Call on 0330 024 9910

Call our team for more information about our services and costs
0330 024 9910

Fine motor skills

Find out how we can help

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?

Find out more

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.

Find out more

LEA's

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

Find out more

Healthcare concierge

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

Find out more

Solicitors

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

Find out more

Case managers

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

Find out more

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

Sharon

London - South, Kent

Sharon covers South London, Kent, Croydon & Bromley and has a special interest in housing adaptions, seating & postural management.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Postural managemen

Kirsty

Wrexham, North West England

Qualifying in 2001, Kirsty specialises in housing & equipment, moving & handling and rehabilitation for adults and children.

View profile

Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Daily living skills, Community access, Self care, Social integration

Kelly

Kent, South East of England

Kelly is a highly regarded Occupational Therapist who works with both children and adults. Kelly covers the Kent area.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

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

Further qualifications

AMPS

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural managemen, Learning disability

Annmarie

Hertfordshire, London

Annmarie is part of our paediatric team, helping children and their families in London.

View profile

Profession

Occupational Therapy

Regions covered

London, Hertfordshire, London - Central

Specialisms

Paediatrics

Specialist skills

Routine planning, Fine motor skills, Handwriting assessment & treatment, Social integration, School Based Therapy/Support

Ann-Marie

Wiltshire, West and South West of England

Based in Bristol, Ann-Marie provides expert therapy helping children with sensory processing, motor coordination and complex needs.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Gloucestershire, Somerset, Wiltshire, Bristol, Cardiff

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Emma

Brighton, West Sussex

Emma is an expert occupational therapist working with clients with a range of needs in Hampshire, Surrey & Sussex.

View profile

Profession

Occupational Therapy

Regions covered

South East of England, West Sussex, Brighton

Specialisms

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

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural managemen

Katrina

Hampshire, West and South West of England

Qualifying in 2007, Katrina specialises in housing & equipment, seating & postural management and moving & handling for adults.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Dorset, Hampshire, Southampton

Specialisms

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

Specialist skills

DFG Assessments

Helen

London - North, Hertfordshire

Working with children at home and school, Helen provides expert occupational therapy in North London, Bedfordshire, Buckinghamshire and Essex.

View profile

Profession

Occupational Therapy

Regions covered

London, South of England, Hertfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care

Jacqueline

London - Central, Middlesex

Based in London, Jacqueline provides expert paediatric therapy helping children with handwriting, sensory processing and specialist seating needs.

View profile

Profession

Occupational Therapy

Regions covered

London, South East of England, Hertfordshire, Middlesex, London - Central

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, BOBATH

Samantha

Hertfordshire, East Anglia

Samantha is an expert occupational therapist, delivering specialist seating, hand therapy, neurological and functional rehabilitation assessments to clients at home.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

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

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills

Karin

Rutland, East Midlands

Working as a paediatric occupational therapist in the East Midlands, Karin assesses and treats children at home, school and nursery.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Northamptonshire, Rutland

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Fine motor skills, Visual perception, Postural managemen, DMO (Lycra) Splinting, School Based Therapy/Support

Janet

Kent, South East of England

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

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

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

Annie

Dorset, South of England

Annie is an experienced Occupational Therapist working with children in the Dorset and Hampshire areas.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire

Specialisms

Paediatrics

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Sign Language, Anxiety management & relaxation, Learning disability

Suzi

Plymouth, Somerset

Based in Plymouth, Suzi provides occupational therapy to adults and children in their home environment. She specialises in rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Self care, Postural managemen, Wheelchair accreditation

Chris

Newcastle upon Tyne, Tyne and Wear

Chris is an expert occupational therapist, having gained a PhD for a study investigating individuals with liver disease.

View profile

Profession

Occupational Therapy

Regions covered

North East England, Durham, Northumberland, Tyne and Wear, Sunderland, Newcastle upon Tyne

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Self care, Social integration, Anxiety management & relaxation

Rebecca

Bristol, Somerset

Rebecca is an expert paediatric OT, working with children with a range of needs across south west England.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Somerset, Bristol

Specialisms

Paediatrics

Elizabeth

London - Central, London

Elizabeth is a passionate and dedicated occupational therapist who has specialised in supporting paediatric clients in London.

View profile

Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Postural managemen

Rachael

Southampton, Hampshire

Working with adults and children, Rachael is an expert occupational therapist based in Hampshire who supports clients in their homes.

