Gross Motor Skills in Children with Autism

Gross motor skills refer to the ability to use large muscle groups to perform tasks such as crawling, walking, running, and jumping. These skills are essential for everyday activities, and can have a significant impact on a child's quality of life.

reuben kesherim
Ruben Kesherim
July 4, 2024

Gross Motor Skills in Children with Autism

Understanding Gross Motor Skill Challenges in Children with Autism

For children with autism, gross motor skills development can present unique challenges. It is important to understand what gross motor skills are and how autism can impact their development.

What are Gross Motor Skills?

Gross motor skills refer to the abilities that involve the coordination and control of large muscles and movements of the body. These skills are essential for activities such as walking, running, jumping, climbing, and throwing. Gross motor skills also play a crucial role in maintaining balance, coordination, and overall physical strength.

Examples of gross motor skills include:

  • Walking and running
  • Climbing stairs and playground equipment
  • Riding a bike or scooter
  • Kicking, throwing, and catching a ball
  • Jumping, hopping, and skipping

Developing these skills is important for children as they interact with their environment, engage in physical activities, and participate in social interactions. Gross motor skills lay the foundation for a child's overall physical development and participation in daily activities.

How Autism Can Impact Gross Motor Skills?

Autism is a neurodevelopmental disorder that affects communication, social interaction, and behavior. It can also impact the development of gross motor skills in children. The specific challenges experienced can vary from child to child.

Some ways in which autism can impact gross motor skills include:

  1. Motor Planning and Coordination: Children with autism may struggle with motor planning and coordination, making it difficult for them to execute smooth and coordinated movements. This can affect activities such as walking, running, or participating in sports.
  2. Sensory Sensitivities: Sensory sensitivities commonly associated with autism can affect a child's ability to engage in gross motor activities. Certain textures, sounds, or visual stimuli may be overwhelming, leading to avoidance or difficulty with motor tasks.
  3. Balance and Posture: Difficulties with balance and posture can be observed in some children with autism. These challenges can impact activities that require stability and control, such as standing on one leg or riding a bike.
  4. Motor Stereotypies: Some children with autism may engage in repetitive or stereotypical movements, which can interfere with the development of new gross motor skills. These repetitive movements may serve as a way for the child to self-regulate or cope with sensory input.

It is important to note that the impact of autism on gross motor skills can vary widely among individuals. Each child with autism will have their unique strengths and challenges when it comes to gross motor skill development. A comprehensive understanding of these challenges is important for effective interventions and support.

The Importance of Addressing Gross Motor Skill Challenges

Addressing gross motor skill challenges in children with autism is of utmost importance as it plays a significant role in their overall development and independence. By focusing on the development of gross motor skills, we can help children with autism improve their physical abilities and enhance their overall functioning.

Benefits of Developing Gross Motor Skills

Developing gross motor skills offers numerous benefits for children with autism. These skills involve the use of large muscle groups and coordination of movements, which are essential for everyday activities and participation in various environments.

Here are some key benefits of developing gross motor skills in children with autism:

  1. Physical Fitness: Enhancing gross motor skills promotes physical fitness and overall health. It improves cardiovascular endurance, strength, and flexibility, contributing to better overall physical well-being.
  2. Motor Planning and Coordination: Gross motor skill development helps children with autism improve motor planning and coordination. This enables them to perform activities that require complex movements, such as running, jumping, and playing sports.
  3. Balance and Posture: Developing gross motor skills enhances balance and posture, allowing children to maintain stability and control during various activities. This is particularly important for activities that require maintaining an upright position, such as sitting, standing, and walking.
  4. Independence and Daily Living Skills: Gross motor skill development plays a vital role in fostering independence and improving daily living skills. Children with autism who have well-developed gross motor skills can perform tasks such as dressing, grooming, and self-care more efficiently, leading to increased independence.

Impact on Overall Functioning and Independence

Addressing gross motor skill challenges in children with autism has a significant impact on their overall functioning and independence. When these skills are developed and enhanced, it can positively influence various aspects of their lives.

Improved gross motor skills can lead to:

  1. Enhanced Social Participation: Children with well-developed gross motor skills are more likely to engage in physical activities and join their peers in recreational and social activities. This can foster social interaction and inclusion.
  2. Academic Performance: Gross motor skill development indirectly supports academic performance. It helps children develop focus, concentration, and self-regulation, which can positively impact their ability to participate and engage in classroom activities.
  3. Confidence and Self-Esteem: As children with autism develop their gross motor skills, they gain a sense of accomplishment and increased self-confidence. This can enhance their self-esteem and overall well-being.

