Bilateral coordination is an important skill for children to master and is something that parents should look out for as children develop in their early years. Today we look at the topic, explaining what it is, why it’s important and how mastery of the skill benefits little ones.
What is Bilateral Coordination?
Bilateral coordination refers to the developmental skill of accomplishing one or more activities, using both sides of the body at the same time. Examples might include using one hand to hold paper still and the other to draw, or coordinating each foot in a different way in order to successfully propel oneself on a scooter or bicycle.
“Crossing the Midline”
You may also hear reference to the phrase crossing the midline and this is also linked to bilateral coordination. It refers to a person reaching across their body, from one side to the opposite side, in order to complete a task. An example would be a child reaching with their right hand, across their body, to pick up a toy that’s to their left. Crossing the midline in such a way is a significant step because it demonstrates that infants have progressed from naturally using the side of their body nearest the object to using a dominant or preferred side. This may be the first indication parents have of whether their child is going to be left- or right-handed.
Why is Bilateral Coordination Important?
As adults, we take bilateral coordination very much for granted, forgetting that we weren’t born with such abilities. Being able to coordinate both sides of the body to accomplish tasks, activities or even just movements is incredibly important. If children don’t learn the skill, they may appear clumsy and 
uncoordinated and will struggle with a variety of physical tasks.
Signs of Possible Difficulty
Parents/carers can watch out for signs of possible difficulty with bilateral coordination in children. Signs could include difficulty tying shoe laces, buttoning up clothes, handwriting, catching a ball, clapping and even knowing when to lift or bend a limb in order to achieve a particular physical movement — when walking up a step, for example. The appearance of clumsiness is another sign.
The 3 Types of Bilateral Coordination
Bilateral coordination falls into three categories:
Reciprocal bilateral coordination: this is where both sides of the body form a rhythmic motion but the movements on each side alternate. Examples include walking, swimming and cycling.- Symmetrical bilateral coordination: this is where both sides of the body are performing the same task at the same time. For example, clapping, catching a ball or doing star jumps.
- Asymmetrical bilateral coordination: here, both sides of the body are required to perform a task, but the motions on one side do not match those on the other at all. Cutting a piece of paper, for example, involves one hand holding or moving the paper and the other using the scissors. Tying shoe laces also requires each hand to perform a different task. Playing a musical instrument is another example. For instance, violin strings will need to be held down against the fret board by one hand and played with the other using a bow.
Reciprocal bilateral coordination: this is where both sides of the body form a rhythmic motion but the movements on each side alternate. Examples include walking, swimming and cycling.In many cases, the child will find themselves using a worker hand on one side of the body and a helper hand on the other. One ultimately becomes the dominant hand in 99% of all children. Thus, they become either left-handed or right-handed. Just 1% of people are properly ambidextrous, i.e. having no dominant hand, although many more will exhibit one or more ambidextrous skills at some stage of their development.
The Motor Skills Needed for Bilateral Coordination
Mastery of bilateral coordination requires children to develop and fine-tune three types of motor skill:
- Fine motor skills — the smaller, precise movements needed to accomplish things like building with Lego blocks, doing up buttons etc;
- Gross motor skills e.g. walking, crawling, skipping, jumping, riding a bike or peddling a scooter;
- Visual motor skills e.g. using skilled hand-eye coordination for writing, drawing, tracing and using scissors to make accurate cuts.
Activities That Help Improve Bilateral Coordination
When age appropriate for safety purposes, practising activities like those above and listed below can help children to improve bilateral coordination and body awareness:
- Threading beads on a string, or string through holes punched though paper or card;
- Playing catch with a ball;
- Ball games that use hands and/or feet;
- Playing with musical instruments e.g. banging drums, playing a keyboard etc.;
- Carefully cutting or tearing paper along a specific path;
- Popping bubbles using both hands;
- Play-doh — squeezing and rolling it, including use of tools to shape it;
- Playing physical movement games like ‘Simon Says’;
- Playing with equipment in playgrounds, for example climbing up a ramp or climbing frame etc;
- Helping with household duties like carrying shopping, filling or emptying bags, loading and unloading washing;
- Swimming and other sports activities;
- Role play as animals e.g. walking on all fours, walking sideways, jumping etc.;
- Playing the commercial game ‘Twister’, which is also brilliant fun.
