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Balance & coordination

Balance and coordination go hand-in-hand during a child's development. Difficulties with these essential yet challenging skills are a common reason that children can struggle with day-to-day activities such as dressing, using cutlery, riding a bike, running or playing sport.

We regularly help children struggling with balance and coordination skills, and through collaborative assessment, treatment and/or advice we ensure improvements in all areas of their daily life including school, home and play.

How OT's help

Whether your child's school has identified that they are struggling with balance and coordination, or you have such noticed difficulties yourself, we can help. When a child is experiencing developmental difficulties, proactive and early intervention will minimise the impact on their confidence and self-esteem.

Childhood development is complex and not all children will move at the same pace, but some of the most common reasons why a parent will contact us include:

  • Lack of coordination in gross motor skills during running, jumping and climbing (often demonstrated by not enjoying going to the park or playing outside)
  • Difficulties with handwriting, or in using tools like pencils or scissors
  • Slow development of skills for more complex tasks such as swimming or riding a bicyle
  • Problems at school relating to completing work or participating in sports
  • Confidence and self-esteem around physical activity in the playground

Our assessment process allows for a specialist occupational therapist to identify where your child's difficulties lie as well as the reasons for them. Once identified, we can work with you and your child to put in place a plan to address them.

Packages of care

We are flexible around the needs of your child and family, and have a variety of treatment packages to ensure we provide the right solution for you. All of our interventions are oriented towards ensuring that you and your child see measurable improvements.

This might include one or more of the following:

  • An eight-week block of one-to-one bespoke treatment sessions delivered to your child at home or school, after which we will review and plan the next steps with you
  • An intensive block of treatment delivered over the holidays - this is popular with overseas families, or those with limited weekend or after-school capacity in term time
  • A home and school programme providing practical, everyday techniques, with advice and support to ensure that the approach is consistent throughout your child's day
  • Attendance at a balance and coordination group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific areas of balance and coordination that your child is struggling with, and the source of these difficulties, allowing us to plan a targeted treatment programme.

Some of the most common areas that we would expect to be working on include:

  • Strengthening of the core muscles in the trunk and upper limb
  • Development of stamina during physical activity
  • Exercises to improve visual perception
  • Improving sensory processing, to ensure the body is receiving and interpreting correct information from their muscles about their position, speed and force
  • Working with parents and schools to ensure that the right approaches to balance and coordination continue even when the OT is not present

Schools, LEAs and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you and your child are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated paediatric team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you and your child at home or school at a time convenient for you, with no clinics or waiting lists, offering after-school and weekend appointments where necessary
  • We devise home and school-based treatment plans to ensure that our assessment and advice is relevant to each child’s unique environment
  • Our nationwide network of registered children’s occupational therapists allows us to find you the right local therapist
  • Intensive treatment available during the school holidays
  • We believe our role is to equip you and your child to become as autonomous as possible – ultimately independent of, and not dependent upon, the help we provide

Services for businesses, organisations and the public sector

Case managers

Providing OT to families & children with complex or multiple needs to achieve optimum independence.

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Local education authorities

Occupational therapy provision on behalf of LEA's at home or school as recommended in an EHCP.

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Schools

Delivering individual or group therapy for children, or advice and training to up-skill members of staff.

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Solicitors

We provide solicitors with professional reports for educational tribunals or rehabilitation needs.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Charities

Working with charities to provide reports & recommendations for grant funding applications.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our paediatric client management team, who will be able to understand what your child's difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange an assessment visit at home or school, a mixture of formal and observational methods - as well as conversation with yourself, your child and their school - after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations, together with practical advice on how to help your child. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

Melissa

Cumbria, North West England

Melissa is a Paediatric Occupational Therapist and Sensory Integration Practitioner supporting children and young people across the North of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Self care, Social integration, School Based Therapy/Support, Makaton, Anxiety management & relaxation, Learning disability, Mental Health

Rose

Bedfordshire

Rose conducts assessments with clients, providing intervention to improve their safety and independence within their home environment.

