Bilateral Coordination Skills

Doesyour child have poor bilateral coordination skills?

By Jackie Gurdian, MS OTR/L
 

A bilateral skill is the child’s ability to utilize bothsides of the body for activities. A child with poor bilateral skills wouldprefer to use one hand than use both hands together for activities that requiretwo hands. Some children with hemiparesis have significant weakness in one sideof the body. It’s important to incorporate affected side to increase functionaluse of hand.

Below you will find some fun activities to incorporate inthe home to promote bilateral skills. Remember to have fun!

Bilateral Activities

Everyday household activities

• Carry container
• Help clear table after lunch, dinner, etc.
• Open packages (candy for increased motivation)
• Push large object on floor such as laundry basket or garbage
• Help with mixing food (ex: cake mix)
• Twist to ring water out of towel
• Hold cup

 

 

 

 

• Spread butter/peanut butter on bread/crackers or frosting on cookies
• Place empty containers inside each other (yogurt, butter)
• Bath time: fill up containers with water and pour them out

School and fine motoractivities

• Cut paper
• Tear paper

 

 

 

• Hold paper down with affected hand and draw/color with the unaffected hand

Sports

• Play catch
• Monkey bars

 

 

• Jump rope
• Swim
• Hold on to swing with both hands

 

 

 

• Hold baseball bat
• Ride bicycle

 

Games and toys

• Blow bubbles and have child pop by clapping

 

 

 

• Play finger games (Itsy Bitsy Spider)
• Sew or string beads
• Snap/Pop beads
• Lego’s
• Playing 2 handed musical instrument (drums, recorder, piano, guitar)
• Push a cart (play stroller, shopping cart, lawn mower, etc.)
• Play videogame with controller
• Remote control car, plane or boat
• Fly a kite
• Create “jungle”- clear cushions off couch and chairs and have child crawl and climb through “jungle”
• Make sand castles at the beach
• Crawl through a maze

 

• Scooter board game

 

• Wheelbarrow walk
• Play Simon Says

If you have any questions, please don’t hesitate to contactme at speakeatplay@gmail.com. As always please consult your child’s physician before any activity.

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Source: Case-Smith, Jane. Occupational Therapy for Children,6^th edition.