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Writer's pictureKate Hoad

Resource Spotlight: Puzzles


Occupational therapists (OTs) use puzzles in therapy as a versatile tool to address a wide range of developmental, cognitive, and motor skills. Puzzles can be adapted to suit the needs of different age groups and abilities, making them an effective intervention for various therapeutic goals.


Here’s how OTs incorporate puzzles into their therapy sessions:


1. Fine Motor Skills

  • Pincer Grasp: Picking up puzzle pieces helps develop a child’s pincer grasp, which is crucial for handwriting and other fine motor tasks.

  • Hand-Eye Coordination: Placing puzzle pieces accurately requires precise hand-eye coordination.

  • Dexterity and Manipulation: Manipulating puzzle pieces to fit into the correct spots enhances finger dexterity and overall hand function.

  • Using Both Hands Together: Puzzles often require the use of both hands simultaneously, such as stabilizing the puzzle board with one hand while placing pieces with the other, which improves bilateral coordination.

2. Cognitive Skills

  • Problem-Solving: Puzzles challenge children to think critically and develop problem-solving strategies as they figure out how pieces fit together.

  • Visual Perception: Completing a puzzle requires skills like visual discrimination (distinguishing differences in shapes and colors), visual memory (remembering where pieces fit), and spatial awareness (understanding how pieces fit in relation to one another).

  • Sequencing: Understanding the order of steps needed to complete a puzzle can improve cognitive sequencing abilities.


3. Gross Motor Skills

  • Crossing the Midline: Reaching across the body to pick up puzzle pieces promotes crossing the midline, which is important for bilateral coordination.

  • Postural Control: Sitting at a table and reaching for pieces can help improve core strength and postural control, especially in children with low muscle tone.


4. Social Skills

  • Turn-Taking and Cooperation: Working on puzzles in a group setting teaches children to take turns, share, and cooperate with others.

  • Communication: Discussing strategies and asking for help while working on a puzzle can enhance communication skills.



5. Emotional and Psychological Benefits

  • Patience and Perseverance: Puzzles require patience and persistence, which can help children develop these important emotional skills.

  • Confidence Building: Successfully completing a puzzle provides a sense of accomplishment and boosts self-esteem.


Practical Application in Therapy

  1. Age-Appropriate Puzzles: OTs select puzzles that are appropriate for the child’s developmental level and therapy goals, ranging from simple shape sorters for toddlers to complex jigsaw puzzles for older children.

  2. Customized Challenges: Puzzles can be modified to increase or decrease difficulty based on the child’s abilities. For example, using puzzles with larger pieces for children with fine motor challenges or providing visual cues for children with cognitive delays.

  3. Interactive Play: Incorporating puzzles into play activities makes therapy sessions more engaging and enjoyable for children.

  4. Task Analysis: Breaking down the puzzle activity into smaller, manageable steps helps children understand and complete the task more easily.

  5. Adaptations: Using adaptive tools, such as puzzle piece grips or boards with built-in handles, can assist children with physical limitations.



Tailoring to Individual Needs

Occupational therapists customize the use of puzzles to address specific therapeutic goals for each child. For example:

  • Autistic children: Focus might be on improving visual perception, problem-solving skills, and increasing tolerance for structured activities.

  • Children with Developmental Delays: Activities might target fine motor development, hand-eye coordination, and cognitive skills such as memory and attention.

  • Children with Physical Disabilities: Emphasis could be on improving hand function, bilateral coordination, and developing adaptive techniques to complete tasks.


In summary, puzzles are a valuable tool in occupational therapy, providing a fun and effective way to develop a wide range of skills. By carefully selecting and adapting puzzles, OTs can help children achieve their therapeutic goals in an engaging and supportive manner.

We hope this series helps you understand how the use of certain resources in occupational therapy!


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