Hand Function & Writing Skills

Question 1

At how many months does baby release objects voluntarily?

Answer 1

10 months

Question 2

At how many months should baby release small objects into a container?

Answer 2

12 months

Question 3

Which grasp involves using the entire palmar surface of the hand to grasp an object?
a. Spherical grasp
b. Hook prehension
c. Cylindrical grasp
d. Pincer grasp

Answer 3

C. Cylindrical grasp

Question 4

When does spherical grasp typically develop in children?
a. Around 18 months
b. Around 12 months
c. After 2 years
d. Before 12 months

Answer 4

a. Around 18 months

Question 5

Which grasp consists of flexion of digits 2-5 with no involvment of them?
a. Cylindrical grasp
b. Hook prehension
c. Spherical grasp
d. Pincer grasp

Answer 5

b. Hook prehension

Question 6

A two year old is trying to carry a heavy suitcase. which grasp is most likely being used?
a. Spherical grasp
b. Cyclindrical grasp
c. Hook prehension
d. Pincer grasp

Answer 6

c. Hook prehension

Question 7

A 18-month old is trying to hold a ball. which grasp is likely being used?
a. Pincer grasp
b. Cylindrical grasp
c. Spherical grasp
d. power grasp

Answer 7

c. Spherical grasp

Question 8

Lily is 3 years old she is putting rainbow beads into a cup. Which grasp is most likely being used?
a. Pincer grasp
b. Cyclindrical grasp
c. Sperical grasp
d. Power grasp

Answer 8

a. Pincer grasp

Question 9

Cory is 14 months old and is struggling to pick up a small toy and move it into his palm. Which skill is likely a red flag?
a. simple rotation
b. Finger-to-palm translation
c. Palm-to-finger translation
d. shift

Answer 9

b. Finger-to-palm translation

usually seen around 12-15 months

Question 10

Miriam is 24 months, shes unable to turn a doorknob. Which is likely delayed?
a. simple rotation
b. Finger-to-palm translation
c. Palm-to-finger translation
d. shift

Answer 10

a. simple rotation

object held in pads of fingers & thumb to 90 degrees or less (2-2.5yrs)

Question 11

Identify which type of in hand precision this is?
a. Lateral Pinch (key prehension)
b. Tripod grasp (pencil grasp
c. Pad to pad (inferior pinch)
d. Tip to tip

Answer 11

b. Tripod grasp

Question 12

Identify which type of in hand precision this is?
a. Lateral Pinch (key prehension)
b. Three jaw chuck
c. Pad to pad (inferior pinch)
d. Tip to tip

Answer 12

d. tip to tip

Question 13

Identify which type of in hand precision this is?
a. Lateral Pinch (key prehension)
b. Three jaw chuck
c. Pad to pad (inferior pinch)
d. Tripod grasp (pencil grasp)

Answer 13

c. pad to pad

Question 14

Identify which type of in hand precision this is?
a. Lateral Pinch (key prehension)
b. Three jaw chuck
c. Pad to pad (inferior pinch)
d. Tripod grasp (pencil grasp)

Answer 14

b. Three jaw chuck

Question 15

Identify which type of hand precision this is?
a. Lateral Pinch (key prehension)
b. Three jaw chuck
c. Pad to pad (inferior pinch)
d. Tripod grasp (pencil grasp)

Answer 15

a. Lateral pinch (key prehension)

Question 16

A child 3 year old cant rotate a pencil to write. Which skill is likely delayed?
a. simple rotation
b. Complex rotation
c. Palm-to-finger translation
d. shift

Answer 16

b. Complex rotation

rotating an object held in the pads of the fingers and thumb 180 or more (3-4 years)

Question 17

A Mark is 4 years old, he is struggling to pick up a small object and move it around their fingers. Which skill does he seem to be having trouble with?
a. simple rotation
b. Complex rotation
c. Palm-to-finger translation
d. shift

Answer 17

d. Shift

linear movement of the object on the finger surface to allow for repositioning on the pads of the fingers (3-3.5 years)

Question 18

Carmen is a 2 year old playing with a small, round marble. She picks it up with their entire palm and tries to move it to the tips of her fingers to manipulate it more precisely. What in hand manipulation is she demonstrating?
a. simple rotation
b. Complex rotation
c. Palm-to-finger translation
d. shift

Answer 18

c. Palm-to finger translation

the object is held in the palm of the hand and moved to the tips of the fingers (2 – 2.5 years)

Question 19

Prerequisites for In Hand Manipulation

A child struggling to control the movement of their individual fingers. Which prerequisites is likely delayed?
a. Movement into and stability in the range of motion
b. wrist stability
c. Isolated thumb and radial (and ulnar) finger movement
d. Controlled decrease and increase in fingertip forces

Answer 19

c. Isolated thumb and radial (and ulnar) finger movement

Question 20

Prerequisites for In Hand Manipulation

A Kandace is struggling to hold a pencil and turn it to write. Which prerequisite for in-hand manipulation is she having trouble with?
a. Movement into stability in the range of supination
b. Wrist stability
c. Opposed grasp
d. Controlled decrease and increase in fingertip forces

Answer 20

a. Movement into stability in the range of supination

Question 21

Prerequisites for In Hand Manipulation

A child has difficulty picking up small objects with their thumb and index finger. Which prerequisite is likely delayed?
a. Movement into stability in the range of supination
b. Wrist stability
c. Opposed grasp
d. Controlled decrease and increase in fingertip forces

Answer 21

c. Opposed grasp

Question 22

Prerequisites for In Hand Manipulation

A childs hand appears to be weak and floppy. Which prerequisite are they having trouble with?
a. Movement into stability in the range of supination
b. Wrist stability
c. Opposed grasp
d. Controlled decrease and increase in fingertip forces

Answer 22

b. Wrist stability

Question 23

Prerequisites for In Hand Manipulation

A child struggling to hold a pencil and keep it from slipping out of their hand. They often find themselves gripping the pencil too tightly or too loosely. Prerequesites are they struggling with.
a. Movement into stability in the range of supination
b. Wrist stability
c. Opposed grasp
d. Control of the transverse metacarpal arch

Answer 23

d. Control of the transverse metacarpal arch

Question 24

Lorenzo is trying to button a small button on his shirt. He has difficulty applying just the right amount of pressure with his fingertips to succesfully fasten the button. Which in-hand manipulation is he having trouble with?
a. Controlled decrease and increase in fingertip forces
b. Wrist stability
c. Opposed grasp
d. Control of the transverse metacarpal arch

Answer 24

a. Controlled decrease and increase in fingertip forces

Question 25

The writing process includes 4 important facts. What are they?

Answer 25

1. Mechanical
   2.Perceptual
2. Language acquisition
3. Spelling and phonics

Question 26

Name at least 5 handwriting readiness facts that are needed to bein handwriting:

Answer 26

1. eye-hand coordination
2. hold writing tools
3. motor planning
4. letter perception

Question 27

Name the development of writing skills:

Answer 27

1. Controlled scribbles
2. Discrete lines, dots, or symbols
3. Straight-line or circular uppercase letters
4. Uppercase letters
5. Lowercase letters, numerals, and words