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Midsouth Therapy Group

occupational therapy · Awareness

Gross Motor Skills: Fun Activities to Build Them at Home

Laken Ellis, MOT, OTR/L

Written by Laken Ellis, MOT, OTR/L

Pediatric Occupational Therapist

Updated 2026-06-20

Gross motor skills are the big-muscle movements behind everything active a child does — running, climbing, jumping, keeping up on the playground. They're also the foundation for sitting still and even handwriting later on. The good news: building them just looks like play.

What are gross motor skills?

Gross motor skills use the large muscles of the arms, legs, and trunk for movement, balance, and coordination. Strong gross-motor foundations give a child the core stability and body control that fine-motor and classroom skills are built on.

Activities to try, by skill

  • Strength & core: animal walks (bear, crab), wheelbarrow walking, climbing, tug-of-war.
  • Balance: walking along a line or low beam, standing on one foot, stepping stones.
  • Coordination: ball games (throw, catch, kick), jumping, hopping, skipping.
  • Whole-body fun: obstacle courses, dancing, playground time.

Make movement a daily habit

Short bursts of active play throughout the day beat one long session. Build movement into routines — walk the long way, dance while you clean up, hit the playground after school.

These activities support development; they don't replace an evaluation if you're concerned about your child's motor skills.

Worried your child is behind on motor milestones? An evaluation can tell you.

Signs your child may need support

  • Clumsiness, frequent falls, or bumping into things.
  • Avoids the playground, climbing, or active play.
  • Tires quickly or seems weaker than peers.
  • Behind on milestones like running, jumping, or stairs.

When to get support

If gross-motor concerns persist, an evaluation sorts out what would help. At Midsouth Therapy Group, our occupational therapy team is accepting new families and can assess the coordination, strength, and motor-planning side. A referral from your child's primary care provider is required (faxed to 901-589-9001).

Frequently asked

What's the difference between gross and fine motor skills?
Gross motor skills use the big muscles for movement, balance, and coordination (running, jumping). Fine motor skills use the small muscles of the hands (writing, buttoning). Both are important and often develop together.
Is gross motor an OT or PT issue?
It can be either. Physical therapy focuses on strength, gait, and gross-motor milestones; occupational therapy addresses coordination, motor planning, and how motor skills support daily activities. An evaluation determines the best fit — our OT team can assess where to start.
Do I need a referral?
Yes — therapy requires a referral from your child's primary care provider, faxed to 901-589-9001.

Sources

These links point to external organizations for general education and are not a substitute for an evaluation by a qualified professional.

Laken Ellis, MOT, OTR/L

About the author

Laken Ellis, MOT, OTR/L

Laken is a licensed pediatric occupational therapist at Midsouth Therapy Group, helping children build the everyday motor, sensory, and self-care skills that support independence.

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Concerned about your child's coordination?

Our occupational therapy team can assess your child's motor skills and tell you what would help.