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 Nov 6 · Ages 3+Cap Twister RingsBilateral Hand UseDistal Finger ControlForearm SupinationYou'll need: Pipe Cleaners · Plastic Container · Scissors
Added Nov 1 · Ages 1 to 5Sticky Web SmashBilateral Hand UseFinger StrengthProprioceptionYou'll need: Construction Paper · Masking Tape · Tissue Paper
Added Oct 25 · Ages 1 to 5Playdough Candle PullBilateral Hand UseFine Motor ControlPincer GraspYou'll need: Craft Sticks · Playdough
Added Sep 30 · Ages 3+Crumple Pin BowlingBilateral Hand UseEye-Hand CoordinationFine Motor ControlGrasp+2 moreYou'll need: Ball · Masking Tape · Paper · Paper Roll
Added Sep 16 · Ages 1 to 5Tape Tear PuzzleBilateral Hand UseDistal Finger ControlFinger IsolationHand Arches/Separation+1 moreYou'll need: Cardboard · Masking Tape · Stickers
Added Aug 29 · Ages 3+Noodle Mountain RollBilateral Hand UseCrossing MidlineProximal StabilityVisual MotorYou'll need: Cardboard · Knife · Masking Tape · Ping Pong Ball · Pool Noodle
Added Aug 22 · Ages 3 to 5Carousel Clip SpinBilateral Hand UseDistal Finger ControlEye-Hand CoordinationFinger Isolation+3 moreYou'll need: Cardboard · Clothespins · Craft Sticks · Markers · Paper Plate · Pencil
Added Aug 19 · Ages 1 to 5Tower Sticker ChallengeBilateral Hand UseBody AwarenessFine Motor ControlMotor Planning+3 moreYou'll need: Boxes · Masking Tape · Paper · Stickers
Added Aug 5 · Ages 3+Fuzzy Stick TwisterBilateral Hand UseDistal Finger ControlFine Motor ControlHand Dexterity+2 moreYou'll need: Container · Craft Sticks · Markers · Pipe Cleaners
Added Aug 4 · Ages 3 to 5Sensory Squeeze LinesBilateral Hand UseDistal Finger ControlFine Motor ControlGrasp+3 moreYou'll need: Cardboard · Construction Paper · Rice · Scissors · Spoon · Tempera Paint · Ziplock Bag
Added Aug 3 · Ages 3 to 5Sticky Shape PressBilateral Hand UseEye-Hand CoordinationFine Motor ControlFinger Strength+6 moreYou'll need: Construction Paper · Craft Sticks · Markers · Masking Tape
Added Aug 2 · Ages 3+Stick Target LaunchBilateral Hand UseDistal Finger ControlEye-Hand CoordinationFine Motor Control+4 moreYou'll need: Boxes · Construction Paper · Craft Sticks · Masking Tape · Pom-pomsWhile 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 →