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 Apr 23 · Ages 3+Pool Noodle Dinner PrepBilateral Hand UseGraspSelf Help (Feeding)You'll need: Knife · Paper Plate · Pool Noodle
Added Apr 22 · Ages 1 to 5Rainbow Ribbon SpoolBilateral Hand UseIntrinsic Muscle DevelopmentMotor PlanningYou'll need: Basket · Masking Tape · Paper Roll · Ribbon · Spoon
Added Apr 20 · Ages 3 to 5Cosmic Tissue Bottle PushBilateral Hand UseFinger StrengthIntrinsic Muscle DevelopmentYou'll need: Bottle · Masking Tape · Pipe Cleaners · Tissue Paper
Added Apr 18 · Ages 3 to 5Sticky Balloon Treasure PeelBilateral Hand UsePincer GraspTactile PerceptionYou'll need: Balloon · Basket · Cotton Balls · Masking Tape
Added Apr 17 · Ages 3+Fire Breathing Dragon TubeBilateral Hand UseFine Motor ControlSensory ProcessingYou'll need: Glue · Markers · Paper Roll · Pom-poms · Tissue Paper
Added Apr 17 · Ages 3 to 5Cardboard Coin SlideBilateral Hand UseEye-Hand CoordinationPincer ControlYou'll need: Cardboard · Coins · Masking Tape · Paper Cup · Scissors
Added Apr 16 · Ages 3 to 5Vertical Bead Zip-LineBilateral Hand UseDistal Finger ControlProximal StabilityYou'll need: Beads · Cardboard · Masking Tape · Paper Roll · Pipe Cleaners · Scissors · Yarn
Added Apr 16 · Ages 3 to 5Zigzag Cardboard ExplorerBilateral Hand UseMotor PlanningVisual MotorYou'll need: Boxes · Cardboard · Index Cards · Knife · Markers · Masking Tape · Scissors
Added Apr 14 · Ages 3+Silver Foil Starry NightBilateral Hand UsePincer GraspVisual MotorYou'll need: Aluminum Foil Pan · Cardboard · Golf Ball Tees · Masking Tape
Added Apr 13 · Ages 1 to 5Secret Ribbon Loop TunnelBilateral Hand UseEye-Hand CoordinationPincer GraspYou'll need: Boxes · Masking Tape · Ribbon · Scissors · Stickers
Added Apr 12 · Ages 3+Foil Pan Hockey ChallengeBilateral Hand UseEye-Hand CoordinationFine Motor ControlYou'll need: Aluminum Foil Pan · Blocks · Craft Sticks · Marbles · Masking Tape
Added Apr 11 · Ages 3+Beaded Cup Wind ChimeBilateral Hand UseEye-Hand CoordinationPincer GraspYou'll need: Beads · Hole Puncher · Markers · Paper Cup · Scissors · Stickers · 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 →