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1 PRE-PREPARATORY HANDWRITING POLICY Reviewed October 2015 Contents Page INTRODUCTION 2 UNDERSTANDING GOALS 2 WHAT SKILLS ARE CHILDREN DEVELOPING? 2 THROUGHLINES 3 Pre-Prep 1 Throughline: 3 Activities to reach this throughline: 3 Pre-Prep 2 Throughline 5 Activities to reach this throughline: 5 Pre-Prep 3 Throughline 8 Activities to reach this throughline: 8 ASSESSMENT 12 Graphic assessment of perceptive organization (see Appendix V) 12 Hand Dominance 12 Formative assessment (rubrics) 13 ACKNOWLEDGEMENTS 14 REFERENCES 14 APPENDIX I: EXAMPLES OF ACTIVITIES TO DEVELOP FINE MOTOR SKILLS 16 APPENDIX II: PENCIL GRASPS 18 APPENDIX III: NELSON HANDWRITING 25 APPENDIX IV: LEFT-HANDED PUPILS 26 APPENDIX V: PRE-WRITING SKILLS ASSESSMENT 27 APPENDIX VI: LEAFLET FOR PARENTS 29

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PRE-PREPARATORY HANDWRITING POLICY

Reviewed October 2015

Contents Page

INTRODUCTION 2

UNDERSTANDING GOALS 2

WHAT SKILLS ARE CHILDREN DEVELOPING? 2

THROUGHLINES 3

Pre-Prep 1 Throughline: 3

Activities to reach this throughline: 3

Pre-Prep 2 Throughline 5

Activities to reach this throughline: 5

Pre-Prep 3 Throughline 8

Activities to reach this throughline: 8

ASSESSMENT 12

Graphic assessment of perceptive organization (see Appendix V) 12

Hand Dominance 12

Formative assessment (rubrics) 13

ACKNOWLEDGEMENTS 14

REFERENCES 14

APPENDIX I: EXAMPLES OF ACTIVITIES TO DEVELOP FINE MOTOR SKILLS

16

APPENDIX II: PENCIL GRASPS 18

APPENDIX III: NELSON HANDWRITING 25

APPENDIX IV: LEFT-HANDED PUPILS 26

APPENDIX V: PRE-WRITING SKILLS ASSESSMENT 27

APPENDIX VI: LEAFLET FOR PARENTS 29

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INTRODUCTION

Handwriting is a skill which, together with reading and spelling, affects written

communication across the curriculum. Children will usually master handwriting by the time

they are 7 or 8, given the correct intervention and effective teaching.

This policy aims to ensure the consistent teaching of all the skills needed for handwriting.

The first handwriting lessons are important to make sure the children learn to form letters

with the correct sequence of strokes from the beginning. Children who are allowed to invent

their own ways of forming letters will find it harder to change these habits and this makes it

harder for them to learn a fluent, joined hand. The correct formation of all letters should

become automatic but will require a lot of practice.

UNDERSTANDING GOALS

Teachers will understand that many factors affect handwriting, such as visual motor

integration, spatial perception, attitude, emotion, attention and memory, and the

environment, and that younger children need to be provided with a range of pre-writing

activities. They should not be taught handwriting before they are ready.

Teachers will understand the importance of effective and consistent teaching for the

development and mastery of legible and fluent handwriting.

Teachers will understand that handwriting is a movement skill that needs to be developed

correctly through demonstration, explanation and continuous practice.

WHAT SKILLS ARE CHILDREN DEVELOPING?

Body awareness

For children to achieve good posture for writing they should be encouraged to sit up and

not slouch. Several activities should be used to prepare them for a writing task: jumping

games, pushing on each other’s hands or against the wall, and back rubs or massages (or

even just touching them gently on the back to help them straighten their backs).

Motor planning

This is the ability to plan, organise, sequence and execute unfamiliar motor activities in a

skilful manner.

In PP1, sequencing activities and following instructions are important for helping develop

motor planning. Children benefit from practice and repetition and sensory cues (e.g. colour

coordinated). Once handwriting is introduced, helping children understand correct letter

formation, by giving them the terminology needed, will develop this skill. Terminology such

as clockwise, anti-clockwise, vertical and horizontal, ascenders and descenders, tall and

short, is important.

Bilateral motor integration

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This is the ability of the two sides of the body to cooperate with and complement each other

in order to successfully complete a variety of motor tasks. Developing hand-dominance is

part of this, and activities which could help are cutting, beading, and filling containers with

small objects. It is important to remind the child of their preferred hand (right or left).

THROUGHLINES

Throughlines for the development of fine motor skills and handwriting skills in Pre-Prep

and the activities that should be encouraged to reach these goals.

Pre-Prep 1 Throughline

Most children will develop an understanding of how pencils and scissors should be held

and used through related activities that support the development of hand and finger

muscles. Children with difficulty in this area should be supported, in order to become more

efficient, and those with proficient skills should begin to understand the importance of

holding a pencil correctly and using correct letter and number formation.

