Hand Swapping Issues?

Hand Swapping is a normal developmental stage in infants and young children and therefore, at this stage, not a sign that a child is uncertain of their dominant hand. However, this is not ideal for a child who has started school.

Hand swapping throughout a task is not necessarily a sign that a child is uncertain of their dominant hand.

There are two routes to tackling the hand swapping issue, the one to use depends on your answers to the following questions.

1. Does the child usually start with the one hand and then swap when that hand gets tired?

You can usually tell if this is the case because they may shake out or rub the tired hand and once it is rested go back to using it again. This is probably because their fine motor skills are weak. Through focused games and activities (https://teachhandwriting.co.uk/gross-and-fine-motor-skills-games.html#hand-finger), the muscle strength and dexterity can be gradually built up in the dominant hand, which in turn will build their stamina so that the hand swapping will reduce until they stop it altogether.

Once you are sure of dominance gently discourage swapping hands by taking a break from the activity and coming back to it a couple of minutes later using the preferred hand.

2. Does the child use their left hand if items are presented on their left-hand side and their right hand if they are presented on the right-hand side?

In toddlers and young children this is expected. In older children however it could mean that they have developed a delay in their skill to cross the mid-line point. This developmental bilateral coordination skill is vital to develop and can be addresses through a range of simple games and activities (https://teachhandwriting.co.uk/gross-and-fine-motor-skills-games.html#bilateral-coordination).

You can check a child’s hand and finger strengths (fine motor skills) and their bilateral coordination (gross motor skills) using our Key Strengths Assessment (https://teachhandwriting.co.uk/the-four-essential-strengths.html).

The Right Handwriting Tool for the Job!

As with learning any new skill the right tool at the right time can make a real difference to the whole learning experience as well as the outcome. Learning to handwrite is no different.

Young children due to their gross and fine motor skills ability require chunky shafted tools so that they can grip them effectively. This means they have a greater control over the tool and can achieve a more satisfactory outcome. If they are using a tool that is too thin they will find gripping it difficult and have to keep changing their grip. They will have less control of the tool making the experience disappointing at best and discouraging at worst.

To help young children to store patterns and letter shapes formation into their motor memory it is important that the tools used provide a resistance rather than one that flows effortlessly over the writing/drawing surface. The greater the resistance the more the body can neurologically acknowledge (feel) the movement and help to send appropriate information to the brain.

Some of the best tools for young children to begin learning to draw patterns, shapes and correctly write letters:

  • Chalk on boards, walls or paths
  • Flip chart pens or large felt tips on course paper such as sugar paper
  • Using appropriately sized paint brushes on course paper or surfaces
  • Finger painting or finger drawing in sand, paint or cornflour mix
  • Finger tracing and then trying to draw the pattern, shape or letter straight afterwards.
  • Try chalking the shape or letter onto a blackboard and have the child use a damp sponge to wipe it off again (make sure the child starts in the correct place and moves correctly around the shape or letter to the correct finish point).
  • Appropriately sized crayons and pencils on course paper or card (non-shiny side of cereal boxes and corrugated card can be good fun and different to use).

As children begin a more formal approach to learning to form their letters correctly then appropriately sized and lead grade pencils are the best tool for the job. Pencil come in all widths, lengths and shapes. The key is to find the style of pencil which best suits the child and their stage of pencil grip development. Remember one size doesn’t fit all!

When a child has learnt to join their letters and has a good and consistent letter size and places all their letters on the writing line correctly in relation to each other, then it maybe they are ready to be moved to pen. It is important before moving t child to pen that they are writing with speed (appropriate for their age) and fluidity (comfortable writing all the letters of the alphabet lower and upper case correctly). A child whose handwriting is slow and laboured may need additional support and time before being moved on to pen.

Spring/Easter Drawing Activity Ideas – Supporting Language & #Pre-handwriting Pattern Development

The Easter holiday break is upon us!

We have put together some quick step by step Easter drawing ideas for you to try, using basic shapes such as circles, rectangles and triangles. It is amazing how, by using these simple shapes, you and your child can create fantastic Spring/Easter: cards, pictures mobiles or bunting: http://bit.ly/2kyeo3w

Drawing pictures is a great way to help your child develop their pre-handwriting strokes and shape forming skills. As well as supporting shape, colour, pattern and language development.

