As occupational therapists working in early intervention, the right tools can make all the difference in fostering development and engagement. Below is a curated list of tried-and-true equipment to support fine motor, gross motor, sensory, and cognitive skills for young children. These tools are practical, affordable, and versatile—perfect for therapists on the go!
The OT Latina Amazon Storefront
1. Peanut Ball
Peanut balls are excellent for gross motor development. They provide opportunities for strengthening core muscles, improving balance, and facilitating sensory input. Use it during therapy sessions to encourage crawling, rolling, or supported sitting activities.
Check it out: Milliard Peanut Ball Physio Roll for Exercise, Therapy, Labor, Birthing
2. Tummy Time Pillow Support
This tool support pillow helps infants build neck and shoulder strength during tummy time. It’s also great for positioning when working on rolling or supported sitting.
Check it out: Infantino 2-in-1 Tummy Time & Seated Support – for Newborns and Older Babies, with Detachable Support Pillow
3. Toddler Wooden Puzzle Sets
Wooden puzzles with large, chunky pieces are perfect for promoting problem-solving skills, hand-eye coordination, and early shape recognition. Look for sets with bright colors and simple designs to maintain a child’s interest.
Check it out: Wooden Peg Puzzle for Toddlers, 6 Pack Toddler Puzzles Set for 3 4 5 Years Old
4. Learning Resources Spike the Fine Motor Hedgehog
This Fine Motor Hedgehog is an adorable toy designed to improve fine motor skills and hand strength. Children can remove and replace the pegs, working on their pincer or three-finger grasp and hand-eye coordination.
Check it out: Learning Resources Spike The Fine Motor Hedgehog – Toddler Learning Toys
5. Shape Sorter
A classic toy that offers endless benefits! Shape sorters help children develop problem-solving skills, spatial awareness, and fine motor precision. They’re also great for teaching basic concepts like shapes and colors.
Check it out: Melissa & Doug Shape Sorting Cube – Classic Wooden Toy With 12 Shapes
6. Silicone Stacking and Nesting Cups
These lightweight and durable silicone cups are perfect for stacking, nesting, and even water play. They encourage motor planning, coordination, and spatial awareness while being easy to transport. They are also great for babies who are teething and aren’t quite ready to start stacking/nesting.
Check it out: Moonkie Stacking Cups Toy, Fun Educational Baby Toys Silicone Soft Teething Toy
7. O-Ball Rattle
The O-Ball rattle is ideal for infants. Its lightweight design and open holes make it easy for little hands to grasp, while the rattle adds auditory feedback, making it a fantastic multi-sensory tool, facilitates bilateral hand coordination, and assists in bringing hands to midline.
Check it out: Bright Starts Oball Easy-Grasp Rattle BPA-Free Infant Toy
8. Matching Eggs Toys: Color & Shape Recognition Sorter Puzzle
These matching eggs are a fun way to teach color and shape matching. They’re great for cognitive development and can also be used for pretend play, bilateral hand coordination, and fine motor development to keep therapy sessions engaging.
Check it out: Matching Eggs Toys Color & Shape Recognition Sorter Puzzle, Montessori Toys for Baby
9. Musical Coin Piggy Bank
This interactive piggy bank toy combines cognitive and fine motor skill development with auditory feedback. Children can practice grasping and placing coins while enjoying the rewarding music and sounds.
Check it out: Fisher-Price Baby & Toddler Toy Laugh & Learn Smart Stages Piggy Bank with Learning Songs & Phrases for Infants
10. Tissue Box Toy
Designed for babies aged 6-12 months, this Montessori-inspired tissue box toy features soft, high-contrast crinkle fabrics that are perfect for sensory exploration. It’s lightweight, portable, and encourages grasping, pulling, inserting items or removing items from a container, and auditory exploration.
Why These Tools Work
Each of these tools supports key developmental milestones while keeping therapy sessions playful and engaging. As occupational therapists, we understand that young children learn best through hands-on experiences, and these items provide the sensory, motor, and cognitive opportunities they need to thrive.
Tips for Using These Tools in Early Intervention:
- Adapt for Individual Needs: Not all children will use these tools in the same way. Modify activities to match each child’s developmental level.
- Encourage Caregiver Participation: Teach parents and caregivers how to use these tools at home to reinforce skills.
- Stay Portable: Many of these items are compact and easy to transport, making them ideal for home visits.
With the right tools and a little creativity, you can make a significant impact on a child’s growth and development during those critical early years.

