Occupational Therapy Outpatient OT

The Occupational Therapy Service at Boston Children's Hospital provides direct outpatient care to patients ranging in age from newborns to young adults.

Our Specialties

Our occupational therapy staff are clinically trained to provide comprehensive evaluation and individualized treatment to patients with a variety of pediatric medical conditions, including: 
  • Orthopedic and musculoskeletal disorders
    • Management of congenital hand differences
    • Management of upper extremity traumatic injuries and sports related injury 
  • Neurological disorders
    • Management of Spasticity and movement disorders
    • Motor relearning Developmental 
  • Learning Difficulties
    • Management of motor difficulties
    • Management of sensory processing difficulties
    • Management of Life skills (dressing, self feeding, grooming, play, time management) 

Our Patients

Patients are referred to occupational therapy by their pediatrician or a specialist. Reasons may include: 
  • Pre-operative (before surgery) management
  • Post-operative (after surgery) management
  • Care for a traumatic or congenital hand injury
  • Difficulty fine motor tasks (using their hands)
  • Difficulty being independent with self-care skills and engaging in leisure activities 
  • Difficulty with pre-reading and pre-writing tasks (drawing, puzzles, coloring and building with blocks) 
  • Need for adaptive equipment for access 

The Goal of Therapy

The goal of occupational therapy is to help patients maximize functional independence and participation in all occupations, across all environments (e.g. home, work, school, community). Occupational therapists work with the patient and caregivers to help regain or develop the skills necessary for the highest level of function and independence.

Starting Therapy

Occupational therapy is initiated by a referral from the patient's primary care physician or specialist.


Occupational therapists perform comprehensive initial evaluations to identify a patient’s impairments and functional limitations. The results are used to develop individualized treatment programs with specific, objective, measurable and time-based goals. After the initial evaluation, the occupational therapist will discuss the recommended plan of care with the patient and caregivers.


Our therapists specialize in a variety of clinical areas including orthopedics, developmental delay and disability, physical dysfunction, fine and visual motor/perceptual skills, Autism Spectrum Disorder and Sensory Processing Disorder, neuromuscular disorder. Treatment plans are individualized for each patient and may include: 
  1. Hand therapy and Orthotics: post-operative management, preventive and corrective positioning
  2. Fine Motor skills: improving speed, object control, accuracy, strength and hand skills
  3. Executive Function, motor planning, sequencing and organization
  4. Visual skills & Perceptual skills, puzzles, tracking, controlling both eyes
  5. Visual Motor Integrations: handwriting, drawing, keyboarding building 
  6. Activities of Daily Living: bathing, dressing, self-feeding, grooming 
  7. Sensory Processing: self-management, motor planning, using both sides of the body together; sensory base coping skills 
  8. Pediatric Constraint Induced Movement Therapy (PCIMT) including a modified approach 
  9. Bilateral Intense training (BiT)