Arm Optimize™ Program
Course Week 4
Putting It All Together
Refining Skills. Improving Motor Control.

In Week 4 we integrate everything the child has learned to build confidence, independence, and more refined motor control. We focus on real-life application, problem solving, and long-term success.
- Use skills in daily activities
- Increase endurance and consistency
- Improve motor control and precision
- Build confidence and independence
- Create a long-term plan for continued progress
More Movement. Brighter Futures.
Week 4 goal
Integrate skills, improve motor control, and build independence for lasting success.

HOME
Greater Independence
SCHOOL
Functional Participation
COMMUNITY
Real-World Success
TOOLS
Confident Use
FUTURE
Ongoing Progress
Weekly live coaching
Live coaching: building the long-term plan and handing off to the family.
Clinician guide
Clinician guide: Week 4 integration, endurance dosing, and discharge planning.
Q&A recording
Q&A recording: maintaining gains and knowing when to run another intensive.
Week 4 demonstration videos
Playback is available to course members. Locked cards show the focus, cues and takeaways only.

Playback, download and printing are available to course members.
Week 3 & 4 — Real-Life Independence / Personal Care
Washing Hair — Personal Care ADL
Overhead, sustained, bilateral, and unavoidably daily. Hair washing is one of the clearest tests that gains have reached real life.
Coaching cues
- Practise the pattern dry before adding water and soap.
- Allow the elbow to rest on the head — that support is a legitimate strategy.
- Fade your help from hand, to elbow, to verbal cue only.
Key takeaways
- Personal-care wins matter more to families than any measurement.
- Endurance in an overhead position is the limiting factor — train it directly.

Playback, download and printing are available to course members.
Week 4 — Advanced Motor Control & Bilateral Integration
Climbing the Rock Wall
Climbing forces sustained grasp, alternating bilateral reach, and full-body motor planning with the child fully invested in the outcome.
Coaching cues
- Plan the route so the affected hand has to take real holds.
- Spot at the hips so the arms keep doing the work.
- Short climbs, full effort, genuine rest.
Key takeaways
- Play at this level integrates everything from Weeks 1–3.
- Motivation is the strongest dosing tool you have.
