THE SENSORY MADE SIMPLE PODCAST
with Dr. Samantha Goldman
Ep. 50. Why Did My OT Recommend Heavy Work?

"Your therapist noticed that when they do activities on their belly on the swing, that require pushing against their body, their brain seems more regulated after, and the dysregulation decreases."
Ep. 50. Why Did My OT Recommend Heavy Work?
The Sensory Made Simple Podcast
with Dr. Samantha Goldman
Highlights from this episode:
🎙️ What heavy work is and why it helps with sensory regulation.
🎙️ Everyday examples of heavy work activities to try with your child.
🎙️ How heavy work can address specific challenges like meltdowns or clumsiness.
Links mentioned in this episode & references:
Sam's Instagram
The Hidden Senses (NOW CLOSED)
The Food Explorers Membership (NOW CLOSED)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484897/
https://www.sciencedirect.com/science/article/pii/S1110863015000038
About the Host:
Being a parent of a child with sensory challenges isn’t easy. Some days, it feels like you’re walking on eggshells, unsure of what will set off the next meltdown. You’re doing everything you can, but you can’t help wondering if there’s more you could do—or if you’re missing something important.
I’m Sam Goldman, a pediatric occupational therapist and your guide in this sensory journey. I’ve spent over a decade helping parents like you understand their child’s sensory needs and find real-life strategies that actually work. My goal? To help you feel less overwhelmed, more confident, and ready to support your child in a way that feels manageable for your family.
You’re already an amazing parent, and you know your child better than anyone. This podcast is here to give you the tools to make life just a little easier—for both of you.
Social Media Links:
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The opinions and content of this blog/podcast are unique to the writers/speakers unless otherwise stated. All contents of this episode are based on our personal opinions and experiences. Disclaimers: The information provided by SAMANTHA N. GOLDMAN, LLC (“we,” “us” or “our”) on http://drsamgoldman.com , and http://samantha-goldman.mykajabi.com (the “Site”) is for general informational purposes only. The Site cannot and does not contain medical advice. Any medical information is provided as my/our personal experiences is not a substitute for professional advice. Accordingly, before taking any actions based upon such information, we encourage you to consult with the appropriate professionals. We do not provide any kind of medical advice.THE USE OR RELIANCE OF ANY INFORMATION CONTAINED ON THIS SITE IS SOLELY AT YOUR OWN RISK. Although this blog/podcast contains external links WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR THE ACCURACY OR RELIABILITY OF ANY INFORMATION OFFERED BY THIRD-PARTY WEBSITES LINKED THROUGH THE SITE OR ANY WEBSITE OR FEATURE LINKED IN ANY INFORMATION CONTAINED ON THIS SITE IS SOLELY AT YOUR OWN RISK. ALTHOUGH THIS SITE CONTAINS EXTERNAL LINKS WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR THE ACCURACY OR RELIABILITY OF ANY INFORMATION OFFERED BY THIRD-PARTY WEBSITES LINKED THROUGH THE SITE OR ANY WEBSITE OR FEATURE LINKED IN ANY BANNER OR OTHER ADVERTISING.
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Transcript
What does it mean when your occupational therapist recommends heavy work?
Hello, my friend, and welcome back to episode number 50 of the Food Explorers Podcast.
Today, we're talking all about one of my personal favorite topics.
To be honest, I think it's probably a lot of OT's favorite topic because of the amazing effect it has on the body.
And that is heavy work.
If you are like a lot of my friends here on the podcast, you are here because your child, you, or your clients, sometimes, okay, maybe more than sometimes, have a hard time regulating their sensory and nervous system.
Chances are, you're already seeing an occupational therapist for some support.
If you're not, don't worry, you will still love this episode.
Heavy work is that good.
But perhaps you brought your child in for their occupational therapy session, and it went something like this.
You start by giving your therapist a little update about the past week and your challenges.
Likely, you talked about a recent sensory meltdown or a moment of dysregulation.
Your child had their session, which may have consisted of a warm up activity, a focus table activity, and a calm down activity.
Your therapist came out to debrief.
During that debrief, they might have mentioned that they did some proprioceptive activities or heavy work to calm the body prior to the table or focus work, and recommended you try some heavy work activities at home, too.
And they probably even gave you a couple of ideas, like pushing a heavy laundry basket or doing some animal walks.
At the time, your child was running around the waiting room and ready to go.
So you said, OK, thank them and went on your merry way.
But then as you're heading home in the car, you found your mind wandering.
Wait, what is heavy work?
Why does it help?
And well, here you are.
Now, your journey to this podcast episode may have looked a little different, and that's OK.
No matter how you came about discovering the term heavy work, I'm excited you're here.
Let's define heavy work.
What exactly is it?
Well, honestly, it's exactly like it sounds.
