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 May 24 · Ages 6+Puppy Tug ToysBilateral Hand UseEye-Hand CoordinationFine Motor ControlIdeation+2 moreYou'll need: Fabric · Scissors
Added May 23 · Ages 3+Buttoning BoardBilateral Hand UseActivities of daily living (ADL)Eye-Hand CoordinationFine Motor ControlYou'll need: Buttons · Cardboard · Felt · Glue · Markers · Scissors
Added May 15 · Ages 3 to 5Button The ShapesBilateral Hand UseActivities of daily living (ADL)Eye-Hand CoordinationVisual PerceptionYou'll need: Buttons · Construction Paper · Container · Fabric · Felt · Markers · Pipe Cleaners · Plastic Container · Scissors
Added May 15 · Ages 3 to 5Pizza PartyBilateral Hand UseFine Motor ControlFinger StrengthTactile PerceptionYou'll need: Buttons · Leaves · Playdough · Pom-poms · Tempera Paint
Added May 14 · Ages 3 to 5“The Claw”Bilateral Hand UseCuttingGraspWrist Extension+1 moreYou'll need: Beans · Boxes · Markers · Masking Tape · Paper Roll · Scissors · Stapler · Yarn
Added Apr 20 · Ages 3+Ice Cube HandwashBilateral Hand UseActivities of daily living (ADL)Fine Motor ControlIn-hand Manipulation+1 moreYou'll need: Beads · Ice Cube Tray
Added Apr 19 · Ages 3 to 5Cooking French FriesBilateral Hand UseCuttingFine Motor ControlFinger Strength+2 moreYou'll need: Construction Paper · Markers · Paper Cup · Scissors · Tongs
Added Apr 17 · Ages 3+Build with MeBilateral Hand UseCuttingEye-Hand CoordinationVisual Motor+1 moreYou'll need: Construction Paper · Scissors
Added Apr 7 · Ages 3+Easter Egg Hunt with SpoonsBilateral Hand UseEye-Hand CoordinationMotor PlanningSensory Processing+4 moreYou'll need: Basket · Easter Eggs · Spoon
Added Apr 3 · Ages 3+Snowflake SistersBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+4 moreYou'll need: Glue · Markers · Paint Brush · Paper · Salt · Sand · Scissors
Added Apr 2 · Ages 3 to 5Ballgown JewleryBilateral Hand UseEye-Hand CoordinationFine Motor ControlFinger Strength+2 moreYou'll need: Bottle · Bowl · Ice Cube Tray · Spoon · Squirt Bottle
Added Apr 1 · Ages 3+DIY Abacus Counting Frame (Rack Rack)Bilateral Hand UseEye-Hand CoordinationFine Motor ControlYou'll need: Beads · Buttons · Paper Roll · Pencil · Pipe Cleaners · 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 →