Bilateral Coordination

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Bilateral coordination – also known as bilateral integration – is the ability to use both sides of the body at the same time. It is important because so many movements and actions require the use of both sides of our body in order to perform everyday tasks including walking, cutting, catching balls, and playing! When a child does not engage both sides or seems to favor one side exclusively then it is important to contact your pediatrician quickly!

Bilateral coordination can be broken down to symmetrical, reciprocal, and asymmetrical movements.

• Symmetrical movements are when both hands and/or feet are performing the same motion. Examples include clapping, pull apart toys, and jumping. Both sides of the body are working together to perform the SAME motion.
• Reciprocal movements include when the body differentiates both sides of the body using a rhythmical motion. This includes crawling, walking, riding a bike, and swimming.
• Asymmetrical movements are very similar to reciprocal movements meaning both sides of the body are working together but both sides are performing separate tasks with one side leading and the other side supporting/assisting. This can be seen more so when performing activities using both your hands. For example, cutting paper, sewing, playing a musical instrument, and tying shoes are all great examples which demonstrate the importance of both hands working together -but each performing specialized sequences to complete the activity.

When performing bilateral activities, always start with symmetrical movements since they are easier and your child will have to master symmetrical skills before performing more complex and specialized activities. Children will develop these skills at different ages and rates so the most important reminder to remember is to have fun!

Resource: Speech & Occupational Therapy of North Texas

https://www.speechandot.com/murphy-occupational-therapy-and-bilateral-coordination/