This article was written by Angela Hanscom, a pediatric Occupational Therapist in New Hampshire.  She outlines the need for a strong core (tummy and back muscles) and balance in order to attend.  In addition, children require a well developed vestibular system.  The best way to develop core muscles, balance and a strong vestibular system, are through physical activity, preferably out in the open fresh air.  This involves allowing a child the opportunity to “monkey around” for example, hang upside on a tree, climb trees, and jump off high surfaces.   This occupational therapist’s article is worth reading:

Lizette Alexander OT Reg. (Ont)