5 Occupational Therapy Exercises for Children With Autism

March 6, 2025

Supporting children with autism as they develop critical skills is an ongoing process. Occupational therapy helps children build motor, sensory, and daily living skills. It provides a comprehensive approach tailored to each child’s needs.

With a focus on patience and consistency, this guide introduces five occupational therapy exercises for children with autism that are effective and engaging.

The Role of Occupational Therapy for Children with Autism

Occupational therapy (OT) helps children with autism develop the skills needed to participate in everyday activities. It enhances a child’s ability to function at home, school, and in the community.

Address Motor Skills and Sensory Awareness

Children with autism face challenges with motor skills and sensory processing. OT can improve fine and gross motor skills, such as coordination and strength. It also targets sensory awareness, helping children become more comfortable with various textures, sounds, and environments.

Make Everyday Tasks More Manageable

Tasks like writing, dressing, or completing schoolwork can feel overwhelming for children with autism. Occupational therapy offers structured exercises to break down these tasks, making them more manageable for children to accomplish.

1. Fine Motor Skills: Bead Threading

One of the most effective exercises for fine motor development is bead threading. This activity allows children to enhance their hand-eye coordination and concentration while improving the dexterity needed for everyday tasks.

To begin, provide the child with colorful beads, then demonstrate how to string the beads onto a piece of yarn or a pipe cleaner. While it may seem like simple play, this repetitive motion helps children strengthen their finger muscles. It can later aid in improving skills such as writing, buttoning clothes, and zipping a jacket.

Fine motor development is essential for children with autism, as it directly impacts their capacity to work independently on tasks that require precision. Bead threading brings learning and fun together in a therapeutic context, encouraging progress at the child’s own pace.

2. Sensory Integration: Sensory Bin Exploration

A child's small hand reaches into a sensory bin filled with blue beads, marbles, and letters.

Helping children process sensory information is a central aspect of occupational therapy. Sensory bin exploration is an exceptional way to engage tactile senses. Fill the bin with items like rice, beans, or water beads. Children can dig their hands into the materials, exploring the various textures while hunting for hidden objects like small toys.

For children with autism, developing sensory tolerance lays the groundwork for increased comfort in daily activities. The textures in sensory bins help children process sensations more effectively. It can better prepare them for encounters with different materials in their environment—whether it’s sand at the beach, fabric on clothes, or food textures during mealtime.

3. Gross Motor Skills: Animal Walks

Gross motor skills are actions that include walking, jumping, and climbing. Animal walks are a fun and effective way to target large muscle groups and enhance body awareness.

Strengthen Large Muscle Groups

Exercises such as bear crawls, frog jumps, and crab walks engage the body’s lower-body muscles, building strength, coordination, and balance. These activities aid children in developing better control over their movements.

Promote Creativity and Imitation

Animal walks do more than strengthen muscles; they also encourage creativity and imitation. As children mimic the movements of animals, they improve their ability to control their bodies in new and playful ways. This playful approach makes gross motor development more enjoyable and memorable.

Enhance Balance and Stability

By practicing animal walks, children improve their balance and stability. These fundamental skills are necessary for everyday activities such as walking, running, and even participating in sports. Animal walks provide a fun and engaging way to build these skills in a way that feels natural and exciting.

4. Visual Motor Coordination: Puzzle Play

Visual motor coordination directly impacts academic success. Puzzle play provides an opportunity for children to work on problem-solving, visual processing, and hand-eye coordination. Selecting puzzles that feature recognizable objects, characters, or alphabet letters makes the activity relatable and engaging for children with autism.

Guiding a child through the process of completing a puzzle helps build skills such as determination and logical thinking. With practice, children improve their ability to connect visual information to physical actions. This is a critical skill for handwriting, reading, and navigating environments independently.

5. Social Skills: Games About Taking Turns

A group of seven young children take turns bending down and walking through a small green hoop.

Whether it’s board games or simple card games, activities focused on taking turns can improve children’s social skills.

Promote Patience, Communication, and Cooperation

Turn-taking games, such as Uno or Go Fish, reinforce patience, communication, and cooperation. The rules of the game offer reassurance while keeping children engaged with their peers or family members. This structure encourages children to wait for their turn, follow instructions, and communicate effectively.

Provide Structured Practice

Children with autism benefit from explicit instruction and structured practice. Turn-taking games give a clear framework to practice important social behaviors in a natural, enjoyable environment. These activities create a safe space for children to learn how to share, take turns, and interact with others.

Build Empathy

As children engage in turn-taking games, they also develop empathy and a better understanding of how their actions affect others. Through these interactions, they learn to recognize the feelings and perspectives of their peers, which is crucial for building meaningful social connections.

Consider ABA Therapy To Enhance Occupational Therapy

Combining occupational therapy with ABA therapy services provides a comprehensive treatment approach for children with autism. While OT focuses on physical, sensory, and functional skills, ABA therapy addresses behaviors that can impact a child’s ability to engage in these exercises fully. For example, ABA therapy can reduce distraction or anxiety, making it easier for a child to participate in activities like sensory bin exploration or puzzle play.

The structured, data-driven nature of ABA therapy tailors each session to the child’s progress and needs. This individualization creates a supportive environment where children can thrive. Together, OT and ABA therapy services empower children to take steady steps toward independence and confidence, both at home and in social environments.

Support Your Child’s Growth

Integrating occupational therapy exercises for children with autism into daily routines can provide children with a sense of achievement and growth. Whether it’s improving their ability to tackle puzzles or building social skills through turn-taking games, every small success adds up to significant progress.

For parents seeking expert guidance, professional occupational therapists and ABA therapy providers can craft individualized plans tailored to each child’s needs. HANDS Center for Autism can provide support. Visit our website to learn how your child can reap the benefits of both occupational and ABA therapies.

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