Handwriting Assessment: Occupational Therapy

occupational therapy handwriting assessment

Occupational therapy handwriting assessments analyze the components of handwriting to discover what may be leading to sloppy or illegible handwriting. One way that occupational therapy practitioners work with students in school based OT is by conducting handwriting assessments in occupational therapy. Here, we are covering areas that an OT looks at in an occupational therapy handwriting assessment.

Occupational therapy practitioners tend to get a bad rap in the schools because they are the go-to service for supporting handwriting needs. While we aren’t “handwriting teachers”, we do know a lot about the intricacies of underlying skills that impact legibility! Identifying those specific needs all starts with the handwriting eval!

To get started, you’ll want to begin with the occupational therapy eval request, and then we can go from there…

handwriting assessment occupational therapy

Handwriting Assessment Occupational Therapy

When it comes to analyzing handwriting, there is no escaping handwriting if you are a pediatric OT.  Handwriting evaluations and interventions is a main task of school-based occupational therapists. It’s no wonder when you consider that handwriting is one of the primary tasks that school-aged children engage in, and is one of the most prominent reasons for an OT referral in the school and outpatient settings.

Today we’re talking handwriting analysis and clinical observations related to assessing handwriting.

Check out our informative video on handwriting evaluations in the classroom environment:

Seems like handwriting should be pretty easy right? The challenge in teaching kids to use legible handwriting is often the limited exposure we receive prior to entering the field, and ensuring that we are providing a skilled service and not tutoring.

Handwriting analysis of writing samples is an important part of a handwriting evaluation. These underlying skills are essential clinical observations in handwriting assessment.

Handwriting Clinical Observations

In a handwriting assessment occupational therapy providers look at specific areas. These are the skilled components that are necessary for figuring out what’s going on.

When I was in school, we briefly touched on fundamentals of handwriting, and the Handwriting without Tears program. I later had some great exposure to handwriting during my Level 2 fieldwork in a school setting, but still felt unprepared to really dive into what prohibited kid’s from learning to write, and to then decipher those findings. For information on Handwriting Without Tears letter order, we have a comprehensive explanation on that aspect of this program.

Since practicing on my own, I have developed a set of clinical observations that are relevant to the handwriting process as it relates to OT and what they meant in terms of function. Check out the list of clinical observations below.

Working on handwriting and pencil grasp? Be sure to join the Pencil Grasp Challenge…a FREE five day challenge loaded with information, strategies, and resources related to a functional pencil grasp.

Below are strategies to use in analyzing handwriting. These are clinical observations that can impact the legibility of written work.

Fine Motor Skills in an Occupational Therapy Handwriting Eval

One major component to handwriting is fine motor skills, and this motor aspect is assessed in the handwriting assessment occupational therapy practitioners conduct.

Fine motor skills play a HUGE role in a child’s ability to participate in writing activities. From grasp patterns, to which hand they use, to endurance and in-hand manipulation skills—there’s a lot to make sure you are checking off during your observations and evaluations.

Let’s break down the components that are assessed in a handwriting evaluation. OT’s typically look at:

We’ve broken these skills down into categories below.

  • Pencil Grip/Grasp pattern
  • Dynamic finger movements
  • Finger mobility
  • Joint positioning and joint integrity
  • Hand and wrist mobility
  • Posture
  • Segmental Drawing
  • Hand dominance
  • Visual motor skills (segmental line skills)
  • Letter formation
  • Sizing, spacing, line use
  • Sequence and strokes of pencil lines
  • Uppercase and lowercase letter usage
  • Fluidity of handwriting

Pencil Grip

This one seems like an obvious one, but there have been many times that I have sat down to write an evaluation and realized that I didn’t note anything about the grip pattern.  Yikes! The major points of clinical observations of pencil grips to keep in mind are that you watch for dynamic finger movement, hyperextension of joints and overall functionality.

Here are some important things that therapists wish parents and teachers knew about pencil grasp.

Grasp pattern in a handwriting Assessment Occupational Therapy

When an occupational therapist conducts an OT handwriting assessment, they look at the grasp pattern the student is using when writing. The occupational therapist asks themselves what does this look like while the child is writing? Is it a dynamic tripod? Static tripod? Or some form of primitive grasp pattern like a fingertip pattern or a gross grasp? 

Make sure that you watch throughout the evaluation to see if they have any regression to a primitive pattern or switch how they hold the writing utensil frequently. 

If you notice grasp pattern regressions, fidgeting or switching of grasp positions frequently, it’s a sign of fatigue related to poor muscle endurance and strength. It may also be an indicator that there is poor separation of the two sides of the hand, under development of the arches of the hand, and finger to thumb opposition, and even potentially poor web space development. 

Bonus Tip! Watch for consistency of skills. If you notice that a skill is consistent, even if it’s an immature pattern, you can determine what is due to poor muscle strength and fatigue (inconsistent patterns) versus an established pattern or compensatory pattern (consistent patterns) that’s going to be difficult to change. 

Dynamic Finger Movements and Pencil Grip

Dynamic finger movement is a big key to preventing fatigue. If the hand or wrist move as a unit, fatigue and endurance significantly increase. Dynamic movements also allow for more control of the utensil within a given space.

 Once dynamic movements have developed, it is exponentially easier for the kiddo to color or write in small spaces, form multi-step lower case letters and produce smaller sized letters and numbers.  

Occupational Therapists Look at Finger Mobility in a Handwriting Eval

Similar to wrist and hand mobility, you will also want to assess finger movements and joint isolation. 

Mature patterns will allow for the thumb, index and ring fingers to move in synchronized flexion/extension patterns to great dynamic movements. If you don’t see this, or notice that the child uses their whole hand to form letters, this is another inefficient pattern that you’ll want to address in your treatment. 

If you’re not sure that this is an issue, have the child walk their fingers up and down a pencil to evaluate their in-hand manipulation skill focusing on shift. 

Whether you are assessing an 8th grader or a preschooler, fine motor components are addressed across the continuum to promoting independent and successful handwriting experiences. Working from this list of skills you can develop these skills further and take the stress out of handwriting!

Functionality of Pencil Grip

Current evidence-based practice in occupational therapy indicates that there are several functional pencil grip patterns outside of the standard tripod grasp pattern that we all identify as “the best” or “most functional” grip pattern. Other patterns include static and dynamic variations of tripod and quadropod grips.

However, I really encourage you to just take a minute to see if the child is functional with their current grip pattern. Trying to change the pattern they are functional with is not always the best option for addressing handwriting.

If they are able to control the utensil for accurate execution of strokes, are able to remain in the given boundary and are not showing signs of poor endurance or fatigue—then they are functional and other components of handwriting should be addressed.

Hyper-Extended Fingers and Pencil Grip

When a child hyper-extends a joint when holding a writing utensil, the grip typically appears “tight” or “too hard”. Hyperextension can lead to damage in the joint itself, along with uncomfortable feelings to the fingers, increased levels of fatigue, poor overall endurance, and hinder dynamic movement. 

Children with poor overall joint stability or poor strength often exhibit this pattern of pencil grips. The “tight” or “too hard” grip that leads to hyperextension is a compensatory strategy to increase motor control and dexterity within the task. Due to the variety of pencil grips that children display, it is important to assess the functionality of the grip before attempting to change it.

Analyzing Joint Integrity in an OT Handwriting Evaluation

Joint integrity of the joints of the fingers, hand, and wrist when holding a pencil is an important component of pencil grasp that needs to be assessed and documented during a handwriting assessment by the occupational therapist.

Joint integrity is super important because a child that has a grasp pattern that is too tight or too loose can have compromised joints. 

A grasp pattern that is too tight puts undue stress on the joints, ligaments and muscles which will lead to poor endurance, and hand cramps. And even potentially repetitive stress injuries. 

On the opposite end, a grasp pattern that is too loose or where the child has hyper extended joints, they will experience similar pain and concerns. They are more likely to have joint pain due to the bone on bone of hyper extension patterns. 

Both patterns are inefficient and will need to be addressed to help the child be successful with handwriting.

Analyzing Wrist and Hand Mobility

Related to the above factors is a more proximal look at the motor component. Occupational therapists will assess the wrist and hand mobility in a handwriting eval because the stability of the joint proximal to the arches and fingers offer the support to provide distal mobility and dexterity.

In this category, we want to look at how the wrist and hand move both as a unit, but also separately. Ideally, the hand and wrist should move independently of one another when writing with the wrist being stable and the hand moving.

If you see that the child is moving their hand and wrist as a unit with stabilization coming through the forearm, that is an inefficient movement pattern that you will want to work on addressing. This pattern is inefficient because it requires more energy from large muscle groups instead of utilizing them for stability.

Posture and handwriting

I want to touch on posture’s impact on handwriting quickly because you can learn some interesting things about a child’s handwriting this way.

If they are slouched over or use their hand to hold their head up, poor core and upper body strength may be the culprit. This will greatly impact their fine motor skills. Without a strong foundation, dexterity skills will not develop.

It’s also important to note if the hand that is holding the child’s head up is covering one eye consistently. This may indicate that there is an underlying vision issue that needs to be addressed. Children typically cover the eye that is making them see double or causing blurred vision.

This is not only an issue from a vision standpoint, but also because you now don’t know what the child is seeing for letters or strokes. Once the vision concern is addressed, the child may have to “relearn” the letters and strokes which can appear as a regression of skills.

Similar concerns are also noted when the child is consistently adjusting their head position in location to the paper.

Hand Dominance

Dominance plays a large role in handwriting and if a child does not display a dominant side, or has mixed dominance, delays in handwriting can occur.

Lack of dominance can prevent adequate levels of motor practice of strokes and letters from being completed. This can then lead to sloppy or illegible writing, along with confusion on the sequence of strokes to form letters. Children who display these motor patterns typically have delayed automation of handwriting, may have a higher incidence in reversals and struggle with getting their thoughts onto paper.

These three simple tips on hand dominance, laterality, and functional activities are a resource in establishing this essential skill.

When looking at hand dominance, you want to look and see if they are consistent with the use of one hand, or if they are trying to switch hands. If you observe challenges with consistency, this may indicate poor muscle strength and endurance. 

Visual Motor Skills

Visual motor integration is a major piece of the handwriting assessment that occupational therapists analyze. Visual motor skills enable us to write using specific aspects that highly contribute to overall handwriting legibility:

Each of these components plays a different role in overall handwriting legibility. In general, writing that has poor sizing, spacing, and letter formation will have challenges with letter formation. However, when some of the components are addressed (spacing between words and baseline use), legibility increases greatly allowing for functional handwriting. In most cases, functional and legible writing is possible even with mixed case use and inconsistencies with letter size. Think about your average medical doctor, whose scripts are written in mixed case and mixed size. Many adults work with these handwriting inaccuracies and the written output is legible and functional.

However, in the teaching moment of working on these skills, legible handwriting for children and students has a different version of functional, so that for the child, addressing letter size along with line use and spacing supports legible written output.

The handwriting occupational therapy assessment then needs to take all of these contributing factors into consideration in order to create an individualized plan of care to support legible written work.

