Best Sensory Toys

sensory toys and sensory tools

If you are looking for the very best sensory toys to challenge sensory exploration, tactile play, or to offer sensory input to calm or alert a child, then you are in the right place. This gift guide of toys for sensory play cover many aspects of sensory processing in fun and engaging ways. Whether you need to add a few components to a sensory diet through play, or you are looking for a gift idea that develops specific skill areas, these occupational therapy toys, sensory toys, fidget toys, and movement toys cover all the bases.

When it comes to sensory toys, many of the ideas in our gross motor toy suggestions will hit on movement and heavy work input, so be sure to check that gift list out as well. Today is all about the sensory motor play.  Many of these toy recommendations would make great additions to a sensory room equipment collection or a sensory gym!

First, let’s talk Sensory Tools and Toys!

Amazon affiliate links are included in this blog post. As an Amazon Influencer, I earn from qualifying purchases.

Sensory toys and sensory tools for kids

The Best Sensory Toys

We had so much fun putting together our recent Gift Guide Toys to Improve Pencil Grasp, that we decided to put together this gift guide for Toys to Inspire Sensory Play.  If you follow our blog posts, you know that we LOVE messy, sensory, textural play.  


There are so many benefits to sensory play for young children.  They can explore textures, colors, scents while manipulating with their hands, expanding language skills, developing self-confidence, and so much more.  And while they are playing, they are exploring, exploring, investigating, and creating!  


This gift guide provides ideas to incorporate sensory play into daily play.  We wanted to provide a list of gift ideas so that sensory play can be done easily once you have all of the needed items.  What better time to stock the activity bin/closet/box than during the holidays?  


Maybe a relative is asking for gift ideas and there is something you would LOVE your kids to play with for sensory experiences.  Direct them to this gift guide for ideas to encourage sensory play!

Sensory Tools

First let’s cover a bit about how these toys are sensory tools. When it comes to kids, play is their primary occupation. It’s their main job. Through play, kids learn about the world around them, they practice and develop skills, and they interact with others.

Play is also a prime way to incorporate movement and sensory experiences, allowing kids to regulate their nervous system, calm down, focus, attend to tasks, and remember important experiences.

Sensory tools are means of facilitating sensory input. Whether that input is calming, alerting, or something else, it’s through experiences or sensory tools that a child gains sensory input. Sensory tools can offer movement, tactile input, visual input, or input through the olfactory system, gustatory system, auditory system and interoceptive system.

Check out this resource on sensory processing for more information on all of the senses and how they integrate to enable functional participation in day to day tasks.

The specifically selected toys and tools below incorporate sensory input in one way or another.

Amazon affiliate links are included below.

Sensory Toys and sensory tools ideas for kids

Light Tables as a Sensory TOOL

Have you ever used a light table in therapy? It’s a fun sensory experience for kids to challenge fine motor skills, as well as cognitive skills, and even posture or balance, all with the sensory input of a light table and manipulatives.

Light Panel in Sensory Play:
This Portable Light Panel (affiliate link) is great for visual sensory exploration.  Tracing and tactile manipulation can enhance math, handwriting, spatial relationships, and more through sensory play.

You could add a few Light Table Pattern Blocks (affiliate link) or even magnetic Imaginarium Letters & Numbers (affiliate link) like we did in our DIY Sensory Light Box (affiliate link) post.  Explore the shapes and textures of leaves, petals, and so much more with a light table!

Messy Sensory Toys

Our kids LOVE to get messy!  Not all kids do, however, and may need gradual experiences to build up their tolerance to sensory touch and manipulate different textures.  Some of our favorite messy play materials are:

Kinetic Sand (affiliate link) (such a cool texture…but be warned, Moon Dough is VERY messy!)

Educational Insights Playfoam (affiliate link) (such a neat textural experience!)

Aqua Sand Playground (affiliate link) is another super messy but very cool play experience.  The wet sand dries immediately, how fun!

Glow in The Dark Slime (affiliate link) is slimy, messy, and glow in the dark.  Add a few Marbles and you’ve got a super sensory texture. The slime and the marbles would make fun stocking stuffers!

Scented Sensory Toys

Scented Play is a fun way to engage and alert the senses through sensory toys.

Remember these Mr. Sketch Scented Markers (affiliate link) from grade school?  I can still remember that blueberry scent!  What a great way to explore the sense of smell while playing and creating art.  Have the kids draw with the markers and then spray the art work with a water bottle to see the colors run.  This would be a great sensory and process art project for kids of all ages!

This Scented Balls Set (affiliate link) sounds so neat!  We’ve never played with these before, but they each come in a different scent and would make an awesome stocking stuffer!

Sensory Bin Toys

There are so many ways to use a sensory bin in sensory play. You can offer texture challenges that meet the needs of the child AND incorporate learning opportunities.

Color Changing Tablets for Sensory Play:
The sense of sight is such an immediate one!  A sensory experience can be set up for the kids and as soon as they see a bright green bin of water with scoops or foam pieces, they are excited for play! 

These Color My Bath Color Changing Bath Tablets (affiliate link) are great for setting the stage for multi-sensory play.  We’ve used them in our Swamp Water Bin Sensory Play activity.  Watching the colors fizz and mix is such a fun experience!

Throw these tablets into the bath tub along with a few unexpected items like Paint Brushes, fun eye droppers like these Learning Resources Twisty Droppers (affiliate link), or a Funnel Set (affiliate link) and you’ve got a great sensory play environment!

Manipulatives In Sensory Play:
Sensory play is such a fun way to play and learn any topic.  Exploring textures with sensory input can really instill learning. So what can you put in the sensory bin, or water bin, or in the shaving cream on a tray?  The possibilities are endless!

Try a jungle theme and add Jungle Animal Counters (affiliate link).  Maybe your child LOVES dinosaurs and would go crazy to play with Mini Dinosaurs (affiliate link)
in a tub of birdseed.  Any theme or subject can be added to sensory play. 

Sensory Bins in Sensory Play:
There is nothing more fun than this sensory play item!  Water Beads (affiliate link)are typically used as a vase filler because once soaked in water, they expand and become a super sensory, fun, fine motor medium. 

We’ve used them in sensory bins of all kinds.  This set from Bundle Monster is great deal and comes in so many fun colors.  (Note: always be sure to supervise children when playing with water beads!)

Water Tables In Sensory Play:
Water tables are great for sensory play.  Despite it’s name, water tables are not JUST for water!  There are so many possibilities for messy play with a water table.  Goop, moon dough, birdseed,  shaving cream…the possibilities for sensory and textural play are endless! A water table is not just for outdoor play during the summer months.  We love bringing our sand and water table indoors during the cooler months and playing with bigger items like seashells, animal figures in play dough, mixing flour and a bit of water. 

We love this Step2 Water Table (affiliate link) for its large basin, the added water wheel (How fun to pour sand and watch it fall!). So many senses can be addressed with water table play.  We explored the textures of fall with a Fall Themed Water Table.  Since we’ve added our water table to our play, we’ve had so much sensory play fun!

Sensory Tools in a sensory bin

There are many materials that can be added to a bin or low tray and used as a sensory tool. Some of these can be very inexpensive, making them great tools for sensory exploration. Incorporate these materials into multisensory learning, too.

More Ideas for sensory play:

  • shaving cream
  • food coloring
  • scoops
  • birdseed
  • field corn
  • split peas
  • dry beans
  • colored rice
  • colored sand
  • cotton balls
  • tinsel

Sensory Fidget Toys

Fidget toys are a fun (and popular) way to address attention needs through small scale sensory input. Each of these fidget toys promote fine motor development by encouraging finger isolation, bilateral coordination, precision, and eye-hand coordination.

Amazon affiliate links are included below.

Great stocking stuffers for sensory play:

Sensory Balls (affiliate link)

Textured Sensory Fidget Toy– (affiliate link) Great for bilateral coordination and fine moor skills.

Wooden Puzzle Fidget(affiliate link)

Pull and Stretch Bounce Ball (affiliate link)

Sensory Toys for Calming Input

The ideas below make great gift ideas because they add heavy work input, or calming movement input, through the proprioceptive system and vestibular sensory system. These sensory tools can be a great addition to the home.

These are Amazon affiliate links.

Alerting Sensory Toys

These toy ideas van be alerting activities that “wake up” the sensory system. For others, through, they can calm the system, because the child gains a sensory work out when using them. Be sure to contact an occupational therapist for a sensory evaluation and suggestions for the needs of each individual.

This list is Amazon affiliate links.

So, if you are looking for a few ideas to add some sensory fun to your gift giving this holiday…or have family and friends asking for gift ideas…maybe one of these sensory play toys will be just right for your little one!  This list is by no means exclusive.  There are limitless ways to encourage sensory exploration into play.  We just wanted to provide a few ideas.  Happy playing!

More Movement sensory toy ideas

The lists of toy suggestions in the following blog posts are geared toward specific developmental areas. But, when it comes to movement, there are many sensory components intrinsically incorporated into the play. Check out these specific toy ideas:

  1. Fine Motor Toys
  2. Gross Motor Toys
  3. Pencil Grasp Toys
  4. Toys for Reluctant Writers
  5. Toys for Spatial Awareness
  6. Toys for Visual Tracking
  7. Toys for Sensory Play
  8. Bilateral Coordination Toys 
  9. Games for Executive Functioning Skills 
  10. Toys and Tools to Improve Visual Perception 
  11. Toys to Help with Scissors Skills 
  12. Toys for Attention and Focus 

Printable List of Toys for SENSORY NEEDS

When it comes to sensory needs, we are all different! Targeting different needs with toys that meet various needs is encouraging and motivating.

Want a printable copy of our therapist-recommended toys to support sensory processing?

As therapy professionals, we LOVE to recommend therapy toys that build skills! This toy list is done for you so you don’t need to recreate the wheel.

Your therapy caseload will love these SENSORY toy recommendations. (There’s space on this handout for you to write in your own toy suggestions, to meet the client’s individual needs, too!)

Enter your email address into the form below. The OT Toolbox Member’s Club Members can access this handout inside the dashboard, under Educational Handouts. Just be sure to log into your account, first!

Therapist-Recommended
SENSORY TOYS HANDOUT

    We won’t send you spam. Unsubscribe at any time.

    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.

    Gross Motor Toys

    gross motor toys

    If you are looking for the best gross motor toys to challenge coordination, balance, motor planning through whole-body movement and heavy work play, then you are in luck with these occupational therapy toys. Each one is designed to develop gross motor skills: strength, coordination, balance, posture, and more.

    PLUS, head to the bottom of this blog post for Day 2 of our therapy toy giveaway. We’re giving away a gross motor kit with agility cones, tossing loops, bean bags, and hula hoops, perfect for gross motor, balance, coordination, and even heavy sensory play through whole body movements.

    We started off the fun with yesterday’s fine motor toy ideas. Today is all about the gross motor play.

    First, let’s talk Gross Motor Toys!

    You’ll also want to check out our blog post on Gross Motor Activities for Preschoolers because many of the gross motor toy ideas listed in this post would be great for the preschool years (and beyond!).

    Amazon affiliate links are included in this blog post. As an Amazon Influencer, I earn from qualifying purchases.

    Gross Motor Toys

    Kids need gross motor movement for so many skills. Today, I have gross motor toys to share! Here, you’ll find the best whole body toys and ideas to help kids with balance, core strength, stability, coordination, and endurance.

    These gross motor games and toys support a variety of skill areas and functional tasks. Gross motor toys can be used to strengthen balance, coordination, motor planning, position changes, and other areas.

    And, when you see kids struggling to kick a ball, walk in a line at school, jump, skip, ride a bike…that’s where therapeutic play comes in!

    Scroll on to check out some therapist-approved toys that help gross motor skill development!

    Gross motor toys to help kids develop skills in running, hopping, jumping, skipping, crawling, and more.