Activities to reach this throughline:

Activities should be offered as choices during stations and should be used during Flag Time

to help children make progress in these skills.

Fine motor skills activities

Many different fine motor skills activities should be available on a daily basis for children to

develop the foundational skills needed. Please see Appendix 1 for a list of possible activities.

Posture

Posture will affect how comfortably and efficiently the child may be able to work, as well as

how long the child may be able to keep his/her attention on the task.

Provide frequent opportunities to get up and move around or stretch.

When working at the table, quickly stroke the centre of the child’s back downwards

from top to bottom.

Pencil Grasp

In PP1, focus should be given to developing the palmar arches in the hand by activities

using playdough, tweezers, non-traditional crayons and vertical surfaces. Focus should also

be given to the development of the wrist extension by using vertical surfaces in order to

support skilled finger movements. When a child is ready, the development of an open

finger-thumb web space should be encouraged.

Only triangular pencils should be used. Short crayons, pencils or pieces of chalk encourage

correct pencil grasp. If necessary, a child who consistently holds the pencil incorrectly may

be given a pencil grip.

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When working at the table, the hand that is not used for drawing or writing, should always

be holding the paper steady (bimanual activity).

It is important to note that when working at the table, the forearm should rest on the writing

surface in a neutral position, with the hand resting on the little finger. This position allows

the wrist to move freely. The wrist should be in a slightly extended posture (bent back),

because this brings the thumb in a position where it can comfortably oppose the fingers.

There should be a rounded, open web space between the thumb and fingers. This position

permits freedom of movement through all finger joints and also allows the finger pads to

contact the pencil shaft.

The pencil is grasped between the tips of the thumb and the

index fingers and is supported against the side of the middle

finger. The last two fingers are curved and rested against the

table surface. The wrist is extended slightly, and the pencil is

held about 1” from the tip. The grip for the lefties should be

higher up the pencil than the right hander – approximately

3.5cms or 1-1/2 inches from the tip. Show them how to point

their pencil towards their left shoulder. See appendix II for

progression of pencil grasp and for other acceptable grips.

Cutting skills

Scissors should be introduced when the child is developmentally ready (3 - 4 years):

• the child demonstrates an interest in cutting rather than ripping paper;

• the child can hold scissors safely;

• the child uses bimanual skills – can use one hand to grasp the paper while the other hand

cuts;

• the child can use a spoon and fork;

Correct Letter formation

In PP1, focus should mainly be on drawing and forming different lines and shapes with a

writing tool. The vocabulary of movement should be emphasized. Children should be

especially encouraged to draw anti-clockwise circles and lines starting from the top and

going downwards.

If a child shows interest in writing their own name, he/she should be encouraged to trace

over his/her name card using the correct letter formation (see appendix III for the Nelson

Handwriting). The child should be monitored closely in order to learn the correct

movements.

Children’s names are a useful source of learning. However, some children who come to

school already able to write their names may associate the wrong movement with certain

letters (e.g. forming o and a with a clockwise movement). Children frequently write their

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names using upper-case letters. Close home-school links are important to help children learn

how to write their names using the correct letter formation.

Children should only be allowed to write their names on a piece of work once they are able

to form each of the letters of their names correctly or copy them accurately from their name

cards.

Teachers must avoid using upper case letters on displays, worksheets, etc. Capital letters

should never be used on labels unless the word is a proper noun.

Pre-Prep 2 Throughline

Most children will develop an understanding of the correct tripod pencil grasp and be able

to use a writing tool and scissors correctly, demonstrating hand dominance. They will also

understand the importance of independently completing many self-care tasks. Children will

be given tools to begin to understand how to form all letters of the alphabet correctly and be

given opportunities to practise using many different media, although most will not yet be

able to demonstrate this consistently.

Activities to reach this throughline:

Activities should be offered as choices during stations and should be used during Flag Time

to help children make progress in these skills.

Fine motor skills activities

To be able to develop good handwriting successfully, children need to work on their fine

motor coordination. To become successful, the child needs to learn to maintain his or her

arm and wrist in a stable position while isolating finger movements according to the

demands of the particular tasks.

The pupil will benefit from:

exercises and activities that develop shoulder, elbow and wrist stability

activities that promote speed and ease of movement when using fingers to

manipulate small objects

For children who have still not developed their finger muscles and/or have poor pencil

grasp, fine motor skill activities should continue to be provided. Please see Appendix 1 for a

list of possible activities. If you have serious concerns, the Head of School should be

contacted about the possibility of providing Learning Support.

Posture

Posture will affect how comfortably and efficiently a child may be able to work, as well as

for how long a child may be able to keep attention on the task.

Helpful actions:

Provide frequent opportunities to get up and move around or stretch.

When working at the table, quickly stroke from top to bottom down the centre of the

child’s back. Apply slight pressure with your hands on the top of the child’s head

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when the body is well aligned (neck and back straight above pelvis). Gently press

straight down so that pressure goes through neck, spine and pelvis.

