10 Crossing Midline Activities for Kids

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Crossing midline is a term you have probably seen if you work in early childhood education or pediatric therapy. Today I want to share 10 crossing midline activities for kids that you can incorporate into your home, classroom, or therapy sessions.

10 Crossing Midline Activities for Kids.

Why Crossing Midline?

The ability to cross the midline, or cross over the imaginary line that goes down the middle of your body, is important for the development of some very common skills.

Being able to use both sides of the body together in coordinated movement, decide hand dominance, planning and sequencing, body awareness, and core stability all need the ability to cross the midline.

What does cross the midline mean? It simply means the ability for you or your child to be able to cross over the midline of the body in order to perform a task.

You use this skill when you write, draw, paint, visually track an object, read, perform self-care tasks and many more.

Here are some fun ways to you include crossing the midline practice into your child's day.

10 Crossing Midline Activities for Kids


Yoga poses are an excellent way to work on truck rotation which is an important skill for crossing midline.

There are many great options for including Yoga in your home or classroom. We use Cosmic Kids Yoga on YouTube. I also really like the yoga cards and products from Kids Yoga Stories.


This activity would be great to use in a group or with younger age children (toddlers and preschoolers).

Have all the children sit with their legs out straight in front of them and begin to sing “row row row your boat.” Have the children pretend to grab hold of a boat oar with both hands.

Pretend to “row” a boat alternating which side of the body you row on.

If you have a child who struggles with keeping both hands together on an imaginary boat oar, you could use a small wooden stick or large craft stick for them to hold with both hands.


This popular game for preschoolers is a great way to get some crossing midline practice with your younger child or students. You can have them touch their noses, their opposite ear, arm, elbow, leg, knee, do cross crawls (marching while touching the right hand to left knee and left hand to right knee etc), or any other ways to get them crossing their body.


This works best on a vertical surface, but you could use a large piece of paper on top of your table or the floor too. If you are using a vertical surface, a chalkboard or dry erase board is perfect for this.

Have your child use their dominant hand to draw a rainbow, starting at the opposite side of their body and then ending on their dominant hand side.

So if your child is left-handed, you would have them start at the right side of their body and draw across to the left. For right-handers, they would start on the left and go right.

The trick with this activity is to not let them rotate their trunk or turn their body to the side to reach across. This is a compensation technique you will see many children who struggle with crossing midline do in order to not truly cross the middle of their body.

You can use a sticker or draw a starting and ending point on the board or drawing surface to give visuals if needed.


Grab a streamer or long piece of cloth or handkerchief, put on a catchy tune and start dancing! Mimic each other's moves and be sure to include lots of movement that crosses over the body. Switch hands and use the non-dominant hand too!


There are many indoor places that you can go to do rock wall climbing and even some outdoor playgrounds have them. This is also a great way to practice bilateral coordination and core strength, both of which are needed for crossing the midline.


Stringing large or small beads is a great way to work on bilateral coordination and using the dominant hand to string the beads, while the non-dominant hand helps. You'll also want to encourage the child to use the same hand to pull the bead across the string to the end and not switch hands in the middle.


Scooping activities are a great way to have kids use their dominant hand and reach across to pour items. I like to set up the spoon or tongs on the side of the child’s dominant hand and place the items to scoop and pour on the opposite side. This encourages the child to reach across their mid-line to grab the items and scoop and pour.

Sensory bins are a great way to encourage scooping and pouring. I have a cornmeal sensory bin here that could be adapted for any type of theme or using different sensory items.


This can be formal lessons or just playing for fun. Playing music involves so many of the skills needed for crossing midline. Plus it's fun!


Aim for a target, play corn hole, and any other type of bean bag activity.

You can do this while standing, sitting (either criss-cross applesauce or with legs out front), or sitting on a therapy ball or while balancing on one foot to add make it a little harder.


Many sports like tennis are great for practicing crossing midline. This would be a great activity for older children and involves lots of visual tracking along with using the dominant hand to hold the racket.

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Beer, Magda De. 2015. Crossing the Midline – How Does it work. Mind Moves Institute, Johannesburg.

Blythe, S. 2009. Attention, Balance, and Coordination. The A.B.C of learning success. West Sussex: John Wiley and Sons

Janet M. Stilwell. 1987. The Development of Manual Midline Crossing in 2- to 6-Year-Old Children. Am J Occup Ther. 41(12):783-789. doi: 10.5014/ajot.41.12.783.

More Reading on this Topic: 

Crossing the Body's Midline. 2017 Kid Sense Child Development childdevelopment.com.au

Crossing the Midline – OT Mom Learning Activities

Bilateral Coordination And Academic Performance in Children – Your Therapy Source

Motor Coordination and Academic Achievement – Your Therapy Source

For more resources on this topic, I highly suggest the OT Mom's Gross Motor eBook Bundle.

OT mom's ebook bundle

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10 crossing midline exercises for kids.

Heather Greutman, COTA

Heather Greutman is a Certified Occupational Therapy Assistant with experience in school-based OT services for preschool through high school. She uses her background to share child development tips, tools, and strategies for parents, educators, and therapists. She is the author of many ebooks including The Basics of Fine Motor Skills, and Basics of Pre-Writing Skills, and co-author of Sensory Processing Explained: A Handbook for Parents and Educators.

CONTENT DISCLAIMER: Heather Greutman is a Certified Occupational Therapy Assistant.
All information on the Website is for informational purposes only and is not a replacement for medical advice from a physician or your pediatrician. Please consult with a medical professional if you suspect any medical or developmental issues with your child. The information on the Websites does not replace the relationship between therapist and client in a one-on-one treatment session with an individualized treatment plan based on their professional evaluation. The information provided on the Website is provided “as is” without any representations or warranties, express or implied.

Do not rely on the information on the Website as an alternative to advice from your medical professional or healthcare provider. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment as a result of any information provided on the Website. All medical information on the Website is for informational purposes only.

All activities outlined on the Website are designed for completion with adult supervision. Please use your own judgment with your child and do not provide objects that could pose a choking hazard to young children. Never leave a child unattended during these activities. Please be aware of and follow all age recommendations on all products used in these activities. Growing Hands-On Kids is not liable for any injury when replicating any of the activities found on this blog.

YOUR RESPONSIBILITY The Website was developed strictly for informational purposes. You understand and agree that you are fully responsible for your use of the information provided on the Website. Growing Hands-On Kids makes no representations, warranties, or guarantees. You understand that results may vary from person to person. Growing Hands-On Kids assumes no responsibility for errors or omissions that may appear on the Website.