View profile

Profession

Occupational Therapy

Regions covered

South of England, Hampshire, Southampton

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Gaynor

Leicester, Warwickshire

A highly skilled occupational therapist, Gaynor provides expert neurological, vocational and functional rehabilitation to clients in the East Midlands.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Motivational issues, Routine planning, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Self care, Wheelchair accreditation, Anxiety management & relaxation

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Occupational Therapist working with children in the Yorkshire, Lincolnshire and Derbyshire areas.

View profile

Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, South Yorkshire, Sheffield

Specialisms

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

Marie

Worcestershire, West Midlands

Marie is an experienced children's Occupational Therapist covering Worcestershire, Warwickshire, West Midlands, Gloucestershire, Leicestershire and Oxfordshire.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

BOBATH

Specialist skills

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

Lynn

Rutland, East Midlands

An expert paediatric Occupational Therapist, Lynn works with children in the East Midlands and Lincolnshire with Sensory Processing needs.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Rutland

Specialisms

Paediatrics

Further qualifications

Sensory Integration, AMPS

Specialist skills

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

Anthea

Worcestershire, West and South West of England

Anthea is a highly regarded Occupational Therapist working with adults and children covering Gloucestershire, Oxfordshire, Berkshire, Somerset, Worcestershire and Warwickshire.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Berkshire, Herefordshire, Oxfordshire, Somerset, Warwickshire, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, Therapeutic listening, Certificate in Education

Specialist skills

Fatigue management, Motivational issues, 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, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Lucy

Cambridgeshire, East Anglia

Qualifying in 1999, Lucy specialises in seating & postural management, rehabilitation and housing & equipment for adults.

View profile

Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Jenny

Carmarthenshire, Wales

Based in Wales, Jenny provides expert occupational therapy to adults and children. She specialises in housing & equipment and seating.

View profile

Profession

Occupational Therapy

Regions covered

Wales, Bridgend, Caerphilly, Carmarthenshire, Ceredigion, Neath Port Talbot, Pembrokeshire, Swansea, Swansea

Specialisms

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

Further qualifications

Sensory Integration, BOBATH, Train the trainer, Chailey Postural Management

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural managemen, School Based Therapy/Support, Wheelchair accreditation

Susan

Nottingham, Nottinghamshire

Qualifying in 2004, Susan specialises in housing & equipment, seating & postural management and moving & handling for children.

View profile

Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Lincolnshire, Nottinghamshire, Leicester, Derby

Specialisms

Paediatrics, Housing and Equipment, Seating and Postural management

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution

Catherine

London - West, Buckinghamshire

An expert in Paediatric care and sensory integration, Catherine works with children & their families in Central and West London.

View profile

Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, London - Central, London - West

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Balance, Co-ordination, Self care, Postural managemen

Lone

Hertfordshire, East Anglia

Trained in advanced sensory integration techniques and both Bobath and Chailey approaches, Lone treats children at home, school and nursery.

View profile

Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Cambridgeshire, Essex, Hertfordshire, London - Central, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, CO-OP Practitioner

Specialist skills

Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care

Sharon

Essex, South East of England

Based in Essex, Sharon provides expert speech and language therapy helping children with speech delay and eating or drinking difficulties.

View profile

Profession

Speech and Language Therapy

Regions covered

East Anglia, London, South East of England, Essex, Hertfordshire, Kent, Suffolk, London - East

Specialisms

Paediatrics

Specialist skills

School Based Therapy/Support, Dysphagia management

Cath

Wiltshire, West and South West of England

Cath is a highly skilled paediatric occupational therapist, working with children and their families in their own homes and schools.

View profile

Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Devon, Dorset, Somerset, Wiltshire

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Postural managemen

Client feedback

Further reading

Our news & press

Radio 5 Live interview with our Paediatric Client Manager: Handwriting

Is there a right and wrong way to hold a pencil? When Radio 5 Live presenters approached us to find out, our Paediatric Client Manager Sarah Stagg was only too pleased to explain.

Read more

Our news & press

Our YouTube channel is live

We are delighted to announce the launch of our YouTube channel. The first videos are focused on our paediatric developmental services. Told through OT Practice Kids clients and their families, we explain our ethos for working with children is to focus on resolving their difficulties not their diagnosis.

Read more