Crossing the Midline: Activities to Promote

Crossing the midline is a fundamental skill that begins to emerge in infancy and continues to develop into early childhood. It is necessary for important developmental milestones such as crawling, walking, using a spoon to eat, writing, and reading.

Simply put, crossing the midline refers to the ability to meaningfully use a hand, foot, or eye on the opposite side of the body. In order for this to happen, the two hemispheres of the brain must be able to communicate with one another. If a child has difficulty crossing his midline, it can be a greater challenge for him to engage in everyday tasks from dressing to school work to sports. If you notice your child is having difficulty developing hand dominance, gets lost or frustrated when visually tracking words or objects, or seems generally less coordinated than other children his age, his ability to cross midline may be underdeveloped.

7 Activities to Promote Crossing the Midline:CrossingtheMidline

  1. Have the child straddle a low bench or other object that keeps his feet planted on either side. Use two different bracelets, stickers, etc. to differentiate the right and left hand while you have him pick up objects near his feet from the opposite side. This could be bean bags to throw, puzzle pieces to place, or beads to string onto a craft necklace. This activity can also be done in a “criss cross” seated position on the floor but be sure the child is not turning his entire trunk to pick up items.
  2. Having the child sit or stand in one place, throw, bounce, or roll a ball off-center of their body. He will need to use two hands to catch the ball and toss it back to you.
  3. With one hand placed flat on the surface in front of the child, have him use the other hand to trace over a large infinity sign. Switch hands after 10 cycles. Ideally this should be done on a vertical surface with the feet kept in one place.
  4. Trace big shapes, letters, and numbers in the air using index fingers and big toes.
  5. March to music and try to touch hands or elbows to the opposite knee.
  6. Trace horizontal lines across a long piece of paper. Make sure the paper is placed directly in front of his body and one hand is stabilizing the paper while the other traces across.
  7. Sit back to back and practice passing a ball to each other on each side. If you have more than two people, you can sit in a circle and play hot potato!

For additional suggestions and general recommendations to promote this skill, stay tuned for next week’s blog with even MORE great activities to try!

 

Click here for more information in helping your child cross the midline.

2 replies
  1. Jill
    Jill says:

    Great ideas! Any ideas for crossing the midline for smaller children? I have a 9 month old and am looking for suggestions to help him with this skill. Thanks!

    Reply
    • LibbyGalin
      LibbyGalin says:

      Thanks for your question! Here are thoughts from one of our OTs: At 9 months your child should be working on using the hands together at midline. Try engaging him in an activity that requires him to pick up an object from one side and transfer it to the other before releasing it. You can use blocks, balls, food, or anything else he is motivated by. You can also encourage clapping or playing with objects that require two hands to hold. It’s also great to incorporate activities that require pinching or picking up smaller objects, such as finger foods. Make sure he is getting tummy time in too!

      Reply

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