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 8 · Ages 6+Foam Sheet ArchitectBilateral Hand UseCuttingMotor PlanningYou'll need: Foam Sheets · Golf Ball Tees · Markers · Plastic Container · Scissors
Added Jan 7 · Ages 3 to 5Slot Stuff HedgehogBilateral Hand UseFinger StrengthPincer GraspYou'll need: Construction Paper · Craft Sticks · Markers · Paper Roll · Scissors
Added Jan 6 · Ages 3 to 5Pocket Post OfficeBilateral Hand UsePincer GraspProprioceptionYou'll need: Container · Craft Sticks · Playdough · Pom-poms · Tongs
Added Jan 6 · Ages 3 to 5Fence Post PushBilateral Hand UsePincer ControlProprioceptionYou'll need: Cardboard · Container · Craft Sticks · Markers · Scissors
Added Jan 5 · Ages 3+Line Up ClipsBilateral Hand UseFinger StrengthPincer GraspYou'll need: Clothespins · Construction Paper · Craft Sticks · Markers · String
Added Jan 4 · Ages 3+Finger Path PlacementsBilateral Hand UseHand Arches/SeparationPincer GraspYou'll need: Construction Paper · Markers · Pom-poms
Added Jan 1 · Ages 6+Cardboard Link StructuresBilateral Hand UseCuttingMotor PlanningYou'll need: Cardboard · Markers · Scissors
Added Dec 27 · Ages 3+Card Scroll BuildersBilateral Hand UseIntrinsic Muscle DevelopmentPincer ControlYou'll need: Container · Index Cards · Pencil · Stickers
Added Dec 25 · Ages 3+Lid Lacing ChallengeBilateral Hand UseEye-Hand CoordinationIntrinsic Muscle DevelopmentYou'll need: Foam Sheets · Golf Ball Tees · Markers · Masking Tape · Plastic Container · Yarn
Added Dec 24 · Ages 3+Clip Chain CreationBilateral Hand UseEye-Hand CoordinationPincer ControlYou'll need: Basket · Construction Paper · Markers · Paper Clips · String · Yarn
Added Dec 23 · Ages 3+Band Launcher TargetBilateral Hand UseProprioceptionVisual MotorYou'll need: Cardboard · Container · Craft Sticks · Masking Tape · Pom-poms
Added Dec 22 · Ages 3 to 5Precision Button DropBilateral Hand UseEye-Hand CoordinationPincer GraspYou'll need: Buttons · Construction Paper · Glue · 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 →