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Gross motor skills

Gross motor skills are a prerequisite for children's progress at school, as well for their play and independence. Difficulty with these skills is often the cause of clumsy or uncoordinated movement, leading to problems with everyday tasks such as dressing, running or riding a bike.

We regularly assist parents and schools concerned about a child struggling with classroom or playground activities because of problems with gross motor skills, and our practical advice and treatment programmes enable them to grow in ability and confidence in all areas of daily life.

How OT's help

Whether your child's school has identified problems with their gross 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 gross motor skills include:

  • Lateness in reaching developmental milestones such as sitting up, walking or running
  • Awkward or clumsy movements, possibly associated with a higher risk of accident
  • Dislike or avoidance of physical activity and games
  • Rapid tiredness after participating in physical activities for only a short period
  • Slumped, head-in-hands posture when sitting doing table-top activities
  • Difficulty in completing activities involving sequences of physical movements, such as an obstacle course or hop-scotch

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

Common areas we work on

Through our assessment we will identify the specific gross 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 are:

  • Balance and coordination
  • Strength and endurance
  • Attention and alertness
  • Body awareness
  • Movement planning.
  • Sensory processing
  • Working with parents and schools to ensure that the right approaches to developing gross 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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Case managers

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

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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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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

Surrey, South East of England

Based in Surrey, Sharon is a Paediatric OT delivering expert therapy for children with autism and sensory processing difficulties.

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Profession

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

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

Kirsty

Renfrewshire, Scotland

Kirsty is an expert Paediatric OT who supports children with a range of conditions across West Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Victoria

Cardiff, Newport

Based in Newport, Wales, Vikki is a Paediatric OT specialising in Sensory Integration and hearing impairments.

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Profession

Occupational Therapy

Regions covered

West Midlands, South East of England, Wales, Bristol, Gloucestershire, Cardiff, Newport, Swansea, Birmingham

Specialisms

Paediatrics, Vocational Rehabilitation

Sarah

Bedfordshire, East Anglia

Sarah is a Paediatric Occupational Therapist and Advanced Practitioner in Sensory Integration based in Bedfordshire, near Luton and Milton Keynes.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Oxfordshire, London - North

Specialisms

Paediatrics, Seating and Postural management

Further qualifications

Sensory Integration, Conductive education, Therapeutic listening, Train the trainer, Sensory Attachment Therapy

Specialist skills

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, Anxiety management & relaxation, Sensory attachment intervention, Learning disability

Emma

Southampton, Hampshire

Emma is a highly skilled OT based in Southampton. She supports adult and paediatric clients with expert assessments and rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, West and South West of England, London, South of England, South East of England, Wales, Berkshire, Bristol, Buckinghamshire, Derbyshire, Devon, Dorset, East Sussex, Hampshire, Herefordshire, Isle of Wight, Leicestershire, Middlesex, Nottinghamshire, Oxfordshire, Somerset, Suffolk, Surrey, West Sussex, Wiltshire, London - Central, London - South, Birmingham, Sheffield, Bristol, Nottingham, Leicester, Brighton, Stoke-on-Trent, Derby, Southampton

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

CBT

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

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

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

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

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

Lorna

Shropshire, West Midlands

Lorna is a Paediatric OT located in Shropshire, supporting with sensory and motor needs for clients across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Herefordshire, Shropshire, Staffordshire, West Midlands, Powys, Birmingham, Stoke-on-Trent, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain 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, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

Cait

North Yorkshire, Yorkshire and Lincolnshire

Cait is an experienced Paediatric OT based in North Yorkshire, specialising in helping children with complex needs.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Lancashire, Leeds, Bradford

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Further qualifications

Sensory Integration, Chailey Postural Management

Specialist skills

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

Samantha

Leeds, West Yorkshire

Trained in advanced sensory integration and therapeutic listening techniques, Sam is an expert Paediatric OT, supporting children and their families.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Social integration

Rachelle

The Vale of Glamorgan, Wales

Based in Glamorgan, Rachelle is an OT with over 20 years’ experience. She specialises in Housing & Equipment and Paediatrics.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Gloucestershire, Herefordshire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, Bristol, Cardiff, Swansea

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Postural management, Wheelchair accreditation, Learning disability

Lucy

Cambridgeshire, East Anglia

Lucy delivers expert Functional Rehabilitation and Housing & Equipment assessments for clients across East Anglia.

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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

Lisa

Derbyshire, East Midlands

Based in Derbyshire, Lisa works across the North of England supporting adults and children with Housing & Equipment needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, East Midlands, East Anglia, London, Ireland, Derbyshire

Specialisms

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

Helen

Hertfordshire, East Anglia

Based in St Albans, Helen is a Paediatric OT working with children across North London, Bedfordshire, Buckinghamshire, and Essex.

