Development
Handedness And When It Appears
A settled hand preference usually emerges in the preschool years, and a strong one during infancy is the pattern that clinicians treat as worth checking.

Parents often try to spot which hand a baby will favour long before the answer exists. The timeline is later than most expect, and early certainty is the finding that matters clinically.
Early preferences shift
Babies frequently use one hand more than the other for a period, then switch. These fluctuations track whatever skill is being practised rather than an underlying preference.
Position contributes too. A baby reaching across the body toward an object will use whichever hand the posture favours, which changes with how they are sitting.
Consistent preference typically settles somewhere in the preschool years, and some children remain mixed for particular tasks well beyond that.
Why one hand ends up leading
Fine motor control for skilled sequential movement is concentrated in one hemisphere of the brain in most people, and the opposite hand is the one it controls.
The same hemisphere usually handles the sequencing involved in speech, which is one reason the two are discussed together. The association is real but not a simple rule.
Left-handed and right-handed people do not differ in ability, and attempts to force a change have historically produced frustration rather than improvement.
The two hands do different jobs
Skilled activity is usually asymmetric. One hand manipulates while the other stabilises, and both roles require competence.
Crossing the midline, where a hand reaches to the opposite side of the body, is a developmental step in its own right. Avoiding it consistently is more informative than which hand is used.
Passing an object between hands, which develops in the second half of the first year, indicates both sides are cooperating.
Why early strong preference is checked
A marked, unchanging preference during the first year can mean the other hand is being avoided rather than the preferred one chosen. Avoidance can reflect weakness or reduced control.
Conditions affecting one side of the body are sometimes first noticed this way, which is why health visitors ask about hand use during reviews.
The relevant observation is what the non-preferred hand does. A hand that stays fisted, does not reach, or is held differently is the concerning picture.
What parents can usefully do
Placing toys at the midline rather than to one side lets a baby choose freely, and gives a clearer picture than objects presented on one side.
Activities using both hands together, such as holding a container while removing objects, build the cooperative pattern that skilled work later requires.
A hand that is consistently unused, held stiffly, or noticeably weaker should be raised with a health visitor or doctor promptly rather than watched over months.
Also by Dr Nina Castellanos
- Colds, coughs and what to giveHealth & Safety
- Rashes and what they meanHealth & Safety
- The six-to-eight week reviewNewborn Care
- Hygiene, germs and how much to worryHealth & Safety