    Gross Motor Toy Ideas

    This list of toys for gross motor skills pairs well with our recent list of Fine Motor Toys. Today however, you’ll find toys that develop a few areas that are essential to areas of child development:

    Bilateral Coordination– Kids need bilateral coordination in whole body movements to move their body in a coordinated way. These whole body movements can include coordination of the upper and lower body, or both arms, or both feet, and all of the above! Here are bilateral coordination toys to address this specific area.

    Motor Planning– Motor planning with the whole body allows children to move in a room without crashing into objects or other people. Gross motor motor planning allows children to climb steps, navigate obstacles, or any movement-based task. Here is more information on motor planning and motor planning toys to address this specific sub-area.

    Gross motor coordinationCoordination of gross motor skills is needed for tasks such as kicking or catching a ball, riding a bike, getting dressed, or any task that uses the entire body. Here are hand eye coordination toys to address this particular sub-area.

    Proprioception– Integration of proprioceptive input allows children to know where their body is in space. It tells the body how much effort is needed to pick up and move objects. Proprioception allows us to understand the body’s position as it moves in a coordinated manner.

    Vestibular input- Integration of vestibular input allows children to navigate the world around them as they move. Going up or down steps or bleachers is an example of this. Moving into different positions during tasks is another example of vestibular integration. Movement through different planes requires integration of vestibular input.

    All of these areas work together in functional tasks and all are rooted in gross motor skills.

    Related: This dinosaur gross motor game is a skill builder, as well.

    Toys for Gross Motor Skill Development

    So often, therapists and teachers purchase items to use in their work using their own money. This giveaway offers a chance for you to win an item that will be useful in helping kids thrive.

    And, given that kids are on screens more than ever before with all of the virtual learning and hybrid learning models being incorporated all over the world, therapists are seeing more need for active, physical play.

    These are gross motor toys that you will find in therapy clinics. There is a reason why…because they are gross motor powerhouses! So, if you are looking for toy recommendations that build whole body motor skills, this is it!

    Amazon affiliate links are included below. You can read more about these items by checking out the links.

    Zoom ball is a great gross motor toy for kids.

    Zoom Ball– This classic toy is such a great way to work on many skills. A zoom ball can be used in different positions to challenge balance and vestibular input. Try using the zoom ball games in sitting, standing, kneeling, standing on couch cushions, a slant…again, the options are limitless! Address skills such as:

    • Bilateral coordination
    • Core strength
    • Shoulder stability
    • Visual convergence
    • Motor planning
    • Coordination
    Pop and catch toys can help kids develop gross motor skills.

    Pop and Catch- Use this coordination toy indoors or outdoors to get kids moving. This toy can be played with while the child is standing, sitting, kneeling, or in a half-sit to challenge the core and eye-hand coordination in a variety of planes. Try playing on all fours on the floor for a shoulder girdle stability activity. Another use for this toy is by playing by standing at a table while the child shoots the ball across the table surface as they play like a ping-pong type of game. There are many uses for this pop and catch activity:

    • Eye-hand coordination
    • Motor planning
    • Vestibular input
    • Core strength
    • Stability of core
    • Stability of shoulder girdle
    use bucket stilts to help kids develop gross motor skills.

    Bucket Stilts– These bucket stilts are perfect for helping kids develop gross motor skills. I love this set because there are 6 colored buckets that make a great gross motor obstacle course tool, too. You could use them as stepping stones to challenge balance and coordination, too. Here are gross motor skills that you can work on using these bucket stilts toys:

    • Core strength
    • Vestibular input
    • Motor planning
    • Coordination
    • Balance
    • Endurance
    • Stabilizing
    use agility cones to help kids build gross motor skills in obstacle courses and more.

    Agility Cones– Sports cones are such an open-ended gross motor toy that can be used to develop so many skills: hopping, jumping, skipping, running, climbing, crawling…the options are endless. Use these agility cones in therapy obstacle courses, challenges, drills, and more. I chose these particular cones because they can go very nicely with a Zones of Regulation activity! Use cones to support these areas:

    • Motor planning
    • Vestibular input
    • Coordination
    • Core strength
    • Endurance
    Use carpet markers to build gross motor skills with gross motor obstacle courses, motor planning, and more.

    Carpet Markers– These carpet markers are an occupational therapist’s dream toy! Use the colored marker spots to help kids work on so many movement skills in obstacle courses, visual perceptual skill activities, direction following, sensory movement breaks, positioning guides, and so much more. The arrows are perfect for addressing directionality. Use them to work on crawling, hopping, jumping, stopping on a point. Just some of the areas that these carpet spots support:

    • Core strength
    • Shoulder stability
    • Motor planning
    • Coordination
    • Endurance
    • Proprioception
    A parachute is a great gross motor toy for kids.

    Parachute– A parachute is another open-ended gross motor toy that the kids just LOVE. This one is small enough for small groups, but builds motor skills in a big way. Use the parachute to help kids develop:

    • Core stability
    • Arm strength
    • Motor planning
    • Endurance
    • Bilateral coordination
    • Proprioceptive input

    Toys for Core Strength

    Toys that develop core strength get kids moving in a variety of positions. These toys support and challenge the vestibular and proprioceptive systems so they can be calming activities as well. Strength and stability in the core is needed for almost all functional tasks. Challenge kids with these core strengthening toys by getting them moving, on the floor in floor play or strengthening the core muscles through movement and balance coordination. Some ideas for developing and strengthening core strength include:

    Toys for balance

    Toys that challenge movement changes, stepping from high to low and low to high, and movement with vestibular input offer opportunities to challenge and develop balance and coordination skills.

    Gross Motor Coordination Toys

    Encourage movement, whole body play, and gross motor coordination with throwing, tossing, and hand-eye coordination or foot-eye coordination skills with these gross motor coordination ideas:

    Obstacle Course Toys

    All of the gross motor toys listed above could be used in obstacle courses…and what a great way to encourage so many skills! These are perfect additions to your obstacle course ideas, and challenge balance, coordination, motor planning, and add sensory input. Use these obstacle course toys to vary movement and encourage the specific skills kids need:

    Want to add these toys to your home, classroom, or therapy practice? I am SO happy to fill your toolbox so you can help kids thrive and build and develop the skills they need!

    More therapy Toys

    Check out the other therapy toy recommendations in the list below:

    1. Fine Motor Toys
    2. Gross Motor Toys
    3. Pencil Grasp Toys
    4. Toys for Reluctant Writers
    5. Toys for Spatial Awareness
    6. Toys for Visual Tracking
    7. Toys for Sensory Play
    8. Bilateral Coordination Toys
    9. Games for Executive Functioning Skills
    10. Toys and Tools to Improve Visual Perception 
    11. Toys to Help with Scissors Skills 
    12. Toys for Attention and Focus 

    PRINTABLE LIST OF TOYS FOR GROSS MOTOR

    Want a printable copy of our therapist-recommended toys to support gross motor development?

    As therapy professionals, we LOVE to recommend therapy toys that build skills! This toy list is done for you so you don’t need to recreate the wheel.

    Your therapy caseload will love these GROSS MOTOR toy recommendations. (There’s space on this handout for you to write in your own toy suggestions, to meet the client’s individual needs, too!)

    Enter your email address into the form below. The OT Toolbox Member’s Club Members can access this handout inside the dashboard, when you search “toys” in the search bar inside the membership. Just be sure to log into your account, first!

    Therapist-Recommended
    GROSS MOTOR TOYS HANDOUT

      We won’t send you spam. Unsubscribe at any time.

      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.

      Check out the blog comments below to see tips and ideas from readers telling us which gross motor toys they would love to use with the kids they work with and love. Have other gross motor favorites that aren’t listed here? Tell us about them!

      Fine Motor Toys

      Awesome fine motor toys for kids

      Working on fine motor skills through play is natural. Here, you’ll find the very best fine motor toys designed to promote and support a variety of therapy skills. These occupational therapy toys support the development of precision, dexterity, hand strength, and coordination, through play. Let’s talk Fine Motor Toys!

      Amazon affiliate links are included in this blog post. As an Amazon Influencer, I earn from qualifying purchases.

      Fine Motor Toy Ideas

      Today is going to be FUN! I am beyond excited to share the very best fine motor toys that support development of hand strength, dexterity, precision. We’ll also cover why these occupational therapy toys support fine motor development, and cover a little about an occupational therapist’s perspective on what makes them such amazing tools for building hand strength, dexterity, motor control, and fine motor coordination.

      Here’s why: I love to share my OT perspective on helping kids develop skills, using fun and engaging therapy toys that kids are excited about.

      Check out the items below, and add one of these fine motor toys to your therapy toolbox!

      These fine motor toys are therapy toys that help kids build motor skills like hand strength, coordination, and more.

      Fine Motor Toys

      So often, therapists and teachers purchase items to use in their work using their own money. This giveaway offers a chance for you to win an item that will be useful in helping kids thrive.

      And, given that kids are on screens more than ever before with all of the virtual learning and hybrid learning models being incorporated all over the world, therapists are seeing more need for active, physical play.

      Because of that, I’m excited to share with these fine motor toys that help kids develop the motor skills they need!

      One type of toy that is easy to start with when it comes to supporting fine motor skills is buckle toys. These soft toys with straps, buckles, and connectors are great for all ages.

      Fine Motor Skills Toys

      Here on The OT Toolbox, I’ve shared a lot of different toy suggestions, that are perfectly suited to meet specific needs, like fine motor strength, grasp, pincer grip, and dexterity. Toys like Tinker Toys and a Lite Brite toy are classic ideas to build skills. But, there are many ideas out there!

      Some of these specifics can be found here:

      Today, I wanted to go through some specific toys that develop fine motor skills. AND…as part of the Therapy Tools and Toys Giveaway, you can enter to win these items!

      Therapy Toys for Fine Motor Skills

      These are fine motor toys that you will find in therapy clinics. There is a reason why…because they are fine motor powerhouses! So, if you are looking for toy recommendations that build motor skills, this is it!

      Amazon affiliate links are included below. You can read more about these items by checking out the links.

      Learning Resources Avalanche Fruit Stand (affiliate link)- This toy is one of my FAVORITE ways to develop fine motor skills in kids. Kids use tweezers to manipulate fruit pieces and can work on colors, counting, matching, and other learning skills. The fine motor components are impressive! Address skills such as:

      • Pincer and Tripod grasp development
      • Hand strength
      • Arch development
      • Separation of the sides of the hand
      • Wrist stability
      • Wrist extension
      • Eye-hand coordination
      • Motor control
      Build fine motor skills with this Avalanche Fruit Stand game that helps with fine motor skills.

      Pop Tubes– (affiliate link) There are so many ways that these fine motor tools build skills in kids. You can read about using Pop Tubes for bilateral coordination skills in this previous blog post, but beyond bilateral coordination, these bendable tubes can be used to help kids develop body awareness through tactile stimulation, fine motor skills auditory feedback, AND fine motor skills such as:

      Pop Tubes are a fine motor toy that helps kids build hand strength.

      Spike the Fine Motor Hedgehog(affiliate link) Have you seen this cute hedgehog toy? It’s a great way to help kids develop fine motor skills in a fun way. The bright colors are a nice way to work on matching, sorting, math skills, and color recognition, too. The chunky pegs make this fine motor tool a great toy for toddlers, but the hedgehog’s cute factor makes it a great fine motor activity for older children as well. These fine motor skills are addressed with this toy:

      • Eye-hand coordination
      • Pincer grasp
      • Grasp development
      • Hand strength
      • Motor planning
      The fine motor hedgehog toy helps kids with fine motor skills.

      Bucket of Perler Fuse Beads– (affiliate link) This bucket of beads is the perfect way to build so many fine motor skills. I love working with perler beads with children because you can target many skills, and it’s a great fine motor activity for older children that may benefit from fine motor work. This bucket of perler beads makes my recommendation list for it’s fine motor benefits:

      • Pincer grasp
      • In-hand manipulation
      • Separation of the sides of the hand
      • Open thumb web-space
      • Dexterity
      • Precision
      • Wrist stability
      • Eye-hand coordination
      Perler beads are a great fine motor toy for kids.

