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Neurodiversity Hub Wirral

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Physical Challenges

Children and young people may face physical challenges that affect daily activities. These can involve: 

  • Gross motor skills (whole-body movements) 

  • Fine motor skills (hand and finger movements) 

  • Or a mix of both 

Common signs include: 

  • Delay or difficulty with skills like riding a bike, catching a ball, getting dressed, using fastenings, and handwriting 

  • Awkward or clumsy movement, such as bumping into things or spilling drinks 

  • Trouble with tasks that have multiple steps or need sequencing 

  • Strong intellectual or language skills but weaker motor skills 

  • Difficulty learning new motor skills; some may improve while others stay challenging 

  • Struggles with activities that need quick changes in body position or adapting to the environment (like team sports) 

  • Difficulty using both sides of the body together (e.g. cutting with scissors or doing star jumps) 

  • Poor balance and trouble with tasks that need postural control (e.g. climbing stairs, standing while dressing, or riding a bike)

In the Community

Supporting Physical Activity

  • Encourage physical activities for fun, fitness, and participation. 

  • Help coaches, sports instructors, and activity leaders understand the child’s strengths and challenges. A One Page Profile can be a useful tool for this. 

  • Some children may need extra support or one-on-one lessons to learn a sport or physical activity. 

  • Use protective gear when needed, such as helmets and knee or elbow pads. 

  • Promote social activities the child enjoys and finds less physically demanding, like drama, music, or clubs. 

Teaching a Cognitive Approach to Motor Skill Development

Using a strategy like Goal, Plan, Do, Check helps children learn new motor skills by thinking through each step. 

GOAL: What do I want to do?

Start with a small part of the task and build up gradually. 

Examples: 

  • Skipping – Goal: Jump over a rope lying still on the floor. 

  • Riding a bike – Goal: Walk beside the bike and stop it using the brakes at a marked line. 

  • Tying laces – Goal: Make the loop to form a bow. 

PLAN: How am I going to do it?

The child should make the plan, with support if needed. Plans may include: 

  • Body position – “I will sit with my back ‘glued’ to the chair.” 

  • Focus – “I will keep my eyes on the ball.” 

  • Task modification – “I will stand on the tape when drawing on the board.” 

  • Feeling the movement – “I will feel the bumps in the letter B when I draw it in the air.” 

  • Verbal motor mnemonic – “I need to use my Alligator grip.” Or “1, 2, 3, 4 – are my feet on the floor; 5, 6, 7, 8 – am I sitting up straight?” 

  • Verbal rote script – Use a pattern of words to guide movement: “Dribble, dribble, shoot” or “Push, glide, push, glide.” 

DO: Carry out the plan

Let the child try the task using their plan. 

CHECK: How well did my plan work?

Reflect on the plan. Adjust it if needed for next time. 

Tips to Support the Process

  • Change one thing at a time. 

  • Ask the child questions instead of giving instructions. 

  • Demonstrate the task and highlight the key parts. 

Reference:The Cognitive Orientation to Occupational Performance by Polatajko et al. (2001)