Purposeful Play is Best When it's Free!

March 2, 2023

Purposeful Play Is Best When It's Free

In this week's podcast episode, we interviewed Courtney Young, a pediatric physical therapist with experience working in the neonatal intensive care unit, an inpatient pediatric rehabilitation center, and in outpatient pediatrics. Courtney gave us some excellent information about what to expect throughout the first year of development. She also gave us some great recommendations for ways to work on these activities at home. In this blog post, we are going to share a few more creative ideas to integrate purposeful play while working towards developmental gross motor milestones throughout the first year!


Tummy Time:

1. Lay the baby on parent's chest when they are laying down or in a recliner

2. Put the baby on an exercise ball or with a boppy under their elbows to make it a little easier to push up

Pro Tip: If your baby is struggling to tolerate tummy time, try getting on the floor with them or putting them in front of a mirror with some toys that can suction to the mirror. You can also try placing the baby's elbows under their shoulders to help them press up and build strong shoulder muscles.


Sitting:

1. Sitting in a laundry basket. This can be a great one to work on supported sitting, or you can gently move the laundry basket around for more of a challenge. 

2. Sitting on a couch cushion, exercise ball, or anything squishy.

3. Sitting on a blanket while being pulled around on the floor.


Crawling:

1. Build an obstacle course with couch cushions to crawl over. You can also set them up on a sturdy object as a ramp to crawl up/down.

2. Try crawling through a tunnel or making a bridge out of dining room chairs or cushions and a blanket if you don't have a tunnel.

3. Play in kneeling with hands on a weighted laundry basket, sturdy box, etc.

4. Try walking on their knees with their hands on a laundry basket or push toy.


Cruising

1. Try transitioning between the couch and a side table or coffee table. You can gradually increase this distance to increase their confidence with standing.

2. Try putting couch cushions on ground to walk along while side stepping at the coffee table.

3. Try putting a small step stool or large hardcover book on the ground for them to step onto/off of while side stepping at coffee table

4. Try having them step over a parent's leg, foam block, small ball or rolled up blanket to work on weight shifting.


Walking

1. Pushing a weighted laundry basket (because who doesn't have a laundry basket full of clothes needing to be washed or folded at all times?)

2. If your little one is really close to walking but still wants to hold a hand, try having them walk with you supporting their hips or shoulders instead of their hands. You can also have them hold a pool noodle, hula hoop, towel, etc while you hold onto the other end to improve their confidence in walking without holding onto you.

Pro Tip: When walking with a push toy, if your little one is pushing the toy too fast or too far in front of themselves, you can put ankle weights on the bottom of the toy or try rubber bands around wheels to slow it down.


Resources:

Spark a Movement Podcast

Free Printable Activities Archives - The Inspired Treehouse

Pathways.org | Tools to maximize child development

CDC Milestone Tracker App

BabySparks, Kinedu, and Playfully Apps (family recommended)

KinActive Kids Instagram Page

Feeding Littles (@feedinglittles) (Instagram photos and videos)


