10 Awesome Outdoor Therapy Activities

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outdoor therapy activities

Warmer days and more daylight mean plenty of opportunities to get outside to play, explore and socialize. Nearly everyone can benefit from fresh air and a little sunshine…so if you’re able to take your therapy sessions outdoors, now is the time for outdoor therapy activities. Some creative takes on classic games − along with some totally new ideas − can spark progress with speech, reinforce social skills, and encourage healthy movement. As a bonus: most outdoor therapy activities require little to no special equipment (just some bodies, and maybe a ball or some chalk!)

There are so many fun ways to incorporate practice and skill-building into outdoor therapy activities. Whether you’re an SLP, OT, PT, BCBA, or behavioral therapist, consider trying these ideas when staying inside just won’t do!


  1. Red Light Green Light

This old-time favorite – perfect for behavioral therapists – gets kids moving, and provides practice for self-control and self-monitoring. Players must respond to verbal cues (the phrases “red light” and “green light”) and “stop” or “go” on command. This game can provide a great boost for those struggling with executive functions. These very same commands can sometimes be adopted by parents in situations where a child may need to stop certain behaviors.


  1. Simon Says

Here’s another classic game that requires players to listen and follow instructions – something critical to progress in speech therapy, occupational therapy, physical therapy, and behavioral therapy. You can act as Simon, or when possible, children can take turns leading the game. Simon Says is a fun way to encourage both speaking and correctly interpreting demands. As part of OT practice, have children work on remaining in their own space while playing—like a chalk circle or a hula hoop.

BONUS: For a great—and FREE–downloadable communication board to aid in therapeutic play, check out this site!


  1. I Like Hot Dogs

While this is most definitely an unofficial title, the game itself is sure to inspire some giggles, making it one of the most fun and interactive outdoor therapy activities. Have students stand in a circle and take turns saying one fact about themselves using full sentences like “I like hot dogs.” Students who agree with the statement jump as high as they can. Students who don’t, quickly sit down. It doesn’t get any simpler than this crowd-pleaser! It’s perfect for school-based therapy sessions where social interaction and friendship are the focus.


  1. Statue Maker

For this therapy game, you’ll need at least two players to be statues and one player to be the guesser. You can act as the statue maker. To begin, statues should decide what character or emotion they’ll be acting out. Creating a list ahead of time makes it easier for kids to choose, and also helps prompt the guesser. Spin the statues around slowly twice and when you let go, they must freeze into position. Bring the guesser to each statue where they press a “button” to have the statues act out their role. The guesser must then guess what they are. There are many different versions, and the rules can be adapted. Overall, this game is great for speech and language therapy – as well as behavioral therapy – with nonverbal language, role play, facial expressions, impulse control, and inferencing being addressed.


  1. Spud

Gather up a small group (at least three players) along with a soft ball, and get ready to work on categorization and short term memory. The game begins with the person who is “it” stating a category. You can adapt this by providing a list or having players pick out of a container. Each player then names an object from the category. The “it” player throws the ball into the air and yells out the name of one of the mentioned category items. The person whose item was called runs to get the ball while the other players run away. When the player retrieving the ball yells “spud” the other players must freeze.  The person with the ball takes three big steps towards any other player while naming three more items from the initial category. The player with the ball throws the ball at the player. If the other player gets hit, they get the letter S. If the player catches the ball, the thrower gets the letter. Play continues until someone spells SPUD.


Hopscotch therapy activity
  1. Hopscotch

Hopscotch works well with any SLP drill activity, but especially articulation. Instead of drawing numbers in your hopscotch grid, draw pictures beginning with the sound you’d like to focus on. To play, have kids toss a rock onto the grid, hop to it and say the word that is in the square.


  1. Duck, Duck, Gray Duck

Slightly different from “Duck, Duck, Goose”, “Duck, Duck, Grey Duck” incorporates attributes and works on active listening, attention, and using descriptors, so behavioral therapists can help children struggling with ADHD symptoms, and speech-language pathologists can assist children experiencing expressive language delays. Players sit in a circle and one person is “it.”  The player who is “it” walks around the circle lightly patting other players while naming an attribute (ex. curly-haired duck, duck who went to Disney World last week, etc.)  When the “it” player says “grey duck,” the person who was tapped chases him or her around the circle. If he or she tags the other player, the “it” player continues to be “it.” If the runner reaches the open spot and sits down, the new player is “it.” The game provides a good opportunity to ensure kids are being gentle while tapping heads and is a great way to help them state friend facts.


  1. Toss and Talk Ball

You can purchase one of the many pre-printed versions of these balls or create your own using a large play ball and a Sharpie marker for this game. In addition, there are versions with simple conversation starters, such as “what’s your favorite food?” and others that focus on self-esteem with phrases like “I can make a difference by…” Players toss or pass to each other and respond to the prompt that’s under their thumb. Only the person with the ball may speak while others listen, promoting interpersonal skills like turn-taking, eye contact, listening, responding, and more.


  1. Go on a Scavenger Hunt

Get creative, and develop a scavenger hunt to help children practice skills in speech therapy or OT sessions. For inspiration, check out this cool Outdoor Motor Sensory Scavenger Hunt from The Inspired Tree House.


  1. Play Tag

Tag games are the perfect way to get any group up, outside, and moving! Both pediatric occupational therapists and pediatric physical therapists will want to experiment with multiple versions of these outdoor therapy activities that target endurance, strength, coordination, and more. The Inspired Tree House offers some great ideas, including Ghost Tag, Blog Tag, Animal Tag, and Line Tag. You can check them out here!


What are YOUR favorite outdoor therapy activities? In the comments section below, please share which outdoor therapy activities you’ve tried and what has worked for you in your therapy practice.


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