By Julie Kim
When you’re raising a child with a disability or a complex medical condition, you need to adopt a new mindset when it comes to fostering their development and finding the right tools to support it.
In 2018, my daughter was diagnosed with a rare genetic deletion that causes a range of developmental delays. Over and over again, doctors would ask me if she had reached this or that milestone. Each time, I answered flatly: no. I struggled to square her “failure” on these tests with the strong, happy baby I held in my arms.
Then I found a blog written by the mother of a child with epilepsy. The author’s motto of “taking life one inchstone at a time” made so much sense. A switch flipped. The trajectory for my daughter is still forward—it simply happens at a different pace, and in smaller steps.
“We don’t use milestones,” said Marybeth Finch, MSPT, a physical therapist and infant development specialist at UCSF Benioff Children’s Hospital in Oakland, California, who coordinates a developmental program for babies and toddlers with intellectual and physical disabilities and their caregivers. “We’re trained to use toys as tools—that’s what separates us from a typical playgroup,” she explained. “We break child development down into many steps, small pieces of big milestones.”
When it comes to assembling your own toy toolbox, what should be in it? After dozens of appointments with specialists; hundreds of hours in physical therapy, occupational therapy, and speech and language therapy; and years of trial and error, I’m sharing some of our favorite toys, games, and gear. Some of the recommendations are from Wirecutter’s guides to the best gifts for kids, some are from the bags of therapists, and others are toys I’ve discovered on my own that engage and delight my daughter (and, often, my typically developing son).
Specialists often group infant and child development into different “domains,” such as gross motor skills, fine motor skills, cognition, communication, self-help, and emotional range. The toys and gear in this guide cover many of these areas. But the most important thing, Finch reminded me, is to consider each individual child’s personality. “They’re children first. You can show up with the best laid plan, but the first rule of the toy is they need to love it.”
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SKIP ADVERTISEMENTA perfectly textured, lightweight rattle
![Close-up of a baby's hand holding a multi-colored woven maraca, over a blanket.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-7.jpg?auto=webp&quality=60&width=570)
Small maraca rattle ($10 at the time of publication)
Many wooden or plastic “baby” rattles are too heavy for some babies and children to hold. Weighing in at a quarter of an ounce, this brightly colored, woven maraca is pure magic. An occupational therapist introduced it to my 8-month-old daughter by rubbing the slight ridges across her palm; the maraca was the first object she held on her own. The single bell inside gives just the right amount of auditory and tactile feedback. And its primary-color palette is bold enough to spark intrigue from across the floor.
The toy in every occupational therapist’s bag
![The VTech Spin and Discover ferris wheel.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-3.jpg?auto=webp&quality=60&width=570)
VTech Spin & Discover Ferris Wheel (about $16 at the time of publication)
When my daughter was 9 months old, she loved this ferris wheel spinner—a “therapy kid” favorite—right away. Even a gentle pat of the animal-shaped levers results in a vigorous and satisfying whirl. The animals are big enough to press with a palm, which is an important—and hard-to-find—feature in toys for children who are working on their finger control and pincer grasp. A single switch controls both power and volume, and the spinner comes equipped with a suction-cup base, so you can attach it securely to a table or the floor. As I write this, the catchy tune is playing in my head. You may find yourself singing it in your sleep.
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SKIP ADVERTISEMENTA musical toy for developing finger control
![A musical toy, the Little Tikes Tap-A-Tune Piano.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-2.jpg?auto=webp&quality=60&width=570)
Little Tikes Tap-A-Tune Piano Baby Toy ($15 at the time of publication)
Most toy piano keys are too narrow for children who are working on their fine motor skills, especially kids who are still transitioning from manipulating objects with their palms or a “pad” of multiple fingers to using a single pointer finger. And if a child deems a toy too intimidating or frustrating, they may give up on it altogether. My daughter had little interest in toys with buttons or keys until I discovered one with wide, square buttons, like the classic Little Tikes Tap-A-Tune. It’s also good for children with photosensitivity.
A well-designed classic
![The Playskool Favorites Busy Poppin’ Pals toy.](https://cdn.thewirecutter.com/wp-content/media/2023/10/firsttoyswithkidswithdisabilities-2048px-playskoolpoppinpals.jpg?auto=webp&quality=60&width=570)
Playskool Play Favorites Busy Poppin’ Pals (about $23 at the time of publication)
Playskool’s Busy Poppin’ Pals, a favorite from Wirecutter’s guide to the best gifts for 1-year-olds, has been around since 1980. Today’s version is made from thick, durable plastic and has been updated with a bright color palette. Its button, knob, and levers suit a range of fine motor skills—from grasping with the palm to multi-finger or pointer-finger manipulation—so this toy delights kids in a range of ages and abilities. The tension and sound effects designed into the controls are, I’ll venture to say, perfect. With every push, twist, or flick, a corresponding cute animal pops up with a crisp snap. Pushing them back down is equally satisfying, cuing a sense of finality and accomplishment.
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SKIP ADVERTISEMENTFlashcards you can throw in the wash
![The multi-colored TEYTOY Soft Alphabet Cards stacked next to their carrying case.](https://cdn.thewirecutter.com/wp-content/media/2023/10/firsttoyswithkidswithdisabilities-2048px-teytoyalphebetcards.jpg?auto=webp&quality=60&width=570)
TEYTOY Zoo Series Alphabet Cards ($20 at the time of publication)
With the guidance of my daughter’s speech and language therapist, I used flashcards to establish the building blocks for communication. When I held one up, I waited for my daughter’s non-verbal cues—eye contact, a smile, a hand wave—and then I spoke the letter or word on the card. Aside from establishing this kind of shared attention, flashcards motivated my daughter to sit up straight and build her trunk strength. These soft alphabet cards are recommended in Wirecutter’s guide to the best gifts for 1-year-olds, and I own a similar set (now unavailable). Both include a carrying case with drawstring closure, and, better yet, they’re machine-washable. Long after my daughter gnawed the corners off the typical cardstock versions, our set of soft, washable alphabet cards remains in near-perfect condition. They’re thick and lightweight, too, which means she can pick them up on her own.
