Easy and Effective Gross Motor Skills Activities for Children with Autism, APD or ADHD
Gavin Williams Physiotherapist
September 25, 2024
Parents of children with Autism Spectrum Disorder, ADHD, and Auditory Processing Disorder know that these conditions often affect their child’s motor skills. One study found that 56% of children between the ages of 8 and 16 with ADHD shared gross motor concerns similar to children with Developmental Coordination Disorder, a condition that impacts motor skills. Gross motor impairments can lead your child to be clumsy, uncoordinated, and have difficulty with sports, exercise, and self-care tasks. In my experience as a physiotherapist, I have seen the impact gross motor skills have on a child’s independence and well-being. I will describe gross motor skills and offer step-by-step instructions for fun, energizing gross motor activities that help build these skills. In addition to these exercises, the Soundsory® program is an excellent, natural way to address motor skills. This program uniquely blends movement, music, and therapy to support sensory processing skills and motor development. Gross motor skills involve the purposeful movement of larger body parts, such as arms, legs, and trunk. They are one of the three main types of coordination, alongside fine motor skills and hand-eye coordination. Since they control the limbs, gross motor skills examples include running, jumping, walking, crawling, climbing, and hopping. They also help with skills such as balance, coordination, and core strength. Fine motor skills, on the other hand, involve smaller and more intricate muscles such as those that control the wrist and hand. Fine motor skills are needed for tasks such as scissor skills, writing, drawing, eating, stringing beads, stacking blocks, and more. While these two sets of skills are different, they are important to one another. If a child lacks proper gross motor skills, they may struggle with keeping their arms and legs stable. As a result, this lack of stability can impact their ability to engage in fine motor tasks. Improving gross motor skills helps to build confidence and paves the way for social interaction through play. It can also enable your child to move more independently and stay safe as their risk of falling or injury reduces. “Gross motor skills are so important. They lay the foundation for developing fine motor skills and better coordination as your child grows.” Colin Palmer, Pediatric Specialist Physical Therapist (UK) Gross motor activities help children develop strong muscles and bones along with healthy hearts. By engaging in play and exercise that requires gross motor skills, children can develop better mobility skills and posture. High gross motor activity levels, such as those required for strenuous activities and exercise, can also help prevent obesity. If a child is more independent in navigating their environment, they are exposed to a much wider range of sensory experiences. This not only heightens their curiosity, but also encourages the development of language as well as the use of and interaction with various objects such as toys and household items. As a child navigates through more of their home, school, and community environments, they learn to avoid obstacles and barriers to get where they want to go. This helps them develop improved spatial awareness, balance, and coordination. There is growing evidence that suggests a link between gross motor skill development and a child’s ability to learn language [3]. Gross motor activities can help children play multi-person games and team sports. With better gross motor skills, a child can focus on other aspects of group interactions, such as relating to their peers and learning the value of skills such as teamwork. Children will be better able to participate in group activities as a result of possessing the skills needed for those activities. Mastering gross motor activities can boost a child’s self-esteem and confidence. These skills can help them participate in more complex tasks and games, which can give them a sense of achievement and competence. With better movement abilities, a child may also feel more emotionally regulated, leading them to better manage feelings such as frustration and irritability. Here’s a breakdown of gross motor skill milestones for children with autism, APD, and ADHD, categorized by age: It is common for some children to experience delays in gross motor skills. While it’s not necessarily a cause for alarm, it is important to mention any concerns to your child’s doctor. In addition to not meeting milestones, it’s recommended to contact your child’s doctor if they are having difficulty in school or with self-care tasks, such as potty training, dressing, or eating. They can point you toward rehabilitation professionals such as occupational therapists and physical therapists, who can