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Profession

Occupational Therapy

Regions covered

East Anglia, Buckinghamshire, Hertfordshire, Northamptonshire

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management, Moving and Handling

Further qualifications

BIA

Specialist skills

DFG Assessments

Michelle

Surrey, South East of England

Helping children thrive through Certified Sensory Integration therapy, Michelle specialises in sensory processing, autism, ADHD and everyday independence.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey, London - South, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

Routine planning, Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Anxiety management & relaxation

Dawn

Cornwall, West and South West of England

Dawn is an OT based in Cornwall, providing expert assessments and therapy for both adult and paediatric clients.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

DFG Assessments, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support, Anxiety management & relaxation

Katy

Cheshire, North West England

Supporting every stage of childhood, Katy specialises in paediatric Occupational Therapy across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, School Based Therapy/Support

Rosie

Lincolnshire, Yorkshire and Lincolnshire

Rosie is a Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner offering services across the East Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Planning & execution, School Based Therapy/Support, Sensory attachment intervention, Learning disability, Mental Health

Emma

Warwickshire, West Midlands

Emma is an experienced Paediatric Occupational Therapist providing specialised care to children across the Midlands in various settings.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry, Nottingham, Leicester, Wolverhampton, Derby

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support

Laura

Hertfordshire, South of England

Laura is a Paediatric Occupational Therapist specialising in sensory processing, fine motor skills, handwriting, self-care and functional independence.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Hertfordshire, London - North, London - West

Specialisms

Paediatrics

Anthea

Essex, East Anglia

Anthea is a Sensory Integration trained Paediatric Occupational Therapist, providing specialised treatment and intervention to children with diverse needs.

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Profession

Occupational Therapy

Regions covered

East Anglia, Essex, Hertfordshire

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, Therapeutic listening

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, School Based Therapy/Support

Rebecca

Edinburgh, Edinburgh (City of)

Based in Edinburgh, Rebecca is a specialist Paediatric OT providing expert care for children across Lothian and Fife.

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Profession

Occupational Therapy

Regions covered

Scotland, East Lothian, Edinburgh (City of), Fife, Midlothian, West Lothian, Edinburgh

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support

Elena

Cardiff, Cardiff

Based in Cardiff, Elena helps children develop confidence, independence and everyday skills through Occupational Therapy.

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Profession

Occupational Therapy

Regions covered

Wales, Bridgend, Cardiff

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Further qualifications

CO-OP Practitioner

Specialist skills

Daily living skills, Fine motor skills, Self care, Postural management, School Based Therapy/Support, Learning disability

Patricia

London - South, London

Patricia provides specialist Paediatric Occupational Therapy, SEND reports, EHCP assessments and Tribunal support across London.

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - North, London - South, London - East, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, AMPS, CO-OP Practitioner

Specialist skills

Fatigue management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Sign Language, Makaton, Anxiety management & relaxation, Learning disability, Mental Health

Sue

Gloucestershire, West and South West of England

As an OT with nearly 40 years of experience, Sue is an expert in paediatrics; vocational and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, Financial management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Learning disability

Shira

London - Central, Middlesex

Shira is a Paediatric Occupational Therapist specialising in Sensory Integration. She is based in London, visiting clients across the city.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - North, London - East, London - West

Specialisms

Paediatrics

Further qualifications

Therapeutic listening

Specialist skills

Sensory integration, Fine motor skills, Visual perception, School Based Therapy/Support

Michelle

Staffordshire, West Midlands

Qualified in Sensory Integration, Michelle is a Paediatric Occupational Therapist supporting children with autism, ADHD and developmental needs.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Fatigue management, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Pippa

Gloucestershire, West and South West of England

Supporting adults and children across South West England, Pippa specialises in functional rehabilitation, equipment provision and housing adaptations.

