Pop tubes are a great beginner fine motor tool as they require 2 hands to pull them apart to make a sound while providing a global grasp opportunity. If your client has mastered symmetrical bilateral motor control add in a pom-pom for them to drop in through the top; providing a chance for reciprocal bilateral coordination as one hand will need to stabilize while the other completes the skilled task. For some clients, picking up a small item to drop through might be the just-right challenge, for a more advanced client try using tweezers to drop the pom-poms into the tube. Think of a playful themes, “cooking the dragon food,” “feeding the fish,” or maybe, “turning a pebble into gold!” Remember the pop-tube itself is excellent for the client working on general grasp development.