The Great Little OT Practice is a family owned, independent Occupational Therapy practice based in North Essex. We focus exclusively on the treatment of children and young people and our passion is empowering young people to be as independent as possible. We pride ourselves on our holistic approach to therapy and our use of current, evidence based practice. 



Constraint Induced Movement Therapy (CIMT) is a specialist form of treatment for children with Hemiplegia. It is an activity based intervention and its main goal is to improve two handed skills.

This is achieved through a combination of cast or mitt wearing on the unaffected side whilst your child completes specific activities and play. The intensity and specificity of the approach has been shown to assist with improving neural plasticity and increasing  activity in the part of the brain that has been injured. Ultimately leading to more function and ability.

A CIMT approach is short and intensive, the exact style of which can be determined and discussed as part of your assessment.



This refers to the use of electrical stimulation within therapy. Here at the Great Little OT practice we have experience of using electrotherapy in various forms to complement the treatment we offer.


Some of the benefits we have seen with our clients include:


  • Decrease pain

  • Muscle re-education

  • Increased muscle strength

  • Increased range of motion

  • Decreased spasticity

  • Improved tactile sensitivity

  • Improved proprioceptive awareness

  • And most importantly improved function


We would be happy to talk to you about this in more detail, just ask.

  • Degenerative and progressive conditions

  • Syndromes that affect “typical” development

  • Joint hypermobility

  • Developmental coordination disorders

  • Handwriting and general fine motor difficulties

  • Sensory processing difficulties

  • Catastrophic brain injury

  • Cerebral palsy

  • Erbs Palsy

  • Ataxia

  • Acquired brain injury

  • stroke

  • Developmental delay

  • Autism

  • PLUS many more


Aaron Preston

Aaron has over 10  years’ experience working in paediatrics across a range of settings including community services, inpatient children’s wards and complex needs schools. During this time Aaron has worked within the NHS and for the past three years in the private sector. Aaron has a particular interest in Neurological impairment and is passionate about helping children with additional needs develop and learn new skills.

 Why choose us?

  • We are registered with the Royal College of Occupational Therapy and Health Care Professionals Council

  • We have over 40 years combined experience in Pediatrics

  • We only treat children and young people, as a result our services are very child friendly

  • We are entirely community based and offer a flexible approach to assessment and treatment ensuring that we fit in as much as possible with your routine

  • We have a high level of skill in neurological impairment and have experience in delivering treatments using functional electrical stimulation to the upper limb and constraint induced movement therapy.

  • We have expertise in 1:1 therapy, equipment assessment and provision, postural management, acute rehab, accessible vehicle provision, environmental control assessment/provision and moving and handling training.

  • We have worked hard to develop a range of professional relationships and we will work with NHS, social care and other independent services on your behalf to ensure your needs are fully met. 

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I have worked with the Great Little OT practice team for over 10 years. They are a knowledgeable occupational therapy service offering evidence based treatment. They offer a first class service in Essex and surrounding areas. I have recommended them so many times, I have lost count.


I would recommend this lovely man. He worked with my son for a few years and showed him kindness compassion and professionalism at all times i can't thank Aaron enough


Aaron’s input has changed my life, he is able to deal with any challenge I throw at him, these have ranged from making a drink to helping me find wheelchairs that meet my needs as well as attending driving assessments with me. I feel more confident and empowered about my future,