Visual Tracking Tips and Tools for Treatment

Here we are covering all things visual tracking, including what visual tracking means, how to improve visual tracking skills, and visual tracking toys to support development of this visual processing skill.

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

Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

What is Visual Tracking

Visual tracking is typically defined as the ability to efficiently move the eyes from left to right (or right to left, up and down, and circular motions) OR focusing on an object as it moves across a person’s visual field.

This skill is important for almost all daily activities, including reading, writing, cutting with scissors, drawing, and playing.  According to typical development of visual processing, the ability to visually track objects emerges in children around the age of five.  

Reading a paragraph without losing their place, copying a list of homework from the chalkboard, misalignment of vertical and horizontal numbers in math problems, confusion in interpreting written direction, mixing up left/right, persistent letter reversals…Does any of this sound familiar? It’s all visual tracking!  

Vision and visual tracking are tasks that happen without us even realizing.  The brain and it’s jobs is an amazing thing and our eyes are moving, tracking, scanning, focusing, pursuing, and accommodating without us even realizing.     There are many ways to work on visual perception in playful and creative ways.

Related is the visual figure ground piece, which allows us to pull visual information from a busy background, and track that visual input.  

visual tracking exercises

Visual Tracking Exercises

Using visual tracking exercises like the one described below can be a powerful way to use eye exercises to improve vision in kids. These are the visual skills needed not for visual acuity, but rather, those unseen visual problems that impact visual processing skills.

Visual tracking exercises can include vision therapy activities that improve areas such as visual saccades or smooth visual pursuit.

Difficulties in Visual Tracking

You might see problems with these tasks if a child has difficulty with visual tracking:

  • Losing place when reading.  Re-reads or skips words or lines.  
  • Omits, substitutes, repeats, or confuses similar words when reading.
  • Must use finger to keep place when reading.
  • Poor reading comprehension.
  • Short attention span.
  • Difficulty comprehending or remembering what is read.
  • Confusion with interpreting or following written directions.
  • Writing on a slant, up or down hill, spacing letters and words irregularly.
  • Confusion with left/right directions.
  • Persistent reversals of letters (b, d, p, q) when naming letters.
  • Reverses letters when writing (persistent reversals after 2nd grade.)
  • Errors when copying from a chalkboard or book to paper.
  • Misalignment of horizontal and vertical series’ of numbers in math problems.

Also related to visual tracking and very similar while being involved in many of these problem areas, is visual scanning.  

It is important to note that not all of these difficulties indicate a true visual tracking and or visual scanning problem.  For example, many children demonstrate poor reading comprehension and may show a short attention span while not having visual scanning problems.  

All children should be evaluated by a pediatric physician, behavioral optometrist, and occupational therapist to determine true visual processing and visual tracking or visual scanning deficits.  These recommendations are meant to be a resource.    

Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

Visual Tracking Activities

Today, I’m sharing an easy visual tracking activity that will help kids with many functional difficulties.  This post is part of our new series where we are sharing 31 days of Occupational Therapy using mostly free or inexpensive materials.

Today’s activity should cost you at most $2 unless you already have these items in your craft cupboard or office supplies.  Add this activity to your treatment bag for multiple activities.  Read on:

Amazon affiliate links below.

This Visual tracking activity is easy to set up.  Gather recycled bottle caps.  I used round dot labels (affiliate link) from our office supplies to color the inside of each cap.  You could also use a marker or paint to color the bottle caps.  Use what you’ve got on hand to make this treatment activity free or almost free!   Next, gather matching crafting pom poms. (affiliate link)  These can be found at the dollar store for and inexpensive treatment item.    

visual tracking activities

Skills Related to Visual Tracking

It’s important to mention that there are several skills related to visual tracking. These sub-areas should be identified as a piece of the overall puzzle. Areas related to visual tracking play a role in the eyes ability to fixate on an object and follow it as it moves. These skills include:

  • Visual fixation
  • Peripheral tracking
  • Visual pursuit

Visual Fixation Activity: (Maintaining vision on an item in the visual field) Work one eye at a time.  

  1. Have your child close one eye and place a colored crafting pom pom onto a matching bottle cap.  They need to use one hand to place the pom pom into the corresponding bottle cap and not move bottle caps around on the table.
  2. After the child has filled all of the bottle caps using one eye, repeat the task with the other eye.  
  3. Then complete the activity using both eyes.    
  4. You can also do this activity by placing the label dots on a paper. Match the bottle caps onto the dots. 

Visual Stare Activity (the amount of time the eyes can fixate on an object without eye movements)

  1. Hold up one bottle cap on your nose.
  2. Ask your child to sit about 18 inches from you and stare at the bottle cap.  Note their eye movements as they stare.  
  3. Keep track of time that the child can stare at the target without visual saccades (eye movements).

Peripheral Tracking Activity (visually tracking from the peripheral visual fields)

  1. Arrange the bottle caps on the table.  
  2. Place a pom pom in the center of the table, with the bottle caps all around it.  
  3. Ask your child to stare at the pom pom. While keeping their head still and only moving their eyes, ask them to quickly find a bottle cap with the same color.  
  4. Ask them to scan to another bottle cap of the same color until they’ve found all of the caps with that color.  
  5. You can add a level to this task by writing letters or numbers in the bottle caps and asking the child to find letters in order or numbers in order.

Visual Tracking Pursuit Activity (watching and tracking a moving object)

  1. Set one bottle cap on the right side of the table.  
  2. Place another at the left side.  
  3. The adult should blow a crafting pom pom from the right to the left and ask the child to follow the pom with his eyes, without moving their head.
  4. Repeat by blowing the pom pom from the left to the right, front to back, and back to front in front of the child.

Visual Tracking Tracing Lines (Watching a pencil line as it is formed, and following the line with eye-hand coordination to trace with a pencil or marker)

  1. Set one vertical row of bottle cap on the left side of the child.  
  2. Place another vertical row on the right side.
  3. The adult should draw a line from one bottle cap on the left side to a matching bottle cap on the right side.  
  4. Instruct the child to follow the pencil as you draw.  Nest, trace the line with your finger.  
  5. Ask the child to trace the line with their finger.  
  6. They can then trace the lines with a pencil or marker.
Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

More eye tracking Strategies

  • Complete mazes
  • Do puzzles.
  • Use a newspaper or magazine article.  Ask your child to highlight all of the letter “a’s”.
  • Draw or paint pictures.
  • Place a marble in a pie pan.  Rotate the pan around and watch the ball as it rolls. Don’t move your head, only your eyes!
  • Find as many things shaped like a a square in the room.  Repeat the activity, finding all of the circular shaped items in the room.
  • Play “I Spy.”
  • Dot-to-dot pictures.
  • Play balloon toss.
  • Use tracing paper to trace and color pictures.
  • Trace letters with chalk.
  • Play flashlight tag on walls and ceilings. The adult an child each holds a flashlight. As the adult shines the light on walls, the child keeps their light superimposed on top of yours. Start with simple strait lines.  Then add curved lines, then a circle.  Tell them what you are drawing next.  Advance the activity by drawing shapes without telling them what you are doing next.
  • Play with wind-up cars.
  • Create a race track on the floor. Follow cars with your eyes.
  • Roll a ball between you and the child.  Roll from left-right, right-left, front-back, back-front, and toss the ball.

Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

Visual tracking Toys

Looking for more tools to improve visual tracking?  The toys below are great for improving visual tracking and visual scanning in fun ways.  These toys, games, and ideas may be a great gift idea for little ones who have visual perceptual difficulties or problems with visual tracking and handwriting, body awareness in space, letter reversals, detail awareness, or maintaining place while reading.  

SO, save these ideas for grandparents and friends who might ask for gift ideas for birthdays and holidays.  These are some powerhouse visual tracking ideas!

Use Pattern Blocks and Boards (affiliate link) to work on visual fixation of shapes and sizes of shapes. 

This Wooden Tangram Puzzle (affiliate link) has many different shapes and forms that can be copied from instructions. Copying from a diagram is a great way to practice visual tracking.

