Place 1 block as the base of your tower on the table. Pick up another block and place it in the palm of your hand. Using 1 hand, move the block to the tips of your index and thumb. Place the block onto the base block. Repeat until you have made an awesome tower! You can do this activity with any other small objects such as legos and coins. In-hand manipulation helps develop fine motor skills for tasks such as fastening buttons, handwriting, tying shoes and holding cutlery.