Here are simple, practical, and therapy-based hand–leg coordination activities suitable for children with ASD. These help improve bilateral coordination, motor planning, timing, and body awareness.
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Hand–Leg Coordination Activities for ASD
1. Cross-Crawl (Opposite Hand to Opposite Knee)
• Touch right hand to left knee, then left hand to right knee.
• Great for brain integration and midline crossing.
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2. March and Tap
• Child marches in place.
• Tap the lifted knee with the same hand or opposite hand.
• Start slow → increase rhythm.
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3. Ball Tap + Step
• Place a medium ball on the floor.
• Child steps forward and taps the ball with hand, then steps back.
• Alternate hands and legs.
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4. Bean Bag Toss + Step Forward
• Child holds a bean bag.
• Takes a step forward with the left leg → throws with right hand.
• Then step with right leg → throw with left hand.
• Trains coordination + motor planning.
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5. Drumming on Knees While Walking
• Child walks slowly and taps knees alternately:
• Right knee → left knee → right knee.
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6. Balloon “Tap & Kick”
• Tap the balloon with hand.
• Let it come down → kick gently with leg.
• Continue hand tap → leg kick → hand tap…
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7. Animal Walks (Excellent for Coordination)
✔ Bear walk (hands and feet on ground)
✔ Crab walk (hands + feet support body)
✔ Donkey kicks
✔ Frog jumps + hand touch on floor
Animal walks naturally integrate hand–leg sequencing.
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8. Obstacle Course (Hand + Leg Tasks Combined)
Include:
• Stepping stones
• Crawling tunnel
• Hand target stickers
• Jump + High-five actions
This helps sequencing multiple body parts.
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9. Step-and-Push Wall Game
• Child steps forward with one leg
• Push the wall with both hands
• Step back → repeat with opposite leg
• Good for proprioception + coordination.
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10. Climbing Activities
• Ladder climbing
• Small climbing wall
• Rope climbing (with support)
These force coordinated hand–leg alternating movements.
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11. Scooter Board Pull
• Child sits on scooter board
• Pulls using rope with hands
• Legs help push-steer
• Strengthens bilateral coordination and planning.
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12. Rhythm-Based Hand–Leg Movements
Use music or a metronome:
• Tap thighs + stamp feet
• Tap right hand + left foot, then switch
• Do patterns (1-2-1-2)
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