Clinical pathway

Sports participation

The student avoids or struggles in ball games, PE, and recess play with moving targets.

Step 1

Occupational performance problem

The student avoids or struggles in ball games, PE, and recess play with moving targets.

Step 2

Clinical reasoning

  • Moving targets add pursuit, prediction, and timing on top of the static skills tested in a quiet room.
  • Grade target size, speed, and distance independently to find the actual limiting variable.

Step 3

Likely limiting level

  • Level 2: Visual Efficiency

    Pursuit and gaze stability under head movement.

  • Level 4: Visual-Motor Integration

    Timing the body to what the eyes predict.

Step 4

Intervention options

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Step 5

Movement-based options

Nothing tagged for this step yet.

Step 6

Teacher strategies

  • Larger, slower, higher-contrast balls before standard equipment.
  • Rotate the student into roles with predictable visual demands while skill builds.

Step 7

Parent carryover

  • Balloon volley and bean bag toss at home — slow, high-contrast, forgiving.

Step 8

Progress monitoring

  • Successful catches out of ten at a set distance and speed.
  • Minutes of voluntary participation at recess.

Step 9

Reassessment

Re-screen the limiting level after 6–8 weeks of consistent intervention. If the occupational problem has not changed while the contributing level has, look upstream for a different limiting factor. If neither has changed, or symptoms are worsening, refer out rather than continuing to treat.