If shoulders are rounded forward, tap them back gently from the front while putting

downward pressure. Tap or rub the lower back gently over the spine - use your

fingers to vibrate lightly over the back of child’s neck and back muscles.

Teach the child to do “chair sit-ups”.

Pencil Grasp

Early in PP2, attention should be given to children who have not fully developed the palmar

arches of the hand, wrist extension and an open finger-thumb web space. See PP1 for

relevant activities.

Only triangular pencils should be used. Short crayons, pencils or pieces of chalk

encourage correct pencil grasp. If necessary, a child who consistently holds the pencil

incorrectly may be given a pencil grip.

When working at the table, the hand that is not used for drawing or writing, should

always be holding the paper steady (bimanual activity).

It is important to note that when working at the table, the forearm should rest on the writing

surface in a neutral position, with the hand resting on the little finger. This position allows

the wrist to move freely. The wrist should be in a slightly extended posture (bent back),

because this brings the thumb in a position where it can comfortably oppose the fingers.

There should be a rounded, open web space between the thumb and fingers. This position

permits freedom of movement through all finger joints and also allows the finger pads to

contact the pencil shaft.

The pencil is grasped between the tips of the thumb and the index fingers and is

supported against the side of the middle finger. The last two

fingers are curved and rested against the table surface. The wrist

is extended slightly, and the pencil is held about 1” from the tip.

The grip for the lefties should be higher up the pencil than the

right hander – approximately 3.5cms or 1-1/2 inches from the

tip. Show them how to point their pencil towards their left

shoulder. See appendix II for other acceptable grips.

Correct Letter formation

In PP2, Nelson Handwriting is introduced in the second term. Any writing tasks done

before the teaching of handwriting should use magnetic letters, templates or cutting and

gluing of paper letters.

If a child shows interest in writing their own name during term 1, he/she should be

encouraged to trace over his/her name card using the correct letter formation (see appendix

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III for the Nelson Handwriting). The child should be monitored closely whenever writing to

ensure he/she learns the correct movement.

Children’s names are a useful source of learning. However, some children who come to

school already able to write their names may associate the wrong movement with certain

letters (e.g. forming o and a with a clockwise movement). Children frequently write their

names using upper-case letters. Close home-school links are important to help children learn

how to write their names using the correct letter formation.

In the early stages of learning to write, the process is more important than the product. It is

preferable to have irregular letter forms starting in the correct place with movement in the

correct direction than uniformly regular letters achieved through wrong movements.

Children should only be allowed to write their names on a piece of work once they are able

to form each of the letters in their names correctly or copy them accurately from their name

cards.

When introducing handwriting in Term 2, the letter shapes should be developed using gross

motor movements such as:

Sky writing with both hands;

Writing on each other’s backs;

Writing large letter shapes in damp sand, shaving cream, salt;

Using plasticine, glue, finger paints, etc to fill in large letters;

Finger tracing over tactile letters.

The teacher should model good handwriting at all times. The Nelson Handwriting

programme should be used on the IWB and children should practise on small wipe-off

boards. Children can also be encouraged to write over highlighter pen or dotted letters.

Until children have gained reasonable fine motor control, formal handwriting worksheets

are not appropriate.

Use the four ‘shape families’ to teach letter formation:

Anti-clockwise round (curly c family): letters c,a,d,e,g,o,q,s (numbers 0, 6, 8, 9

unlike the clockwise numbers 2, 3 and 5)

Down and off in another direction (long ladder family): letters l, b, i, j, f, t, u, y, v

and w

Down and retrace upwards (one-armed robot family): letters r, n, m, h, b, k, p

Zigzag family: x, z (numbers 1, 4, 7)

Teachers must avoid using upper case letters on displays, worksheets, etc. Capital

letters should never be used on labels unless the word is a proper noun.

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Pre-Prep 3 Throughline

Most children will understand the importance of forming all letters of the alphabet and

numbers correctly. However, due to varying skill levels, appropriate strategies should be

implemented. Children with highly developed fine motor skills will be expected to

consistently form their letters correctly and neatly, aiming towards high quality

presentation. Those still developing the skills will be exposed to opportunities for

reinforcement and practice according to their needs and should be closely monitored while

doing so. Those with definite difficulties should continue receiving the necessary support to

develop their fine motor skills and be closely monitored when attempting to form letters.

Year 1 Programme of Study (National National Curriculum for English Key Stages 1 and 2

– Draft)

Handwriting:

Pupils should be taught to:

sit correctly at a table, holding a pencil comfortably and correctly

begin to form lower-case letters in the correct direction, starting and finishing in the

right place

form capital letters

form digits 0–9

understand which letters belong to which handwriting ‘families’ (i.e. letters that are

formed in similar ways) and to practise these.

Notes and Guidance:

Handwriting requires frequent and discrete, direct teaching. Ensure that pupils can form

letters correctly and confidently. Also make sure that the size of the writing implement

(pencil, pen) is not too large for a young pupil’s hand. Whatever is being used should allow

the pupil to hold it easily and correctly so that bad habits are avoided. [Make sure that left-

handed pupils receive specific teaching to meet their needs.