Threading beads on a string, or string through holes punched though paper or card;
Play-doh — squeezing and rolling it, including use of tools to shape it;
These are just a few examples. Any age-appropriate game or activity is likely to help improve bilateral coordination so long as it requires precise, measured movements and coordination of both sides of the body. It’s a case of the child practising over time, often through play, until a particular physical outcome has been mastered. Progress is particularly easy to see in babies and infants as they gradually become more physically able, dextrous, strong and coordinated.
Any Concerns?
We should mention that some children take longer than others to achieve mastery of bilateral coordination and this is quite normal — every child is different. That said, a few children are affected by conditions such as Developmental Co-ordination Disorder (‘DCD’) and Dyspraxia, which adversely affect coordination. However, a positive diagnosis of such conditions is only really possible once a child reaches the age of 4 or 5. Our Guide to DCD and Dyspraxia in Children explains more. If you have any concerns about your child, please ask your GP or health visitor for a professional opinion.
Nursery Places at Little Cedars Nursery & Pre-school, Streatham
Little Cedars Nursery is in Streatham, close to Furzedown, Tooting, Balham, Norbury & Colliers Wood
Little Cedars is a wonderful nursery and pre-school in Streatham. It offers an outstandingly good childcare service near Streatham Hill, Streatham Park, Streatham Common and Furzedown. We’re also conveniently located if you live or work near Tooting, Tooting Bec, Tooting Broadway, Tooting Common, Balham, Norbury or Colliers Wood. Click a button below to apply for a nursery place, arrange a free tour of the nursery or to contact us with any queries — we’re here to help!
Independent feedback from other parents is worth its weight in gold. In the last five years, Little Cedars has received only 5-star reviews on Google and Facebook. That’s top marks, consistently for 5 years running.* Comments that accompanied these independent reviews were equally compelling — here are just a few examples:
Little Cedars is a warm, welcoming and nurturing environment. To the babies and children, it very much becomes a home-from-home where they feel safe, valued, cared for and all with wonderful, close relationships with both peers and our childcare professionals. It’s also a place of immense fun where little ones are happy, stimulated and nurtured in order to bring out the best in them.
Little Cedars Nursery is extremely well resourced and equipped, both inside and out. 
If your 2-year-old is eligible for the Government’s free childcare scheme for this age group, rest assured that Little Cedars Day Nursery supports them and this can potentially give your little one 15 free hours of childcare per week for as many as 38 weeks of the year. That’s 570 free childcare hours per year for your 2-year-old!
A Key Person is assigned to each child at Little Cedars Nursery. This is an early years practitioner who ensures that the child’s needs are being catered for and that their care at the setting is tailored to them as an individual. They help children settle in when they first join the nursery and build strong relationships with both the child and the parents. They are therefore usually the natural and key point of contact at the nursery.
We have a very special team at Little Cedars Nursery. Every one of them has been hand picked to ensure they are the perfect fit for the nursery and for the children therein. They’re warm, natural carers who will form wonderful relationships with children and bring out the very best in them. They become the children’s safe, familiar and friendly faces at the setting as well as facilitating top-notch learning and early years education. They also ensure every child is happy and is having fun whilst under our care.
At Little Cedars we do so much more than simply look after babies, toddlers and under-fives. We educate and nurture them too. In fact, we ensure that our little ones achieve personal bests in all 7 areas of 
June 2022 has seen the release of a new set of recommendations that outline ways to reduce the likelihood of sleep-related deaths amongst babies and infants up to the age of 1. This includes, but is not limited to, deaths related to Sudden Infant Death Syndrome (SIDS). Sadly, SIDS and other sleep-related issues are responsible for nearly 200 infant deaths in the UK each year and up to a staggering 3,500 every year in the United States. Perhaps even more surprisingly, that last number has not reduced at all in the last 30 or so years. This new set of recommendations from experts in the U.S. aims to change that and is something that all parents need to take a look at if they have a baby or infant. Let’s take a look at the new guidance …
PLEASE NOTE: we have summarised key points from the new guidance in good faith but advise parents/carers of babies and infants to do their own research. 
