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 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.

Half-term Fun – Clothes Peg Games

Some fun indoor activities may be the order of the day for this half term as the weather is not so hot.

This is a very simple idea which children love because they can take greater ownership of it. The aim of the activity is to help build up hand and finger strength through using the pegs; however, it can have a dual purpose, helping to keep track of the week by using it as a timetable or for learning spellings or maths activities, as well as supporting the development of language skills.

You do not need anything fancy, just some string (for the washing line), clothes pegs and pieces of paper or card to peg onto the washing line. The washing line can be a permanent fixture or you can just pop it up when you need to use it.

The clothes line needs to be at a height suitable for your child to peg things on to (placed against a wall is a safe option so that no-one can walk into it by accident and hurt themselves).

There are a whole range of games that can be played using this simple washing line and pegs concept:

Memory games – Get your child to peg up 5 to 10 different pictures or items on the line. Then give them 1 minute to remember the items. Once the time is up ask them to look away, or close their eyes, and then you remove one or more of the items. Get them to look back at the line. Can they work out what is missing?

  • You could try just moving one or two of the items around. Can they figure out which ones are in the wrong place and put them back in their correct place?
  • Try swapping an item for something new, which your child did not hang up on the line. Can they work out which is the new item on the line?

Odd One Out – Hang pictures on the line that belong together. Can they pick out the odd item on the line and explain why it is the odd one out.

  • They could all be pictures of fruit with a picture of some clothing
  • They could be shapes with straight sides and one with curves
  • They could all be animals but all are wild with only one being domestic

Sorting – Ask your child to sort all the pictures or items from a selection and to hang all the identical things on the washing line. They could all be the same;

  • Colour
  • Shape
  • Type

Pattern Work – Using pictures, different colour and shaped paper or items create different patterns. The patterns can be based on colour, size or type of object. You can create a pattern sequence on the washing line and then ask your child to try and copy the sequence. Can they explain the pattern and create their own for you to copy and explain?

Pairing or What is the Same? – Hang a range of pictures or items on the line, making sure that some of the items can be paired together because they are exactly the same. They could match because;

  • They are exactly the same e.g., a pair of socks
  • Match numbers to a picture with the same number of items on
  • Match capital to lower-case letters
  • Or have items that can be put together because they are both from the same set, for example they are types of fruit or are the same colour.

Alternative Efficient Pencil Grips for Handwriting

Here at Teach Children Ltd we feel this a good definition of an efficient pencil grip for handwriting:

“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 (https://teachhandwriting.co.uk/teaching-tripod-pencil-grip.html), is still the most appropriate grip for handwriting (‘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 (stage 4 of pencil grip development – https://teachhandwriting.co.uk/pencil-grip-development-foundation-stage.html), this grip is a little more restrictive because the fingers cannot move as freely as they would if using the Tripod grip.

However, 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.

3. The Adaptive Tripod Grip (https://teachhandwriting.co.uk/adaptive-tripod-grip.html) , 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.

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.

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

A 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.