Tier OT Services, PC

01/09/2026

Wow! This is an incredible resource!!

>>> https://www.educatorstechnology.com/2022/07/a-handy-chart-featuring-over-30-ipad.html

01/09/2026

01/06/2026

One key component to fine motor strength, endurance, and dexterity is refined arches.

"Hand arches refer to the curved surfaces of the palm of the hand, in three distinct planes, or curved places on the hand. The ability to control the hand arches allows the hand to mobilize and hold a variety of objects of different sizes.

Refined hand arches allow the hand to cup water, hold a few coins, gently hold a small firefly, or curve the hand on a golf ball or basketball.

These hand arches are called:

✋Proximal transverse arch- formed by the metacarpophalangeal joints (MCP joints) These are the joints at the base of each fingers. This arch does not mobilize as much as the other two arches, and offers stability.
✋Distal transverse arch- formed by the distal row of carpal bones. These bones make up the wrist.
✋Longitudinal arch- follows the curve of the fingers of the hand, from wrist to MCP joints."

Here's everything you need to know about hand arches: https://www.theottoolbox.com/development-of-hand-arches/

12/13/2025

12/13/2025

‼️ New open access research in Brain Sciences offers a clear decision guide to help primary care notice sensory integration needs early, and refer to Occupational Therapy with Ayres Sensory Integration training.

Impacts for practice:

⭐ Clearer referral criteria
⭐ Informed use of SP-2 or SPM-2 to support judgement
⭐ Co-produced plans centred on everyday participation
⭐ A shared pathway for GPs, Health Visitors and School Nurses to the right OT service

This complements co-produced tools like Sensory Ladders, Sensory Spiders and Sensory Grids used by therapists, parents and teachers.

Read the article: https://www.mdpi.com/2076-3425/15/11/1184

12/13/2025

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Just in case there was still any doubt this 2024 study affirmed that all children with CP experience vestibular and somatosensory differences. Every child with CP should have a thorough sensory processing assessment AND assessing clinicians need to deeply understand the interconnections between motor control and the sensory systems. https://pubmed.ncbi.nlm.nih.gov/39041978/

12/12/2025

12/03/2025

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