For younger kids, this Wooden Stacking Toy encourages tracking for color sorting.  Try some of our pom pom activities that we discussed above!

Mazes are excellent for fostering and building on visual tracking skills. Particularly those that involve a moving ball such as a Marble Run (affiliate link)
or a labrynth (affiliate link).

Watching a ball or moving object that is thrown around a room (like a balloon) is a great way to work on tracking in a big area. These Sportime Sensory Balls SloMo Balls (affiliate link) are lightweight and move more slowly than a typical ball, allowing kids to visually track the bright color. These are very cool for games of toss and rolling in all planes and directions. Use them to address peripheral tracking as well. 


A flashlight can be used in so many visual tracking activities. Shine the light on words or letters taped to walls. Play “I Spy” in a dark room, shine shapes like this flashlight (affiliate link)can for visual tracking and form tracking.

More visual Tracking Toys

These visual tracking toys are Amazon affiliate links.

Also check out these other top occupational therapy toys:

  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 VISUAL TRACKING

Want a printable copy of our therapist-recommended toys to support visual tracking 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 VISUAL TRACKING 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
VISUAL TRACKING TOYS HANDOUT

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    Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

    Finger Dexterity Exercises

    Hand holding coins by the fingertips and dropping one at a time into a stack of coins. Text reads "finger dexterity"

    Fine motor skills are a complex thing, but one thing that plays a major role in fine motor coordination is finger dexterity. The precision movements and endurance in small motor activities is driven by the ability to maneuver fingers and isolate the joints in holding and manipulating small objects. Let’s explore the role of manual dexterity in fine motor skills.

    The finger dexterity activities and exercises in this post can be used along with manual dexterity goals to support functional tasks.

    finger dexterity

    Fine Motor Dexterity

    Fine Motor Skills in kids are so important for independence in self care tasks.  Children need to develop the ability to manipulate their fingers in a coordinated manner in order to skillfully maneuver buttons, zippers, shoe laces, pencils…and the tools of learning and play…TOYS! 

    Dexterous movements are used in everyday activities throughout our day.

    What is finger dexterity?

    Finger dexterity refers to the ability to use coordination and manipulation of objects in the hands with precision. Dexterous motor skills can be broken down into areas: grasp and release, coordination with in the hand (in-hand manipulation), and proprioception (knowing how much effort is needed to manipulate objects without dropping them). There are many other contributions that impact finger dexterity and we list these below.

    Together, these precision skills enable us to pick up an object with the right amount of pressure and motor dexterity so you can grasp the object accurately taking eye-hand coordination skills into consideration.

    After grasping the object without overshooting or missing the item, it is necessary to position or rotate the object within the hand. Isolation of the joints of the fingers and thumb allow for precise movements and coordination when manipulating objects in functional tasks.

    The nine hole peg test is a good way to assess for finger dexterity.

     

    Finger Dexterity Examples

     
    Fine motor dexterity also looks like:
    • manipulating coins
    • picking up small beads
    • opening a tube of toothpaste
    • threading a needle
    • holding items in the palm of the hand and putting them down one at a time
    • crafts with small objects
    • peeling stickers off a page
    • opening or closing a clasp on a necklace
    • tying shoes
    • opening a bread tie
    • putting a pony tail holder in hair
    • braiding hair
    • maneuvering a pencil within the hand (rotating the pencil, erasing a small spot on the page)
    • turning a pencil in a handheld pencil sharpener
    • zippering– inserting a zipper into the zipper carriage
    • buttoning a shirt
    • lacing up shoes
    • stacking coins
    • holding playing cards in your hands
    • any other task that requires small motor tasks
     
     
    We’ve got lots of posts dedicated to fine motor skills.  Finger Dexterity is a necessary step in development of fine motor skills
     
     

     

     
    Kids will love to play this finger dexterity activity to work on fine motor skills.

     

    Skills needed for Finger Dexterity

    Children develop their hand skills from infancy. Hand strength develops from the time a small baby is placed in tummy time. You’ll start to see finger dexterity in action when a baby picks up cereal pieces using a pincer grasp.
     
    Finger dexterity requires components such as: 
     
    The terms that make up finger dexterity are explained in each of the blog posts in the list.
     
    There are developmental milestones for fine motor development that are necessary for independence each stage of childhood. When kids struggle with handwriting, manipulating small objects, hand fatigue in small motor tasks, finger dexterity and the underlying contributions should be considered.
     
    Children also need to demonstrate dexterity in order to manipulate objects.  They need to maneuver their fingers independently of one another (this is called finger isolation) and with separation of the two sides of the hand
     
    Without these skills, modifications or adjustments are often made by the child. We’ll cover more specifics about the relationship of finger dexterity and these components below.


    Finger Dexterity and Separation of the two sides of the hand

    When using the small muscles of the hands in dexterity tasks, one uses the side of the thumb-side of the hand. 
     
    The precision side of the hand is the thumb, pointer finger, and middle finger.  These are the fingers needed for dexterity tasks and fine motor skills. 
     
    The ring finger and pinkie finger are involved in providing stability during precision tasks.  When the index and thumb are involved in a small motor activity, the ring finger and pinkie finger are tucked into the palm and proved a support during handwriting and shoe tying
     
    They also provide power during grip and the force behind a gross grasp
     
    So when will you see the two sides of the hand separated during activities?? Tying shoes, pulling a zipper, fastening a button, and manipulating small pegs into a pegboard are some examples of separation of the two sides of the hand.


    Finger Dexterity and Finger Isolation

    Finger isolation is a key part of finer dexterity and begins when an infant begins to point at objects with one finger. 
     
    Using the fingers independent of one another is needed for tasks like turning a page in a book, typing, molding dough, sign language, and finger plays (“where is Thumbkin” and other fingerplay songs are great ways to practice finger isolation and dexterity!) 
     
    Kids can identify colors by playing this fine motor game.

     

    Finger dexterity Activity

     
    This finger strength exercise is actually a game, which makes it a great activity for developing precision in those little muscles of the hands, isolating fingers, and separating the two sides of the hand…all SO important in independence and play.
     
    Try this activity to work on separating the two sides of the hand with a fun activity for kids. 

    This post contains affiliate links.

    Our finger dexterity activity began with a little prep work.  We used acrylic paints to paint circles on the back of bubble wrap paper. 

    Kids will explore colors in this finger dexterity game.

     

    I painted the back side of large bubble wrap with different colors.   We let these dry (and it was slightly difficult to remain patient!!)

    Kids will love to play "Twister" in this fine motor exercise.

     

    Once our paints were dry, we got our fingers ready to play some finger dexterity games!  I had Little Guy get his fingers ready by making “legs”. 

    This is a great way to encourage use of the two sides of the hand.  He tucked his pinkie and ring fingers into the palm of his hand and got his pointer and middle finger busy as they “walked” around.

    Fun fine motor game for kids.

     

    We played a color matching game with the colored bubbles.  I called out a color and he had to “walk” his fingers to the color and pop the color.  He was working on color awareness at the same time as we practiced finger dexterity.

    kids can work on fine motor skills needed for independence in many tasks.

     

    As I called out different colors, he had to “walk” his fingers around to the different colors.  He really worked on those finger isolation skills as he searched for a bubble that was not yet popped. 

    Other ways to work on finger isolation and separation of the two sides of the hand include using small objects in manipulation like crafting pom poms.

    The index, middle finger, and thumb are needed to manipulate items in fine motor tasks. This activity is a great way to encourage dexterity in kids.

     

    Even Baby Girl wanted to get in on the fun!  This finger dexterity exercise is a great way to “warm up” the hands before a handwriting or typing task for older children. Using handwriting warm ups prepares the hands for tasks like writing with a pencil.

    When there is weakness in the small muscles of the hands, it is often times, difficult for children to write, color, or type with appropriate grasp and positioning of the fingers and wrist. 

    A dexterity exercise like this one is a fun way to play and get those muscles of the hand moving and strengthened in order to improve endurance and positioning.

