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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?

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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 our client manager who is also an experienced paediatric occupational therapist. They will then remain your primary point-of-contact at The OT Practice 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

Free consultation

During your initial call to us you can discuss your concerns with one of our client managers, whose clinical knowledge will allow them to understand exactly what your child's difficulties are 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

Robin

Aberdeen, Perthshire and Kinross

Robin is an expert paediatric Occupational Therapist based in Aberdeen, he works with children in their own homes and schools.

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Profession

Occupational Therapy

Regions covered

Scotland, Aberdeen City, Aberdeenshire, Angus, Dundee (City of), Moray, Perthshire and Kinross

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Postural managemen, School Based Therapy/Support, Learning disability

Amie

Bristol, Somerset

Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation covering the Somerset, Bath & Bristol and West Wiltshire areas.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural managemen

Lynn

South Lanarkshire, Scotland

Lynn is an expert physiotherapist, delivering specialist assessments to adults and children in their home environment.

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Profession

Physiotherapy

Regions covered

Scotland, East Dunbartonshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Dunbartonshire, West Lothian

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Gross motor skills, Balance, Postural managemen, School Based Therapy/Support

Jonathan

Birmingham, Warwickshire

Jonathan is an expert Children's OT who specialises in complex and long term conditions, working with children and their families.

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Profession

Occupational Therapy

Regions covered

West Midlands, Gloucestershire, Herefordshire, Oxfordshire, Warwickshire, London - West, Birmingham, Coventry, Wolverhampton

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

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

Debbie

Hampshire, South East of England

Trained in advanced sensory integration techniques, Debbie helps families by assessing and treating children at home, nursery and school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Hampshire, Middlesex, Surrey

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination

Tracy

Leeds, West Yorkshire

Specialising in rehabilitation, Tracy is an expert Occupational Therapist working across Yorkshire with clients in their own homes and workplaces.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Learning disability

Elizabeth

Cardiff, The Vale of Glamorgan

Liz is an expert neurological rehabilitation specialist working with clients in their own homes across Wales and the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Bristol, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Ceredigion, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Birmingham, Bristol, Cardiff, Coventry, Swansea

Specialisms

Paediatrics, Hand Therapy, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Splinting, Wheelchair accreditation

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert paediatric therapy helping children with handwriting, sensory and complex physical needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Borders, Dumfries and Galloway, East Ayrshire, East Lothian, East Renfrewshire, Edinburgh (City of), Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, 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, Social integration

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.

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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

Jane

Wiltshire, South East of England

Qualifying in 2000, Jane specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Louise

Birmingham, Warwickshire

Louise is an expert Seating & Postural Management OT, delivering specialist mobility and Rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, South of England, South East of England, Warwickshire, Worcestershire, Birmingham

Specialisms

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

Specialist skills

Postural managemen

Sam

London

Based in London, Sam is an expert paediatric speech and language therapist who treats children at home and in school.

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Profession

Speech and Language Therapy

Regions covered

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

Specialisms

Paediatrics

Specialist skills

Behaviour management, School Based Therapy/Support, Dysphagia management, Makaton

Clare

West Sussex, South East of England

Clare is an expert paediatric occupational therapist, delivering specialist assessments to children at home, school or nursery.

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Profession

Occupational Therapy

Regions covered

South East of England, Hampshire, Surrey, West Sussex, Brighton, Southampton

Specialisms

Paediatrics, Hand Therapy

Further qualifications

Sensory Integration, BOBATH

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

Dimitra

London - North, Hertfordshire

Dimitra is an expert paediatric Occupational Therapist, working with children at home and school in London, Buckinghamshire and Hertfordshire.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, Hertfordshire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Becci

Derby, Derbyshire

Becci is an expert occupational therapist specialising in housing adaptions delivering assessments and treatment to clients in their own homes.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Derby

Specialisms

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

Specialist skills

Daily living skills, Self care

Emer

London

Trained in advanced sensory integration and therapeutic listening techniques, Emer helps families by treating children at home, school and nursery.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Postural managemen, School Based Therapy/Support

Kirsty

Wrexham, North West England

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

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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

Elizabeth

London - Central, London

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

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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

Gaynor

Leicester, Warwickshire

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

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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

Michelle

Surrey, South East of England

Trained in advanced sensory integration techniques and British Sign Language, Michelle helps families by treating children at home or school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Middlesex, Surrey, London - Central, London - South

Specialisms

Paediatrics, Housing and Equipment, Neurological rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural managemen, DMO (Lycra) Splinting, School Based Therapy/Support, Sign Language

Hannah

Leeds, West Yorkshire

Qualifying in 2010, Hannah specialises in seating & postural management, housing & equipment and rehabilitation for children and adults.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Lancashire, Lincolnshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Hull

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Social integration

Sharon

London - South, Kent

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

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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

Ganga

West Sussex, South East of England

Qualifying in 2008, Ganga specialises in rehabilitation for adults and children. She visits clients at home.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, Surrey, West Sussex, London - South, London - East, Brighton

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Joy

London - Central, Surrey

Working in London, Surrey and Berkshire Joy is a highly experienced and professional occupational therapist who visits clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Ann

London - South, Surrey

Ann is an expert neurological rehabilitation OT, working with clients in their own homes in London and the surrounding areas.

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Profession

Occupational Therapy

Regions covered

London, South of England, Surrey, London - South

Specialisms

Paediatrics, Seating and Postural management, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural managemen, Splinting

Annabel

Rutland, East Midlands

Qualifying in 1998, Annabel specialises in housing & equipment and moving & handling for children and adults.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Coventry, Nottingham, Leicester

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Specialist skills

DFG Assessments, PIPs, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Self care

Michaela

London - North, Suffolk

Based in Essex, Michaela is an expert paediatric Occupational Therapist working with children with sensory needs in their own environments.

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Profession

Occupational Therapy

Regions covered

East Anglia, Essex, Suffolk, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

Celia

London

Celia is an expert paediatric occupational therapist, having gained postgraduate qualifications in sensory integration and therapeutic listening.

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - South, London - East

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening, Certificate in Education

Specialist skills

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

Rachael

Southampton, Hampshire

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

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire, Southampton

Specialisms

Paediatrics, Housing and Equipment, Moving and Handling

Lucy

Cambridgeshire, East Anglia

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

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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

Catriona

London - South, London

Based in London Catriona is an expert Occupational Therapist, working with children with a range of conditions.

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - South

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Chailey Postural Management

Specialist skills

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

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.

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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.

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