      Jenga Game-(affiliate link) This classic game is a fine motor powerhouse that kids love. As a therapist, I love to use this game to build fine motor skills, because it’s such an open-ended activity. You can play the Jenga game, but you can use the blocks in building activities and pretend play activities, too. Consider the fine motor benefits of this game:

      • Precision
      • Dexterity
      • Separation of the sides of the hand
      • Eye-hand coordination
      • Motor planning
      • Motor control
      Use Jenga to help kids develop fine motor skills and coordination

      Coogam Wooden Mosaic Puzzle– (affiliate link) This pixel puzzle comes with a wooden board, a puzzle booklet, and 370 small block pieces in 8 different colors. Children can use this fine motor toy to develop so many fine motor and visual motor skills. Use it to copy and build letters and numbers, shapes, and pictures. This toy is great for math concepts, too. This is a powerful toy!

      • Precision
      • Eye-hand coordination
      • Visual motor skills
      • Pincer grasp
      • In-hand manipulation
      • Open thumb web-space
      Use this shapes puzzle to help kids develop fine motor skills, coordination, and motor control.

      Interlocking Building Snowflakes-(affiliate link) This building toy is a fine motor goldmine. Kids can construct 3D shapes or they can copy figures and work on visual motor skills. Use this fine motor toy to work on skills such as:

      • Hand strength
      • Arch development
      • Separation of the sides of the hand
      • Bilateral coordination
      • Pinch and grip strength
      • Wrist stability

      Coogam Wooden Blocks Puzzle Brain Teasers Toy Tangram– (affiliate link) This puzzle toy is a fantastic addition to have in your therapy bag, classroom, or home. Kids can complete the fine motor puzzles and use it as a brain break to learning. Plus, there are so many visual motor benefits to this toy:

      • Visual motor integration
      • Eye-hand coordination
      • Precision
      • Wrist stability
      • Wrist extension
      • Separation of the sides of the hand
      • In-hand manipulation
      • Open thumb web-space
      Children can develop precision and dexterity with this tangram activity.

      Mini Squigz– (affiliate link) Squigz are such a great fine motor toy for kids. Use them to build on one another or to stick to a wall or protective plexiglass surface. The sticking suction cap toys provide resistive feedback that not only strengthens little hands, but offers a proprioceptive sensory feedback, too. Here are more fine motor benefits to this toy:

      • Hand strength
      • Arch development
      • Separation of the sides of the hand
      • Eye-hand coordination
      • In-hand manipulation
      • Precision and dexterity
      Use squigz to help kids build hand strength.

      Straw Constructor STEM Building Toy– (affiliate link) Using STEM toys to support fine motor skills is a powerful strategy. Read more about STEM fine motor activities.

      This fine motor toy is such a fun way to help kids develop and strengthen motor skills. Even better, is that this building toy can become a gross motor toy, too. Containing 300 pieces of plastic straws and connecting pieces, this construction toy helps kids develop so many areas:

      • Bilateral coordination
      • Visual motor skills
      • Eye-hand coordination
      • Pincer grasp
      • Tripod grasp
      • Hand strength
      • Arch development
      • Separation of the sides of the hand
      • In-hand manipulation
      A straw construction toy is great for fine motor skill development.

      Pincer Grasp Toys

      Toys to improve pincer grasp include:

      Affiliate links are included below.

      Hand Strength Toys

      Affiliate links are included below.

      Fine Motor Games

      Affiliate links are included below.

      More Therapy Toys

      Check out the therapy toy ideas listed in the blog posts below. Each article covers a different area of child development.

      1. Fine Motor Toys 
      2. Gross Motor Toys
      3. Pencil Grasp Toys
      4. Toys for Reluctant Writers
      5. Toys for Spatial Awareness
      6. Toys for Visual Tracking
      7. Toys for Sensory Play
      8. Bilateral Coordination Toys
      9. Games for Executive Functioning Skills 
      10. Toys and Tools to Improve Visual Perception 
      11. Toys to Help with Scissors Skills 
      12. Toys for Attention and Focus 

      PRINTABLE LIST OF TOYS FOR Fine Motor Skills

      Want a printable copy of our therapist-recommended toys to support fine motor skills?

      As therapy professionals, we LOVE to recommend therapy toys that build skills! This toy list is done for you so you don’t need to recreate the wheel.

      Your therapy caseload will love these FINE MOTOR toy recommendations. (There’s space on this handout for you to write in your own toy suggestions, to meet the client’s individual needs, too!)

      Enter your email address into the form below. The OT Toolbox Member’s Club Members can access this handout inside the dashboard, when you search “toys” in the search bar inside the membership. Just be sure to log into your account, first!

      Therapist-Recommended
      FINE MOTOR TOYS HANDOUT

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        Looking for a consistent way to support fine motor skills all year?
        This yearlong fine motor system includes seasonal activity kits and monthly data collection tools to support planning and progress monitoring.

        If fine motor planning and data collection feel overwhelming, you’re not alone.
        This done-for-you yearlong bundle organizes seasonal activities and monthly screening tools in one system.

        Get the Yearlong Fine Motor and Data Collection Bundle today!

        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.

        Thanksgiving Activities for Kids

        Thanksgiving therapy activities

        Thanksgiving is right around the corner. There are so many reasons to be thankful. The leaves are falling, families and friends will be gathering. Here, you will find Thanksgiving activities for kids that help to build skills, develop motor skills, enhance sensory challenges, and help children thrive through play. There are so many thanksgiving activities that can be used in occupational therapy.

        Thanksgiving OT activities are here in all ways…Turkey crafts are always so cute and are a great way to get your kids working on following directions, fine motor skills, visual motor skills. Get your kids up and moving after Thanksgiving dinner by having them participate in a gross motor turkey themed activity.

        Thanksgiving therapy activities

        Thanksgiving Activities for Kids

        I have broken down these Thanksgiving activities for kids into different categories based on occupational therapy areas and OT Thanksgiving activities that may be needed to work on certain goal areas or functional areas.

        Thanksgiving activities for kids

        These Thanksgiving therapy activities cover a variety of skill areas and OT goals.

        Thanksgiving OT Activities for Sensory

        The Thanksgiving occupational therapy activities in this list are sensory motor activities that support sensory input through movement and play based activities.

        Thanksgiving sensory bin

        Thanksgiving sensory bin-grab some dry corn, shredded paper, acorns and fall leaves to make this Thanksgiving sensory bin.  

        Thanksgiving mindfulness activity-take a deep breath and help your child wind down from a busy load and cope with sensory overload with this, deep breathing turkey visual prompt.

        Fall vestibular sensory-moving, jumping, rolling, hopping and swinging all are vestibular activities. Why not do these activities in the leaves? Rake up a pile and leaves and have your child roll in the leaves, create a leaf swing or jump in the leaves.  Here are more Fall vestibular activities that prompt movement.

        Disguise the Turkey OT Teletherapy Activity– This digital disguise the turkey activity is a free slide deck that you can use for occupational therapy teletherapy sessions or as a brain break activity in the classroom or home. Kids can disguise the turkey and then work on typing, handwriting, and creative writing skills.

        Thanksgiving OT Activities for Fine motor 

        Thanksgiving OT activities support fine motor skills like precision, hand strength, finger strength, coordination, finger dexterity, and more. Thanksgiving crafts and activities do just that!

        Thanksgiving tree

        Thanksgiving tree– What are your kids thankful for? Find out with this thanksgiving gratitude tree made from sticks and paper leaves. Kids can make the Thanksgiving Tree and express gratitude while working on scissor skills and handwriting.

        Gratitude Leaf Garland– gather some construction paper, markers and yarn and make a festive decoration. Have your child write on the leaves and they can even help to cut them out.  Hang the gratitude leaf garland with the kids.

        Thanksgiving suncatcher craft

        Gratitude sun catcher-make a beautiful window decoration this Thanksgiving with a fine motor suncatcher craft. Grab some construction paper, black marker and clear cellophane wrap. This activity focuses on writing, scissor skills and counting your blessings.  

        Cooking with Kids- Make these turkey pretzel rod snacks with kids to work on fine motor skills, problem solving, executive functioning, and direction following.

        manualidades con pavo para niños que son excelentes para la teleterapia

        Turkey crafts and activities-follow this link to lead you to 19 turkey crafts that are sure to keep your child busy! If you need quick last minute turkey crafts, we have those, too.

        Thanksgiving felt board pattern– work on direction following, patterns and fine motor skills with this turkey felt board project 

        Fine Motor Thanksgiving Activities- Use our Thanksgiving Fine Motor Kit to build fine motor skills with lacing cards, crafts, handwriting activities, scissor cards, pre-writing cards, cursive writing cards, and so much more.

        This cute turkey lantern craft from JDaniels Mom is a fun way to work on fine motor skills.

        Thanksgiving fine motor kit

        Thanksgiving OT Activities for Gross motor 

        Thanksgiving therapy activities are great balance and coordination activities for balance beams, OT obstacle courses, scavenger hunts, and more. These play-based activities are driven by games and play and support the development of balance, coordination, and sensory motor skills that are needed for daily functional tasks.

        Turkey theme gross motor activity-no equipment needed to have your child participate in this gross motor activity where they will waddle like a turkey, working on body coordination, core strength and bilateral coordination with this free Thanksgiving Turkey Slide Deck. Use it in virtual therapy or as a Thanksgiving brain break activity.

        Thanksgiving walk– grab your family and friend and go on a thanksgiving morning walk. Get out there and enjoy the fresh air and get some exercise in. Make it a scavenger hunt for your kids look for acorns, leaves, sticks, birds, squirrels, pumpkins.  

        Thanksgiving is such a great time of year to do some really fun fine motor, gross motor and sensory turkey themed and fall themed ideas. Hopefully this list is a quick and easy way to fine activities your kids will love and can use in OT Thanksgiving activities!

        Be sure to grab the Thanksgiving Fine Motor Kit while it’s on sale!

        Thanksgiving Fine Motor Kit

        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.

        Skipping Activities for Kids

        text reads "how I taught a child to skip in occupational therapy" image shows dots with arrows for skipping.

        Young children often ask to learn to skip. Here, you’ll discover skipping activities for kids, as well as specific strategies to teach children how to skip. Skipping is an important gross motor target. For some children, learning to skip is a real challenge! 

        I wanted to update this resource on teaching kids to skip with additional skipping activities I’ve personally used in therapy sessions. You can find that information at the bottom of this page.

        These skipping activities are fun ways to teach kids to skip.

        Learn to Skip with Skipping Activities

        If you have ever spent time in an elementary school, you may have noticed that the youngest members of the school community, specifically kindergarteners, hardly ever walk from place to place… they skip (and hop, jump, twirl, and gallop, too)!

        Skipping is a developmental milestone or marker that generally emerges around age 5, with a range of age 4-6 years.  For many kids, skipping emerges without intervention, just the way reaching, crawling, or walking develops. 

        For kids who struggle with gross motor skills and bilateral coordination, direct teaching may be necessary to develop this critical skill.  Once the basics are learned, skipping activities are a great way to practice.

        learning to skip requires motor planning and sensory integration

        Skipping is such a perfect example of motor planning and sensory integration.  It requires ideation (having the idea about how to move), planning (sequencing the movement), and execution (carrying out the movement).  

        For a person to execute the motor plan of skipping, the coordinated effort of sensory systems and the brain is required. 

        Skipping also provides excellent sensory input. No wonder kindergarteners like to skip from place to place… the vestibular and proprioceptive input they receive is a natural reward for all their hard work in mastering the skill!

        what about bilateral coordination?

        The ability to coordinate the two sides of the body involved in learning how to skip requires balance, strength, motor planning, and bilateral coordination. Bilateral coordination refers to the ability of the brain and body to process and integrate information from both sides of the brain to respond with movements in a coordinated manner. 

        Many functional tasks and daily activities, such as feeding, dressing, and writing rely on bilateral coordination. 

