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Why Visual Performance Matters: Foundations for Occupational Therapy Practice — participation guide

3 contact hours · 0.3 AOTA CEUs · Module 4 — follow along, take notes, and complete the reflection prompts.

Module 4

Comorbidity Patterns

Anchor concept

Visual performance findings rarely arrive alone. The same child often carries an attention, learning, or developmental diagnosis, and the visual piece gets absorbed into that label.

Follow along

What this module covers

  • Association is not causation
  • Visual performance signs associated with dysgraphia
  • The numbers behind the urgency

Key ideas

Capture these as you listen

  • Autism commonly co-occurs with visual attention and ocular motility concerns; do not assume visual findings are "just autism."
  • ADHD can coexist with genuine visual inefficiency; test whether reducing visual demand improves performance.
  • Dyslexia is language-based, not vision-based; OTs avoid unproven visual cures and support occupational impact instead.
  • Dysgraphia is strongly linked to visual-motor and spatial-planning deficits — a core OT intervention area.
  • Comorbid plans are integrated, but scope boundaries remain clear: OT treats performance, eye care treats ocular health.

Notes

My notes for this module

Reference figures

Keep these for practice

Work sample — a Level 4 visual-motor signature on the page

Line 1 → Line 5: letters grow, spacing widens, baseline drifts upward.
A rendered copy sample showing what performance breakdown looks like on the page: baseline drift, widening spacing, and letter size growth across five lines of sustained near work.

Apply it

Case prompt

A student with ADHD and dyslexia complains that reading makes his eyes "tired." The school team wants to try a colored overlay first. How do you respond in a way that respects evidence and keeps the student's occupational needs in focus?

Practice

Mini exercise

Write a one-paragraph team note that distinguishes dyslexia from a possible co-occurring visual efficiency problem, using correct scope language.

Take it to work

Action step this week

Review one IEP for a student with a diagnosis from this module. Identify one visual performance question that has not been addressed, and one sentence you would add to the present levels.