Fall Activities for Therapy

leaf activities

These leaf activities are fun ways to incorporate colorful fall leaves into occupational therapy sessions! Fall themed activities to use all week in done-for-you therapy planning. Use real leaves from outside, or materials on hand. Fall leaves make a great theme for weekly occupational therapy themes!

Leaf activities for kids to work on gross motor skills, fine motor skills, scissor skills, handwriting, and more.

Leaf Activities

Leaf Handwriting– These Fall writing prompts include leaf writing prompts, among other fall themed prompts. Includes sentence prompts and single words, all with a Fall and leaf theme.

Pre-Writing Lines Activity- Work on Pre-writing activity with real leaves. Use real leaves to work on eye-hand coordination, visual motor skills, and pre-writing lines with hands on fine motor work.

Bilateral Coordination Activity: Use this Leaf Craft to address bilateral coordination skills. Use real leaves to make a craft that builds bilateral coordination, heavy work proprioceptive input, and scissor skills.

Leaf Craft for Older Kids: This Sewing Skills Leaf Craft is great for older kids that need to address fine motor skills. Use a needle and thread, wire, lacing cord to thread around leaf shapes. We used plastic canvas, but you could use cardboard, cereal boxes, or even laminated paper.

Leaf Auditory Processing Activities– You can use leaves found out in the lawn to work on so many auditory processing skills including auditory discrimination and more.

Leaf Therapy Activities– This free printable home program uses a Fall leaves theme for a leaf tic tac toe game. Kids can complete different leaf themed therapy activities and score tic tac toe!

Hand StrengthLeaf Ten Frames are a great way to build hand strength using leaves. Use a hole puncher with leaves to work on hand strength and hands-on math.

Leaf Sensory Play– This Nature Water Table is perfect for sensory exploration, but is a fun toddler Fall activity with very little prep. Use a bin, water table, or bowl to explore Fall’s colors and textures and challenge the senses.

Leaf Sensory Activity– This corn husk painting activity is sensory activity art with the corn husk leaves of Fall! Sensory Painting- Use leaves, corn husks, and grasses for sensory painting. Then, practice handwashing!

Leaves Heavy Work Activity– We used play dough and Fall leaves in this Fall Play Dough Press to add heavy work through the hands. Use natural materials and play dough to add heavy work for the hands. This is a great visual perception activity, too.

Leaf Eye-Hand Coordination Activity– Use leaves to make these Fall tree crafts. They are great to work on eye-hand coordination and problem solving with a sensory experience to make these fall trees.

Fall Scissor Skills Activity– This Fall leaves scissor activity uses leaves found right outside the home or therapy clinic! Use leaves to work on line awareness, bilateral coordination, and visual motor skills.

Bilateral Coordination Activity– Work on bilateral coordination skills with this Fall leaf garland craft.

Shoulder Stability and Posture– Use a vertical surface to build strength, stability, posture, balance, coordination, and eye-hand coordination skills with this easel leaf activity. We used these easel leaves to work on sight words and trick words, but you could use this activity for any multi-sensory learning or math activity, too.

Leaf activities for occupational therapy to work on fine motor skills gross motor skills and other functional tasks.

Fall Crafts




This Fall Art Collage from A Little Pinch of Perfect adds a sensory and fine motor component to Fall art for preschoolers!


Incorporate movement, songs, and gross motor skills with this Leaves of the Trees Preschool Song from Growing Book By Book. 

These Autumn Leaf Hats from Mosswood Connections are a fun craft to work on scissor skills, bilateral coordination, and fine motor skills. 

Address bilateral coordination, eye-hand coordination, finger isolation, and precision skills to make these Leaf Stamping Tee Shirts from Mommy Crusader.


Make a Fall Nature Invitation like this activity from KCEdventures and this baby or toddler sensory table that we made using Fall leaves.

Make Leaf Peg Dolls from In the Playroom to work on fine motor skills.

Work on visual motor skills with this Leaf Color Sort from Stir the Wonder.

fall fine motor kit
Fall Fine Motor Kit

Working on fine motor skills this Fall? Grab the Fall Fine Motor Kit!

Printable 76 page, (no-prep) Fall themed fine motor activities and fine motor worksheets designed to build strong hands so kids can learn, hold & write with a pencil, and play.

This print-and-go Fall Fine Motor Kit includes no-prep fine motor activities to help kids develop functional grasp, dexterity, strength, and endurance. Use fun, Summer-themed, fine motor activities so you can help children develop strong fine motor skills in a digital world.

Includes Fall themed activities for hand strength, pinch and grip, dexterity, eye-hand coordination, bilateral coordination, endurance, finger isolation, handwriting, scissor skills, pre-writing skills, and much more.

Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.