Activities to reach this throughline:

Activities should be offered as choices during stations and should be used during

Flag Time to help children make progress in these skills.

Posture

Posture will affect how comfortably and efficiently a child may be able to work, as well as

for how long a child may be able to keep attention on the task.

Helpful actions:

Provide frequent opportunities to get up and move around or stretch.

When working at the table, quickly stroke from top to bottom down the centre of the

child’s back. Apply slight pressure with your hands on the top of the child’s head

when the body is well aligned (neck and back straight above pelvis). Gently press

straight down so that pressure goes through neck, spine and pelvis.

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If shoulders are rounded forward, tap them back gently from the front while putting

downward pressure. Tap or rub the lower back gently over the spine - use your

fingers to vibrate lightly over the back of child’s neck and back muscles.

Teach the child to do “chair sit-ups”.

Stable sitting position:

Desk surface is at correct height to support arms, about 2” above the level of the

elbows when elbows are bent and child is sitting upright in chair.

Trunk is well supported with pelvis and shoulders positioned symmetrically

Hips, knees and ankles are bent about 90° degrees

Buttocks are placed well back into the chair

Feet are supported firmly on the floor or stool (flat surface) and under knees

Forearms resting on the desk or table top

Head upright, in midline - the position of the head is important so that the eyes can

be used efficiently

The neck should be fairly straight with the chin slightly down

Compensatory Strategies:

Slanted work surface/ desk top (inclined board) -encourage a more upright trunk

posture and provides added support for the forearms and places the paper and

hands where they can be seen more easily, so the child can look at materials without

bending the neck forward

Rubber non-slip matting to the chair seat to prevent the child from slipping forward

and to decrease excess movement that interferes with the posture and fine motor

performance

Placing rubber covers on the bottom of chair legs to keep chair in position

Stabilizing objects during two-handed manipulation (nonslip material, clamps, and

pegboards)

Pencil Grasp

Only triangular pencils should be used. If necessary, a child who consistently holds the

pencil incorrectly may be given a pencil grip.

When working at the table, the hand that is not used for drawing or writing, should always

be holding the paper steady (bimanual activity).

It is important to note that when working at the table, the forearm should rest on the writing

surface in a neutral position, with the hand resting on the little finger. This position allows

the wrist to move freely. The wrist should be in a slightly extended posture (bent back),

because this brings the thumb in a position where it can comfortably oppose the fingers.

There should be a rounded, open web space between the thumb and fingers. This position

permits freedom of movement through all finger joints and also allows the finger pads to

contact the pencil shaft.

The pencil is grasped between the tips of the thumb and the index fingers and is supported

against the side of the middle finger. The last two fingers are curved

and rested against the table surface. The wrist is extended slightly,

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and the pencil is held about 1” from the tip. The grip for the lefties should be higher up the

pencil than the right hander – approximately 3.5cms or 1-1/2 inches from the tip. Show them

how to point their pencil towards their left shoulder. See appendix II for other acceptable

grips.

Compensatory Strategies:

Place rubber band/ small piece of tape on pencil where fingers should go

Draw dots on the pencil where the child's fingers should go

To maintain a tripod grasp, have the pupil hold a small bead or eraser

between the ring and little finger and the palm of the hand.

Hide the dot with the middle finger

Use indented pencils or triangle pencils or pencil grips

All children need to tilt the paper so that the arms can slide freely as writing progresses

along the line and hands can work most efficiently. This helps them to keep the wrist

straight rather than in the commonly seen “hooked position” and avoids unnecessary

posture adjustments. The other hand should always be holding the paper steady – bimanual

activity.

Compensatory Strategies:

Taping paper down or placing a strip of masking tape on the writing surface to mark

the correct angle of the paper for writing or colouring

For left-handed pupils, see appendix III.

Correct Letter formation

Children should be given dedicated time to practice handwriting every day until they are

individually able to use the skill effectively. Children who find handwriting difficult should

be targeted for daily intervention.

The teacher should model good handwriting at all times. The Nelson Handwriting

programme should be used on the IWB and children should practice on small wipe-off

boards. Children can also be encouraged to write over highlighter pen or dotted letters.

They can also be encouraged to write directly under words written by the teacher.

Children can use the Nelson Handwriting books to consolidate their skills as well as

handwriting worksheets or especially prepared handwriting copy books. Children should

only write in A4 size books with well-spaced lines when they are ready. Children should

also be allowed to use unlined paper occasionally so that they can practice applying the

skills they are learning.

Until children have gained reasonable fine motor control, formal handwriting worksheets

are not appropriate.

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Use the four ‘shape families’ to teach letter formation:

Anti-clockwise round (curly c family): letters c,a,d,e,g,o,q,s (numbers 0, 6, 8, 9

unlike the clockwise numbers 2, 3 and 5)

Down and off in another direction (long ladder family): letters l, b, i, j, f, t, u, y, v

and w

Down and retrace upwards (one-armed robot family): letters r, n, m, h, b, k, p

Zigzag family: x, z (numbers 1, 4, 7)

Make sure that the pupil is guided through the proper formation as independent tracing or

copying can lead to poor handwriting habits. Children sometimes reverse letters and

numbers but do not realise they are the wrong way round. Teachers should ask the child to

check with a classroom reference and avoid telling the child it is wrong.