        Being able to coordinate both sides of the body is also a foundation skill for gross motor coordination activities such as walking, running, galloping and skipping.

        Wondering how to teach skipping? This blog post breaks down the steps of skipping.

        How to Teach Skipping

        When you have a goal for a child to learn to skip, it is important to make sure that you address all of the components of skipping.  Teaching kids to skip starts with seeing what skills the individual is able to do. There are skills that are required to skip. Can the child balance on one foot and hop? Does the child have a dominant leg? Can they gallop or perform a different version of skipping? These are all good questions to ask when teaching skipping skills.

        First, evaluate and observe the following gross motor skills needed for skipping:

        • Balance – check to make sure they can balance on either foot
        • Hopping – are they able to hop in place on each foot?  Are they able to hop forward on one foot?  Have them try to take 5 hops forward on either foot
        • Leg dominance – it may be helpful to know if they have a preferred leg for activities like hopping or kicking
        • Galloping – are they able to gallop? Can they gallop on either side?  This is more of a unilateral skill, which is often easier for kids who demonstrate difficulty with bilateral coordination skills.

        If any of the above skills are weak, start with developing balance and hopping.  Then progress to galloping, followed by skipping. 

        Then, use these strategies to teach skipping:

        1. To teach skipping, start by breaking down the steps for the child.  Provide a demonstration and simple verbal cues like “Step, hop, switch”.  You may need to provide a visual cue as well, using colored dots or markers on the floor, such as these (Amazon affiliate link) Little Polly Markers.

        2. Once the child is able to complete the “step, hop, switch” sequence. This can be a very slow process at first. Some kids will need to think through the motor plan of each step. That’s ok! Use visual and verbal cues to work on the step with one foot, the hop, and the switch to the other foot.

        3. Work to improve their fluency and speed of the step, hop switch sequence. Use these steps in an obstacle course or a relay activity to work on speed and gross motor coordination to improve fluent motor skills.

        3. As they master the skill of skipping, you can encourage them to incorporate their upper body into the movement as well. Show them how to swing their arms in coordination with the legs. This will become more fluent and integrated with practice.  

        Working on the coordination and motor planning to master learning to skip involves more than just a hop and a skip. Skipping is a complex task, but once you break it down and address underlying skill areas, it becomes easier. 

        Skipping Activities

        Here are some gross motor coordination games and skipping activities that address bilateral coordination and motor skills:

        • Obstacle courses – set up a simple hopping and jumping obstacle course inside or outside.  Use pool noodles to jump over with two feet, hop in and out of hula hoops, jump over cardboard bricks, etc.  Here is a post about Outdoor Lawn Games with lots of ideas for using backyard toys and equipment to address gross motor coordination skills.
        • This Ultra Dash Game (affiliate link) is fun for kids of all ages!  You can set up an obstacle course in various ways and then the kids have to race to match the colors from the wand to the colored base.  You could incorporate skipping, jumping, and hopping into this game to work on those skills in a new way.
        • Use gross motor toys to work on balance, coordination, motor planning, and core strength.
        • Use a long jump rope to hop over on one foot. 
        • Stand like a flamingo. Try freeze dance games with a flamingo theme. When the music stops, players have to hold one leg up like a flamingo!
        • Simon says- Incorporate the hop and jump tasks needed in the task of skipping. Use these Simon Says commands in therapy sessions.
        • Yoga is a great activity to build body awareness, gross motor skills, and bilateral coordination.  Here are several different kids yoga resources:
        • Skip ball (affiliate link)- this toy is a fun tool to practice skipping skills
        • Chinese Jump Rope (affiliate link) – who remembers this classic toy? Relive your childhood while passing on this great game
        • Mini Trampoline (affiliate link)- these are great to work on jumping, hopping, coordination, following directions, all great skills to teach skipping
        • Musical Hippity Hop Stick – this rotating stick encourages children to jump over the stick as it rotates by. If the stick touches them, the game is over. Practice this with two feet first, then try hopping over the stick
        • Hopscotch!  Don’t forget about this one!  All you need is some chalk and a sunny day to get outside and practice hopping and jumping.  This would be a great activity to set up on the playground for kids to work on skipping skills during recess. Not ready for outside play? Use painter’s tape down the hallway.

        Teach Skipping in Occupational Therapy

        One thing I love about occupational therapy is that we can help kids with the skills they want to do. I’ve had a few kids that request things like learning to pump a swing so they can play on the swings at recess, or how to do a cartwheel even when body awareness and crossing midline is a problem.

        I’ve had a child or two that wanted to learn how to skip. They wanted to skip because their peers do this at recess and they found themselves missing out. The fact is that skipping is a childhood classic! One student in particular wanted to learn to skip so they could skip down their road after getting off the school bus at the end of the school day.

        Isn’t occupational therapy cool?! We get to help our clients do the things that matter the most to them, and if that’s skipping, hey, that’s what we are going to work on in OT sessions!


        text reads "how I taught a child to skip in occupational therapy" image shows dots with arrows for skipping.

        Here’s how I taught one child to skip in our occupational therapy sessions…

        Skipping Goals in OT

        Some physical therapists might argue that skipping is PT’s domain. But when we are talking about the function and the actual skill that is involved and the child’s motivation to do this task as part of play or functional tasks, we’ve got a great OT goal.

        For my kiddo that wanted to skip at recess, this is exactly what I’m talking about. This particular student wanted to participate in her school day with her peers, and the function was play.

        The skills we need to assess are:

        Another area that’s not often considered when it comes to breaking down the task of skipping is Related, are the concepts of dominance and mixed dominance vs. ambidexterity. This is where occupational therapy can help because we do think of all of these components!

        I helped this student to work on skipping by segmenting the movements into steps. We came up with a routine of sorts. This really helped this particular child because they were really interested in dance and movement. So putting the steps of skipping into a routine with step by step movements really helped her.

        I had her step on a colored dot on the floor with one foot. Then I had her pick up her opposite knee by pulling it up to her trunk section. This step took a little practice because of balance and coordination of the movements. We added some animal poses into the therapy sessions to work on the core strength, balance, and coordination. It also was a great regulation activity for her.

        Then, once she had that step down pat, I had her hop on one foot to another colored dot. We used different colors to add a visual cue to the steps.

        Then, once she was able to do the hop we repeated the process with the other foot.

        Then we put it all together into repeated movements.

        She was able to move really slowly through the steps of skipping by using a pattern of colored dots on the floor. I started with big therapy dots and then we moved onto small round stickers.

        It worked really well! She was very motivated to complete this task so that helped, but by using this process over and over again, she really got the steps and motor planning down to learn the steps of skipping. It became an automatic motion.

        Then, we added in the component of peers and a busy environment by doing the activity outside in the actual space, the playground. Success!

        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.

        How to Create a Sensory Diet

        steps to create a sensory diet

        Here you’ll discover how to create a sensory diet through information on sensory diets as well as a powerful resource to set up and establish an effective sensory diet lifestyle that works for kids. We’ve shared a lot of information about creating a sensory diet. There is a valid reason. Besides the growing need for sensory support for kids with sensory processing disorder or sensory challenges, there is a real need for parents and teachers to understand exactly what a sensory diet is and how it can help address sensory needs.  

        steps to create a sensory diet

        We’ll get into the steps to create a sensory diet below. Let’s first talk about how and why we need to make sensory diets.

        The tips below are strategies for creating a sensory diet that can be effective and helpful in enabling a successful sensory lifestyle. Understanding how does a sensory diet help is many times, the first step in addressing sensory related needs!

        Sensory diets can change the self regulation level that one is at, whether that be overstimulated and overwhelmed by the environment and internal state, or needing to become more alert. Sensory diet strategies can support these needs in any environment.

        How to Create a Sensory Diet

        Whether you are wondering exactly what a sensory diet entails or why a sensory diet can be effective in addressing underlying sensory needs, knowing how to create a sensory diet using the tools a child needs is essential. 

        Below, you’ll find answers to questions about how to create a sensory diet and what exactly a sensory diet is. If you are wondering how does a sensory diet work, then read on! 

        You can make a sensory diet in any space. Read our blog posts about creating a sensory diet on a budget and calm down corners for more information on creating a sensory diet in a specific space in the school environment.

         

        Wondering how to create a sensory diet? Use these steps to create a sensory diet for children with sensory needs that result in meltdowns, attention challenges, struggles with regulation, and other sensory processing related difficulties. Perfect for the occupational therapist who works with kids with sensory needs.

        The Sensory Lifestyle Handbook is a resource for creating sensory diets and turning them into a lifestyle of sensory success through meaningful and motivating sensory enrichment.

        What is a sensory diet? 

        First, it can be helpful to explain exactly what a sensory diet is. A sensory diet is a specific set of sensory activities designed to meet specific needs of the individual. Creation of a sensory diet requires assessment and trial followed by analysis and continued monitoring of strategies and their effectiveness. 

        An occupational therapist named Patricia Wilbarger came up with the term sensory diet to describe the brain’s need for more sensory-motor input from the various sensory systems. Just like our body requires a nutritional diet of healthy foods, the sensory diet is designed to support a person’s sensory needs.

        One thing that is important to remember is that without adequate and appropriate sensory input, or sensory input that isn’t registered correctly, we can have sensory deprivation or we can feel out of sorts. It’s hard to be alert and attentive when this happens! That means that learning, participating in social situations, and functioning in everyday tasks can be difficult.

        Studies support the use of active participation in multi-sensory activities for at least 90 minutes per week to improve occupational performance and autism symptoms and behaviors (Fazlioglu & Baran, 2008; Thompson, 2011; Woo & Leon, 2013; Wuang, Wang, Huang, & Su 2010).

        Children who have a toolbox of sensory activities available to them for daily use may benefit from prescribed sensory activities. A sensory-based strategy guide can help.

        Sensory diets are a commonly known strategy for addressing sensory needs. The term “sensory diet” was coined by Patricia Wilbarger in 1984 to explain how certain sensory experiences can improve occupational performance and help to remediate disruption of the sensory processing systems. A sensory diet is a means to adjust sensory input in relation to an individual’s needs.

        Remember that each and every person has their own specific needs. Some of us like a heavy blanket laying on us when we sleep. Others prefer a light and airy sheet as a bed covering. This sensory preference is just one example in one part of the day, and one specific daily occupation that describes different sensory preferences. Another way to put it is to call these preferences a sensory need. We each have different needs when it comes to the tactile, motor, tastes, smells, etc. that allow us to function.

        Similarly, a sensory diet designed to support regulation and sensory processing will be different for every individual. It can be considered a formula that allows each individual to process input and function during their day.

        Sensory diets can include various sensory strategies and supports that help the individual to regulate. Some additional movements, or activities can include:

        A sensory diet is a meaningful set of strategies for developing sensory programs that are practical, carefully scheduled, and controlled in order to affect functioning. Sensory diet activities provide appropriate sensory input based on the needs of an individual.

        Just as a healthy diet consists of a variety of foods, a sensory diet is a balanced set of sensory information that allows an individual to function. A person cannot survive on broccoli alone. Similarly, a child cannot function with only one type of sensory activities.

        Wondering how to create a sensory diet? Use these steps to create a sensory diet for children with sensory needs that result in meltdowns, attention challenges, struggles with regulation, and other sensory processing related difficulties. Perfect for the occupational therapist who works with kids with sensory needs.

        Why Create a sensory diet?


        There are many reasons why a sensory diet should be used to support specific needs. This resource covers the goals of a sensory diet.

        Sensory diets are effective for addressing many sensory-related behaviors. Just a few reasons for using a sensory diet may include:

        • Emotional overreaction
        • Meltdowns
        • Aggression
        • Hyper-attention
        • Difficulty with transitions
        • Inattention
        • Sleep issues
        • Impulsivity
        • Sensory-seeking behaviors
        • Sensory-resisting behaviors
        • Resistance to textures/food/clothing
        • Poor social Interactions

        This blog post on sensory processing includes a sensory processing disorder checklist that covers many reasons and reactions that can be impacted by sensory needs.

