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April 1, 2025

Effective occupational therapy activities for preschoolers: Supporting development through targeted interventions

Discover fun and effective occupational therapy (OT) activities for preschoolers to boost motor skills, coordination, and developmental growth.

author
Fiona Affronti

As occupational therapists, your role in working with preschool-aged children is to guide their development through activities that support fine motor, gross motor, sensory processing, and visual motor integration. By tailoring interventions to the child’s needs and developmental stage, we can promote independence, motor coordination, and sensory regulation, all while engaging the child in fun, functional tasks.

In this article, we will explore key occupational therapy activities that can be incorporated into therapy sessions or at home, designed to build foundational skills necessary for preschoolers to navigate their environments effectively.

Key Takeaways:

  • Fine motor skill enhancement is a crucial component of working with preschoolers. Keeping a preschooler's attention is also vital, so we have a slew of resources to help enhance fine motor skills, while also encouraging fun and imagination.
  • Gross motor skills can be strengthened through play-based activities such as obstacle courses, animal walks, and ball games, fostering coordination and strength - all while keeping therapy entertaining.
  • Coral Care offers a variety of resources for occupational therapists to help assist and educate a diverse clientele of pediatrics. 

Fine motor skills development

Fine motor skills are crucial for activities requiring dexterity, such as grasping, manipulating objects, and hand-eye coordination. As occupational therapists, you integrate exercises that challenge these fine motor functions to build hand strength, improve coordination, and foster independence in daily routines. Let’s dive into some fine motor skills that will engage preschoolers, while also challenging them physically.

1. Peeling stickers

Peeling stickers is an effective task for developing the pincer grasp, a foundational skill in fine motor control. This activity promotes visual-motor coordination and improves hand strength. Adding a challenge, such as placing stickers on predetermined targets (e.g., drawn circles), can increase focus and task precision.

2. Stringing beads

Stringing beads enhances bilateral coordination and dexterity, key components of fine motor development. Using a variety of stringing materials, such as pipe cleaners or uncooked spaghetti, makes the activity adaptable and engaging. This task also encourages bilateral integration and can be modified to introduce new learning opportunities, such as creating letter necklaces for literacy development (Skill Point Therapy).

3. Using clothespins

Clothespin activities are ideal for strengthening the grasp reflex and hand muscles. These exercises promote the development of the tripod grasp, which is essential for tasks such as writing. Children can be instructed to attach clothespins to various objects, encouraging both fine motor and cognitive skills (The OT Toolbox).

Sensory play for sensory integration

Sensory play involves engaging a child’s sensory systems (touch, sight, smell, hearing, and proprioception) through hands-on exploration. Activities that stimulate these senses not only enhance sensory processing abilities but also support the development of fine motor, language, and cognitive skills, making it a great option to integrate into occupational therapy sessions.

1. Playdough creations

Playdough is an excellent tool for enhancing both sensory exploration and fine motor control. Activities such as squishing, rolling, and molding strengthen hand muscles while providing tactile stimulation. Additionally, shaping playdough into different forms encourages creativity and hand-eye coordination, making it all that more engaging for preschoolers.

2. Sensory bins

Sensory bins filled with materials like rice, beans, or sand encourage tactile exploration, fine motor development, and problem-solving skills. Tasks such as scooping, pouring, and sorting materials within the bin provide opportunities for children to engage in sensory play while developing important fine motor skills (Salus University Health).

3. Bubble popping

Bubble popping offers an enjoyable way to develop hand-eye coordination and fine motor skills. Children can practice tracking, reaching, and popping bubbles, refining their ability to target moving objects and strengthen their grasp.

Gross motor skills enhancement

Gross motor skills are essential for physical activities, balance, posture, and coordination - all of a preschooler’s favorite things. By incorporating fun, movement-based activities, occupational therapists can target muscle strength and coordination, key elements for the child’s overall development.

1. Obstacle courses

Obstacle courses engage children in activities that challenge balance, coordination, and strength. These courses can be adapted to target specific motor skills, such as walking on balance beams or crawling through tunnels, making them a versatile and enjoyable way to enhance gross motor abilities.

2. Animal walks

Animal walks are a playful and effective method to build core strength and motor planning skills. Mimicking the movements of various animals—such as hopping like a frog or crawling like a bear—helps children strengthen their core while improving coordination and posture (University of Michigan).

3. Ball games

Throwing, catching, and kicking balls are fundamental activities that promote hand-eye coordination, balance, and gross motor control. Bean bag tossing and ball games offer children a chance to practice precision and timing, helping them improve motor coordination.

