Bilateral Coordination Toys

Bilateral coordination toys

Here we are covering all things bilateral coordination toys. When it comes to bilateral integration, coordinating both sides of the body in play can be a challenge for some children. These bilateral skills impact functional use of the body, motor planning, and bilateral integration as a whole. It’s through play with occupational therapy toys targeting bilateral skills that children can strengthen and develop this essential motor skill. Let’s dissect a few select toys that promote this skill.

Amazon affiliate links are included in this blog post. As an Amazon Influencer, I earn from qualifying purchases.

Bilateral Coordination Toys

We’ve previously covered both fine motor toy ideas and gross motor toys. Today’s topic closely mirrors those areas. Today is all about the bilateral integration that goes into motor play. 

First, let’s talk Bilateral Coordination Toys!

Bilateral coordination toys are an occupational therapy intervention that helps children develop essential skills in bilateral integration. Toys that use both hands in a coordinated manner help children with bilateral coordination, crossing midline, and using both hands in tasks. These are essential skills that allow for an integration of both sides of the body, but more than that, bilateral coordination tells us that the brain is communicating effectively and sharing information between sides of the brain.

Today, I’m excited to share bilateral coordination toys and games to help support this essential skill.

Bilateral coordination toys for kids to develop coordination of both sides of the body.

Bilateral integration

Bilateral coordination in functional tasks makes up much of our day! Think of all of the other areas where you are using both hands or both sides of the body at the same time: getting dressed, tying shoes, cooking, typing, holding a book while reading, pouring a glass of water…the list could go on and on!

Read about bilateral integration in the cross crawl exercise resource.

This integrated use of both sides of the body can be developed through play.

Using both sides of the body together is a skill needed for many tasks: writing with a pencil with one hand while stabilizing paper with the other hand is one such activity.

Another bilateral coordination task is cutting with scissors with one hand while holding and manipulating paper with the other hand.

For children with difficulty in crossing midline, or using integrated bilateral skills, using toys in play is an effective way to work on and nurture this skill.

Looking for a toy to work on bilateral coordination to add to your gift giving this holiday season? Today we are covering ways to build bilateral coordination skills using toys and everyday items. We also have another giveaway to share today. This time it’s a fine motor toy that promotes a variety of sills, bilateral integration being one of them. I wanted to highlight this as a toy for building bilateral coordination because as we know, promoting this skill is a valuable building block to other tasks such as handwriting, cutting with scissors, self-care tasks, and more.

Working on bilateral coordination in play is a means and a strategy for building this essential skill. So, why is bilateral coordination so important? And what exactly does bilateral coordination mean?

DIY Bilateral Coordination Toys

We’ve shared quite a few bilateral coordination toys and DIY activities here on this site in the past.

A bilateral coordination lacing plate is a DIY toy and activity that can be used to work on coordinated use of both hands with a variety of themes.

Using puzzles and games that you already have with an extra special addition can be a great way to work on bilateral coordination with puzzles.

Play dough and sensory doughs are fun ways to play while working on skills like bilateral coordination and other motor skills.

Stickers are an easy way to work on bilateral coordination and can be used in the classroom, clinic, or home and in combination with obstacle courses and other motor activities.

Pegboards (both DIY and store-bought versions), are a fantastic way to work on bilateral coordination in play and in developing visual motor skills and coordination.

DIY pick-up sticks are a fun way to address bilateral integration and coordinated use of both hands together.

Making DIY lacing cards are a fun way to work on bilateral coordination. Making the lacing cards is part of the fun.

Miniature rhythm sticks can be a musical and creative way to encourage bilateral coordination.

Lock and keys games like with this DIY lock and key activity makes fine motor development an out of the box way to work on skills kids need for independence and instrumental activities of daily living.

Bilateral Coordination Toys

There are many bilateral coordination toys on the market as well. Let’s take a look at some toys and games that you can add to your therapy toolbox.

Amazon affiliate links are included below.

Pop Tubes Toy for Bilateral Coordination– (affiliate link) Pop tubes can be used in many ways to work on bilateral skills. Use them for a fine motor bilateral coordination task, or use them to work on a large scale or small scale. Wrap one around a wrist and build off of that tube. Or create a chain of tubes. Hold one and drop objects through the tube and into a container. How will you use this bilateral coordination toy?