        Wondering how to create a sensory diet? Use these steps to create a sensory diet for children with sensory needs that result in meltdowns, attention challenges, struggles with regulation, and other sensory processing related difficulties. Perfect for the occupational therapist who works with kids with sensory needs.

        Make a Sensory Diet Template

        This next section of this article covers a sensory diet template, which is a helpful tool for creating sensory diets. However, remember that we discussed above how everyone’s needs are different and that each sensory diet will be unique to the individual.

        A sensory diet template is helpful in strategizing and getting started with sensory diet creation. But it should be used as just that, a tool!

        Every one of us will have a unique sensory diet formula depending on preferences, processing, needs, and environment.
        One important piece of the sensory diet puzzle is the successful implementation of strategies. This is the part of actually using sensory activities, brain break, movement activities, calm down corners, sensory tools, etc.

        We’ll go into how this looks in more detail below, but it’s important to remember that the sensory diet template plays a big role. Actually scheduling strategies and implementing them into day to day tasks is part of the sensory lifestyle.

        There is more to a sensory diet than applying sensory input or encouraging a child to participate in sensory play activities. Knowing how and why a sensory diet should be created is essential to success, safety, and carryover of sensory strategies.

        As individuals, we tend to choose activities and experiences that are pleasurable. We enjoy snuggling up under a thick blanket at the end of the day. We tend to shy away from unpleasant sensations such as a static shock that happens every time we use that certain blanket.

        Likewise, some of us are thrill seekers and enjoy experiences like jumping from airplanes or bungee jumping. Others like to stay firmly on the ground and play it safe when it comes to leisure activities.

        Similarly, our clients or children who struggle with sensory processing can present with different preferences, as discussed in The Sensory Lifestyle Handbook.

        Steps to Create a Sensory Diet

        The biggest thing I can say when making a sensory diet for a client or individual is to observe, observe, observe! Occupational therapy practitioners are very skilled at this observation piece. And the observation will make all the difference in whether a sensory diet actually serves its purpose or not.

        When we make a sensory diet, especially for the pediatric population, we need to observe what works for that individual, what doesn’t work, and what kind of supports support or compromise functioning. Then there is the environment, the others involved in a functional task, and many other considerations. All of this requires observation.


        The key to successful integration of a sensory diet is ensuring the clinical strategizing and application are fit into the specific needs of the individual. However, combining the needs of an individual with interests and preference along with application of specific steps ensures successful creation of a sensory diet.

        There are specific steps to creating a sensory diet. Let’s go through the process:

        1. Analyze/Identify
        2. Strategize
        3. Sensory Diet Template/ Apply Sensory Strategies
        4. Monitor

        Step 1: Analyze/Identify- The first level in creation of a sensory diet requires identification of sensory related behaviors, attention issues related to impaired sensory input, challenges with focus or emotional regulation as a result of sensory needs, or meltdowns that impair functioning.

        This level of sensory diet creation requires assessment and identification of each challenging issue. Sensory behaviors should be identified and charted. This includes jotting down when specific behaviors occur, the setting where meltdowns occur, and antecedent to the behavior.

        Make detailed notes that describe the action, the environment, the disabilities, and the impact on function, safety, learning, social participation, etc. When taking the time to analyze sensory impact on function, it’s important to look for issues that may be impacting the individual’s functional performance.

        Make notes on things such as:

        • Actions/behaviors- how is the individual responding in situations?
        • Environment- where is the situation occurring
        • Timing- when does the behavior occurring? What happens just before the behavior or actions?
        • Co-existing considerations- what else is occurring during the behavior or action?

        Sensory related issues can be charted in a methodological manner or they can simply be written down on a scrap paper. The point is to identify the issues through analyzation and to record them.

        Identifying sensory needs when beginning the sensory diet process is much like keeping track of a food diary or sleep diary. In these situations, you’ll also want to mark down every detail including how one is feeling emotionally, physically, and other considerations. Just like these types of diaries help to identify what is really going on in a food diet, a sensory diary can help to support and identify needs for creating a sensory diet.

        The Sensory Lifestyle Handbook contains printable data collection forms that can be used to analyze and identify sensory-related actions, behaviors, and resulting issues.

        After sensory-related differences that impact function is identified, the reason behind the behaviors should be described.

        Step 2: Strategize/Reasoning- The next level in creating a sensory diet involves identifying the “why” behind the behaviors. Think about why the individual may be responding, or reacting to sensory input or environmental input in the way that they are. Can you come up with rationale that describes actions?

        Ask yourself questions to strategize on the “why” behind sensory-related behaviors:

        • Is it an unmet sensory need that causes a child to bolt down the hallway?
        • Is the reason the child chews on all of their clothes because they need more proprioceptive input?
        • Did the child not get enough sleep?
        • Is the routine off?
        • Was a transition done without warning or preparation?
        • Was the individual at a level of stress?

        Use this information to come up with predictions and opportunities to support the individual with specific accommodations or modifications to the environment.

        In The Sensory Lifestyle Handbook, you will find printable sensory-based behavior screening tools that can be used to identify the underlying sensory needs leading to a behavior or action.

        Additionally, resources in the book allow for strategizing to address existing sensory challenges for an individual. The best part is that the pages can be printed off and used over and over again for a single individual or for many individuals. 

        Step 3: Create a Sensory Diet Template and Apply/Trial Various Sensory Strategies- In this stage of sensory diet development, strategies need to be trialed for effectiveness within the lifestyle of the child and family. Sensory strategies need to be incorporated as indicated across a variety of settings, based on various sensory needs as they change throughout the day.

        Scheduling sensory diet strategies is an important step. If a box of sensory supplies is offered, but no schedule put into place, the sensory diet immediately is set up for failure.

        Each strategy should be assessed for effectiveness. A simple checklist can be completed in the classroom or at home. When a sensory strategy is determined to work, that activity can be added to the child’s sensory diet.

        If a particular sensory activity is determined to be ineffective, return to level one.

        Remember that this part of the sensory diet creation process is very fluid! There will be trials, adjustments, periods of re-trialing, and monitoring. It can seem like this stage goes on and on! The thing to remember is to persist and don’t give up!

        As adults who work with or raise children, we know the fluidity of childhood. Needs, strengths, interests, environment, and other areas can change as a child develops and grows. In the same manner, a sensory diet needs fluidity. Applying various strategies at different levels of growth in a child is a must. It must be said that a sensory diet for adults is just as powerful for the teen or adult with sensory needs.

        Readers of The Sensory Lifestyle Handbook will find the Sensory Diet Schedule in the Addendum of the book to be a useful tool in creating a checklist for sensory diet activities. This is another series of printable pages that can be utilized over and over again as needed.

        Step 4: Monitor- At this stage in development of a sensory diet, strategies should be monitored for effectiveness. Strategies should be monitored on a frequent basis with regard to effectiveness. As part of the monitoring process, a subjective assessment can be completed by adults who oversee the child’s sensory diet strategies.

        Additionally, carryover of sensory strategies must be monitored. A list of prescribed activities that are not completed because they require exhaustive effort are not an effective strategy within the life of a family.

        Carryover of sensory strategies is extremely important in both the home and in the classroom. If activities are not able to be carried out, then a different sensory strategy should be incorporated into the child’s sensory diet.

        When using The Sensory Lifestyle Handbook to create and monitor sensory diets, users will find the Daily Sensory Diet Sheet and the Sensory Diet Schedule to be effective tools for carryover and monitoring strategies.

        Use the Sensory Diet Effectiveness Tool, found in the Addendum of this book, to monitor sensory diet results and strategies. This form should be completed after a sensory diet has been in effect for two weeks. 


        If creating a sensory diet and turning it into a sensory lifestyle sounds like a strategy that is needed in your home, classroom, or clinic, then The Sensory Lifestyle Handbook is a tool that you may need to get there! Check out more on The Sensory Lifestyle Handbook HERE. 

        Wondering how to create a sensory diet? Use these steps to create a sensory diet for children with sensory needs that result in meltdowns, attention challenges, struggles with regulation, and other sensory processing related difficulties. Perfect for the occupational therapist who works with kids with sensory needs.


        The Sensory Lifestyle Handbook is a strategy guide for sensory processing needs. With valuable insight into the sensory system and the whole child, the book details how sensory diets can be incorporated into a lifestyle of sensory success. 

        The tools in this book provide intervention strategies to support and challenge the sensory systems through meaningful and authentic sensory diet tactics based on the environment, interests, and sensory needs of each individual child.   

        Wondering how to create a sensory diet? Use these steps to create a sensory diet for children with sensory needs that result in meltdowns, attention challenges, struggles with regulation, and other sensory processing related difficulties. Perfect for the occupational therapist who works with kids with sensory needs.


        So often, we hear that sensory recommendations are not carried over into the home or classroom. The tips and tools in The Sensory Lifestyle Handbook uses child-led interests and daily life interactions so kids WANT to participate in sensory diet activities their bodies need…because it’s part of play!

        Get The Sensory Lifestyle Handbook here.

        Using a sensory diet in various environments

        A sensory diet is an important strategy and tool to support learning needs in the classroom environment. Here is a resource on creating sensory diets for the classroom.

        Occupational therapists can be a great resource for sensory diets that flow from the home to the school environment.

        In fact, using a set of sensory diet cards as a resource where the student pulls various sensory supports to use at specific times or during transitions in the classroom can be very helpful.

        The best type of sensory diet utilizes sensory aspects of everyday functional tasks within the activity as it occurs. This is covered specifically in the Sensory Lifestyle Handbook. But consider this: if one is outside or in the home and needs to address regulation needs, using activities and everyday objects is ideal. These backyard sensory diet strategies is one way to incorporate the outdoors into sensory needs.

        Related, a sensory diet can include recess activities as a tool to support emotional or sensory regulation needs. This resource on recess sensory diets covers this concept in more detail. Running on a blacktop surface at recess, playing with hula hoops, balls, or building blocks at a key part of the day is scheduled into the students’ schedules every day they are at school. When you think about it, each student has a sensory diet of their own in the way of recess!

        At home, recess isn’t an option, but heading outside is! The outdoor sensory diet strategies can really impact self-regulation, emotional needs, attention, and sensory processing needs.

        Another environmental consideration is the playground. A park or playground area offers sensory diet equipment and tools that can be used on a scheduled basis. Consider adding a trip to the playground to the schedule on specific days of the week. Maybe a visit to the playground is in order for Friday afternoons after the student’s spelling test and the end of the school week. Or, a playground visit can occur every Sunday afternoon as a way to wrap up the weekend. Perhaps a walk to a local park can occur each evening after dinner. It’s all about what the individual needs and what works for the family’s lifestyle.

        Another location for sensory diets can be the woods or a wooded outdoor area. This is a great way to incorporate nature into sensory needs, and should be scheduled according to availability, time available, and family lifestyle.

        Another related resource on this site is the concept of sensory diets at the beach. When we travel, there can be a lot of different or novel sensory experiences. When hot weather, wind, and scratchy sand impact sensory needs at the beach, these are all important considerations.

        Another support for travel is the sensory diet on the go! This easy to create sensory support is individualized and includes the materials and strategies that support the individual’s needs. Read how to create a travel sensory diet toolbox.

        Left Right Discrimination

        Picture of hands tying a pink shoe. Text reads "left-right confusion and functional tasks"

        This is an older blog post on left-right discrimination, and includes left right discrimination activities, information, and even a free, hands-on slide deck activity you can use in right left discrimination occupational therapy activities to support these areas.

        Picture of hands tying a pink shoe. Text reads "left-right confusion and functional tasks"

        Working on left right discrimination with kids? It can be difficult to teach left right awareness because there’s so many areas of development that play into this awareness.

        We’ve talked before about mixed dominance vs. ambidexterity, which is a concern that comes up when kids don’t use one hand or one side for motor tasks. You’ll want to start there to read more about this issue.

