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 Jun 1 · Ages 3+Thumb Flick Target GameBilateral Hand UseDistal Finger ControlEye-Hand CoordinationPincer Control+3 moreYou'll need: Buttons · Index Cards · Masking Tape · Plastic Container
Added May 16 · Ages 3+Coil Wrap PrecisionBilateral Hand UseDistal Finger ControlFine Motor ControlIn-hand Manipulation+3 moreYou'll need: Craft Sticks · Markers · Pipe Cleaners · Plastic Container · Stickers
Added May 10 · Ages 3+Foil Comet TossBilateral Hand UseEye-Hand CoordinationFine Motor ControlFinger Strength+3 moreYou'll need: Aluminum Foil · Cardboard · Container · Masking Tape · String
Added May 5 · Ages 3 to 5Twisty Cap MatchBilateral Hand UseFine Motor ControlForearm PronationForearm Supination+4 moreYou'll need: Bottle · Buttons · Markers · Plastic Container
Added May 2 · Ages 3+Confetti RainmakersBilateral Hand UseDistal Finger ControlFine Motor ControlHand Dexterity+2 moreYou'll need: Construction Paper · Hole Puncher · Paper Cup · Tongs
Added Apr 8 · Ages 3+Foil River Rock TossBilateral Hand UseEye-Hand CoordinationFinger StrengthGrasp+2 moreYou'll need: Aluminum Foil · Markers · Masking Tape · Paper Cup · Plastic Container
Added Mar 15 · Ages 3 to 5Plate Cymbal MarchBilateral Hand UseEye-Hand CoordinationPincer ControlSequencing+1 moreYou'll need: Hole Puncher · Paper Plate · Pipe Cleaners
Added Mar 6 · Ages 3 to 5Paper Roll Snip MonsterBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+3 moreYou'll need: Glue · Markers · Paper Roll · Scissors · Wiggle Eyes
Added Feb 17 · Ages 3 to 5Squeeze Noodle MakerBilateral Hand UseFine Motor ControlFinger StrengthForearm Pronation+4 moreYou'll need: Paper Plate · Playdough · Ziplock Bag
Added Feb 10 · Ages 1 to 5Sticky Shape RescueBilateral Hand UseCrossing MidlineEye-Hand CoordinationMotor Planning+1 moreYou'll need: Construction Paper · Foam Sheets · Index Cards · Masking Tape
Added Feb 1 · Ages 1 to 3Fuzzy Stick PostboxBilateral Hand UseEye-Hand CoordinationFine Motor ControlGrasp+2 moreYou'll need: Cardboard · Pipe Cleaners
Added Jan 25 · Ages 3 to 5Rainbow Tissue JarBilateral Hand UseEye-Hand CoordinationFine Motor ControlIntrinsic Muscle DevelopmentYou'll need: Jar · Tissue PaperWhile 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 →