How I can help

Fine motor skills

Fine motor skill is much more than 'nimble fingers'. It includes strength, stability, two-handed coordination and precision — and it shows up in almost every task a child does in a day.

What you might notice

  • Difficulty cutting with scissors
  • Avoiding drawing, colouring and crafts
  • Difficulty with buttons, zips and laces
  • Tiring quickly in hand-based activities
  • Work that looks less precise than expected for their age

Why this might be happening

Sometimes the base of strength and stability — shoulder, hand, fingers — isn't yet in place.

Sometimes the difficulty is coordinating both hands: one stabilises while the other works.

And sometimes it is simply limited experience — fewer opportunities to practise, which improves quickly with the right kind of doing.

What skills are involved

Strength and stability

A stable proximal base allows precision at the fingertips.

Bilateral coordination

Two hands working together in different roles.

In-hand manipulation

Moving a small object within the hand without the other hand helping.

Visual-motor accuracy

Directing movement to the right place.

How occupational therapy can help

  • Building a motor base through enjoyable, age-appropriate activity
  • Adapting tools and environment so success is possible
  • Ideas for home that don't feel like drills
  • Helping parents recognise progress

What Shira might assess

  • Grip strength and endurance
  • Coordination between the two hands
  • Precision in cutting, scribbling and construction
  • Hand preference and consistent use

When it's worth speaking to someone

  • When avoidance of hand activities is consistent rather than passing
  • When the difficulty affects independence or participation at kindergarten or school

Worth saying

A single sign doesn't mean a child needs therapy. Children develop at different rates, and often this is entirely ordinary variation. The point of a conversation is to understand the picture, not to find a problem.

Not sure exactly what your child needs? You can start with a conversation.

You don't need to diagnose the difficulty yourself. You can simply describe what you're seeing, and we'll start from a shared understanding of whether an occupational therapy assessment or treatment is appropriate.