    Manual Dexterity Activities

    Looking for more fun ways to practice manual dexterity of the fingers?  These are some fun games and activities you may want to try:

    Finger dexterity exercises

    Using the activities listed above are great ways to build fine motor skills. You can also improve manual dexterity with the following exercises:

    • Pinch putty or playdough 10 times, with 3 repetitions (find more reps in our theraputty exercises blog post)
    • Place pegs into a pegboard- time the student to see how many they can place in 30 seconds. Try to beat that time.
    • Hand gripper workouts to improve proximal stability
    • Stack 10 coins or game tokens into a pile. Then pick them up one at a time and place them into the palm of the hand
    • Deal a deck of cards
    • Creating a fine motor home exercise program
    • Using the exercises described in the Weekly Fine Motor Program
    • Finger aerobics shown in the video below.

    Working on fine motor skills, visual perception, visual motor skills, sensory tolerance, handwriting, or scissor skills? Our Fine Motor Kits cover all of these areas and more.

    Check out the seasonal Fine Motor Kits that kids love:

    Or, grab one of our themed Fine Motor Kits to target skills with fun themes:

    Want access to all of these kits…and more being added each month? Join The OT Toolbox Member’s Club!

    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.

    Activities to Improve Smooth Visual Pursuits

    Eyes looking in different directions with arrows from each set of eyes. Text reads "what are visual pursuits"

    For our kids who are challenged to visually observe their environment, or who struggle to demonstrate visual tracking in reading or other learning experiences, activities designed to promote smooth pursuits and eye movement can be helpful. The visual activities listed here can be helpful in addressing the smooth pursuits of visual input. Visual pursuits or tacking is an oculomotor skill that is necessary part of visual processing. Read on for various eye exercise that can be done in fun ways as a part of occupational therapy geared toward visual processing skills.

    Activities to improve smooth visual pursuits

    There are several activities to improve smooth visual pursuits that are used in occupational therapy to target smooth pursuits of the eyes. These smooth pursuit exercises are typically fostered through play, especially in occupational therapy interventions. 

    Below, you’ll find ocular pursuit activities, but first, let’s cover what visual pursuits are and how they impact a child’s learning.

     
    These activities to improve smooth visual pursuits are needed to improve visual tracking needed for reading and visual processing.
     
     
     
     
     
    Visual skills like visual tracking, or smooth visual pursuits are a visual processing skill that allow us to perceive and retrieve visual information. This is an essential part of reading and learning.

     

    What are visual pursuits?

    Visual pursuits are another term for visual tracking. Visual tracking is an oculomotor skill that is essential for learning, reading, and so many tasks we perform.

    Smooth visual pursuits refer to the eye movements that enable us to track moving objects smoothly and accurately with our gaze. It’s the eye following a moving target through coordinated motion of the eye muscles.

    When we watch a moving object, follow a moving object with our eyes, or follow a moving ball, our eyes move smoothly to follow the visual input. This allows us to maintain visual focus on the object as it moves. We can use that visual information to understand how fast and far the item is moving based on the object’s trajectory, speed, and direction.

    Here are more information about visual tracking activities. You will also love checking out these activities to improve visual tracking.

    Visual processing skills have a huge impact on learning. In fact, it is one of the visual skills that can impact learning in a way that isn’t always directly observable.

    Visual skills like visual tracking, or smooth visual pursuits are a visual processing skill that allow us to perceive and retrieve visual information. This is an essential part of reading and learning.

    These skills may be covered by a behavioral optometrist or developmental optometrist.

    Want to learn more about HOW visual pursuits and other aspects of visual processing impact learning (in a really big way)? Scroll below to join our free visual processing lab. It’s a 3 day email series where you will learn SO much about visual processing and how it impacts everything, but especially learning and cognitive skills.

    Visual tracking activites are needed for learning and everything we do! These activities to improve visual pursuits can be used in occupational therapy treatment sessions or part of vision therapy activities.

     

    Activities to improve visual pursuits

    These visual tracking activities are easy and creative ways to work on eye movement and smooth eye movements. Kids can perform these activities as part of a therapy program and while working on functional skills within an occupation.

    1. Relaxing breathing eye stretches- This visual tracking activity is a way to work on smooth pursuits in a very mindful way. Just like yoga brings awareness to the body and a sense of being present, this eye stretch activity is a great way to calm a class during a busy school day.

    Combine slow and deep breathing with deliberate eye movements. Kids can watch and follow directions to take deep breaths combined with slowly looking in a single direction. As they look up and breath or look to the left and breath, kids can even use this activity as a coping strategy.

    Try these yoga activities: 

    2. Flashlight Tag- Use a flashlight to help kids follow a target in various directions. Try a circle, uppercase letter “H”, triangle, straight/diagonal lines, etc. To make this activity more fun, try adding a deflated balloon to the top of the flashlight. Encourage kids to keep their face steady as they use just the eyes to follow the light.

    3. Craft Stick Puppets- Create small craft stick characters puppets to make a visual cue as a visual prompt for follow movement patterns. These barnyard animal puppets make a great DIY puppet tool for a visual pursuit and tracking activity.

    This pirate puppet is one idea that builds fine motor skills, too.

    4. Marble run activities- There are many marble run products on the market that provide an opportunity for improving smooth pursuit of the eyes. Here are DIY marble run activities that make a great activity in themselves for kids.

    We love to add slow moving items to marble run games too, to provide a slower object for visually tracking, encouraging smooth pursuits of the eyes. Encourage kids to keep their face steady while using their eyes only to watch the item fall through the marble run.

    Try these marble run ideas:

    5. Roll a ball- Roll a ball up a slanted surface and ask the child to keep their eyes on the ball! Some ideas include creating a sloped surface with a poster board and books.

    Simply roll a small ball slowly up the ramp and kids can watch the ball as it rolls. Also try having the child to sit in front of the ramp and be in charge of rolling the ball. Mark off where the ball should reach and stop so the child works on graded movement at the same time.

    Sitting in front of the ramp encourages visual convergence and binocular fusion as well. This activity works well with a large ball such as a kick ball and a sidewalk ramp, too.

    This baby brain building activity list has more ideas, too.

    6. Double Light Eye Tag- Use two different colored lights (light-topped pens work well). Flash one color on and then the other. Kids can move their eyes from color to color or follow directions to look at the two lights when they change.

    Hopefully, these activities to improve visual pursuits is a helpful addition to your therapy toolbox. Use these strategies to work on various visual processing skills and oculomotor skills.

    7. Hands-on visual tracking therapy activities- Use the ideas below to target visual tracking skills through play:

     

    More visual processing activities

    For even MORE visual tracking and pursuit activities to use in your occupational therapy practice, you will want to join our free visual processing lab email series. It’s a 3-day series of emails that covers EVERYthing about visual processing. We take a closer look at visual skills and break things down, as well as covering the big picture of visual needs.

    In the visual processing lab, you will discover how oculomotor skills like smooth pursuits make a big difference in higher level skills like learning and executive function. The best thing about this lab (besides all of the awesome info) is that it has a fun “lab” theme. I might have had too much fun with this one 🙂

    Join us in visual processing Lab! Where you won’t need Bunsen burners or safety goggles!

    Click here to learn more about Visual Processing Lab and to sign up.

    Free visual processing email lab to learn about visual skills needed in learning and reading.
     
     
     
     
     




      
     
     
     
     
    Visual pursuits visual tracking activities to help kids with the visual skills needed for learning, reading, and everything they do!

    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.

    oculomotor tools

    In The OT Toolbox Membership, you’ll find oculomotor tools that support visual tracking, smooth pursuits, and much more.

    Visual Motor Skills By Age

    visual motor skills by age

    This resource includes visual motor skills by age and lists visual motor integration developmental milestones. Visual motor development is part of hand eye coordination skills that happen from a very young age. From shaking a rattle and reaching for baby toys, to holding a pencil and writing letters, the developmental milestones are something to guide functional skill achievement! Let’s explore these visual motor developmental milestones!

