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What is the best pencil grasp? This question is one that comes up in practice often. The answer according to the research is that legibility is not significantly influenced by pencil grasp. As an occupational therapist working in the school setting, it is not simply based on handwriting legibility. Occupational therapists working in the school setting evaluate much more than just letter and number legibility. For example, an occupational therapist will examine the hand for excessive pressure on soft tissue, ligaments, and joints. Using a biomechanical frame of reference OT's can assess for any deficits in range of motion and strength within the joints and muscles of the upper extremities. Core and posture stability is also assessed and adaptations to the environment and or writing equipment may be utilized to compensate for areas of weakness. In addition, visual-motor integration is also assessed to rule out visual or perceptual difficulties. In short, the answer is dependent on each child individually. To avoid inappropriate intervention strategies refer to an occupational therapist when possible to discuss options.