5 Activities to Encourage Hand Dominance

Patrick McLean

Patrick McLean

Patrick McLean serves as Administrative Director and Co-CEO of Chicago Pediatric Therapy & Wellness Center, a comprehensive pediatric therapy practice he co-founded with his wife Rose in 2014. With over a decade of healthcare business leadership, Patrick has transformed their vision of coordinated, family-centered care into a thriving multidisciplinary clinic serving families throughout Chicago. After graduating from Western Illinois University in 2004 with a Bachelor's degree in Business and Finance, Patrick developed expertise in healthcare operations, strategic planning, and organizational growth. His business acumen combined with a deep commitment to serving children with developmental needs has positioned Chicago Pediatric Therapy & Wellness Center as a trusted resource for families navigating speech delays, sensory processing challenges, autism spectrum disorder, motor delays, and behavioral concerns. As Co-CEO, Patrick oversees essential operational pillars including marketing and community outreach, human resources and staff development, financial management and insurance coordination, and long-term business strategy. His leadership has enabled the clinic to expand from offering single therapy services to providing integrated physical therapy, occupational therapy, speech therapy, ABA therapy, and social work—all coordinated under one roof for maximum family convenience and clinical effectiveness. Patrick's management philosophy centers on creating systems that empower both staff and families. He has built a culture of collaboration where therapists from different disciplines communicate seamlessly about each child's progress, ensuring holistic treatment plans that address the whole child. His proudest moments come from witnessing families' journeys—from initial concerns through celebrated milestones and hard-won achievements. Beyond his professional role, Patrick brings personal perspective as a father of four children. He actively coaches his kids in various sports, enjoys creating barbecue masterpieces on his smoker, and values connection time with friends on the golf course. This balance between professional purpose and family life reinforces his understanding of the families Chicago Pediatric Therapy & Wellness Center serves every day.

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Hand preference usually begins to emerge between 2-4 years of age. Many children have established a hand preference by 5-6 years old, and definite hand dominance can continue to develop up through 8-9 years old. These activities can help your child to develop a hand preference: 

  1. Screwing On/Off Lids: Hide objects or stickers inside for the child to discover to make it more interesting and fun.  Dominant hand would be on the lid while the stabilizing hand is on the jar. 
  1. Scooping: Use a spoon to scoop beans, salt, or cheerios to place in a container. Model using one hand to stabilize the containers while the other hand scoops.  
  1. Coloring: Encourage coloring on a small piece of paper, using opposite hand to stabilize the paper. 
  1. Stickers: Remove stickers from sticker sheet and place on paper. Practice crossing the midline of the body by placing a sticker on your child’s shoulder, and having them remove it with their opposite hand to place it on paper. Complete the same amount of repetitions for each side.  
  1. Baking/Cooking: Have your child help you prepare a meal or some delicious cookies. Encourage them to assist with stirring ingredients with a spoon while stabilizing the bowl with their other hand. Have them open the tops of seasoning containers. There are plenty of two-handed tasks involved in preparing food, which makes this an easy activity to help establish hand preference.  

Lack of hand preference/dominance can lead to difficulties with a variety of functional skills, such as handwriting, self-care tasks, play skills, and more. If you believe that your child is struggling with hand preference, please contact our pediatric occupational therapists at Chicago Pediatric Therapy & Wellness Center at 773-687-9241.

They can complete an assessment to help determine whether additional support is needed to help your child develop the appropriate hand dominance for fine motor success!  

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