Segmental Drawing

Segmental drawing is when a child “draws” or writes a letter using singular strokes with clear, and abrupt stops between the strokes. This is time consuming, and requires a high level of active thought for the child. Essentially, it’s very non-functional and needs to be addressed.

Segmental drawing not only provides a picture about the child’s writing skills, it also provides insight to the therapist on how they process information. Children who typically utilize segmental drawing are only able to process small or shorter pieces of information at one time. For example, they may need directions given in short bursts or in simple statements to be successful.

Sequence of Strokes and Handwriting

Building on segmental drawing is the sequence in which strokes are completed. Letters in our culture flow from top to bottom, and left to right. A child who is demonstrating a bottom to top orientation or sequence of strokes, when writing may have a significantly harder time learning to form letters correctly and fluidly. Their brains may be “wired” naturally to move in this pattern, or they may be compensating for a visual motor impairment such as spatial relations deficits.

uppercase/lowercase letters Assessment

The case a child chooses to write in, or the combination of case they use provides information on letters that they may be unable to recall, are unsure of their direction (reversal prevention/compensatory strategy), or are unable to execute. By analyzing the use of upper case and lower case letters you can determine where the break down in skill is.

Fluidity and Handwriting

Finally, as all of these observations come together, the final piece is fluidity.  This looks at a few different things including the child’s speed of writing, whether they talk to themselves or watch their hand when they write, and if they demonstrate any motor overflow.

The amount of time that a child takes to write can be an indication of poor memory recall and lack of automation of the writing process. The longer the task takes, the more difficulties the child is having retrieving the information from their memory and utilizing it effectively.

Children who are struggling with writing often talk themselves through the process—from where to start to the verbal cues taught to them. This external processing further indicates poor processing speeds. This can also be seen in the form of oral motor overflow. This is when a child’s mouth moves in odd patterns, they stick their tongue out or some combination of jaw and tongue movement.

Along with motor overflow and outward verbal processing, a child may watch her hand when writing. By watching her hand, the child ensures that the stroke she recalled from her memory is indeed correct and that she is able to execute it. This pattern further hinders the automation of handwriting and indicates challenges with processing and memory recall. When writing requires this much active thought for just the formation of the letters, spelling, sizing, spacing, and thought completion often go by the way side.

Use these handwriting analysis strategies to analyze pencil grasp and writing components during handwriting evaluations.

Final Thoughts

Handwriting is such a large part of being a kid, and being a pediatric OT, that it deserves more attention than it often gets. There are so many foundational skills that go into handwriting, and many places for the skills to become a challenge for a kiddo.

Hopefully everyone from seasoned OT’s to brand new grad’s found this post helpful and learned something new in handwriting analysis and clinical observations needed to assess handwriting.

The Handwriting Book is a comprehensive resource created by experienced pediatric OTs and PTs.

The Handwriting Book covers everything you need to know about handwriting, guided by development and focused on function. This digital resource is is the ultimate resource for tips, strategies, suggestions, and information to support handwriting development in kids.

The Handwriting Book breaks down the functional skill of handwriting into developmental areas. These include developmental progression of pre-writing strokes, fine motor skills, gross motor development, sensory considerations, and visual perceptual skills. Each section includes strategies and tips to improve these underlying areas.

  • Strategies to address letter and number formation and reversals
  • Ideas for combining handwriting and play
  • Activities to practice handwriting skills at home
  • Tips and strategies for the reluctant writer
  • Tips to improve pencil grip
  • Tips for sizing, spacing, and alignment with overall improved legibility

Click here to grab your copy of The Handwriting Book today.

Winter Number Tracing Worksheet

Winter number formation

When it comes to managing the long winter with activities, this winter number tracing worksheet has you covered. Be sure to read up on our recommended use of tracing sheets as a tool to support functional writing. Use the printable below along with our winter number tracing worksheet to talk with kids about winter clothing AND work on number formation. It’s a winter printable that you’ll want to add to your therapy toolbox! Also be sure to grab our winter crossword puzzle and our winter clothes worksheet (for visual perception) as a tool to build visual motor skills.

You’ll want to grab this winter worksheet because it covers number formation and writing numbers with a wintery theme!

Kids also love this mitten printable to race the mittens across the page whild building motor skills.

Winter clothing worksheet

Looking for a consistent way to support fine motor skills all year?
This yearlong fine motor system includes seasonal activity kits and monthly data collection tools to support planning and progress monitoring.

If fine motor planning and data collection feel overwhelming, you’re not alone.
This done-for-you yearlong bundle organizes seasonal activities and monthly screening tools in one system.

Get the Yearlong Fine Motor and Data Collection Bundle today!

Winter Clothing Number Tracing Worksheet

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    Free Winter Number Tracing Worksheet

    On the winter worksheet, you’ll find number writing spaces where the user can trace numbers. By practicing numbers through tracing, you give the user the opportunity to practice the motor plan needed to form the number. We talk about the occupational therapy provider’s perspective on tracing in our resource on tracing sheets. Specific for this winter clothing activity, we wanted to add the number practice option along with a few other ways to practice specific skills.

    This winter number tracing worksheet is similar to our recent Christmas lights number tracing printable.

    Winter means different things for different people depending on their climate. Winter in the southern United States means adding a sweatshirt, possibly a hat at the bus stop early in the morning.  In the northern states winter is a different story.  Up north, winter starts in mid- September and seems to last until May.  I have northern roots but am a southern girl by heart. 

    Winter months in cold areas of the world mean bundling up and adding clothes.  Mittens, hats, coats, snow pants, boots, gloves, earmuffs, thick socks, long johns, and lots of layers are the customary daily garb.  Imagine trying to put this on and off a toddler each time you head out!  As soon as you get your child decked out in all these layers, they usually announce the need to go to the toilet!  It never fails.

    Since bundling up is a daily chore in the frozen north, why not add it to your treatment plan? The Warm Winter Clothes Number Trace Worksheet is a cute printable to build essential skills while using meaningful, relevant content.

    This free winter number tracing worksheet is a winter clothes activity for kids that helps with motor planning of number formation using a winter clothing printable.

    Tracing Numbers Worksheets

    Let’s talk tracing so you can use it to the maximum benefit and its intended purpose. 

    I am not a fan of tracing unless it is used correctly, or the objective is understood. Here is information on the benefits of tracing

    • Tracing is not going to teach number/letter formation if the learner does not know what those figures are.  To a learner who does not know these symbols, they will be tracing lines, not numbers or letters
    • Know your audience. If your learner does not know the letters or numbers, use the activity as a fine motor task to develop dexterity
    • Kinesthetic awareness.  This long word means to learn by doing.  Theoretically if a person writes the number 5 enough times, the body will start to recognize this pattern and commit it to memory.  This only works if the learner understands what is being traced. Using our sandpaper writing trick is one great way to incorporate kinesthetic awareness into number tracing and number formation.
    • Tracing for dexterity. This is the type of tracing I like best.  Tracing for dexterity works on staying on the lines, fine motor control, building hand muscles, scanning and a whole host of other important skills as defined below

    Winter Clothes Worksheet

    While worksheets are not a favorite among occupational therapists, there are ways to support skill areas by using worksheets to meet the needs of kids. When we address the underlying skill areas to support function, printables like this winter clothes worksheet can address a variety of areas.

    What does this winter number tracing worksheet work on besides tracing?

    1.  Kinesthetic awareness – This means learning by doing.
    2.  Hand strength and dexterity – staying on the lines builds hand muscles and develops muscle control. Check out the In Hand Manipulation Printable Worksheet to incorporate developing the intrinsic hand muscles.
    3. Visual motor skills –Combining what is seen visually and what is written motorically.  This takes coordination to be able to translate information from visual input to motor output. Coloring, drawing, counting, cutting, and tracing are some visual motor skills.
    4.  Visual Perception – Developing figure ground to see where one item start and finishes, scanning to find all answers, and visual closure to understand that dotted lines will create something.
    5. Strength – Core strength needed for sitting, shoulder/elbow/wrist stability, finger strength, and head control all play their role in writing.
    6. Bilateral Coordination – Be sure your learner uses their helper hand for stabilizing the paper while using their dominant hand for writing.
    7. Counting/Learning Numbers – Count the items to understand number concepts in addition to tracing them.
    8. Social/Executive Function – Following directions, turn taking, task completion, orienting to details, neatness, multi-tasking, attending to task, and impulse control can be addressed using this Warm Winter Clothing Printable PDF.

    When using a task such as this number tracing worksheet, therapists can utilize and focus on all the above skills or just one or two.  There are times when I am working more on executive function than fine motor skills but will use this task with more of my focus on these executive function skills.  My note might not say much about their number formation, counting skills, or neatness, but how well they were able to attend to the task, complete the task, follow directions, and control their impulses.

    Number Tracing worksheet for winter

    Winter Clothing Printable

    There are so many ways to use this winter clothing printable to work on number tracing, and more.

    How do I incorporate or modify this task for the needs of all my learners?

    Lots of ways!  As always, this sheet can be laminated for reusability or marker use, printed on different colored paper for readability, enlarged or made smaller, made simpler or more complex. Try having learners color the shapes and write the numbers independently on the back to add more visual motor tasks to this winter clothes worksheet.

    This covers one day of winter, what about the other 240?

    Glad you asked!  The OT Toolbox is stuffed with activities, blog posts and work pages to fill those winter days. The Winter Fine Motor Kit full of handouts and PDF files provides several visual motor tasks to be used throughout the winter season.

    Plus, in The OT Toolbox Members Club, you’ll find winter clothing printables and resources to address a variety of needs.

    In addition to these handouts, you can also read this article on Winter Fine Motor Activities for more great ideas and suggestions:

    Winter is a very long season. Especially if you are not a fan of the cold weather (author raises hand).  Adding fun activities and games can take some of the monotony and sting out of the long cold days. 

    Brrrrrr, bundle up!

    Free WINTER NUMBER TRACING WORKSHEET

    Want to access this printable number tracing worksheet? Enter your email address into the form below. You can also find this winter clothing printable in The OT Toolbox Member’s Club.

    Winter Clothing Number Tracing Worksheet

      We respect your privacy. Unsubscribe at anytime.

      Victoria Wood, OTR/L is a contributor to The OT Toolbox and has been providing Occupational Therapy treatment in pediatrics for more than 25 years. She has practiced in hospital settings (inpatient, outpatient, NICU, PICU), school systems, and outpatient clinics in several states. She has treated hundreds of children with various sensory processing dysfunction in the areas of behavior, gross/fine motor skills, social skills and self-care. Ms. Wood has also been a featured speaker at seminars, webinars, and school staff development training. She is the author of Seeing your Home and Community with Sensory Eyes.

      Watch for more winter clothes worksheets and winter printables coming to this space.

      Tips for Legible Handwriting

      legible handwriting

      When it comes to legible handwriting, there are a few tips that occupational therapy practitioners suggest. Handwriting is a complex task that incorporates motor skills, sensory processing, executive functioning skills as well as the creative writing aspect when it comes to thinking about what is being written.

      We’ve explored handwriting analysis in the past, including specific areas too look at when observing handwriting. In this blog post, we’ll cover skills needed for legible handwriting. 

