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Occupational Therapy
Explore explanations, everyday questions and next steps connected with occupational therapy.
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Signs & concerns
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Signs & concerns
What does it mean if my child is not yet showing gross motor skills?
If your 3-to-7-year-old isn't yet showing expected gross motor skills — running, jumping, climbing, balancing — it usually means their large muscles and coordination need more time and the right playful practice, not that something is wrong. It is not a diagnosis. A developmental check is wise now, because early, play-based support builds strong gains and most children catch up beautifully.
Read the answer AnswerWhat does it mean if my child is not yet showing proprioceptive processing?
Between 3 and 7 years, proprioceptive (body-position) processing is still maturing, so clumsiness, heavy-handedness, crashing or seeking squeezes is usually normal variation. A gentle screen is wise when these patterns are frequent, get in the way of play, dressing or seating, or travel with other motor or sensory differences. This is a reason to observe and support early — never a diagnosis.
Read the answer AnswerWhat does it mean if my child is not yet showing self-care?
Between 3 and 7 years, not yet managing some self-care tasks — dressing, washing, spoon-feeding, toileting — usually means these skills are still developing at the child's own pace, and gentle practice often helps them catch up. Seek a developmental check when several skills lag well behind same-age peers, show little progress over months, involve hand-coordination difficulty, or come with delays in talking, movement or play. This is a reason to look closely early, not a diagnosis — support works well at this age.
Read the answer AnswerWhat does it mean if my child is not yet showing self-care dexterity?
If your 3-to-7-year-old isn't yet showing strong self-care dexterity — buttoning, using a spoon, brushing teeth or zipping — it usually means these fine hand skills are still developing and need more practice, not that something is wrong. Children reach these milestones across a wide, normal range. Seek a developmental check if the gap is widening, if your child is frustrated or avoids these tasks, or if it travels with other delays. This is reassurance, not a diagnosis — early support works beautifully.
Read the answer AnswerWhat does it mean if my child is not yet showing self-care skills?
Between 3 and 7, self-care skills like feeding, dressing, toileting and hygiene grow with practice and differ by child. A delay is not a diagnosis — it usually means more support is needed to build small-muscle control, sequencing and confidence. A developmental check explains why and what gentle help works best, because early support is most effective.
Read the answer AnswerWhat does it mean if my child isn't yet showing sensory aspects?
Saying a child is 'not yet showing sensory aspects' usually means their responses to sights, sounds, touch, movement and other input aren't yet clear or seem out of step for 3–7 years. This is not a diagnosis. A calm developmental screen is wise — watch for strong over-reactions, under-reactions, sensory-seeking, or sensory responses crowding out play, eating and learning. Sensory processing shapes comfort and learning, and early occupational-therapy support works beautifully at this age.
Read the answer AnswerWhat does it mean if my child is not yet showing sensory avoidance?
If your 3-to-7-year-old isn't showing sensory avoidance, that is usually reassuring — it means they are coping comfortably with everyday sights, sounds, textures and movement. The skill is present, not missing. What's worth gentle watching is the opposite pattern: under-responsiveness, where a child doesn't notice sensations others would react to. On its own, no avoidance needs no action; only when blunted registering pairs with other developmental questions does an occupational therapist's review help.
Read the answer AnswerWhat does it mean if my child is not yet showing sensory seeking?
Not showing sensory seeking in a 3-to-7-year-old is usually fine — seeking is just one of many healthy ways children process sensation, and many calm children develop well without it. Seek a developmental check if your child avoids or is distressed by everyday sensations, struggles to join play or daily routines, or shows delays in talking, social connection or movement. This is a reason to observe early, not a diagnosis.
Read the answer AnswerWhat does it mean if my child is not yet showing sensory sensitivity?
For most children aged 3 to 7, not showing sensory sensitivity is usually reassuring — it often means your child takes in the world comfortably without being overwhelmed. Sensory sensitivity is not a milestone every child must reach. What matters more is responsiveness: whether your child notices and reacts to sounds, touch, taste and movement, and engages with play and routines. A gentle check is wise only if your child seems not to notice much at all.
Read the answer AnswerWhat does it mean if my child is not yet showing sensory tolerance?
If your 3-to-7-year-old is not yet showing sensory tolerance, it means they still find everyday sensory experiences — loud sounds, textures, lights or clothing — hard to tolerate calmly. This is common, not a diagnosis, and sensory systems are still maturing at this age. Watch for big reactions, texture avoidance, sensory-seeking or meltdowns that crowd out play and learning. Gentle, play-based occupational therapy support works well, so a calm developmental check is the wise next step.
Read the answer AnswerWhat does it mean if my child is not yet showing shape drawing?
Shape drawing develops gradually between ages 3 and 7 — circle around 3, cross by 4, square by 4–5, triangle by 5–6 — with a wide normal range. A child not yet drawing shapes usually needs more time and playful hand-strengthening, not cause for alarm. Seek a gentle developmental check if the delay travels with an awkward grip, avoidance of drawing, or differences in talk and learning. Early support through play works beautifully at this age.
