Pre-writing Skills – Advice Sheet
NHS Tayside Child Health Occupational Therapy Service
File Path:Child Health AHP/OT/Tayside/Pre-Ref.Workstream/Pre-Ref.Advice Sheets
Hand and finger strengthening activities include:
• Squeeze a ball whilst watching TV or travelling in the car. This can be made by filling a
balloon with flour.
• Put an elastic band over your fingers and thumb, keeping it quite close to your fingertips.
Stretch your fingers open and shut them again to make a duck face.
• Knead and pinch theraputty or playdoh into different shapes or animals e.g. letters, snake,
hedgehog etc.
• Pop bubble wrap between thumb and index finger.
• Teach the child how to make an O by touching the pad of the thumb to the pad of the index
finger.
• Finger rhymes and action songs e.g. incy wincy spider.
• Play games with tweezers e.g. operation game, feed the dog.
• Use clothes pegs to pick up small items like cotton wool balls and beads. Squeeze pegs
and place around a piece of cardboard or a plastic container.
• Rip and crumple tissue paper and glue onto card.
• Build a tower of bricks or cubes.
• Thread beads onto a lace.
Pencil grasp development
Above are pencil grasps children may adopt ranging from ages 1-6
Pencil pressure– activities to promote the correct amount of pressure required for writing include:
Draw on different types of paper e.g. tissue paper, sugar paper, cardboard, sandpaper, corrugated
card. Experiment with pressure required for each one.
Try drawing using different utensils e.g. thicker pencil, light up pen, chalk, vibrating pen, charcoal,
felt pens.
Draw patterns with chalk on a blackboard. Use water and a paintbrush to make them disappear.
Developing Pencil Control and Fluency
Pre-writing worksheets – use a variety of worksheets to:–
• Match one object to another e.g. draw a line across the page from left to right to match
pictures.
• Trace shapes and patterns, colour in pictures, dot to dots and mazes. Encourage your child
to trace the patterns and mazes with their finger first to learn the correct pathway.
• Draw continuous patterns such as clouds, a snail, sheep, tornado, sea waves etc, keep the
wrist on the table while drawing round and round.
Hand dominance is the preference of one hand to perform fine and gross motor tasks, such as
writing, cutting or catching and throwing a ball. Though hand dominance means tasks are
performed more efficiently by the dominant hand, the non-dominant hand also plays a significant
role in completing tasks e.g. the non dominant hand holds the paper while the dominant hand is
cutting with scissors, the non dominant hand holds a bowl while the dominant hand mixes
ingredients. Some children may swap hands during tasks. Children develop hand dominance at
around 2-4 years but this can be later.