The Adaptive Tripod Pencil Grip for Handwriting

Adaptive Grip 2

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

Stage 4 grip 2

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

I have to confess that I‘m not totally convinced.

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

Eff Grip 2

We thought we would re-run this series of articles due to the number of questions we have 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 article, explain that there are three efficient pencil grips for handwriting:

  1. The Dynamic Tripod Grip is still the most appropriate grip for handwriting, 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 few weeks we will look more closely at each of these three grips, starting with what might be considered by some the most controversial The Adaptive Tripod Grip.

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

Tips for Supporting Left-handed Writers

Left Tips 1

Surprisingly there are few differences when teaching left and right-handed children to handwrite. A left-handed child needs a slightly different pencil grip, and needs to hold the pencil slightly higher up the shaft, as well as a different paper position and tilt. Some left-handed children do find handwriting challenging to start with because they naturally want to draw straight lines right to left rather than left to right.

I would recommend you try the following, if you find your left-handed writers are struggling with learning to handwriting:

The Five Stages of Pencil Grip Development

There are 5 developmental stages, that a child needs to go through, before they can successfully use a mature tripod grip. They need to work through each stage and as their hand, shoulder and arm strength and mobility increases so does the ability to move to the next developmental stage of the grip.

Stage 1. Palmer-supinate grasp

Stage 1

Holds the crayon/pencil in fist (whole hand) like a dagger. They use whole arm movements from the shoulder to mark-make. Due to this whole arm movement they prefer to work on a vertical surface.

 

 

Stage 2. Palmer or digital-pronate grasp

Stage 2

Holds a crayon/pencil with the palm of the hand facing down towards the paper. The crayon/pencil is held by all finger and the thumb. The movement comes from the shoulder and elbow. Again, due to the way the arm moves a vertical surface is preferred.

 

 

Stage 3. Four finger and thumb grip

Stage 3

Holds the crayon/pencil between the thumb and four fingers with the crayon/pencil nearly vertical up right position. Movement comes from the elbow and wrist.

 

 

Stage 4. Static Quadruped or tripod grip

Stage 4

Holds the pencil in very nearly in the correct position however the web space is narrower than it would be if held in a mature tripod grip. This means that the movement is coming from the wrist and large finger movements.

 

 

Stage 5. Mature/Dynamic tripod grip

This is traditionally considered the most appropriate pencil grip for handwriting. Holding the pencil between the thumb and index finger with pencil supported on the middle finger. The ring and little fingers are gently curled inwards. This give an open wide web space which means the movement comes from the fingers.

 

For more information on the five stage of pencil grip development click on the following link: http://bit.ly/2YFfqMp

Back to School – Ways to Support Your Child’s Pencil Grip Development

pencil grip back to school 1

After the long school summer holiday it is always good to take some time to check your child has not slipped back into some old, poor pencil grip habits.

Here is a recap of the things which may help them if they are still finding it difficult to form and maintain an appropriate pencil grip.

Remember it is important that you do not force a child to use the tripod grip if they are not developmentally ready. Just because they are starting school doesn’t mean they are ready to hold a pencil in the tripod grip for handwriting.

Have they reached the appropriate stage in their pencil grip development?

Every child develops at a different time and pace; find out which stage of development your child is at: http://bit.ly/2YFfqMp

Are they left or right-handed?

If they are of school age and do not have a clear hand dominance this can make it difficult to develop a good pencil grip. Our hand dominance information may help you here: http://bit.ly/2YFfqMp

How do they hold a pencil for writing at the moment?

A poor pencil grip can make forming letters difficult and handwriting slow or uncomfortable. Check out our tips on how to correct a poor pencil grip in our pencil grip difficulties section: http://bit.ly/2T96KwK

Have they been taught, & do they understand, how to form a Tripod pencil grip?

It may have been explained to them, but that does not mean your child has understood. Our ‘Tommy Thumb’ and ‘Drawbridge Flip’ videos may help them to learn more easily how to form a tripod grip for handwriting: http://bit.ly/2XpuI8I

Do they have the physical hand and finger strength to form and maintain a tripod pencil grip?

Not all children have the appropriate hand and finger strength to hold a pencil in the tripod grip and need extra support to help them develop this. To find out if your child need’s extra support to develop their hand and finger strengths check out this section of our Key Strengths assessment page:  http://bit.ly/2C7xYwq

Do they swap hands when writing or drawing?

This is a normal developmental stage for many toddlers and young children, but it is not ideal for school age children. Check out our tips on tackling hand swapping issues: http://bit.ly/2VlGfDH

If you have any queries or questions you would like to ask us about handwriting or pencil grip feel free to contact us at enquires@teachchildren.co.uk or via this blog or Facebook.

Choosing a Pen for Handwriting

 

dreamstimefree_86379

Choosing and using the right pen can help to avoid smudging; make handwriting look smarter and prevent hand strain when writing for extended periods of time. Everyone is different, so the type of pen required is different to.

There are three main points to think about when choosing a pen for handwriting:

  1. The type of ink it uses.
  2. The size and weight of the pen.
  3. The type of point it has.

1. Types of ink used:

  • Oil-based ink
    • The ink is quick drying and so does not smudge easily
    • The ink flows smoothly depending on the point style of the pen
    • Ink can stop and start for no apparent reason
  • Water-based ink
    • The ink does not dry as quickly as oil-based ink so can smudge
    • The ink flows very smoothly

2. Pen sizes and weights

Because pens come in different shapes, sizes and weights it is important for your child to try out a range of pen styles to help them find the best fit for them. Remember one pen style does not suit all, everyone’s hand size and finger length are different.

Things to consider when choosing a pen:

  • Does it feel too short or too long?
  • Does it feel too thin or too thick?
  • Does it feel too heavy or too light?
  • Some children like a smooth round pen shape.
  • Some prefer a textured round pen shape.
  • While others may prefer a hexagon shaped pen.

3. Pen points

Pens come with different point or nib widths and shapes. The size and shape of the point gives different line thicknesses and are usually purchased as point sizes: extra fine, fine, medium or bold (some will have a measurement on as well).

A fine pen point produces thin lines and some children will find this can help to make writing neater.

A medium and bold point give thicker lines which many may find smoother to write with, though the letter size may be slightly larger because of it.

Once again it is important that children try out a range of pen point sizes to help them find the best fit for them.

Remember one pen point style does not suit all, everyone’s fine motor skills and writing pressures are different.

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.

Left hand hook pencil grip

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, a 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

Adaptive grip copyright image

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

quadropod-grip

We explained last week, that this grip is classified as an efficient grip for handwriting.

I have to confess that I‘m not totally convinced.

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.