Pre-Writing Skills

Question 1

Writing toold held with crude approximation of thumb, index, and middle fingers, ring and little fingers only slightly flexed, grasped proximmaly with continual adjustments by other hand, no fine localized movements of digit components; hand moves as a unit

Answer 1

Static Tripod Posture (3.5 - 4 years)

Question 1

Writing tool held with precise 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

Answer 1

Dynamic Tripod Posture (4.5 - 6 years)

Question 3

Writing tool held with fisted hand, wrist slightly flexed and slightly supinated away from mid-position; arm moves as a unit

Answer 3

Palmar-supinate grasp (1 - 1.5 years)

Question 4

Writing tool held with fingers, wrist neutral with slight ulnar deviation, and forearm pronated; arm moves as a unit

Answer 4

Digital-pronate Grasp (2 - 3 years)