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Fine motor skills

Fine motor skills guide the small movements of the hand and fingers that allow a child to write and draw, as well as manipulate buttons, zips or scissors. When these skills are under-developed, the results can include reduced independence, school performance and self-confidence.

We work with children and their families as well as school staff, using proven techniques for improving fine motor skills.

How OT's help

Whether your child's school has identified problems with their fine motor skills or you have noticed such difficulties yourself, we can help.

Childhood development is complex and not all children will move at the same pace, but some of the most common reasons that a parent will contact us with concerns about their child's fine motor skills include:

  • An awkward or immature pencil grasp
  • Messy or slow writing, drawing or colouring
  • Excessive tiredness after short periods of writing, drawing or typing
  • Difficulty when using scissors or performing precise manipulations such as fastening buttons, zips or shoelaces
  • Problems performing self-care tasks independently
  • Reluctance to engage with tasks requiring hand-eye coordination such as building Lego

Our assessment process allows a specialist occupational therapist to identify the nature of your child's difficulties with fine motor skills, and 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 fine motor skill 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 fine motor skills group at weekends or over the holidays

Common areas we work on

Through our assessment we will identify the specific fine motor skills 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:

  • Hand dominance
  • Bilateral integration
  • Finger isolation
  • Hand and finger strength
  • Working with parents and schools to ensure that the right approaches to developing fine motor skills 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

Schools

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

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LEA's

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

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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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Solicitors

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

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Case managers

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

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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

Lorraine

Newcastle upon Tyne, Northumberland

Based in Northumberland, Lorraine is an expert Paediatric OT supporting children of all ages with physical and sensory needs.

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Profession

Occupational Therapy

Regions covered

, Cleveland, Durham, Northumberland, Tyne and Wear, Borders

Specialisms

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

Further qualifications

Sensory Integration, AMPS, Chailey Postural Management

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, DMO (Lycra) Splinting, School Based Therapy/Support, Learning disability

Lone

Essex, East Anglia

Specialising in Advanced Sensory Integration and both Bobath and Chailey approaches, Lone treats children at home, school, and nursery.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, Essex, Suffolk, London - Central, London - North, London - East

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, Train the trainer, CO-OP Practitioner

Specialist skills

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

Deborah

Middlesex, London

Debbie is an expert Speech and Language Therapist, delivering specialist assessments and treatment to children at home, school, and nursery.

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Profession

Speech and Language Therapy

Regions covered

London, Hertfordshire, Middlesex, London - Central, London - North

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support

Alison

Coventry, West Midlands

Based in Coventry, Alison has been a Paediatric OT for over 10 years, specialising in fine motor skills and handwriting.

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Profession

Occupational Therapy

Regions covered

West Midlands, Leicestershire, Northamptonshire, Oxfordshire, West Midlands, Worcestershire, Coventry

Specialisms

Paediatrics

Specialist skills

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

Margaret

London - East, London

Margaret is a Specialist Paediatric Occupational Therapist in London, specialising in developmental and neurological conditions, including ASD, ADHD, and DCD.

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Profession

Occupational Therapy

Regions covered

Specialisms

Paediatrics

Katie

Gloucestershire, West and South West of England

Based in Tewkesbury, Katie is a specialist Paediatric OT delivering expert interventions across Gloucestershire and Herefordshire.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Herefordshire, Worcestershire

Specialisms

Paediatrics, Housing and Equipment

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support, Learning disability

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

Rachel

Dorset, South of England

Rachel, an expert Occupational Therapist based in Hampshire, specialises in paediatrics and handwriting assessments and treatments and EHCPs.

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Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Handwriting assessment & treatment

Stefanie

Southampton, Hampshire

Trained in Sensory Integration techniques, Paediatric Occupational Therapist Stefanie helps families by treating children across Hampshire.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire

Specialisms

Paediatrics, Functional rehabilitation

Shivangi

London - South, Kent

Shivangi is an experienced Paediatric OT based in London who supports children with a wide range of conditions and disabilities.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Kent, London - South

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

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

Rachel

Shropshire, West Midlands

Based in Shrewsbury, Rachel is an experienced Paediatric OT offering assessments and care to children at home and school.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, Wales, Cheshire, Shropshire, West Midlands, Powys, Wrexham, Birmingham, Liverpool, Wolverhampton

Specialisms

Paediatrics

Robyn

London - East, London

Occupational Therapist Robyn is a Paediatrics specialist working in London (Bow, Mile End, Stratford, Bethnal Green).

