What is bilateral integration?


That is the ability of both sides of the body to work together to perform a task.

Signs/symptoms of a child struggling with bilateral integration

  • Appearing to be uncoordinated when doing tasks
  • Difficulty in performing gross motor tasks
  • Preferring not to cross the imaginary midline of the body
  • Not choosing a dominant hand to write/draw/colour (after age 5)
  • Swapping hands when doing tasks

Activities to improve bilateral integration

Any task where arms and legs of both sides of the body need to work together to perform a task e.g.:

  • Skipping
  • Galloping
  • Skipping rope tasks
  • Hop-scotch
  • Bear-walk (left arm and left hand walking forward simultaneously)
  • Lion-walk (left arm and right hand walking forward simultaneously)
  • Jumping-jacks
  • Snow-angel (moving arms and legs up-and-down while lying on the ground)
  • Jumping forward with feet together
  • Lying on back and kicking ball with feet together
  • Sitting on chair and catching ball with feet together (roll it to the child)
  • Clap bubbles (parents blows it towards the child)
  • Catch a flat piece of paper using hands
  • Lie on back, take ball placed above the head, using both feet
  • Bounce a ball using both hands (big to smaller ball)
  • Tape a line on the floor using masking tape:  jump zig-zag over the line, jump over the line (forward and backward)
  • Rolling and pressing clay using both hands
  • Cutting with scissors using both hands (start with pictures with little detail to pictures with a lot of detail
  • Play twister
  • ‘Tolletjiebrei’
  • Kicking like a donkey/ Jumping like a frog
  • Throw ball against a wall and catch it

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