        The thing is that the confusion between left and right becomes an issue in play or learning tasks, especially when children are asked to follow directions that require a knowledge of left and right. When children don’t have a strong awareness of left and right, you’ll see confusion and even embarrassment in a group setting.

        This other post on hand dominance offers 3 activities to work on left right awareness, and can be a great way to expand this left right discrimination activity to hands-on activities that build motor skills.

        Left Right Discrimination Activity

        In left right discrimination activities, kids can gain more awareness of their body and how it moves during functional tasks.

        As pediatric OTs we might try a variety of activities to support development of right left discrimination.

        These strategies might be accommodations or modifications to functional tasks or it might be occupational therapy activities to help with these discrimination skills needed for handwriting or establishing a dominant side.

        First, let’s talk about why an awareness of left and right is important.

        Picture of hands cutting with scissors. Text reads "left/right confusion"

        Left right confusion can make functional tasks very challenging.

        Why Worry about Left Right Awareness with Hands?

        Left-right discrimination can be memory, attention, or visual perceptual.  If left/right confusion is a memory problem, it is probably the easiest to remedy with a visual prompt like a sticker on the hand. A lot of the OT practitioners I know simply use pictures, labels, games, or the trick with the “L” in the left hand. What are some easy tricks you can think of to send reminders of left and right?

        Often left-right discrimination difficulty is more than just attention or memory. It is a perceptual issue.

        Visual perception is the way we “perceive” information that our eyes see.  People with visual perceptual difficulties might perceive items backward, or different each time.  The “L in the left hand” technique is not reliable for these people, because they can never be sure they have the L in the correct direction.

        While you are working on improving visual perceptual skills, use the labels, or tricks listed above. These labels and hints may need to be used long term, because not all visual perceptual deficits will be remediated.

        Once you have learned to identify which is the left and right side of the body, it gets trickier. What if you have discrimination issues and someone says to move your right arm forward, or your left leg to the right?  Directionality is even more confusing than left/right discrimination. 

        Another difficulty with directionality is, it changes. If you are facing forward, the left might be toward the front of the class, but as soon as you turn around, the left is at the back of the class. 

        There’s a body awareness and motor planning component at play here, too.

        This translates into map reading and directionality, or following directions through space during movements. If you are facing north, east is to your right. But if you are facing south?  I love when the car says “head west on elm street” What?  West is left if I am facing north, but what if I am facing east?  Is it behind me?  Usually I pick one direction, and if it says “rerouting”, or “proceed to the route”, I know I guessed wrong. 

        Left/right is not always clear either. Is the left side of the stage when I am standing on it, or facing it. I am thinking the left side of the car is the one I am driving on, but if I look at it from the front, that is the right side. 

        We have an RV that usually requires me to help with the parking.  My job is to tell my husband which way to turn. If I say left, is that my left or his? Should he move the RV to the right or left? Or the car?  Which needs to go left, the front of the camper or the back? Do not get me started on trying to think which way he needs to turn the wheel to get the camper to go in reverse to the right. I end up pointing, but even that is not clear. Luckily, we find humor at these times in our lives, and are still married. 

        Left Right Confusion and Shoe Tying

        Another example of left right confusion shows up during daily self care tasks like Tying shoes. You see the left right confusion as struggling to follow the motor directions when you are not clear which side is which. “Am I using my left hand, or my right hand?”

        Not only are you trying to keep left/right straight, but then use this information to complete a challenging task. 

        Think of shoe tying for example. To teach a child to tie their shoes, we use one step directions all based on left or right. We might say, “Take the left lace and put it over the right. Now slip the left lace under the X that was formed by crossing the laces. Once you get that part sorted, you need to find one to make a bow (left for lefties, and right for righties).” Then, there are the nuances of shoe tying where right-handed kids loop the shoe lace counterclockwise, while lefties go clockwise around the loop. 

        Because shoe tying is such a struggle with directionality, we often provide visual examples such as colored laces, visual diagrams, or songs that do not use left/right. 

        Left Right Confusion and Cutting with Scissors

        As if left/right discrimination was not hard enough, directions are often reversed for lefties.

        For the student with left right confusion, this is a real challenge in the classroom, when things move quickly. The teacher might hand out papers, tell students to cut out sections of a worksheet and glue them onto the page in the right spaces. The rest of the class might be done with the activity by the time our student with left right confusion has even figured out which hand to use to hold their scissors.

        Cutting with scissors requires an automatic awareness of how to hold the scissors and how to cut around shapes.

        Did you realize that “righties” cut counterclockwise, while “lefties” cut clockwise?

        The differences continue with reading. While we lefties scan left to right and read books from front to back, it is not natural. I prefer to flip through magazines from the back.  It makes some articles confusing, but feels more natural. 

        I am on a line dance team, and as I am new to the team, there are some struggles I experience with body awareness and directions. Directionality and discrimination have been a challenge, even though I am sure of my left and right. We go one direction facing one wall, then another direction facing the next wall.  I have to depend on my body direction, rather than using visual cues for help.  When we are facing the front wall, I tend to center myself thinking about heading toward the door, or the mirror.  Once we turn around, I am lost all over again. If I feel lost, I tend to look at my peers to see what they are doing. Sometimes we end up facing different directions, and I can not figure out who is wrong. 

        The good news for shoe tying, dancing, driving, parking an RV, and 100 other things we learn is muscle memory. We talked a bit about the muscle memory in tasks in our blog post on handwriting, because there is an automaticity piece to this puzzle.

        After a while you no longer think of the left and right lace or stomping the right foot, your body takes over.  As I was describing the shoe tying above, did you have to take your shoes out to figure out which side you make the loop on, or close your eyes and picture the movements?  Me too.  Fortunately, we do things so naturally after we learn them, we do not have to keep thinking of each direction as we do each task.

        Our muscles build a plan with our brain to create a pattern. Imagine how tough touch typing would be if you never remembered where the keys were. How much of a challenge would it be to write a sentence if we needed to stop and think about which direction the lines in each letter go. It’s a motor plan that’s been established and marked into our brains. 

        People with sensory processing difficulties have difficulty with motor planning or creating muscle memory. They need to rely on directions for much longer. This can be especially difficult for the child with sensory processing difficulties, AND directionality struggles. 

        Just thinking about all these directions makes my brain hurt. I am realizing how much of a struggle this is in our lives every day. So much of our day includes some sort of direction.  Next time you think someone is “cheating” doing an activity, take a moment to see if they are compensating rather than cheating. This may be their effort to get the task done and fit in. It is actually very clever to check the people around you for guidance. Use this as a clue to see where the struggle lies.

        Picture of hand. Text reads "left/right discrimination activities"

        So what are some activities to support left right awareness?

        left right discrimination Activities

        First up is a visual graphic that helps kids to understand their left and right hands using their left hand as a visual reminder.

        On the slide deck (below), kids can look at the visual and follow the directions:

        1. On both of your hands, stick out your thumb and your pointer finger.
        2. Now look at what shape that made on each hand! One hand looks like the letter “L” and the other is a backwards “L.”
        3. The word “left” starts with the letter “L!” This means that the hand with the “L” shape is your left hand!

        Kids can use this trick to help them remember which way is left and which way is right.

        Want to know the quickest way to determine who does not know their left from right?  Play a group game of Simon Says or dance the Hokey Pokey.  You can quickly see who not only knows their left and right, but who does it with confidence, versus following along. 

        Circling back to Simon Says. Be especially mindful of who is “cheating” or depending on others for information. Are they unsure which is the answer, or just relying on their peers? It is natural to check those around you to see what your peers are doing, but how can you be sure your peer is correct?  What if you are the one that is correct? Or are both wrong?

        • You do not need to remember left and right, just one.  If you know which left is, you will know the other one is automatically right
        • If your child knows what left/right means, but can not remember, start labeling things.  Put an L inside of the left shoe for example. Check out these cute stickers (amazon link)!  I like that these stickers do not specify left/right, but have puzzle pieces that fit together correctly to show which shoes go on which feet.
        • Wear a bracelet or watch on the same side each time. Memorize which side it is on. The watch is always on the left, this is my left side. 
        • Learn which hand you write with. I write with my left hand, and I can easily raise that one. 
        • Make a mark or label on your child’s arm/hand daily to give a visual reminder
        Left right discrimination with a picnic theme to help kids with left right awareness in functional tasks.

        We have put together a slide deck of activities to help with left right confusion.

        Left Right Direction Activity

        The slide deck is an interactive tool that allows children to sort items that are directionally pointing to either the left or right sides on the screen. There are several left right discrimination activities to work through on this picnic themed slide deck

        Today’s free therapy slide deck is a left right discrimination activity with a picnic theme, going perfectly with our virtual picnic therapy activities slide deck.

        The slide decks in this post not only give practice to picking the item on the left or right, but ask which way the item is facing. The item may be on the right but facing left, or visa versa.  Woah!  That became tricky very quickly. 

        When using these slide decks, be sure your child has the basics before trying the more challenging cards. You may need to start at the beginning, labeling items left and right for a while before moving on to determining which item is on the left or facing that way. 

        After kids have a kinesthetic and visual approach to remembering left and right, there are slides that work on sorting images into categories of left vs. right.

        This interactive portion allows kids to click on the images and sort them into left or right.

        If the user needs prompts, remind them to use their hands to make the L with their fingers to recall which side is their left side. This can help to establish memory by using several sensory methods: visual, auditory, and kinesthetic within several repetitions.

        Left Right Sorting Activity

        Next, you’ll see several slide decks that ask the user to move a circle to cover the item facing either the left or the right. The directions are written at the top of each slide deck and changes on each slide. You can again remind users to use their hands to remember which side of the screen is their left and which is their right.

        This can be helpful for teaching left right discrimination because through a screen like in teletherapy services, it can be difficult to address the left or right awareness (especially if there is a screen flipping issue that comes up with teletherapy services).

        The picnic themed visuals are fun for a picnic theme and includes things like a grill, hot dog, picnic kids, backpackers, etc.

        Left Right Discrimination Matching Activity

        Finally, there are several slides that ask the user to move the circle to cover a matching image across the slide. This visual perception activity addresses several areas typically developed through therapy activities:

        The user can also address eye-hand coordination as they move the mouse or click and drag to move the circles to cover each matching item.

        Again, work on left right discrimination by asking the child to name the direction that the item is facing: Is it facing the left or is it facing the right?

        All of these left right discrimination activities are powerful ways to help kids with directionality that is needed for functional tasks.

        Free left right discrimination slide deck

        Want this picnic themed therapy slide deck to work on left right discrimination? Enter your email address into the form below to grab this teletherapy activity.

        When kids go through the slides, you can reset the movable items to their original state by clicking the history link at the top navigation bar. Simply click the “last edit” link and then go to the right side bar. You’ll see a link that says “reset slides”. Click this link and then go to the top navigation bar again and click the button that says “Restore this version”. Then, all of those movable pieces on the whole deck will reset to their original spots and you can restart the therapy activities.

        Don’t forget to also grab the virtual picnic therapy activities slide deck, too!

        Left Right Discrimination Picnic Theme Activities

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          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.

          Clothing Sensitivity Red Flags

          Image reads "sensory issues and clothing" with picture of a turtleneck sweater, scarf, wool socks, and jeans

          This blog post on clothing sensitivities in sensory processing is an older blog post that we’ve had on the site for a long time. We’ve updated this with some considerations that we as the occupational therapist might have when supporting the individual with sensory needs.

          Image reads "sensory issues and clothing" with picture of a turtleneck sweater, scarf, wool socks, and jeans

          Sensory Issues with Clothing

          You might know a child who HATES that tag in the back of their shirt. Maybe the seam of socks need to be lined up “just right”.  Maybe you know a student who only wears shorts no matter the weather. All of these clothing preferences might be a red flag related to a clothing sensitivity and sensory processing issues.

