This study aimed to evaluate the impact of music technology on the attitudes and engagement level of preschool children. The desired outcome of the study is to formulate recommendations to improve the teaching curriculum through the use of physical activities at the preschool level. The strategy tested involved integrating technology, music, and images into children’s physical activities to enhance their willingness to learn, preference, and motor skills. The study used music and images created through technology instruments to stimulate multiple senses, including vision, hearing, and touch sensations. It was expected to enhance learning interests and motor skills among children in physical activities. The innovative courses were developed jointly by qualified and senior preschool teachers, a physical fitness trainer, and a music therapist. The regimen involved a set of lesson plans combining music technology with physical training for children. The study used 64 healthy children who were 5 years old and studied at a private preschool in Taiwan, who were divided into an experimental group that implemented the innovative courses and a control group that adopted traditional teaching. The physical training courses were implemented twice a week, with 45 min per session for 18 weeks. The results revealed a significant enhancement in the concentration, preference, and willingness of participation among children in the experimental group after participation in the course. However, these effects were not observed and were not found among the children in the control group. Additionally, it was also found that the positive impact of enhanced motor skills, such as dynamic balance, hopping, and jumping, was significantly better among children in the experimental group than those in the control group. Consequently, this research study supports the integration of music technology and images into physical courses for children. Clinically, it indicates a significantly improved enhancement effect towards learning mentality and motor skills among children. This innovative teaching approach suggests a high probability to substantially assist the preschool’s course management strategy and methodical learning effects.