      Legible handwriting tips and resources

      What is Legible Handwriting?

      Legible handwriting means written work that is overall able to be read and understood by the writer as well as others. Legible written work can be achieved in both print and cursive writing formats, as well as at each stage of writing:

      • Learning letter formation of upper case letters
      • Learning formation of lower case letters
      • Writing on lines (primary paper)
      • Writing on smaller lined paper (small ruled paper)
      • Learning formation of cursive lower case letters
      • Learning formation of cursive upper case letters

      Bad habits can start at each one of these stages.

      Legible handwriting is something most teachers hope for when it comes to a classroom of students!

      Putting it all down on paper can be where you see one or more of these contributing factors fail. 

      Handwriting legibility occurs when one is able to read their own handwriting. Think about the student that writes down a list of homework assignments in the classroom. They may be writing quickly as the bell is about to ring. When they get home at the end of the day, are they able to read the page numbers and words describing the assignment? This is where legible writing is important. 

      • Things to consider in this situation may include: increased writing speed, an unknown amount of time remaining to complete the written work, and a small writing space in the homework tracker, given for the written material

      Legible handwriting also refers to others being able to read the written material. Think about the student that writes letters, sentences, and paragraphs on a homework assignment. When the student offers the assignment to their teacher, they may not be able to read the written work. Then the student misses points or gets answers marked wrong because of the illegible materials. This can especially be the case on math assignments or spelling tests where letter formation and number formation is essential for legibility.

      • Considerations in this situation may include: The student rushing to complete materials, Poor letter formation, words or letters written in a small given area on worksheets or homework papers.

      Handwriting readability can also be related to habits. We all get into a habit when it comes to forming letters, and we all have quirks when it comes to how we hold the pencil, letter formation, and writing styles. The important thing to consider here is: is the written work functional.

      As a side note, you’ve probably seen a physician referral that has very bad handwriting and even illegible handwriting. In these cases, the script is almost a scribble. Why is this a stereotype? One reason may be the continued practice of writing very quickly during medical school and residency studies. You can see how practice results in an established writing form! Similarly, the medical professionals that need to read that chicken scratch handwriting have a lot of practice in reading those sloppy scripts in order to process the medical advice!

      Functional and Legible Handwriting

      Functional handwriting refers to handwriting that is efficient. Can the student write in the given amount of time? And in that given amount of time, is the written material able to be read by the writer and by others?

      We’ve covered a great deal on the aspect of a functional pencil grasp. A functional handwriting style is similar!

      Kids often write so quickly that the handwriting impairs legibility. They may get into a bad habit of forming letters incorrectly, using poor use of the lines, letter size, or spatial awareness. 

      Fluency also has a huge impact on functional written work. When we say fluency, we refer to the typical speed of written work. For younger kids, fluent handwriting is longer because the child needs to think about the motor plan for each letter. They are still working on the fine motor skills needed for pencil grasp as well as other areas of development that impact written work.

      In older children, handwriting fluency increases as students gain motor skills, motor planning, and letter formation becomes more natural.

      Then you’ll see similar examples of handwriting fluency as the student learns cursive. At first, the child needs to think about the motor plan for a letter and letter connectors, especially after they’ve learned the printed version of the letter’s formation. Then, with practice, cursive fluency increases.

      By second grade, printed formation is established in most handwriting curriculum, but there is still room for increased legibility, especially with practice and effort.

      By third grade, most students are learning cursive letters and you’ll see fluency for handwriting decline if cursive is being used. 

      Fine Motor Skills and Legible Writing

      Fine motor skills play a HUGE role in a child’s ability to participate in writing activities. From grasp patterns, to which hand they use, to endurance and in-hand manipulation skills—there’s a lot to make sure you are checking off during your observations and evaluations. 

      To make sure you don’t miss anything, check out the tips below! They can make a huge difference when it comes to handwriting help.

      Skill #1: Hand dominance—When looking at hand dominance, you want to look and see if they are consistent with the use of one hand, or if they are trying to switch hands.

      If you observe challenges with consistency, this may indicate poor muscle strength and endurance. 

      In a previous blog post, we discussed how switching hands impacts neatness in written work.

      Skill #2: Grasp pattern—what does this look like while the child is writing? Is it a dynamic tripod? Static tripod? Or some form of primitive grasp pattern like a fingertip pattern or a gross grasp? 

      Take a look a the placement of the fingers on the pencil:

      • Where is the middle finger on the pencil?
      • Where is the index finger on the pencil?
      • Where is the thumb on the pencil?

      Each of these considerations can make an impact, but are not essential when it comes to a functional grasp on the pencil or neat handwriting. And, importantly, pencil grasp development plays a huge role.

      Make sure that you watch throughout the evaluation to see if they have any regression to a primitive pattern or switch how they hold the writing utensil frequently. 

      If you notice grasp pattern regressions, fidgeting or switching of grasp positions frequently, it’s a sign of fatigue related to poor muscle endurance and strength.

      It may also be an indicator that there is poor separation of the two sides of the hand, under development of the arches of the hand, and finger to thumb opposition, and even potentially poor web space development. 

      If pencil grasp impacts handwriting, work on pencil grasp through play.

      Bonus Tip! Watch for consistency of skills. If you notice that a skill is consistent, even if it’s an immature pattern, you can determine what is due to poor muscle strength and fatigue (inconsistent patterns) versus an established pattern or compensatory pattern (consistent patterns) that’s going to be difficult to change. This is called carryover of skills in handwriting.

      Consistency in motor skills can impact legible and neat written work because when the hand becomes fatigued, you may see legibility decline. 

      • Also take a look at how diagonal lines, vertical lines, horizontal lines, and shapes are formed
      • Assess written work in a variety of environments and when required to write at different paces or speeds.

      Skill #3: Joint Integrity—This is super important because a child that has a grasp pattern that is too tight or too loose can have compromised joints. 

      A grasp pattern that is too tight puts undue stress on the joints, ligaments and muscles which will lead to poor endurance, and hand cramps. And even potentially repetitive stress injuries. 

      On the opposite end, a grasp pattern that is too loose or where the child has hyper extended joints, they will experience similar pain and concerns. They are more likely to have joint pain due to the bone on bone of hyper extension patterns. 

      Both patterns are inefficient and will need to be addressed to help the child be successful with handwriting 

      Skill #4: Wrist and Hand Mobility—in this category, we want to look at how the wrist and hand move both as a unit, but also separately.

      Ideally, the hand and wrist should move independently of one another when writing with the wrist being stable and the hand moving. Read here about wrist extension and stability.

      If you see that the child is moving their hand and wrist as a unit with stabilization coming through the forearm, that is an inefficient movement pattern that you will want to work on addressing.

      This pattern is inefficient because it requires more energy from large muscle groups instead of utilizing them for stability. 

      Skill #5: Finger Mobility—similar to wrist and hand mobility, you will also want to assess finger movements and joint isolation. 

      Mature patterns will allow for the thumb, index and ring fingers to move in synchronized flexion/extension patterns to great dynamic movements. If you don’t see this, or notice that the child uses their whole hand to form letters, this is another inefficient pattern that you’ll want to address in your treatment. One way to support this skill is through finger isolation activities.

      If you’re not sure that this is an issue, have the child walk their fingers up and down a pencil to evaluate their in-hand manipulation skill focusing on shift. 

      Whether you are assessing an 8th grader or a preschooler these skills apply across the continuum to promoting independent and successful handwriting experiences. Working from this list of skills you can develop these skills further and take the stress out of handwriting!

      Letter Size and Spacing for Legible Written Work

      What Inconsistent Letter Size and Poor Spacing Means for Writing

      A key component to legible writing are three important components:

      Letter formation can vary, much like the functional aspect of a pencil grasp, letter formation can take a functional form as well.

      However, without proper letter size and space, valuable thoughts and ideas are lost, along with the student experiencing frustration and potential feelings of failure. 

      When a student demonstrates consistent challenges with scattered letter sizing, and overlapping letters or words it may cause a teacher to refer the student to OT for a writing evaluation to take a closer look at where the child is struggling. 

      As OTs, we are the experts in writing and decoding what these challenges mean for a child’s overall foundational writing skills. 

      Observing the letter size and spacing during a writing evaluation provides valuable information regarding how the child’s fine motor, visual motor and coordination are functioning. 

      Inconsistent Letter Size 

      Inconsistent letter size can come in a variety of patterns. Letters may be all over the place on the line with short letters being the same size as tall letters, letters varying in size within a given word or with collections of letters with similar strokes being the same size. An example of this would be all letters that start with a “C” are all the same size. 

      Taking the size awareness piece into consideration is an overall understanding of size both on paper and outside the body in the world around us. This tall and short worksheet has a fine motor and visual motor component that can be incorporated into whole-body movement activities to teach these concepts that carryover into handwriting.

      You may also see letters getting progressively smaller throughout the writing sample, which is known as micrographia. Or you may see the size get larger as the sentence goes on. 

      Regardless of the pattern you see, inconsistent letter size is an indication of:

      • Poor fine motor control 
      • An immature tripod grasp 
      • Fatigue or pain 
      • Limited joint movement for dynamic patterns 
      • Potential visual spatial deficits 
      • Poor fine motor coordination 

      Along with inconsistent letter sizing, poor spacing or overlapping letters/words is also common. 

      Overlapping Letters 

      If a student is struggling with letter size, it is likely that they will have challenges with overlapping letters or words. This is because many of the same skills are needed for spacing letters and words that are used when producing consistent letter sizes. 

      Overlapping letters and words may also be an indication of: 

      • Poor fine motor control 
      • Poor visual motor control 
      • Visual spatial deficits
      • Tracking deficits 

      If you observe consistent letter size, and only challenges with spacing, this is an indication of poor visual spatial skills being the primary deficit affecting the students writing performance. It is also likely that they have more difficulty when completing copying tasks. 

      Use Writing Samples to assess handwriting legibility

      When collecting your writing sample, make sure that you ask the student to complete words and sentences. This will help you to further determine what skills will need to be addressed during therapy. 

      A writing sample can be used along with a handwriting rubric to collect the data needed to monitor progress on handwriting goals.

      Make sure that you are actively watching how the child writes. This will also provide more clues to the pre-writing and foundational skill challenges that they may be experiencing. 

      Letter sizing and spacing is just one of the many components needed for legibility.

      Development of these skills will significantly increase a child’s overall confidence and ability to participate in written activities, and you may even see development in other areas such as reading and hand eye coordination with your treatment! 

      Looking for more writing skill break down and a handy way to collect your observations? Check out the Handwriting Observation Kit!

      Tips for legible handwriting

      Tips for legible handwriting

      Working on the instruction for establishing a functional and efficient motor plan for letters, letter connections, and line use is important.

      So how do we support legible writing skills?

      Beyond addressing the physical motor skills as covered above, there are a few strategies that can support the development of legible handwriting. Use these resources to help.

