Primary Reflexes and Symptoms You Might See:

• Moro Reflex (Startle Reflex)

What to look for: Overreacts to sudden noises, light, or movement; may seem anxious, easily startled, or have poor balance and coordination.

Behavioral signs: Emotional sensitivity, fight-or-flight responses, anxiety, motion sickness.

• ATNR (Asymmetrical Tonic Neck Reflex)

What to look for: When the head turns, one arm extends while the other bends (like a fencing pose).

Behavioral signs: Difficulty with handwriting, poor hand-eye coordination, and trouble crossing the midline (e.g., struggling to read across a page)

• STNR (Symmetrical Tonic Neck Reflex)

What to look for: Head down = arms bend, legs straighten. Head up = arms straighten, legs bend.

Behavioral signs: Poor posture, w-sitting, difficulty sitting still or copying from a board, clumsiness.

• TLR (Tonic Labyrinthine Reflex)

What to look for: When the head tilts back, the body stiffens, back arches.

Behavioral signs: Poor balance, motion sickness, slumped posture, trouble with activities requiring coordination.

• Palmar Grasp Reflex

What to look for: Difficulty with fine motor skills, like writing or buttoning.

Behavioral signs: Pencil grip issues, hand fatigue, messy handwriting.

Other Symptoms You Might Notice:

• Seems clumsy or uncoordinated.

• Difficulty with focus or sitting still.

• Emotional outbursts or sensitivity.

• Trouble with reading, writing, or left-right confusion.

• Poor posture or unusual sitting positions, such as w-sitting.

• Issues with motor milestones (such as crawling, walking, and jumping)

• Poor ocular motor skills

Our assessment will look beyond those 5 reflexes at other primitive reflexes and the importance of integrating to develop postural reflexes for improved coordination and mature movement.

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