Once babies can crawl, they’re well on their way to becoming toddlers. Then, in no time at all, they can suddenly become fully mobile, able to climb and even be out of your sight in just seconds. With this new mobility comes exploration, the potential for danger and even possible injury. With that in mind, we bring you 20 ways to begin childproofing your home to keep little ones safer and further from harm’s way.
Safety gates, strategically placed around the home, are a great way to keep your little one confined to a safer, controlled area. There are lots of different types available, whether new or second-hand, but make sure they’re made to UK safety standards. Some are suitable for doorways and others for stairs. Using safety gates to keep young children away from stairs, kitchens and other hazardous places really is a no-brainer and a great place to start with your childproofing exercise.
Clear floor-to-ceiling glass is also a hazard once children are mobile. Therefore such glass, whether part of a window, patio door, glass partition or conservatory should ideally not be clear all the way down. Otherwise, an unsuspecting child — or even adult — could find themselves running straight through what they thought was an opening. An easy way to ensure glass can be seen as a barrier is to use strategically placed stickers dotted around on the glass. These could be fun and attractive, for example little flower or butterfly stickers. Alternatively, you can even buy modern-looking ‘frosting’ strips that, when applied in one or more horizontal stripes or shapes at an appropriate height, will make clear glass more visible to you and your child. Guards are, of course, another possible temporary option.
Whether they’re in the kitchen, on the landing, under the stairs or elsewhere, cupboards can represent a number of possible hazards to children. Fingers can be hurt if shut in the doors or near the hinges and the cupboards themselves can contain any number of dangerous things. Therefore, it’s wise to obtain some childproof locks, latches or catches for cupboard doors that you don’t want your child to be able to open. These are often simple, easy to affix (and remove when children are older) and can be inexpensive if you shop around.
Similarly, ensure that entrance/exit doors throughout your home are secure where they need to be. Front doors, doors to gardens, balconies and patios all need to be particularly well secured from access by young children, whether through locks, latches or specialist childproofing mechanisms (there are lots available on the market). Similarly, windows need to be secure and that’s never more true than when there’s a nasty drop the other side.
Everything with a motor or moving parts is a potential hazard to small children. The obvious items to keep well beyond their reach are tools like drills and saws along with household appliances like vacuums, food mixers and coffee-makers. However, larger things like washing machines, tumble driers, dishwashers and any appliance with a door that they could climb into are also potentially very dangerous for little ones. It may even take a combination of precautions to keep children safe from such hazards.
Another reason to keep little ones out of cupboards and certain areas of the home is to keep them safe from hazardous products. Some things will be poisonous and others may be corrosive. Dishwasher and laundry pods need to be stored well out of children’s reach as do medicines, cleaning products and DIY items like paint, solvents and glues. Any of these could prove fatal if they get into little hands. Remember, too, that children learn to climb, so even cupboards high up need to be secured.
Smoke alarms suitably located around the home are one of the most basic precautions any parent or carer can make. Countless lives are saved each year due to smoke alarms. Sadly, though, many are also lost due to them not being present or due to batteries having expired. So, ensure that smoke alarms are ideally in every room as well as being in hallways, stairwells and so on. Also test them regularly to ensure batteries are in good, working order.
For similar reasons, it’s also wise to keep electrical wire cords tidy and out of reach of little ones. If they were to pull a kettle lead or trip over an electric iron lead, for example, the potential outcomes do not bear thinking about. Cords on telephones and electrical appliances are also choking hazards, of course. So, keep them out of harm’s way i.e. well out of grabbing and tripping distance.
Dangling pull-cords on window blinds have, regrettably, been the cause of several deaths around the world. If they’re dangling down, small children could get these wrapped around their necks and potentially strangle themselves. Any toggle on the end of the cords can also be a choking hazard. So, if you have any of these in your home, ensure they are tied safely out of reach, ideally using the safety fitments that often come with new blinds, or are available inexpensively. The same kind of approach may also be needed in rooms where the electrical light, shower or extractor switch comes in a pull-cord form.
