Vision Library · Intervention

Occupational Performance Activities

Whole-body, movement-based interventions grouped by category and graded across three steps — the postural and motor foundation that visual performance sits on.

Movement Activity Hub

Build the body foundation that visual performance sits on.

Occupational Performance Activities (OPA) develop postural control, bilateral integration, and eye–head coordination. Every group holds the same three steps: Foundation → Building → Challenge.

57

Activities

5

Simple groups

16

No equipment

0

With video

1. Pick one of five groups

Posture, movement, two-sided work, eyes with hands, or real settings.

2. Match your setting

Filter by school, clinic, home, community — or no equipment at all.

3. Grade it up

One activity per step: move up when the student holds it without cueing.

57 of 57 activities

Posture & Balance

9

A stable body to look from.

Core Stability

Trunk endurance and proximal control. Proximal stability is the platform for distal control; when the trunk fatigues, near work and sustained seated participation usually fatigue with it.

Foundation
FoundationAges 38

Prone-on-Elbows Play

Floor play in prone on elbows during an activity the child already wants to do. Builds trunk and shoulder-girdle endurance in the position where sustained near work is least fatiguing to practice.

10-20 min individual, small-group none, classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 816

Wall-Sit with a Task

A short wall-sit while completing a hand task such as sorting cards or answering questions. Trunk endurance under a simultaneous cognitive or manual demand.

under-5 min individual, small-group none, classroom materials
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1099

Graded Carrying and Loading

Carrying, lifting, and loading real items — books, bins, groceries, supplies — with attention to trunk alignment and endurance across a whole route.

5-10 min individual classroom materials
Full protocol, progressions, and carryover

Postural Control

Alignment, sustained sitting and standing posture, and postural adjustment during task performance — including desk setup and working distance.

Foundation
FoundationAges 499

Seated Work Setup Check

A quick check of chair height, foot support, desk height, and working distance before assuming a near-work problem is visual or attentional. Environmental change first.

under-5 min individual, whole-class classroom materials, clipboard
Full protocol, progressions, and carryover
Building
BuildingAges 799

Standing Work Intervals

Alternating seated and standing work at a raised surface across a work period, tracking output and reported comfort in each condition.

10-20 min individual, whole-class classroom materials
Full protocol, progressions, and carryover
Challenge
ChallengeAges 999

Self-Monitoring Posture Cues

A student-owned cueing routine — a photo card, a timer, or a peer cue — for resetting alignment and working distance during sustained near work.

under-5 min individual classroom materials
Full protocol, progressions, and carryover

Balance

Static and dynamic postural equilibrium. Used when a student's stability demands so much attention that little is left for the visual and cognitive load of the occupation.

Foundation
FoundationAges 37

Tape-Line Walking with a Carry

The child walks a floor tape line heel-to-toe while carrying an object with both hands. Stability is the target; the carry keeps the arms out of the balance strategy so trunk control has to do the work.

5-10 min individual, small-group tape, classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 612

Single-Leg Stance Station

Timed single-leg stance built into a station rotation, with the student choosing an anchor point to look at. Used when a student reports fatigue or seeks external support during standing classroom tasks.

under-5 min individual, small-group tape, none
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1399

Unstable-Surface Task Practice

Standing on a compliant surface while completing a real task — sorting mail, folding, stocking a shelf. Reserved for teens and adults where balance is limiting a real occupational role.

10-20 min individual none, classroom materials
Full protocol, progressions, and carryover

Movement & Vestibular

9

Staying organized while the body moves.

Vestibular Activities

Graded head-position and movement experiences. Considered when postural and gaze stability during movement appear to limit participation; always graded conservatively and stopped at the first sign of autonomic change.

Foundation
FoundationAges 599

Movement Tolerance Log

A structured record of which movement experiences a student seeks, tolerates, or avoids across the school day, with symptom notes. Clinical reasoning tool, not an exercise.

under-5 min individual classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 38

Graded Linear Swinging

Slow, predictable front-to-back swinging with the head upright, used as a graded movement experience within a session. Dosage and stopping rules matter more than the activity itself.

5-10 min individual No equipment
Full protocol, progressions, and carryover
Challenge
ChallengeAges 716

Head-Turn Walking with a Target

Walking a marked path while turning the head side to side or up and down on cue, finding a named target each time. Rehearses postural and gaze stability during head movement in a functional walking task.