          We might all have a sensory issue with clothing at one time or another…

          Do you hate certain fabrics? Or do turtleneck sweaters itch and scratch? Maybe the tightness of yoga pants around your waist is aggravating. All of us, at one time or another, have probably experienced some preference or sensory issue with clothing, whether it’s the tightness, the fabric, or something else. All of those tactile defensiveness tendencies and proprioceptive sensations are technically “sensory”.

          Clothing sensitivity can mean we need to take a closer look at sensory issues with clothes and they specifics about the clothing: textures, fabrics, tag location, etc.

          Sensory friendly clothing can make all the difference in the world to the kiddo that struggles with these intricacies that you or I may not even notice! Even taking a moment to consider how clothing fasteners impact the sensory system can have a huge impact.

          A clothing sensitivity related to specific clothing preferences is a common red flag related to sensory processing disorder.

          Clothing Sensitivity Disorder

          We all prefer certain textures of clothing, however, when clothing sensitivities or the touch discrimination (sensory touch) prevents one from wearing clothing or an extremely strict preference in clothing, there may be more to look at. Tactile defensiveness can impact daily self-care and functional performance in wearing weather-appropriate clothing. Take a look at the clothing sensitivity list below.

          Because sensory processing challenges present differently in each child, there will be no list of clothing preferences that is the same for every child. There will also be no completely exhaustive list of red flags related to sensory processing issues or one that can indicate specific sensory issues.

          However, it is possible to notice sensory needs related to clothing preferences and clothing sensitivity. The red flags listed below don’t necessarily mean that a child has a sensory processing disorder, only that a more intense look at the child might be needed. If a child seems to have a number of clothing sensitivities, a full evaluation by an occupational therapist may be needed.

          Here are tips for getting sensory kids to wear winter clothing.


          Does any of this sound familiar? 

           

          Clothing sensitivity red flags

          Below are some examples of clothing sensitivities. These sensory issues with clothes may impact children, adults, or anyone in between.

          An individual who prefers to wear only one type of texture is not something to be concerned with. Similarly, the student who wears shorts all winter long can get by with learning in the classroom without interference. The main consideration is when clothing sensory issues interfere with daily tasks and safety, including personal hygiene considerations.

          Consider these sensory clothing red flags:

          • Prefers a specific clothing material (e.g. only cotton or only lightweight fabrics)
          • Child is bothered by seams
          • Is bothered by tags
          • Dislikes sleeves hitting wrists
          • Dislikes hems of pants hitting ankles
          • Wears only shorts even in very cold weather
          • Wears only pants even in very hot weather
          • Prefers clothing without buttons/snaps/zippers/ties
          • Sensitive to collars hitting neck
          • Unable to tolerate shoes
          • Prefers only certain socks or shoes
          • Dislikes when socks slide down in shoes
          • Prefers feet to be totally uncovered or totally covered
          • Unable to tolerate a belt or tight waistband
          • Dislikes underwear or prefers only a certain type of underwear
          • Bothered by seams in underwear
          • Bothered by length of underwear
          • Prefers tight clothing
          • Unable to tolerate jeans
          • Hates coats
          • Prefers heavy layers of clothing
          • Complains of “itching skin” with certain materials or types of clothing
          • Complains of clothing tickling the skin
          • Has meltdowns when it’s time to get dressed in the morning

          Need more information on all things sensory?  Grab this free sensory processing disorder information booklet. Its’ perfect for those new to sensory processing or for passing on to parents, grandparents, teachers, and caregivers of children with sensory struggles. 

          What clothing sensitivities have you seen?  This list could go on and on. As we all know…kids like to keep us on our toes! 

          For the individual with clothing sensitivities, using preferred textures and cut of clothing is a means to support the individual’s preferences. Check out our resource on sensory clothing for specific ideas.

          One other thing to consider is the impact a tool like a weighted vest or compression garment can have on meeting sensory needs. It’s something to consider.

          Clothing Sensory Issues

          Depending on preferences, there can be various textures that one tries to avoid. Certain textures can feel uncomfortable, itchy, scratchy, or even painful. These are the most common sensory textures:

          • Rough or scratchy textures, such as coarse fabrics or rough surfaces
          • Fuzzy or hairy textures on sweaters
          • Textures that hold in body heat: flannel materials, thermal materials, or polyester
          • Textures that are tight or constricting
          • Shirts with tight necks or turtlenecks
          • Clothing with course seams
          • Clothing with scratchy or long tags

          Sensory Issues with Clothes List

          Want a printable list of our sensory issues with clothes (listed above)? The printer-friendly list is ready to go! Enter your email address into the form below and the resource will be delivered to your inbox. This sensory issues with clothing printable is also found inside our Member’s Club. Head to the free printables toolbox and then select sensory.

          Clothing Sensitivity List

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            Do we all have sensory problems with clothing?

            After reading this article and gathering information, I realize that my clothing struggles check all the boxes listed as red flags.  See if you can relate to my list of do’s and don’ts:

            • I don’t like jeans. I have owned hundreds of pairs trying to find the right pair (which means that jeans day at work is not a celebration, but a chore). Sometimes I put on a pair of jeans in the changing room, and they feel ok.  Until I get them home, or worse, arrive at my office wearing the new pair. 
            • I can wear something ten times and find it ok.  The 11th time, it feels awful. I have no idea why.  Once it feels awful, there is no going back and trying again.  Into the give away box it goes.
            • There have been days that I am so uncomfortable that I run out at lunch to buy something better to wear.
            • When I was on my teaching circuit I left several dresses in hotels with “free” signs on them.  After class I ducked into the local Marshalls or TJMaxx to restock.
            • When I find something I like, I tend to buy several of them. This works well until I decide I can not wear them anymore. Then I have nine pairs of shorts in different colors to dispose of. 
            • Pants have to be just the right length, no ankle pants for me.  Same with shirts.  Those ¾ length sleeves?  Definite no. 
            • No wool, puffy jackets, microfiber, tight sleeves, v-neck shirts, lace that touches the skin, tight neck shirts (turtlenecks??)…  This is just the start of the list.
            • Accessories? Headbands, hair ties, necklaces, bracelets, watches, hats, scarves, and other accessories can become bothersome as the day wears on, if it is not aggravating when you first put it on. 

            How have I survived?  Luckily I have a voice and a choice. I am old enough to pick what I want and get rid of it when it “does not feel right.”  Fortunately I have the money to do this. I do not tend to buy expensive things in case they don’t work out.  I try to bring extra clothing options when I travel, and keep an extra set of clothes in the car. The voice I have helps me describe how I feel, or why I need to change clothes in the middle of the day. Luckily my spouse has become accustomed to my quirks and understands when I say something does not “feel right”.

            Sensory Issues and Clothing Tags

            When you think about clothing red flags, do you focus only on tags?  That is the common misconception. Clothing sensitivity is so much more than pesky tags.  To make it worse, there is a ton of trial and error that goes on before the right combination of clothes is found. 

            Sensory Clothing Recommendations

            Recently I have made some great additions to my sensory clothing line up: (Amazon affiliate links below)

            • Bombas makes great socks. Make sure you size up so the toes are not too tight
            • New Balance sneakers have a wide toe box. Again size up so there is room to move
            • Woxers make soft boxer shorts for women. No tags, seams, pinching, or exposure. The only issue is trying to wear these with jeans as they tend to bunch up.
            • Land’s End makes the most comfortable pajamas (again size up)
            • Triblend cotton is the right amount of stretch
            • Soft leggings go well under dresses to minimize potentially scratchy fabric touching

            “Sensory”, like everything else, is on a spectrum. Having sensory sensitivities or quirks is only a problem when there is something you have to wear or do, that you can not.

            Students who have to wear certain uniforms, and adults that have difficulty wearing specific work clothes, can struggle if they have clothing sensitivity. Many students in private schools (and their parents) face a daily struggle to wear the designated outfit. I have been fortunate enough to have a flexible dress code during my career. 

            How to help my child with sensory clothing sensitivities?

            Our job as therapists is to support the child or client with clothing sensitivities. We can support those needs when it’s a request. Maybe the individual wants to start to wear a certain type of material.

            Maybe there are behavioral issues at play.

            Clothing sensitivity becomes an issue when someone can not wear anything, takes their clothes off in public, refuses to put anything on, or has undue stress when selecting or wearing clothing. Pickiness like mine is aggravating at times (and expensive), but it is not debilitating. 

            Maybe a student needs to wear a uniform to school.

            As sensory sensitivities come to light, certain companies are making strides to design clothing that feels right. These range from affordable brands at Target to high end designers.  Of course this does not mean that everything from these brands is going to feel right.

            There will be some trial and error to find the right size and fit.  French Toast and other clothing designers have adapted school uniforms.  A search for sensory friendly clothing can help you get started.

            Maybe it’s weather related. I think as therapists, we’ve all seen the kids that wear shorts to school all winter long, even when you live in a colder or northern climate.

            Here are some ways to support individuals with sensory clothing sensitivites:

            Change the texture- Wearing soft, familiar clothing underneath less comfortable fabrics can minimize direct contact with the skin.

            Layer clothes- For example, a cotton undershirt can be worn beneath a sweater or other uncomfortable fabric​.

            Sensory and itchy tags- As a mom, I’ve removed hundreds of “itchy” tags from my own kids’ shirts and sweatshirts. All it takes is a pair of scissors. Cut off the tags right above the seam. You can also use a seam ripper to totally remove the tag, if some kids still can’t stand the feel of the remaining tag. I’ve noticed that in recent years, many shirts have a dotted line on the tag to help you cut it out from the shirt.

            Alter seams- Another common issue with clothing sensitivities is the feel of seams. You can iron the seam down and that can help. Or, I’ve seen this work before; use fabric glue and glue the edges of the seam down. You can also cut excess fabric from the edges of the seams. One last thing to try is sewing a thin strip of satin or soft fabric along the seam.

            Fabric softener- Another trick that can work is to use fabric softener. This helps with tougher materials like jeans. You can also run the clothing through multiple wash cycles can soften clothing fibers, making them less abrasive against the skin. Clothes that are washed multiple times tend to feel softer, which can reduce discomfort.

            Trouble with elastic bands- If you’ve worn a pair of tight pants before, then you know this issue. it can help to snip a few threads and adjust or remove tight bands around wrists, ankles, or waistbands that might feel restrictive.

            As you struggle with your child to get them dressed in the mornings, consider all the variables about clothing. It is so much more than tags and seams. Start a dialogue using sensory language to help your child describe their likes and dislikes. Try to understand what is going on and make changes where you can. Anxiety and being out of sync will make the symptoms worse.  Be sure to address self regulation as a whole.



            Clothing sensitivity red flags related to sensory processing disorder or sensory struggles in kids
             

             

            Kids may experience preferences or a clothing sensitivity when they have sensory processing disorder or sensory issues.
             
            These red flags are related to clothing sensitivities that may be an indication of sensory challenges in kids.
             

            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.

            Heavy Work in the Classroom

            Image with pie chart that says heavy Work in the classroom. On the pie chart it reads integrated in learning, sensory diets, classroom jobs, class wide brain breaks, and transition periods.

            I wanted to put together a resource that lists our heavy work opportunities in classroom jobs. So often, we as school-based occupational therapy providers, are the go-to resource in the school to support teachers with heavy work needs of the students. We have a large article on heavy work that explains more about this proprioceptive input, and we have several articles on sensory needs in the classroom environment. But one thing that I’m seeing come up more and more is the request from teachers and school administrators for heavy work opportunities in the classroom.

            Image with pie chart that says heavy Work in the classroom. On the pie chart it reads integrated in learning, sensory diets, classroom jobs, class wide brain breaks, and transition periods.

            You’ll also want to check out our resource on calm down strategies for school because we cover a lot of good information there, too.

            Ways to Use Classroom Heavy Work

            I thought I would break this down by area because you can use these heavy work classroom ideas in different ways.

            • Classroom heavy work for individual students
            • A whole-classroom brain break
            • Heavy work during learning
            • Heavy work classroom jobs
            • Sensory diets

            Let’s start with a list of heavy work options for individual students because we can pull from this list to find ways to incorporate learning or to add a classroom-wide heavy work strategy if that is needed.