help your child build gross motor skills either within the home or at school. Research shows that around 68% of preschoolers who have Autism Spectrum Disorder exhibit gross motor delays. It is important to address these delays in formative years, so children can build skills and independence as they grow. The toddler years are a short but essential window, as the brain and body rapidly develop during this time. Such development leads to the establishment of new movement patterns, many of which last for years. Toddlers with Autism Spectrum Disorder, ADHD, APD, and other conditions may experience these early years differently than their peers. For example, such conditions may lead to sensory concerns (such as hesitancy around textures and sensitivity to loud noises), cautious movements around one’s environment, and difficulty using two arms and two legs together to complete tasks. These difficulties may lead a child to have less exposure to important experiences and skills that help develop gross motor skills. To assist with these concerns, parents can create a low-pressure environment that encourages their child to participate and build confidence. In this section, we will discuss some gross motor activities for toddlers. https://youtu.be/7HI3aN7GNys Gross motor skills progress naturally as your child continues to develop. They include activities like jumping jacks, treasure hunts, and hopscotch. There is still a focus on improving strength, proprioception activities, and coordination exercises. If your child is preschool age, then check out our dedicated blog on gross motor activities for preschoolers. It’s important to consider motivation when addressing gross motor activities, as this will improve a child’s overall engagement and make the tasks more enjoyable. Keep this in mind as you go through the following activities, and try to incorporate your child’s interests wherever possible. These three yoga movements are fantastic for many reasons. One recent scientific study [4] found that: “Yoga and meditation positively affect various symptoms in children with ADHD, including attention, hyperactivity, and impulsive behavior. If done in family group sessions, it also benefited the parents and family dynamics, suggesting a potential option for family therapy. Furthermore, other psychological symptoms, such as anxiety or low self-esteem, appeared to be positively impacted by these interventions.” *Sensory considerations: If your child doesn’t like the texture of the jump rope handles, you can wrap a sock over them to make them softer or warmer. *Sensory considerations: If your child is having trouble seeing where the tape is, try painter’s tape, duct tape, or even arts and crafts tape with vivid designs. *Sensory considerations: If your child becomes overstimulated easily, have them take a deep breathing break for 10 seconds in between each station. *Sensory considerations: If your child likes deep pressure, they may prefer the original version due to more weight-bearing on the joints. Many parents utilize the outdoors to give their children opportunities for gross motor activities. However, it’s not always possible to be outdoors due to weather or sensory factors that may impact your child. It’s good to have indoor options for your child, such as the following: The outdoors offers many opportunities to build gross motor skills. Parents can encourage their children to engage in any of the following activities for that purpose: Remember! The most important thing is keeping the exercises FUN! Why not try adapting the exercises for a special season or theme? Here are some fun suggestions to get you started. https://youtu.be/jZKskDyMelI Just like the activity above, but your child could lie on a fluffy white blanket or a bed of cotton wool to make their wintertime snow angels. You could place some fun seasonal objects at their sides for them to touch as they slide their arms and legs outward. Rake up some leaves into a large pile, then take a trust fall (backward or forward) into them for a nice cushioned landing! You can try a game like volleyball, but with a larger ball, such as a beach ball. This further enhances hand-eye coordination and makes it an added challenge to move the ball as far as it needs to go. It’s possible for children with APD and autism to have sensory sensitivities that make participating in various activities more trying. If this is the case, you can make some additional modifications to encourage them. You can offer sensory tools that have worked for them before (such as weighted vests or compression clothing) to make them more comfortable. Reducing background noise may help some children, while low, instrumental music may be a good supplement for other children. Do not disrupt your child’s routine to do exercises; try to incorporate them during times when they are already active. Allow your child