Motor Monday: Visual Development

Contributed Content by Lina Awshee, COTA/L, COVT

Happy Motor Monday, MESH Friends!

Can you believe summer is winding down? Some districts have already started school, which is a reminder to me that work will be starting up again soon! I’ve been so spoiled being able to stay at home and play with Tessa all summer, it will definitely be an adjustment for both of us to get back into the groove of things.

With that said, I want to do a different type of post today and share with all of you one of my biggest passions as a clinician and mommy. VISUAL MOTOR development! So often, we hear about our children’s fine motor and gross motor developments–but our visual system tends to get left out of the conversation.

Having worked for so long as a Vision Therapist, I am always looking for ways to incorporate visual skills into the activities that I do with Tessa, so today, I want to share with you some of the foundational visual skills that we can all work on from when our babies are born!

From day one, we can work on our baby’s visual development by making sure to engage baby from all different directions – for example, when placing your baby into their bassinet or crib, alternate the direction from which you place your baby into their bed. This will allow them to see the “world” from a different perspective each time they are entering/exiting their crib. Another easy one to do in the early days is making sure to rotate baby with each feeding which most tend to do when breastfeeding; for those who are bottle feeding, you want to make sure to rotate them for feedings as well!

In the first couple months of life, it’s also important to remember that their visual system is still developing so placing any visual stimuli within 8-10 inches of their face is really where you want to keep it for optimal visual engagement. Babies are also most interested in familiar faces and high contrast objects so incorporating high contrast cards such as these cards by Genius Baby Toys or making/printing your own and placing them around the house is a great idea!

Below is a throwback of when Tess was around two months old – we had high contrast cards/images all over the place! (I tend to be a little extreme with the things I’m really passionate about. I mean, these cards were seriously everywhere!) These particular ones in the photo were positioned just above her bassinet so that when she laid down, she could look at them. We also made sure to rotate her position often so that she would turn her head in all directions to look towards the images. We also placed high contrast cards around her crib (both low and high), as well as at eye level on our walls for when we would carry her upright and walk around.

There are many, many visual skills (which I will start to outline in future Motor Monday posts!) but some KEY foundational skills in visual development that we can start targeting in the early days include:

Fixation – maintaining or “fixating” your gaze on a target or stimulus
Tracking – following a moving target or stimulus

These are just two skills but are skills that you can really interact and incorporate into your baby’s daily routine! Fixation happens often, whether it’s looking at your face, at a high contrast image, a toy, etc. When you notice your baby fixating, you can start to challenge your baby to track by slowly moving the object of interest in all directions–slowly up and down, side to side, circles, figure 8’s, etc.

And of course, you know it–one of the most important positions a baby should be in daily to practice these skills is TUMMY TIME! You’ve heard a million times why tummy time is so important for building strength, and coordination, and it’s no different for visual development as well! Making sure to provide engaging and motivating stimulus during tummy time is key to helping your baby develop the vital visual skills.

We loved our tummy time mirror because it has high contrast fidgets/objects mounted to it so it “grew” with her – she loved to look and fixate on the objects, then she was motivated to bat at them, and eventually she learned to play with the objects as she learned to sit up–and also eat the mirror like everything else during that mouthing stage! Even now that she is 20 months, she uses this mirror as her “play” mirror, checking herself out while making funny faces!

Did you know? A child’s first eye exam should occur at right about the 6-month mark! This is the time when many of your child’s visual developments have occurred and is the perfect time to take them in for a comprehensive eye exam. Below is information on a Nationwide program that offers cost-free eye exams for baby’s in their first year of life! (now there’s really no excuse not to take your baby in!)

InfantSEE, developed by the American Optometric Association and Johnson & Johnson Vision, is a public health program designed to ensure that eye and vision care becomes an integral part of infant wellness care to improve a child’s quality of life. We feel so strongly about the importance of healthy vision that participating member optometrists will provide a no-cost comprehensive infant eye and vision assessment within the first year of life.

