Pre-writing Skills

Question 1

1- 1 1/2 Years

Answer 1

Palmar-Supinate Grasp: held with fisted hand, wrist slightly flexed and slightly supinated away from mid-position; arm moves as a unit

Question 2

2- 3 Years

Answer 2

Digital-Pronate grasp: held w/ fingers, wrist neutral w/ slight ulnar deviation, and forearm pronated: arm moves as a unit

Question 3

3 1/2 - 4 Years

Answer 3

Static tripod: held with crude approximation of thumb, index, and middle fingers, ring and little fingers only slightly flexed, grasped proximally w/ continual adjustments by other hand, no fine localized movements of digit components; hand moves as a unit

Question 4

4 1/2 - 6 Years

Answer 4

Dynamic Tripod: held w/ percise opposition of distal phalanges of thumb, index, and middle fingers, ring, and little fingers flexed to form a stable arch, wrist slightly extended, grasped distally, MCP joints stabilized during fine, localized movements of PIP joints.