Heat sources are a terrible hazard for children and adults alike. However, little ones will seldom realise the hazards, so parents and guardians need to ensure that all heat sources are kept well out of children’s reach. Examples include hair straighteners, irons, kettles, sandwich makers, pots and pans that have been on the cooker, and so on. With regard to cookers, hobs, grills, and ovens, it’s the children that need to be kept away from them, of course. Even a switched-off oven can still have a door that’s retained enough heat to burn little hands. A combination of several of the precautions outlined in this page may therefore help to make complete safety feasible in the kitchen and anywhere there are appliances that heat up.
Radiators, heaters and, of course, fires, stoves and any other heat source in fireplaces are terribly dangerous things for children. Therefore radiator covers, fire guards, permanent vigilance and a good dose of common sense should enable parents and carers to keep children well away from such heat sources.
Scissors, knives, razors, needles, hand tools like saws and screwdrivers must be locked well away and never left lying around. Even pens and pencils are sharp and dangerous around eyes, when you think about it. So, it’s imperative that parents/guardians are vigilant and supervise at all times when it comes to anything sharp or pointed.
Vigilance will still be needed, however, as bumpers can only go so far.
Table cloths and table runners may look attractive but are another hazard around children, albeit a less obvious one. They look innocuous enough, but should a child grab one end and walk or fall way, they could end up with all sorts of things crashing upon them. When you think about what goes on tables (e.g. glassware, candles, china etc.), this could potentially be disastrous. So, the best advice is to completely avoid their use around young children and certainly never to allow any edges to hang down at ‘grabbing’ height.
Supervised access to the garden or other outdoor space or environment is good for even the youngest of children. However, they must never be allowed to just wander into the garden or street unaccompanied (of course). There are countless dangers outside, including poisonous plants, stranger danger, cars and many other hazards. Even in your own garden there are usually hazards, from steps, inclines and level drops to dangerous garden tools plus another type of hazard we’ll see in our last tip below. Therefore exit points in the property need to be secure (see tip #4 above) and supervised at all times around the very young.
Gardens often have ponds or, if you’re lucky enough, hot tubs and even swimming pools. These are all hazards to young children. Even a puddle is a potential drowning hazard to the very young. It’s the same indoors, with baths and even basins of water being potential drowning hazards. So, once again, parents and any supervising adults need to be doing just that, i.e. supervising anywhere there is water. For different reasons, that’s even more the case around hot water, of course, and anywhere a child could potentially splash or pour water near electrics.
It can be frustrating when children refuse to eat particular foods, often seemingly for no apparent reason. Much of it is new to them, though, if they’ve only recently been weaned off milk. So, firstly don’t get stressed about it. Refusing certain foods initially is quite normal for the very young. Often, all that is needed is a strategy for dealing with finicky eating and a little patience. Let’s take a look, today, at measures parents or carers can take to manage children who are fussy eaters. After all, it’s imperative that they have a healthy, balanced diet.
Similarly, some foods are an acquired taste, i.e. one that’s initially not liked, but is later appreciated and enjoyed. Avocados have a taste that’s quite subtle and delicate, for example. Because of that, some youngsters think they are bland — but may well love their subtle flavour and texture once they’re older. That’s an acquired taste. So, again, it’s worth encouraging your child to keep trying foods even if they don’t think they like them in the beginning.
If your child loves one food but not initially another, try using food bridges. This is when you pair one food with another food that you know they already like. You can start small and gradually increase the amount of the ‘new’ food. Adding cheese to potato or pasta is one example. Adding a small garnish of finely chopped herbs, vegetables or even fruit to pasta, rice, pulses or meat is another. These may slip under the child’s radar and this will help with gradual acceptance.
You could even make the food into fun pictures, all entirely made of the food you want them to eat. For example, peas could be made to represent a hill, broccoli could represent a wooded area, the yolk of a fried egg could represent the sun and so on. This approach will help children to see a fun aspect of food, and to engage more directly with it.
You could even get children involved in the creativity and choices around food. With the requisite care around safety, you could involve them in food preparation, choosing foods, deciding how they are displayed on the plate and so on. This will again get them more engaged around food and make it into a fun, creative activity. Children will love that. Remember, though, that this should only be taken so far. After all, you do not want to encourage them to always ‘play’ with their food.
When your child eats something that they’ve not been keen on eating before, give them positive feedback as this will encourage them. A well done here and a good job there will sometimes do wonders.