to do these exercises in a familiar environment while letting them watch several demonstrations before trying them themselves. Remind them you are there to watch and help if they need it. While it may seem time-consuming, it’s often best to break up exercises like these into small portions and spread them out throughout the day. Sometimes this also helps with engagement. For example, you can encourage your child to do animal walks (crab walk, bear crawl, bunny hop, etc.) on their way to the bathroom in the morning or create a short obstacle course that’s set up in the hall where they need to pass through on the way to their nighttime bath. If you walk to school with your child, it’s simple to use sidewalk tiles as a form of hopscotch or to complete jumping jacks every time you pass a stop sign. Remember to use what you and your child already know, as this will make it more fun and easier to stick to! Gross motor skill activities are important for helping your child develop better coordination. They’re part of a bigger program of therapy which incorporates Physical Therapy, Occupational Therapy, and the priceless input provided by parents and educators. The exercises can all be done without equipment, though tools can be helpful in the process. A music player often helps and can help your child keep pace or boost their energy. A jump rope often helps with coordination and timing of movement, along with endurance. Hula hoops help your child coordinate their upper body movements with their lower body movements. Bouncing on therapy balls provides calming input while encouraging balance and core strength as your child tries to keep themselves upright. Yoga mats offer padding, making many whole-body exercises more comfortable. Bean bags, especially if you grade the weight up gradually, can help your child build strength and hand-eye coordination. Soundsory® is the perfect companion by providing a multi-sensory music and movement program designed especially for children with autism, APD or ADHD. As a parent or carer, you play a crucial role in helping your child’s development. We also offer a list of occupational therapy activities you can do with your child at home. If your child is becoming increasingly frustrated with gross motor skills, has trouble sitting upright in their chair at school, or doesn’t have the strength to participate in self-care tasks such as dressing and bathing, it may be time to contact a professional. In addition, if your child hasn’t met a few motor milestones or avoids physical activities altogether, they can benefit from seeing an occupational or physical therapist to address these skills. It’s best to address motor problems as early as possible, so don’t hesitate to reach out to your child’s doctor if you notice these concerns. They can connect your child with services that build their confidence and independence. By developing gross motor skills early on, your child will see improvements in many ways throughout their life. For instance, they are likely to do better in school, socialize with greater ease with friends, gain independence, and experience improved physical health. They may even be more motivated for exercise, hiking, running, biking, swimming, and other active hobbies as they grow up. There are many ways in which gross motor skills will help your child throughout their life. By helping them build these skills (or reaching out to someone else who can help), you can rest assured that you’ve helped your child’s overall well-being for years to come. The five basic motor skills are sitting, standing, walking, running, and jumping. Walking, because it involves maintaining an upright posture, moving limbs in a coordinated way, swinging arms to keep momentum, and keeping balance. Not always. Although it’s common for children with ADHD to have poor motor skills [6], it is not certain. Research shows motor problems in children with ADHD can range from 30% to 52% [7]. Children with autism, APD, or ADHD often find it harder to develop their motor skills. It’s important to be patient, understanding, and consistent when helping your child. Offer plenty of praise and encouragement to build confidence. It helps to break down activities and teach new skills in small, manageable steps. Visual aids or demonstrations can support learning and using sensory tools like weighted blankets or therapy balls can help sensory processing. The Soundsory® program is designed to complement therapy and home exercises by using music and movement. It’s based on the principles of neuroplasticity – our innate ability to form new neural connections. Gross motor skills control large parts of the body (such as the legs and arms) while fine motor skills control smaller parts of the body (such as the hand and wrist). Gross motor activities can be completed each day, but at least three times per week is recommended. You don’t