Getting the movement of the letter right is one aspect of securing good handwriting.

Establishing the relationship between the positions of the letters is another. Use lines to

show children that the ‘body’ of the descenders (g, j, p, q, y) sit on the line and are the same

height as the small letters and that the lines of the ascenders (b, d, h, k, l, t and f) rise above

the ‘body’ of the letter. Teachers should have a model of this on display to refer to when

asking the child to check their work.

Children should be discouraged to use rubbers/erasers. It is more efficient for children to

learn to draw a line through their mistakes and then be given the opportunity to re-write the

word/sentence neatly below or on a new sheet of paper. Encourage the concept of working

on drafts before achieving the final, good quality piece.

Teachers must avoid using upper case letters on displays, worksheets, etc. Capital letters

should never be used on labels unless the word is a proper noun.

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ASSESSMENT

Graphic assessment of perceptive organization (see Appendix V)

This assessment, created by Hilda Santucci and based on the assessment of Lauretta Bender

should be used to investigate if children who demonstrate difficulty in fine motor skills and

handwriting may have a graphic perception condition.

Hand Dominance

Hand dominance is an attribute defined by the unequal distribution of fine motor skill

between the left and right hands. It is comprised of musculoskeletal and neurological

components which work together to allow for dominant hand use. By 6 years of age,

children should use one hand consistently all the time. The dominant hand should develop

skill and precision to perform fine motor tasks, while the non-dominant hand acts as an

assist.

Assessment:

Present an activity or tool at midline, observe which hand a child reaches with

Observe which hand a child feeds him/ herself with or brushes his/ her teeth

with

Observe the hand used to thread beads (or throw a ball).

In cases where a child switches hands, evaluate the child’s skill level in both

hands to determine which hand is more skilled.

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Formative assessment (rubrics)

Mastering Developing Beginning Pre-Engaged

Pencil grip Child is consistently able to

apply the success criteria

below: Pencil is grasped

distally; ring and little

fingers flexed to form stable

arch; precise opposition of

pads of thumb, index and

middle finger.

Child still needs reminders

for one or two of the criteria

below: Pencil is grasped

distally OR ring and little

fingers flexed to form stable

arch OR precise opposition

of pads of thumb, index and

middle finger.

Child still needs support to be

able to correctly apply some of

the success criteria below: Pencil

is grasped distally OR ring and

little fingers flexed to form stable

arch OR precise opposition of

pads of thumb, index and middle

finger.

Child’s pencil is grasped

proximally; ring and little

fingers slightly flexed OR

crude approximation of

thumb, index and middle

finger.

Letter formation

Obs: in PP2 children are

expected to use lower-case

letters unless in the

beginning of the name.

Child forms letters according

to the Nelson handwriting

independently, consistently

and in different contexts.

Child forms most letters

according to the Nelson

handwriting consistently,

needing reminders

depending on the context.

Child understands that letters

have a correct way to be formed

but is still not able to apply this

skill.

Child still needs to develop

pre-writing fine motor

skills in order to begin to

understand the success

criteria for letter formation.

Size, space and alignment of

letters

Child is consistently able to

apply the success criteria

below: ‘Body’ of the

descenders (g, j, p, q, y) sit on

the line and are the same

height as the small letters

and lines of the ascenders (b,

d, h, k, l, t and f) rise above

the ‘body’ of the letter.

Spaces between letters and

words are appropriate.

Child still needs reminders

for one or two of the criteria

below: ‘Body’ of the

descenders (g, j, p, q, y) sit on

the line and are the same

height as the small letters

and lines of the ascenders (b,

d, h, k, l, t and f) rise above

the ‘body’ of the letter.

Spaces between letters and

words are appropriate.

Child still needs support to be

able to correctly apply some of

the success criteria below: ‘Body’

of the descenders (g, j, p, q, y) sit

on the line and are the same

height as the small letters and

lines of the ascenders (b, d, h, k, l,

t and f) rise above the ‘body’ of

the letter. Spaces between letters

and words are appropriate.

Child still needs to develop

pre-writing fine motor

skills in order to begin to

understand the success

criteria for size, space and

alignment of letters.

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ACKNOWLEDGEMENTS

We thank Sabine O. Hortstmann O.T. for her guidance during staff development meetings

and for her contributions towards this policy.

References

AMUNDSON, S. J. C. Handwriting: evaluation and intervention in school settings. In Case-

Smith & Pehoski, Develiopment of hand skills in the child. AOTA, 1992.

AYRES, A. J. Sensory integration and learning disorders. Los Angeles, CA: Western

Psychological Services, 1972.