Does Your Child Have Weak Hands?

There have been many articles over the last few years reporting the fact that children are struggling to hold pencils correctly for handwriting and drawing. The reasoning for this is more often than not based on our children’s use of technology and the effect this has on their hand strength and finger dexterity (Fine Motor Skills).

Poor fine motor skills and hand strength not only affects a child’s ability to learn and develop a good handwriting style it can make other grip patterns difficult to master as well. Power, precision, stability or a combination of all three are needed by children to compete everyday tasks such as dressing, picking up and carrying objects (especially small items), using a knife & fork, other tools and scissor skills.

To assess your child’s hand, finger strength and dexterity check out our assessment page: http://bit.ly/2C7xYwq

To improve their overall hand and finger strength check out our hand and finger strength and dexterity games:  http://bit.ly/2FhFkR7

Learning to hold a pencil in an appropriate grip is not the only grip style your child needs to develop, especially once they have started school. They will need to develop those which enable them to effectively use scissors as well as a knife and fork. If your child struggles with these activities it may be that they need to be taught how to form the grips correctly (as bad habits develop quickly and are difficult to change) or develop the appropriate hand and finger skills.

How to Hold Scissors

The tip of the thumb is in the top hole of the scissor handle while the tip of the middle finger is in the bottom hole. The index finger is on the bottom edge of the lower handle supporting and stabilising the scissors. The ring and little finger are curled into the palm (except if you are using large scissors as then they will fit in the bottom hole of the handle with the middle finger, to help create the cutting action).

The non-cutting hand should support the paper or item being cut; the thumb is on top of the paper and the fingers underneath, steadying and moving the paper.

How to Hold a Knife & Fork

The handle of the knife or fork lies diagonally across the top section of the palm. The ring and little finger wrap around the handle, the thumb sits on the side of the handle, while the index finger sits flat and straight on the back of the handle. The middle finger curls slightly around the handle so that when the wrist twists round, so that the knife blade edge or prongs of the fork are facing down towards the plate, the handle rests on the top middle finger joint area.

Poor hand position can cause a poor pen grip

We often talk about the most appropriate grip for handwriting being the tripod grip; but this usually only refers to finger position. It is easy to forget the importance of the actual hand position in relation to the pen and paper for handwriting.

The ideal position is for the hand, wrist and elbow to be below the tip of the pencil and under the writing line for both left and right-handed writers.

Some children will hold the pencil in a tripod grip but develop a hooked hand position or move the elbow too far up the table, causing the forearm and wrist to be nearly horizontal with the table edge, because they feel they can see what they are writing more clearly.

A hooked grip puts unnecessary strain on the hand ligaments and forces the body into a poor sitting position, again putting extra strain on the body. This in turn makes handwriting a tiring and uncomfortable task, impacting on a child’s overall learning experience.

It takes time to correct a poor hand position but it is well worth the perseverance as it will enable a child to write freely and more comfortably.

When writing normally, encourage children to angle the paper appropriately as this will also help to correct a poor hand position. With the correct paper tilt they will always be able to see what they are writing. If the paper is tilted at the correct angle for them, they will find a hooked hand position, or having their forearm further up the table, more difficult and uncomfortable to maintain.

Some children will find writing on a sloped desk helpful. Not all are comfortable writing or drawing on a flat surface and may benefit from the paper being positioned on an angled or sloped board. If you are not sure, instead of buying a specialist board, you could make one. Try using a ring binder or lever arch file stuffed with magazines and newspaper to make a sloped board. Tape the edges to stop the papers falling out or you could cover it in sticky back plastic to give a smoother finish to the board. The advantage of this is that you can make them to any angle of slope. Try a few to see which, if any, your child prefers. You may find that they only need the sloped board for a short while. It may also help to reduce the angle of the slope over time so that they gradually get used to moving from a sloped to horizontal writing plane.

