
Dr. Piyush Jain
Dr. Piyush Jain provides pediatric clinical guidance for developmental and neurodevelopmental concerns where appropriate.
Short answer: Using a stapler, hole-punch or binder clip needs one hand to apply steady force while the other hand holds and positions the paper — a combination of hand strength, bilateral coordination and motor planning. A child who avoids these tools, presses with their whole body weight, or simply can't get them to work may be showing a fine motor skill gap rather than carelessness.
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A stapler, hole-punch or binder clip is a one-handed-squeeze tool, but using it well also needs the other hand to hold the paper steady and aligned. That combination — isolated hand strength in one hand, a stabilising grip in the other, and knowing how much force is enough — is more demanding than it looks, especially for a child whose hand muscles are still developing.
Most children fumble with a stapler once or twice before getting the hang of it, and that alone isn't a concern. It's worth noticing when a child consistently avoids using these tools, asks an adult to do it for them well past the age classmates manage it, presses down with their entire upper body instead of just their hand, or ends up with crooked staples and mis-punched holes every single time. Parents in Laxmi Nagar and Vivek Vihar have described this as their child being "totally fine with toys but useless with school supplies like this." That specific pattern — general play skills intact, but a consistent struggle with tool-based tasks needing force and coordination together — is the kind of detail worth checking with an occupational therapy centre in East Delhi rather than assuming it will simply resolve with more practice.
Hand-strengthening play — squeezing clothespins, using tongs to pick up small objects, playdough — can build the muscles these tools need. If avoidance or difficulty is frequent, affects school tasks like filing worksheets or craft projects, or comes with similar struggles using other two-handed tools, a fine motor and hand-strength assessment can look at the full picture rather than just one tool at a time.
Book a fine motor and hand-strength assessment for your child with our occupational therapy team. Call 7481909090 or message us on WhatsApp to get started.
It can be either. Most children improve with practice alone. It becomes worth checking when the struggle is consistent, affects several similar tools, and doesn't improve much even with repeated tries.
Bilateral coordination is how well the two hands work together with different jobs at once — one applying force, the other stabilising. Many two-handed school and self-care tasks depend on this skill.
Yes, simple hand-strengthening play like squeezing, tearing paper or using tongs can build the muscles involved, though a persistent or wide-ranging struggle is worth a professional look.
It typically looks at hand strength, bilateral coordination, grip patterns and motor planning for tool-based tasks, not just the one activity that was first noticed.
Useful context about the Genesis Neurogen doctors, so you can understand the wider clinical practice while reading this article.

Dr. Piyush Jain provides pediatric clinical guidance for developmental and neurodevelopmental concerns where appropriate.

Dr. Radha Jain is the Senior Consultant Gynecologist & Obstetrician within the wider Genesis Neurogen clinical practice. Her women’s-health services are detailed on the main Genesis Neurogen Delhi website.
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