Month: January 2024

Does Your Child Have Weak Hands?

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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 help improve their overall hand and finger strength check out our games page for ideas:  https://teachhandwriting.co.uk/games.html

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

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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.

Alternative Pencil Grips for Handwriting

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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.

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

Handwriting is a Physical Activity

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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.

For information on how to assess your child at home follow this link: https://teachhandwriting.co.uk/parent-assessment.html   

For information on how to assess at child at school follow this link: https://teachhandwriting.co.uk/teacher-assessment.html

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: https://teachhandwriting.co.uk/games.html

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.