            List of Heavy Work Ideas for the Classroom

            1. Carrying library books
            2. Using moldable wall putty to hang artwork
            3. Using a moldable eraser
            4. Putting chairs on desks
            5. Taking down chairs from desks
            6. Folding large construction paper into sections for math graphs or charts
            7. Pressing down firmly on stamps to create patterns for art or math-related activities
            8. Carrying the lunch, milk, or snack crate
            9. Pushing the breakfast cart
            10. Rearranging desks/chairs
            11. Wiping down tables
            12. Erasing marker boards
            13. Punching paper with a 3-hole punch
            14. Putting paper into binders
            15. Sharpening pencils
            16. Helping in the cafeteria
            17. Cutting cardboard for project displays or model making
            18. Carrying books or a stack of worksheets to other students as part of a classroom reading circle
            19. Rolling out large pieces of paper for group projects or murals
            20. Tearing paper or cardboard for collages and art projects
            21. Using hole punchers to prepare materials for binders or classroom displays
            22. Rolling or kneading dough for classroom science experiments or cooking lessons
            23. Holding the door open
            24. Hanging up backpacks and coats
            25. Making deliveries in the school
            26. Stapling packets
            27. Pushing or pulling a library cart
            28. Carrying a tote bag with materials for music or art class
            29. Carrying and moving gym equipment like mats or totes of balls
            30. Moving reams of paper from shelves
            31. Watering plants with a squirt bottle
            32. Tearing old papers to put into the recycle bin
            33. Removing staples from bulletin boards
            34. Using a handheld pencil sharpener
            35. Working at a center where paper is taped to the wall for vertical plane work
            36. Classroom messenger: delivering messages/books from the teacher to the office or other teachers
            37. Taking attendance or lunch count on a paper with a hole punch (or other hole punch activities for tallying)
            38. Desk push-ups
            39. Chair squats
            40. Wall push-ups
            41. Carrying materials for a new lesson
            42. Organizing and stacking books
            43. Rolling and unrolling floor mats or rugs
            44. Cleaning windows or mirrors
            45. Rearranging floor mats
            46. Cross-lateral body exercises (touching opposite toes)
            47. Marching in place
            48. Jumping jacks
            49. Chair sit-and-stands
            50. Morning check-in with movement like a classroom handshake
            51. Yoga poses like tree pose or downward dog
            52. Brain break videos (e.g., GoNoodle)
            53. Carrying supplies to other classrooms
            54. Tearing and crumbling paper for math manipulatives
            55. Sorting classroom supplies (e.g., art materials, books)
            56. Carrying bins of supplies for a project
            57. Passing out or collecting clipboards or papers
            58. Filling or moving water bottles for the class
            59. Moving crates of musical instruments to the music room
            60. Rolling playdough or clay
            61. Carrying books between school libraries
            62. Stacking and unstacking chairs for activities
            63. Cleaning paint brushes after an art class
            64. Rearranging classroom decorations
            65. Cleaning chalkboards or desks with a squirt bottle
            66. Wiping down classroom surfaces after snacks or lunch
            67. Moving and organizing gym balls or equipment
            68. Helping load or unload materials for special projects
            69. Shredding old papers with a supervised paper shredder
            70. Rolling up posters or large materials
            71. Sweeping the classroom or outdoor areas
            72. Carrying recycling bins to the collection area
            73. Walking laps around the schoolyard as a class
            74. Rearranging manipulatives or toys
            75. Carrying heavy bags of sports equipment
            76. Sorting and stacking lunch trays or utensils
            77. Wiping down whiteboards
            78. Placing chairs back on the floor after cleaning
            79. Unpacking supplies from boxes
            80. Sorting papers into folders or bins
            81. Playing tug-of-war games during recess
            82. Folding and organizing towels or materials for crafts
            83. Walking with a weighted backpack for a short time
            84. Putting away or stacking exercise mats
            85. Carrying a bucket of water for a cleaning task
            86. Collecting supplies from different parts of the school
            87. Stretching with resistance bands
            88. Sweeping the floor
            89. Running in place with high knees for movement breaks
            90. Sorting through classroom craft supplies like beads or blocks
            91. Use different types of flexible seating options

            Many of the activities that we do in OT sessions can easily be transferred into the classroom in a way that’s not intrusive to learning and is either incorporated into classroom tasks or it’s even used as a whole classroom activity. Would you add anything to this list?

            Use Heavy Work Activities in Classroom Transitions

            Now, let’s take that list of heavy work ideas and break id down into types of activities. First, we’ll talk about transition activities.

            Anyone that works in the school settings knows what I mean when I say that sometimes the whole classroom needs a transition activity.

            Basically, this means that the group is “wound up” and needs to calm down as a collective group in order to get back to a learning task or the next lesson.

            This might happen after the class comes back from lunch or gym. Or, it might be that the chaos of walking down a hallway and back to the classroom just gets everyone in a certain state. All of the sensory input from that hallway was overstimulating with the sights, sounds, and movement.

            This might look like a transition activity or a brain break that the whole classroom does together. For example, I like to give teachers the option to use a calming brain break as a transition activity when the students come back into the classroom after lunch or recess.

            Sometimes, they might be really wound up and excited and moving their chairs to another spot under their desk can really help to add heavy work that calms them and centers them a little bit.

            Here are five activities that can be done as transition activities. These are heavy work tasks that you might want to use as a whole class brain break and it’s part of the transition.

            Moving Chairs- My favorite idea for the whole class to do together is rearranging their desk or the chairs. You can do this as a group because you want to set up centers or small groups for the next lesson. Or, you can just have them move their chairs so that their desk is ready to go for the next learning task.

            Passing out materials- Another idea for a whole class brain break is movement activities. You can have one small group of students work together to pass out papers or supplies for the next lesson. This lets them get up and move around a little bit. The repetitive motion of walking around the classroom moving around desk and handing out materials and that can add proprioceptive input. Give each small group of students different jobs. One row can pass out books. Another row can pass out papers. Another row can hand out other materials. And so on.

            Classroom Callback Chant or Clap- Another way to get the whole class involved is using a classroom callback, in the form of a chant or a clap. This can look like having the students come back to the classroom and then they start the next lesson or the next part of the day with a classroom clap with their hands. Or maybe the teacher calls out certain phrase and the class has a response routine. For example, the teacher claps out of rhythm and then the students respond back by clapping it in response or they had movement like standing up and sitting back down in a rhythm. This really builds a sense of community for the whole classroom, but the real benefit is that it provides gross motor movement.

            Circle Time Movements- Another trick up my OT sleeve is to use circle time and transitions as heavy work input. This is something that the students can do and they don’t really even realize that they are doing as a self regulation strategy. If you have your class come to one location in the room like a carpet, you can incorporate a routine where they need to get down on the floor and then back up again, and you can even add specific motions, like pushing off the floor with their arms for extra proprioceptive input. Or you can have them sit cross legged, and then transition into a knee position, and then back to a standing position. That really allows them to do a variety of motions and engage the body in movement while adding heavy work.

            Desk Push-Ups or Chair Push-Ups- For this one, you might have them come into the classroom select one of those options and then do it for 30 seconds. This really helps the whole classroom to re-set after lunch or recess when they’re wound up. It can be just part of the classroom routine.

            Brain breaks- We can also use a brain break in the form of an exercise routine where you have arm circles and deep breathing exercises, or shoulder shrugs. When the whole class does it together, it’s part of routine and it’s a nice activity to transition between task or when the kids just seem to need a little break. We have a lot of brain break ideas in The OT Toolbox Membership.

            Yoga- Some teachers that I know also like to use yoga or stretching activities as a simple break. You can do yoga poses that are smaller motions so that you don’t have to run into desks or move furniture around. Or, if you want to involve tasks like tree pose or child pose and you need more room, then you can have the students put their chairs on their desktop. That actually adds more heavy work so it’s another way to make space in the room, but also you’re adding that extra heavy work input. Here are some partner yoga exercises that you can do with small groups.

            Sensory Stations- My personal favorite is using movement pathways or sensory stations. We have so many sensory pathway options with different themes here on the website and we love to see these used in the classroom or in the hallways. We also have teachers that use them in sensory calm down corners or a sensory cubby area. You can hang it right on the wall and then the sensory station printable have different activities. You can set it up in a line so that the student has to go down the line one by one and do the whole routine, or you can have them select just one option out of the packet. We have:

            We also have this nice woodland animal sensory stations that you can incorporate movement into learning too.

            Heavy Work Classroom Jobs

            A nice way to add heavy work in the classroom is by using classroom jobs. This can really add movement and proprioceptive input while doing the jobs that need done in the classroom. This takes the benefit of chores and incorporates it into the classroom.

            Examples of heavy work classroom jobs include:

            • holding the door open
            • hanging up backpacks carrying library books
            • carrying the lunch or milk
            • crate to the cafeteria and then to the recess area and then back to the classroom stapling packets of papers
            • tearing paper to add it to a recycling bin
            • pushing totes with materials to art class or gym class
            • helping in the cafeteria
            • delivering items to the other areas in the class in the school
            • taking attendance with the hole punch
            • removing staples from bulletin board
            • passing out papers or supplies
            • cleaning dry erase boards or windows
            • clean desks with spray bottles and rag
            • stacking and organizing books
            • opening curtains or blinds in the morning
            • wash art supplies
            • sharpen pencils with a handheld pencil sharpener
            • there’s just so many ideas!

            Heavy work learning activities

            It’s also important to offer ideas to teachers that they can do while learning is happening. These heavy work learning activities or ideas that you can implement while the students are doing lessons. I really like this because it encourages integration of heavy work movement into the functional task of the school day.

            This is what it’s all about- teaching kids how to use these strategies when they need them and during the actual tasks.

            Some ideas for heavy work strategies while learning include:

            Using materials- You can have students carry materials for the next lesson. They might go to a cupboard and grab a bin or grab stacks of books and use those in the next lesson. This helps with proprioceptive input and it also helps with self regulation and focus and it gives students a physical outlet too. You could have every student do this or you can have one student or a small group of students that are in charge of getting these materials for the next activity or lesson.

            Writing on the vertical plane- Another idea for learning is using the vertical plane as a writing activity. I really like this idea. You can hang a paper on the wall with tape or with wall putty and the student can write right on the paper hanging on the wall with their paper on the vertical plane. Another idea is to use a slanted surface like a slant board writing area. Or you can use a bulletin board or dry erase board.

            If you’re using a bulletin board, students can staple the paper into the bulletin board and then when they’re done using a staple remover to take the paper off. That adds an extra heavy work input strategy.

            If you’re using a dry erase board, you can have students use magnets to hang their paper.

            If you are using just a wall, you might want to use paper putty because students can manipulate that and get heavy work through their fingers. Or you can use tape and have students peel off pieces of tape and that adds heavy work input through the fingers and hands.

            When you have students writing on the vertical plane you are supporting core strength and stability, core control, shoulder strength/stability and wrist stability. All of this adds heavy work through the joints and muscles and is a benefit. It helps with handwriting because it helps with pencil grasp and motor control in the writing tasks.

            Heavy Work in the Classroom Coloring Page

            So I hope this list of heavy work activities for the classroom has been helpful. We do have strategies inside of the OT toolbox membership. We have a principal coloring page which has options for all some of these ideas for heavy work and I like to use this hand out in a calm down corner or in therapy lessons where we’re talking about heavy work strategies.

            It has a bunch of different options where students can color in the different activities and you can have them actually pick activities as part of a calm down strategy, or you can have them organize the activity ideas by lesson using them in learning activity lessons or as whole body brain break sessions or strategies that are part of the routine in the classroom. You can get that inside the membership club, along with other heavy work activities and cards. If you’re not a member, find out more information by clicking this link, or if you are a member login and then head to self regulation strategies and you’ll find it there.

            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.