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Profession

Occupational Therapy

Regions covered

West and South West of England

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Marie

Liverpool, Merseyside

Based in Merseyside, Marie provides expert neurological occupational therapy and rehabilitation to adults and children at home.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, Wales, Cheshire, Lancashire, Merseyside, Shropshire, Conwy, Flintshire, Isle of Anglesey, Wrexham, Liverpool

Specialisms

Paediatrics, Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Amanda

Hampshire, South of England

Based in Hampshire, Amanda is an experienced Paediatric OT helping children and their families with a wide range of needs.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, Surrey

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Learning disability

Amber

Kent, South East of England

ADOS-trained Occupational Therapist, Amber supports children and their families across the South East of England.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Paediatrics

Further qualifications

CO-OP Practitioner

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation, Learning disability, Mental Health

Chia-Chien

London - South, Surrey

Chia is an occupational therapist fluent in Mandarin who specialises in paediatrics and neurology.

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Profession

Occupational Therapy

Regions covered

London , London - North, London - South, London - West

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Splinting, Sensory attachment intervention, Learning disability, TBI

Jade

Plymouth, Devon

Based in the South West, Jade empowers children and families through compassionate paediatric Occupational Therapy, supporting neurodiversity and everyday independence.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, Cornwall, Devon, Dorset, Somerset

Specialisms

Paediatrics

Further qualifications

AMPS

Specialist skills

Behaviour management, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability, Mental Health

Tom

Greater Manchester, North West England

Based in Manchester, Tom provides specialist paediatric Occupational Therapy across North West England for children and young people.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester

Specialisms

Paediatrics

Further qualifications

Train the trainer

Specialist skills

Fatigue management, Sensory integration

Helen

Swindon, Oxfordshire

Helen is passionate about helping children succeed through expert paediatric Occupational Therapy across Oxfordshire and the South East.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Gloucestershire, Oxfordshire, Wiltshire, Swindon

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Community access, Sensory integration, Gross motor skills, Behaviour management, Handwriting assessment & treatment, Anxiety management & relaxation, Sensory attachment intervention, Learning disability, Mental Health

Bismah

London - East, Essex

Bismah is a paediatric Occupational Therapist specialising in autism, sensory processing, EHCP assessments and supporting children to thrive at school.

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Profession

Occupational Therapy

Regions covered

South East of England

Specialisms

Paediatrics

Kyla

London - South, Surrey

Kyla is an experienced Occupational Therapist supporting children and adults with neurological, physical and developmental needs across Surrey and London.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Surrey, London - Central, London - South, London - West

Specialisms

Paediatrics, Neurological rehabilitation

Rachel

Hertfordshire, South of England

Rachel is a Paediatric Occupational Therapist supporting children in the South of England with diverse developmental, behavioural, and learning challenges.

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Profession

Occupational Therapy

Regions covered

London, South of England, Cambridgeshire, Essex, Hertfordshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Anxiety management & relaxation, Mental Health

Farhat

Birmingham, West Midlands

Farhat is a Paediatric Occupational Therapist specialising in Sensory Integration, supporting children and families across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Emily

Cornwall, West and South West of England

Emily is a dedicated Occupational Therapist with a specialization in pediatrics, she works in the West and Southwest of England.

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Profession

Occupational Therapy

Regions covered

London, Bristol, Cornwall, Devon, Dorset, Hampshire, Herefordshire, Somerset, Wiltshire

Specialisms

Paediatrics

Specialist skills

Fatigue management, Daily living skills, Community access, Fine motor skills, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Azade

London - Central, London

Specialising in Sensory Integration, Azade works with children who have Developmental Coordination Disorder, Autism, Attention Deficits, and Motor Skill challenges.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Carolina

London - North, London

Based in London, Carolina specialises in Paediatric Occupational Therapy, helping children thrive through neurodiversity-affirming practice.

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - North, London - East, London - West

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

CO-OP Practitioner

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Learning disability

Client feedback

Further reading

Our Experts' Blog

Understanding Gross Motor Skills for Children

Gross motor skills are essential for movement, learning and independence. When children experience difficulties with balance, coordination or posture, these challenges can impact many aspects of school and daily life. This article explores the signs of gross motor difficulties and how occupational therapy can help.

Read more

Our news & press

How Can Occupational Therapy Help Reduce the NHS’s Bed Capacity Problem?

With the public sector currently in crisis, considering a deeper relationship between the private sector and the NHS is essential. Utilising the independent sector fully will significantly reduce the bed capacity challenges facing the NHS today.

Read more