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What is Bilateral Integration?

Published in Motor Skills Development 4 mins read

Bilateral integration is the ability to use both sides of the body in a coordinated way. It is a fundamental neurological skill that enables us to utilize our hands, feet, and eyes together in a constructive and purposeful manner to successfully complete various activities and tasks that require both hands or both sides of the body to work in unison. This foundational skill is crucial for everyday functions, from simple self-care to complex academic and athletic pursuits.

Why is Bilateral Integration Important?

Developing strong bilateral integration skills is essential because it forms the basis for more complex motor skills and cognitive functions. Without this ability, tasks requiring both hands or both sides of the body become challenging, impacting an individual's participation in play, learning, and daily self-care.

It allows for:

  • Efficient task completion: Enabling smooth and effective execution of activities that demand coordination between both body halves.
  • Enhanced motor planning: The ability to plan and sequence movements involving both sides of the body.
  • Improved hand-eye coordination: Necessary for activities like catching a ball, writing, or drawing.
  • Academic readiness: Skills like cutting with scissors, writing, and manipulating objects are directly linked to bilateral integration.
  • Daily living skills: From dressing and eating to playing sports, many activities of daily living rely on the coordinated use of both body sides.

Types of Bilateral Movements

Bilateral integration encompasses various types of movements, each vital for different aspects of daily functioning:

Type of Bilateral Movement Description Examples
Symmetrical Both sides of the body perform the same action simultaneously. Clapping hands, jumping jacks, rolling dough with a rolling pin, pushing a large box with both hands.
Reciprocal Both sides of the body alternate movements in a coordinated rhythm. Walking, running, crawling, riding a bicycle, climbing stairs.
Asymmetrical Each side of the body performs a different, yet complementary, action. One hand might stabilize while the other manipulates. Cutting with scissors (one hand holds paper, the other cuts), writing (one hand writes, the other stabilizes the paper), threading beads, tying shoelaces.

How Does Bilateral Integration Develop?

Bilateral integration typically develops as children grow and their central nervous system matures through exploration and play. Early experiences that encourage movement and coordination lay the groundwork for these skills. Activities that cross the midline of the body (an imaginary line dividing the body into left and right halves) are particularly important in strengthening the connection between the two brain hemispheres. For more insights into how these skills develop, you can refer to reputable sources on bilateral coordination.

Examples of Bilateral Integration in Daily Life

Many common tasks we perform daily rely heavily on effective bilateral integration:

  • Self-Care:
    • Putting on clothes (buttoning, zipping, tying laces)
    • Brushing teeth
    • Combing hair
    • Eating with utensils
  • Play & Leisure:
    • Catching and throwing a ball
    • Riding a bike or scooter
    • Playing musical instruments (e.g., drumming, piano)
    • Building with blocks or LEGOs
    • Crawling through tunnels
  • Academics & Fine Motor:
    • Cutting with scissors
    • Writing and drawing
    • Turning pages in a book
    • Opening containers
    • Using a keyboard

Supporting Bilateral Integration Skills

Encouraging activities that promote the coordinated use of both sides of the body can help strengthen these essential skills. Simple, engaging activities can make a significant difference:

  • Play-based activities: Engage in games like Simon Says, animal walks (bear crawl, crab walk), or pop bubbles (encouraging reaching with both hands).
  • Crafts: Activities such as cutting, gluing, stringing beads, or tearing paper.
  • Gross motor activities: Swinging, crawling, pushing/pulling objects, throwing/catching, and climbing.
  • Music and movement: Dancing, playing simple rhythm instruments, or clapping along to songs.

By providing opportunities for children to engage both sides of their body, we can help them build a strong foundation for learning and everyday independence.