![]() Next, let’s cover the proper grasp pattern required to effectively hold a fork. Using a spoon is likely one of the first functional tools that a small child has experience with, and while messy eating will ensue, it is important to allow the baby or toddler experience with holding and manipulating a spoon, even if they are not getting actual food into their mouth at first. The most efficient grasp pattern is the “adult grip”, however, the other grasp patterns are typically part of a progression as the toddler or young child gains experience with eating with a spoon. ![]() You can see from the image below that there are many different grasp patterns used when holding a spoon, which progress as the child develops more refined fine motor skills. When the spoon is properly placed in the hand, the wrist is slightly pronated and slightly flexed. In this position, one can scoop with refined movements and graded precision using the pad of the thumb on the flat part of the spoon handle. The scoop of the spoon is pointing out toward the direction the thumb points, and the handle is above the thumb web space. The thumb rests and stabilizes the flat handle of the spoon on the top, above the pointer finger in a modified lateral key grasp. The pointer or index finger typically rests over the top of the neck of the spoon, and guides movements when scooping. ![]() The spoon is placed along the lateral edge of the middle finger or pad of the middle finger. To hold a spoon, one needs to grasp the utensil with their dominant hand.
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