Fine motor skills are what we use when we do up buttons, unscrew lids, cut with scissors, thread string, put lego together, manipulate puzzle pieces or coins, tie our shoelaces and write with a pencil.
Fine motor skills consist of a variety of different areas including: bilateral coordination(using both hands together), hand and finger strength, palmar arch development, grasp and manipulation, and hand-eye coordination.
Children with fine motor difficulties also often have underlying poor gross motor difficulties such as poor body proprioception (awareness of where their body is in space), core strength and relating poor balance and difficulty crossing the midline. Hand writing and copying difficulties are also often seen in conjuction with Visual Motor integration (VMI) and Visual Perception (VP) problems.
Constantly dropping their cutlery, fumbling with buttons, or writing illegibly or very slowly can be a sign of poor hand control or strength.