Bilateral coordination activities are essential for coordinated and fluid movements that require both sides of the body. Also called bilateral integration, the movements of both hands together in activities requires processing and integration of both hemispheres of the brain to enable both hands working together at the same time, or bilateral movements. Without bilateral coordination, a child might appear to be clumsy or drop items, use primarily one hand in activities, or switch hands during tasks that require a dominant hand and a helper hand. Development of bilateral coordination skills is powerful in functional skills like self-feeding, handwriting, self-dressing, grooming, and more.
Bilateral Coordination Activities
First, let’s talk a little more about bilateral coordination. What is bilateral coordination, and how do bilateral movements impact learning, functional tasks, and play in child development?
Activities that support development of bilateral coordination skills integrate several areas of development:
- Visual motor
- Core strength and stability
- Attention and focus
- Sensory processing: vestibular, proprioceptive, and visual sensory systems
- Balance and coordination
- Body awareness
- Development of a dominant side of the body
Each of the areas listed above are both needed for participation in tasks requiring bilateral skills and developed, or strengthened through participation. Play is a powerful tool to support these areas.
Check out these bilateral coordination toys to help kids build skills through play and games.
Why is bilateral coordination important?
Bilateral coordination is important for a variety of skills.
When bilateral coordination or bilateral integration is intact and progressing appropriately through development, it is an indicator that both sides of the brain are communicating effectively and sharing information during functional tasks.
Younger toddlers and babies can be observed using both hands in play as they pick up objects in their line of sight. However, they typically will pick up items with the hand that is closest to the object or toy.
As toddlers progress in development, they will begin to establish a dominant hand and crossing midline. This ability to utilize a dominant hand and a non-dominant hand in activities indicates a maturation of the brain and lateralization in functional tasks, which is very important for motor planning, directionality, and visual motor skills.
When a child is challenged in development of bilateral coordination skills, there can be resulting difficulties.
In fact, impaired bilateral coordination skills can lead to difficulty in the classroom. Science tells us that problems with bilateral coordination can have an impact on academic performance, with slowness and disinterest in schoolwork.
In the school setting there are many areas that can be a challenge as a result of bilateral coordination struggles:
- performance in school tasks that require coordination
- using scissors
- writing- including holding the paper and erasing
- using tools such as rulers
- managing clothing- buttons, zippers, snaps
- managing lunch containers
- putting on and taking off a backpack
- turning pages in books
- managing and organization skills in folders and backpacks
Development of bilateral coordination in self-feeding depends greatly on the child’s developmental level. The baby who is learning to place dry cereal in their mouth will be vastly different level than the child who is scooping soup or cutting a piece of chicken. Development of fine motor skills and visual motor skills have an impact on coordination of the hands in self-feeding.
What makes up bilateral coordination?
In fact, there are three components of bilateral coordination:
- Symmetrical movements
- Alternating movements
- Dominant hand/supporting hand movements
types of bilateral coordination:
There are three different types of bilateral coordination. Let’s break these down.
1.) Symmetrical movements– Both hands do the same thing at the same time. An example of this would be pulling up pants or socks. Other activities that can work on this skill include
- Holding a squeeze bottle with both hands at the midline to paint.
- Jumping rope
- Jumping Jacks
- Catching a ball with two hands
2.) Alternating Movements– Using the two extremities in alternating motions. You will see alternating bilateral coordination with swimming or climbing a ladder. Activities to work on this skill include:
- Riding a bike
3.) Dominant hand/Non-dominant hand– Using one hand to perform a task while the other assists is needed for many fine motor skills. This type of bilateral coordination is needed for writing, and cutting with scissors. Activities to work on this skill include:
- Lacing cards
- Tying shoes
This occupational therapy tool is Easter-themed but it builds the skills needed for kids to cut with scissors while refining and building accuracy with scissor skills.
Bilateral Coordination and the Vestibular System
Bilateral coordination is closely related to the vestibular system. When our body registers movement and gravity it allows us to respond with appropriate movement, balance, and posture. The vestibular system and our body’s ability to register information and integrate it into movements enables bilateral coordination and body awareness of the upper and lower body. Below, you will find all of our activities that build and develop bilateral coordination. Try these activities to work on many skills like visual motor integration and fine motor skills while encouraging bilateral coordination. Be sure to stop back, because this page will be updated often!
Related: Need some indoor bilateral coordination activities like this one? Try our list of Winter Bilateral Coordination Activities that kids will love!
Bilateral Coordination ideas for kids:
Extended Wrist Fine Motor Activity
Handwriting and Bilateral Coordination
Colleen Beck, OTR/L is an occupational therapist with 20+ years experience, graduating from the University of Pittsburgh in 2000. Colleen created The OT Toolbox to inspire therapists, teachers, and parents with easy and fun tools to help children thrive. As the creator, author, and owner of the website and its social media channels, Colleen strives to empower those serving kids of all levels and needs. Want to collaborate? Send an email to firstname.lastname@example.org.