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Featuring articles from our principal Occupational Therapist, Dr Nicole Grant, members of the therapy team, and guest posts from members of our community.  

Posts tagged pencil grasp
What's Best - Handwriting or Typing?

A few years ago, I conducted an Ergonomic Workstation Assessment for an adult who was employed in an administrative role. This particular employee had the task of completing a large number of forms by hand and she was experiencing symptoms that her GP thought might be early signs of Carpal Tunnel Syndrome. This recent assessment again got me thinking about writing.

Computers and other electronic devices are being used more frequently to communicate - either in real time or to convey a story or recount an experience. It appears as though typing has become the preferred method of communicating over writing and even at times over speaking. I wonder if this is the reason why there is an increasing number of both kids and adults who struggle with writing - either by writing poorly or by developing pain in their hands and wrists during this task?

It's important with any skill to practice often. Use it or you lose it - basically. My approach with working with kids is to firstly correct their pencil grasp, and then practice, practice, practice. Work on letter formation, letter height, width and word spacing. With adults who are reporting pain or other symptoms e.g tingling in the hands, I encourage them to continue writing, but to alternate written tasks with other activities. I encourage all clients, both young and old, to perform hand stretches before commencing writing tasks - just like a footy player would stretch his muscles before running onto the field.

I would love some feedback on this post. Which is more important - handwriting or keyboard skills? Do you experience hand or wrist pain if writing? What about your kids?

Please note, if you experience pain, numbness or tingling when writing or typing, and it does not go away, seek medical attention.

5 things your child should know before starting school (they might not be what you think!)

It’s that time of year again when many parents of pre-schoolers are preparing themselves and their little ones to start Prep.  It can be a time of trepidation, fear and excitement in equal measures for all involved. For first time Prep parents there is so much to think about. The move from childcare, kindy or preschool is enormous. All of a sudden, your child knows everyone, to suddenly knowing only a handful of kids, or worse – no one. Their routine (and yours) will change dramatically. They will be expected to follow school rules, comply, and adhere to the status quo. For our free-spirited little ones, this can all be a huge ask. Furthermore, many parents worry if their kids are truly ready. Are they ready to learn, and is academic success within their reach? In my occupational therapy clinical practice, I often see children whose parents are concerned that at the age of four, their son or daughter is still using a cylindrical grasp, or is writing the letter C backward. They worry that their kids are going to struggle once school begins. These are common fears, however you may be surprised to know that academic success depends upon far more than being able to recite and write the alphabet.

Before kids are ready to learn, there’s a few other skills they need to master first. You may be surprised to find that the skills I most value for school readiness, are not necessarily related obviously to academic performance. For a child to be ready to learn, they need to be confident and relaxed, mentally prepared, and comfortable. So how do we ensure our kids are in the right frame of mind, and able to independently achieve these things on a day to day basis?

Here’s 5 things that your child should know before starting school:

1.    Can they go to the toilet by themselves?

Your child may have been toilet trained for 3 years, but that’s not what I mean. Starting school often means having a uniform to wear. Some Preppies will have zips, buttons or other fasteners to contend with in order to independently adjust their clothing for toileting. If your little one is not confident with adjusting their clothing, they may hold on all day (which is very uncomfortable) or even have an accident. An anxious or uncomfortable child does not make for a happy learner.

2.     Can they open and close a lunchbox lid, and open food packets, yoghurt lids, open a popper straw etc.?

At pre-school, your child will probably have ready access to an attentive grown-up to help them get to their food. At school, the ratios are much higher, meaning that they may not get the help they need. They may also be afraid to ask! If your child struggles with their lunch, they may take longer to eat and miss out on lunch, or worse, avoid eating altogether. A hungry or upset child is not going to be in the right frame of mind for schoolwork.

3.    Can your child ask for help?

Yelling for Mum at home from down the hallway is very different to asking for help in class. Kids can be shy or unsure when it is ok to ask for help. Make sure your little one knows the rules, whether it be raising a hand or going to the teacher’s desk. A child who is afraid to ask for help, or is unsure of how to go about it, may miss an opportunity to clarify information or check if they are on the right track.

4.    Can your child wait?

At school, your child will be vying for the teacher’s attention along with 25 other kids. A child that has not learned to wait will quickly grow impatient and will be easily frustrated. They will need to wait in line, wait for lunch, wait to use the bathroom, wait their turn for the monkey bars, and the list goes on. Being impulsive or cutting in will not go down well with the teacher or your child’s fellow classmates.

5.    Can your child sit still for at least 20 minutes?

Academic success requires good attention and concentration. A fidgety child, or a child who is easily bored will struggle to sit long enough in class to pay attention and complete their school work.

Pencil grasp, remembering letters and numbers, knowing the days of the week, and colouring in the lines will usually all come with time. When starting Prep it is far more important that your child has mastered the skills mentioned above.

If your child is struggling with any of these things, now is a good time to think about how you can help your child to develop these skills. If you are not sure how to go about it, an occupational therapist can help.

(Article originally posted as Guest Post at

Author Bio:

Dr Nicole Grant is a paediatric Occupational Therapist, and Director of Brisbane-based Gateway Therapies (