BLANCHE, E. I.; BOTTICELLI, T. M.; HALLWAY, M. K. Combining Neuro-Developmental

Treatment and Sensory Integration Principles: an approach to pediatric therapy. Therapy

Skill Builders, 1995. BRUNI, M. Fine Motor Skills for Children with Down Syndrome.

Second Edition. Woodbine House, 2006.

CASE-SMITH, J. The relationships among sensorimotor components, fine motor skills, and

functional performance in preschool children. American Journal of Occupational Therapy, v

49, n 7, p 645-52, 1995.

CASE-SMITH, J. Fine motor and functional performance outcomes in preschool children.

American Journal of Occupational Therapy, v 52, n 10, p 788-799, 1998.

CASE-SMITH, J. Effectiveness os school-based occupational therapy intervention on

handwriting. American Journal of Occupational Therapy, v 56, n 1, p17-25, 2002.

CASE-SMITH, J. & PEHOSKI, C. Developmental Hand Skills in the Child. The American

Occupational Therapy Association, INC. 1992.

DEPARTMENT FOR EDUCATION English programmes of study: key stages 1 and 2.

National curriculum in England. 2013. Available from

https://www.gov.uk/government/publications/national-curriculum-in-england-primary-

curriculum (accessed 10th December 2013).

ERHARDT, R. P. Developmental Hand Dysfunction Theory, Assessment and Treatment.

Second Edition . Therapy Skill Builders, 1994.

ERHARDT, R. P. & Meade, V. Improving handwriting without teaching handwriting: The

consultative clinical reasoning process. Australian Occupational Therapy Journal (2005) 52,

199-210.

KURTZ, L. A. Understanding motor skills in children with dyspraxia, ADHD, autism, and

other learning disabilities: a guide to improving coordination. JKP, 2008.

LANDY, J. & BURRIDGE, K. Fine Motor Skills & Handwriting Activities for Young

Children: teaching, remediation and assessment. Pearson, 1999.

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LOUSADA, T. M. et al. Caracterização do desempenho motor de escolares com dislexia.

Temas sobre Desenvolvimento 2009; 17(97):11-4.

MOMO, A. R. B.; SILVESTRE, C.; GRACIANI, Z. O processamento sensorial como

ferramenta para educadores: Facilitando o processo de apredizagem. São Paulo, SP:

Artevidade Terapia Ocupacional, 2007.

MURRAY-SLUTSKY, C.; PARIS, B. A. Is it Sensory or is it Behaviour? Behaviour Problem

Identification, Assessment, and Intervention. Hammil Institute on Disabilities, Texas, USA,

2005.

PARHAM, L. D.; FAZIO, L. S. A recreação na terapia ocupacional pediátrica. São Paulo:

Livraria Santos, 2002.

SMITH, B. A. From Rattles do Writing – A parent´s guide to hand skills. Therapro, 2011.

ZAZZO, R. Manual para o exame psicológico da criança: Editora Mestre Jou - São Paulo -

1981

• http://occupationaltherapyforchildren.over-blog.com

• http://www.handwritinghelpforkids.com

• http://www.ncld.org

• http://www.kidzworld.co.za

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APPENDIX I: EXAMPLES OF ACTIVITIES TO DEVELOP FINE MOTOR SKILLS

Bake cookies and mix dough with your hands

Blocks and Lego

Clothespin activities

Complete activities on a vertical surface. An easel is not necessary; try taping a coloring

sheet or activity page on the wall, refrigerator, or any other hard surface.

Egg carton with small manipulatives. The child is asked to use his "crabs" (thumb and

index finger) to get the objects, one at a time.

Have the children “bury” their hands in a bucket filled with sand, rice, or very small

beads for sensory input.

Learn to braid hair, rope, or string. Perform games with string such as “Cat’s in the

Cradle”

Legos, Kinex, building blocks, linker cubes, Erect or Sets

Model “house” made out of toothpicks

Open/ close zip lock bags, containers, screw top jars

Perforating holes into polystyrene or a similar material

Pick up 5-10 coins one at a time and move them in to the palm of the hand. Once all the

coins are in the palm, use the thumb to help move the coins one at a time back to the

fingertips. Try this with the right and left hand! This can be done with various other small

items to make it more challenging.

Place 10-20 coins on a table. Practice turning coinss over with the fingers of one hand. To

make this more difficult, place coins in two rows and the turn coins over with both hands

simultaneously.

Play card games, shuffle cards or play activities that use dice rolled in cupped hands

Play games with that involve the handling of cards, tongs, and small game pieces

Playdough-roll into small balls or use scissors to cut playdough

Practice picking up small items with the fingers (beads, small pegs, pennies etc.) and

place them in a container

Practice tracing around a stencil

Puppets and finger puppets

Puzzles

Spin small tops, twirl markers, etc.

Squeeze ball/ stress ball

String beads

Stamps and stickers

stencils

Student can use clothespins to hang up their artwork on clotheslines hung in the

Tangrams with blocks

Tear newspaper into strips or crumple newspaper

Touch thumb to fingers of each hand individually, then simultaneously. Make this more

challenging by closing your eyes!

