Handwriting difficulty is one of the primary reasons for referral for Occupational Therapy services in school based settings and in private practice. The Interactive Metronome can be an effective therapeutic booster to help improve this functional life skill. This course will show how to incorporate various intervention approaches into IM treatment to help improve pre-writing, letter formation, sizing, spacing and alignment. These intervention approaches will include neurodevelopmental strategies, motor learning strategies, sensorimotor strategies and biomechanical strategies. The course will also show how to document and communicate improvement and using this documentation as a motivational tool.