Bilateral integration and sequencing dysfunction

Bilateral integration and sequencing is the ability to use both sides of the body together smoothly and automatically.  This includes symmetrical movements where the left and right sides of the body move together simultaneously, and reciprocal movements where the left and right move together but form different actions. 

Children who have poor co-ordination between their left and right will find it hard to jump with two feet together, to do jumping jacks, star jumps, skipping, marching, catch a ball and use a racket and ball.  They often are slow to learn to fasten buttons, zips and shoelaces.  Cutting with scissors while holding the paper with the non-dominant hand can be tricky and they find holding a ruler still while drawing a line challenging.