5-10 min individual, small-group cones, tape
Full protocol, progressions, and carryover

Dynamic Movement

Sustained locomotor activity, movement breaks, and transitions — the arousal and endurance layer that supports returning to seated work.

Foundation
FoundationAges 418

Structured Movement Break

A two-minute defined movement sequence used before sustained near work, with a defined ending so the return to seated work is part of the routine.

under-5 min individual, whole-class No equipment
Full protocol, progressions, and carryover
Building
BuildingAges 418

Heavy Work Route

A defined proprioceptive route — carrying, pushing, stacking — used as a scheduled transition rather than a reactive strategy.

5-10 min individual classroom materials
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1199

Activity Pacing Plan

A written pacing plan alternating movement, upright work, and rest across a school or work day for students and adults with limited endurance.

20-plus min individual classroom materials
Full protocol, progressions, and carryover

Gross Motor Coordination

Whole-body timing, rhythm, and sequencing of large movement patterns underlying recess, PE, and community participation.

Foundation
FoundationAges 38

Animal Walk Circuit

Bear, crab, and frog patterns through a short marked circuit. Whole-body timing and weight-bearing through the arms in a play frame young children accept easily.

5-10 min individual, small-group, whole-class tape, cones
Full protocol, progressions, and carryover
Building
BuildingAges 714

Jump Rope Progression

Staged progression from swinging a rope to self-turning jumps, matched to recess and PE participation goals.

5-10 min individual, small-group No equipment
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1299

Locomotor Endurance Intervals

Timed intervals of walking, jogging, or stair climbing to build the endurance that community and vocational participation actually require.

20-plus min individual, small-group No equipment
Full protocol, progressions, and carryover

Two Sides & Planning

9

Using both sides together and sequencing the plan.

Bilateral Integration

Using two sides of the body together in symmetrical, alternating, and role-differentiated patterns — the substrate for stabilizing paper while writing, holding a book while reading, and managing materials.

Foundation
FoundationAges 38

Stabilize-and-Do Tasks

Tasks that require one hand to hold while the other acts: holding paper while cutting, stabilizing a container while scooping, holding a book open while turning a page. Role-differentiated bilateral use in occupation.

5-10 min individual classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 511

Symmetrical Jump Patterns

Two-footed jumping through a floor pattern, progressing to alternating and reciprocal patterns. Whole-body bilateral organization with a visual pattern the student must read ahead.

5-10 min individual, small-group, whole-class tape, cones
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1299

Reciprocal Equipment Work

Rowing, climbing, pedaling, and hand-over-hand pulling for older students — sustained reciprocal patterns tied to fitness, recreation, and vocational endurance goals.

10-20 min individual, small-group therapy band, playground equipment
Full protocol, progressions, and carryover

Crossing Midline

Reaching, looking, and moving across the body's center. Relevant to sustained left-to-right work across a page, a whiteboard, or a workspace.

Foundation
FoundationAges 38

Cross-Body Place and Retrieve

Objects placed on one side must be moved to a target on the opposite side without rotating the trunk, so the arm and gaze cross the midline. Body-based rehearsal of the left-to-right organization reading and writing depend on.

5-10 min individual, small-group bean bags, classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 512

Vertical Figure-Eight Sweeps

Large arm sweeps in a figure-eight path on a wall or easel, with the eyes following the hand across midline. Whole-arm, whole-body work at a vertical surface, not an eye drill.

under-5 min individual, whole-class tape, classroom materials
Full protocol, progressions, and carryover
Challenge
ChallengeAges 818

Cross-Lateral Marching Sequences

Opposite hand to opposite knee, elbow, or heel in a counted sequence, progressing to a whole-body pattern the student must remember and produce.

under-5 min individual, small-group, whole-class No equipment
Full protocol, progressions, and carryover

Motor Planning

Ideation, sequencing, and execution of unfamiliar movement. Targeted when the barrier is figuring out what to do rather than the capacity to do it.

Foundation
FoundationAges 412

Movement Imitation Sequences

Watch a three- to five-step movement sequence, hold it, then reproduce it from memory — the demand behind following PE instructions and classroom routines.

under-5 min individual, small-group, whole-class No equipment
Full protocol, progressions, and carryover
Building
BuildingAges 512

Student-Designed Movement Course

The student designs the course, draws it, then performs it — putting ideation and sequencing in front of execution rather than after it.

10-20 min individual, small-group cones, tape, classroom materials
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1399

Novel Task Walk-Through

For teens and adults: a structured plan-then-do approach to an unfamiliar physical task — a new job duty, a piece of equipment, an unfamiliar route.