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Self care, School Based Therapy/Support, Anxiety management & relaxation, Sensory attachment intervention, Learning disability

Alexis

Norfolk, East Anglia

Alexis provides Occupational Therapy services in Rehabilitation, Housing and Equipment, Moving and Handling, Paediatrics, and Neurological Rehabilitation across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Lincolnshire, Norfolk, Suffolk

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Sensory integration, 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, TBI

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

Terri

Coventry, West Midlands

Working in the Midlands Terri is a highly skilled OT specialising in paediatrics, sensory integration, behavior management, and mental health.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Leicestershire, Lincolnshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Behaviour management, Anxiety management & relaxation, Mental Health

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

Louise

Essex, East Anglia

Louise offers expert assessments and interventions in paediatrics, moving and handling, and housing and equipment across Essex and East Anglia.

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Profession

Occupational Therapy

Regions covered

, Essex, Suffolk, London - East

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Balance, Co-ordination, Self care, School Based Therapy/Support

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, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, 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

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

Marie

Worcestershire, West Midlands

Based in Evesham, Worcestershire, Marie is a Paediatric OT specialising in neurological conditions and brain injury.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

BOBATH

Specialist skills

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

Jennifer

West Sussex, South East of England

Trained in Sensory Integration, Specialist Paediatric Occupational Therapist Jennie, offers services to paediatric clients in Surrey, Sussex, Southampton and Portsmouth.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Surrey, West Sussex

Specialisms

Paediatrics, Housing and Equipment

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

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

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

Katie

West Yorkshire, North West England

Specialising in autism and learning difficulties, Katie is an experienced OT based in West Yorkshire.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Lancashire, West Yorkshire, Leeds, Bradford, Manchester, Wakefield, Salford

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, School Based Therapy/Support, Learning disability

Helena

Newcastle upon Tyne, Tyne and Wear

Trained in both Sensory Integration and Bobath Therapy, skilled Paediatric Occupational Therapist Helena offers her services across the Northeast region.

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Profession

Occupational Therapy

Regions covered

North East England, Cumbria, Northumberland, Tyne and Wear, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, BOBATH

Specialist skills

Blue Badges / Mobility Assessments, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Balance, Co-ordination, Planning & execution, Postural management, School Based Therapy/Support, Learning disability

Maire

Londonderry, Northern Ireland

Maire is an experienced and knowledgeable Paediatric OT who supports children of all ages across Northern Ireland.

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Profession

Occupational Therapy

Regions covered

Northern Ireland

Specialisms

Paediatrics

Further qualifications

BOBATH

Specialist skills

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

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

Janet

London - South, Kent

Janet is an expert Occupational Therapist specialising in paediatrics and neurological rehabilitation, she works with children at home and school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South, London - East

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

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

Kathy

Londonderry, Northern Ireland

Based in Northern Ireland, highly skilled occupational therapist Kathy specialises in paediatrics where she helps children with various conditions.

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Profession

Occupational Therapy

Regions covered

Northern Ireland

Specialisms

Paediatrics

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

Mary

Oxfordshire, South East of England

Specialist Paediatric Occupational Therapist Mary works with children across various settings in the South East of England and Oxfordshire.

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Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

Paediatrics

Client feedback

Further reading

Our Experts' Blog

Stepping stones to independence – Dressing skills

Dressing is a key step towards independence for children, involving complex motor and sensory skills. This article explores typical dressing development, practical tips for parents and carers, and how occupational therapy can support children facing dressing related challenges.

Read more

Our Experts' Blog

The role of Occupational Therapy in Hand Trauma

Hand therapy is crucial for restoring function and improving quality of life for individuals recovering from hand injuries, as it addresses both the physical limitations and psychological impacts of trauma.

Read more