Occupational Therapy

Occupational Therapy is a branch of rehabilitation medicine that supports individuals of all ages in developing essential skills for greater independence in daily life. At Miraculum Center, our occupational therapy program focuses on helping children enhance their fine motor skills, sensory processing, gross motor coordination, self-feeding abilities, visual motor integration, and dressing skills to reach their full potential. Our occupational therapists conduct standardized assessments to identify each child's strengths and areas for growth, collaborating with parents to set personalized goals. Through play-based and creative activities, therapy sessions are structured at a therapeutic and appropriate pace, allowing children to build the necessary skills for greater independence and success in their everyday lives.

Signs & symptoms

Fine Motor

  • By 12-18 months, your child struggles to grasp small objects using their thumb and index finger (pincer grasp).

  • By 12-18 months, your child has difficulty clapping their hands or bringing them together.

  • By 12-18 months, your child is not yet starting to color using a palmar supinate grasp (holding a crayon with their whole hand).

Social skills

  • By 12 months, your child struggles to take off their socks or shoes.

  • By 2 years old, your child has difficulty assisting with removing their shirt and pants.

  • By 2.5 years old, your child finds it challenging to attempt unbuttoning clothing.

Visual motor

  • By 2.5 years old, your child struggles to copy horizontal lines, vertical lines, or circles.

  • After the age of 2, your child continues to hold writing utensils using a palmar supinate grasp (whole-hand grip).

  • By age 5, your child has difficulty completing a 10-15 piece puzzle.

  • By age 3.5, your child struggles with catching or kicking a ball.

  • Your child has difficulty staying within the lines while coloring.

Procedural skills

Feeding Therapy

During the initial evaluation, our clinician will meet with the family to discuss any concerns regarding the child’s feeding skills. Our team is trained in assessing and addressing oral motor, sensory, and behavioral aspects of feeding.

For a child to eat safely and effectively, they must first develop the oral motor skills needed to chew and swallow food properly. If a child has adequate oral motor abilities but struggles with sensory regulation—such as discomfort with messy play (e.g., avoiding getting their hands dirty)—this may be a focus of intervention.

Some children may also have a limited range of foods they eat. In such cases, the occupational therapist will work on gradually expanding their diet. Our clinicians will collaborate closely with the family to create a personalized plan that helps the child eat a variety of foods safely and comfortably.

Signs Your Child May Benefit from Occupational Therapy for Feeding Challenges:

  • Coughing, choking, or gagging while eating or after swallowing
  • Difficulty chewing foods that are appropriate for their age and texture
  • Excessive drooling
  • Avoiding or refusing foods based on type or texture

Our Clinicians Have Specialized Training In:

  • Beckman Oral Motor

  • Mealtime Miseries

Resources & Tips