20-plus min individual classroom materials
Full protocol, progressions, and carryover

Eyes with Hands & Head

15

Coordinating gaze with moving targets and dual demands.

Eye–Head Coordination

Coordinating gaze and head movement during whole-body activity. Occupation rarely happens with a still head; this category rehearses looking while moving, not isolated eye drills.

Foundation
FoundationAges 512

Look-and-Go Route Walking

Walking a route while locating named targets placed high, low, left, and right, so head and gaze must move together while the body keeps moving.

5-10 min individual, small-group cones, tape
Full protocol, progressions, and carryover
Building
BuildingAges 1399

Task Practice with Head Motion

Performing a familiar functional task — sorting, stocking, wiping a surface — while the head moves through the task naturally, tracking symptom and accuracy changes.

10-20 min individual classroom materials
Full protocol, progressions, and carryover
Challenge
ChallengeAges 816

Turn-and-Catch

The student stands facing away, turns on a verbal cue, locates a tossed target, and catches it. Head movement, target reacquisition, and a motor response in one sequence.

5-10 min individual, small-group ball, bean bags
Full protocol, progressions, and carryover

Ball Activities

Rolling, catching, tossing, bouncing, and striking. High visual-motor demand with a moving target and a whole-body postural background.

Foundation
FoundationAges 36

Roll and Trap

Seated or kneeling ball rolling with a trap on arrival. Predictable ground-level movement — the entry point before any airborne catching demand.

5-10 min individual, small-group ball
Full protocol, progressions, and carryover
Building
BuildingAges 612

Bounce-Catch Progression

Staged progression from self-bounce to partner bounce-pass to wall rebound, with the postural demand increasing at each stage.

5-10 min individual, small-group ball
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1299

Moving-Target Ball Work

Catching, striking, or passing while both the student and the ball are moving, matched to the sport or leisure activity the person wants to return to.

10-20 min small-group ball
Full protocol, progressions, and carryover

Balloon Activities

Slow-moving targets that lengthen response time. Useful entry point when a student is not yet successful with a ball, or where space and safety are limited.

Foundation
FoundationAges 38

Keep It Up

Keeping a balloon airborne with hands, then alternating hands, then other body parts. Slow flight buys the response time a ball does not.

5-10 min individual, small-group, whole-class balloon
Full protocol, progressions, and carryover
Building
BuildingAges 612

Partner Balloon Volley

Two-person volley over a line or string, adding rules that require moving the feet and reading a partner's position.

5-10 min small-group balloon, tape
Full protocol, progressions, and carryover
Challenge
ChallengeAges 816

Volley with a Question

Balloon volley with a spelling, math, or recall question answered on each hit — a low-motor way to introduce divided attention.

5-10 min small-group balloon
Full protocol, progressions, and carryover

Bean Bag Activities

Non-rolling weighted targets. Predictable, quiet, and classroom-friendly; supports graded reach, aim, and bilateral transfer without chasing equipment.

Foundation
FoundationAges 38

Graded Target Toss

Tossing bean bags to floor targets at varied distances and heights, grading force and aim without chasing a rolling ball.

5-10 min individual, small-group bean bags, tape
Full protocol, progressions, and carryover
Building
BuildingAges 612

Bean Bag Balance Transfer

Passing a bean bag hand to hand around and across the body while holding a balance position — combined postural, bilateral, and midline demand.

under-5 min individual, small-group, whole-class bean bags
Full protocol, progressions, and carryover
Challenge
ChallengeAges 916

Bean Bag Relay with Rules

Team relay with rules that change mid-round, requiring the group to hold the rule, plan the route, and coordinate with peers.

10-20 min small-group, whole-class bean bags, cones
Full protocol, progressions, and carryover

Dual-Task Activities

Adding a cognitive, language, or academic demand on top of a motor demand. Divided attention is the real classroom and community condition; this category rehearses it deliberately.

Foundation
FoundationAges 616

Walk and Recall

Walking a route while holding and reporting a list — items, letters, or steps. The divided-attention condition classrooms and hallways actually demand.

5-10 min individual, small-group No equipment
Full protocol, progressions, and carryover
Building
BuildingAges 818

Balance with an Academic Load

Holding a balance position while answering academic questions, tracking whether balance, accuracy, or both degrade under divided attention.