Bilateral coordination toy for use in bilateral coordination obstacle courses and other occupational therapy interventions.

TruBalance Bilateral Coordination Toy (affiliate link) This toy requires both hands as well as the eyes to challenge balance, coordination, and bimanual skills. Kids can work with this toy while sitting, standing, or in more challenging positions. Try incorporating couch cushions for a balance activity. Use this toy in a bilateral coordination obstacle course. Kids can use the pieces in a scavenger hunt type of activity where the parts are scattered at various levels and positioning, allowing the child to crawl, climb, walk, or squat while balancing the toy. The options go on and on!

Use nuts and bolts activities to help kids develop bilateral coordination.

Nuts and Bolts Bilateral Coordination Toy– (affiliate link) This nuts and bolts activity is great for developing fine motor skills as well as bilateral coordination by requiring the child to use one hand to manipulate the parts while the other hand acts as a stabilizer. This is a nice way to develop skills needed for tasks like handwriting, pouring, stabilizing, cooking, etc.

Another great option is a tube building toy. This has a lot of open-ended creative building that can be done.

Zoom ball in therapy can be used to work on bilateral coordination, visual convergence, core strength, shoulder stability, and motor planning.

Zoom Ball– (affiliate link) This classic toy is such a great way to work on many skills: bilateral coordination, core strength, shoulder stability, visual convergence, motor planning, and coordination. Just like the TruBalance toy, a zoom ball can be used in different positions to challenge balance and vestibular input: Try using the zoom ball in sitting, standing, kneeling, standing on couch cushions, a slant…again, the options are limitless! Use our favorite zoom ball games to get started.

Thumbs up is a bilateral coordination game for kids.

Thumbs Up Game– (affiliate link) This bilateral coordination game requires players to place rings on their thumb in a “thumbs up” position while they race to scoop and find the correct combination of colored rings to add to their thumb. It’s a fun racing game that builds visual perceptual skills too: figure ground, visual discrimination, visual memory, as well as the visual processing skill of scanning.

Lacing cards help kids develop bilateral coordination skills.

Lacing Buttons– (affiliate link) There is no doubt about the power of lacing cards when it comes to developing bilateral coordination skills. However, this lacing buttons activity takes it up a notch with the eye-hand coordination and visual processing skills. Kids can lace buttons onto wooden shirt pieces while building bilateral skills, fine motor skills, and eye-hand coordination. However, the set also includes puzzle cards that ask the child to lace on colored buttons in specific order so it matches the cards. What a workout in visual processing skills, too!

use lacing beads to help kids with coordination, fine motor skills, and bimanual skills.

Animal Lacing Beads– (affiliate link) These lacing beads are chunky wooden animals that help kids develop bilateral coordination, eye-hand coordination, fine motor skills, and visual perceptual skills. As an occupational therapist, I am drawn to this toy because of the different animals that could be used in sequencing activities, sensory bins, pretend play, stacking activities, and so much more.

Apple lacing activity for bilateral skills.

Wooden Lacing Apple– (affiliate link) This lacing puzzle challenges bilateral coordination skills and can be used to work on eye-hand coordination, tripod grasp, and motor planning. Use this activity to help with stabilization as well.

Press blocks offer a sensory feedback opportunity for building bilateral coordination.

Press and Stay Blocks– (affiliate link) These building blocks require bilateral coordination with a press so they stay, helping kids to develop bilateral coordination and get proprioceptive input to push them together and then take them apart. Building blocks are a great way to build fine motor skills and visual perceptual skills, and these are a great addition to your therapy toolbox collection.

Labyrinth Game (affiliate link) This maze game is a favorite in our house, and a tool for building bilateral coordination and visual perceptual skills too. Kids need to manipulate two knobs at the same time and coordinate visual information with one hand or the other…or both. It’s a brain building challenge that involves both sides of the body. Challenge kids to do this activity in a kneel or while standing on their knees at a low table to challenge balance and offer proprioceptive input as well.

fine motor toy for kids

Octi Buckle Plush Toy with Hook and Loop Straps– (affiliate link) This play toy is a strategy to encourage development of fine motor skills, problem solving, color matching, coordination, and more. This stuffed play buddy is a toy that promotes development of many skills, bilateral coordination being one of them.

