Literacy: physical impairment
The main literacy challenges for early years children with physical impairment are:
- Expressing themselves, including making clear phonic sounds
- Responding to requests
- Making eye contact
- Having the time to respond to others
- Physically being able to join in with actions and keeping up with the pace of activities and games with other children
- Visually keeping up with reading, looking at books and words
- Making controlled, meaningful marks and writing
- Hand-eye co-ordination
You can:
- Encourage the child to make shapes or letters using their fingers in sand and playdough.
- Have keywords written in different textures and colours so that the child can trace the words with their hands or fingers.
- Encourage independent mark making with paints, chalks, and crayons, using flat hands and fingers, as well as implements.
- Work at table level and large on walls or boards.
- Use musical instruments, ribbons, and finger and hand puppets to develop large and fine movements.
- Adapt paintbrushes, pencils and crayons by attaching them to different thickness of dowelling rods.
- Use multi-sensory, interactive books.Look into a mirror when making phonic sounds.
- Use props such as candles or cotton wool that the child can blow to bring their lips together and encourage breath control.
- Put a favourite taste on the child's lips to encourage them to lick it off, teaching tongue control.
- Discuss sound-making with a speech and language therapist.


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