A fun and supportive wiggle seat
![A person sitting cross-legged on a padded mat across a toddler with a blue Moluk Bilibo between them, in an outdoor setting.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-8.jpg?auto=webp&quality=60&width=570)
MOLUK Bilibo ($37 at the time of publication)
I first spotted a stack of Bilibos in my son’s kindergarten classroom. They were available for children with ADHD—or for any 5-year-old feeling extra-wiggly—to help them focus during circle time on the floor. My daughter started occupational therapy when she was 8 months old and recovering from surgery. The first several sessions were challenging for her, so the therapist made sure to begin with an activity she enjoyed. The therapist placed the Bilibo on the floor, and, as my daughter reclined in it, gave it a few gentle twirls. The Bilibo became her favorite warmup, hands down. Made of rigid plastic, the concave seat cupped her body so she could relax and revel in the sensation of weightlessness. She still loves an occasional twirl and (more commonly these days) when her older brother wears it on his head for endless rounds of peek-a-boo. The Bilibo also comes in a mini size, which can be used as a water toy, a sand shovel, or a cap for a favorite stuffed animal.
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SKIP ADVERTISEMENTA soothing and sturdy melodic wobble toy
![A baby laying on its back with its head turned looking at a penguin-shaped wobbler toy.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-9-2x3-1.jpg?auto=webp&quality=60&width=570)
Hape Penguin Musical Wobbler ($15 at the time of publication)
The clerk at a local children’s boutique recommended this adorable penguin wobbler for its gentle, windchime-like melody, which pleases babies and caregivers alike. The wood base has enough heft that the penguin can wobble in place (it won’t roll away on a hard surface), yet it responds to even the lightest tap. Once my daughter had developed the coordination and strength to bat at it, on several occasions she successfully launched it from her highchair tray onto the hardwood floor below. After more than three years of use—and in spite of some (kid-safe) paint she gnawed off its nose—the penguin remains in excellent, jingle-ready shape.
Dolls for all kinds of kids
![Two Miniland dolls sitting on a mat, one of them with facial features common in children with Down Syndrome.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-13.jpg?auto=webp&quality=60&width=570)
Miniland Doll (starting around $30 at the time of publication)
My daughter always loved playing with the toy dolls available at the public libraries in our neighborhood. When I decided to get one of our own, I opted for this Miniland doll, which has natural (not exaggerated) Asian features; with a bob and blunt bangs, the doll even resembles my daughter. I recently learned about the full range of Miniland dolls created to foster kindness and acceptance in children. The collection includes infant and toddler dolls with a range of skin colors and features, and dolls with glasses and with a hearing aid. I’ve used this doll with facial features common in children with Down syndrome as a tool in conversations about gender differences (all Miniland dolls are "anatomically correct," as the company puts it) and chromosomal anomalies with my 8-year-old son.
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SKIP ADVERTISEMENTA swing and a hug in one
![A top down view inside the blue Harkla indoor sensory swing with two children embraced by it.](https://cdn.thewirecutter.com/wp-content/media/2021/06/toysforkidswithdisabilities-2048px-5.jpg?auto=webp&quality=60&width=570)
Harkla Sensory Swing ($90 at the time of publication)
There’s a physiological reason why kids love swings. The rocking motion stimulates the vestibular and proprioceptive senses, which help kids’ brains understand their bodies’ physical relationship to space. Harkla’s Sensory Swing has the added benefit of providing a cocoon-like embrace. It’s made of sturdy, stretchy fabric that’s opaque enough to filter out surroundings while being sheer enough to bathe the skin in a soothing wash of colored light. Though many fabric swings are less expensive, the Harkla swing accommodates up to 200 pounds, so a child can swing with an adult or with another child. And it includes the hardware you’ll need to securely install one in your home. We’ve also tried this pod swing from Harkla, but we found the canvas to be a bit stiff, and in the end my kids preferred the comfort of the stretchier fabric. Cocoon swings are generally marketed to the autism community, but who among us wouldn’t love to chill out in a swinging hug? The more I research items for children with “special” needs, the more convinced I become about the universality of the human condition.
Sources
Marybeth Finch, MSPT, physical therapist and infant development specialist, UCSF Benioff Children’s Hospital Oakland
Meet your guide
Julie Kim is based in Brooklyn, New York. Her essays about raising a disabled child in an ableist world have appeared in The Atlantic, A Cup of Jo, and The Cut. Long ago, she earned a master’s degree in design, a grueling and expensive career misstep that she’s thrilled to finally put to good use reviewing inclusive products for Wirecutter.
Further reading
The Best Dolls
by Julie Kim
For some children, a doll will be the most treasured toy they own. We tested 25 dolls to help you find one that feels just right for the kid in your life.
The 31 Best Gifts for 9-Year-Olds
by Ellen Lee and Wirecutter Staff
Many 9-year-olds can take on grown-up activities—like baking and sewing—and use grown-up tools.
The Best Vibrators
by Bianca Alba
Over 10 years of research and testing, we still think the Magic Wand Rechargeable is the best clitoral vibrator. It’s an effective whole-body massager, too.
Are Toy Subscription Boxes Worth It?
by Alexandra Frost
We tested three top toy subscription box services to figure out if they’re worth the fuss (and the cost).
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