Occupational Therapy -> Bilateral Coordination -> Dominant Hand / Non-dominant Hand

Dominant Hand / Non-dominant Hand

Using one hand to perform a task while the other assists is needed for many fine motor skills. This type of bilateral coordination is needed for writing, and cutting with scissors. Activities to work on this skill include: Threading; Lacing cards; Coloring; Writing; Tying shoes.

Reference links

  • Constraint-Induced Movement Therapy For Infants With or At Risk For Cerebral Palsy: A Scoping Review 2
    Author: Castillo Dionisio and Terrill - Occupational therapy practitioners can implement a CIMT protocol for infants with hemiplegic CP or at risk for hemiplegic CP. Home programs, parent education, and parent training are important components to promote new skill acquisition in the infant, and clinicians should incorporate these elements into a CIMT program for infants. Citation: Monik Castillo Dionisio, Alexandra L. Terrill; Constraint-Induced Movement Therapy for Infants With or at Risk for Cerebral Palsy: A Scoping Review. Am J Occup Ther March/April 2022, Vol. 76(2), 7602205120. doi: https://doi.org/10.5014/ajot.2022.047894
  • Interlimb (Bilateral) Coordination and Academic Performance In Elementary School Children 0
    Author: Sheila Cristina Da Silva Pacheco 1, Carl Gabbard 2, Lilian Gerdi Kittel Ries 1, Tatiana Godoy Bobbio 3 - There was a significant difference between groups for Total Motor Composite (P < 0.001), favoring the high group. On regression analysis, there was a significant association between academic performance and Body Coordination. Of the subtests of Body Coordination (Bilateral Coordination and Balance), Bilateral Coordination accounted for the highest impact on academic performance. Of interest here, that subtest consists primarily of gross motor tasks involving interlimb coordination. Conclusion: Overall, there was a positive relationship between motor behavior, in particular activities involving interlimb coordination, and academic performance. Application of these findings in the area of early assessment may be useful in the identification of later academic problems.
  • Bilateral Coordination Activities 1
    Author: The OT Toolbox - These bilateral coordination activities are bilateral movement strategies to help kids demonstrate bimanual coordination skills.

Activity List(s)

Visual Schedule Cards

Goal Bank

  • To demonstrate improved shoulder range of motion and proximal strength, Peter will create vertical and horizontal lines with demonstration 8 /10 times by the end of the session. 0
  • Jane will actively participate and complete 10 min of upper body strengthening activities, including animal walk, plank, inchworm, and similar weight-bearing activities with modeling in 4 /5 sessions, to increase upper-body strength and awareness. 0
  • Dana will demonstrate improved postural stability and cores strength, as evidenced by 30% increase in participation in climb/mount age-appropriate play equipment with modeling and min verbal assistance in 3 /4 trials. 0
  • Miles will demonstrate bilateral coordination as evidenced by completing 4 /6 symmetrical and reciprocal bilateral gross motor and fine motor tasks with 80% fluidity in 3 /4 trials, with modeling and min verbal assistance. 0
  • Given unrestricted access to sensory support and multimodal communication option, Jane will willingly participate in adapted oral hygiene 80% of the task, 10 / 14 in days, with visual and fading modeling, for increased participation and functional independence in daily life. 0
  • Ian will successfully copy 6/8 shapes (circle, triangle, square, cross) in 4 /5 trials with min assist and 25% verbal cues for increased graphomotor skills while maintaining an open web space, for optimal participation in a school setting. 0


  • Pencil Control Exercises- Vertical Lines preview

    Pencil Control Exercises- Vertical Lines

    Glenna Nave

    Writing Resource. Pre-writing Worksheet. Fine Motor Resource. Occupational Therapy Resource. OT. Pencil Control. Directions: connect the dots while keeping marks inside the pathway.


  • Pre Writing Cutting - Spider Web preview

    Pre Writing Cutting - Spider Web

    Krystan Inman

    Cutting builds the muscles in a child's palm and hand during open and close of scissors. Cutting enhances hand-eye coordination. Scissor skills also encourage the child to use bilateral coordinatio...


  • Handwriting With Joke Concepts preview

    Handwriting With Joke Concepts

    Virginia Ingram, CCC-SLP

    April Fools Day. Use these handwriting worksheets to practice letter formation. This will also help test expressive and receptive language skills as each of the terms are synonyms for jokes or joking.

    Includes activity list


  • Draw a Ladybug Resource preview

    Draw a Ladybug Resource

    Kimberly Luster, COTA

    Use this resource to draw a ladybug. Drawing and visuospatial skills are important foundational skills for handwriting.

    Includes activity list


  • Draw a Pig With Kiki preview

    Draw a Pig With Kiki

    Bethany Ayer

    Drawing Resource. Occupational Therapy Resource. Use this resource to draw a pig. This can be used as a drawing, handwriting, and pre handwriting activity as well as for a visual-spatial exercise

    Includes activity list


  • Home Exercise Program Hand Strengthening preview

    Home Exercise Program Hand Strengthening

    Krystan Inman

    Hand strength is important to develop fine motor skills needed for daily tasks such as pencil grasp and handwriting, scissors skills and self-care such as dressing, eating, and brushing teeth.


  • Dinosaur Mazes preview

    Dinosaur Mazes

    Kevin Dias

    A dinosaur maze activity for working on visual scanning or visual spatial activities in order to improve visual motor skills. The first maze is fairly simple and the second maze is a little harder.