Bilateral coordination, sometimes referred to as bilateral integration, is a critical developmental skill with which some kids struggle. It involves using both sides of the body together, and can impact both fine and gross motor skills Children who have difficulty with bilateral coordination may be diagnosed solely with developmental coordination disorder, but it’s also closely associated with other conditions such as autism spectrum disorder, Down syndrome, cerebral palsy and other developmental delays and disorders.
As Fort Myers pediatric occupational therapists, we recognize there’s been an increasing awareness about what bilateral coordination is as well as what deficits might look like. A reported uptick in bilateral coordination deficits could also be partially attributed to COVID closures, as lots of kids lacked regular exposure to certain activities (PE class, playground time, etc.) that can help build these skills.
How Do I Know If My Child Has Poor Bilateral Coordination?
Some indicators of poor bilateral coordination include:
- Trouble cutting with scissors.
- Struggles with handwriting.
- Difficulty tying shoes.
- Having a hard time dressing themselves (pulling on socks, pants, and shoes).
- Trouble with fasteners, like buttons, zips, or snaps.
- Clumsy movements.
- Trouble catching a ball.
- Awkward clapping.
- Troubling using a bicycle pedal.
Parents should note there are actually three different types of bilateral coordination: Symmetrical, reciprocal and leading/supporting.
As the weather cools in Southwest Florida, it’s the perfect time to get outside and play with your child! It’s not just about enjoying the day and making some memories (though these are worth it in itself). Our speech, occupational, physical, and ABA therapists know that spending time outdoors is great way to boost child development.
Being in nature has been proven to boost kids’ academic achievement, physical health, mental health, and overall well-being. One analysis of hundreds of studies on the subject found that nature boosts learning in eight distinct ways. Those include:
- Improves attention.
- Relieves stress.
- Boosts self-discipline.
- Increases physical activity and fitness.
- Promotes self-motivation.
- Increases enjoyment.
- Improves engagement.
As pediatric therapists dedicated to helping disabilities and delays make strides, we have found that nature provides a calmer, quieter, and safer setting for learning. It can also help with:
- Motor skills
- Social-emotional skills
- Speech and language skills
- Executive function
- Sensory integration
- Relaxation and emotional regulation
Spending time outdoors creates opportunity for more creative, exploratory forms of play – and play is how children learn best!
If you ask any parent of young kids whether they’re game for a product that is affordable, reduces spills and messes, and is super convenient, of course you’re going to hear: Yes, Please! Unfortunately, convenience for parents isn’t always what’s best for children. Case-in-point: The sippy cup. Speech therapists who study feeding and swallowing development and speech-language development will tell you: You really should ditch the sippy.
It’s really made more for parents than for kids. Someone got tired of their toddler spilling all Tang on the carpet and the rest is history. Sippy cups are marketed to parents as a necessity. But our Fort Myers speech therapists will beg to differ.
Some things to consider:
- Overuse of the hard sippy cup spout impedes swallowing development. During the baby’s first year, he or she will primarily use a front-to-back tongue movement to pass liquids and soft solids to the back of their mouth so they can swallow them. Speech therapists call this pattern suckle-swallow. But by the time they get to be about 12 months, their swallow pattern will mature. The tip of the tongue will rise to the bumpy, gum line ridge (where you make the /d/ sound) and begin using wave-like motions. This is what allows them to swallow a greater variety of textured foods. If your child is drinking solely from a sippy cup or bottle, this development milestone can be delayed.
- “Paci-mouth.” Yes, this refers to the damage that can be caused by overuse of a pacifier, but something similar can occur with sippy cups. If the tongue isn’t able to go up during swallowing, it will generally come to rest in a forward position in the mouth. This can potentially impede speech-language development. If your child only uses a sippy cup very occasionally, this likely won’t be a problem. But for lots of kids, sippy cups are constant companions. Speech-language skills can be stunted for kids who don’t get past that suckle-swallow pattern by the time they’re 1.
- Facial development delays. There is a muscle in the face called the genioglossus. Heavy use of a sippy cup can impede its development, which can lead to mouth-breathing. Mouth-breathing is associated with slowed facial development.