The ability to use both hands together as a team. We use this for almost everything, like holding the paper with one hand while cutting with the other, or buttoning a shirt.
See our guide to pencil grasp patterns to see how this skill shows up in handwriting.




OTPlan at Home book
Play-based activities for both hands, for ages 3 to 5.
$34.99 Free shipping in the US
Added Oct 26 · Ages 3 to 5Sponge Boat BuildBilateral Hand UseEye-Hand CoordinationFine Motor ControlYou'll need: Construction Paper · Hole Puncher · Pipe Cleaners · Plastic Container · Sponge · Water
Added Oct 19 · Ages 3 to 5Pipe Cleaner Hair SalonBilateral Hand UseFine Motor ControlHand DexterityYou'll need: Beads · Bowl · Crayons · Egg Carton · Pencil · Pipe Cleaners
Added Oct 6 · Ages 1 to 5Foil Mountain ClimbBilateral Hand UseProprioceptionTactile PerceptionYou'll need: Aluminum Foil · Blocks · Stuffed Animal
Added Oct 6 · Ages 3 to 5Heavy Foil Bridge BalanceBilateral Hand UseEye-Hand CoordinationProximal StabilityYou'll need: Aluminum Foil · Craft Sticks · Paper Cup · Pom-poms · Tongs
Added Oct 5 · Ages 3 to 5Styrofoam Button BouquetBilateral Hand UseEye-Hand CoordinationProprioceptionYou'll need: Buttons · Markers · Pipe Cleaners · Styrofoam
Added Oct 1 · Ages 1 to 5Sticky Cup Treasure GrabBilateral Hand UseCrossing MidlineEye-Hand CoordinationYou'll need: Container · Masking Tape · Paper Cup · Pom-poms
Added Sep 29 · Ages 3 to 5Cardboard Box Gear ShifterBilateral Hand UseEye-Hand CoordinationSequencingYou'll need: Cardboard · Markers · Masking Tape · Paper Roll · Scissors
Added Sep 27 · Ages 3+Silver Trap Button RescueBilateral Hand UseEye-Hand CoordinationPincer ControlYou'll need: Aluminum Foil · Bowl · Buttons · Masking Tape · Pencil · Tweezers
Added Sep 21 · Ages 1 to 5Sticky Tape Hand ClapsBilateral Hand UseBody AwarenessTactile PerceptionYou'll need: Basket · Construction Paper · Cotton Balls · Feather · Masking Tape
Added Sep 19 · Ages 3+Stocking Marble Zone TrapBilateral Hand UseEye-Hand CoordinationFinger StrengthYou'll need: Clothespins · Marbles · Markers · Stockings
Added Sep 8 · Ages 3+Floating Balloon AnchorBilateral Hand UseEye-Hand CoordinationPincer GraspYou'll need: Balloon · Bucket · Paper Clips · String · Water
Added Sep 6 · Ages 3+Ribbon-Linked Clip PathBilateral Hand UsePincer GraspSequencingYou'll need: Clothespins · Markers · Masking Tape · Paper Plate · Ribbon · ScissorsWhile these activities are great for home practice, nothing replaces the guidance of a licensed therapist. If you are in Irvine, CA or the Orange County area and have concerns about your child's Bilateral Hand Use, we invite you to connect with us.
Contact Tumble N' Dots Therapy →