The gross motor skills involved in handwriting mainly refer to the postural control that is required for writing. Efficient control of the larger muscle groups in the neck, shoulder and trunk is necessary to maintain stability in order for the fingers and hands to move to complete the handwriting task. As children develop, control and stability begins at the trunk, progressing to the elbow, wrist and finally the hand.
With normal development, fine motor skills are developed from gross motor skills. For example, a baby will first learn to swat, then reach, then grasp and then manipulate a toy. Children need to develop the proximal muscles (closer to the center of the body) of the trunk and shoulder girdle in order to use the distal muscles (further from the center of the body) in the fingers and hands. These proximal muscles develop in children with gross motor movements such as reaching, tummy time, rolling, all fours position, crawling, standing and walking.
Children also must develop the ability to plan and execute gross motor skill actions. With handwriting tasks, this motor planning requires muscle groups to work together with the proper force, timing and actions to produce an acceptable outcome (ie legible handwriting).
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