February 1, 2024

Evaluating Effective Pencil Grasps

As a pediatric occupational therapist, I receive a lot of questions inquiring about children’s pencil grasps from parents, teachers, and other professionals.

As a pediatric occupational therapist, I receive a lot of questions inquiring about children’s pencil grasps from parents, teachers, and other professionals. According to Tseng (1998)[1], pencil grip development follows a predictable progression of skill that evolves as the child ages and matures. However, this does not always occur, as some children experience great difficulty maintaining an appropriate pencil hold on their writing utensil. Past research suggests the ability to hold utensils or writing tools is one of six prerequisite skills children need before handwriting instruction should begin[2]. There are several pencil grips that are considered efficient and mature, including the gold standard dynamic tripod pencil grasp, the lateral tripod grasp, the dynamic quadrupod grasp, and the lateral quadrupod grasp (Schwellnus et al., 2013[3]). However, there are some pencil grasps that are considered age-appropriate, but only up until a certain age. Read below for pictures and a detailed description of different types of efficient pencil grasps.

Dynamic Tripod Marker Grasp- This grip is considered age appropriate for all children beginning

pencil 1


between the ages of 4 to 6 and a half. A dynamic tripod marker grasp uses the index and middle finger to hold the pencil. It requires the thumb to be placed in opposition, with an open web space, as pictured. This is considered the gold standard grasp, as it utilizes intrinsic muscles of the hand to control the pencil. An open web space allows for the writer to have more precision and control over their utensil. In addition, it places less fatigue on the joints, and allows for the writer to write for longer periods of time without fatigue, as compared to some of the other functional grasps.

Dynamic Quadrupod Grasp– This grip is also considered age appropriate for all children beginning

pencil 2


around ages 4-6.5. It is similar to the dynamic tripod grasp, except for the fact that it enlists the ring finger to help support the writing utensil, thereby eliminating the extra support the ring finger would give if it were resting on the table, as in the dynamic tripod grip.

Lateral Tripod Grasp– This grasp is considered an efficient pencil grasp in which the

pencil 3

thumb is adducted (pushed closer to the index finger) and lacking the web space described above. In addition, this grasp requires the wrist to maintain its position in more extension as compared to the dynamic grasps. Research shows that this grip tends to contribute to premature fatigue, as compared to the dynamic tripod marker grasp due to the fact that it “restricts the pencil’s movement, eliminates thumb opposition, and compromises balance” (Schwellnus, et al., 2013).

Lateral Quadrupod Grasp– This grasp is also considered an efficient pencil grasp. It is similar to the

pencil 4

lateral tripod grasp described above, however also incorporates the ring finger to grasp the pencil, thereby eliminating the support it would give if it were resting on the table, as in the dynamic tripod grip.

These grasps are important to be able to recognize because they allow the hand to rest in an anatomically correct position, place less stress on the joints and ligaments, and are using the intrinsic muscles of the hand to support the pencil for writing tasks. When a pencil grasp is inefficient (i.e. a static tripod marker grasp), the student is relying on the proximal muscles of the elbow and shoulders to control the pencil which can cause the child to fatigue quickly, and may also result in decreased handwriting legibility.

Click here for tips on helping your pre-writer develop his pencil grasp.

[1] Tseng, M.H. (1998). Development of pencil grip position in preschool children. Occupational Therapy Journal of Research, 18, 207-224.

[2] Schneck, C., & Amundson, S. (2010). Prewriting and Handwriting Skills. In Occupational Therapy for Children (6th ed., pp. 555-580). Maryland Heights: Mosby Elsevier.

[3] Schwellnus, H., Carnahan, H., Kushki, A., Polatajko, H., Missiuna, C., & Chau, T. (2013). Writing forces associated with four pencil grasp patterns in grade 4 children. The American Journal of Occupational Therapy, 67, 218–227. http://doi.org/10.5014/ajot.2013.005538

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
Oops! Something went wrong while submitting the form.
The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

Continue Reading

Testimonials

Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-speaking and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

Emily

I love this place! Chista is an amazing person, so sweet and kind and very professional in her work. All staff are very kind with children. I feel happy to find this place for my daughter. Thank you!!!

Maria Di Rita

I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

Jennifer Peyer

We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

Monica Terése Carranza

They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

Alejandra M.

NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

Matt Nakanishi

My 12 yr old son has a lovely support team in Robert (Social Work) and Lindsay (OT)! He gains so much from his sessions & I gain so much from the communication and brainstorming! Thanks!

Jennie Meyer

Contact us to get started

  • 1
    Submit an inquiry form
    Completing this secure form helps us understand how we can serve you.
  • 2
    We'll reach out to you!
    One of our dedicated team members will connect with you to discuss services, your insurance benefits, and your family’s needs.
  • 3
    Paperwork & insurance
    We'll review and confirm your insurance benefits, and we'll work with you to gather additional paperwork required.
  • 4
    Treatment personalization
    We'll schedule an assessment date for your child with one of our clinicians. This assessment will serve as the basis for your child’s personalized treatment plan. After, we'll meet to discuss recommendations and your child’s treatment plan and start date.
  • 5
    Start making progress!
    We will greet and welcome your child to our warm and supportive environment where our staff will provide 1-on-1 care to meet our treatment goals.