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 24 · Ages 1 to 5Sticky Wall RescueBilateral Hand UseCore StrengthShoulder StrengthTactile PerceptionYou'll need: Masking Tape · Tissue Paper
Added Jan 16 · Ages 3 to 5Tee Time SmashBilateral Hand UseEye-Hand CoordinationProprioceptionProximal StabilityYou'll need: Golf Ball Tees · Spoon · Styrofoam
Added Jan 4 · Ages 3+Sticky Spiderweb ChallengeBilateral Hand UseEye-Hand CoordinationProprioceptionSequencing+1 moreYou'll need: Basket · Masking Tape · Pom-poms
Added Jan 2 · Ages 3+Pillow Mountain Delivery ServiceBilateral Hand UseCore StrengthMotor PlanningProprioception+1 moreYou'll need: Basket · Blocks · Pillows
Added Oct 9 · Ages 3 to 5Sticky Pom-Pom PushBilateral Hand UseCrossing MidlineDistal Finger ControlFine Motor Control+2 moreYou'll need: Masking Tape · Pom-poms
Added Jun 24 · Ages 3 to 5Tacky Tape Pull-OffBilateral Hand UseEye-Hand CoordinationPincer ControlProximal Stability+1 moreYou'll need: Construction Paper · Masking Tape · Pom-poms · Stickers
Added Aug 9 · Ages 3+Color CodesBilateral Hand UseFine Motor ControlYou'll need: Crayons · Golf Ball Tees · Markers · Paper · Pegs · Pool Noodle
Added Aug 4 · Ages 3+Dinosaur FeetBilateral Hand UseFine Motor ControlVisual MotorYou'll need: Construction Paper · Scissors · Stickers
Added Jul 30 · Ages 3+Size TrianglesBilateral Hand UseFine Motor ControlFinger StrengthVisual MotorYou'll need: Construction Paper · Paper · Post-Its
Added Jul 7 · Ages 1 to 5Hatching EggBilateral Hand UseFine Motor ControlYou'll need: Construction Paper · Markers · Masking Tape · Scissors · Wiggle Eyes
Added Jul 2 · Ages 3 to 5Catch-a-BugBilateral Hand UseFine Motor ControlYou'll need: Basket · Shoe Box · Tongs · Yarn
Added Jun 17 · Ages 3+Flying UnicornBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+4 moreYou'll need: Glue · Hole Puncher · Paper · Paper Plate · Scissors · StringWhile 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 →