What is bilateral co-ordination and why is it important?
Bilateral co-ordination, also known as bilateral integration, refers to one’s ability to simultaneously control and coordinate both sides of the body.
Children who have difficulty with bilateral coordination have trouble with fine motor tasks, visual motor tasks, activities or daily living and gross motor activities.
What are the different types of bilateral movements?
There are different types of bilateral movements that a child needs to develop:
- Symmetrical movements – This involves both hands or legs performing the same action at the same time (i.e. rolling out playdoh, clapping, jumping with feet together, catching a ball)
- Reciprocal movements – These are alternating movements. Both arms or legs need to carry out the same actions, just at different times (i.e. marching, pedalling a bike, pulling rope hand over hand, climbing a ladder)
- Asymmetrical movements – This involves one hand taking on the skilled work and the other acting as a support. This is required for activities such as cutting, writing, drawing, threading, and kicking a ball.
Signs that a child has poor bilateral coordination
Indicators of poor bilateral coordination are:
- Difficulty cutting with scissors
- Trouble with handwriting
- Difficulty tying shoelaces
- Unable to dress independently
- Clumsy
- Difficulty catching a ball
- Struggle with gross motor movements and activities
Activities to develop bilateral co-ordination
- Hand clapping activities – popping bubbles
- Threading and beading activities
- Cutting practice
- Playdoh and utensils
- Banging a drum and other musical instruments
- Building lego
- Cleaning dishes
- Dribbling a ball and practicing other ball skills
What do I do if my child hasn’t developed bilateral co-ordination?
We’re here to support you
At OneOnOne Children’s Therapy, we believe that every child deserves the opportunity to grow and thrive.
Our clinics are not just a space for therapy – it’s a place where children can discover their strengths, overcome challenges, and reach their full potential.
By combining innovative therapy techniques with a stimulating and supportive environment, we’re proud to offer a holistic approach to paediatric therapy and early intervention that addresses the unique needs of each child we support.
Reach out for support
If you’re concerned about your child’s hand dominance or want to learn more about how Occupational Therapy can help your child, OneOnOne Children’s Therapy is here to help.
Call our Bondi Junction and Mascot clinics on (02) 80657837 or email. You can book a free 30 minute phone call with us to discuss how we can support your child’s unique journey