Matthews courage, confidence, and joy have grown beyond measure while in therapy
December 15, 2025
Meet Matthew: A kiddo whose courage, confidence, and joy have grown beyond measure while in therapy at PMC. From conquering his fears in the pool to shining at home and school, his progress has been incredible. With trust, hard work, and an amazing therapy team behind him, Matthew is truly thriving. We couldn’t be prou
October 8, 2025
At Pediatric Movement Center, we believe that movement isn’t just about gross motor development—it’s intertwined with confidence, self-esteem, and real-life functional skills. That’s why helping children gain independence in self-care tasks (dressing, grooming, feeding, toileting) is such an essential piece of the puzzle. Empowering your child to participate in self-care doesn’t just free up time for caregivers. It helps children build motor planning, coordination, problem solving, and a sense of accomplishment. Why Self-Care Skills Matter 1. Motor & cognitive integration Tasks like buttoning, tying shoelaces, brushing hair, and managing zippers demand fine motor control, bilateral coordination, sequencing, and problem solving. 2. Boosting confidence and motivation When children are capable of doing things for themselves (even partially), they feel more competent and proud. 3. Reducing caregiver burden As your child becomes more independent, your role gradually shifts toward coaching rather than doing. 4. Supporting transition to school / life Teachers, peers, and daily routines expect kids to manage many of their own care tasks. Early development of these skills smooths transitions. Common Challenges You May See By recognizing common challenges, you are better prepared to break down tasks and scaffold progress more effectively. 1. Dressing (buttons, zippers, socks) Weak finger dexterity, poor grip strength, sequencing difficulties Frustration, avoidance, slow performance 2. Grooming (hair brushing, face washing) Sensory sensitivity, poor bilateral coordination Child resists touching face, hair, water on face 3. Feeding / Utensil use Hand dominance not established, weak wrist stability Spilling, awkward grasp, switching hands 4. Toileting / Hygiene Motor planning, reach, coordination Difficulty wiping, managing clothing, following steps independently Tips & Strategies to Support Self-Care Growth Here are some practical strategies and tips to help your child grow their self-care skills with joy and confidence. 1. Break Tasks Into Smaller Steps For example, rather than asking your child to “get dressed,” break that down: Pull pants up > Hold waistband > Insert one foot > Insert the other foot > Pull up > Zip / snap / button Tip! Label each step with visuals or checkboxes so your child can see the progression. 2. Use Adaptive Tools & Clothing Modifications let your child practice success while their skills build! Choose clothes with large, easy-to-grasp fasteners (e.g. big buttons, magnetic snaps, Velcro). Use looped zipper pulls or zipper tabs to simplify grip. Utensils with thicker grips or angled handles can ease feeding. 3. Practice in Playful, Low-Pressure Ways Turn grooming into a “spa day” — let your child brush a doll’s hair first, then their own. Sing a song while they dress themselves, doing each step in time. Use a mirror so they can see what they are doing and become more aware of hand movements. 4. Encourage Bilateral Coordination & Strength Games and activities that involve both hands—stringing beads, cutting construction paper, playdough work—help build the coordination needed for self-care. 5. Use Visual Schedules & Reminders A picture-based routine board (e.g. “wash face → brush teeth → comb hair → get dressed → go to school”) offers structure and helps children internalize the sequence. Having the steps visible reduces reliance on verbal prompts. 6. Encourage Autonomy (While Supporting) Let your child try, with you ready to assist only when needed. Use open choices (e.g. “Do you want to put on your socks first or shoes first?”) to promote decision-making. Praise attempts, not just successes: “I saw how you tried to button that shirt — great persistence!” 7. Be Patient & Repeat Often Mastering self-care takes time and repetition. Try to incorporate these tasks multiple times a day. Over months, small progress accumulates into real independence. 8. Address Sensory or Motor Barriers If a child resists face washing, brushing teeth, or hair care, sensory sensitivities may be involved. Gentle exposure, gradual desensitization, and input from occupational therapy can ease the process. When to Seek Support from a Therapist If you notice consistent challenges with a task despite practice, our therapy team is ready to evaluate fine motor, coordination, sensory processing, or motor planning components. You might want to consider occupational therapy support if: Your child is older than peers for their age and still not handling basic self-care tasks They become frustrated, shut down, or avoid attempting these tasks You suspect underlying issues like poor fine motor control, motor planning difficulties (dyspraxia), or sensory sensitivities The gap between what the child can do and what’s expected in school life is widening Therapists can perform assessments, design individualized strategies, and coach you (the parent/caregiver) on how to guide progress at home. At Pediatric Movement Center, we’re honored to partner with families on this journey. If you’d like help assessing which areas to focus on, designing a routine, or troubleshooting stalls in progress, reach out. We’d love to support your child’s growth and celebrate every milestone with you Helping your child with self-care skills is not just about independence—it fosters motor development, confidence, and daily life readiness. With patience, scaffolding, and playful opportunities, you’ll watch them grow step by step into more self-reliance.
September 9, 2025
What to Expect: Your Child’s PT Session
August 27, 2025
No-plate dinners mean no dishes and no pressure—everyone builds their own meal. The only challenge? Be ready for a little mess and some planning. To encourage selective eaters to try new foods, it is important to create exposure opportunities in a no pressure environment. No plate dinners and/or grazing tables provide
August 11, 2025
We know that transitioning back to school can bring excitement, challenges, and lots of questions—so we’ve created a comprehensive Fall 2025 campaign to help support your child every step of the way. From therapy tips and healthy lunch ideas to movement routines and fun events, our team is ready to help children of all
July 30, 2025
This summer, have fun in the sun and stay safe in the water! Here are a few tips for caregivers and parents to keep kids safe this summer. Quick Facts: Drowning is the number one cause of injury death in children ages 1-4. Nearly 70% of drownings among children under four occur during non-swim times. Bathtubs are the most common location of drownings inside the home, and more than half of bathtub deaths involve children less than one year old. Drowning is almost always silent, and it only takes seconds.
Show More