By recognizing and addressing gross motor skill challenges in children with autism, parents and caregivers can provide the necessary support to facilitate their development and improve their overall functioning and independence. Collaborating with professionals, such as occupational therapists and physical therapists, can provide valuable guidance and intervention strategies tailored to the specific needs of each child.

Strategies for Supporting Gross Motor Skill Development

To address gross motor skill challenges in children with autism, implementing effective strategies can make a significant difference in their development. These strategies focus on early intervention and therapy, individualized physical activities and exercises, as well as creating a structured and supportive environment.

Early Intervention and Therapy

Early intervention plays a crucial role in supporting the gross motor skill development of children with autism. Seeking professional guidance from occupational therapists or physical therapists specializing in autism can provide valuable insights and tailored interventions.

These professionals can conduct assessments to identify specific areas of difficulty and develop appropriate therapeutic plans. Early intervention programs often involve a combination of therapy sessions, home exercises, and parent education to promote motor skill progress.

Individualized Physical Activities and Exercises

Engaging children with autism in individualized physical activities and exercises can be highly beneficial for their gross motor skill development. These activities should focus on improving coordination, balance, strength, and flexibility.

Tailor the activities to the child's interests and abilities, making it enjoyable and motivating. Some examples include playing catch, riding a bike, swimming, dancing, or participating in martial arts. It's essential to provide clear instructions and visual supports, enabling the child to understand the activity expectations.

Creating a Structured and Supportive Environment

Establishing a structured and supportive environment is crucial for children with autism to develop their gross motor skills. Consistent routines, visual schedules, and clear expectations can help provide a sense of predictability and reduce anxiety.

Organize the physical space to minimize distractions and ensure safety during physical activities. Create designated areas for different types of movement, such as a quiet space for stretching and a more active area for running or jumping. Visual supports, such as visual cues or social stories, can assist in conveying instructions and reinforcing appropriate behaviors.

By implementing these strategies, parents and caregivers can support the gross motor skill development of children with autism. Remember that each child is unique, and it's important to tailor interventions to their specific needs and abilities. Collaborating with professionals, providing individualized physical activities, and creating a structured environment can empower children with autism to improve their gross motor skills, enhance their overall functioning, and foster greater independence.

Sensory Considerations for Gross Motor Skill Development

Children with autism often face challenges related to sensory processing, which can impact their gross motor skill development. Understanding these sensory considerations is crucial in providing effective support and intervention. Let's explore two key aspects: sensory processing challenges and sensory integration approaches.

Sensory Processing Challenges

Sensory processing challenges refer to difficulties in effectively receiving, interpreting, and responding to sensory information from the environment. Children with autism may experience sensory sensitivities or sensory seeking behaviors, which can affect their ability to engage in gross motor activities.

Some common sensory processing challenges in children with autism include:

  1. Sensory Overresponsivity: Children may display heightened sensitivity to certain sensory stimuli, such as loud noises or tactile sensations. This hypersensitivity can result in avoidance or discomfort during gross motor activities.
  2. Sensory Underresponsivity: Some children may exhibit reduced sensitivity to sensory input, requiring more intense or novel stimuli to elicit a response. This may impact their motivation and engagement in gross motor activities.
  3. Sensory Seeking: Children may actively seek out sensory stimulation, such as spinning or jumping excessively. While seeking sensory input can be beneficial, it can also interfere with focused participation in gross motor tasks.

Understanding a child's specific sensory processing challenges is crucial in tailoring interventions to meet their individual needs. A comprehensive assessment, such as a gross motor skills assessment for children with autism, can help identify specific areas of sensory difficulty.

Sensory Integration Approaches

Sensory integration approaches aim to address sensory processing challenges and promote better integration of sensory information. These approaches focus on providing sensory experiences that help children with autism develop more efficient sensory processing and regulation skills.

