If you see these signs while your child writes, it means the big muscles are doing the job the small muscles should be doing. This usually shows: 🟡 Weak core & shoulder stability 🟡 Dissociated movements between shoulder, elbow and wrist is a challenge 🟡 Immature bilateral integration 🟡 Low strength / low functional muscle tone 🟡 Immature hand development 🟡 Delayed fine motor development such as finger isolation, in-hand manipulation With the right OT activities, children build the foundati