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 Feb 21 · Ages 3+Pom pom BirdBilateral Hand UseCuttingGraspHand Dexterity+2 moreYou'll need: Cardboard · Glue · Pom-poms · Scissors · Wiggle Eyes
Added Feb 17 · Ages 3+Recycled Jug CatcherBilateral Hand UseCuttingEye-Hand CoordinationHand Arches/Separation+3 moreYou'll need: Masking Tape · Milk Container · Newspaper · Scissors · Stickers
Added Feb 16 · Ages 3+Motor SpiderBilateral Hand UseCuttingFine Motor ControlGrasp+3 moreYou'll need: Egg Carton · Paint Brush · Pipe Cleaners · Scissors · Tempera Paint
Added Feb 15 · Ages 3+Mixed ClothespinsBilateral Hand UseDistal Finger ControlFinger StrengthGrasp+3 moreYou'll need: Cardboard · Clothespins · Crayons · Markers
Added Jan 25 · Ages 3+Ice Cream ScooperBilateral Hand UseActivities of daily living (ADL)CuttingEye-Hand Coordination+6 moreYou'll need: Construction Paper · Container · Ice Cream Scoop · Masking Tape · Playdough · Pom-poms · Scissors · Tissue Paper
Added Jan 24 · Ages 3+Clip the KitesBilateral Hand UseCuttingEye-Hand CoordinationVisual MotorYou'll need: Construction Paper · Crayons · Markers · Paper Clips · Scissors
Added Dec 22 · Ages 3 to 5Small Button BoxBilateral Hand UseActivities of daily living (ADL)Hand DexterityIn-hand Manipulation+3 moreYou'll need: Buttons · Coins · Container · Scissors · Velcro
Added Dec 21 · Ages 3+Cut Me a SliceBilateral Hand UseCuttingVisual MotorYou'll need: Construction Paper · Crayons · Glue · Paper Plate · Scissors
Added Dec 19 · Ages 3 to 5Fall LeavesBilateral Hand UseCrossing MidlineCuttingFine Motor Control+6 moreYou'll need: Construction Paper · Crayons · Glue · Leaves · Markers · Pen · Scissors · Tongs
Added Dec 18 · Ages 3+Wind SockBilateral Hand UseCuttingFine Motor ControlVisual MotorYou'll need: Craft Sticks · Glue · Masking Tape · Paper Roll · String · Tissue Paper
Added Dec 17 · Ages 3+Beads for AllBilateral Hand UseDistal Finger ControlFinger TranslationHand Arches/Separation+3 moreYou'll need: Beads · Lace
Added Dec 15 · Ages 3+Feed the BallBilateral Hand UseFinger StrengthFinger TranslationPincer GraspYou'll need: Beads · Beans · Coins · Tennis BallWhile 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 →