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 24 · Ages 3 to 5Straw NecklacesBilateral Hand UseCuttingHand Arches/SeparationPincer Control+1 moreYou'll need: Masking Tape · Scissors · Straws · String · Yarn
Added Jun 23 · Ages 3+Stick AnimalsBilateral Hand UseEye-Hand CoordinationFine Motor ControlFinger Strength+3 moreYou'll need: Craft Sticks · Glue · Markers · Pipe Cleaners · Scissors · Stickers
Added May 17 · Ages 1 to 5Toss it Catch itBilateral Hand UseEye-Hand CoordinationShoulder StrengthUpper Body StrengthYou'll need: Ball · Bean Bag · Blanket · Stuffed Animal
Added May 14 · Ages 3+Paper Plate WebBilateral Hand UseCuttingEye-Hand CoordinationFinger Strength+4 moreYou'll need: Construction Paper · Hole Puncher · Paper Plate · Pipe Cleaners · Scissors · Yarn
Added Apr 15 · Ages 3 to 5Easter Eggs MatchBilateral Hand UseProprioceptionVisual PerceptionYou'll need: Construction Paper · Crayons · Easter Eggs · Egg Carton · Markers · Paper · Scissors
Added Apr 13 · Ages 3+Hang Up a PatternBilateral Hand UseCrossing MidlineEye-Hand CoordinationFinger Strength+3 moreYou'll need: Clothespins · Hanger · Index Cards · Paper · Stickers
Added Mar 16 · Ages 3 to 5Paper Bag FishBilateral Hand UseCuttingFinger StrengthGrasp+4 moreYou'll need: Construction Paper · Cotton Balls · Crayons · Glue · Markers · Newspaper · Paint Brush · Paper Bag · Ribbon · Scissors · Sponge · Tempera Paint · Wiggle Eyes · Yarn
Added Mar 15 · Ages 3+Hats for AllBilateral Hand UseCuttingVisual MotorYou'll need: Construction Paper · Glue · Hole Puncher · Lace · Markers · Paper Plate · Scissors · Stapler
Added Mar 9 · Ages 3+Finger Puppet MouseBilateral Hand UseCuttingEye-Hand CoordinationVisual MotorYou'll need: Construction Paper · Glue · Pen · Scissors · Wiggle Eyes
Added Feb 28 · Ages 3+Your Very Own Fish TankBilateral Hand UseCuttingFinger StrengthHand Arches/Separation+2 moreYou'll need: Construction Paper · Glue · Hole Puncher · Oats · Scissors
Added Feb 25 · Ages 3+Cut Me a TreeBilateral Hand UseCrossing MidlineCuttingFine Motor Control+3 moreYou'll need: Construction Paper · Foam Sheets · Glue · Markers · Scissors · Stickers
Added Feb 22 · Ages 3 to 5TP Roll SnakeBilateral Hand UseCuttingFine Motor ControlFinger Strength+6 moreYou'll need: Buttons · Construction Paper · Crayons · Glue · Markers · Paint Brush · Paper Roll · Q-Tips · Scissors · Tempera Paint · Tissue Paper · Wiggle EyesWhile 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 →