Using toys that double as quiet time activities, busy bags, or travel toys…all while working on skills is what makes toys like the buckle plush toy a therapist-approved toy. A buckle toy, with bright colors, shapes, straps, and zipper pouch will provide countless hours of recognition activities, brain building games and development puzzles. Your little one will stay busy counting the number of straps, connecting them together, pulling them apart, and starting over again. Kids can hide small items and treasures in the zip pouch, then unzip it later and get excited over their discovery!

More Bilateral coordination activities

Amazon affiliate links are included below.

Also, check out these other toy suggestions based on therapeutic development through play.

  1. Fine Motor Toys 
  2. Gross Motor Toys 
  3. Pencil Grasp Toys 
  4. Toys for Reluctant Writers
  5. Toys for Spatial Awareness 
  6. Toys for Visual Tracking 
  7. Toys for Sensory Play 
  8. Bilateral Coordination Toys 
  9. Games for Executive Functioning Skills 
  10. Toys and Tools to Improve Visual Perception 
  11. Toys to Help with Scissors Skills
  12. Toys for Attention and Focus 

Printable List of Toys for Bilateral Coordination

Want a printable copy of our therapist-recommended toys to support bilateral coordination?

As therapy professionals, we LOVE to recommend therapy toys that build skills! This toy list is done for you so you don’t need to recreate the wheel.

Your therapy caseload will love these BILATERAL COORDINATION toy recommendations. (There’s space on this handout for you to write in your own toy suggestions, to meet the client’s individual needs, too!)

Enter your email address into the form below. The OT Toolbox Member’s Club Members can access this handout inside the dashboard, under Handouts. Just be sure to log into your account, first!

Therapist-Recommended
BILATERAL COORDINATION TOYS HANDOUT

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    Colleen Beck, OTR/L has been an occupational therapist since 2000, working in school-based, hand therapy, outpatient peds, EI, and SNF. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. Read her story about going from an OT making $3/hour (after paying for kids’ childcare) to a full-time OT resource creator for millions of readers. Want to collaborate? Send an email to contact@theottoolbox.com.

    Visual Tracking Tips and Tools for Treatment

    Here we are covering all things visual tracking, including what visual tracking means, how to improve visual tracking skills, and visual tracking toys to support development of this visual processing skill.

    Amazon affiliate links are included in this blog post. As an Amazon Influencer, I earn from qualifying purchases.

    Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

    What is Visual Tracking

    Visual tracking is typically defined as the ability to efficiently move the eyes from left to right (or right to left, up and down, and circular motions) OR focusing on an object as it moves across a person’s visual field.

    This skill is important for almost all daily activities, including reading, writing, cutting with scissors, drawing, and playing.  According to typical development of visual processing, the ability to visually track objects emerges in children around the age of five.  

    Reading a paragraph without losing their place, copying a list of homework from the chalkboard, misalignment of vertical and horizontal numbers in math problems, confusion in interpreting written direction, mixing up left/right, persistent letter reversals…Does any of this sound familiar? It’s all visual tracking!  

    Vision and visual tracking are tasks that happen without us even realizing.  The brain and it’s jobs is an amazing thing and our eyes are moving, tracking, scanning, focusing, pursuing, and accommodating without us even realizing.     There are many ways to work on visual perception in playful and creative ways.

    Related is the visual figure ground piece, which allows us to pull visual information from a busy background, and track that visual input.  

    visual tracking exercises

    Visual Tracking Exercises

    Using visual tracking exercises like the one described below can be a powerful way to use eye exercises to improve vision in kids. These are the visual skills needed not for visual acuity, but rather, those unseen visual problems that impact visual processing skills.

    Visual tracking exercises can include vision therapy activities that improve areas such as visual saccades or smooth visual pursuit.

    Difficulties in Visual Tracking

    You might see problems with these tasks if a child has difficulty with visual tracking:

    • Losing place when reading.  Re-reads or skips words or lines.  
    • Omits, substitutes, repeats, or confuses similar words when reading.
    • Must use finger to keep place when reading.
    • Poor reading comprehension.
    • Short attention span.
    • Difficulty comprehending or remembering what is read.
    • Confusion with interpreting or following written directions.
    • Writing on a slant, up or down hill, spacing letters and words irregularly.
    • Confusion with left/right directions.
    • Persistent reversals of letters (b, d, p, q) when naming letters.
    • Reverses letters when writing (persistent reversals after 2nd grade.)
    • Errors when copying from a chalkboard or book to paper.
    • Misalignment of horizontal and vertical series’ of numbers in math problems.

