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 Sep 4 · Ages 3 to 5Foil Tray Button SlideBilateral Hand UseCrossing MidlineVisual MotorYou'll need: Aluminum Foil · Aluminum Foil Pan · Buttons · Markers
Added Aug 31 · Ages 3 to 5Spaghetti Baking Cup ForestBilateral Hand UsePincer GraspVisual MotorYou'll need: Baking Cups · Buttons · Glue · Markers · Paper Plate · Playdough · Spaghetti
Added Aug 29 · Ages 1 to 5Sticker Puppet RescueBilateral Hand UsePincer ControlYou'll need: Markers · Paper Bag · Stickers
Added Aug 21 · Ages 3 to 5Taped Paper Roll Wind-UpBilateral Hand UseEye-Hand CoordinationForearm SupinationYou'll need: Markers · Masking Tape · Paper Roll · Yarn
Added Aug 19 · Ages 3 to 5Confetti Cupcake DecoratorBilateral Hand UseFinger StrengthPincer ControlYou'll need: Baking Cups · Cardboard · Glue · Hole Puncher · Markers · Paper · Tongs
Added Aug 17 · Ages 3+Rainbow Ribbon Wall WeaveBilateral Hand UseMotor PlanningShoulder StrengthYou'll need: Cardboard · Markers · Masking Tape · Ribbon · Scissors
Added Aug 15 · Ages 3 to 5Foil Caterpillar MatchBilateral Hand UseFinger StrengthPincer GraspYou'll need: Aluminum Foil · Clothespins · Markers
Added Aug 9 · Ages 3 to 5Ribbon Ring SqueezeBilateral Hand UsePincer ControlYou'll need: Cardboard · Markers · Masking Tape · Paper Roll · Ribbon · Scissors
Added Aug 6 · Ages 3 to 5Foam Garden Button PushBilateral Hand UseEye-Hand CoordinationPincer GraspYou'll need: Buttons · Foam Sheets · Markers · Scissors
Added Aug 4 · Ages 3+Shimmering Foil Scale MatchBilateral Hand UseEye-Hand CoordinationPincer ControlYou'll need: Aluminum Foil · Cardboard · Glue · Markers · Scissors
Added Aug 2 · Ages 1 to 5Foil Bead Wrap RescueBilateral Hand UseIntrinsic Muscle DevelopmentPincer GraspYou'll need: Aluminum Foil · Beads · Bowl · Tray
Added Jul 29 · Ages 1 to 5Sticky Bottle Bead RollBilateral Hand UsePincer GraspProprioceptionYou'll need: Beads · Bottle · Masking Tape · Plastic ContainerWhile 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 →