      Practice formation in sensory activities:

      • Use sensory writing trays
      • Practice good writing habits by forming letters in sand
      • Write letters in shaving cream
      • Take a look at pencil grip
      • Try a slant board
      • Use modified or adapted paper styles
      • Focus on letter size (size awareness)
      • Highlight writing lines (line awareness)
      • Focus on spacing between letters and words (spatial awareness)
      • Use the digital download tools in our Member’s Club to practice proper letter formation
      • Look at upright posture when writing: how the hips are seated in the chair, chair height, desk height, posture, positioning of the knees, and placement of the feet and ankles
      • Use play dough for fine motor skill work, to improve hand strength, and dexterity
      • Practice letter groups- Group similar letters together and practice the letters that are in the same group based on the lines used to form that letter. Use cursive letter groups and printed letter groups based on writing lines.
      • Teach letters in specific orders: There is a printed letter order and a cursive letter order.
      • Use our Fine Motor Kits as tools to develop all of the underlying skills needed for written work; Each kit includes modified writing lines, handwriting opportunities, fine motor activities, visual motor opportunities, and fun and meaningful ways to support practice in each of these areas. 

      When a student’s learning and educational participation is impacted as a result of handwriting legibility issues, be sure to consult a pediatric occupational therapist to assess the potential for other underlying considerations. These may include:

      • Visual motor issues
      • Visual perception considerations
      • Sensory processing considerations
      • Fine motor delay
      • ​Developmental delay
      • Other considerations

      Legible handwriting can impact learning, lead to better grades, and result in overall improved confidence at school. Use the suggestions to establish good habits that carryover. Hopefully this resource had a few suggestions that impact your writer’s legibility!

      Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

      Working on fine motor skills, visual perception, visual motor skills, sensory tolerance, handwriting, or scissor skills? Our Fine Motor Kits cover all of these areas and more.

      Check out the seasonal Fine Motor Kits that kids love:

      Or, grab one of our themed Fine Motor Kits to target skills with fun themes:

      Want access to all of these kits…and more being added each month? Join The OT Toolbox Member’s Club!

      Writing Spacer Craft

      Writing spacer tool

      This handwriting tool is a writing spacer that supports spatial awareness between letters and words. To make this writing tool we used simple craft materials of a pipe cleaner and a craft pom pom, but you could use any items. The best thing about this handwriting spacing tool is that kids can make it their own. Add this writing spacer to your list of ways to use pipe cleaners in occupational therapy…and ways to use craft pom poms in OT!

      Writing Spacer

      When it comes to legible handwriting, spatial awareness between letters and words makes a huge difference! One way to go about this use of space between words is using finger spacers for handwriting. However, this can become an issue when kids are self-conscious placing their fingers between each word. Also, for the left- handed writer, the spacing finger is in the way when the writing hand moves over to write the next word.

      Whether you are a teacher in the classroom, a parent who is struggling to find the trick to get your child to write legibly, or a therapist working on the underlying skills needed for functional written work, you’ve probably noticed that when letters are smashed up against one another, it’s really hard to read what’s been written!

      Stretching out spaces between words makes a huge difference in legibility. And there’s more; Using consistent spacing between letters can help with legibility too. In fact, there is great benefit to using toys to support spatial awareness to develop these skills.

      That’s why we’re sharing this easy DIY handwriting spacer. It’s a do it yourself version that kids will take pride in making and using.

      Many of us have used and love spacing tools made from craft sticks.

      Use a pipe cleaner spacing tool to write with spaces between words.
      Use a pipe cleaner to make a writing spacer.

      Handwriting Spacing Tool Craft

      We actually have a few different options for making a writing tool to address spacing:

      • This craft stick spacing tool is very simple and has just a single visual cue to support visual tracking skills that play a role in spatial awareness.
      • This clothes pin spacer is unique in that it can be attached to a pencil pouch, folder, or papers so students always know where it is. It can also be accessorized and personalized by the student. It’s also a nice clothespin pencil gripper.

      Today, we’ve got a spacing tool that doesn’t use a craft stick…it’s another fun DIY spacing tool idea, but the difference is that this writing tool can be used to space between letters and between words.

      Use a Pipe Cleaner for a Spacing Tool

      This spacing tool uses items that you probably already have in the house or classroom. Kids can use their creative style in making their spacing tool and really make it their own. We used a few materials to make our spacing tools.

      Materials needed to make a spacing tool: 

      • Pipe cleaners
      • Craft pom poms (You could also use beads for a smaller space between words.)

      This project is super simple to put together. Creating the DIY spacing tools is a nice fine motor warm up to writing, too!

      If you are using a crafting pom pom like we did, use a smaller sized pom pom. A 1/4 inch crafting pom pom is a good size. Once the pipe cleaner is wrapped around the pom pom a couple of times, the size will increase.

      1. Wrap one end of the pipe cleaner around the craft pom pom several times so the pom pom is secure.
      2. A dab of craft glue can be used to secure the craft pom pom to the pipe cleaner, if you like.

      You won’t want the top of the spacing tool to be too wide, otherwise the space between words will become too stretched.

      A bead makes a nice spacer for spacing between words. Once the pipe cleaner is wrapped around the bead, there is a nice sized spacer for words.

      And that’s all there is to it!

      Use the spacing tool to space between words using the top of the space tool. The width of the pipe cleaner can be used to maintain a consistent space between letters.

      Use a pipe cleaner to space between letters when writing.

      These handwriting spacing tools can be as varied as the students in a classroom. Allow the kiddos to use creativity when making theirs. Bend pipe cleaners, add additional beads or other embellishments like ribbon or twine.

      Students will be proud to show off (and use!) their spacing tool when practicing handwriting and spacing between letters and words!

       

      Kids can use pipe cleaners and craft items to make their own DIY handwriting spacing tool for writing neatly and improving spatial awareness in handwriting.

      Working on spacing in handwriting? Why not start a handwriting club for kids? Kids can work on handwriting skills in a fun way. Here’s how to start a handwriting club kids will WANT to join!

      The Handwriting Book is a comprehensive resource created by experienced pediatric OTs and PTs.

      The Handwriting Book covers everything you need to know about handwriting, guided by development and focused on function. This digital resource is is the ultimate resource for tips, strategies, suggestions, and information to support handwriting development in kids.

      The Handwriting Book breaks down the functional skill of handwriting into developmental areas. These include developmental progression of pre-writing strokes, fine motor skills, gross motor development, sensory considerations, and visual perceptual skills. Each section includes strategies and tips to improve these underlying areas.

      • Strategies to address letter and number formation and reversals
      • Ideas for combining handwriting and play
      • Activities to practice handwriting skills at home
      • Tips and strategies for the reluctant writer
      • Tips to improve pencil grip
      • Tips for sizing, spacing, and alignment with overall improved legibility

      Click here to grab your copy of The Handwriting Book today.

      Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

      Writing and Reading Stick

      Reading stick

      When it comes to handwriting, copying without losing place on the page impacts writing (visual attention plays a big role here), so much so that a reading stick or writing stick tool can be a huge help. Here we are showing an easy way to make a reading stick or writing stick that can be used to impact writing without missing letters or words…and why this happens.

      What is a Reading Stick

      Handwriting is a challenge when spacing is inaccurate.  Poorly spaced letters and words as a result of visual spatial difficulties can lead to illegible handwriting.

      A reading stick is a pointer stick that kids can use to follow along with words when reading and writing.

      When reading from a chalkboard or smartboard, a teacher might use a large pointer stick for this task. One tip for teachers is to add a bright visual cue to the end of the pointer stick to add a visual contrast that is engaging and visual. This might be something like bright tape added to the end of the pointer stick, neon tape or post-it notes folded over the tip of the pointer stick are some ways to easily do this.

      But, when kids are reading and copying from a space on their desk, they can use a miniature version of the pointer stick as a reading tool. What’s nice about the version that we created is that the reading stick can be used in many different ways:

      • Use the pointer stick with the visual cue at the end to point along with reading from a book.
      • Turn the reading stick on it’s side to follow along line by line when reading.
      • Use the craft stick as a spacing tool when writing.

      Why use a reading stick for writing?

      A writing stick is a handwriting tool that can also be called a pointer stick for handwriting. Students and teachers can use a writing stick to follow along with written work to support handwriting needs so that a student doesn’t miss letters or words when writing.

      Copying handwriting work requires several areas of visual processing:

      Using this pointer stick to copy words can help with copying written work without omitting letters or words. The reading stick then doubles as a spacing tool.

      Using a spacing tool can be a HUGE help for some kids!  This handwriting spacing tool pointer stick is a physical prompt and a visual cue that helps kids in handwriting and become independent with when writing.

      There is a lot going on when a child is required to write.  The visual motor skills needed to accurately copy or write written work requires the processing of visual perceptual skills along with coordination and manipulation of the pencil along lines and margins.

      These are a lot of different areas that can break down and result in sloppy or illegible handwriting!

      Try this handwriting spacing tool pointer stick to help kids with spatial awareness when writing.

      Use a spacing tool pointer stick to help with placing spaces between letters and words, assuring words, phrases, or sentences are not omitted, and when aligning columns of words, as in lists.

      Handwriting Spacing Tool Pointer Stick

      Affiliate links are included in this post.

      Try using this spacing pointer stick to keep margins aligned too.

      Looking for other ways to address spacing in margin use?  Here are a bunch of ideas for spatial awareness with margins.

      use a marker to make a reading stick to follow along with words when reading or writing.
      Use a marker to make a reading stick for kids.

      You will need just two materials to make a spacing pointer stick:

      Amazon affiliate links included:

      Use the marker to make a brightly colored dot on one end of the craft stick.  You could also use a small sticker, but I wanted to ensure a bright contrast between the colored craft stick and the colored dot.

      Use a reading stick to follow along when reading to make sure words aren't missed.
      Use a reading stick when reading so kids don’t miss words or lines of text when reading.

      And that’s it!  Show the child how to use it to keep their place when copying written work, when aligning margins, and when spacing between words.

      Use the spacing tool pointer stick to help kids with spatial awareness in these ways:

      • Point to words when copying from a text or sheet on a desk.  The pointer stick can help keep the child’s place, visually.
      • Align columns in math and lists of words.
      • Align left and right margins on the page.  Keep the margin from drifting in toward the middle of the page.
      • Space between letters and words when writing.
      Use this handwriting spacing tool pointer stick to align columns of words or math problems when writing, perfect for kids who struggle with spatial awareness.

      Read more about spatial awareness and how it relates to handwriting.

      Some spacing tools can be themed!  Go beyond the simple dot or sticker and make a spaceman spacing tool. You can also use a clothespin tool for spacing between words when writing. Finally, this writing spacer craft is another handwriting craft kids can make.

      Another great way to add hands-on play to spatial awareness is an activity like these spacing puzzles.

      Use this handwriting spacing tool pointer stick to help kids with spatial awareness when writing.

      Need more handwriting strategies?  

      The Handwriting Book is a comprehensive resource created by experienced pediatric OTs and PTs.

      The Handwriting Book covers everything you need to know about handwriting, guided by development and focused on function. This digital resource is is the ultimate resource for tips, strategies, suggestions, and information to support handwriting development in kids.

      The Handwriting Book breaks down the functional skill of handwriting into developmental areas. These include developmental progression of pre-writing strokes, fine motor skills, gross motor development, sensory considerations, and visual perceptual skills. Each section includes strategies and tips to improve these underlying areas.

