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Play treasure hunt by hiding small items (i.e., buttons, beads) in playdough, then have children pick items out using the tip of their thumb and index finger. In-hand manipulation is the ability to hold and move an object within one hand. In-hand manipulation skills are essential to the handwriting process because There are small muscles within the hand that are integral for hand dexterity and strength for pinching and grasping. ◊ Weakness and stiffness of the hand Finger Dexterity. Using a Pen/Pencil and paper. Pick up a pencil. Roll it between the thumb and each finger. Twirl a pen between the fingers like a Encourage as many strengthening activities through- out the day. Any activity that involves gripping against resistance will increase hand strength whenThe Minnesota Manual Dexterity Test (MMDT) is used to measure a subject's simple but rapid eye- hand coordination as well as arm-hand dexterity. In. The Hand Tool Dexterity Test Model # 32521 can be used as a general assessment of an individual's skill in using ordinary mechanics tools.