How I can help

Gross motor development

Movement is much more than sport: it is how children join in socially, build confidence and develop planning and coordination.

What you might notice

  • Seems clumsy; bumps and trips more than expected
  • Avoids climbing frames, ball games or outdoor play
  • Difficulty learning new movements or movement sequences
  • Tires quickly compared with peers
  • A clear preference for quiet, seated play

Why this might be happening

Sometimes this is motor planning — knowing how to organise a new movement.

Sometimes it is a base of stability, core strength or body awareness.

And sometimes it is avoidance built up over time: when something doesn't work, children stop trying — and the gap widens.

What skills are involved

Balance and stability

The base for any confident movement.

Motor planning

Organising and carrying out a new movement sequence.

Coordination and timing

Linking whole-body movements at the right moment.

Body awareness

Knowing where the body is in space without looking.

How occupational therapy can help

  • Building a movement base inside activity that is fun and appropriately challenging
  • Creating experiences of success that rebuild confidence
  • Guidance on suitable physical activity
  • Referral to physiotherapy when that is the better fit

What Shira might assess

  • Balance, stability and core strength
  • Planning and executing movement sequences
  • Bilateral coordination
  • Participation and confidence in movement

When it's worth speaking to someone

  • When avoiding movement is affecting social participation
  • When motor difficulty persists and doesn't improve with experience

Worth saying

A single sign doesn't mean a child needs therapy. Children develop at different rates, and often this is entirely ordinary variation. The point of a conversation is to understand the picture, not to find a problem.

Not sure exactly what your child needs? You can start with a conversation.

You don't need to diagnose the difficulty yourself. You can simply describe what you're seeing, and we'll start from a shared understanding of whether an occupational therapy assessment or treatment is appropriate.