    Visual motor developmental milestones

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    Visual Motor Skills by Age

    If you’ve followed along with us here at The OT Toolbox, then you know that I love to pull my background as an occupational therapist into posts.  The crafts and activities that we do are more than just fun and cute.  There are important skills that a child develops through play.

    Visual Motor Skills are needed for many functional tasks like handwriting and pencil use, scissor use clothing management, and many more tasks. 

    How does Visual Motor Integration develop in kids?  We put together this list of  developmental milestones  for a general idea of development and so parents can tell when a problem might be present.  

    It is important to note that every child is different and every child develops differently.  These milestones are organized by developmental stages.  Be sure to contact your pediatrician for medical advice. If occupational therapy is needed to assist with delays in visual motor integration, an assessment from a licensed occupational therapist is necessary to determine individual needs and treatment.

    This hand eye coordination activities for toddlers post has more ideas.

    What is visual motor integration?

    Visual motor integration is often times presented a Hand eye coordination.  It is the ability to use your hands and eyes together in a coordinated manner.  


    However, visual motor integration has some difference: The visual perceptual skills that are necessary for the visual component of visual motor skills play a major part in perceiving and interpreting visual information.

    With skill achievement comes greater precision and finger dexterity, as well as the motor planning needed in order to accomplish more difficult tasks.

    Visual motor development is needed for many functional tasks:

    • Shake a rattle
    • Reach for toys
    • Bring toys to the mouth
    • Reach for a face when held (babies)
    • Pick up food from a high chair tray
    • Reach for a bottle or cup to the mouth and putting it back down
    • Releasing objects or toys (babies dropping things from their high chair continuously and love seeing someone older pick it up and put it back so that they can drop it again reinforces this skill)
    • Coloring with crayons- progression of coloring skills happens with age along the milestone achievement
    • Scribbling
    • Playing with toys- shape sorters, puzzles, cause and effect toys, etc.
    • Holding a pencil and drawing shapes, forming letters- This level of visual processing is necessary for copying forms and identifying inconsistencies in written work. It plays a part in letter reversals and letter formation.  
    • Cutting with scissors
    • Navigating stairs
    • Throw a ball
    • Catch a ball
    • Pouring and scooping
    • Using utensils- progression from spoon, to fork, to knife- Check out this resource on how to hold a spoon and fork for specifics.
    • Riding a bike
    • So many more tasks that require visual motor skills!

    In eye-hand coordination specifically, the eyes and hands work together to move the pencil, catch a ball, thread beads on a pipe cleaner, or other tasks that require the eyes and hands to fluently coordinate in actions.

    You can see how, with development of both the eyes and motor skill dexterity and strength of the hands, feet, core, and legs allows for progression of skills.

    The visual component and the motor skills begin working together at a very young age and continue to develop in efficiency as a child grows.  This is visual motor development!

    Visual Motor integration and developmental milestones
    Visual Motor and Developmental Milestones
    visual motor skills by age

    Developmental Milestones for Visual Motor Integration 

    These visual motor developmental milestones are listed by age of typical development, however, these are general guidelines of development. There can be many other considerations impacting skill achievement. If a child hasn’t achieved a skill by the dates listed below, it’s not a huge issue. It could be that the path to skill progression is varied, and that’s ok!

    If you have questions about these milestone skills and dates, especially if it seems there are many skills that aren’t being achieved within months of the dates listed below, it may be beneficial to seek out input and individualized evaluation from a pediatric occupational therapy professional.

    Resources may include our parent toolbox, getting started with OT, and what you need to know about child development.

    ONE MONTH:

    • Tracking a rattle while lying on back                
    • Tracking a rattle to the side                

    TWO MONTHS:

    • Infant regards their own hands
    • Tracks a ball side to side as it rolls across a table left to right and right to left
    • Tracks a rattle while lying on back side to side

     THREE MONTHS:

    • Extends hands to reach for a rattle/toy while lying on back

       FOUR MONTHS:

    • Reaches to midline for a rattle/toy while lying on back
    • While lying on back, the infant touches both hands together.

    SIX MONTHS:

    • Brings hands together to grasp a block/toy while sitting supported on an adult’s lap
    • Extends arm to reach up for a toy while laying on back

       SEVEN MONTHS:

    • Transfers a block/toy from one hand to the other while sitting supported on an adult’s lap.
    • Touches a cereal piece with index finger
    • Bangs a toy on a table surface while sitting supported on an adult’s lap

    NINE MONTHS:

    • Claps hands together

    TEN MONTHS:

    ELEVEN MONTHS:

    TWELVE MONTHS:

    •  Turns pages in a board book
    • Imitates stirring a spoon in a cup

    THIRTEEN MONTHS:

    • Imitates tapping a spoon on a cup
    • Begins to places large puzzle pieces in a (Amazon affiliate link) beginner puzzle (affiliate link)

    FOURTEEN MONTHS:

    •   Scribbles on paper

    SIXTEEN MONTHS:

    •   Imitates building a tower of 2-3 blocks (affiliate link)

    NINETEEN-TWENTY MONTHS:

    •  Builds a block tower, stacking 4-5 blocks (affiliate link)

    TWENTY THREE-TWENTY FOUR MONTHS:

    TWENTY FIVE-TWENTY SIX MONTHS:

    • Removes a screw top lid on a bottle
    • Stacks 8 blocks (affiliate link)
    • Begins to snip with scissors

    TWENTY SEVEN-TWENTY EIGHT MONTHS:

    • Imitates horizontal strokes with a marker
    • Strings 2 Beads (affiliate link) (read about fine motor skills with beads for more ideas to support this development)
    • Imitates folding a piece of paper (bending the paper and making a crease, not aligning the edges)

    TWENTY NINE MONTHS:

    • Imitates building a train with blocks
    • Strings 3-4 Beads (affiliate link)
    • Stacks 10 blocks (affiliate link)

    THIRTY ONE MONTHS:

    • Builds a “bridge” with three blocks (affiliate link)

    THIRTY THREE MONTHS:

    • Copies a circle

    THRITY FIVE MONTHS:

    • Builds a “wall” with four blocks (affiliate link)

    THIRTY SEVEN MONTHS:

    • Cuts a paper in half with scissors

    FOURTY MONTHS:

    FOURTY TWO MONTHS:

    • Cuts within 1/2 inch of a straight line
    • Traces a horizontal line

    FIFTY MONTHS:

    • Copies a square
    • Cuts a circle within 1/2 inch of the line
    • Build “steps” with blocks (affiliate link)

    FIFTY FOUR MONTHS:

    • Connects two dots to make a horizontal line
    • Cuts a square within 1/2 inch of the line
    • Builds a “pyramid” with blocks (affiliate link)

    FIFTY FIVE MONTHS:

    • Folds a piece of paper in half with the edges parallel
    • Colors within lines
     
     
    What is Visual Motor Integration?  This blog has a lot of information on visual motor integration developmental milestones and activities for kids.
     
     
     
    This post contains affiliate links.  You can read our full disclosure here.

     


    Activities to help develop visual motor integration

    When it comes to play, visual motor integration is part of every play activity. Some informative resources that include the sensory motor integration of visual input and motor output include the underlying skills that are all related.

    These specific activities will support visual motor skills and visual motor skills play a pivotal role in these areas:

                

    Developmental milestone achievement in children occurs through play. Use these play ideas to get you started on building skills:

    Some more of our favorite OT activities for supporting development of visual motor skills includes:

    Blue-Themed Sensory Play for Babies and Toddlers

    Fine Motor Play with Tissue Paper

    Baby Brain Building

    Invitation to Scoop and Pour

    Baby Ice and Bath

    Playing With Color

    Learning Apples and Red

    Learning Colors Cup Play

    Cups and Spoons

    Tracing Letters: Letter Formation Handwriting Practice with Chalk

    Tracing Lines with a DIY Light Box

    Pencil Control Worksheets You Can Make At Home

    Christmas-Themed Pencil Control Activities-DIY Worksheets for Pencil Control

    Line Awareness with Beads 

    Scissor Skills: Activities for Kids

    Improving Scissor Skills with Play Dough

    Cutting Foam Beads

    Using  Stickers to Help with Scissor Skills

    Finger-painting Fireworks for Scissor Use

    Icicle Winter Scissor Skills Activity

    Bunny Tongs Scissor Skills Activity

    Color Sorting Scissor Activity

    Use the fine motor kits to support development of visual motor skills and visual perception development through hands-on, play-based activities:

    Working on fine motor skills, visual perception, visual motor skills, sensory tolerance, handwriting, or scissor skills? Our Fine Motor Kits cover all of these areas and more.

