Head, Shoulders, Knees, and Toes


Physical: upper and lower limb coordination, reaction time, gross motor skill, balance

Cognitive: sustained attention, selective attention

Social: awareness of personal space

Number of participants:

one or more




  1. sing or say “head, shoulders, knees and toes” while touching each body part

Adaptations for Wheelchair Users:

Children who are using wheelchairs can also participate by singing along and touching their body parts while sitting in their chairs.

Modifications to make the activity easier:

Change the environment: have the child complete the activity by themself to decrease social demand

Modifications to make the activity harder:

Change the environment: increase the number of times that the child needs to complete the song to increase physical demand

Change the task: have the child complete the activity as fast as possible to increase physical demand

Goal examples:

  • I will be able to complete the whole song with actions 3 times in a row 2-weeks from today
  • I can complete the actions of the song, along with my friends

Activity adapted from video above.