Tweezers to pick up small items or cotton balls

Use a spray bottle to water classroom plants or to spray chalkboard to clean it

Use eye droppers to pick up colored water and make designs on paper

Use hole punchers

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Vertical activities: blackboard, magnetic board, ‘clothes’ line.

Vinyl sticker activities placed on vertical surface

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APPENDIX II: PENCIL GRASPS

By approximately 6 years of age a child should have developed the necessary fine motor

skills to be able to assume and maintain a mature pencil grasp: a dynamic tripod grasping

pattern. In the dynamic tripod grasp, the pencil is held between the thumb and index finger,

with the pencil resting on the middle finger. The thumb and index finger form a circle.

How to hold a crayon/pencil:

1. Have the child make a circle with fingers (thumb and index finger make a circle, with

last 3 fingers held in the air)

2. Drop the last 3 fingers and open the thumb and index finger

3. “Pinch” pencil between thumb and index finger with eraser end point toward

shoulder. The pencil rests on the middle finger.

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Correct Pencil Grasp Development

When your toddler first grabs a thick crayon

and puts it to paper (hopefully not to your

walls!), this is the grasp you should be seeing.

It is a “fisted grasp”, and your toddler will be

using movement from the shoulder to get

the crayon to move across the paper.

As your toddler gains more control over arm

and hand muscles, you will see this “palmar

grasp” being used. Here, the pencil lies across

the palm of the hand and your child’s elbow

is held out to the side a bit.

The next stage is what is misleadingly called

the “immature” 5-finger pencil grasp – it is

immature because it is not the 3-finger grasp

that is used in school, but it is a perfectly

mature grasp for a 4-year old! As you can

see, there are 5 fingers holding the pencil.

With this 5-finger pencil grasp, the wrist is

usually held off the table and wrist

movements are used for coloring. The crayon

is often held very tightly initially, but as the

hand muscles develop, you should see a few

finger movements emerging.

This left-handed toddler has developed a 5

point pencil grasp that is appropriate for her

age.

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By age 5-6, or even a bit later with some

children, they should be comfortable using a

mature 3-finger pencil grip. At first, the

fingers will be held stiffly and your child may

still use wrist movements to draw and color,

but as the finger muscles become more

skilled, your child will be able to use finger

movements to draw and to form letters.

Don’t be surprised if you see your young child switching between pencil grasps. As the

shoulder and arm muscles become stronger and steadier, your pupil should switch less

and less. We can liken this to a baby learning to walk – when his legs are tired of

walking, he goes back to crawling, but as his endurance and skill improves, he will walk

more and more!

So don’t discourage your pupil from going back to an earlier grasp; instead, promote

correct pencil grasp development by doing some easy hand exercises to help hand

muscles to develop.

Good control of the pencil for handwriting will only come as the finger muscles become

more skilled. Some children will need encouragement to develop finger movements, and

these fun finger exercises should help them.

General Hand Exercises

Playdough is great for strengthening

hand muscles. Squash it, squeeze it

and pound it!

Use both hands together to mould a

pot, a bird’s nest or anything else that

takes your fancy. Roll a few balls to

make eggs for the nest or peas for the

pot...

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Rolling out playdough with both

hands together is good for

coordination as well as for exercising

the hand and wrist muscles.

Pushing coins into money boxes is a

fun exercise – all kids love feeling

rich! Encourage your child to pick up

and put in one at a time, and once he

has mastered this, let him hold a few

coins in his hand and put them

through one by one without letting

the others fall.

Crumpling small pieces of crepe

paper for “scrunchies” is good

exercise and also makes a great

decoration for craft activities.

Here, Callum used ‘scrunchies” to

add smoke to his chimney. The house

was made as a cutting activity. Have a

look at some more information on

how to make scrunchies.

Scissor cutting skills are vital for getting the tripod fingers (thumb, index and middle

fingers) to work together well.

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Hand Exercises for the Tripod Fingers

Show your child how to isolate the

tripod fingers with a small slip of paper

under the ring and little fingers. I tell my

kids that the thumb, middle and index

fingers are the 3 friends, who need to

work together, so we are going to keep

the other fingers out of the way with this

piece of paper.

Draw a single dot on one side of a

clothes peg, and two dots on the other

side. This shows your child where to

place the fingers for maximum fine

motor benefit.

Use the clothes pegs to pick up small

pieces of paper. Here, Callum selects the

dark green paper that he needs to make

“scrunchie” leaves for his tree.

Children love to be helpful. Try stringing

out a washing line at your child's height

and giving small clothing items to hang

up with pegs.

Callum loves making cages for his

dinosaurs and wild animals. Simply

place clothes pegs all around an egg box

lid!

Ok, this activity does use a crayon, but it

is used in such an undemanding way!

Use the tripod fingers to hold a crayon

down flat and rub color all over a large

area, like this circle which is about to be

cut out. Although square and triangular

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crayons are great, they are hard to find,

but regular crayons do the trick just as

well.