It's activities that encourage effort from the body, especially pushing and pulling.
Specifically, they tend to be activities that require some resistance.
But how does heavy work, well, work?
What does heavy work really do?
And why are all of us occupational therapists so crazy about it?
Well, heavy work is a form of proprioceptive input.
If you were here for last week's podcast episode, I mentioned how calming proprioceptive input tends to be for the body, which is why occupational therapists love using it.
We love it because it helps regulate the sensory and nervous system and return it to that just right temperature.
During heavy work, we tend to either push or pull.
This activates our muscles, tendons, ligaments, and changes the spacing in our joints.
What you may not have realized is that our muscles, tendons, ligaments, and joints contain proprioceptive receptors.
So when you do these activities, you're activating those receptors and providing the body with proprioceptive input.
Essentially, when a therapist is talking about heavy work, it's a form of proprioceptive input.
Now, in the past, when we were hunters, gatherers, and farmers, and society wasn't so focused on technology, we regularly got this heavy work through our scheduled day.
Something like digging in the dirt, hammering or carrying vegetables provided heavy work to ours and our kids' bodies, so it helped calm us.
But in today's world, we need to be a little more conscious about getting that input.
If we're sitting on our laptops or watching TV or playing video games, we're not really getting that heavy work to regulate our body.
Instead, we get it through things like laundry, grocery shopping, running, going to the playground, and more.
So why did my therapist recommend it?
There's many reasons why an occupational therapist may have recommended heavy work.
Quite honestly, it depends on what exactly is going on inside yours or your child's body.
But usually, it's because they felt that proprioceptive input would be helpful to yours or your child's body in some way.
For example, perhaps your child comes into sessions completely dysregulated after school.
They're running around, throwing, crashing, and looking for input.
Your therapist noticed that when they do activities on their belly on the swing, that require pushing against their body, their brain seems more regulated after, and the dysregulation decreases.
Or perhaps your child is showing a bit of clumsiness and discoordination, but your therapist has discovered that when they first do a jumping activity or wheelbarrow walks, your child is able to better control their muscles.
Or maybe your child tends to chew on their shirt or bite a lot, but when your therapist provided some heavy work activities or heavy work activities specifically to the jaw, they noticed that it was able to decrease a bit and your child seemed more regulated and a bit calmer.
I could expand on these forever and continue to come up with so many examples, but your therapist likely recommended heavy work activities because they believe that this form of proprioceptive input would be helpful to organize, calm, or help wake up the body.
Now that you know why and how this works, let's talk about some activity ideas.
Remember, when it comes to heavy work, we're thinking about activities that require some type of effort from the body.
Here's three of my top favorites.
Number one, obstacle courses.
I will never stop talking about obstacle courses.
They are absolutely my favorite way to get the body prepared and organized, especially because they're so easy to change up and personalized for each child.
Number two, wheelbarrow walks.
I'm such a fan of doing both heavy work and focusing on strengthening at the same time.
Many of our children with proprioceptive challenges also struggle with both coordination and muscle strength.
So wheelbarrow walks can be a great way to get that pushing motion in while improving both core and upper body strength.
Now, they may have a hard time starting with just you holding their feet.
To make it a bit easier, first start by holding closer to their body like their upper legs and then moving back as they get stronger.
And number three, pushing-pulling activities with parents.
Have you ever realized that kids seem to love pushing and pulling you?
For example, they may want you to sit on the swing so they can push you or maybe they want to pull you on a blanket.
This is likely because it feels good for the body and helps increase their confidence.
I love having kids push me on a scooter board or the swing or pull me using a rope while I sit on the scooter board.
Not only do they feel accomplished, but it's a great form of heavy work.
I can't wait to hear which one you're going to try.
I'd love if you send me a DM over on Instagram at DrSamGoldman and let me know what you thought of this quickie episode.
And if you're feeling super motivated after this podcast episode, which I hope you are, and are ready to learn more about the proprioceptive system, then you are in luck, my friend.
Last week, I introduced my newest training, The Hidden Senses.
In this training, we uncover the mysteries of the proprioceptive, vestibular, and interoceptive senses.
I share practical insights to understand and navigate sensory overload, empowering you to create a calmer, more harmonious environment for your child using these senses.
If you want to get started today, it is already waiting for you in the Food Explorers membership at www.drsamgoldman.com forward slash food-explorers-membership.
For those of you who may be newer to me, the Food Explorers membership, soon to be called the Sensory Toolbox, is my education community for parents.
When you join us, you get every single one of my sensory mini courses and new products included in your monthly price.
Plus, you get tons of food play activities and feeding education.
At $20 a month, it is honestly such a steal.
Or, if you're not ready to jump into the membership, the Hidden Senses will be coming soon as a standalone mini course.
So stay tuned for that announcement.
Thank you again for joining me today.