    Also related to visual tracking and very similar while being involved in many of these problem areas, is visual scanning.  

    It is important to note that not all of these difficulties indicate a true visual tracking and or visual scanning problem.  For example, many children demonstrate poor reading comprehension and may show a short attention span while not having visual scanning problems.  

    All children should be evaluated by a pediatric physician, behavioral optometrist, and occupational therapist to determine true visual processing and visual tracking or visual scanning deficits.  These recommendations are meant to be a resource.    

    Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

    Visual Tracking Activities

    Today, I’m sharing an easy visual tracking activity that will help kids with many functional difficulties.  This post is part of our new series where we are sharing 31 days of Occupational Therapy using mostly free or inexpensive materials.

    Today’s activity should cost you at most $2 unless you already have these items in your craft cupboard or office supplies.  Add this activity to your treatment bag for multiple activities.  Read on:

    Amazon affiliate links below.

    This Visual tracking activity is easy to set up.  Gather recycled bottle caps.  I used round dot labels (affiliate link) from our office supplies to color the inside of each cap.  You could also use a marker or paint to color the bottle caps.  Use what you’ve got on hand to make this treatment activity free or almost free!   Next, gather matching crafting pom poms. (affiliate link)  These can be found at the dollar store for and inexpensive treatment item.    

    visual tracking activities

    Skills Related to Visual Tracking

    It’s important to mention that there are several skills related to visual tracking. These sub-areas should be identified as a piece of the overall puzzle. Areas related to visual tracking play a role in the eyes ability to fixate on an object and follow it as it moves. These skills include:

    • Visual fixation
    • Peripheral tracking
    • Visual pursuit

    Visual Fixation Activity: (Maintaining vision on an item in the visual field) Work one eye at a time.  

    1. Have your child close one eye and place a colored crafting pom pom onto a matching bottle cap.  They need to use one hand to place the pom pom into the corresponding bottle cap and not move bottle caps around on the table.
    2. After the child has filled all of the bottle caps using one eye, repeat the task with the other eye.  
    3. Then complete the activity using both eyes.    
    4. You can also do this activity by placing the label dots on a paper. Match the bottle caps onto the dots. 

    Visual Stare Activity (the amount of time the eyes can fixate on an object without eye movements)

    1. Hold up one bottle cap on your nose.
    2. Ask your child to sit about 18 inches from you and stare at the bottle cap.  Note their eye movements as they stare.  
    3. Keep track of time that the child can stare at the target without visual saccades (eye movements).

    Peripheral Tracking Activity (visually tracking from the peripheral visual fields)

    1. Arrange the bottle caps on the table.  
    2. Place a pom pom in the center of the table, with the bottle caps all around it.  
    3. Ask your child to stare at the pom pom. While keeping their head still and only moving their eyes, ask them to quickly find a bottle cap with the same color.  
    4. Ask them to scan to another bottle cap of the same color until they’ve found all of the caps with that color.  
    5. You can add a level to this task by writing letters or numbers in the bottle caps and asking the child to find letters in order or numbers in order.

    Visual Tracking Pursuit Activity (watching and tracking a moving object)

    1. Set one bottle cap on the right side of the table.  
    2. Place another at the left side.  
    3. The adult should blow a crafting pom pom from the right to the left and ask the child to follow the pom with his eyes, without moving their head.
    4. Repeat by blowing the pom pom from the left to the right, front to back, and back to front in front of the child.

