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 Aug 1 · Ages 3+Resistance Band RescueBilateral Hand UseFine Motor ControlHand Arches/SeparationPincer Grasp+2 moreYou'll need: Container · Markers · Pipe Cleaners
Added Jul 6 · Ages 3+Foil Drip MazeBilateral Hand UseDistal Finger ControlEye-Hand CoordinationForearm Supination+4 moreYou'll need: Aluminum Foil · Cardboard · Container · Eyedropper · Food Coloring · Markers · Water
Added Jul 4 · Ages 3 to 5Stick Flag ThreadBilateral Hand UseDistal Finger ControlEye-Hand CoordinationGrasp+3 moreYou'll need: Craft Sticks · Index Cards · Markers · Paper Roll · Scissors
Added Jun 22 · Ages 6+Clip Straightener PostsBilateral Hand UseFine Motor ControlFinger StrengthGrasp+4 moreYou'll need: Paper Clips · Paper Plate · Playdough
Added Jun 20 · Ages 3 to 5Tear Tape ArtBilateral Hand UseFine Motor ControlFinger StrengthGrasp+3 moreYou'll need: Construction Paper · Markers · Masking Tape · Plastic Container
Added Jun 15 · Ages 3+Pillow Bridge BalanceBilateral Hand UseCore StrengthEye-Hand CoordinationGrasp+2 moreYou'll need: Craft Sticks · Paper Cup · Pillows
Added Jun 14 · Ages 3+Ribbon Ring TieBilateral Hand UseDistal Finger ControlEye-Hand CoordinationFine Motor Control+2 moreYou'll need: Cardboard · Hole Puncher · Plastic Container · Ribbon
Added Jun 13 · Ages 1 to 5Squeeze Slot Mail DropBilateral Hand UseFine Motor ControlHand DexterityIntrinsic Muscle Development+3 moreYou'll need: Construction Paper · Container · Index Cards · Markers · Masking Tape
Added Jun 12 · Ages 3 to 5Vertical Tape ReliefBilateral Hand UseFine Motor ControlFinger StrengthIntrinsic Muscle Development+4 moreYou'll need: Cardboard · Markers · Masking Tape · Plastic Container · Stickers
Added Jun 11 · Ages 6+Fringe Card WeaveBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+1 moreYou'll need: Glue · Index Cards · Markers · Scissors · Yarn
Added Jun 8 · Ages 1 to 5Resistant Tear FeedBilateral Hand UseFinger StrengthGraspProprioception+3 moreYou'll need: Cardboard · Construction Paper · Container · Masking Tape
Added Jun 5 · Ages 3 to 5Sticky Forest BuildBilateral Hand UseFine Motor ControlPincer GraspProximal StabilityYou'll need: Cardboard · Container · Pipe Cleaners · VelcroWhile 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 →