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Primitive Reflexes Integration Exercises | OT Student Guide (Digital Download)

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Highlights

Children with learning disabilities have a significantly higher level of primitive retained reflexes compared to other children (Hickey & Feldhacker, 2021).

When we think of reflexes, we may envision being tapped on the knee at the doctor's office, or yanking our hand away from a hot stove. These reflexes allow our bodies and brains to complete motor movements without having to consciously think about it.

Primitive reflexes are named for the part of the brain in which they originate - the primitive brain (or brainstem). In typically developing children, these reflexes are automatically demonstrated when they are presented with specific stimuli.

Each reflex serves a developmental or evolutionary purpose. However, if integration does not occur, a list of involuntary symptoms that impact the trajectory of development may persist.

This resource was created by two pediatric occupational therapists to serve as a digestible, informative resource on primitive reflexes, signs and symptoms of retention, and activities and exercises to encourage intervention. This download includes:
General overview of primitive reflexes
Causes of retained reflexes
Signs of retained reflexes
Integration intervention exercises (including notes and considerations!)
Degrees of reflex retention
Play positions to encourage integration
Reflexes included: TLR, STNR, ATNR, Spinal Galant, Moro

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4.7

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(42 reviews)

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Andrea Oct 17, 2026

Great! Thank you so much!

Andrea Oct 17, 2026

5 out of 5 stars 5 This item

Leah Jan 11, 2026

Very helpful as a new pediatric OT

Leah Jan 11, 2026

5 out of 5 stars 5 This item

Brian Jan 13, 2025

This is a great quick resource.

Brian Jan 13, 2025

4 out of 5 stars 4 This item

Mendel Apr 11, 2024

A bit pricey. But I liked it.

Mendel Apr 11, 2024

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Listed on Sep 20, 2026