Exercise Therapy for Children with Disabilities

Supporting children with disabilities to lead active, healthy lives is a core focus for many families and healthcare professionals. In Australia, we’re fortunate to have clear guidelines, expert practitioners, and growing awareness about the importance of tailored physical activity—especially exercise therapy—for children living with a range of conditions and developmental challenges.

Why Exercise Therapy Matters

Exercise therapy is not just about improving fitness—it’s about building confidence, promoting independence, and supporting developmental milestones. Children with disabilities often face additional barriers to participating in physical activity, such as limited access to inclusive programs or concerns about safety. However, research and clinical experience continue to show that exercise—when adapted to individual needs—is safe, beneficial, and essential.

According to Exercise & Sports Science Australia (ESSA), exercise therapy for children with disabilities can support:

• Motor development (balance, coordination, strength)

• Emotional wellbeing (confidence, reduced anxiety)

• Social participation (peer engagement, teamwork)

• Functional independence (everyday movement skills)

“The right exercise, delivered by an Accredited Exercise Physiologist (AEP), can help kids move more freely, communicate more effectively, and feel more connected.”— Exercise Right for Kids, ESSA

What Do the Guidelines Say?

The Australian 24-Hour Movement Guidelines for Children and Young People recommend:

• At least 60 minutes of moderate to vigorous physical activity per day

• Activities to build muscle and bone strength at least three times a week

• Limiting recreational screen time and encouraging active play

While these recommendations apply to all children, they are especially important for children with disabilities, who may have fewer opportunities to be active.

The Raising Children Network, a trusted Australian resource for parents and carers, emphasises that all kids can be active, regardless of ability. It encourages families to find activities that are enjoyable and manageable, noting:

“Physical activity helps children with disability strengthen muscles and bones, improve motor skills, and build social relationships.”

What Does Exercise Therapy Look Like?

Exercise therapy for children with disabilities is best delivered by professionals who understand both the physical and neurological aspects of disability. This may include:

• Individualised strength and mobility programs

• Balance and coordination drills

• Gross motor skill development

• Hydrotherapy or aquatic movement sessions

• Family-inclusive activities to foster connection and confidence

Importantly, programs should be play-based and fun—helping children stay engaged while working toward developmental goals.

Who Can Help?

In Australia, Accredited Exercise Physiologists (AEPs) are university-qualified allied health professionals who specialise in clinical exercise interventions for people with chronic conditions, disabilities, or injuries.

If your child has autism, cerebral palsy, developmental delay, muscular dystrophy, or another condition impacting movement, an AEP can assess their current abilities and design a safe, goal-oriented exercise program that supports their physical and emotional development.

You can also access services via:

• NDIS plans (under Capacity Building or Improved Daily Living categories)

• Medicare-rebated EPC plans (through your GP)

• Private health insurance, depending on your level of cover

Where to Start?

If you're a parent, carer, or support worker of a child with a disability, here are some great Australian resources to explore:

• Exercise Right – Exercise & Disability – ESSA's public education platform

• Raising Children Network

• Australian Sports Commission: Inclusive Sport

• NDIS Provider Finder

At Geelong Rehabilitation Centre, we understand the positive impact that movement can have on the lives of young people with disabilities. Our team of Exercise Physiologists are experienced in working with children and families to make exercise safe, enjoyable, and rewarding.

If you'd like to learn more about our paediatric programs or book a consultation, get in touch today.