5-10 min individual, small-group none, tape
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1499

Move, Navigate, and Converse

Walking a community route while maintaining conversation and monitoring the environment — the real triple demand of community participation.

20-plus min individual, small-group No equipment
Full protocol, progressions, and carryover

Real Settings

15

Carrying it into recess, PE, sport, and the community.

Obstacle Courses

Sequenced multi-step movement problems combining planning, memory for order, postural change, and navigation of a real environment.

Foundation
FoundationAges 37

Three-Step Movement Path

A short, memorable course — under, over, around — with the sequence held in mind while the body performs it.

5-10 min individual, small-group cones, tape, classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 714

Timed Course with Recall

A five- to seven-step course performed from memory and timed, with the sequence given once at the start.

10-20 min individual, small-group cones, tape, balance beam
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1299

Real-Environment Navigation Course

A route through a real, cluttered environment — a hallway at passing time, a store aisle, a job site — with checkpoints and a plan made in advance.

20-plus min individual No equipment
Full protocol, progressions, and carryover

Playground Activities

Recess participation: equipment use, peer play, navigating an unpredictable and crowded environment.

Foundation
FoundationAges 514

Adapted Recess Options Menu

A short menu of recess options at graded activity levels so a student with endurance, balance, or visual-access limits still participates rather than sitting out.

10-20 min individual, small-group classroom materials, playground equipment
Full protocol, progressions, and carryover
Building
BuildingAges 310

Playground Equipment Access Plan

A graded plan for accessing specific recess equipment — ladder, slide, climber — broken into steps, with the adult supports faded deliberately.

10-20 min individual playground equipment
Full protocol, progressions, and carryover
Challenge
ChallengeAges 612

Peer Game Entry at Recess

Coaching entry into a moving peer game — reading the play space, timing the approach, and joining without disrupting.

10-20 min small-group No equipment
Full protocol, progressions, and carryover

PE Activities

Adapted participation in physical education: station work, fitness testing, group games, and the PE teacher's own carryover.

Foundation
FoundationAges 518

PE Station Adaptations

Standard adaptations for common PE stations — larger or slower objects, contrast against the background, reduced court size, extra response time — written for the PE teacher.

under-5 min whole-class, small-group ball, cones, classroom materials
Full protocol, progressions, and carryover
Building
BuildingAges 718

Defined Roles in Group Games

Assigning a specific, meaningful role in team games so participation does not depend on being the fastest to track a fast-moving ball.

10-20 min whole-class, small-group No equipment
Full protocol, progressions, and carryover
Challenge
ChallengeAges 918

Fitness Testing Participation Plan

A plan for participating in required fitness testing with appropriate modifications, so the student is measured rather than excused.

20-plus min individual No equipment
Full protocol, progressions, and carryover

Sports Activities

Sport-specific demands for older students and adults: tracking a fast target while moving, reading play space, and returning to sport participation.

Foundation
FoundationAges 1099

Recreational Participation Planning

Matching the person to a recreational activity that fits their current movement, endurance, and visual profile, and planning the supports needed to keep them in it.

20-plus min individual No equipment
Full protocol, progressions, and carryover
Building
BuildingAges 1199

Sport-Specific Movement Drills

Drills built from the athlete's actual sport demands — reacting to a pass, scanning the field while moving, changing direction on a cue.

20-plus min individual, small-group ball, cones
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1299

Graded Return-to-Sport Movement Progression

A staged progression from light aerobic movement to sport-specific drills to full participation, coordinated with the medical clearance plan.

20-plus min individual ball, cones
Full protocol, progressions, and carryover

Community Mobility

Moving safely and independently through real environments: sidewalks, stairs, stores, transit, and campus navigation.

Foundation
FoundationAges 899

Sidewalk and Curb Navigation

Graded practice negotiating sidewalks, curbs, ramps, and uneven surfaces while scanning ahead — the base skill for independent community travel.

20-plus min individual No equipment
Full protocol, progressions, and carryover
Building
BuildingAges 899

Stairs, Thresholds, and Surface Changes

Practice at the specific transitions people trip on — stair edges, thresholds, changes in floor surface and lighting — with attention to contrast and speed.

10-20 min individual No equipment
Full protocol, progressions, and carryover
Challenge
ChallengeAges 1499

Transit and Store Navigation

A full community task: locate the stop or entrance, navigate the interior, find items, manage a transaction, and exit — movement, scanning, and executive load together.

20-plus min individual No equipment
Full protocol, progressions, and carryover