      • Strategies to address letter and number formation and reversals
      • Ideas for combining handwriting and play
      • Activities to practice handwriting skills at home
      • Tips and strategies for the reluctant writer
      • Tips to improve pencil grip
      • Tips for sizing, spacing, and alignment with overall improved legibility

      Click here to grab your copy of The Handwriting Book today.

      How to Teach Spacing Between Words with a Clothespin

      spacing between words with a clothespin craft

      If you are working on spacing between words when writing, then this OT trick is for you. Many years ago, we created this blog post using a clothespin to teach spacing in handwriting. It’s a simple activity really, and one that kids love to use because they can make the clothespin spacing tool their own! Let’s teach spacing between words with a cute clothespin craft!

      Use a clothespin to teach handwriting as a spatial awareness tool.
      Use a clothespin to teach spacing between words.

      Teach spacing between words

      When it comes to legibility in handwriting, spacing between words makes all the! Addressing spatial awareness in handwriting can make a big difference in legibility fairly quickly given intervention, practice, awareness, and the tools to address spacing in written work.

      Using a visual and physical cue to teach spacing between words is very effective. This is especially true for young students who are beginning to write with more organizational requirements: lines, margins, smaller writing spaces, and faster writing speeds are some of these organizational needs in handwriting tasks.

      Let’s break those areas down to describe how each might impact letter formation and legibility of written work:

      • Line use- Line use progresses from kindergarten (where many students are exposed to writing letters and words on lines for the first time. This progresses to first grade with more writing requirements. Moving onto second grade may bring a smaller line space for written work. In third grade, writing lines may be smaller yet. In about fourth grade, many students move to a lined notebook. These pencil control and line use can impact legibility especially when handwriting lessons are rushed in the general curriculum of most schools. This blog post on line awareness is a great resource for written work requirements.
      • Margin use- One visual perception component to handwriting includes margin use in written work. This impacts legibility when writing on a sheet of paper or moving to the next line. Sometimes, margins creep over across the page as a student copies lists or words or writes sentences as in a journal. Spatial relations includes the visual perception aspect, particularly the visual processing skill of visual tracking, which includes following the pencil as in copying words. Visual attention and visual scanning are also involved. This blog post on margins in handwriting covers this area in more detail.
      • Writing in smaller spaces- Sizing in written work impacts legibility. When letters are written to large, the spacing can be crowded, leading to poor legibility. This can be especially the case when writing on worksheets or workbook pages with limited space availability. This blog post on spatial awareness is a good one to check out regarding sizing and space use.
      • Faster writing speeds- Writing sped impacts legibility because when a student writes quickly, sometimes the legibility of accurate letter formation is lost. When this is the case, adding a bit of space between words can impact overall legibility. As students progress, writing speed requirements increase. Consider the second grader that is required to copy their homework onto their notebook or homework planner. There is only so much time in the school day, so a limited chunk of time is given for this task. When a student struggles with pencil control, letter formation, motor planning, or any other contributing factor, this can really impact written work on a functional handwriting task that has dire consequences. When the student comes home for the day, they are unable to read their homework assignment. This same issue is true for older students. In middle school or high school, they are unable to copy notes in their class. This can lead to difficulty copying notes and studying. This resource covers writing speed in written work.

      We’ve shared several handwriting spacing tools here on The OT Toolbox, like a cute DIY space martian spacing tool and this pipe cleaner spacing tool.

      Sometimes a simple visual cue like this craft stick spacing tool and pointer stick can make a big difference in handwriting spatial awareness and handwriting legibility.

      Read on for another quick craft that kids can make and use to teach spacing between words…using a clothes pin for better spatial awareness in written work.

      WHy Use Clothes Pins to Strengthen Hands

      There are many ways a clothes pin is a hand strengthening tool. It’s actually always found in my occupational therapy bag because it’s so versatile when it comes to hand strengthening.

      Here is a video that shows the different grasp patterns that you can target with just a clothes pin:

      Clothes pins can be used to work on hand strengthening and grasp pattern development!

      Handwriting Spacing Between Words Tool

      This clothespin spacing tool is one that can be attached to a notebook or folder and used again and again…because any school-based OT knows that those spacing tools can get lost very easily!

      The best part of this handwriting spacing tool is that kids can make their own, while creating a unique tool that fits their personality!

      First, read more about how spacing tools work.

      Teach spacing between words with a clothespin for better legibility and spatial awareness in handwriting.

      Next, get all of your materials ready, because this handwriting spacing tool is a fun activity! In fact, school-based therapists can create a group activity in a classroom with random items found in a craft bin…while boosting those fine motor skills!

      To make a DIY spacing tool, you’ll need a clothes pin. The wooden type is perfect for painting and decorating, making a fine motor craft based on the child’s interests, favorite color, etc. When the child makes their own spacing tool, they are more likely to use it again and again.

      Using the clothes pin clip allows the spacing tool to be saved. (Better yet, the clip prevents another lost therapy item later found at the bottom of a backpack or in the midst of desk chaos!)

      Kids can make these clothespin spacing tools to learn spacing between words in handwriting for better legibility and neat written work, just clip to a notebook or folder!

      How to teach spacing between words with a clothespin:

      The clothes pin clip is perfect for attaching to notebooks, folders, or a pencil box on a desk. Students will always know where their spacing tool is…but how do they use it?

      Use a clothespin to teach spacing between words the same way you would use other spacing tools.

      Show students how to place the clothespin on the paper after the last letter of a word. They can keep the clothespin in place as they write the next word in a sentence. They physical and visual cue of moving and seeing the clothespin can make a lasting impact on spacing between words.

      Think about it this way: the messiest written work is easier to read when it has space between words. As readers, we tend to fill in missing blanks using our predictive reading skills. When words are spaced out, students will be better able to read back over notes, homework assignments, and other written work.

      Spacing is often times, the easiest way to make a big impact on handwriting legibility!

      For younger students, using the clip portion of the clothespin spacing tool can be achieved using strips of paper to practice handwriting. Simply cut regular double ruled paper into strips and clip the clothespin between each word as the child writes.

      Those strips can even be laminated and handwriting practiced with a dry erase marker.

      Using the clothespin spacing tool can make a big impact on written legibility!

      Use a clothespin craft to work on spacing between words.

      To make the ClothesPin Spacing Tool

      You’ll need some basic craft items (affiliate links are included below):

      Kids can make this clothespin craft in occupational therapy or school to teach spacing between words for better handwriting.
      Handwriting craft for occupational therapy
      1. Next, get the kids started on painting. Ask the child or group of kids to paint all sides of the clothes pins.
      2. On the wet paint, glitter and sparkling gems can be added.
      3. Let the paint dry and embellish with additional items including gems, stickers, puffy paint, or other items.
      Make a clothespin craft to work on spacing between words when writing.
      Paint clothespins and add gems or stickers for an occupational therapy handwriting craft.
      Use a clothespin craft to teach spacing between words for better legibility in handwriting.

      Looking for more ways to teach spacing between words? Try these ideas:

      Use a clothespin craft to teach spacing between words using a clip clothespin for better legibility and spatial awareness in handwriting.

       

      Visual Perception and spatial awareness in kids.  What is Spatial awareness and why do kids have trouble with spacing between letters and words, reversing letters, and all things vision.  Great tips here from an Occupational Therapist, including tips and tools to help kids with spacing in handwriting. Visual Spatial Relations activities for handwritingEasy accommodations for poor spatial awareness in handwriting.Try this line awareness and spatial awareness handwriting activity using puzzle pieces and crayons to work on handwriting in a fun and creative way that doesn't require writing.
       
       
      Looking for more ways to address spatial awareness? 
      The Handwriting Book is a comprehensive resource created by experienced pediatric OTs and PTs.

      The Handwriting Book covers everything you need to know about handwriting, guided by development and focused on function. This digital resource is is the ultimate resource for tips, strategies, suggestions, and information to support handwriting development in kids.

      The Handwriting Book breaks down the functional skill of handwriting into developmental areas. These include developmental progression of pre-writing strokes, fine motor skills, gross motor development, sensory considerations, and visual perceptual skills. Each section includes strategies and tips to improve these underlying areas.

      • Strategies to address letter and number formation and reversals
      • Ideas for combining handwriting and play
      • Activities to practice handwriting skills at home
      • Tips and strategies for the reluctant writer
      • Tips to improve pencil grip
      • Tips for sizing, spacing, and alignment with overall improved legibility

      Click here to grab your copy of The Handwriting Book today.

      Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

      All About Me Free Printable PDF

      all about me free printable pdf

      Today, I have an exciting free printable for back-to-school: An all about me free printable PDF! An all about me activity is a great way to get to know students at the beginning of a new school year, and this free all about me printable is a writing and drawing activity designed specifically to focus on handwriting skills while allowing kids to tell all about themselves. Just print it off and get to know your new students this school year!

      For age-appropriate activities, check out our All About Me preschool activities, too.

      all about me free printable pdf

      All about me worksheet

      I wanted to create an all about me printable worksheet that is slightly different than the others you may find available online. This worksheet focuses on list writing, use of spaces on a page, and drawing skills.

      Here’s why: I wanted this resource to tell us more about the child’s specific interests and facts like birthdates…I wanted this about me worksheet to help the therapist or teacher gain knowledge about the child’s handwriting and spatial awareness skills.

      This all about me worksheet tells us several things about the student:

      • Favorite things
      • Draw myself
      • When I grow up
      • All about my family
      • My favorite quote

      While completing the all about me activity, kids can tell a bit about themselves as an icebreaker to a new school year. The best thing about this all about me activity sheet is that it covers a variety of topics and includes drawing and writing sentences. You can really screen a student’s writing skills, pencil control skills, and visual motor skills with this activity sheet.

      To make this all about me activity even more interactive, ask kids to bring in a few items from home that tell about themselves. Ideas can include favorite things, sports or hobbies, family members, pets, etc. As long as all of the items can fit inside a brown paper bag, kids can bring that in their backpack and share a bit about themselves as an activity ideas for the beginning of the school year.

      all about me free printable: Favorite Things List

      Students can list out their favorite things on the lined paper. The worksheet includes a list so they can write out their favorite foods, sports, animals, colors, etc. Kids have the choice to write a list of the things that are most important to them, making the sheet personalized and not a cookie cutter worksheet.

      When the student writes out a list of words on the about me sheet, we can see how they use lines, spatial awareness, margins, letter size, and formation in a list.

      All About Me Drawing

      Students can draw a picture of themselves in the given area and we can look at their eye-hand coordination, spatial relations, body awareness, and pencil control.

      All ABout Me Growing Up

      Students can write out what they want to be when they grow up on the writing lines. Not only can we take a look at their handwriting in this space, but we can then see their interest and focus learning and therapy activities on that functional task.

      This is a great space for writing sentences and paragraphs. Kids can work on these skills but it’s also a good opportunity to quickly assess how students use spatial awareness, margins, and line use when writing sentences that they create, or the creative writing aspect where students compose the sentences rather than copy them from a model.

