Play Move Improve
Play Move Improve
Robyn Papworth
How to support children with autism with their clumsiness and balance skills
15 minutes Posted Mar 27, 2023 at 1:23 am.
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Show notes

Motor Development and Balance Challenges in Children with Autism


Episode Summary

In this episode, Robyn Papworth discusses the motor development and balance challenges often seen in children with autism spectrum disorder (ASD). She explains the complexities of balance, the impact of sensory processing differences, and offers strategies to support motor skill development in children with ASD.

  1. Motor functioning challenges are often present in children with ASD, alongside social interaction and communication difficulties.
  2. Balance involves multiple systems: visual, vestibular, and somatosensory.
  3. Children with ASD may struggle with proactive and reactive balance.
  4. Tippy-toe walking is common in ASD and can further complicate balance.
  5. Engaging children with ASD in motor activities requires understanding their interests and sensory needs.
  • Low muscle tone, especially in facial muscles
  • Difficulties with proactive balance (preparing for changes in terrain)
  • Challenges with reactive balance (responding to unexpected obstacles)
  • Sensory processing differences affecting balance and coordination
  • Impact of tippy-toe walking on stability and balance
  1. Identify 5 key interests of the child (e.g., insects, cars, dinosaurs)
  2. Incorporate interests into balance and motor activities
  3. Use visual aids (e.g., picture cards) in activities
  4. Start with short, achievable activities (1-2 minutes)
  5. Gradually increase difficulty and duration of activities
  6. Focus on building confidence and trust in their body
  • Print 5 different insect pictures (postcard size)
  • Spread pictures on the ground
  • Have child jump or hop onto each picture
  • Variation: Put pictures on wall and throw a ball at them while standing on one foot
  • Understand the frustration children may feel when their body doesn't cooperate
  • Recognize that motor challenges may be visible before social and communication difficulties
  • Early intervention in motor skills can be beneficial


Robyn Papworth is an exercise physiologist and developmental educator specializing in supporting children with various developmental needs, including autism spectrum disorder.

  • Play Move Improve podcast episode on balance
  • Upcoming episode on the cerebellum
  • Autism webinar (check website for details)
  • Share your child's top 5 interests in the comments for personalized activity suggestions


Reach out for more information or support

  • Website: playmoveimprove.com.au
  • Facebook: Play Move Improve
  • Podcast: Play Move Improve Podcast


Remember, every child with autism is unique. These strategies can be adapted to suit individual needs and interests.