Payne said the nature of play had changed. "It's easier to give a child an iPad than encouraging them to do muscle-building play such as building blocks, cutting and sticking, or pulling toys and ropes. Because of this, they're not developing the underlying foundation skills they need to grip and hold a pencil."

佩恩称，游戏的性质变了。她说：“给孩子一个iPad要比鼓励他们玩增强肌肉的游戏（比如搭积木、剪切和粘贴东西、拉扯玩具和绳子）容易。正因为此，他们没有掌握握铅笔所需的潜在基本技能。”

Six-year-old Patrick has been having weekly sessions with an occupational therapist for six months to help him develop the necessary strength in his index finger to hold a pencil in the correct, tripod grip.

6岁的帕特里克连续6个月每周都去一名职能治疗师那里接受治疗，以帮助他发展必要的食指力量，使得他能以正确的三点握持方式握笔。

His mother, Laura, blames herself: "In retrospect, I see that I gave Patrick technology to play with, to the virtual exclusion of the more traditional toys. When he got to school, they contacted me with their concerns: he was gripping his pencil like cavemen held sticks. He just couldn't hold it in any other way and so couldn't learn to write because he couldn't move the pencil with any accuracy."

他的母亲劳拉自责地说：“回想起来，我发现我给他电子产品玩，这几乎让他接触不到更传统的玩具。孩子上学后，学校联系我，告诉我他们很担心：他像穴居人拿棍子那样握笔。他完全不会用其他方式握笔，因此也无法学习书写，因为他不能精准地移动铅笔。”

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