You can find a doctor locator on their website. When we took Tessa in to our family optometrist for her first eye exam, it was easy peasy! She sat on my lap, the doc did a couple tests, using high contrast cards, their scopes, and a fun show projecting on the wall! She was even dilated that day because we had some concerns with her eye movements – but she took it like a champ and we were home playing in no time!

In future posts, I plan to share more in depth about some of the other visual skills and how you can incorporate the development of them in your PLAYtime with your kids. Please feel free to send over requests and questions if you ever have any!

For more information on eye care, check out these organizations:

American Optometric Association:
College of Optometry in Vision Development:

Till next time!

Happy Playing,

Lina & Tessa


Motor Monday: Visual Figure-Ground [Feat. Ball Pool!]

Contributed Content by Lina Awshee, COTA/L, COVT

Happy Motor Monday!

It’s been a couple weeks since our in-home soft play was delivered by the very handsome boys of MESH and we have been itching to share some of the fun we have been having!

As a Pediatric Therapist, and more importantly as a mommy to my 19 month old, Tessa, I am always looking for fun ways to make our playtime purposeful and developmentally stimulating.  Needless to say, I’m so excited to be able to share some of our activities that we do with all of you and hope it can help drive some fun playtime with your family, as well!

Recently, Tessa has been very strong-willed and exercising her independence (rather aggressively!) so in an effort to help facilitate these emerging developmental milestones, I’ve been choosing activities that allow her some more “control.”

Today, we used the ball pit to work on a very important visual perceptual skill, visual figure-ground! Figure-ground begins to develop and refine between 12-24 months and is the ability for our little ones to distinguish or pick out an object from a busy background.  I love figure-ground activities for Tessa because it’s a skill that will help her develop more independence as she learns to be able to find things she’s looking for more efficiently.  (Her pink socks in a drawer full of socks, her favorite bunny cookies in a pantry full of Mommy’s junk, her dinosaur book in a shelf full of books, etc.)

The ball pit is her absolute favorite place to be, and soccer is her favorite sport, so I chose to combine the two by playing a game of “Where’s the Soccer Ball?”

Can you find the soccer ball hidden in the ball pit below?

Tess loved throwing herself in the pit in search of her beloved soccer ball!

And that face when she finally finds the ball was just priceless!

Activities can always be modified for the itty bitties by using a bigger ball with brighter colors like a beach ball, and plopping it on top of the balls so that they can explore the tactile and visual difference between the beach ball and ball pit balls!

For the “big kids” you can hide smaller objects, or similar colored objects to make it even trickier!

There are so many fun ways to explore figure ground, and to top it all off, you are helping to develop your child(ren)’s ability to be an efficient reader as well as writer by starting to work on the fundamental skills early!


Happy Playing!

Lina & Tessa


Partner Spotlight: Pediatric Occupational Therapist Lina Awshee, COTA/L, COVT

Meet our Pediatric OT partner-turned-friend Lina! We are incredibly excited and honored to have such a passionate, compassionate, and knowledgeable OT partner. She’ll be sharing invaluable resources with all of us, so don’t miss out.

Lina Awshee, COTA/L, COVT is a Pediatric Occupational Therapist currently practicing in a school-based setting in the South Bay. Prior to practicing full-time as a COTA, Lina also practiced as a Pediatric Behavioral Therapist, as well as a Pediatric Vision Therapist.

Now a mommy to her sweet toddler daughter Tessa, Lina enjoys applying her passion of pediatric development into her daily play and interactions with Tessa, and watching her grow and develop.

The Awshee Family

Lina and her husband Mike are high school sweethearts. Both growing up in the South Bay, they are thrilled to call Torrance their home. The Awshees enjoy spending time at the park and beach, as well as playing and watching their favorite sport–soccer!

Lina and Mike both work in the medical field, and share a passion for pediatric development and helping the special needs community. Having lost their son with special needs, they strive to contribute positively to the special needs community in his honor, while prioritizing raising Tessa to the see the beauty in diversity, and to be a friend to all.