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 18 · Ages 3 to 5Pincer PenguinBilateral Hand UseBody AwarenessHand DexterityIn-hand Manipulation+4 moreYou'll need: Glue · Pom-poms · Wiggle Eyes
Added Aug 14 · Ages 3+Acorn StamperBilateral Hand UseCuttingFine Motor ControlFinger Strength+11 moreYou'll need: Beans · Construction Paper · Cotton Balls · Crayons · Glue · Leaves · Markers · Q-Tips · Scissors · Sponge · Tempera Paint
Added Aug 7 · Ages 3+Rainbow of SkillsBilateral Hand UseCuttingFinger StrengthHand Dexterity+2 moreYou'll need: Construction Paper · Glue · Paper Plate · Pen · Scissors
Added Aug 4 · Ages 3+Fruit BuildingBilateral Hand UseTripod GraspYou'll need: Fruit · Toothpicks
Added Aug 3 · Ages 3+Lacing PicturesBilateral Hand UseMotor PlanningPincer GraspSequencingYou'll need: Hole Puncher · Index Cards · Lace
Added Jul 29 · Ages 3+Fine Motor Marble MazeBilateral Hand UseFine Motor ControlFinger IsolationVisual Motor+1 moreYou'll need: Cardboard · Glue · Marbles · Scissors · Straws · Ziplock Bag
Added Jul 13 · Ages 3+Paper Roll CaterpillarBilateral Hand UseCuttingFine Motor ControlHand Dexterity+3 moreYou'll need: Felt · Finger Paint · Glue · Paint Brush · Paper Roll · Pipe Cleaners · Scissors · Tempera Paint · Wiggle Eyes
Added Jul 6 · Ages 3+Forky from Toy StoryBilateral Hand UseGraspPincer GraspYou'll need: Craft Sticks · Glue · Markers · Pipe Cleaners · Playdough · Scissors · Spoon · Wiggle Eyes
Added Jul 5 · Ages 3+Colorful Flower ArtBilateral Hand UseCuttingVisual MotorYou'll need: Glue · Paint Brush · Paper Roll · Scissors · Tempera Paint · Tissue Paper
Added Jun 29 · Ages 3+Marble Painting The American FlagBilateral Hand UseEye-Hand CoordinationFine Motor ControlVisual MotorYou'll need: Aluminum Foil Pan · Construction Paper · Container · Marbles · Masking Tape · Scissors · Tempera Paint
Added Jun 25 · Ages 3+Caterpillar ClipsBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+4 moreYou'll need: Clothespins · Construction Paper · Glue · Markers · Pom-poms · Scissors · Tweezers · Wiggle Eyes
Added Jun 24 · Ages 3 to 5Cut the LineBilateral Hand UseCuttingYou'll need: Construction Paper · Index Cards · Markers · Ruler · Scissors · StickersWhile 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 →