necessarily need equipment to address these skills, but bean bags, therapy balls, yoga mats, hula hoops, and jump ropes are just some examples of tools that can help. Now that we’ve outlined the many ways gross motor activities can improve your child’s gross motor skills, you can see the various ways this will positively impact them. The key to success with these exercises is to be consistent, which can be done by incorporating some of these activities into your child’s daily routine. While many of these exercises are innately playful, you can add your child’s interests to them to make them even more interesting and fun. As you can see, you don’t need any special equipment to make a difference in your child’s gross motor skills. However, if you continue to have any concerns or notice that your child struggles with several motor skills, it may be best to contact their doctor. They can set your child up with a physical therapist or occupational therapist to develop a personalized plan for building their gross motor skills. In addition to these exercises, parents can utilize SoundSory, another natural, motor-based activity in the form of a comprehensive program. SoundSory pairs quite well with each of these activities and uses music along with fun activities to build your child’s motor and sensory skills. 1. Gonzalez, S. L., Alvarez, V., & Nelson, E. L. (2019). Do Gross and Fine Motor Skills Differentially Contribute to Language Outcomes? A Systematic Review. Frontiers in psychology, 10, 2670. https://doi.org/10.3389/fpsyg.2019.02670 2. Wilson, R. B., Enticott, P. G., & Rinehart, N. J. (2018). Motor development and delay: advances in assessment of motor skills in autism spectrum disorders. Current opinion in neurology, 31(2), 134–139. https://doi.org/10.1097/WCO.0000000000000541 3. Lum, J. A. G., Shandley, K., Albein-Urios, N., Kirkovski, M., Papadopoulos, N., Wilson, R. B., Enticott, P. G., & Rinehart, N. J. (2020). Meta-Analysis Reveals Gait Anomalies in Autism. Autism research : official journal of the International Society for Autism Research, 10.1002/aur.2443. Advance online publication. https://doi.org/10.1002/aur.2443 4. Thye, M. D., Bednarz, H. M., Herringshaw, A. J., Sartin, E. B., & Kana, R. K. (2018). The impact of atypical sensory processing on social impairments in autism spectrum disorder. Developmental cognitive neuroscience, 29, 151–167. https://doi.org/10.1016/j.dcn.2017.04.010 5. Gonzalez, N. A., Sakhamuri, N., Athiyaman, S., Randhi, B., Gutlapalli, S. D., Pu, J., Zaidi, M. F., Patel, M., Atluri, L. M., & Arcia Franchini, A. P. (2023). A Systematic Review of Yoga and Meditation for Attention-Deficit/Hyperactivity Disorder in Children. Cureus, 15(3), e36143. https://doi.org/10.7759/cureus.36143 6. Schreiber, J., & Richards, M. C. (2024). The Developing Child. Journal of the American Academy of Child and Adolescent Psychiatry, 63(1), 92. https://doi.org/10.1016/j.jaac.2023.09.542 7. Tseng, M. H., Henderson, A., Chow, S. M., & Yao, G. (2004). Relationship between motor proficiency, attention, impulse, and activity in children with ADHD. Developmental medicine and child neurology, 46(6), 381–388. https://doi.org/10.1017/s0012162204000623
What Are Gross Motor Skills?
Why Are Gross Motor Activities Important?
Physical development
Cognitive & language development
Social development
Emotional development
Developmental Milestones and How They are Impacted in Children with Autism, APD, or ADHD
Age Range
General
Typical Milestones
Possible Delays
Birth to one year
May experience delays in meeting some milestones, especially those involving balance and coordination. This is common in children with autism [2] and ADHD.
Rolls over, sits with support, begins to crawl, pulls to stand, and stands with support.
May have difficulty rolling over, show a preference for using only one side of their body, struggle with achieving balance while sitting or standing.
1-2 years
Children with ADHD may demonstrate increased energy levels and fidgeting, potentially impacting their ability to focus on mastering gross motor skills.
Walks independently, climbs stairs with help, throws a ball (underarm), and kicks a ball.
May have a less coordinated walking style [3], struggle with stairs, or have trouble throwing or kicking a ball.
2-3 years
Children with Autism may have sensory sensitivities [4] that can impact their willingness to participate in physical activities. Auditory processing activities can help support this.
Runs, jumps with both feet, climbs without assistance, throws a ball overhand.
May avoid climbing or running due to sensory sensitivities, have difficulty jumping or maintaining balance, or struggle with throwing or catching a ball.
3-4 years
Both Autism and ADHD can continue to impact gross motor skills, but targeted interventions like coordination exercises for kids and therapy can make a significant difference.