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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

Rachel

Hertfordshire, East Anglia

Based in Hertfordshire, Rachel is a highly skilled OT delivering specialist rehabilitation assessments to children and adults.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration, AMPS

Specialist skills

Sensory integration, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support

Jennifer

Glasgow, East Dunbartonshire

Providing expert interventions for children across Scotland, Jennifer is a specialist Paediatric OT based in Glasgow.

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Profession

Occupational Therapy

Regions covered

Scotland, East Dunbartonshire, Falkirk, Inverclyde, North Lanarkshire, Renfrewshire, Stirling, West Dunbartonshire

Specialisms

Paediatrics

Specialist skills

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

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Paediatric Occupational Therapist working with children across Yorkshire, Lincolnshire, and Derbyshire.

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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

Joanne

Birmingham, Worcestershire

Located in Birmingham, Joanne is a Paediatric OT delivering expert assessments and treatments for children in the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Derbyshire, Gloucestershire, Herefordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Ann

Surrey, South East of England

Ann is an expert OT specialising in Neurological Rehabilitation, working with clients across London and the South of England.

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Profession

Occupational Therapy

Regions covered

London, South of England, Surrey, London - South

Specialisms

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

Zandri

London

Based in London, Zandri is a Paediatric OT specialising in Sensory Integration, providing support for children at home and school.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Paediatrics

Further qualifications

Sensory Integration, The Listening Programme

Specialist skills

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

Claire

Hertfordshire, East Anglia

Trained in advanced handwriting and sensory integration techniques, Claire is an experienced Paediatric OT helping children across the South East.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Vocational Rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Counselling, Routine planning, Daily living skills, Sensory integration, Fine motor skills, Behaviour management, Handwriting assessment & treatment

Richelle

Surrey, South East of England

Specialising in Neurological Rehabilitation and Paediatrics, Richelle is an OT based in Epsom, Surrey, visiting clients across the South East.

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Profession

Occupational Therapy

Regions covered

South East of England, Surrey

Specialisms

Paediatrics, Neurological rehabilitation

Further qualifications

Sensory Integration

Annmarie

London

Annmarie is a Paediatric OT based in London, helping children with autistic spectrum disorders, neurological impairments, and developmental delay.

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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

Katy

Durham, North East England

Katy is a Paediatric OT based in Chester-Le-Street, County Durham, experienced helping with a variety of physical and sensory needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Cleveland, Durham, East Riding of Yorkshire, Greater Manchester, Lancashire, North Yorkshire, Northumberland, Tyne and Wear

Specialisms

Paediatrics

Further qualifications

Sensory Integration, Chailey Postural Management, The Listening Programme

Specialist skills

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

Manpreet

Staffordshire, West Midlands

Located in Stafford, Manpreet is a Paediatric OT with expertise in Autism and Sensory Integration.

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Profession

Occupational Therapy

Regions covered

West Midlands, Cheshire, Derbyshire, Shropshire, Staffordshire, West Midlands, Birmingham, Stoke-on-Trent, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

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

Sandra

Tyne and Wear, North East England

Sandra is a highly experienced Paediatric OT based in Tyne and Wear, visiting children in home and school settings.

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Profession

Occupational Therapy

Regions covered

North East England, Tyne and Wear

Specialisms

Paediatrics

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, DMO (Lycra) Splinting, School Based Therapy/Support

Sherean

Buckinghamshire, South East of England

Based in Buckinghamshire, Sherean delivers specialist housing & equipment and rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

East Midlands, South East of England, Bedfordshire, Buckinghamshire, Northamptonshire, Nottinghamshire, Oxfordshire

Specialisms

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

Further qualifications

Sensory Integration, AMPS, BIA

Specialist skills

Routine planning, Daily living skills, Sensory integration, Self care

Lynn

Cambridgeshire, East Anglia

Lynn is an expert Paediatric Occupational Therapist, working with children in the East Midlands and Lincolnshire with Sensory Processing needs.

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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 management, School Based Therapy/Support

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, Gloucestershire, Herefordshire

Specialisms

Paediatrics

Further qualifications

AMPS

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

Karin

Cambridgeshire, East Midlands

Working as a Paediatric Occupational Therapist in the East Midlands, Karin assesses and treats children at home and education settings.

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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 management, DMO (Lycra) Splinting, School Based Therapy/Support

Client feedback

Further reading

Our Experts' Blog

Developmental Delays in Children during Lockdown

Tina is an expert Paediatric Occupational Therapist, she specialises in Sensory Integration and over the last year has helped many children with developmental delays. In this article, Tina shares her experiences of delivering remote therapy and shifting her focus onto coaching parents and carers.

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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.

Read more