With the options of oral response, a scribe, and a keyboard as well as extended time, his written composition skills are well above grade level (he made a 660 on the writing portion of the SAT in 8th grade), and were that way pretty much immediately upon receiving access to the accomodations. Even with intensive OT and PT, he hasn't gotten to the point where he can write by hand with any degree of fluency and legibility. With what it seems like the OT described, and knowing what I know about how much similar issues inhibited my son's ability to show what he could do (because so much mental effort was going into just trying to control the pencil that very little was left for actually thinking about the answer), I would push for immediate accomodations in the classsroom and on testing in addition to OT - it is likely a fair amount of the resistance that you see to completing assignments will vanish once the chances of the work product being good improve and he realizes this.
what kind of accommodations would a kindergartener receive or is that about setting up what he would need for the future?
Low tone and poor motor coordination could absolutely contribute to your son not liking to play with the other kids at recess - we tend to enjoy things that we are good at, especially where effort and results have some relation to each other. With the kinds of motor deficits that the OT described, it is likely that your son has at least some muscles that are easily fatigued (even if his overall "energy" and fitness is high and he doesn't appear winded, his
muscles can still tire out quickly from the low tone) and it is likely that he doesn't really enjoy games where success and enjoyment is primarily based on motor skills, stamina, and coordination, and not on understanding the game or reasoning skillfully within the rules. There isn't anything "wrong" with this, but it is supporting evidence in the report that the deficits that the OT saw during testing are consistent with real-world observations of your child's behavior. It would be unusual for a child with those deficits to be as actively involved in cooperative physical sports and games of physical skill as children without such problems, so this was probably included in the report not to stigmatize your child's choices, but because it lends credence to the idea that what the OT saw was real, and not an artifact of the testing situation.[quote]