      All About Me (and My Family)

      All about the student includes the family unit, too! Students can write or draw about their family in the open space, and we can take a look at detail orientation of the child. Also, we can then ask the child about sending home notes and home exercise programs to parents when they complete this section of the About Me worksheet.

      My Favorite Quote

      Finally, there is a space on the All About Me Worksheet for a favorite quote. Students can either write a quote that they like or can make up a personal saying that they enjoy. This space can tell us a lot about the child’s mindset, motivation, and mindfulness awareness.

      Free All About Me worksheets for students aged kindergarten through middle school. Use this for back to school handwriting tasks and getting to know new students at the start of a school year.

      All About Me Worksheet for Middle School

      This All About Me worksheet is great for both younger ages (kindergarten through third grade) because one sheet includes a double rule writing lines. The second page is a duplicate worksheet, but contains single rule writing lines, making it great for older students (fourth grade through middle school).

      There aren’t many about me handouts for older students, so it was important to me to create a writing activity for students using a smaller writing area.

      Free All About Me Worksheet

      Want a copy of this free all about me worksheet PDF? Enter your email address below and grab this printable freebie!

      FREE All About Me Worksheet

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        More Back-to-School Freebies

        Don’t miss these free back-to-school materials and tools:

        Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

        How to Meet Handwriting Goals

        handwriting goals

        This blog post on meeting handwriting goals is an old one on the website, but it’s a handwriting resource that needed a re-vamp to get the much-needed information out there. One thing that comes up a lot as a school based OT is this: Handwriting goals are addressed in OT sessions but you don’t see the carry over of those goals into real life handwriting situations. This is a real handwriting problem! Let’s break down handwriting goals to improve carry over and how to ensure success with handwriting IEP or 504 goals and accommodations!

        Reasons why kids can't carry over occupational therapy handwriting goals

        What is Handwriting Goal Carryover

        Handwriting carry over refers to the concept that the client working with an OT professional in therapy sessions can achieve skills in an isolated environment but are not able to carry over their new skills into the classroom, home, or community.

        Carry over of handwriting goals is getting the skills to “stick” when the student goes back to the classroom or writes at home.

        There is a lot to unpack here.

        Handwriting carry over is specific to handwriting skills, and the reason we are covering this in its own blog post is that this is an area where therapy professionals most often see carry over issues. OT professionals work with students on one of the most common areas in the school environment: handwriting. We address handwriting so often because it impacts learning in such a huge way.

        The other thing to consider is that handwriting skills are impacted and influenced by so many areas: sensorimotor, fine motor, gross motor, visual motor, executive functioning, etc.

        Handwriting practice is a boring task for most kids.  For the children who struggle with the underlying components of handwriting, practice is more than boring.  It’s numbing.  You can see it in the eyes of many kids who really hate handwriting practice.  They glaze over.  The child slouches down in their chair, and they go through the motions of writing practice.  

        And then what has been practiced is not carried over. We’ve covered so many handwriting problem areas on The OT Toolbox. You can find many resources under the handwriting tab at the top of the site.

        What does therapy carry over look like?

        To better understand this concept, let’s first cover what poor carry over over of handwriting skills looks like:

        The occupational therapist or occupational therapy assistant works with a student in an isolated setting. They work with their students one on one, or in a small group. The therapy session may occur in either a pull out model of therapy delivery or therapy services occur using a push-in occupational therapy model of delivery.

        In either situations, the student receives concentrated attention and focus on specific goal areas. Take a look at the handwriting goal examples listed below to better understand exactly how focused the therapy session can be.

        While carry over of therapy goal areas occur in essentially every goal area we address, handwriting is one of the most commented on. We notice when the therapy professional helps a student working on copying the alphabet and they can form each letter accurately, but then when they complete a similar task in the classroom environment outside of the therapy session, the handwriting results differ drastically.

        Another example of handwriting carry over is the student who can copy a list of words with accurate letter formation and line use. In the therapy session, the written work is very legible. But then, that same student immediately returns to the classroom and copies a list of vocabulary words only to show illegible written work with poor line use, poor spacing, and poor letter formation.

        Why Handwriting Goals are difficult to carry over into the classroom

        So a student does well in therapy sessions and the data shows the child IS ABLE to form letters accuratly, write on the lines, space between letters and words, and read their own writing. But what happens when those achievements don’t carry over to the classroom or the home?

        There are several things to consider when it comes to transferring occupational therapy goals into real life. Some of these contributions may include:

        • The handwriting goal is very specific (see goal examples below).
        • The child is working on a targeted area of handwriting without distraction.
        • The student has access to tools to support specific needs in the therapy session. This includes specialized adaptive paper, highlighted lines, positioning tools, etc.
        • The student feels confident with their therapist by their side, that they can make a mistake and if a mistake occurs, it’s not a big deal. It’s part of therapy.
        • The student has limited input of other contributing factors: classroom distractions, creative writing aspect, urgency to complete the writing task, etc.
        • In the classroom environment, handwriting speed is a major contributor. The timeline of the classroom needs to move along, so the student may feel the urgency to keep up with others.
        • Using specialized paper, pencil grips, handwriting positioners, etc. make the child feel “different” than their peers, so they revert to typical writing patterns rather than using tools that support written work.

        All of this can be frustrating….to the child, to the therapy professional, to the teacher, and to the parent.

        When the data shows the student has the capability to complete legible written work, and they have worked to strengthen underlying factors, and they have made progress on the goal areas, it is likely that the child can be discharged from therapy services.

        Discharge from therapy can be a difficult thing for some parents and teachers to hear.

        Therapy professionals have heard things like:

        • Why can’t you adjust the goal so the child can write legibly in all settings?
        • Why are you “giving up” on my child?
        • Why are you discharging therapy when the child can’t read their own writing?
        • And many other versions of this conversation!

        What to do when the Handwriting IEP Goals are Not being carried over

        The most important thing to remember is this: Occupational therapy is a support service in the schools. As such, OT professionals address goals that impact education. Therapy services occur at a level that, when handwriting is addressed (likely along with several other goals) for a time of 30 minutes per week.

        The child will not progress when only practicing handwriting skills for such a short period of time. And this does not mean that increasing therapy time will make that pivotal difference. Whether a child receives OT services 30, 60, 90, etc., min a week, or 30, 60, 90 minutes a month of consultation, the story is the same: if the child doesn’t practice these handwriting skills every day, carry over is unlikely.

        In order to see progression, and this is key, is that the child needs to practice skills throughout the day, at home, and each day.

        The difference between successful and legible handwriting in all settings and poor carry over of skills is practice. How do we encourage this consistent use of skills?

        • Practice daily
        • OT homework that the child consistently completes at home
        • Provide the teacher with suggestions to use for the classroom
        • If a resource aide is available, work with that individual to encourage consistent use of supports: verbal cues, visual cues, specialized paper, pencil grips, etc.
        • Work on “Small Wins”: When kids sit down to a writing assignment, they can get overwhelmed by the task ahead of them.  Then, they know the individual challenges that they are faced with: forming letters correctly, writing on lines, copying sentences without skipping letters, making a “b” and not a “d”, forming letters the correct size, not mixing upper and lower case letters, holding the pencil the right way, not writing too dark or too light, erasing all of the mistakes…it’s a minefield of mistakes waiting to happen!

        Work on small wins that can move a child toward a bigger goal.  Ask the child to just focus on getting words on the paper.  Another assignment can be only about writing on the lines.  Another task can be just about making the letters the right size.  Ask them to focus on just one thing.  Then, when they are done writing, ask them what strategies they used to get that particular part of handwriting legibility done.

        • Make a big deal about progress- Make small stars on handwriting that is legible, written on the lines, uses appropriate spacing, or meets other goals. Drawing attention to those small wins (even if there are other areas on the page where the handwriting lacked) can be a positive tool for kids who are working on handwriting.
        • Teach someone else- When we teach, we learn.  There is science backing the fact that when we teach something to someone else, it sticks better.  

        So use this strategy to get kids to notice the individual pieces of handwriting and teach them to another student (or the teacher!)

        1. Break the class down into groups of two.  
        2. One student can write and the other is the teacher.  They can “teach” how to write on the lines, how to erase mistakes completely, and how to make a straight left margin.  
        3. Sometimes that simple assessment helps to make strategies stick better.  
        4. Then, switch roles and the other students can become the handwriting teacher.
        • Make Good Handwriting Part of a Routine: How do we remember to drink 8 glasses of water a day? For some of us, that is a real challenge. For others, they’ve got this covered.  They have a routine of water guzzling ingrained in their day so much so that they can easily drink their required glasses of water. Have a cup of water on your desk at all times; make a schedule; make it part of your day! 
        • Make a visual schedule or checklist- So, how do kids make legible and proper handwriting just part of the process of writing? Use a personalized visual schedule for scheduling in handwriting practice time, or checklist to self-monitor handwriting.  
        • Make a DIY handwriting checklist- Some kids might have different items they need to monitor for legible written work. Maybe they need to make sure the tail letters drop down below the baseline. Write the particular handwriting concepts that each child needs to monitor on an index card and post it at their writing station. Laminate the index card and students can check off each item with a dry erase marker during writing tasks. 

        Kids can then look over their handwriting to make sure they’ve used proper formation, line awareness, spaces between words, and size of letters just right! Here is a printable handwriting self-checklist that you can print and use in the classroom. 

        • Technology and Typing- It these things are not working, it may be time to move onto technology as a means for written communication and/or modifications to requirements. Start a typing club for making this fun and engaging.
        Occupational therapy handwriting goals for IEP

        Handwriting Goal Examples

        When it comes to occupational therapy and handwriting IEP goals, the goals are very specific. This is because they are individualized based on the specific needs of the child. The therapist is addressing handwriting in an isolated environment (which occurs whether servicing the child in either the pull-out model or the push-in model of therapy).

        Poor transfer of occupational therapy goals can look like essentially any aspect of a handwriting goal.

        Below are examples of handwriting goals. These are listed so you can see how specific each goal can be. The data collected from a handwriting goal will show how the student has progressed from a baseline status.

        Focusing on these aspects of handwriting (copying from a model, tracing, writing upper case letters or lower case letters accurately, or focusing only on line use or spacing can help with carryover of handwriting goals into “real life”.

        Goals for Pre-writing Lines

        This goal is necessary for achieving the pre-writing skills required for forming letters and is typically a pre-kindergarten or kindergarten area of focus.

        One strategy would be to support the learner in making marks on paper. The goals would focus on pre-writing strokes from a model such as vertical/horizontal/circular formations.

        You can include grasping skills within the goal, or keep this separate.

        Example: Student will demonstrate improved motor skills by copying vertical/horizontal/circular strokes from a model using a beginning tripod grasp 3 of 4 trials. You can further specify exactly what the strokes should look like in terms of length, degrees of the angles, and formation. The number of trials can be varied, as well as the grasping pattern.

        For the student that is able to do pre-writing strokes of lines, a circle, and a cross, the pre-writing goals would focus on copying letters from a model.

        There is debate on whether upper or lowercase should be emphasized first.

        By the end of the IEP cycle, ________ will form/copy/independently draw (select appropriate terminology) pre-writing lines: vertical lines, horizontal lines, circle, cross, square ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased visual motor/perceptual, graphomotor skills.

