Fine Motor skills is the ability to control and coordinate small muscle movements of the hands and fingers in coordination with the eyes for reaching, grasping and manipulation of objects. The control and coordination of the muscles in the hands are precursors for the ability to use grasp patterns that are appropriate to the object’s weight, size and shape as well as demonstrate adequate force and pressure, however proximal (core) strength and stability are pre-cursors for the development/coordination of the hands and eyes to work together. Fine motor skills are essential for engagement and independence with eating/feeding, dressing, play skills and school performance (writing and cutting).