What Does an OT DO?

Activities of Daily Living

Address the following types of  skills:

  • right and let discrimination while dressing
  • back and  front discrimination while dressing
  • orienting clothing like socks and shoes during dressing
  • strategies, techniques, and ideas for cues when dressing (physical, visual, verbal)
  • Feeding to include grasping of utensils, bilateral coordination (using a fork and knife), strength, control
  • Bathing to include proper back care for caregivers, sequencing of body parts to be washed
  • Hygiene to include toileting, grooming (hair  and teeth brushing) nail care


What to look for in your child:

  • dressing: clothes on backwards, shoes on wrong feet
  • messy eaters
  • difficulty with eating 
  • difficulty with chewing, swallowing and gagging
  • picky eater

Bilateral Integration

Address the following types of skills:

  • working at midline
  • stabilizing at midline
  • midline crossing

What to look for in your child:

  • lack of hand preference
  • difficulty stabilizing paper when writing
  • difficulty using two hands together

Fine Motor Skills

Address the following types of skills:

  • finger, hand strength, position and stbility
  • pencil grip and control
  • wrist and forearm control
  • fluency of finger movements
  • space and letter formation
  • handwriting
  • quality of work
  • speed and dexterity
  • use of tools
  • finger isolation 

What to look for in your child:

  • No interest in fine motor skills
  • poor pencil grasp
  • poor scissor skills
  • clumsy grasp and release skills
  • difficulty holding small objects
  • difficulty manipulating tools
  • difficulty with handwriting

Gross Motor skills

Addresses the following types of skills:

  • ball skills-throwing, catching, hitting
  • balance-hopping, jumping, balance on one leg, walking balance beam, crawling
  • skipping, simon says

what to look for in your child:

  • doesn't like gross motor activities
  • unable to hop, skip, jump, balance
  • difficulty rolling, crwling and walking

Visual Motor /Perceptual SkillsSkills

Addresses the following types of skills

  • Visual discrimination-finding similarities and differences
  • Visual spatial relations-identify reversals of objects and symbols
  • visual sequential memory-recall series of numbers and shapes from memory
  • visual memory-recall items from previous viewing
  • visual form constancy-recognizing same shape when resized or rotated
  • visual figure ground-hidden pictures

what to look for in your child

  • inattention and distraction
  • difficulty with letter reproduction and and recognition
  • reversal of letters
  • difficulty copying from blackboard
  • poor orientation of puzzle pieces
  • difficulty following instructions



Sensory Integration skills

Addresses the following type of skills:

  • how they integrate incoming stimuli
  • over or under responsive to touch
  • overstuffing food into their mouth
  • Behavior vs sensory...sensory dictates behavior but behavior does not dictate sensory.

what to look for in your child:

  • doesn't like certain types of textures
  • very aggressive
  • always in motion
  • spins endlesslydoesn't like to have head below the horizon