        Goals for letter formation

        For students who are working on forming letters, we can target specific needs with the IEP writing goals.

        Lowercase is used more readily, therefore people argue this should be addressed first. However, in terms of fine motor development, the sticks and large curves of uppercase letters are easier to master.

        For practical reasons, many people write goals to write a student’s first name. This is a relevant goal, but not always a great starting point if your student has a long complicated name.

        A general goal would be that student will copy 5/26 uppercase letters from a model. This does not limit which letters you choose, leading to more of a chance of success.

        If you are using the Handwriting Without Tears model, letters are grouped by type, not alphabetical order.

        Goals would follow the same format as above: student will improve…..by…copying 5/26 uppercase letters from a model. Variables: number of letters, letter formation, grasping pattern, sizing, spacing, line placement.

        Generally goals involving copying basic letters from a model are intended to learn the basic formation, not exact details such as line placement. As the student improves, goals can expand to more letters.

        For the student that can write several letters from a model – expand this goal to include all of the letters from a model (or 80-90% to allow room for error) The variables can be accuracy, grasping pattern, and formation.

        For the student that can write all of the letters from a model – the next rung on the goal ladder would be to write them from memory. As with learning the letters, the goal can be a certain number/26 from memory. Add specifics such as uppercase, lowercase, accuracy, formation, grasping, etc.

        For the student that can can independently form all letters from memory – at this point, the goals can focus on improving letter formation, sizing, and line placement.

        Student will improve…by…accurately writing letters without a model with 80% accurate line placement, sizing, letter formation, and spacing.

        For the student that can write all of the letters fairly legibly – the goals will focus on putting the pieces together. You can work on copying words from a model, writing from dictation, or writing from a prompt. Each of these types of writing varies in level of difficulty.

        Student will improve…by writing a five word sentence from dictation with 80% accurate letter formation, line placement, sizing, and spacing using a tripod grasp. Here is a sample Handwriting Rubric to follow.

        Focus is on letter lines. Letter formation is a huge aspect of overall handwriting legibility. All letters can be collected into groups, or families, based on the lines that make up that letter. These letters include:

        • Straight line letters
        • Curved line letters
        • Diagonal line letters

        These letter groups can also be further broken down by size:

        • Uppercase letters
        • Lowercase letters

        Additionally, lowercase letters can be broken down into groups based on size:

        • Tall letters (letters that touch the top line: b, d, f, h, k, l, t)
        • Small letters (letters that do not go above the midline: a, c, e, i, m, n, o, r, s, u, v, w, x, z)
        • Tail letters (letters with a “tail” that drops below the baseline: g, j, p, q, y)

        Use our tall and short worksheet to support these concepts in a concrete yet expandable activity.

        Finally, a group can be formed into cursive or print and then the cursive group can be sorted into uppercase/lowercase, size, and lines included in the letter:

        • Cursive letters
        • Print letters

        As you can see, there are a lot of ways to sort out letter formation goals and address each these areas. Goals can be really focused on when in isolation in therapy sessions, but when you put the whole picture together, there can be a struggle to carry over those goal successes into classroom or other real life handwriting tasks.

        Some examples of handwriting goals for letter formation include:

        By the end of the IEP cycle,_____________ will form/copy/independently write (select appropriate terminology) straight line/curved line/diagonal line (include letter line aspects or generalize to all upper case) capital letters/lower case letters (select appropriate format) ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills while maintaining a tripod grasp.

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) lower case letters/upper case letters (select appropriate format) with good formation ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills while maintaining a lack of thumb wrap.

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) lower case letters/upper case letters (select appropriate format) lower case letters using Handwriting Without Tears letter order method (or other appropriate handwriting method) ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills while maintaining an open web space.

        By the end of the IEP cycle, _____________ form/copy/independently write (select appropriate terminology) letters of the alphabet with 90%+ accuracy for correct letter formation ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills and success in school setting.

        Handwriting IEP Goal for Writing Name

        Teaching kids to write their name is a big part of the daily school life and a goal area that OTs focus on for many students.

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) first and last name with (upper or upper and lower case letters) with/without model ________ times in 4 out of 5 treatment sessions with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills while maintaining a lack of thumb wrap.

        Handwriting goals for copying words and sentences

        Near Point copying skills and far point copy skills impact handwriting legibility, missing words or letters when copying, and accuracy. Grab this Near point skills packet for practice sheets.

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) _____consecutive words/sentences with/without (select appropriate term) a model ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills and success in school setting.

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) sentences using appropriate size and spacing ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills while maintaining a tripod grasp.

        Handwriting goals for pencil grasp and pencil use

        Pencil grasp, and using controlled motions with the pencil, or pencil control, and accuracy of pencil use impact learning. This is one example of a pencil grasp goal that may be used.

        By the end of the IEP cycle, _____________ will hold a pencil with a tripod grasp for ___ minutes to improve hand strength and writing endurance in 4 out of 5 treatment sessions with no more than ____ visual/verbal cues (circle or include one or both) for increased graphomotor skills and success in school setting.

        Handwriting goal for Spatial awareness

        Spatial awareness in handwriting can impact carryover of handwriting skills.

        This is one example of a goal for spacing in written work:

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) (words/name/uppercase/lower case letters) with decreased/increased pressure on paper with adequate spacing with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills and success in school setting.

        Handwriting IEP Goal for Line awareness

        Line awareness includes writing on the lines and not having letters “float” above the lines. It also refers to placing letters accurately related to size of the letter and correct placement on the lines.

        Here is one line awareness goal that may be addressed and is commonly an issue with carryover of skill:

        By the end of the IEP cycle, _____________ will form/copy/independently write (select appropriate terminology) (words/name/uppercase/lower case letters) with 90%+ accuracy for correct letter placement on the lines ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills and success in school setting.

        Handwriting goal for size awareness

        Size awareness in handwriting refers to sizing of letters. Sometimes letters are too large or too small and impact legibility. This can come into play when it comes to carrying over handwriting skills outside of the therapy session.

        This is one example of a goal for writing size:

        By the end of the IEP cycle, _____________ form/copy/independently write (select appropriate terminology) (words/name/uppercase/lower case letters) with 90%+ accuracy for correct letter size ________ times in 4 out of 5 treatment sessions with ________ assist with no more than ____ visual/verbal cues (circle or include one or both) to complete the task for increased graphomotor skills and success in school setting.

        SMART Handwriting Goals

        IEP Writing Goals, along with all other IEP goals, need to be SMART in order to be effective. What are smart goals? Check out this post on Breaking Down Goals for specific information on creating SMART goals. If goals are too broad, or unmeasurable, they are prone to failure.

        SMART is an acronym for;

        • S: specific – did you detail what it is you want to achieve?
        • M: measurable – how are you going to measure success?
        • A: is this goal attainable or too lofty?
        • R: is this goal realistic?  
        • T: timebound – Do you have a set timeframe for this goal to be measured?

        A final note on handwriting goal carry over

        Sometimes goals seem too lofty. Having a goal for perfect handwriting when your learner can not even form their letters correctly can feel daunting. Check out this post on Making a Goal Ladder to see how to better break goals down in the steps.

        Breaking IEP handwriting goals down into smaller measurable chunks, makes them more attainable. This might mean learning to write just five of the letters (not necessarily the student’s name as this might contain tricky letters).

        Can you imagine thinking about learning 26 letters of the alphabet when you only know one? Not only can students feel overwhelmed, but their team also feels that the end goal seems such a far reach. Setting smaller goals help students feel less overwhelmed and challenged.

        Carryover of handwriting skills practiced with the school based occupational therapist or in one-on-one time is most often, not carried over into classroom written work on in free writing tasks.  

        Handwriting IEP goals for reluctant writers

        There are many times we work with reluctant learners. This is especially true for our handwriting kiddos.

        They have been getting by with sloppy, illegible handwriting for some time already, so they are not motivated to change. Perhaps their writing is legible, but the letter formation is off.

        This is especially difficult to explain why we need to work on improving this type of writing, when they are being somewhat successful already. I talk to these students about writing speed, efficiency, hand fatigue, and spacing/placement errors.

        I also explain to them that teachers will start marking off for errors that they can not read clearly. The goal is not perfection, but effective efficient writing.

        OT Handwriting Goal Success

        These handwriting activities are powerful ways to dazzle your students to using handwriting practices consistently.  They may not work for every child, but the trick is to find what works for individual kids and incorporate those strategies.

        Now that you have established how to write “smart” goals, break them down into smaller steps, motivate your learners, and encourage success, it is time to translate this information into writing measurable goals. Start with the current level of function and move a couple of rungs up the goal ladder.

        So, how can carryover of the underlying skills be turned into consistent handwriting? Start by addressing handwriting issues with these quick handwriting fixes. Use the strategies we’ve covered here in this blog post. Practice. And practice some more!

        These lots of different ways to ensure carryover of handwriting goals and practiced skills into all writing tasks in and outside of the classroom.  

        What are your best tips for ensuring kids carryover concepts from therapy sessions into the classroom or homework?

        IEP Handwriting Goal Bank

        Once you have written a million and one IEPs, you might find you are using similar goals. Catalog the ones that are SMART and work for you and your learners.

        Instead of reinventing the wheel each time you write an IEP, go to your goal bank and select a couple from the list that meets the needs of your learner.

        Here are a few websites that include lists of written expression goals. As you can see, the format varies.

        For me, the most difficult part is measuring the student’s handwriting. The more specific my goal is, the easier it is to document their progress.

         

        Use these strategies to help kids with carryover of handwriting skills learned in one-on-one practice or in OT intervention.

         








        Looking for help with specific handwriting concerns? Click on the images below to find tons of activities and strategies to help:

        Cursive handwriting activities for kids with handwriting problems.
         
        Kids will love these fun activities designed to improve pencil grasp and other handwriting problems.
         
        Activities designed to help with visual motor integration and handwriting problems in kids.
         
        These hands-on activities are helpful for many common handwriting problems that kids struggle with.
         
        Creative activities to work on line awareness in handwriting
         
        Tricks and tips for activities to help with spatial awareness handwriting activities
         
        Size awareness in handwriting activities for kids
         
        Pencil control activities are beneficial for improving handwriting legibility.
         
        Use these strategies to help kids with carryover of handwriting skills learned in one-on-one practice or in OT intervention.

        Looking for more specific ways to incorporate therapy tips and tricks into handwriting at home or in the classroom? Grab a copy of our Handwriting Book to work on consistent written work legibility:

        The Handwriting Book is a comprehensive resource created by experienced pediatric OTs and PTs.

        The Handwriting Book covers everything you need to know about handwriting, guided by development and focused on function. This digital resource is is the ultimate resource for tips, strategies, suggestions, and information to support handwriting development in kids.

        The Handwriting Book breaks down the functional skill of handwriting into developmental areas. These include developmental progression of pre-writing strokes, fine motor skills, gross motor development, sensory considerations, and visual perceptual skills. Each section includes strategies and tips to improve these underlying areas.