At Little Cedars Nursery in Streatham we know how finicky young children can sometimes be. So, we too occasionally employ some of the tactics described above. After all, food and a healthy, balanced diet is important and never more so than in children’s formative years. Study after study has shown this to be the case. Read our 
Welcome to our quick guide to Tummy Time. One of the most important things for babies during their earliest development is to build strength, muscles, motor skills and coordination. In particular, learning to lift and safely move their heads is one of the most crucial skills at this young age. Strength and muscle coordination in their neck is therefore very important. That’s not easy when they’re newborns in their first few weeks because their head is comparatively large and heavy compared with their little bodies at that age. Building upper body strength in arms, shoulders, core and back will also greatly help them in their physical development and mobility, essentially helping them to perform and survive safely as humans. Tummy Time is a key tool in learning to accomplish all of these goals — and many more.
What is Tummy Time?
It helps to stop the development of deformations in the skull. ‘Positional plagiocephaly’ (or ‘Flat Head Syndrome’) might otherwise occur if the baby is only positioned in a limited number of positions, i.e. mostly on its back. Bear in mind, of course, that at this young age the baby’s skull bones are far more flexible than those of an adult, so such deformations are more likely if the baby’s head is always lying in the same position.
Making sense of sensory stimuli is also aided by the positive results of Tummy Time, as babies can better explore and gain improved sensory perception of everything in their immediate vicinity.
Try putting the baby in a prone position (i.e. on their tummy) on, say, a clean blanket or rug. Lie down on your tummy too and face them, encouraging them to stay on their tummies by use of a game like peek-a-boo. If you can, try to get them to raise themselves onto their arms or, eventually, hands. Move yourself around a little, so they move too and strengthen their muscles. If they’re finding it too difficult initially, a rolled-up blanket underneath their chest may help to start them off. Don’t worry if at first they can only push themselves up on their arms or hands only for fleeting moments; they will gradually improve as they try more and more.
After 6 months, they should start to be able to support their weight on their arms in a raised, kind of ‘press-up’ position. This can be encouraged with some support (and play) from you and they’ll get the hang of it with practise. Soon enough, they’ll also be able to roll sideways in either direction and get themselves back into the prone position when they want to. They’ll soon master the art of passing a toy from one hand to another at around this time. They’ll also be able to get themselves into a sitting position before they’re 9 months old, or thereabouts.
If you were a full-time employee when you had your child, perhaps you’d rather go part time while your child is under five. Or maybe you want to explore the option of flexitime with your employer. Perhaps you’d like to ask if job sharing is possible, or whether you can work only on specific days of the week. What are the rules, though? Does your employer have to offer part-time or flexible working now you’re a parent, or are they under no statutory obligation to do so? Today we take a look at the rules.
The rules state that 
The employer must give the employee who makes the Flexible Working Request a decision within 3 months unless the employee agrees to extend that time. This must be done having considered the facts carefully and fairly and without basing it on just a ‘personal’ opinion. They should also discuss the application with the applicant and, if it’s not possible to accept the specific suggestions requested, they should consider whether alternative options are possible.
Our 
The variety of formula milks is surprisingly large, not helped by the fact that different brands call some of them by different names. Some products and names also seem to have been developed in order to cover small niches, many of which are actually already adequately covered by larger, existing product lines (‘Toddler Milk’ and ‘Growing-Up Milk’ are two examples cited by the NHS). Then add in the fact that many are sold as liquid and also as powder that needs to be made up. The choice can be overwhelming, which is where the following guide can help …
In our last post, we asked 
For those on dairy-based formula milk, it’s pretty much plain sailing too. Because vegetarians — as opposed to vegans — are OK eating dairy-based food, formula milk is generally fine for them. The most popular types are based on cows’ milk, although several other animal milks are also available. So long as dairy-based formula milk is high quality, given in the right quantities, consumed at the right intervals and is age appropriate for the child, it contains all the nutrients and vitamins needed. That’s without the need to give additional supplements too.
Fruit and vegetables are really a given because they pack so much goodness, including many vitamins, minerals like potassium and also fibre. Fresh vegetables and fruit are ideal but, failing that, frozen, tinned and even dried varieties are also OK.
Tofu, also known as bean curd, which is made from soy.
any pulses, seeds or grains should be sprouted, cooked or soaked before consumption (as appropriate);
