Developing Coordinated Hand Use Hand Dominance
Developing Coordinated Hand Use Hand Dominance
Developing Coordinated Hand Use Hand Dominance
Hand Dominance
Children develop hand dominance at around 3 – 5 years (but sometimes later). Having
hand dominance allows one hand to become the stabiliser and one to be active, which
is required to complete many tasks e.g. handwriting or using scissors. To work out
which hand is dominant ask them to pick up a pencil (from the middle of a desk), ask
them to open a jar or ask which hand they brush their teeth with.
• Encourage the child to use one hand as the stabiliser and the other and the lead hand (e.g. left hand
is the stabiliser if they’re right handed).
• Opening jars and containers, remind your child to hold the jar/container very still with one hand whilst
turning with the other hand.
• Use stencils or rubbings, which the child has to hold very still with one hand.
• When using scissors encourage your child to rotate the paper with one hand whilst cutting with the
other hand.
• Tasks that involve mixing (e.g. paint and glue or cooking) so the child has to use one hand to stabilise
bowl and the other to mix/beat.
• Musical activities – e.g. hold a drum with one hand and beating with the other.
• Collecting items (e.g. pencils, brushes) from around the classroom – hold the pot in one hand and
pick up with the other.
• Threading beads – hold the string with one hand and pick up and thread the beads with the other.
At the table
• Encourage your child to use the same hand when drawing across the page / board rather than
swapping hands (e.g. hold the other one behind their back).
• Position equipment / objects so your child has to cross the midline when reaching.
• Encourage the child to sit straight and not twist when drawing.
• On a board or easel or large pieces of paper tacked to the wall, stand in one place and draw right
to left across the paper in large strokes eg. Matching pictures or drawing a road.
• Diagonally do the same thing drawing lines joining kite strings to hands.
• These could include matching games in maths or reading.
• Large dot to dots on the wall (keep the pencil in one hand and get your child to stand still) so they
have to cross their midline.
Movement Activities
• Touching hands on knees on the same side of the body and then on the opposite knee as quickly as
possible.
• Throwing diagonally e.g. with the right hand to hit a target on the left.
• Stepping-stones – walk across the room on steeping stones (made out of paper or mats) placed so
the child has to cross their legs.
Adapted with kind permission from Northumberland PCT Children’s Occupational Therapy Service