Hand skills are important to interaction with environment. Hands are the tools most often used to accomplish work, to play, to express and communicate. This study observed the grasp patterns of spastic cerebral palsied(39) and athetoid cerebral palsied children(l3). They were asked by occupational therapist that wrote their name with pencil and colored a circle with crayon. Their grasp patterns were recorded on the basis of which fingers were used to grasp the object, the surface areas of the fingers in contact with the object, and the position of the joints of the fingers. This paper will present the skill acquisition and the activities of daily living for the fine motor skill and self care to the child who has a disability affecting hand skills.