The ability to control the amount of force used during object manipulation is critical to developing good fine motor coordination. This course explains the underlying neurological causes of hand dysfunction in children with disabilities. By helping the learner understand the underlying mechanisms responsible for motor control, appropriate interventions can be planned and implemented.

Audience: OT, COTA

Skill Level: Basic and Intermediate

Contact Hours: 3

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA

Teaching Methods: Course content includes text from, "Hand Function in the Child: Foundations for Remediation, 2nd ed. (2006)" edited by Dr. Anne Henderson, PhD, OTR and Charlane Pehoski, ScD, OTR/L, FAOTA PhD, - Copyright 2006 Elsevier, Inc. All Rights Reserved

Criteria for Passing: Each learner must complete all learning activities/handouts and pass a final exam to receive credit.

By the end of this course, each learner will be able to:


  1. Describe how Central Pattern Generators (CPGs) impact movement behavior.

  2. How Afferent Information, Touch, and Proprioception impact hand funciton.

  3. Describe the relationship how grip and load phases work together to move an object, and how fast-adaptive receptors and slow-adapring receptors regulate the movement.

  4. Describe how an object's weight, size, and friction can impact frip and load forces during functional activities.

  5. Describe how somatosensory involvement is greater during motor learning.

  6. Explain force control problems in children with Cerebral Palsy (CP), Attention Deficit Hyperactivity Disorder (ADHD), and Developmental Coordination Disorder (DCD).


Here is the course outline:

1. Introduction

Please read the introduction to provide you with important information and tips about your course.

2. Course Objectives

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3. Coursework

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4. Course Final and Survey


The following certificates are awarded when the course is completed:

Certificate of Completion