Motor/self help skills

My case study child is developmentally delayed. His main point of focus is his speech. To begin with, John was drinking out of a sippy cup in August. As of right now, John no longer has to have a sippy cup. John has learned how to hold a cup and drink from it. John can also use utensils correctly. John likes to work puzzles however he needs the puzzles with large pegs. He has not mastered being able to connect regular puzzle pieces. John likes to do lacing cards. John tries very hard and concentrates to the point that he hums while completing an activity. John loves to play with the manipulatives in my room, he can manipulate the unifix cubes very well. He likes to connect them and build towers. Right now I am working with John on cutting with scissors. In the book it list paying attention to Handedenss, and states that practice pays off. I have been able to switch the scissors in the opposite hand and he can cut better. We really have to do a lot of practice with John. We also have to work with John's eye-hand coordination. John has a hard time with this because he concentrates too hard on one activity. He doesn't do very well when catching the ball. He pays so much attention to the person throwing the ball that he forgets to catch it. John does work with the Occupational therapist for his motor/self help skills. John appears to do well with large motor skills but has more difficulty with fine motor skills.

Reference:
Cook, Ruth E., Klein, Diane & Tessier, Annette. (2008). Adapting Early Childhood Curricula for Children with Special Needs.