The OT said his wrist strength was good and that he had trouble with in-hand manipulation, but she didn't mention a tremor or tic. His visual perception was really high. He used to have more difficulty with buttons, but that's gotten better too. He still wants velcro shoes. He likes to work with clay and paint in art class but isn't really into drawing with pencil-like tools. His timed math quizzes are a little better as he has practice. I don't think he's up to a normal 9yo, but I see improvements.