The Nugget has been used by both Physical and Occupational therapists. The Nugget couch can be used as a tool to help improve both physical and developmental skills. It is also used by parents and kids outside of Physical and Occupational therapy to work on the same skills. The Nugget can help with strength, balance, coordination, attention, speech, communication, teamwork, visual and spatial perception, pretend play skills and praxis skills (to name a few).