ABSTRACT
As the central nervous system matures, the movement patterns of the hands begin to develop through a well-ordered sequence of events for example, from inner to outer. For most children, hand skills enable them to interact with their environment and handle objects and toys. The ability to isolate the index finger for pointing, and then using it to request for something, shows the development of hand skills as well as prelinguistic communication. These basic principles of motor learning are important to bear in mind when the author consider the child's motivation to use his hands for manipulation of objects, communication and expressions of emotions. It consists of reach, grasp and release, and competence in the use of the hand is required for supporting body weight, for moving into different positions, and for grasping, manipulating, feeling and communicating. The ability to move little objects from the palm to the fingertips emerges later and to open the hand for controlled release.
