06/14/2026
How do I help my child ride their bike?
If your child struggles with bike riding, balance, steering, or keeping their body steady, it may not be a confidence problem.
It may be connected to ATNR — the Asymmetrical Tonic Neck Reflex.
ATNR is a primitive reflex that can affect how the body coordinates the right and left sides. When this reflex is still active, turning the head may cause the arm and leg on one side to want to extend while the opposite side bends.
Now imagine trying to ride a bike…
Your child has to look forward, steer, pedal, balance, shift weight, and stay upright all at the same time.
That is a lot for the nervous system.
Signs this may show up during bike riding:
✅ difficulty steering straight
✅ trouble coordinating pedaling
✅ leaning or falling to one side
✅ avoiding bike riding
✅ frustration when turning the head
✅ poor balance or postural control
✅ difficulty using both sides of the body together
Before pushing more practice, we may need to build the foundation first:
cross crawls, crawling patterns, obstacle courses, visual tracking, core strengthening, balance activities, and reflex integration work.
Bike riding is not just a milestone.
It is a full-body brain-body coordination skill.
Save this if your child is learning to ride a bike this summer.
Follow for more pediatric OT tips on balance, coordination, sensory processing, and primitive reflexes.