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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

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Importance of In-hand Manipulation Skills

October 4, 2021 By admin

What are in-hand manipulation skills?

  • In hand manipulation is the ability to move or adjust an object once it is being held in the hand.
  • In hand manipulation skills are important in the school setting for tasks that require use of writing utensils, flipping through pages in a book, as well as, projects that require manipulation of various tools such as scissors or glue.
  • Also important for self-care activities such as using a fork or spoon while eating.

In-hand manipulation skills are divided into 3 categories:

  • Translation
  • Shifting
  • Rotation

Translation

Picking up popsicle sticks and bringing them into the palm is an example of translation.

Translation is the ability to move objects from the palm to the fingertips or the fingertips to the palm within one hand. An example of translation (palm to fingertips) is moving coins from the palm of your hand to your fingertips in order to insert the coins into a piggy bank. Translation (fingertips to palm) can be seen when picking up small marbles or game pieces using your fingertips and repositioning them in the palm of the hand.

Shift

Turning pages in a book is an example of shifting.

Shifting is the ability to slide things across the tip of your fingertips with your thumb in a linear manner. An example of shifting is when turning pages in a book or repositioning the shaft of a pencil within the hand to achieve a better grasp.

Rotation

 Simple rotation is the ability to spin an object using the pads of the fingers and thumb such as when removing bolts. Complex rotation is used when turning an object so that the top is now oriented toward the bottom, such as when flipping a pencil around in order to use the eraser.

Flipping a pencil in order to use the eraser is an example of rotation (complex).

Activities to help promote In-hand Manipulation skills

Translation (from fingertips to palm):

  • Picking up coins or beads from a container
  • Crumpling paper
  • Picking up small pieces of food during mealtime
  • Pulling chips off of magnetic wand and holding within palm

Magnetic wand and chips.

Crumpling paper encourages bringing piece of paper from fingertips to palm of hand in order to crush it onto a ball.

Translation (from palm to fingertips):

  • Moving coins from the palm into a piggy bank or container with a small slot
  • Playing a game such as Mancala where “stones” are held within palm and then dropped into the holes/pits one at a time
  • Connect 4- Make a rule to keep a specific number of chips in the palm of hand while playing

Playing mancala incorporates skill of translation, as stones are brought from fingertips to palm, as well as, palm to fingertips.

 

Travel Connect 4 game

Shift:

  • Reading a book and turning the pages
  • Separating playing cards in hand during game in order to view all cards
  • Stringing beads on lace or pipe cleaner
  • Coloring activity- shifting crayon or marker in hand

Fanning out cards uses in hand manipulation skill of shifting.

Rotation (simple):

  • Twisting toy nuts and bolts
  • Wind up toys
  • Spinning tops toy
  • Making small balls with fingers using clay
  • Twisting open caps on small bottles or lids on containers

Wind up toy

Toy nuts and bolts set.

Rotation (complex):

  • Using double-sided crayons during coloring activity to encourage rotating of crayon
  • Rotating puzzle piece before placing it down
  • Shape sorter toy requires rotation of pieces in order to fit it into the hole

Shape sorter toy.

Using double-sided crayons can be used for coloring activity to encourage rotation.


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Most of you know me as a pediatric occupational therapist here in Westport, CT at Building Blocks Pediatric Occupational Therapy Services. For years, families have asked me the same big question: “What is OT, and what will my child do there?”

So, I poured my heart into creating something that would explain it in a way kids could truly connect with.

📚 The What Is OT? Series is a seven-book collection that breaks down the many skills we work on in OT — from fine motor and sensory, to life skills and social-emotional growth. Each story is colorful, fun, and written to help kids see themselves in the characters.

And here’s the part that makes it extra special for me — the main characters are inspired by my own children, nieces, nephews, and even some OT friends who’ve been part of my journey. This series is my little love letter to the kids I work with every day, and to a profession that means the world to me.

✨ My hope is that these books give parents, teachers, and therapists tools to share what OT really is, and how it helps kids learn, grow, and thrive.

Thank you for cheering me on as I put this dream into the world — I’m so excited to share it with you 💜

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Vibration plates= nervous system regulation🧘‍ Vibration plates= nervous system regulation🧘‍♂️ At Building Blocks, we incorporate vibration plates thoughtfully into sessions to meet each child’s unique sensory and functional needs; supporting not just movement, but attention, coordination, and emotional regulation. 
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Learn more about what occupational therapy is and Learn more about what occupational therapy is and how it can help your child thrive in life✨ Link in bio!
📚 The What Is OT? Series is part of a seven-boo 📚 The What Is OT? Series is part of a seven-book collection designed to explain Occupational Therapy to children in a fun, simple, and relatable way. Through colorful stories and engaging characters, each book shows how OT supports kids in learning, growing, and thriving every day.

This series also advocates for the OT profession — helping parents, teachers, and therapists share the many important skills that Occupational Therapy builds. Perfect for classrooms, therapy sessions, or at home, these books are a meaningful resource for anyone wanting children to understand the power of OT.

✨ The Seven Books in the Series:
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	2.	📘 Fine Motor Superpowers in OT
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	4.	📗 Together We Can: Eyes & Hands in OT
	5.	📙 Confidence & Independence: Life Skills in OT
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