Pps I have been told that for people who really can't get any stability using some form of the tripod grip where the pen rests between thumb and index finger, it is also acceptable to place the pen between the index and middle fingers, enabling a tripod grip with an upright pen even for those with low muscle tone and/or hypermobility. Maybe hypermobile hands just can't get proper pen stability using the standard, conventional grip? In which case, why on earth is it the grip of first resort, when there must be a huge proportion of people that find it pretty silly, given the proportion of the population that has some degree of hypermobility? Ps we are all very hypermobile (which should make the grip a worse choice than any other, given that we shouldn't put undue strain on our joints, although I've never noticed any problems as a result and have been writing regularly for years, now!!!!!). Holding something in the hand: Have your child hold a scrunched up tissue or piece of paper, or use a blob of blu-tac or a small pompom in the bottom. It also makes it uncomfortable for the child to not use the tri-pod grip. Now, whilst this is technically a very poor grip and can result in joint strain and a flapping thumb (!), I have very neat, very fast handwriting and am therefore a bit loathe to correct this position in my children. Triangular-shaped pencils: The triangle shape of these pencils helps the child work out where to put their fingers. I therefore developed a grip where my thumb, technically, wrapped far too far around the pen in order to make the pen more upright in my hand (or alternatively, for a while, my middle finger had the pen resting on it at the first joint, which resulted in a big swelling on said joint, hence resorting to the thumb wrap.). One thing I always wondered: is there something odd about my hands, or is it very difficult to get a biro to make an adequate mark if you are genuinely holding the pen properly? I always found the pen was sloping back too far in my hand if I held it "properly" and the biro would scrape across the page, hardly writing anything.
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