Nonverbal Learning Disorder Neurological Deficits and subsequent Performance Deficits With Activities to remediate deficits
Primary Deficits	Secondary deficits	Tertiary deficits	Resulting in:	Academic Deficits	Play that fosters development in this area:
decreased proprioceptive awareness (force and direction )	tactile perception	tactile attention	tactile memory	graphomotor (handwriting) fine motor ability to parallel process	Pillow Fights, throwing balls, pouring from containers, Tree Climbing, Simon Says, Feely Boxes, Hand clapping games, Mixing activities
decreased vestibular function (movement)	visual perception visual-spatial-organizational	visual attention	visual memory	reading comprehension problems with gestalt problems with facial expression lose papers don’t turn in assignments on time	Pin the Tail On Donkey, Bike Riding, Roller Blades, Skipping, Hopping, Hop Scotch, Pogo Stick Jump Rope, Rolling down hills in Tires or Barrels, Swinging
decreased vestibular proprioception pressure/touch	complex psychomotor deficits	exploratory behavior	concept formation	mathematics social competence smooth pursuit (clumsy) safety judgment	All the above plus: Digging in garden, Carrying Groceries, Chopping wood, Tug of War, Board Games (Twister, Checkers) Somersaults
decreased sense of self (where is my body in space and time?)	Problems with novel material Distorted sense of time	anxiety/ avoidance	problem solving	mathematics, science, emotional stability late for appointments out of sync withdraws from input	Board Games Gardening (waiting for and nurturing fruits of labor), Cooking Crawling through tunnels, Dress up play

Sensory Processing Deficits associated with NLD and

Occupational Performance Components to address (with play activities that address those components)