Abstract: Methods and systems of providing hands-on developmental therapy to a subject by a care provider are disclosed. The method can include providing a subject to receive hands-on therapy, assessing the developmental needs of the subject, selecting a level corresponding to the developmental needs of the subject, providing the subject with therapeutic tools and activities corresponding to the therapeutic tools, and guiding the subject through the hands-on therapy corresponding to the selected level. The levels include activities of increasing difficulty with the subject using the same therapeutic tools for each level. The levels can also include a sensory level with sensory tools and activities to improve the sensory system of the subject. The methods and systems of providing hands-on developmental therapy can improve a subject's fine motor skills, strength, and sensory skills.