Tying shoes is a complex skill to learn requiring fine motor skills, visual perceptual skills and motor planning. Some children may need extra help to learn how to tie shoes and some may need permanent adaptations. Here are 5 suggestions to adapt shoe tying: 1. commercial shoe laces that are different colors to help learn shoe tying http://www.loopeez.com/index.php 2. Velcro hidden inside shoe http://pinterest.com/pin/143693044332911985/ 3. commercial products that use elastic shoelaces http://www.locklaces.com/ 4. elastic shoe laces - once tied shoe slips on and off 5. commercial Velcro shoes or slip on shoes What is your favorite idea to adapt shoe tying or to teach tying shoes?