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 Jan 12 · Ages 3 to 5Stick Drop LoaderBilateral Hand UsePincer GraspProprioceptionYou'll need: Craft Sticks · Markers · Masking Tape · Pom-poms · Scissors · Shoe Box
Added Jan 12 · Ages 3+Fuzzy Force SculptureBilateral Hand UseFinger StrengthProprioceptionYou'll need: Cardboard · Container · Felt · Masking Tape · Pipe Cleaners · Scissors
Added Jan 11 · Ages 3+Tight Cardboard TiesBilateral Hand UseIntrinsic Muscle DevelopmentMotor PlanningYou'll need: Cardboard · Markers · Pencil · Pipe Cleaners · Scissors
Added Jan 10 · Ages 3 to 5Cardboard Crunch SlotBilateral Hand UseFinger StrengthMotor PlanningYou'll need: Cardboard · Masking Tape · Plastic Container · Scissors
Added Jan 10 · Ages 1 to 5Sticky Ribbon RescueBilateral Hand UsePincer GraspProprioceptionYou'll need: Container · Craft Sticks · Masking Tape · Ribbon · Yarn
Added Jan 9 · Ages 3 to 5Resistant Rip MuralBilateral Hand UseProprioceptionProximal StabilityYou'll need: Cardboard · Markers · Masking Tape · Scissors
Added Jan 9 · Ages 3 to 5Felt Resistance WallBilateral Hand UseProprioceptionProximal StabilityYou'll need: Cardboard · Craft Sticks · Felt · Glue · Scissors
Added Jan 9 · Ages 3+Kernel Mosaic CupBilateral Hand UseEye-Hand CoordinationPincer GraspYou'll need: Construction Paper · Container · Corn Kernels · Glue · Markers · Paper Cup
Added Jan 9 · Ages 3 to 5Paper Crease TunnelsBilateral Hand UseDistal Finger ControlVisual MotorYou'll need: Construction Paper · Egg Carton · Markers · Scissors
Added Jan 9 · Ages 3+Strong Punch Lacing BoardBilateral Hand UseFinger StrengthPincer GraspYou'll need: Cardboard · Hole Puncher · Markers · Scissors · Yarn
Added Jan 9 · Ages 3+Sticky Bean RescueBilateral Hand UseGraspProprioceptionYou'll need: Beans · Craft Sticks · Plastic Container · Theraputty · Tongs
Added Jan 8 · Ages 3+Plate Spin TargetsBilateral Hand UseEye-Hand CoordinationVisual TrackingYou'll need: Craft Sticks · Markers · Masking Tape · Paper PlateWhile 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 →