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Carla Grobler


Occupational Therapist

Pr No. 0660000080136

 10 Starling Street/Straat                                                                                                                         084 581 0644           Phalaborwa                                                                                                                   This email address is being protected from spambots. You need JavaScript enabled to view it.


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

Nahum 2:5 - "He shall recount his worthies: they shall stumble in their walk; they shall make haste to the wall thereof, and the defence shall be prepared."

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