10/14/2026
TLR Primitive Reflex: How do I make TLR primitive integration exercises more creative, easier, or less boring? š
š§ Now that you know TLR primitive reflex supports skills like impulse control, focus, reading, writing, and coordination, letās look at HOW to integrate the reflex.
As Pediatric OTs who specialize in reflex integration at Movement with Meaning, we go beyond the cookie cutter āTLR exercisesā, because we always hear things from parents and therapists like:
1. They feel stuck
2. They have no clue where to start
3. Their child does not want to or physically cannot do the boring cookie cutter exercises found on Google.
To make TLR less boring:
ā
Add lights or internal motivation (GAMIFY it)ā¼ļøš®
ā
Add LEVELS (shown in video): Do they like Mario? Sonic? Introduce levels to repetitions (easy, medium, expert, double expert, Infiniti expert, final boss, etc) š
ā
Add 1 piece of the movement at a time (shown in video). Ask THEM to come up with an idea or WATCH š what they do in their daily routines that use these movement patterns to increase more of it.
Like most primitive reflex activities, TLR activities should be individualized and ideally guided by a therapist or doctor with specialized training.
āļø Comment LINK to receive a DM with the TLR primitive reflex activities + link for the LIGHTS we use in my Pediatric OT private practice, Movement with Meaning, to help your child move from āIām NOT doing thisā to āIāve got this!ā šŖš»
And follow Vanessa Fox OTR/L an AuDHD Pediatric OT & parent coach of 16 years, if youāre running low on creative reflex integration activities + brain science strategies to support neurodivergent brains.
š«¶1:1 available in-person for children + adults
š©š»āš»supervision for therapists
šconsult link in bio
šFL, USA + virtual