Question pretext
B. FINE MOTOR
At the beginning of this section, say to ([child_name], "We will now play some games which show how you use your hands and fingers."
PINCER GRASP
For items 38 - 41, use the following materials and procedure:
Materials:12 beads in a container, shoe lace and a small bowl-like container
Present 12 beads in a wide mouthed container or bowl. Place another container with a 1-inch diameter mouth in front of ([child_name]. Say to ([child_name], "Let's play with these." Demonstrate picking the bead with your index finger and thumb using a pincer grasp and say to ([child_name], "Pick up the bead like this and drop it into this container." Drop the bead slowly and purposefully into the opening of the container. Encourage ([child_name] to pick and drop the beads into the container. Observe ([child_name]'s performance and record for no. 38 and 39. Do not leave ([child_name] unattended with the beads within their reach.
Tell ([child_name] "Now let's thread the beads like this." Demonstrate how ([child_name] should hold the shoelace in the non-dominant hand. Thread one bead after another working quickly. Do not push the beads all the way down the shoelace. Give the shoelace and beads to ([child_name], placing the lace in ([child_name]'s non-dominant hand and say to ([child_name] "Now you do it." Observe and record for no. 40. If ([child_name] is not able to thread 2 beads, do not administer Item 41.
Remove the beads from the shoelace and say to ([child_name] “Put them in as quickly as possible.” Start timing and record how many beads ([child_name] threads in 30 seconds. Administer 3 trials and record for no 41.
