Understanding Primitive Reflex Integration

Shauni Snow, COTA-L

Where Primitive Reflexes Come From

Primitive reflexes originate in the brainstem and are present before birth. They help newborns adjust to life outside the womb by supporting early movement, sensory development, and neural growth.

Why Primitive Reflexes Are Important For Developmental Growth

These reflexes support:

  • Rolling

  • Crawling

  • Sitting

  • Walking

  • Hand-eye coordination

  • Visual tracking

  • Balance

  • Emotional regulation

Why Reflex Integration Matters As A Child Grows

If reflexes remain active beyond infancy, they can interfere with developmental milestones, coordination, attention, emotional regulation, and fine motor skills.

We All Revert to Primitive Reflexes Under Stress

Primitive reflexes remain in the brainstem throughout life. During moments of stress or fight-or-flight responses, our nervous system may revert to these automatic patterns.

Primitive Reflexes & Integration Activities

ATNR- Asymmetrical Tonic Neck Reflex

  1. Cross-Crawl Movements

  2. Eye-Tracking With Head Stabilized

  3. Archer Or Lizard Crawls

STNR- Symmetrical Tonic Neck Reflex

  1. Rocking On Hands And Knees

  2. Bird-Dog Exercises

  3. Slow, Reciprocal Crawling

Moro Reflex

  1. Starfish Exercise

  2. Deep Pressure Or Proprioceptive Play

  3. Ball Roll-Overs

Spinal Gland Reflex

  1. Floor Snow Angels

  2. Side-To-Side Trunk Rotations

  3. Crawling With Pressure Along The Back

Final Thoughts

Primitive reflexes shape early development, and integrating them helps children build strong neurological foundations for lifelong learning and regulation.

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