The Adaptive Tripod Pencil Grip for #Handwriting

The Adaptive Tripod pencil grip is identical to the Dynamic Tripod grip (still considered the most appropriate for handwriting) in that the pencil is held between the tip of the thumb and index finger and rests on the middle finger. The main difference is that the shaft of the pencil rests in the ‘V between the index and middle finger. This gives an open web space which allows the fingers to move freely so that a fluid handwriting style can be achieved.

This grip is often more appropriate for children who have low muscle tone or hyper mobility of the finger joints. It can also benefit older children who:

  • Continue to hold a pencil too tightly
  • Hold the pencil lightly using just their fingertips (often writing using whole arm movements)
  • Hold a pencil with their thumb wrapped around and across the pencil and index finger.

Changing to the Adaptive Tripod grip is not a quick fix for children who have poor hand and finger strength. These strengths still need to be developed to make handwriting more comfortable.

How to form the Adaptive Tripod Grip for Right & Left-handed Writers

From the research I have done I cannot find any information that the grip needs to be adapted for left-handed writers. So, our step by step guide applies to both left and right-handed writers and can be accessed using the following link and scrolling down the page:  http://bit.ly/2XpuI8I

The Quadrupod Grip for #Handwriting

Last week we explained, that this grip is classified as an efficient grip for handwriting.

This grip may not put as much stress on the finger joints as other inefficient grips but it does restrict finger movements and therefore the fluidity of the handwriting.

The Quadrupod Grip is where the pencil is held between the top of the thumb, index and middle fingers and rests on the ring finger with the little finger slightly curled in.

I would normally see this as a developmental transitional pencil grip in younger children as they then move on to develop a Dynamic Tripod Grip, considered the most appropriate grip for handwriting.

Older children who have not moved on to develop the tripod grip may require more focused support in developing gross and/or fine motor skills. It is important to check that they are sitting correctly at the table and that the paper is positioned and tilted correctly for them. If they have a poor sitting posture it may be that extra work needs to be done on helping them to develop their gross motor skills. If this area seems fine then it could be that their fine motor skills require additional attention. See our ‘Key strengths needed for handwriting’ section for more information: https://www.teachhandwriting.co.uk/handwriting-key-strengths.html

It can be very difficult to get an older child to change their pencil grip especially if the old grip, like the Quadrupod Grip, is very similar to the new Dynamic Tripod Grip. This is when it becomes difficult to know whether to continue to try and make a child change their pencil grip or not.

I think what we have to remember is:

“A pencil hold that provides speed, legibility is comfortable and will not cause harm to the joints of the hand over time. If a hold satisfies these criteria there is no need to change it”

(Benrow 2002, cited A Wagenteld, J Kaldenberg (co-editors), 2005: Foundation of Paediatric Practice for the Occupational Therapy Assistant; Pub: Slack Incorporated, ISBN-10:1-55642-629-1)

So if the child is complaining that their hand or fingers hurt or ache when they use the Quadrupod Grip, or that it is hindering their handwriting fluidity and speed, then we do need to support them in changing their grip. For some it may be more appropriate to introduce them to the Adaptive Tripod Grip rather than trying to force them to use the Dynamic Tripod Grip.

We have to remember that every child is different and try our best to cater to their needs rather than our own preferences.  

Alternative Pencil Grips for #Handwriting

We thought we would re-run this series of articles due to the number of questions we receive regarding pencil grips and what is OK or NOT.

What is an efficient pencil grip?

“A pencil hold that provides speed, legibility is comfortable and will not cause harm to the joints of the hand over time. If a hold satisfies these criteria there is no need to change it”

(Benrow 2002, cited: Foundation of Paediatric Practice for the Occupational Therapy Assistant, 2005)

The above publication, and those listed at the end of the articles, explain that there are three efficient pencil grips for handwriting:

1. The Dynamic Tripod Grip is still the most appropriate grip for handwriting (we looked at this last week using our ‘Drawbridge Flip’ method), for those with good fine motor skills, as it allows the fingers to move freely; so the writer can form the letters more smoothly.

2. The Quadrupod Grip, this grip is a little more restrictive because the fingers cannot move as freely as they would if using the Tripod grip.

