Telehealth OT: What to Expect from Your First Virtual Session

ByAngela Preston

When I first started offering telehealth sessions, I’ll admit I was skeptical. How could I assess a child’s movement, observe their reflexes, and provide hands-on guidance through a screen?

But over the past few years, I’ve learned that not only can OT work via telehealth—it can be incredibly effective. Here’s what you can expect.

Before Your First Session

You’ll receive:

  • A pre-session questionnaire about your child’s developmental history
  • A simple list of items to have ready (cushions, a ball, some space to move)
  • A Zoom link and technical tips

During the Session

Part 1: Observation (15-20 minutes)

I’ll ask your child to do simple movements while I observe:

  • How they transition from sitting to standing
  • Their balance and coordination
  • Eye tracking and focus
  • Response to different sensory inputs

Part 2: Parent Coaching (20-30 minutes)

This is where the real magic happens. I’ll teach YOU:

  • Specific rhythmic movements to practice at home
  • How to recognise active reflexes
  • Strategies to support regulation throughout the day
  • How to adapt your home environment

Part 3: Practice Together (10-15 minutes)

We’ll do the movements together—you, me, and your child. I can see what’s working, provide real-time feedback, and answer questions.

The Telehealth Advantage

Surprisingly, telehealth offers some unique benefits:

  1. Your Child’s Natural Environment: I see how they move and behave in their own space, not a clinical office
  2. Parent Empowerment: You’re an active participant from the start, not a passive observer
  3. Convenience: No travel time means more families can access support
  4. Frequent Check-ins: Shorter, more regular sessions can be more effective than monthly in-person visits

What You’ll Need

  • A device with a camera (laptop, tablet, or phone—laptop is best)
  • A space about 2m x 2m where your child can move freely
  • Good lighting (no backlighting from windows)
  • Optional: cushions, a small ball, and a blanket

Is Telehealth Right for Your Family?

Telehealth works beautifully for:

  • Initial consultations and assessments
  • Parent coaching and education
  • Teaching rhythmic movement programs
  • Ongoing support and check-ins

However, some situations may benefit from in-person visits:

  • Complex physical assessments
  • Children who struggle with screen-based attention
  • Hands-on sensory integration work

The good news? We can always combine both approaches based on what works best for your family.

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