Occupational Therapy

The Role of Pediatric Occupational Therapy

Just as occupational therapy benefits millions of adults each year, pediatric services can help to empower children of all ages to excel at their activities of daily living. By helping children to develop the skills needed to succeed in such areas as play, self-care, school performance and socialization, occupational therapy can boost their self-esteem and build a sense of accomplishment. For many children, occupational therapy is a critical part of their health care.

on the balance board

Occupational therapy provides opportunities for children to engage in playful activities that assist in building skills in the appropriate developmental sequences to achieving functional independence. Therapists address sensory and motor development, while improving attention, self-regulation and self-confidence. Functional skill training, compensatory strategies and adaptations are taught to support successful participation in everyday life. All of this is done in a therapeutic, safe environment specifically designed to support the treatment goals.

Children with the following medical conditions might benefit from occupational therapy:

Evaluations and Interventions focus on:

How We Help Children:

Sensory Integration

climbing the ladderSensory integration is the process in which our brain takes in, interprets and organizes sensory informa­tion to make an appropri­ate motor or emotional response. Sensory integra­tion dysfunc­tion occurs when the informa­tion is not perceived or organized into an appropri­ate response. Children may have difficulty with sen­sory modulation (under­standing the intensity and nature of the sensory input) or with sensory discrimi­nation (assigning proper meaning to the quality of the sensory input). Sensory processing dysfunc­tion can impact all aspects of a child’s life by limiting their ability to interact with the environment from which they should be taking in information and learning from constantly. Our sensory-enriched clinic provides a variety of gross motor/sensory equipment that allows children to exploring and engaging in play opportunities used to help organize the nervous system. Our experienced occupational therapists are trained in specific sensory strategies, which are incorporated into treatment plans on an individualized basis.

Gross Motor Coordination

Our therapists evaluate children’s gross motor skills and how they impact the child’s ability to engage in everyday activities. Children rely on their on their postural stability to maintain their balance when navigating their environments, as well as when seated to maintain an optimal level of arousal. Our therapists assess various skills, such as crossing midline, bilateral coordination, balance, strength, tone, righting reactions and reflex integration to target areas of difficulty. During therapy sessions children are encouraged to move through developmentally appropriate patterns of movement to gain strength and control for volitional movements.

Fine Motor

Our therapists assess fine motor skills in regard to fingers, hands and arms development, including reaching, grasping, manipulating and grasps pattern development. Therapists use a variety of activities to improve fine motor strength, in-hand manipulation skills, finger opposition and joint stability for improved fine motor output.


Visual-motor integration is the ability to take in visual information and coordinate an appropriate motor response to it. Children who are challenged in this area have difficulty coordinating their movements to what they see. This can impact children’s handwriting, coloring and their ability to catch a ball, complete puzzles, tie their shoes or build with blocks. Our therapists evaluate children’s visual-motor skills and then may make adaptations to activities, such as breaking the activity down into parts. The therapist may also provide visual supports or compensatory strategies for deficits.


Our therapists teach strategies and use specific programs to assist children in understanding sensory integration related to arousal levels. They help children learn how to monitor, maintain and change their level of alertness so that that it is appropriate for a situation or task. They also work to promote self-regulation including emotional control, sensory regulation and executive functioning skills.

Self-Care/Daily Living Skills

Daily responsibilities of children at home, in the environment and at school include bathing, eating, feeding, functional mobility, personal hygiene and grooming, sleeping, toilet hygiene and play. Our therapists work on developing the prerequisite skills needed to complete these tasks independently, as well as work to find ways to adapt or alter equipment to promote independence and self-confidence in the children we help.

To learn more about North Shore Children’s Therapies’s Occupational Therapy Program, or to make a referral, please contact us at (978) 535-3355.



North Shore Children's Therapies today to let us know how we can help your child.

For more information or to schedule an appointment, please contact:

Jeannette Kahn
Phone: (978) 535-3355
Email Jeannette

Therapy Ball

therapy ballsThere are so many ways you can use therapy balls for sensory input, strengthening, postural stability and play! Children can work on core strengthening while completing sit-ups over the ball for various items as part of a game. They can also work on their righting reactions by maintaining their balance against the movement of a ball. Having a child lay on their stomach and weight-bear through their arms while engaging in a game also works on neck extension and upper body strengthening. Research has found that sitting on therapy balls for seated tasks improves postural alignment, alertness levels and attention. Therapy balls can also be used to provide calming sensory input. The child can lay on their stomach or back and roll the ball slowly forward and backward, making contact with the floor with their hands and feet. The child can also sit and bounce up and down on the ball for vestibular input. Also, the ball can be rolled over the child’s body while they lay on the ground to provide deep pressure proprioceptive input throughout their entire body.