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I do a lot of bilateral work by keeping my fine motor tasks in bags that need to be buttoned and unbuttoned—some small buttons, some bigger. I like this item for the colors and counting and as I often use a bag or hide inside item for an object to feel and describe and this would make a fun passable for that or for a gross motor game like overhead and between legs, etc… Making DIY lacing cards are a fun way to work on bilateral coordination. Making the lacing cards is part of the fun. I like to have students participate in cooking activities to enhance bilateral coordination for functional tasks like holding the bowl while stirring, opening containers, etc. I love doing gross motor sequences that work on bilateral coordination- hitting a balloon or throwing a ball or using two hands to pull self on the scooter board. I also love doing pop bead people and pop bead animals.

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Using both sides of the body together is a skill needed for many tasks: writing with a pencil with one hand while stabilizing paper with the other hand is one such activity. Using puzzles and games that you already have with an extra special addition can be a great way to work on bilateral coordination with puzzles. I love doing obstacle courses. Kids love them and you can incorporate so many bilateral coordination activities!

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For children with difficulty in crossing midline, or using integrated bilateral skills, using toys in play is an effective way to work on and nurture this skill. So many ideas to choose from! I’ve used zoom ball with kids from 4 to 99 yo. The oldest kids love it just as much as the youngest. Of course I’m incorporating more than bilateral integration into the activity….eye hand, strength, endurance, breathing, etc. We string beads, puzzles and play doh almost daily. The kids really enjoy it and some learned how to use these tools for the first time in class. Cutting, ‘feed’ a tennis ball with a slit cut into it for a mouth, stringing beads, opening containers (hide fun things inside!) 🙂 Our little school is starting to use sensory items in all the classes as we learn more about how they help many students.

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Pegboards (both DIY and store-bought versions), are a fantastic way to work on bilateral coordination in play and in developing visual motor skills and coordination. Moving a marble in a fog of 8 toy. Don’t remember the name but is an excellent bilateral, eye hand coordination and motor planning activity. My favorite bilateral coordination strategy is play dough. It requires a whole lot of bilateral coordination to roll the dough, push down the shape, and carefully pull it out.

I love using everyday objects to promote bilateral coordination – nuts and bolts, lacing, stringing items, etc My son loves Lego so I like to encourage different activities that also incorporate learning such as building a bridge one of his toys can be the troll under, creating the first letter of his name, building a marble maze or a water chase. Both of my kids love stringing beads from my jewelry making supplies; and my daughter enjoys play dough so I like to encourage its use with her various role play games. Using a hole punch to make a pattern on the edge of a paper plate and then lace a string through it! i love doing crafts specifically those involving cutting, glueing and placing small objects working on symmetrical and asymmetrical bilateral movements !

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As a school-based OT, I like to use pop beads and geoboards for my older students and do fun crafts with the younger ones- using glue, scissors, clothespins, tissue paper etc. My kids and I love playing with dough and catching/throwing balls and ballons with both hands. Also, it is pretty fun stringing beads, macaroni and whatever really fits the string! I like bilateral coordination activities such as beading and lacing activities, as well as incorporating crafts that include cutting and tearing paper. Placing the paper on a wall so the student has to hold it up with one hand while using the other to write or draw. I love to use building toys such as Junior Mechanix or Legos to work on bilateral coordination skills. Cutting, stringing beads and lacing are all great as well

I use old game pieces, like Battleship and The Game of Life and the students place the tiny tokens into the ship or car. Such a great fine motor and eye hand coordination activity while using both hands. Most recently my kids liked placing matching beads on a pipe cleaner tree. The tree wasn’t stable enough so it required a second hand to stabilize while they placed beads with dominant hand. Also love a pop tube for bilateral hand work. Even my kids who don’t like loud sounds will engage with a pop tube! Bilateral coordination toys are an occupational therapy intervention that helps children develop essential skills in bilateral integration. Toys that use both hands in a coordinated manner help children with bilateral coordination, crossing midline, and using both hands in tasks. These are essential skills that allow for an integration of both sides of the body, but more than that, bilateral coordination tells us that the brain is communicating effectively and sharing information between sides of the brain. Another bilateral coordination task is cutting with scissors with one hand while holding and manipulating paper with the other hand. Popbeads. They come in so many different sizes now you can use for all ages and stages in development.

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A bilateral coordination lacing plate is a DIY toy and activity that can be used to work on coordinated use of both hands with a variety of themes. Tearing paper to make a craft project and using pop beads are some of my favorites for hand strengthening and using both hands together. Playing catch/ ball games. Hitting a baseball bat, stringing beads, lacing, and various other board games- my kids loved jumping monkeys! I love cross body high fives. Children get really excited to celebrate their accomplishments, and you can cross the midline, use right left and both hands together to do a variety of types of high fives.Simon says using Brain Gym activities! The kids don’t even know they are exercising and working their brains! I love to have students work on bilateral coordination skills to string letter beads to form their name! I like making put in tasks using smaller containers they have to hold the container while putting in different sized holes. Holding a wooden spoon and putting on pool noodles for lower level stringing. Huge issue in my school is using two hands to complete tasks! These are all great! Love these! So cute and my students would be so engaged. Bopping balloons to keep them in the air. It can be one kid, more taking turns, over a net, or keeping it away from each other. For more difficulty, older kids have to use a different hand or foot than the last one they used. Balloons fall slowly so there is more time to coordinate and see where the balloon is going.