​​​​​​​​​​​​

remove Image

Fine motor skills

Help your child learn to use the small muscles in their arms and hands.

Overview

As your child grows and develops, they begin to use hand movements to hold, manipulate, and move objects. These hand movements are called fine motor skills. They’re guided by the eyes and the muscles, joints, bones, and sensations in your child's hands. Pediatric rehabilitation can help if your child is having challenges in these areas of development.

Your child’s ability to see and follow objects with their eyes is very important for the development of fine motor skills. It’s recommended that your baby has their first vision check by an optometrist between the ages of 6 to 9 months. If you have concerns about your baby’s vision before they’re 6 months of age, please talk to your child’s healthcare provider.

In the first 5 to 6 years of life, play and everyday activities help build fine motor skills.

Your child uses fine motor skills for:

  • daily living skills, such as getting dressed, eating, brushing their teeth, and using the toilet
  • play, such as using toys, building, and doing messy play with sand, mud, or Play-Doh
  • crafts, drawing, and printing

Note: The video and the content on this page cover the same information. Choose the format you prefer.

Fine motor skills and hand use

More fine motor skills

Eye-hand coordination

Your child uses their eyes to guide their hand movements. For example, when they cut on a line with scissors.

Reach

Your child moves their arm toward an object. For example, they reach for a book on the shelf.

Release

Your child drops or places an object somewhere. For example, they put toys in a box.

Tool use

Your child guides a tool held in their hand with control. For example, when they hold and use a toothbrush.

Fine motor development

What to expect as your child’s fine motor skills develop.

Motor coordination

Motor coordination involves coordinating complex movements. This is a skill that improves with time and practice. Children need motor coordination skills to move their body, use their hands, and to talk or eat.

Current as of: April 20, 2026
Author: Pediatric Rehabilitation Services, Alberta Health Services
Rehabilitation Advice Line

Monday to Friday from 9 a.m. to 5 p.m.

1-833-379-0563

Toll-free

Our work takes place on historical and contemporary Indigenous lands, including the territories of Treaty 6, Treaty 7 & Treaty 8 and the homeland of the Métis Nation of Alberta and 8 Métis Settlements. We also acknowledge the many Indigenous communities that have been forged in urban centres across Alberta.