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 
Here’s how Ofsted rate Little Cedars Nursery:
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. 
It’s amazing how much nature benefits children, particularly in their early years when they’re finding out about the world around them — and also learning about themselves. There have been many studies into the importance of nature, to youngsters in particular, and the studies all reach a similar conclusion — nature is incredibly important and beneficial to children. Today we’ll explore the topic and learn why children should regularly access the natural world.
Stress is also reduced on both a mental and physiological level through exposure to a natural environment. In studies, stress hormone and blood pressure levels both improved after exposure to nature, helping children both physically and emotionally. Nature seems to be a great way to recharge children’s batteries and lower stress and anxiety, as well as improving attention, engagement and academic performance. That includes improvements in important skills like reading, writing and mathematics.
Improved social skills and even wider circles of friends due to the opportunities offered through outdoor play and adventure.
The new skills, knowledge and freedom that nature gives children also helps them to become more self-confident and independent individuals.
Even in built-up cities like London, immersion in nature is possible via gardens, parks, commons or, if you’re lucky to have them near you, nature reserves and nature gardens. There are many of these dotted around London, including 
If you’re searching for 
Sooner or later, many parents will consider the possible benefits of pets and whether their child should grow up with one. Mostly, the answer is positive because growing up with a pet can benefit children in many important ways — and really enrich their lives. However, looking after animals is a huge responsibility, not least to the animal itself, so should never be taken on lightly. Today we explore the topic and also outline a couple of animal-related initiatives that we have undertaken at 
On a simple level, pets are incredibly cute and great fun to be around. As such, most children are naturally drawn to them.
Familiarity with animals and closeness to pets also teaches children respect for other individuals (whether human or non-human), including recognition of the consequences of their actions towards them. It shows them how to care for others too. It can also teach them patience (e.g. when training) and even some of the harder lessons about life cycles.
Introducing animals like dogs and cats to the household is quite a life-changing thing. After all, they are the kinds of animals that pretty much become one of the family and, as such, require significant time, care and attention for their own wellbeing. They also often live freely within the house and require access to the garden and, for dogs, regular walks outdoors. They are quite an undertaking, so the decision to introduce one needs careful and thorough consideration. Many animals form deep, lifelong bonds and you will become their family just as much as they become yours. So, that lifelong commitment is an important one — they are absolutely not unfeeling objects to be treated like just a toy.
Pets like hamsters, rabbits, budgies and guinea pigs require less space in the household, of course. Indeed, some types of pets can be housed outdoors in suitable hutches. They’re also small enough to be temporarily moved elsewhere, for example to a friend or neighbour when you go on holiday. However, despite them being small, they too have their own needs and wants, including your care and regular attention. Giving them this, however, will be rewarded and children who spend significant time with any pet will soon begin to pick up on each one’s distinct personality and any likes or dislikes. Treat them well and pets will become trusting and friendly. Dogs, in particular, are incredibly loyal when treated well.
Just like humans, animals need care, proper food, fresh water, friendship, comfort and stimulation. If they don’t get these essentials, they may lead miserable and potentially even foreshortened lives. So, before a family takes on a pet, it’s best to thoroughly research the particular type of animal and exactly what they will require, from food, nutrition and bedding to stimulation (games, exercise etc.), contact with others and medical needs. Families should find out about all these things before taking an animal on. For some types of animal, for example dogs, even the breed and background is important. That’s for the wellbeing of both the pet and the family itself. Remember too that some animals will need training, for example toilet training in the case of cats, dogs and perhaps even ‘house’ rabbits. Some dogs may also require behaviour training. Everything needs factoring in beforehand including things like who will look after the pets while adults are at work, what happens when you go on holiday, who will exercise the dog, clean out the rabbit hutch regularly, feed the rabbit or clean the budgie cage.
At Little Cedars Nursery in Streatham, we believe that children will learn a huge amount through contact with animals. For this reason, we have our own chickens and rabbits at the setting — and the children adore them! Our rabbits are named Miffy and Bella and indeed naming them naturally encourages children to treat them like individuals rather than something to play with.
We are also raising some new chickens from fertilised eggs that we currently have in an incubator. We’ll teach children all about the life cycle of chickens with these. Once they hatch, children are sure to love the adorable little chicks that will emerge and they’ll be able to watch them grow up from fluffy chicks to adult chickens. When old enough, the chickens will join our existing, fully-grown chickens that we keep for the children in our animal enclosure outside.
We also have a caterpillar/butterfly enclosure indoors at the setting. Through this, children can follow the incredible life cycle of butterflies, starting off as tiny eggs, hatching into caterpillars, building cocoons and eventually emerging as incredibly beautiful butterflies. This is an amazing metamorphosis for children to witness and teaches them so much about the wonder of the natural world as well as the individual needs of some of its creatures.
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 
In a follow-up to last month’s post about 
Reading with children, well ahead of them beginning school, has also been shown to boost their language skills, incredibly by the equivalent of as much as 8 months before they’re even five! The key is to read with them; not just to them. Learn more about 
Listen to any reservations your child may have about the prospect of starting school. Listening is important, so be on the look-out for any concerns and reservations they may have.
Children will greatly benefit in Reception Year at school if they’re already independent when they start. So, nurturing aspects of their independence well ahead of them beginning school is a good policy. For example, ensuring they know how to independently look after personal hygiene, dress themselves, tie shoe laces, dress, use the toilet, pack their bag and so on. If they can do this before they start school, it will help them enormously.
Parents/guardians will also be wise to identify one or more of their children’s friends (or potential friends) that will also be starting school at the same time. Ensure they meet up and play regularly, before they’ve started school. In this way, there will be a friendly face at the school from the moment they start. It’ll help them feel more at home and less alone.
Several weeks before they start school, children should start to synchronise their day with the timings of the new school day. This should include getting up time in the morning and ideally even timings for lunch and suchlike. In this way, children’s body clocks will have adjusted in good time, before they actually start.
Ensuring children have everything they need, at least a little ahead of starting in Reception, is a good approach. Check that you have all items of their uniform, PE kit, any stationery, lunch box if appropriate, backpack or bag and so on. Is everything marked with your child’s name? Usually it should be.
Your child will need to know, ahead of time, who is collecting them. If it’s not you, then they need to know clearly who it will be. They also need to be clear around their general safety rules, stranger danger and so on. Schools should also have safeguarding policies in place for unexpected scenarios. For example, if you are unexpectedly delayed and need to send someone else to collect your child, does the school have a password system in place to ensure that only the right person can collect your child? Find out.