Some common sensory integration approaches for supporting gross motor skill development in children with autism include:

Approach Description
Deep Pressure Applying firm touch or pressure to the body, such as through weighted blankets or deep pressure massages, can provide a calming effect and improve body awareness during gross motor activities.
Proprioceptive Input Activities that provide proprioceptive input, such as pushing or pulling heavy objects, can help children develop a better sense of body position and improve coordination during gross motor tasks.
Vestibular Stimulation Incorporating activities that involve movement and balance, such as swinging or spinning, can stimulate the vestibular system and enhance gross motor skills, balance, and coordination.
Environmental Adaptations Modifying the environment to address sensory sensitivities, such as reducing noise levels or providing a designated sensory break area, can create a more supportive and comfortable setting for gross motor skill development.

Collaborating with professionals, particularly occupational therapists specialized in sensory integration, can provide valuable guidance in implementing effective sensory strategies. They can help design individualized interventions that address both gross motor skill challenges and sensory processing difficulties. Working with physical therapists can also offer additional support in improving motor coordination and strength.

By considering sensory processing challenges and incorporating sensory integration approaches, parents can play a significant role in supporting their child's gross motor skill development. It's important to remember that each child is unique, and interventions should be tailored to their specific needs. Celebrate progress and provide a nurturing environment that encourages movement, exploration, and the development of gross motor skills.

Collaborating with Professionals

When addressing gross motor skill challenges in children with autism, collaborating with professionals is essential for comprehensive support and intervention. Occupational therapists and physical therapists play crucial roles in assessing, developing, and implementing strategies to improve gross motor skills in children with autism.

Working with Occupational Therapists

Occupational therapists are experts in helping individuals develop the skills they need to participate in meaningful activities and daily routines. When it comes to gross motor skill challenges in children with autism, occupational therapists can provide valuable guidance and intervention. They can assess the child's current abilities, identify areas of difficulty, and develop individualized treatment plans.

Occupational therapists may utilize various techniques and interventions to address gross motor skill challenges. These may include:

  • Sensory integration techniques: Occupational therapists can employ sensory integration approaches to help children with autism better process and respond to sensory information. By addressing sensory challenges, they can enhance the child's ability to engage in gross motor activities.
  • Therapeutic exercises and activities: Occupational therapists can design specific exercises and activities to target the development of gross motor skills. These interventions may focus on improving balance, coordination, strength, and motor planning.
  • Assistive devices and adaptive equipment: In some cases, occupational therapists may recommend the use of assistive devices or adaptive equipment to support gross motor skill development. These tools can assist children in engaging in activities that may otherwise be challenging for them.

Working closely with occupational therapists allows parents to gain valuable insights, learn strategies for supporting their child's gross motor skill development at home, and collaborate on goal-setting for their child's progress.

Seeking Guidance from Physical Therapists

Physical therapists specialize in evaluating and treating movement and mobility-related challenges. They play a vital role in supporting children with autism who face gross motor skill difficulties. Physical therapists assess the child's physical abilities, develop treatment plans, and provide targeted interventions to enhance gross motor skill development.

Physical therapists may employ a range of strategies to address gross motor skill challenges, including:

  • Functional movement assessments: Physical therapists conduct comprehensive assessments to evaluate the child's current level of functioning and identify specific areas of concern. These assessments help in creating individualized treatment plans to address gross motor skill challenges.
  • Therapeutic exercises and activities: Physical therapists design exercises and activities tailored to the child's unique needs to improve strength, coordination, balance, and motor planning. These interventions aim to enhance overall gross motor skill development.
  • Gait training and mobility support: For children with difficulties in walking or mobility, physical therapists can provide gait training and recommend assistive devices, such as walkers or braces, to support their gross motor skill development.

By collaborating with physical therapists, parents can gain valuable insights into their child's gross motor skill challenges and receive guidance on how to support their child's progress at home.

Working together with occupational therapists and physical therapists empowers parents to access expert guidance, tailored interventions, and ongoing support for their child's gross motor skill development. Through this collaboration, children with autism can make significant progress in their gross motor abilities, leading to increased independence and overall well-being.

Encouraging Movement at Home

Parents play a crucial role in supporting the development of gross motor skills in children with autism. By incorporating physical activities into daily routines, making movement fun and engaging, and celebrating progress, parents can create an environment that promotes movement and enhances gross motor skill development.