    Check out the seasonal Fine Motor Kits that kids love:

    Or, grab one of our themed Fine Motor Kits to target skills with fun themes:

    Want access to all of these kits…and more being added each month? Join The OT Toolbox Member’s Club!

    Ocean Animals Matching Game

    sea animals matching game

    This ocean animals matching game was originally published when many OT professionals were conducting virtual therapy sessions a few years back. Now that therapy is back to in-person sessions, resources like this sea animals matching game slide deck are a useful tool for many reasons! It’s a great addition to a summer occupational therapy session or any sea animal theme.

    sea animal matching game

    Sea Animals Matching Game

    Animals of the sea are a fun and engaging theme for kids, so this sea animals game is a motivating way to build on that.

    Originally, this slide deck was a tool for targeting skills in visual memory, visual perceptual skills, attention, executive functioning skills, handwriting, and more. Therapy providers could access the slide deck and work on specific skills with kids over virtual therapy sessions.

    Now, a few years later, the same therapy tool can still be used in several different ways:

    • Print off the slide decks and use them as Ocean animal “Spot It” worksheets.
    • Pull up the sea animal game on a tablet or computer in face-to-face therapy sessions to work on visual perceptual skills.
    • Use the slide deck on a larger screen such as a Smart board or TV. Add gross motor actions for each sea creature. Use the visuals as a prompt for various gross motor coordination tasks by acting out the sea creatures.
    • Use the slide deck as a prompt for sea animal yoga, ocean animal brain breaks, or in a Simon Says command.
    • Work on handwriting by writing down the names of the ocean animals that the user spots in the matching activity.
    • Print off the slide decks and ask the user to cut out the circles for each matching game. Then, they can clip a paper clip onto the edge of the circle when they find the match. This is a powerful hand strengthening activity that addresses bilateral coordination and motor planning. (Here are more paper clip activities to build fine motor skills.)
    • To really ramp up the gross motor skills and incorporate visual scanning skills, print off the pages as PDFs and then cut out the individual circles. Place them at greater distances around the room. This activity targets visual attention as well. It’s a great way to grade the task to foster near point copying skills and far point copying skills.
    • Incorporate the activity with other ocean animals games like “guess who” to identify features in the mind’s eye and work on executive functioning skills.

    Matching games are such a great way to work on visual perceptual skills that are needed for hand writing and reading. This ocean animals matching game is a therapy activity that helps kids to work on several visual perceptual skills including visual discrimination form constancy visual scanning and other skills. Add this idea to your summer occupational therapy line-up!

    Ocean animals matching game to work on visual perceptual skills

    Ocean animals Matching Game

    This is a great activity for an ocean theme this summer.

    Kids that love ocean animals like fish seahorses seahorses octopus and see turtles will get love working on this spotting game.

    To play children can look at the two circles on the slide deck. They can visually scan to locate the identical ocean animal that is the same on each part of the slide. Then the interactive piece of this game is a movable seaweed option. They can click and drag on the seaweed icon and drag it over to cover up the matching animals. By doing this interactive piece kids can improve eye hand coordination and visual tracking skills as well.

    Ocean animals writing prompts

    Then after the students find the matching ocean animal there is a slide that is a self-checking exercise. The slide asks “did you find the missing item?” and then offers an ocean animals writing prompt.

    On the handwriting portion of this ocean animals activity kids can copy the ocean animals word from the slide.

    They can work on letter formation and copying skills from a near point or a distance point.

    There’s also an open ended writing prompt where kids can copy a full sentence.

    You can then expand the activity to an open ended writing prompt by asking that student to expand on that topic or ocean animal.

    For example kids can copy the word octopus and work on letter formation letter size and spacing between letters. Then they can copy the octopus sentence. They can work on spacing between letters and words, letter formation, line use, punctuation, capitalization, and overall legibility.

    Then finally expand on the activity and ask students to continue to write about an octopus they can either write a silly sentence or another fact if they know one. This slide deck includes many ocean animals that kids will have fun finding and writing about. Other ocean animals included in this slide deck include:

    • seahorse
    • sea turtle
    • crab
    • puffer fish
    • octopus
    • jellyfish
    • whale
    • shark
    • conch shell
    • school of fish

    Sometimes kids will have difficulties copying or reading without losing their place on the paper. Convergence insufficiency can be one cause for this. Other reasons can be visual scanning or visual attention skills. This slide deck is one way to work on these skills.

    Copying from a near point is a great way to work on visual shift visual attention and visual memory skills that are needed for kids to copy words from a workbook onto paper or from some other source like a book into a notebook.

    By shifting the slides to an overhead screen such as a SmartBoard that is positioned across the room children can work on distance copying. This visual motor skill can be a challenge for some kids who struggle with visual attention and visual memory. In order to copy from a source children need to visually recall where they left off and then shift their vision while holding the visual information in there our minds eye and then realizing where to go back to on the board to copy from. That shift can be difficult for kids so this open ended and fun activity can help with visual motor skills and copying from near and far points.

    This matching game is similar to others that we have here on the website so if a spotting and matching game is an interest and helpful for you and the children that you serve check out these other spotting and matching activities:

    Want more ways to play and build skills with a beach or ocean theme? Check out these fun ideas:

    Use the cards along with other sea creature games and activities like…

    Free Ocean Animals Matching Slide Deck

    Would you like to access this free ocean animals activity to work on visual perceptual skills, eye-hand coordination, and handwriting? Enter your email into that form below and you can access this resource to use in teletherapy sessions in home programming in face-to-face therapy sessions or in homeschooling activities. Another option is to also use for hand writing prompts in the classroom.

    FREE Ocean Animals Matching Game

      We respect your privacy. Unsubscribe at anytime.

      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.

      Ambidexterity or Mixed Dominance

      What is ambidexterity

      Many parents see their child switch hands during tasks, or show refined use of both hands and wonder if their child is ambidextrous. Maybe a child uses their left hand to throw a ball, but bats with their right hand. Maybe they kick a ball with their right foot, but hold a pencil with their left hand. Ambidexterity is a common question among parents of kids who switch hands in activities or don’t use one hand consistently.

      In this blog post, you’ll find information on

      Ambidextrous Or Mixed Dominance?

      Here, we are covering several aspects of ambidexterity. We’ll go over the difference between being ambidextrous and having mixed dominance. We’ll cover what it means when a child uses both hands to write or color. And, we’ll go over some activities to support a dominant hand.

      How do you know if your child is ambidextrous or if they are showing signs of mixed dominance? This post will explain a little more about ambidexterity as well as mixed dominance and what it means in motor skills.

      Ambidextrous refers to use of both sides of the body in equal ability and refined finger dexterity. This can refer to a bilateral refined movement and skill in the hands, feet, and eyes. Ambidexterity is the ability to use both hands equally well. It means that a person can perform tasks with either hand without any noticeable preference.

      Cross dominance refers to a situation where a person’s dominance does not favor one side over the other. In simpler terms, it means that your child hasn’t developed a clear preference for using either their right or left hand for tasks.

      Mixed dominance is an other name for cross dominance. It can extend beyond just hand preference and also involve other body parts like the eyes or feet. For example, a child with mixed dominance may have a dominant hand different from their dominant eye or foot. This means that their dominance is spread across different sides of their body.

      In other words, cross dominance or mixed dominance is different than ambidextrous in that an individual with cross dominance might switch between dominant sides depending on the task they’re performing. For instance, they may write with their right hand but prefer to eat with their left hand.