Visual-motor integration

Visual-motor integration is vital for activities such as handwriting, reading, and sports. It involves coordinating visual input with hand movements, a skill that is essential as preschoolers begin to engage with early learning tasks.

1. Tracing shapes

Tracing shapes encourages the development of fine motor precision and visual tracking because it helps children refine their eye-hand coordination and is a great preparatory activity for writing skills. Offering varied shapes for tracing is a great way to further challenge motor control and accuracy.

2. Puzzle assembly

Puzzle assembly is an excellent exercise for enhancing visual-motor skills. Solving puzzles encourages problem-solving, spatial awareness, and visual tracking. Adjusting the complexity of puzzles provides opportunities for increasing challenges and assessing developmental progress.

3. Dot-to-dot drawings

Dot-to-dot activities improve both visual tracking and fine motor control. These exercises require children to follow a sequence of dots, enhancing concentration and precision. They also prepare children for letter and number recognition, which is crucial for early literacy.

Core strengthening activities

Core strength is integral to a child’s ability to maintain posture, balance, and stability. Without sufficient core strength, children may struggle with coordination, motor control, and physical activities.

1. Plank variations

Plank exercises help strengthen the abdominal and back muscles, providing stability and support for overall motor control. Creative variations of the plank, such as incorporating movement or balance challenges, can make this exercise engaging for young children.

2. Therapy ball activities

Therapy balls provide dynamic opportunities to enhance core stability. Balancing on or rolling over therapy balls strengthens the child’s trunk and improves overall body control, which is essential for both gross motor and fine motor activities (North Shore Pediatric Therapy).

3. Wheelbarrow walks

Wheelbarrow walks engage the arms, core, and legs, promoting overall strength, coordination, and balance. By practicing this activity, children can develop the physical foundation necessary for other movement skills, such as running, jumping, and climbing.

Everyday household tasks for skill development

Incorporating everyday tasks into therapy routines provides a natural, functional context for children to practice skills at home and outside of sessions. These activities support motor coordination, functional independence, and life skills.

1. Sorting laundry

Sorting laundry can help children develop categorization skills while enhancing bilateral coordination and fine motor dexterity. Tasks like matching socks or folding small items provide an opportunity to practice these skills in a meaningful context.

2. Cooking tasks

Cooking tasks, such as stirring, pouring, and measuring, engage fine motor skills and sensory processing. These activities also provide opportunities to develop problem-solving skills and gain an understanding of sequencing (e.g., step-by-step instructions).

3. Cleaning windows

Using a spray bottle or wiping windows enhances upper body strength, bilateral coordination, and functional independence. Cleaning tasks are often overlooked, but they offer a practical way for children to develop motor skills while participating in household responsibilities.

How Coral Care helps support our occupational therapists

At Coral Care, we understand the challenges occupational therapists face when it comes to managing both the clinical and administrative aspects of their practice. Our platform is designed to streamline those tasks, from scheduling and billing to client records management, so you can focus more on what you do best—providing exceptional care to your clients. With automated reminders, customizable workflows, and secure telehealth options, our system makes it easy to stay organized and reduce the stress of everyday operations. Billing and payment are simplified through our hassle-free solutions, ensuring accurate invoicing, insurance claims, and timely payments, so you can concentrate on your practice rather than the financial details.

In addition to administrative support, Coral Care helps you build a caseload that aligns with your expertise and passion. Our intelligent matching system connects you with clients who best fit your specialties, making for meaningful and effective therapeutic relationships. We also offer comprehensive marketing and growth tools, including personalized website creation, social media strategies, and professional branding resources to help you expand your visibility and attract new clients. Our platform also supports you in staying compliant with licensing and regulatory requirements, offering assistance with insurance credentialing and ensuring your practice meets industry standards. Beyond the technology, our platform fosters a sense of community with networking opportunities, peer mentorship, and a supportive environment for continuous learning. With personalized support, intuitive tools, and cost-effective solutions, Coral Care is here to help you grow your practice with confidence and ease.

Conclusion

By incorporating these targeted activities into therapy sessions or daily routines, occupational therapists can help preschoolers build essential skills in a fun and engaging way. Whether working on fine motor development through playdough and bead stringing or enhancing gross motor abilities with animal walks and obstacle courses, these interventions support the child's overall growth and independence.

For children who may require specialized support, working with a skilled pediatric occupational therapist ensures individualized care that addresses specific developmental concerns, promoting both progress and confidence. By partnering with Coral Care, you can give your patients the highest care, while simultaneously keeping autonomy and flexibility as a therapist.

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