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How pediatric occupational therapy supports school integration | PhysioExtra

Written by PhysioExtra | Mar 13, 2025 4:30:00 AM

School integration is a key stage in children's development, but some may face challenges that make classroom adaptation difficult. Pediatric occupational therapy plays a crucial role in helping children overcome these difficulties and participate more effectively in school activities. 

Through a personalized approach, occupational therapists address various aspects of development, from motor skills to emotional regulation, while also adapting the school environment. Here’s how occupational therapy can support better school integration. 

1. Enhancing motor skills 

The development of motor skills, both gross (coordination, balance, core stability) and fine (handling tools like pencils or scissors), is fundamental to academic learning.

  • A child struggling with:
  • Writing and holding a pencil
  • Using scissors
  • Participating in physical activities at recess (catching a ball, running, jumping, riding a bike) 

...can benefit from occupational therapy to strengthen these skills and gain greater independence in school and recreational tasks. 

2. Developing independence in the classroom 

Some children have difficulty organizing their materials, staying focused on a task, or following a sequence of actions. Occupational therapists are valuable allies in helping them build school autonomy.

Common challenges addressed by occupational therapy include:

  • Organizing tasks and materials
  • Following instructions and activity sequences
  • Using schedules and managing time

By tailoring activities to each child's needs, occupational therapists encourage active classroom participation, boosting motivation and self-esteem. 

3. Adapting the school environment 

Occupational therapy not only focuses on a child's challenges but also considers their learning environment to ensure a better fit between their needs and their educational setting. 

Adjustments can be made to optimize comfort and efficiency in the classroom, such as:

  • Rearranging the workspace (desk positioning, quiet learning zones)
  • Using adapted materials (ergonomic pens, height-adjustable desks)
  • Introducing assistive technology (computers or tablets to support writing
  • Sensory accommodations (quiet corners, noise-reducing headphones, dim lighting) 

These modifications help children focus better and engage more actively in their learning.

4. Supporting children with cognitive and sensory challenges 

Some children struggle to regulate their attention and responses to sensory stimuli (sounds, lights, textures, movements), which can affect their ability to stay focused and fully participate in class. 

Occupational therapists assist these children in: 

  • Recognizing signs of sensory overload
  • Developing strategies to manage stimuli and refocus
  • Regulating their energy levels to maintain concentration 

Through these interventions, children can better identify their needs and apply strategies that make them more available for learning. 

5. Developing social and emotional skills 

School is also a place where children learn social interactions and emotional regulation. Some need support to understand peer interactions and express their emotions appropriately.  


Occupational therapists help them work on: 

  • Managing conflicts
  • Taking turns in games and discussions
  • Expressing and understanding emotions 

These skills are essential for fostering a positive school environment and building children's self-confidence. 

Occupational therapy: A key support for school success 

Pediatric occupational therapy plays a vital role in school integration by helping children develop motor, cognitive, sensory, and social skills. With the right support, every child can maximize their potential and thrive in school. 

If your child faces challenges that hinder their school integration, an occupational therapist can help them overcome these obstacles and better adapt to their learning environment. 

 

Article by Julia Guillemette and Anne Claire David, Pediatric Occupational Therapists