      Let’s break this down further to explore ambidexterity.

      What is ambidexterity? Is my child ambidextrous?

      What does Ambidextrous Mean?

      The definition of ambidextrous is use of both hands with equal refined precision and motor skill. This means that each side of the body is equally able to write with natural motor planning, fine motor control, strength, and refined motor movements.

      According to the definition of ambidexterous, there is equal refinement and precision. You might think this means just the hands and fingers are involved with equal use of both sides. However, that’s not exactly the case.

      Those who are truly ambidextrous may have equal use of hands, as well as feet, eyes, and even toungue motor skills.

      An ambidextrous child will play naturally with toys using both hands. You might notice equal use of the hands and feet, or switching left to right or right to left during play, sports, school work, and other tasks.

      When it comes to someone being ambidextrous and fine motor involvement, this can refer to:

      • Writing
      • Scissor use
      • Clothing fasteners
      • Play
      • Hand strength
      • Brushing teeth and hair
      • Many other every day tasks

      Ambidextrous also refers to the feet too.

      An ambidextrous person will be able to kick equally strong and with the same amount of force with both feet. They are able to “take off” from a running stance with equal feet placement, whether they start out running on their left foot or their right foot. Gross motor ambidexterity can be seen in:

      • Jumping
      • Running
      • Skipping
      • Hopping
      • Balance
      • Kicking a ball
      • Throwing a ball
      • Catching a ball
      • Among many other every day tasks

      Ambidexterity can be observed in the eyes, too. Typically, all of us have one eye that is stronger, or a naturally dominant eye. We can complete a visual screening to identify this, or a visual exam may be in order.

      Finally, an ambidextrous individual may show motor overflow movements with the tongue to both sides of the body.

      Are you wondering about a child who uses both hands to write or perform tasks? Maybe you know a child who uses both hands equally and with equal skill. Perhaps your child uses one hand for specific tasks and their other hand for other tasks.

      Mixed Dominance or Ambidexterous?

      Just yesterday on The OT Toolbox, we discussed mixed dominance. In this post, we will cover more about true ambidexterity and what that means.

      A child with mixed dominance demonstrates clear, stronger patterns based on the side of the body they are utilizing to complete the task.

      For example, a child who is left hand dominant will develop a stronger fine motor pattern then a child who is not left side dominant but compensating for fatigue and is moderately adept at utilizing the left hand as a coping skill.

      Is my child ambidextrous

      A child who is truly ambidextrous will be equally as skilled at utilizing both sides of the body and it will look and feel natural to the child. Statistically, only 1% of the population is truly ambidextrous—it’s really very rare, and it is more likely that your child is experiencing mixed dominance patterns.

      True ambidexterity requires both hands to be used with equal precision and there is no true preference in either the right or left hand for either both fine or gross motor tasks.

      Can you make yourself ambidextrous?

      This is an interesting question. Many times there is a perceived benefit to being ambidextrous, or switching hand or foot use during a task. Some perceived benefits might be:

      • Switching hands when one is fatigued from use during a task
      • Switching dominant sides during a sport such as baseball or softball to pitch with the other arm, batting from another side, dribbling to the other side when bringing up the ball during basketball, or kicking a ball with the other foot during soccer.
      • Writing equal legibility with both hands

      Actually being ambidextrous is different than teaching yourself to become ambidextrous.

      To use both sides of the hand as a learned concept takes cognitive attention whereas natural ambidexterity occurs without thought. Because of the neuroplasticity of the brain, humans have the ability to teach themselves to use their non-dominant hand or side to complete tasks. It takes practice, practice, and more practice.

      Read here on motor planning where we cover this concept.

      Ambidexterity or Mixed Dominance?

      Is my child ambidextrous? Isn’t that what mixed dominance is? These are two questions that therapists get asked frequently when evaluating a child for the first time for mixed dominance and other concerns. The answer is no, they are not the same thing.

      This is a tricky area. Therapists recognize mixed dominance as a miscommunication or poor integration of the left and right sides of the brain and that’s how it’s explained to parents. However, there is a lot of information out there on this topic that may or may not be relevant to your child and her struggles— keep this in mind when Googling information.

      It is more likely, that your child’s brain is utilizing the left and right sides for very specific motor skills such as writing, eating and throwing a ball. This can lead to motor confusion—this is where the poor integration and lack of communication between the left and right sides of the brain comes into play.

      When the child is not utilizing one side of the brain more dominantly for motor patterns, confusion and poor motor learning occur leading to delays and deficits in motor skills.

      how to tell if your child is ambidextrous

      It is unclear why the brain develops this way, but it does happen, and it is okay. In fact, it is easily addressed by an occupational therapist.

      Determining if your child is ambidextrous, meaning they have equal proficiency and comfort using both hands, can require some observation. Here are a few signs that may indicate ambidexterity in your child:

      • Equal use of hands
      • Kicks a ball with either foot with equal distance and force
      • Balances on each leg equally
      • Equal tongue movements laterally
      • Proficient functional performance with either side of the body
      • Efficient use of tools with assistance of the other hand: scissor use, pencil use, feeding utensils, and other functional tools

      In addition to these abilities, you can take a look at areas of functional performance. These include the underlying skills that impact function.

      • Frequent hand-switching: Observe if your child regularly switches hands during activities such as writing, drawing, eating, or playing sports. Ambidextrous individuals often demonstrate fluidity in using either hand without a clear preference.
      • Equal proficiency: Notice if your child shows similar levels of skill and coordination when using both hands for various tasks. They may exhibit no significant difference in handwriting quality, drawing ability, or manipulating objects with either hand.
      • Ease in learning new skills: Ambidextrous children tend to adapt quickly when asked to perform tasks with either hand. They may show little to no difficulty when switching hands for activities.
      • Mirror-like movements: Pay attention to your child’s movements. Ambidextrous individuals may display symmetrical movements, where actions performed with one hand can be mirrored almost identically by the other hand.
      • Lack of hand dominance: Ambidexterity implies the absence of a clear hand dominance. If your child does not consistently favor one hand over the other for a majority of tasks, it suggests a potential ambidextrous inclination.

      Ambidexterous Motor Development

      I already touched on this a little, but a child with mixed dominance may switch sides for task completion when experiencing fatigue. Due to this, their motor development and precision is typically delayed.

      The most common area that this is noted in is in fine motor development for handwriting. This is because the child is equally, but poorly skilled with both hands, and will switch hands to compensate for fatigue.

      Motor delays may also be noticed later on when it comes to the reciprocal movements needed to throw/catch or kick a ball and when skipping. A child with mixed dominance may attempt to catch and throw with the same hand, hold a bat with a backwards grip, or stand on the opposite side of the plate when hitting.

      They may also experience a moderate level of confusion, and frustration as they are unsure of how to make the two sides of their body work together leading to overall poor hand/foot-eye coordination skills.Ambidexterity or mixed dominance and what this means for kids who use both hands to complete tasks like handwriting.

      For a few fun hand dominance activities, try these ideas to help kids establish a

      Ambidextrous hands and eyes

      If you have more questions and want to learn more on a dominant eyes and understanding how the eyes and hands work together during activities, you’ll want to check out our Visual Processing Lab.

      It’s a 3-day series of emails that covers everything about visual processing, visual motor skills, and eye-hand coordination. We take a closer look at visual skills and break things down, as well as covering the big picture of visual needs and how the hands and eyes work together.  

      In the visual processing lab, you will discover how oculomotor skills like smooth pursuits make a big difference in higher level skills like learning and executive function. The best thing about this lab (besides all of the awesome info) is that it has a fun “lab” theme. I might have had too much fun with this one 🙂  

      Join us in visual processing Lab! Where you won’t need Bunsen burners or safety goggles!  

      Click here to learn more about Visual Processing Lab and to sign up.

      ambidextrous eye dominance

      Hand preference is something we are often aware of, whether we are right-handed or left-handed. However, many parents may not realize that we also have a preferred or dominant eye. This aspect of eye dominance is often overlooked because we typically use both eyes together for most activities.

