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Dyspraxia & Hand Washing: Fine Motor Skills

Jun 16, 2020

It has never been more important to support our children to develop good personal hygiene. For children with fine motor skill difficulties, washing their hands can be a very difficult task. In this article, we explore some ideas to support your child with hand washing.

Father and daughter washing their hands at the kitchen sink
Stayin’ Alive, Jolene or Happy Birthday (twice)- what does the song you sing while washing your hands say about you?

To protect yourself and your family from Covid-19, the NHS has recommended hand washing as the first line of defence. They recommend washing your hands for 20 seconds, the time taken to sing Happy Birthday twice. You should use warm soapy water and take extra care to ensure you are cleaning between your fingers. 

For all families, this time is a great opportunity to teach your children about good personal hygiene. It’s a time to explore when and why we need to wash our hands and the correct technique. There are a number of excellent resources for kids available, such as the NHS website. On Twitter, one user shared a now-viral tweet which included a video of someone washing his gloved hands with black paint. The video shows the importance of good hand washing technique in a visual way.
This simple at-home science experiment has also been shared widely and is a fantastic way to teach your children about hand washing. With pepper, soap and water, you can easily show your children how soap fights germs.

Learning to wash your hands is an essential life skill and will help children to become more independent. Meghan Corridan, the paediatric occupational therapist behind blog MAC Toys, believes that these self-care skills are something that parents and teachers of typically developing children often take for granted. 

For children with developmental coordination disorders (DCD) such as dyspraxia, completing everyday tasks, such as washing their hands, can be very challenging. Dyspraxia is a coordination disorder that affects the development of motor skills.

People with dyspraxia may have difficulties with motor planning. Motor planning is the ability to think about what you want to do and to carry out steps in order to make it happen. This is often a subconscious process but when we are learning a new skill, it requires more conscious thought and repetition.

Education writer Peg Rosen explains that for children struggling with motor planning, “even if they’ve done a task before, it’s like they’re doing it for the first time”.

Along with motor planning difficulties, children with dyspraxia may also struggle to develop the fine motor skills needed to use soap pumps and to turn taps on and off.

No matter the reasons why your child isn’t washing their hands, it’s important to get them into good personal hygiene habits. Below are some ideas to help support your child:

Display a Step by Step guide

You can download or make your own visual cue cards detailing the steps involved in washing your hands. Displaying these near sinks will support your child as they complete the task step-by-step. You can reinforce this with fun songs and dances, such as Washy Washy Clean or this amazing viral dance from Vietnam, well suited for the TikTok generation. 

Organise everything they need

Make sure everything your child needs to complete the task is in the bathroom, ideally in one place. This might include soap, a flannel or sponge and a clean towel. This will help them remember each step. You may also consider making adaptations to your bathroom, such as providing an automatic soap dispenser, a step stool or handle extension. 

Explain why

As with all children learning to effectively wash their hands, it is important for them to understand why. Explain in a simple and calm way that clean hands help prevent themselves and other people from getting sick. Explain that your child can help keep other people safe by washing their hands regularly. Fun at-home experiments will help illustrate your point!

Reminders

Once your child understands how and why, you must support them to answer the question “when”. While children are under your watchful eye, you can audibly remind them to do so before eating food or after going to the toilet. When children are at school or playgroup, you can use notes and reminders to encourage good hygiene, for example on their lunchbox or in their backpack. 

Young girl baking with whisk and wooden spoon

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