        • Strategies to address letter and number formation and reversals
        • Ideas for combining handwriting and play
        • Activities to practice handwriting skills at home
        • Tips and strategies for the reluctant writer
        • Tips to improve pencil grip
        • Tips for sizing, spacing, and alignment with overall improved legibility

        Click here to grab your copy of The Handwriting Book today.

        Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

        Uppercase Cursive Letter Formation

        Teach kids how to write upper case cursive letters.

        Teaching kids to write uppercase cursive can be quite tricky. Upper case cursive letters are part of handwriting and everyday written expression, but when it comes learning the motor plan for forming uppercase letters in cursive writing, establishing fluent writing is needed for accuracy. Below you’ll find tricks for teaching uppercase cursive letters and uppercase cursive letter formation.

        Upper Case Cursive

        In this blog post, we refer to the terms “upper case cursive letters” and “uppercase cursive”. The semantics of describing capital letters in cursive is simply for understanding the material, and meeting the needs of all individuals seeking resources on teaching upper case letters in cursive formation.

        Let’s get started with the uppercase cursive writing resources and tips.

        Some uppercase cursive letters are not used as often as their lowercase counterpart.

        When kids learn to write their name in cursive and become proficient at their cursive signature the uppercase letter is just part of the writing motor plan becomes natural and a personal part of a personal style.

        There are many uppercase cursive letters that can easily be forgotten simply because they are not used very often!

        Here are the verbal prompts needed to teach uppercase cursive letter formation.



        This post is part of our 31 day series on teaching cursive. You’ll want to check out the How to Teach Cursive Writing page where you can find all of the posts in this series. 

        For more ways to address the underlying skills needed for handwriting, check out the handwriting drop-down tab at the top of this site.

        Uppercase Cursive LetterS

        Some students develop a natural speed and personal writing style and will prefer to write in cursive. Other students will write only their signature in cursive. Still other students develop a natural speed and personal style and may mix upper and lower case cursive letters. 

        If you look at the average adult handwriting you may notice that there is a mixture of printed and cursive letters. The goal being functional written work, this is fine for adults and individuals who are writing for speed such as high school students.

        However, consistent and accurate formation is needed for formal written work in cursive.

        Like the cursive letter families for lowercase, the uppercase letters are divided up into groups of families based on pencil strokes.

        Teaching kids to write cursive upper case letters is broken down by formation and pencil strokes. We’ve listed the letters out in groups below to support letter formation and motor planning skills.

        Read this resource on motor planning and handwriting to better understand this concept.

        The descriptions are designed to promote the easiest formation style of cursive letters, eliminating extra lines such as the beginning loop of uppercase cursive letter C.

        The letters that are exact replicas of their printed counterparts are designed to ease transition for letters that are not commonly used in written work. This is a tactic of the Handwriting Without Tears letter order strategy. 

        Uppercase Cursive Letters D, F, T

        Cursive D, F, and T are Uppercase Cursive letters with a downward start.

        These letters include D, F, and T. These letters all start with a downward stroke of the pencil. Let’s break these letters down by formation and pencil strokes.

        Uppercase cursive D begins down followed by a loop to the left upwards with a curved back to the baseline and a big round curve to finish off the top.

        Uppercase cursive F starts in the middle of the letter with a downward stroke followed by a curve to the left and a crossline. Then on top is a crossline topper.

        Uppercase cursive T starts with a middle down work stroke in the middle of the letter followed by a curve to the left and no crossline. Then on top is a crossline topper.

        Uppercase Cursive A, C, E, O, and Q

        Upper case cursive A, C, E, O, and Q are considered “Right curve start uppercase letters” because the pencil stroke starts in the right upper corner. This group includes uppercase letters that start on the right side and curve left. Consider the formation of these letters much like the formation of a printed c.

        Uppercase cursive A starts at the right top line and curves to the left with a big C motion to the baseline. The pencil then curves up to close a letter causes at the top line. Retrace back down in loops a way to connect.

        Uppercase cursive C starts with a right curve start at the top uppercase C

        Uppercase cursive E starts with a right curve start at the top line. It includes two small curves pausing at the middle line before curbing again to the left to the baseline.

        Uppercase cursive O is a right curve start beginning at the top line and curving in a big city motion to the baseline. It continues around to close the lot start has a small loop at the top.

        Uppercase cursive Q is a right curve start letter beginning at the top line and curving in a big motion to the baseline. Q continues around to close the top of the letter and has a small loop at the end. It then has a kickstand line to complete the letter.

        Uppercase Cursive B, P, R, L

        These letters are considered “Rocker start uppercase letters“. Uppercase B, P, R, and L begin with a small curving motion to begin the letter at the top line.

        Uppercase cursive B starts with a rocker start followed by a straight line down to the baseline. It retraces up to the top line and curve around right to the middle line. Pause and curve around right to the baseline.

        Upper case cursive P is a rocker start cursive letter. The letter starts with a rocker line to the top. Straight  line down to the baseline. Retrace up to the top line. Curve around with a small curve to the middle line.

        Upper case cursive R is a rocker start cursive letter. The letter starts with a rocker line to the top. Straight line down to the baseline. Retrace up to the top line. Curve around with a small curve to the middle line. Kick out to the baseline with a slant.

        Upper case cursive L is a rocker start letter that continues with a small loop down to the baseline. The line continues with a small group and diagonal line to connect as it swings away to the baseline. 

        Upper Case Cursive I and J

        Next up in teaching cursive capital letters are the “Left curve start letters“. These letters switch pencil stroke directions and have a starting point on the opposite side of the other letters previously covered. There are just two letters start with a left. These include uppercase letter I and J. Both letters start with the pencil moving in a left line direction.

        Uppercase letter I is a left curve start letter. The letter starts at the baseline and swings in a loop to the left and turns at the top line. It continues the tall loop back to the baseline, but continues the motion until reaching the middle line. The pencil pauses and pulls in toward the loop at the midline.

        Uppercase letter J is a left curve start letter. The letter starts at the baseline and curves left and then up to the top line. It swings straight back down to the baseline and pass the baseline with a table. The line then swings left and then curves up and away to connect.

        Upper Case Cursive H, K, M, N, X, W

        Next up are the “Top loop start letters“. Several letter start with a top-starting loop that continues down. These letters include capital H, K, M, N, X, and W.

        Uppercase cursive H begins with a top loop that continues down to the baseline. The pencil picks up and starts again at the top line. The pencil stroke goes straight down to the baseline and then swings away to touch the initial pencil line. It swings in a loop and then connects over to the second line. 

        Upper case cursive H is one of a few letters with two pencil strokes where the pencil picks up to continue a letter. Most cursive letters and all other cursive letters use only a single pencil stroke.

        Uppercase cursive K is a loop start letter. It begins at the top with a link to the right on the lease straight line down to the baseline. This is much like the uppercase letter H. However with the K, the second line starts at the top line and continues in to cross the first line with a small loop and then continues out again to the baseline.

        Upper case cursive M is a loop start letter that begins at the top line with a loop. The line continue straight down to the baseline and stops. It retraces up over the climb to the top with a bump and continues down to the baseline again. The pencil strip retraces back up that one to the top line and bumps over to the baseline

        Upper case cursive N is a loop start letter that begins at the top line with a loop. The line continue straight down to the baseline and pauses. It re-traces back up and curbs away with a bump at the top line. The line continue straight down to the baseline and stops.

        Uppercase cursive X is a loop start letter that begins with the loop at the top line followed by a diagonal line down to the baseline. The pencil is picked up and continued at the top line and has a diagonal in the opposite direction to cross at the middle of the X.

        Upper case cursive W is a loop start letter that begins at the top line with a loop. The line continues down with a bottom bump inverted bump at the baseline that continues up to the middle line and beyond to the top line. The line is retraced back down with an inverted pump at the baseline. The line continues back up to the top line.

        Upper case cursive U, V, W, Y, Z

        The last remaining uppercase cursive letters are ones that are very similar information to their lowercase counterparts. They are quite similar in most cases to their printed letter.

        These letters include U, V, W, Y, Z

        Uppercase cursive U is an exact replica of its printed counterpart.

        Uppercase cursive letter V is an exact count a part of its printed counterpart.

        Uppercase cursive W is an exact replica of its printed counterpart.

        Uppercase cursive Y is an exact replica of it’s lowercase cursive counterpart.

        Uppercase cursive Z is an exact replica of the lowercase Z form.

        Uppercase Cursive letter practice

        Now that you have the specific letter formation directions down and the order to teach uppercase cursive letters, the next step is practice!

        Creating a motor plan for automatically creating letters supports handwriting speed, autonomy, and legibility. Practice makes perfect, after all!

        But how do you help kids (or adults) create that motor plan for uppercase letters?

        Adding sensory motor handwriting strategies! Use the ideas below as a practice component for practicing uppercase cursive writing.

        Use bold lines to help kids write with better legibility
        Use transfer paper to work on letter formation, size awareness, line awareness, and pencil pressure in handwriting with this easy writing trick that will help kids write with neater and legible handwriting.

        Bold Lines Handwriting Trick– Work on forming uppercase cursive letters on the lines using this bold lines trick.

        Teach Handwriting with Transfer Paper– Work on that motor plan for uppercase cursive by using transfer paper.

        DIY Desk Letter Strip– Make an uppercase cursive letter strip to using forming letters correctly and grouping uppercase cursive letters into families based on the way the pencil strokes go.

        Work on Visual Perception with Markers– Use this marker trick to work on forming uppercase cursive.

        Sky-Ground Paper and Size Awareness– Help writers learn where the pencil starts with making uppercase cursive letters.

        Box and Dot Size Awareness Handwriting– The box dot handwriting trick supports uppercase cursive too.

        Need more uppercase cursive tips? Try the Handwriting Book:

        The Handwriting Book is a comprehensive resource created by experienced pediatric OTs and PTs.

        The Handwriting Book covers everything you need to know about handwriting, guided by development and focused on function. This digital resource is is the ultimate resource for tips, strategies, suggestions, and information to support handwriting development in kids.

        The Handwriting Book breaks down the functional skill of handwriting into developmental areas. These include developmental progression of pre-writing strokes, fine motor skills, gross motor development, sensory considerations, and visual perceptual skills. Each section includes strategies and tips to improve these underlying areas.

        • Strategies to address letter and number formation and reversals
        • Ideas for combining handwriting and play
        • Activities to practice handwriting skills at home
        • Tips and strategies for the reluctant writer
        • Tips to improve pencil grip
        • Tips for sizing, spacing, and alignment with overall improved legibility

        Click here to grab your copy of The Handwriting Book today.

        Here are the verbal prompts needed to teach uppercase cursive letter formation.

        Uppercase Cursive Letter Challenges

        There are many reasons why writing uppercase cursive letters are so difficult for many students. While cursive is a fluent progression from printed handwriting and an easier form for many students, there can be some issues that impact legibility and fluency with forming the uppercase version of these cursive letters.

        Cursive letters are not used as often as the lowercase counterparts. Because of this, it can be challenging for kids to consistently remember how to form uppercase letters in cursive.

        Practicing letters to create the muscle memory is the way to get there. Practice those upper case cursive letters and they will become fluent and legible!

        Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.