19/02/2026
What Is Bilateral Integration?
Bilateral integration is the ability to use both hands together in a coordinated way.
It sounds simple, but it is a big developmental skill.
Children use this ability every day when they: • Get dressed
• Use cutlery
• Carry school bags
• Play with toys
• Draw and write
• Open containers
When this skill is not fully developed, children may avoid two handed tasks, struggle with dressing, tire quickly during writing or seem clumsy when catching a ball.
The good news is that this skill can be strengthened through simple, playful activities at home.
Rolling Pin Play
Roll out playdough using a rolling pin.
Encourage your child to hold the rolling pin with both hands.
Bonus tip. Hide small objects in the dough to find and flatten.
Lego, Duplo or Stickle Bricks
Building towers and houses naturally encourages both hands to work together.
One hand stabilises. The other hand manipulates.
Engineering skills in the making.
Clapping Games
Clap along to music.
Play partner clapping games.
Rhythm plus coordination equals brilliant brain work.
Ball Play
Throwing
Catching
Rolling
Encourage your child to catch and throw using both hands. Start with a large soft ball and build up from there.
Carrying Objects
Ask your child to carry books, toys or small boxes using both hands.
Heavier objects encourage both hands to stabilise and coordinate.
Little arms, big responsibility.
Reading a Book
Encourage your child to hold the book with one hand and turn the pages with the other.
This supports hand dominance and coordination at the same time.
Drumming
Use hands or two drumsticks.
Encourage drumming with both hands together.
No drum set at home. A saucepan works just fine.
Using Apps With Purpose
If your child uses a tablet or phone:
Encourage them to hold the device with one hand and interact with the other.
Games such as balloon popping, racing games, piano apps, mazes and paint by number activities can support coordinated hand use when used intentionally.
When To Seek Support
If your child:
• Avoids two handed tasks
• Switches hands frequently
• Struggles with dressing
• Appears unusually clumsy
• Finds writing tiring
• Becomes frustrated with fine motor tasks
It may be helpful to seek a professional assessment.