    Visual Tracking Tracing Lines (Watching a pencil line as it is formed, and following the line with eye-hand coordination to trace with a pencil or marker)

    1. Set one vertical row of bottle cap on the left side of the child.  
    2. Place another vertical row on the right side.
    3. The adult should draw a line from one bottle cap on the left side to a matching bottle cap on the right side.  
    4. Instruct the child to follow the pencil as you draw.  Nest, trace the line with your finger.  
    5. Ask the child to trace the line with their finger.  
    6. They can then trace the lines with a pencil or marker.
    Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

    More eye tracking Strategies

    • Complete mazes
    • Do puzzles.
    • Use a newspaper or magazine article.  Ask your child to highlight all of the letter “a’s”.
    • Draw or paint pictures.
    • Place a marble in a pie pan.  Rotate the pan around and watch the ball as it rolls. Don’t move your head, only your eyes!
    • Find as many things shaped like a a square in the room.  Repeat the activity, finding all of the circular shaped items in the room.
    • Play “I Spy.”
    • Dot-to-dot pictures.
    • Play balloon toss.
    • Use tracing paper to trace and color pictures.
    • Trace letters with chalk.
    • Play flashlight tag on walls and ceilings. The adult an child each holds a flashlight. As the adult shines the light on walls, the child keeps their light superimposed on top of yours. Start with simple strait lines.  Then add curved lines, then a circle.  Tell them what you are drawing next.  Advance the activity by drawing shapes without telling them what you are doing next.
    • Play with wind-up cars.
    • Create a race track on the floor. Follow cars with your eyes.
    • Roll a ball between you and the child.  Roll from left-right, right-left, front-back, back-front, and toss the ball.

    Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.

    Visual tracking Toys

    Looking for more tools to improve visual tracking?  The toys below are great for improving visual tracking and visual scanning in fun ways.  These toys, games, and ideas may be a great gift idea for little ones who have visual perceptual difficulties or problems with visual tracking and handwriting, body awareness in space, letter reversals, detail awareness, or maintaining place while reading.  

    SO, save these ideas for grandparents and friends who might ask for gift ideas for birthdays and holidays.  These are some powerhouse visual tracking ideas!

    Use Pattern Blocks and Boards (affiliate link) to work on visual fixation of shapes and sizes of shapes. 

    This Wooden Tangram Puzzle (affiliate link) has many different shapes and forms that can be copied from instructions. Copying from a diagram is a great way to practice visual tracking.

    For younger kids, this Wooden Stacking Toy encourages tracking for color sorting.  Try some of our pom pom activities that we discussed above!

    Mazes are excellent for fostering and building on visual tracking skills. Particularly those that involve a moving ball such as a Marble Run (affiliate link)
    or a labrynth (affiliate link).

    Watching a ball or moving object that is thrown around a room (like a balloon) is a great way to work on tracking in a big area. These Sportime Sensory Balls SloMo Balls (affiliate link) are lightweight and move more slowly than a typical ball, allowing kids to visually track the bright color. These are very cool for games of toss and rolling in all planes and directions. Use them to address peripheral tracking as well. 


    A flashlight can be used in so many visual tracking activities. Shine the light on words or letters taped to walls. Play “I Spy” in a dark room, shine shapes like this flashlight (affiliate link)can for visual tracking and form tracking.

    More visual Tracking Toys

    These visual tracking toys are Amazon affiliate links.

    Also check out these other top occupational therapy toys:

    1. Fine Motor Toys   
    2. Gross Motor Toys 
    3. Pencil Grasp Toys 
    4. Toys for Reluctant Writers 
    5. Toys for Spatial Awareness 
    6. Toys for Visual Tracking 
    7. Toys for Sensory Play 
    8. Bilateral Coordination Toys 
    9. Games for Executive Functioning Skills 
    10. Toys and Tools to Improve Visual Perception 
    11. Toys to Help with Scissors Skills 
    12. Toys for Attention and Focus 

    Printable List of Toys for VISUAL TRACKING

    Want a printable copy of our therapist-recommended toys to support visual tracking skills?

    As therapy professionals, we LOVE to recommend therapy toys that build skills! This toy list is done for you so you don’t need to recreate the wheel.

    Your therapy caseload will love these VISUAL TRACKING toy recommendations. (There’s space on this handout for you to write in your own toy suggestions, to meet the client’s individual needs, too!)

    Enter your email address into the form below. The OT Toolbox Member’s Club Members can access this handout inside the dashboard, under Handouts. Just be sure to log into your account, first!

    Therapist-Recommended
    VISUAL TRACKING TOYS HANDOUT

      We won’t send you spam. Unsubscribe at any time.
      Visual Tracking toys and tools to improve visual fixation, visual tracking, visual saccades, in handwriting, reading, and so many functional daily tasks and skills in kids.