PEDIATRIC OT GLOSSARY • REVIEWED BY A LICENSED OCCUPATIONAL THERAPIST
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MOTOR SKILLS

What is Bilateral Coordination?

Using both sides of the body together in a coordinated way.

Bilateral Coordination: a clear definition

Bilateral coordination may involve both hands doing the same action, alternating actions, or one hand stabilizing while the other works. It develops through whole-body movement and everyday play.

Why does Bilateral Coordination matter?

This skill supports dressing, utensil use, ball play, cutting, opening containers, and many classroom activities.

What might parents or teachers notice?

  • Does not stabilize paper or objects
  • Avoids two-handed play
  • Has difficulty coordinating both sides during dressing

One observation alone does not identify a diagnosis. Consider the child's age, opportunities, culture, health, environment, and impact on everyday participation.

Practical ways to offer support

  1. String large beads
  2. Tear and crumple paper with two hands
  3. Use rolling pins, pop beads, and playground climbing

When may professional guidance help?

If these concerns are affecting your child’s daily activities—playing, dressing, eating, participating in preschool, learning, or interacting with others—consider discussing them with your pediatrician or a pediatric occupational therapist.

Developmental screenings →Learn about pediatric OT →Contact Ruslana →

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References and further reading

Educational information, not a diagnosis

This glossary page is for general education and cannot diagnose a child or replace an individualized evaluation. Terminology and recommendations should always be interpreted in the context of the whole child and their daily life.

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