Skill: Forearm Pronation

Turning the forearm so the palm faces down. We need this movement to type on a keyboard, pour from a pitcher, or dribble a ball.

Twisty Cap Match

Twisty Cap Match

Steps:

  • Use markers to draw matching colors or simple patterns (like stripes or dots) onto the plastic bottle caps and the tops of the bottles.
  • Place one small button inside each empty plastic bottle. This gives auditory feedback when the cap is removed.
  • Challenge your child to hold the bottle firmly with their helper hand to keep it stable on the table.
  • Use the dominant hand to pick up the cap and twist it tightly onto the matching bottle. Focus on smooth, repetitive wrist twisting.
  • Once all caps are on, practice twisting them off quickly to ‘rescue’ the buttons inside. Put the buttons back in the container to start a new round.

Safety Tip:
Buttons are small items. Always supervise children closely during this activity to prevent a choking hazard.

Squeeze Noodle Maker

Squeeze Noodle Maker

Steps:

  • Adult Step: Take a Ziplock Bag and cut a tiny corner (less than 1/4 inch) off the bottom corner. Roll a soft piece of Playdough into a log shape and place it inside the bag, pushing it toward the cut corner.
  • Place the Paper Plate on the table. Show your child how to hold the top of the bag securely with their helper hand to provide proximal stability.
  • Encourage your child to use their dominant hand to squeeze the Playdough firmly downward, forcing the dough through the tiny hole to create ‘spaghetti noodles’ on the plate. Cheer on their strong effort!

Safety Tip:
Constant adult supervision is required. Ensure the Ziplock bag and any loose pieces of extruded dough are monitored and not placed in the mouth, as they pose a choking hazard.

Nuts and Bolts Tripod Grasp

Activity Steps

  1. Preparation: Place a variety of nuts and bolts on a table or tray. If your child is new to this skill, start with just 2 or 3 large pairs to keep it successful and frustration-free.

  2. Sort and Match: Ask your child to dig through the pile to find a “match” (one nut and one bolt that fit together). This helps them practice visual discrimination to tell the difference between sizes.

  3. The Assembly: Have your child hold the bolt steady in one hand (their “helper hand”). With their dominant hand, encourage them to pick up the nut using their thumb, index, and middle finger. This is the tripod grasp.

  4. Twist and Turn: Ask them to screw the nut onto the bolt. Watch to see if they can use their fingers to rotate the nut rather than moving their whole arm or shoulder.

  5. Unscrew: Once they are all assembled, taking them apart is just as valuable! It uses different muscle groups and extends the play.

Leveled Cup

Fill the empty water bottle with colored water using food coloring.

Use different color masking tape or markers to mark water levels on the paper cups.

Make sure to mark the levels on the higher side. This will help achieve full forearm pronation.

Ask the child to take the filled bottle and fill the cups up until the water reaches the marker.

Encourage proper pronation of the wrist while filling the paper cups.

For grading, use a squirt bottle to work on finger strengthening as the child is squeezing the water out of the bottle to fill up the cups.

Ice Cream Scooper

Use brown, yellow, or white construction paper. Draw a 1/4 of a circle with a six-inch radius, and ask the child to cut the shape out. If needed, make the line bolder to increase accuracy. If using white paper, you can let the child color/paint it in any color he wishes to.

Assist the child as needed to fold the 1/4 circle into a cone shape. Secure with tape.

Provide the child with tissue paper sheets that are at least 5″ x 7″ in size. Instruct the child to crumble each sheet into a ball (scoop), and place it in the container.

Have the child hold the ice cream scoop in his dominant hand and the cone in his other hand. Instruct the child to scoop the paper balls one at a time, using the ice cream scoop, and put it into the cone.

Using strips of construction paper in different colors, ask the child to tear small pieces to use as sprinkles. Promote pincer grasp by having the child pick up one piece at a time to sprinkle on his ice cream.

To grade the activity, use different ice cream scoops (i.e. with the thumb lever, spring-loaded handle, etc.) or other materials for ice cream, such as pom-poms or play-dough.