      So, how can you determine which eye is dominant?

      Observing monocular tasks: When using a camera, telescope, microscope, or squinting with one eye. Pay attention to which eye you naturally prefer to use. This eye is typically your dominant eye. In most cases, eye dominance aligns with handedness, meaning that if you are right-handed, you are more likely to be right-eye dominant. However, there are instances where the dominant eye may differ from handedness.

      Knowing about eye dominance is important because it can help to gain insights about a child’s visual processing and to identify any variations in eye-hand coordination. This knowledge can be particularly helpful when engaging in activities that require controlled motor planning, speed and timing of movement, and accuracy.

       
      Free visual processing email lab to learn about visual skills needed in learning and reading.

      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.

      Letter Learning with Bottle Caps

      Bottle caps with lowercase letters on them sitting on each letter of the uppercase alphabet Text reads bottle cap letters

      In this older blog post, we shared how to make your own bottle cap letters for multisensory learning and fine motor play. Creating DIY instructional materials can be both educational and fun. One creative idea is to make bottle cap alphabet letters.

      Bottle Cap Letters

      By collecting various bottle caps and adding individual letters to them, you can create a unique set of bottle cap letters. This homemade alphabet set can be used for matching big and small letters, helping children learn the alphabet in an engaging way. Kids can enjoy the tactile experience of sorting and matching the big and small bottle cap letters, making it a hands-on learning activity that enhances their letter recognition skills!

       
       
      This Letter Learning game was something I made for Big Sister a couple of years ago.  We have played with the letter bottle caps so many times and in a ton of ways.
       

       

      How to make bottle cap letters

      You’ll need just a few materials:

      • 26 bottle caps (one for each letter of the alphabet)
      • Label paper
      • Marker
      • Cardboard for a play mat
       
      The cardboard has upper case letters and the bottle caps are used to match the letters. 
       
      It doesn’t matter what size bottle caps you use because you cut the label paper to fit the caps. If you use a lot of milk in your home, or have access to a bunch of bottle caps in the same size, use those.
       
      In our case, we had a case or two of Gatorade bottles and used those bottle caps to make our letters.
       
       
      1. I used a sheet of label paper to make the lower case letters.
      2. Trace a bunch of circles in the correct size.
      3. Cut out the circles.
      4. Write the letters.
      5. Stick them to the bottle caps.  Easy!
       
       
       

      How to use alphabet bottle caps

      Our homemade bottle cap letters are a great DIY instructional material to use in learning and play. 
       
      • We’ve also played with the bottle caps in play dough,
      • Use them to spell names and words.
      • Move the bottle cap alphabet to label objects with it’s starting letter.
      • Work on learning which direction the “p”, “b”, and “d” should go. This is a great hands-on activity to target letter reversals!
      • They are so great to manipulate and play with in a sensory bin filled with corn, too.
      • Or, pair the letter bottle caps with our alphabet exercises to target fine motor and gross motor skills. 
       
      How else can we play with these bottle caps??
       
      bottle cap letters
       

       

      Working on fine motor skills, visual perception, visual motor skills, sensory tolerance, handwriting, or scissor skills? Our Fine Motor Kits cover all of these areas and more.

      Check out the seasonal Fine Motor Kits that kids love:

      Or, grab one of our themed Fine Motor Kits to target skills with fun themes:

      Want access to all of these kits…and more being added each month? Join The OT Toolbox Member’s Club!

      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.

      DIY Light Box for Tracing

      Child tracing letters with a pen on a light table. Text reads DIY light table for tracing

      This DIY light box for tracing is an easy light box we put together in minutes. All you need is an under the bed storage container and a string of lights to make a tracing tool that kids will love. There are benefits to tracing and this tool is a fun way to build fine motor skills and visual motor skills as a visual motor skill leading to better handwriting.

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

      DIY light box for tracing

      A light box is a fun activity, and one you see in preschool classrooms, as it’s intended for hands-on play and exploring the senses. But did you know there are many benefits to using a light box for tracing (and other exploring play)?

      How to Make a DIY Light Table for Tracing

      This DIY Light Box was something I’ve seen around Pinterest and have wanted to try for a while…Once we had our Christmas lights outside, I thought we would definitely be doing this project after we pulled all of the lights back in.  So, after we brought the Christmas lights in from the outside bushes, this was easy to put together for a cold evening’s play!

      You need just two items to make a DIY light table:

      (Amazon affiliate links)

      1. Strand of white Christmas lights
      2. Clear, plastic under-the-bed storage bin

      Important: The under the bed storage bin needs to be made of clear plastic or have just a slight opaque color to the plastic. Also, the top should be smooth. Many storage bins have textured surface or a white surface. The flat, smooth lid is important for sensory play as well as tracing with paper on the DIY light table. This brand (affiliate link) is a good one to use.

      Instructions to make a DIY light box:

      1. Plug in the lights.
      2. Place them into the bin.
      3. Either cut a hole in the base of the bin for the lights to go through or cut a small notch into the lid so the strand of lights can go under the lid.

      To make this homemade light box safer and not use plug in lights, you can use battery operated button lights (affiliate link) inside the storage bin. Or, there are many battery operated LED lights available now too. These are a great idea because many of them have a color-changing capability and can be operated from an app on your phone.

      IMPORTANT: This homemade light box project should always be done under the supervision of an adult. The lights can get warm inside the bin and they should be unplugged periodically.

      This is not a project that should be set up and forgotten about. The OT Toolbox is not responsible for any harm, injury, or situation caused by this activity. It is for educational purposes only. Always use caution and consider the environment and individualized situation, including with this activity. Your use of this idea is your acceptance of this disclaimer.

      I put all of the (already bundled-up) strands of Christmas lights …seriously, this does not get much easier…into an under-the-bed storage bin, connected the strands, and plugged in!

       

      DIY light box for tracing

      A DIY light box made with Christmas lights
       

      Once you put the top on, it is perfect for tracing pictures!
       
      Tracing on a DIY light box
       
       

      Tracing pictures on a light table

       
      This is so great for new (or seasoned) hand-writers.  They are working on pencil control, line awareness, hand-eye coordination…and end up with a super cool horse picture they can be proud of!
       
      Use printable coloring pages and encourage bilateral coordination to hold the paper down. You can modify the activity by taping the coloring page onto the plastic bin lid. 
       
      Tracing a picture on a DIY light table
       
       Big Sister LOOOOVED doing this!  And, I have to say, that she was doing the tracing thing for so long, that we had to turn the lights off because the bin was getting warm. 
       
       
       
      trace letters on a light table
       

      Other ways to use a DIY Light Table

       
      We went around the house looking for cool things to place on top of the bin.  Magnetic letters looked really neat with the light glowing through…Baby Girl had a lot of fun playing with this.
       
      You can add many different items onto the DIY light table:
      • Magnetic letters (the light shines through them slightly)
      • Sand for a tracing table- We cover how to use a sand writing tray in another blog post and all the benefits of tracing in a sensory medium. With the lights under the tracing area, this adds another multisensory component to the learning.
      • Shapes (Magnatiles would work well)
      • Feathers
      • Coins
      • Blocks
      • A marble run
       
      letters on a light table
       
      What a great learning tool…Shapes:
       
       
      Letter Identification, spelling words:
       

       

       Color and sensory discrimination:
       
       
       
      …All in a new and fun manner!  We had a lot of fun with this, but have since put our Christmas lights back up into the attic.  We will be sure to do this one again next year, once the lights come back out again 🙂
       

       

      Please: if you do make one of these light boxes, keep an adult eye on it, as the box did warm up…not to burning warmth, but I would worry about the lights becoming over heated.  This is NOT something that kids should play with unsupervised!

      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.

      Working on fine motor skills, visual perception, visual motor skills, sensory tolerance, handwriting, or scissor skills? Our Fine Motor Kits cover all of these areas and more.

      Check out the seasonal Fine Motor Kits that kids love:

      Or, grab one of our themed Fine Motor Kits to target skills with fun themes:

      Want access to all of these kits…and more being added each month? Join The OT Toolbox Member’s Club!

