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Gross motor skills

Find out how we can help

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 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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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

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

Lone

Hertfordshire, East Anglia

Trained in advanced sensory integration techniques 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, 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

Bianca

Wiltshire, West and South West of England

Working in the South West with clients with a vast range of needs, Bianca is an expert in her field.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments

Samantha

Hertfordshire, East Anglia

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

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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

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.

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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

Sara-Jane

London - North, Middlesex

Providing expert paediatric care to children with a range of needs, Sara-Jane works in North London with children and families.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - North

Specialisms

Paediatrics

Further qualifications

Sensory Integration

Specialist skills

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

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

Lisa

Derby, Derbyshire

Lisa works across the UK with adults and children with complex needs, supporting them to live as independently as possible.

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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

Annmarie

Hertfordshire, London

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

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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

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

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

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.

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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

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

Susan

Nottingham, Nottinghamshire

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

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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

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

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

Ciara

Middlesex, London

Qualified in advanced sensory integration and Bobath techniques, Ciara provides expert occupational therapy to children and families.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics

Further qualifications

Sensory Integration, BOBATH, Therapeutic listening, Train the trainer

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, Social integration, Postural managemen, School Based Therapy/Support

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

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

Victoria

Greater Manchester, North West England

Qualifying in 2002, Victoria specialises in housing & equipment and seating & postural management for children.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester

Specialisms

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

Further qualifications

Train the trainer

Monica

London - South, Surrey

Working in Surrey and South London, Monica is an expert paediatric OT working with children at home and school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Essex, Kent, Middlesex, Surrey

Specialisms

Paediatrics

Further qualifications

BOBATH

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, DMO (Lycra) Splinting, Splinting

Helen

London - North, Hertfordshire

Working with children at home and school, Helen provides expert occupational therapy in 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

Claire

Hertfordshire, East Anglia

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

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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

Angela

Cleveland, North East England

Working in the north east, Angela is an expert paediatric OT, visiting children at home and school with various needs.

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Profession

Occupational Therapy

Regions covered

North East England, Cleveland

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, Postural managemen, School Based Therapy/Support

Morag

Edinburgh, Edinburgh (City of)

An expert occupational therapist based in Edinburgh, Morag specialises in rehabilitation, moving & handling and housing & equipment.

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Profession

Occupational Therapy

Regions covered

Scotland, Borders, Clackmannan, East Lothian, Edinburgh (City of), Falkirk, Fife, Midlothian, Perthshire and Kinross, West Lothian, Edinburgh

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Anxiety management & relaxation

Stephanie

Wrexham, North West England

Based in Cheshire, Stephanie provides expert occupational therapy to adult clients. She specialises in neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, West Yorkshire, Wrexham, Liverpool, Manchester, Salford

Specialisms

Paediatrics, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care

Emma

Brighton, West Sussex

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

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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

Tess

West Sussex, South East of England

Qualifying in 2006, Tess specialises in housing & equipment, seating and moving & handling for adults and children.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Hampshire, Surrey, West Sussex

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills

Client feedback

Further reading

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