3. The Adaptive Tripod Grip, developed by the Belgian Neurologist Callewaert in 1963 (cited, Ann-Sofie Selin 2003) is a functional though not conventional grip for handwriting. This grip is often more appropriate to use with children who have low muscle tone or hyper mobility of the finger joints. It can also benefit older children who continue to hold a pencil too tightly, or who hold the pencil lightly using just their fingertips (often writing using whole arm movements), as well as those children who hold a pencil with their thumb wrapped around and across the pencil and index finger.

Over the next couple of weeks we will look more closely at grips 2 and 3.

Bibliography

Ann-Sofie Selin, 2003: Pencil Grip A Descriptive Model and Four Empirical Studies; Abo Akademi University Press

A Wagenteld, J Kaldenberg (co-editors), 2005: Foundation of Paediatric Practice for the Occupational Therapy Assistant; Pub: Slack Incorporated, ISBN-10:1-55642-629-1

Web-sites:

https://www.ot-mom-learning-activities.com/correct-pencil-grasp.html

https://www.otplan.com/articles/pencil-grasp-patterns.aspx

https://www.pediastaff.com/resources-pencil-grasp-patterns–may-2009

The Best Pencil Grip for #Handwriting – Tripod Grip

Left-handed Writer & Right-handed Writer

The Drawbridge Flip Method is a simple way of helping your child pick up a pencil and hold it correctly in the tripod grip for handwriting.

Follow this link for an instructional video for both left and right-handed writers on how to use the Drawbridge Flip method: https://bit.ly/2JiJrfH

Drawbridge Flip instructions:

  • Place the pencil on the table in front of the writing hand, so it forms a straight line up the table with the writing tip of the pencil pointing towards you.
  • Then using your thumb and index finger pinch the pencil either side of the shaft about 2 cm up from the tip for a right-handed writer and about 3 cm up for a left-handed writer. Dots or sticker may be placed on the pencil to help thumb and finger placement.
  • Pick the pencil up off the table and place the fingernail of the middle finger on to the pencil just above the tip.
  • Keep the ring and little finger gently curled in.
  • Push down with the middle finger so that the pencil moves up and over like a drawbridge, keep pushing until the pencil is supported in the cup (web of skin that joins the thumb, hand and index finger) and the pencil is resting on the inner edge of middle finger.
  • When writing, the end of the pencil will be angled towards the shoulder for right-handed writers and the elbow for left-handed writers.

Handwriting is a Physical Activity

Handwriting with fluidity, speed, accuracy and over longer periods of time requires a complex range of whole body and hand strengths and skills. So it is not surprising that many children find handwriting challenging.

For a good handwriting style children need to develop their:

  • Gross Motor Skills – so they can sit correctly for periods of time.
  • Fine Motor Skills – so that they can hold and control the pencil and move the paper up the table as they write.
  • Motor Memory Skills – so they can recall how to form the letters.
  • Visual Memory Skills – so they recall what a particular letter looks like.
  • Spatial Awareness Skills– so they can place the letters correctly on the paper and in relation to one another.
  • Eye Tracking Skills– scanning from left to right so that the letters are formed and placed correctly.

If a child is struggling with handwriting it is important to take a closer look at their physical abilities. If they do not have all the appropriate key physical strengths to support their handwriting development getting them to do more of the paper and pencil activities is not the answer.

Our assessments are simple to complete and do not need any specialist equipment. The important elements are; your knowledge of the child and your observations of them at play and while they are engaged in normal day to day task.

You will find our assessments on the ‘Key Strengths needed for handwriting’ page: http://bit.ly/2D1RKKs

A better understanding of a child’s key skills abilities enables you to focus more effectively, through targeted physical games and activities, to help them build and develop their skills.

You will find ‘Games to build gross and fine motor skills’ here: http://bit.ly/2FhFkR7  and ‘Games for the other physical skills’ such as visual memory and eye tracking here: http://bit.ly/2M350S1

Handwriting is such an important skill as it engages the neurological pathways and working memory in a way that pressing a keyboard just doesn’t; so once mastered it helps to open up the doorways to other literacy skills such as phonics, reading, spelling and composition.