      How to Improve Working Memory

      working memory

      Working memory is a skill we need for everything we do!  From answering the phone to shopping at the grocery store; working memory is happening at every given moment.  Kids who struggle with executive functioning skills often times have working memory challenges.

      working memory activities



      working Memory

       Let’s talk about what working memory is and how to improve working memory in kids so they can be successful in those everyday tasks.

      Use these strategies to help improve working memory in kids with sensory processing struggles or executive functioning difficulties.

       

      What is Working Memory?



      Working Memory is the ability to act on past memories and manipulating the information in a new situation.  

      Processing short term memories and using it allows us to respond in new situations.  

      Working memory allows us to learn. Using working memory skills we can use past information in reading in order to read sight words.  

      We can remember math facts, state capitals, mnemonics, phone numbers, addresses, and friends’ names.  We can then use that information to answer questions based on what we know and apply that information in new situations.


      Executive functions are heavily dependent on attention.  Read about the attention and executive functioning skill connection and the impact of attention on each of the executive functioning skills that children require and use every day.


      In order for working memory to be used in daily tasks, we need a few key items.  Our brain might be considered a memory soup and the key ingredients to working memory are attention, focus, auditory memory and visual-spatial memory.


      Read more about visual memory and how to incorporate strategies into play.

      Use these strategies to improve working memory skills in kids.

       

      Mix all of those ingredients together and you will end up with working memory that can be used to problem solve any given situation.


      You can see how children who struggle with the underlying “ingredients” of attention, concentration, auditory processing, and visual processing will be challenged to pull that information into an unrelated event.  The child with sensory processing disorder who is also struggling with social emotional issues might end up in meltdown mode.  The child who can not generalize facts to a new environment might withdrawal.


      Read more about attention and how to help kids improve attention with easy strategies for home and school.

       

      All of these situations can potentially lead to difficulty with problem solving. Children are developmentally growing every day in relating past information. Yes, we say thank you EVERY time someone holds the door for us, not just that one time last week.  By going through our day, kids learn these things!


      The child who is struggling with any of the key ingredients related to working memory, it can be really hard to generalize.

      Many parents, teachers, and therapists of kids with executive functioning skills or sensory processing challenges wonder how to improve working memory. These strategies for working memory skills will help.

       

      How to Improve Working Memory

      Try these working memory strategies to help improve this executive functioning skill:

      1. Take notes
      2. Daily Journal- The Impulse Control Journal is a great tool for keeping track of day to day events
      3. Notebook with times for daily tasks
      4. Practicing the ability to stop and think in practice and in real-life situations. This skill allows one to complete tasks or respond using past experiences.
      5. Writing down information (opposed to typing or tracking on an app)
      6. Setting an alarm for tasks
      7. Second set of school books for home
      8. Dry erase board notes to be used in tasks like cleaning a room
      9. Mnemonics
      10. Guided imagery
      11. Mental rehearsing
      12. Imagine a task in pictures (like a cartoon strip of a day’s event)
      13. Analyzing problem areas
      14. Practice through rehearsal
      15. Routines
      16. Rewards
      17. Reminder messages including verbal, picture, or app-based
      18. To-do lists with physical action (pull off a post-it note when completed)
      19. Task sequencing lists
      20. Play memory games, such as matching games or memory card games.
      21. Use mnemonic devices to help remember information, such as acronyms or visual cues.
      22. Repeat information to yourself multiple times to help solidify it in your memory.
      23. Use visualization techniques to create mental images of information you need to remember.
      24. Break down complex information into smaller chunks to make it more manageable to remember.
      25. Use repetition and rehearsal to help remember important information.
      26. Practice active listening by summarizing and repeating back what someone has said to you.
      27. Write down important information or ideas to help reinforce them in your memory.
      28. Use technology, such as digital reminders or voice memos, to help you remember important information.
      29. Practice mindfulness exercises to improve focus and concentration, which can help with working memory.
      30. Engage in regular aerobic exercise, which has been shown to improve working memory.
      31. Play strategy-based games, such as chess or Sudoku, to help improve working memory skills.
      32. Use self-testing or quizzing techniques to help reinforce information in your memory.
      33. Break tasks down into smaller steps to make them more manageable to remember.
      34. Use different sensory modalities, such as sight and sound, to help reinforce information in your memory.
      35. Practice relaxation techniques, such as deep breathing or meditation, to help reduce stress and improve working memory.
      36. Engage in activities that challenge your working memory, such as learning a new language or musical instrument.
      37. Use context cues or associations to help remember information, such as associating a person’s name with a visual cue or location.
      38. Prioritize and focus on the most important information to remember.
      39. Get enough sleep, as lack of sleep can negatively impact working memory skills.
      40. Repeat complex instructions
      41. Break down complex instructions into step-by-step directions with pictures, such as a more detailed version of a visual schedule

      Working Memory Activities

      In addition to the working memory strategies listed above, there are specific activities you can do to build working memory. Try these ideas:

      Digit Recall Activities- Work on repeating numbers in a series. The individual can repeat back numbers in 2 to 3 digit series in both forward and reverse. Then, you can add on additional digits. Continue to grade the digit activities in greater difficulty by adding digits to the thread of numbers or adding letters. To increase the difficulty of this activity even further, ask the individual to write down the series of numbers and letters, and add time in between the given number and when they are asked to recall the series.

      Word Sequences- Similar to the number sequences described above, you can use visual pictures of words, or auditory word sequences. Ask the individual to repeat back the series of words.

      Ordering Activities- Another great working memory activity is sequential ordering of images or objects by size. You can target this activity to meet the interests of the individual. Think about ordering animals, sports balls, toys, or other items by size. Offer a specific number of items and challenge the individual to remember all of the objects in the series. Increase the difficulty by asking the individual to order objects by largest to smallest and then by smallest to largest.

      Instructional Sequencing Activities- This working memory activity focuses on functional tasks and can target goals of the individual. For example, a child working on brushing their teeth can order the steps of the activity from memory. Then, you can ask the child to list the steps in reverse. 

       

      More tools for addressing attention needs in kids

      There are so many strategies to address attention in kids and activities that can help address attention needs. One tactic that can be a big help is analyzing precursors to behaviors related to attention and addressing underlying needs. 

      The Attention and Sensory Workbook can be a way to do just that. 

      The Attention and Sensory Workbook is a free printable resource for parents, teachers, and therapists. It is a printable workbook and includes so much information on the connection between attention and sensory needs. 

      Here’s what you can find in the Attention and Sensory Workbook: 

      • Includes information on boosting attention through the senses
      • Discusses how sensory and learning are connected
      • Provides movement and sensory motor activity ideas
      • Includes workbook pages for creating movement and sensory strategies to improve attention


      little more about the Attention and Sensory Workbook: 


      Sensory processing is the ability to register, screen, organize, and interpret information from our senses and the environment. This process allows us to filter out some unnecessary information so that we can attend to what is important. Kids with sensory challenges often time have difficulty with attention as a result.

      It’s been found that there is a co-morbidity of 40-60% of ADHD and Sensory Processing Disorder. This workbook is an actionable guide to help teachers, therapists, and parents to help kids boost attention and focus in the classroom by mastering sensory processing needs. 

      You will find information on the sensory system and how it impacts attention and learning. There are step-by-step strategies for improving focus, and sensory-based tips and tricks that will benefit the whole classroom.

      The workbook provides tactics to address attention and sensory processing as a combined strategy and overall function. There are charts for activities, forms for assessment of impact, workbook pages for accommodations, and sensory strategy forms.
       
      Grab the Attention and Sensory Workbook below.
       
       

       

      Attention and sensory workbook activities for improving attention in kids

       

      These strategies to improve working memory are helpful tools for addressing short term memory in tasks.

      References:
      Gentry, T. (2015, September). Mobile technologies as vocational supports for workers with cognitive-behavioral challenges. Technology Special Interest Section Quarterly, 25(3), 1–4.

      FREE Attention & Sensory Workbook

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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.