I agree with Cricket that vigorous exercise is essential. And that does get easier with age. With preschool age, we had to take DS to an outdoor park every day...otherwise evenings were difficult. For K and 1st grade he got to ride his bike to and from school every day, plus had swim team for 1 hour 3x per week.
I do not think you will actually notice your daughter being tired, but it makes the general flow of things smoother. DS is on high until he is asleep...he moves around his bed telling me he is not tired til he is out. I'm glad you see a difference in your daughter with her balance and confidence...I'm sure your OT is right that that's all she needs! woo hoo
