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 Nov 13 · Ages 3+Yarn PaintingBilateral Hand UseCuttingHand DexterityPincer Grasp+1 moreYou'll need: Construction Paper · Paper Cup · Paper Plate · Scissors · Tempera Paint · Yarn
Added Nov 13 · Ages 1 to 5Push InsBilateral Hand UseCuttingEye-Hand CoordinationFinger Strength+1 moreYou'll need: Cardboard · Clothespins · Shoe Box
Added Nov 12 · Ages 3 to 5Rainbow FishBilateral Hand UseCuttingEye-Hand CoordinationGrasp+1 moreYou'll need: Glue · Markers · Paint Brush · Paper Plate · Scissors · Stickers · Tempera Paint
Added Nov 12 · Ages 3 to 5Birthday CakeBilateral Hand UseFinger StrengthPincer GraspProprioception+1 moreYou'll need: Pipe Cleaners · Playdough · Sequins · Straws · Theraputty
Added Nov 12 · Ages 3+Fall Foot TreeBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+2 moreYou'll need: Construction Paper · Glue · Markers · Pom-poms · Scissors · Tissue Paper
Added Nov 12 · Ages 3+Therapy SnowmanBilateral Hand UseCuttingFine Motor ControlGrasp+4 moreYou'll need: Construction Paper · Craft Sticks · Glue · Markers · Pom-poms · Scissors · Tissue Paper
Added Nov 12 · Ages 3+Multi Step ShamrockBilateral Hand UseCuttingEye-Hand CoordinationFinger Strength+5 moreYou'll need: Buttons · Construction Paper · Glue · Markers · Scissors · Tissue Paper · Tongs
Added Nov 12 · Ages 3+Big Tac ToeBilateral Hand UseCore StrengthCrossing MidlineCutting+9 moreYou'll need: Construction Paper · Markers · Masking Tape · Scissors
Added Oct 26 · Ages 3+StickplaneBilateral Hand UseFine Motor ControlFinger StrengthGrasp+6 moreYou'll need: Clothespins · Craft Sticks · Glue · Markers · Paint Brush · Stickers · Tempera Paint
Added Oct 26 · Ages 3+Sunflower HandprintBilateral Hand UseCuttingEye-Hand CoordinationFine Motor Control+3 moreYou'll need: Construction Paper · Glue · Markers · Pen · Scissors · Tempera Paint
Added Oct 26 · Ages 3+Busy BeeBilateral Hand UseCuttingFine Motor ControlMotor Planning+1 moreYou'll need: Construction Paper · Glue · Markers · Paper Towels · Pom-poms · Scissors · Stapler · Tissue Paper
Added Oct 26 · Ages 3+Paper FishBilateral Hand UseCuttingFine Motor ControlGrasp+3 moreYou'll need: Buttons · Construction Paper · Craft Sticks · Glitter Glue · Glue · Markers · Paper Plate · Pom-poms · Scissors · Sequins · Stamps · 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 →