Read the answer AnswerWhat does it mean if my child is not yet showing static balance?
Static balance — holding the body steady while standing still — develops gradually between ages 3 and 7, so brief wobbles are normal. Seek a developmental check if your child consistently can't stand steady, falls often, can't hold a one-foot stand by 4–5, tires quickly when upright, or loses a skill. This is a reason to assess early, not a diagnosis — and occupational therapy builds steadiness through play.
Read the answer AnswerWhat it means if your child isn't yet showing task responsibility
Between 3 and 7, task responsibility develops gradually as attention, memory and self-organisation mature. A child not yet showing it usually just needs more time and warm routine practice — not a diagnosis. Seek a developmental check if the gap is wide for their age or paired with speech, attention or self-care concerns, because early support works best.
Read the answer AnswerWhat does it mean if my child is not yet showing tiptoe balance?
Tiptoe balance is one of many balance skills that emerge gradually between about 3 and 7 years; standing still on tiptoes often settles around 4–5. Not showing it yet is usually about timing and practice, not a problem. Look at the whole movement picture — confident walking, running, jumping and climbing — and seek a gentle developmental check if there is frequent falling, very stiff or floppy legs, persistent toe-walking, or any loss of a skill.
Read the answer AnswerWhat does it mean if my child is not yet showing toileting skills?
Toileting is a complex self-care skill that children master across a wide range, most between 2 and 4 years. A child of 3 to 7 not yet fully trained is usually within normal variation. Look more closely when there is no progress over several months, no awareness of the urge to go, or other developmental delays alongside it. These are reasons to support and review early, not a diagnosis.
Read the answer AnswerWhat does it mean if my child is not yet showing vestibular processing?
Vestibular processing is how a child's brain makes sense of movement and balance. Saying it is 'not yet showing' means their responses to movement look different — avoiding swings and heights, or craving constant motion. This is a sensory difference to observe, not a diagnosis, and at ages 3–7 it responds well to play-based occupational-therapy support.
Read the answer AnswerWhat does it mean if my child is not yet showing visual processing?
Visual processing is how the brain understands what the eyes see — finding objects, matching shapes, copying drawings — and it differs from eyesight. Between 3 and 7 years this skill grows unevenly, so a child not yet fluent is usually still developing. Rule out an eyesight issue first, then arrange a calm developmental screen if you notice frequent bumping, trouble finding things, puzzle difficulty or avoidance of looking tasks. This is reason to observe early, not a diagnosis.
Read the answer AnswerWhat does it mean if my child is not yet showing walking balance?
Between 3 and 7 years, walking balance is still maturing, so some wobbliness — especially on one foot, uneven ground or when turning — is usually typical and improves with time and practice. Seek a developmental check if balance is markedly behind peers, getting worse, comes with frequent unexplained falls, toe-walking, stiffness, or delays in other skills. This is a reason to assess early, not a diagnosis, because support at this age works best.
Read the answer AnswerEarly signs of Cerebral Palsy on a home visit
On a home visit, refer for cerebral palsy assessment when a baby feels unusually stiff or floppy, favours one side, fists hands past 3–4 months, or misses motor milestones such as head control, rolling or sitting. Feeding difficulty and persistent parental concern matter too. These warrant prompt referral, not wait-and-see.
Read the answer AnswerEarly Signs of Sensory Processing Differences on a Home Visit
During a home visit, look for a child who is consistently over- or under-responsive to everyday sounds, textures, light or movement — or who constantly seeks intense sensory input — in ways that disrupt feeding, sleep, dressing or play. Note patterns across more than one setting, suggest a hearing and vision check, and route the family for a developmental check. These are observations, not a diagnosis.
Read the answer AnswerWhat motor milestones should a 12-to-18-month-old reach?
Between 12 and 18 months most toddlers progress from cruising to walking well, stoop and stand again, climb low furniture, and develop a neat pincer grasp, stack 2–3 blocks, scribble and begin spoon-feeding. Milestones arrive across a range — steady progress matters most. Arrange a gentle check if a child is not walking at all by 18 months or loses a skill.
Read the answer AnswerWhat motor milestones should a 18-to-24-month-old reach?
By 18–24 months most toddlers walk steadily and begin to run, squat and stand, climb onto furniture, walk up stairs with help, and kick or throw a ball; fine-motor skills include stacking blocks, scribbling and using a spoon. Milestones span a range — a gentle check helps if a child is not walking at all by 18 months or loses skills.
Read the answer AnswerWhat motor milestones should a 2-year-old reach?
Most 2-year-olds walk and run, climb on and off furniture, kick a ball, manage stairs with help, scribble, build a 4–6 block tower and self-feed with a spoon. These are typical ranges, not a pass/fail test — a few weeks either way is usually fine, and a check is worthwhile if walking, balance or hand use lags.
Read the answer AnswerWhat motor milestones should a 3-to-6-month-old reach?
Between 3 and 6 months, most babies gain steady head control, push up on forearms in tummy time, reach for and grasp toys, bring hands to the midline, and begin rolling. These are gentle guidelines, not deadlines, and babies vary widely.
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