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How Paediatric Occupational Therapy Can Support Gross Motor Development
Understanding Gross Motor Development
Gross motor development refers to the growth of large muscle movements that enable children to crawl, walk, jump, climb and balance. These skills are essential for everyday activities, from playing at the park to participating in school sports. Strong gross motor abilities also contribute to a child’s confidence, independence, and overall physical health. When difficulties arise in this area, targeted support becomes essential, and paediatric occupational therapy can play a significant role in assisting children to build these foundational skills.
The Role of Gross Motor Skills in Daily Life
Gross motor abilities are not only about physical strength but also about coordination, endurance and body awareness. Children rely on these skills for tasks such as:
- Carrying a school bag
- Climbing stairs
- Riding a bike
- Playing team sports
- Sitting upright at a desk for extended periods
When gross motor skills are underdeveloped, children may appear clumsy, tire quickly, or avoid physical activities altogether. This can affect their participation at school, in social settings, and during recreational play.
How Occupational Therapy Supports Development
Occupational therapists use a range of evidence-based approaches to strengthen gross motor skills. Sessions are typically designed around play-based activities, as children learn best when engaged in enjoyable and purposeful tasks. These activities may include obstacle courses, balance games, ball skills, and core strengthening exercises. By tailoring each activity to the child’s needs, therapists help them develop strength, coordination and endurance in a supportive environment.
Building Core Strength and Stability
One of the foundations of gross motor development is core strength. A stable core helps children maintain balance, posture and controlled movements. Occupational therapy may incorporate exercises such as animal walks, yoga-inspired poses, or climbing activities that encourage core activation. Improved stability not only supports physical movement but also enhances a child’s ability to focus on seated classroom tasks.
Enhancing Balance and Coordination
Balance is crucial for both static activities, like standing still, and dynamic activities, like running or skipping. Through targeted games, such as standing on one foot, walking along a line, or using balance equipment, children can refine their sense of body control. Coordination, including hand-eye and foot-eye skills, is developed through activities such as catching, throwing, or kicking balls. These activities contribute to smoother and more confident movement patterns.
Encouraging Participation in Play and Sport
Occupational therapy aims to make movement fun and achievable, encouraging children to engage in play with their peers. For example, participating in playground activities or joining a sports team becomes less daunting when children feel physically capable. Increased participation promotes not only motor skill development but also social skills, resilience, and emotional well-being.
Supporting Confidence and Independence
When children achieve success in their physical abilities, it often leads to improvements in self-esteem. They become more willing to try new activities, persist with challenges, and take pride in their achievements. This growing confidence carries over into other aspects of life, from learning in the classroom to engaging socially with peers.
Final Thought
Gross motor development is essential for a child’s growth, independence, and overall well-being. When delays or challenges arise, targeted strategies can make a significant difference in building strength, coordination, and confidence. By using engaging, purposeful, and supportive approaches, paediatric occupational therapy provides children with the tools they need to thrive both physically and emotionally.

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