Incorporating Physical Activities into Daily Routines

Integrating physical activities into daily routines is an effective way to encourage movement in children with autism. By incorporating movement into activities that children already enjoy, parents can make it a natural part of their day. Here are some ideas for incorporating physical activities into daily routines:

  • Morning Exercise Routine: Start the day with a simple exercise routine that includes stretching, jumping jacks, or marching in place. This can help wake up the body and prepare it for the day ahead.
  • Active Chores: Turn chores into opportunities for movement. For example, involve your child in activities like sweeping, vacuuming, or carrying groceries, which can engage their gross motor skills.
  • Outdoor Play: Encourage outdoor playtime, such as riding a bike, playing catch, or going for a nature walk. This not only promotes gross motor skill development but also provides sensory experiences that can be beneficial for children with autism.

Remember to choose activities based on your child's interests and abilities, ensuring that they are engaging and enjoyable.

Making Movement Fun and Engaging

To motivate children with autism to engage in physical activities, it's important to make movement fun and engaging. Here are some strategies to consider:

  • Structured Games: Create structured games that involve movement, such as Simon Says, obstacle courses, or scavenger hunts. These games provide opportunities for children to practice their gross motor skills while having fun.
  • Music and Dance: Use music and dance to encourage movement. Play their favorite songs and encourage them to dance, jump, or move to the rhythm. This can be a great way to improve coordination and balance.
  • Multi-Sensory Activities: Incorporate multi-sensory activities into movement, such as blowing bubbles, playing with textured balls, or using sensory equipment like therapy swings or trampolines. These activities can enhance engagement and provide additional sensory input.

By making movement enjoyable, children are more likely to actively participate and develop their gross motor skills.

Celebrating Progress and Building Confidence

Celebrate the progress your child makes in their gross motor skill development journey. Acknowledge their efforts and achievements to boost their confidence and motivation. Here are some ways to celebrate progress:

  • Praise and Encouragement: Offer verbal praise and encouragement when your child engages in physical activities or demonstrates improvement in their gross motor skills. Positive reinforcement can be a powerful motivator.
  • Visual Progress Chart: Create a visual progress chart to track and celebrate milestones. This can be a fun way for both you and your child to see their progress over time.
  • Family Support: Involve the whole family in celebrating achievements. Encourage siblings and relatives to cheer on your child's progress, creating a supportive and encouraging environment.

Remember that each child's progress is unique, and it's important to focus on their individual achievements rather than comparing them to others. By celebrating progress and building confidence, you can inspire your child to continue working on their gross motor skills.

Incorporating physical activities into daily routines, making movement fun and engaging, and celebrating progress are essential strategies for supporting the development of gross motor skills in children with autism. By creating an environment that promotes movement and provides opportunities for practice, parents can empower their children to improve their gross motor skills and enhance their overall well-being.


What are some signs that my child may be struggling with gross motor skills?

Some signs that your child may be struggling with gross motor skills include delays in reaching developmental milestones such as rolling over, crawling, or walking. Other signs may include difficulty with balance, coordination, and spatial awareness. If you have concerns about your child's gross motor development, it is important to speak with their healthcare provider.

Can physical therapy help improve my child's gross motor skills?

Yes, physical therapy can be an effective tool for improving gross motor skills in children with autism. A physical therapist can work with your child to develop a personalized treatment plan that includes exercises and activities designed to improve strength, coordination, balance, and other aspects of gross motor development.

Are there any sports or physical activities that are particularly beneficial for children with autism?

Any form of physical activity can be beneficial for promoting gross motor development in children with autism. Activities such as swimming, martial arts, and yoga may be particularly helpful due to their focus on body awareness and control. It is important to choose activities that your child enjoys and feels comfortable participating in.

How can I help my child practice their gross motor skills at home?

There are many simple activities you can do at home to support your child's gross motor development. These may include playing catch or kicking a ball back and forth, jumping on a trampoline or mini-trampoline, practicing balancing on one foot or walking along a straight line on the floor, and climbing on playground equipment. It is important to choose activities that are appropriate for your child's skill level and interests.

Is it ever too late to work on improving gross motor skills in children with autism?

No, it is never too late to work on improving gross motor skills in children with autism. While early intervention is important, many children continue to make progress in their gross motor development throughout childhood and adolescence. With the right supports and interventions, children with autism can develop the skills they need to participate fully in everyday activities.


Gross motor skills are an essential aspect of a child's development, and can have a significant impact on their quality of life. If you are the parent or caregiver of a child with autism, it is important to understand the unique challenges they may face in this area, and to use strategies that support their gross motor development. By providing opportunities for physical activity, sensory input, and breaking down complex tasks, you can help your child build the skills they need to participate in everyday activities and reach their full potential.