Books for Pediatric Occupational Therapy that Promote Fine Motor Skills

Books are a fantastic tool to promote both literacy and fine motor skills. Are you searching for a no prep fine motor warm-up activity for pediatric occupational therapy sessions? Look no further than incorporating interactive books to pediatric occupational therapy sessions. I am rounding up my favorite books which have interactive elements such as dots to push, flaps to lift, or finger trails to follow that can make therapy sessions fun and engaging.


Start with board books or books with thicker pages, which are easier to grasp and turn. 

Incorporate Clothespins: Attach clothespins to the edges of the pages. Children can practice pinching and squeezing the clothespins to turn the pages, enhancing their pincer grasp and translation skills.

Place Binder Clips or Paper Clips: Attach binder clips or paper clips to the edge of the pages. Children can practice removing the binder clip or paperclip before turning each page. 

Practice with Sticky Notes: Place sticky notes on each page and have the child peel them off before turning the page. This activity promotes pincer grasp and fine motor control.

Gradually move to books with thinner pages as the child’s skills improve. When transitioning away from board books you can introduce tear proof books.

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Books That Promote Finger Isolation Skills

Finger isolation is the ability to move one finger independently from the others, a critical fine motor skill for tasks like writing, typing, and playing musical instruments. Certain books are designed to enhance this skill, making them a great tool in pediatric occupational therapy sessions. Here are some types of books that promote finger isolation skills: puppet books, books with mazes, tracing books and books with buttons.

Sound Books

Sound books offer numerous benefits for developing fine motor and auditory processing skills in children. These interactive books require a child to practice finger isolation skills in order to press buttons or manipulate different parts of the book with enough graded force to activate sounds. This style of book promotes finger strength, dexterity, and hand-eye coordination. 

The auditory feedback provided by sound books can help improve a child’s attention span, listening skills, and cognitive processing. For example, pressing a button to hear a specific animal sound can reinforce the association between the visual image and the corresponding sound, promoting multisensory learning. 

Interactive Books

Interactive books with tabs, pop dots, flaps, and other elements offer a dynamic and engaging way to develop a wide range of skills in pediatric occupational therapy. These books not only captivate children’s interest but also provide targeted practice for fine motor development, hand-eye coordination, cognitive skills, pincer grasp, in-hand manipulation skills and finger isolation skills. 

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