Tearing paper can be fun! First, check

which way the grain of the paper runs –

some magazines make great strips when

torn vertically; others make better strips

when torn horizontally. If necessary, you

can tear the strips and your child can

make the small squares. Once strips have

been torn, then tear the strips into small

squares across the grain. Use the tripod

fingers to grasp the paper and tear.

Use the paper squares to make a collage.

Here, Callum is using the squares to

make a river for one of his pictures.

Finger dexterity and in-hand manipulation activities

Fine, quick dexterity in the finger tips and the ability to manipulate

(rotate/reposition) objects with only one hand is critical to the development of

most fine motor skills and particularly to pencil control and handwriting

Rolling up balls of play dough or paper with thumb and first two fingers

Make a face with the pen in the index finger and try to rub it off with the thumb

Craft or making pictures with rice, stickers or other small objects picked up

singularly

Use tweezers to play placing games

Peel of stickers or make sticker pictures

Make prints with thumb and index fingers with paint or glitter

Finger puppets –make from fingers of old gloves, use all fingers

Paper folding or origami

Prepared by Sabine O. Horstmann Kulaif, Occupational Therapist

Resources: http://www.ot-mom-learning-activities.com/pencil-grasp-

development.html

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Appendix III: Nelson handwriting

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Appendix IV: Left-handed pupils

Seating and positioning accommodations

When possible ensure that children sit squarely to the table

with hips and knees bent at 90°. Buttocks are placed well

back into the chair; feet positioned under knees and firmly

placed on the floor; head upright in midline; always

encourage postural symmetry and ensure both elbows are

forward on the table.

The left-handed child should sit higher on the chair; this

will help him/her see what he/she is writing. A slanted board can help.

Avoid hooking

One of the main problems faced by left handed children is

that they cannot see what they are writing. In order to be

able to see what they are writing they tend to hook their

hands above the writing line and write. This is a very

difficult posture. Discourage them from hooking. A proper

paper position and pencil position will enable them to see

what they are writing. Teach them to keep their wrist and

hand below the writing line.

So encourage proper paper position and good pencil

position and discourage hooking.

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Appendix V: Pre-writing skills assessment

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Prova Gráfica de Organização Perceptiva para crianças de 4 a 6 anos

por Hilda Santucci in Zazzo (1981)

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Appendix VI: Leaflet for Parents

HANDWRITING SKILLS

Suggestions to help your child develop good handwriting skills:

1. Provide opportunities for your child to draw/write in a

vertical position, e.g., standing at an easel or at paper

stuck on a wall.

2. When seated, your child should be in a good sitting

position with feet flat and a stable trunk.

3. Your child should hold the paper with his/her free hand

to prevent it from slipping.

4. The pencil grip should be effective and relaxed. The tripod grip is

recommended which is when the pencil is positioned

so that there is equal pressure between the thumb, the

side of the middle finger and the tip of the index

finger. All fingers are bent slightly.

5. When drawing, encourage your child to draw

horizontal lines that go from left to right to mimic the printing

process. The vertical lines should go from top to bottom as

all letters and numbers begin at the top and move down.

6. When drawing circles, encourage your child to draw them

in an anti-clock-wise direction as most curved letters and

numbers are written in an anti-clockwise direction

SCISSORS SKILLS

Suggestions to help your child develops good scissors’ skills:

1. Your child should place the thumb and middle fingers

through the scissor loops.

2. The index finger stabilizes the scissors resting just above the

lower loop.

3. Your child should use bimanual skills when cutting. One hand

should be used to grasp the paper while the other hand cuts.

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WEBSITES FOR CONSULTATION AND RESOURCES

http://www.skillbuildersonline.com

- articles, activities and worksheets

http://www.kidzone.ws/preK_wrksht/dynamic.htm

- printable worksheets for practicing lines and circles

http://www.sensory-processing-disorder.com/fine-motor-skills-

activities-for-children.html

- activities for developing fine-motor skills

http://www.tlsbooks.com/preschoolfinemotorskills.htm

- activities and worksheets

FINE MOTOR SKILLS – A GUIDE FOR PRE-PREP 1 PARENTS

Fine Motor Skills are the ability to control small precise movements with

the fingers, wrists and hands.

Every child will acquire the fine-motor skills needed for handwriting at a

different pace. The more your child uses his/her fingers in activities that

help to strengthen their hand coordination, the sooner they will master

these skills.

Before trying to teach your child how to copy letters and words, it is

important that they develop other fine motor skills. The list below gives

examples of many activities that can develop skills such as grasping,

mark-making, bilateral integration and hand-eye co-ordination.

buckling and unbuckling popping bubble-wrap

building towers with small blocks pressing keys on telephone

drawing, painting, and coloring putting small objects together

finger painting screwing and unscrewing

finger puppets sharpening a pencil

manipulating buttons and snaps threading beads

doing jigsaw puzzles turning pages in a book

peeling bananas, tangerines tying shoes

pegging washing to dry use droppers to play with water

playing with playdough wringing out clothes

playing with small seeds zipping and unzipping