4 Contact Hours

The development of prehension and coordination is essential to an infant's ability to play and explore. As hand skills mature, the infant becomes increasingly competent in exploring and playing with objects, a prerequisite for successful long-term development. This course describes the infant's development of grasp, release, and bimanual skills in the context of play, providing the therapist valuable information to apply to the therapeutic setting. This entry-level to intermediate course is offered to occupational therapists, physical therapists, and assistants.


Joel Desotelle, MS OTR/L

Joel is an occupational therapist who specializes in neurological disorders in children and adults.  He received his Bachelors of Science (B.S) degree in occupational therapy from Keuka College (Keuka Park, NY) in 1995 and his post-graduate Masters of Science (M.S.) degree from Misericordia University (Dallas, PA) in 2010.  He holds a post-graduate certificate in pediatrics from Misericordia University (2006) and has worked in a variety of settings from out-patient pediatrics to in-patient adults.  Joel is an experienced author and instructor who has presented on a wide range of topics including stroke rehab, neuromuscular disorders, autism, sensory dysfunction, dementia, falls, and outcomes-based therapy.

Audience: OT, COTA, PT, PTA

Skill Level: Basic to Intermediate

Contact Hours: 4

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA 

Teaching Methods: Course content includes text from, "Hand Function in the Child: Foundations for Remediation, 2nd ed. (2006)" written by Elke H. Kraus, PhD, BSc. Occ Ther., Dip Ad Ed, - Copyright 2006 Elsevier, Inc. All Rights Reserved. 

Criteria for Passing: Each learner must complete all learning activities/handouts and pass a final exam to receive credit.

Course Objectives:

By the end of this course, each learner will be able to:

1. Describe how skills emerge through the interaction of systems and how perception influences hand skill development.

2. Describe how posture and sensory systems contribute to hand development in infants.

3.  Describe three stages of learning to acquire a new skill.

4. Describe play activities, prehension patterns, purposeful grasp, object release, and bimanual skills in infants birth to 12 months.

5.  Describe play activities, prehension patterns, object release, and bimanual skills in children 12 to 24 months.

Here is the course outline:

1. Introduction

Please read the introduction to provide you with important information and tips about your course.

2. Course Objectives - Development of Hand Skills in Infants

Click here to view course objectives.

3. Coursework - Development of Hand Skills in Infants

Click to view course materials. Completion of all coursework is required to access the final exam and pass this course.

4. Course Final and Survey - Development of Hand Skills in Infants

Click to take the final exam. Remember, all coursework must be completed to access the final.


The following certificates are awarded when the course is completed:

Certificate of Completion