05/09/2020
Bilateral Integration refers to the ability to use both sides of the body in a coordinated manner. It involves both sides of the body completing either the same action (like moving legs in and out to use a swing or completing “jumping jacks”) or completing alternate actions such as pedaling a bike.
During fine motor activities, bilateral integration is seen in a child’s ability to use their hands together in a smooth and coordinated manner, for example, stabilising a jar while opening the lid, using scissors while holding the page, tying laces and managing buttons or zips when dressing. During gross motor activities, bilateral integration is seen when using the arms and hands to reach and catch a ball or using the legs to ride a bike.
Children who have difficulty with bilateral integration may appear clumsy and have difficulty completing these types of activities. They may seem to switch hands during an activity where hand dominance is required and struggle to cross their arms/legs over the midline of their body.
Here are a few pictures of bilateral integration skills being addressed during a therapy session at Enhance OT.
