.

• Practice exercises to sharpen his ability to attend to visual detail and to express similarities and differences between images.

Processing Speed

• Allow extra time for tests, usually time and a half

• Provide extra time for your child to complete in-class assignments

• Train your child in time management techniques to become aware of the time that tasks take.

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Dysgraphia: Difficulty writing

Learning, Processing Speed, Spelling, Thinking Skills, Visual Processing, Writing

Dysgraphia refers to difficulty writing.  Most people with dysgraphia have a hard time holding a pencil or pen. The awkward pencil grip can make forming letters on a page challenging.  When a student with dysgraphia is asked to copy from the board, line up math problems, or write an essay he is at a real disadvantage compared to his peers who can easily write down information on a page.

Many parents and teachers don’t realize that dysgraphia is a learning disability that does not get better as the student gets older. Here are some of the signs to watch for:

  • Awkward pencil grip
  • Messy writing
  • Letter size is inconsistent
  • Presses hard on paper
  • Spacing is inconsistent
  • Letters are not anchored on the line
  • Tires easily
  • Omits words in sentence
  • Has trouble keeping track of an idea while writing
  • A large gap exists between verbal ability to communicate and written ability to communicate.

What can be done to help a dysgraphic student?

Build fine motor skills for writing

    • The amount of effort it takes students to write makes the whole writing process laborious. The frustrating part for the students is that they have the ideas but it’s too much work to communicate them
    • I recommend the Retrain the Brain program along with Handwriting Without Tears.
    • An occupational therapist has additional tools that can be used to build the hand muscles needed for fluent writing.
    • Vision Therapy, if visual tracking is an issue.

Organize language and writing skills.

      • Educational specialists or tutors can help with this
      • The writing skills that a student with this profile needs to learn includes: pre-writing skills to help him organize his ideas before he writes and editing skills.
      • Use Speech to Text software like Dragon 

Use mind maps or advanced organizers

    • Graphic organizers  are great tools.
 In other words, we want to take the grand ideas that the student has and get them onto paper.
 This process alone will alleviate a lot of stress on the student.
    • Once the ideas are on paper, they can be numbered in the order the student wants to present them in his final paper.

Here is a great video that explains dysgraphia

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