Catches a large ball, hops on one foot, and rides a tricycle.
May have difficulty catching a ball, struggle with balance while hopping, or have trouble riding a tricycle.
4-5 years
Most children with Autism and ADHD will show significant improvement with consistent support and therapy.
Skips, jumps forward, pedals a two-wheeled bicycle.
May still struggle with skipping or jumping, have difficulty balancing on a bike, or show continued clumsiness.
5-6 years
Children with ADHD may benefit from activities that help them channel their energy and improve focus.
Gallops, jumps over small objects, and catches a small ball with hands together.
May struggle with galloping or jumping over objects, have difficulty catching a ball consistently.
6-7 years
Children with Autism may show increased interest in specific physical activities and excel in those areas.
Hops on one foot for several steps, skips with alternating feet, balances on one foot for 10 seconds.
May struggle with hopping on one foot for extended periods, have difficulty skipping smoothly, or show challenges with balance.
7-8 years
Both Autism and ADHD can continue to impact participation in team sports due to social interaction or focus challenges.
Jumps rope, throws a ball overhand with accuracy, swims with ease.
May struggle with jumping rope, have difficulty throwing a ball accurately, or show challenges with swimming techniques.
8-10 years
Continued support and therapy can help children with Autism and ADHD develop confidence and competence in gross motor skills.
Rides a bicycle proficiently, plays team sports, participates in activities like gymnastics or dance (may vary based on interest).
May still struggle with specific activities like riding a bike or team sports, show discomfort with certain movements due to sensory processing.
Gross Motor Activities for Toddlers (1-3 Years)
1. Snow Angels (limb coordination):
2. Silly Crawls (Arm, leg & core strengthening, and coordination)
3. Wall Push-Ups (Posture and balance):
Rolling a Ball Back and Forth (eye tracking, motor planning, turn-taking)
Climbing In and Out of Boxes (whole body coordination, spatial awareness, confidence with movement)
Balloon Tap (hand-eye coordination, reaction time, spatial awareness)
Gross Motor Activities for Preschoolers (3-5 Years)
Hopscotch (balance, coordination, hopping, jumping, sequencing)
Animal walks – Bear Walks and Crab Walks (upper body strength, body awareness, core strength, bilateral limb coordination)
Obstacle course (motor planning, balance, strength)
Dancing/Songs with Movement (coordination, rhythm, body awareness)
Gross Motor Activities for School-Aged Children (5-10 Years)
Yoga Poses (balance and concentration)
Downward Dog
Cat Cow
Baby Cobra
Jumping Rope (coordination, rhythm, and bilateral movement)
Balance Beam Walking (proprioception, balance, and postural control)
Obstacle Course (motor planning, direction following, and coordination)
Jumping Jacks (bilateral coordination, rhythm, and cardiovascular endurance)
Indoor Gross Motor Activities for Children with Autism & ADHD
Outdoor Gross Motor Activities for Children with Autism & ADHD
Additional Ideas for Seasonal or Themed Activities
Springtime: Bunny Hop Fun
Wintertime: Snow angels
Fall: Leaf jump
Summer: Beach ball volleyball
Sensory-Friendly Adaptations for Gross Motor Activities
How to Incorporate Gross Motor Activities into Daily Routines
Recommended Equipment and Tools for Gross Motor Activities at Home
Signs of Gross Motor Skill Delay and When to Seek Professional Help
Long-Term Benefits of Developing Gross Motor Skills in Children
FAQs: Best Gross Motor Activities for Children with Autism, APD, or ADHD
What are the 5 types of gross motor skills?
Which is the best example of a gross motor skill?
Do kids with ADHD have poor motor skills?
How can I help my autistic child with motor skills?
What is the difference between gross motor skills and fine motor skills?
How often should children practice gross motor activities?
What equipment do I need for gross motor activities at home?
Final Thoughts
References


