TLR Reflex Integration Primitive Reflexes 32 exercises play skill OT SEL visual

Integrating the Tonic Labyrinthine Reflex (TLR) Through Play-Based Exercises

Build core strength, balance, and postural control—through playful, purposeful movement.

This comprehensive resource is designed to help integrate the Tonic Labyrinthine Reflex (TLR)—a key primitive reflex that influences how children manage flexion & extension, muscle tone, head control, posture, and body position in space.

Through 32 fun and functional exercises, this guide empowers therapists, teachers, and caregivers with movement-based strategies that support physical and emotional growth. Each activity is intentionally crafted to promote flexibility, core stability, and improved body awareness, all while feeling like play.

What’s Inside:

•32 play-based exercises targeting the TLR reflex

•Step-by-step visuals and clear, kid-friendly instructions

•Activities that support flexion/extension balance and body awareness

• Built-in core, vestibular, and sensory regulation strategies

•Suggestions for adaptations

• “Why It Helps” explanations to deepen understanding

• Ideal for children with retained reflexes, low tone, postural instability, or difficulty sitting still

Whether you’re supporting toddlers, preschoolers, or school-aged children, this resource helps build the core foundations of movement and learning—so children can feel more secure, grounded, and ready to engage.

Because progress begins when the body feels balanced—from the inside out.

Handouts include:

•Wall Angel Slides (page 4)

•Superman Holds (page 5)

•Supine Heel Pushes (page 6)

•Weighted Blanket Rest (page 7)

•Tummy Scooter Pushes (page 8)

•Backwards Crab Walks (page 9)

•Log Rolls with Head Control (page 10)

•Supine Marching with still head(page 11)

•Toe Touch to Curl Up (page 12)

•Swing to Still (page 13)

•Crawl Through Tunnel (page 14)

•Prone Rocking Chair Stretch (page 15)

•Therapy Ball Roll & Freeze(page 16)

•Chair Push Ups (page 17)

•Weighted Animal Deep Breaths (page 18)

•Starfish to Ball (page 19)

•Standing Balance Head Tilt (page 20)

•Foam Roller Push Crawl (page 21)

•Snail Shell Rocking (page 22)

•Sit and Reach (page 23)

•Sit and Spin Breaks (page 24)

•Turtle Shell Pose (page 25)

•Ball Pass Supine (page 26)

•Side Lying Leg Slides (page 27)

•Towel Pull (page 28)

•Supine Ball Presses (page 29)

•Mirror Belly Breathing (page 30)

•Arm Circles Against Wall (page 31)

•Rocking on Therapy Ball (page 32)

•Butterfly Breathing (page 33)

•Supine Arm Raises (page 34)

•Slow Motion Snow Angel (page 35)

•Small icons so you can easily print for visual schedule (page 36-38)

 

 

If you love this product, please leave me feedback. If you find an error, or have a suggestion, please email me: EmpoweringOT@gmail.com I am happy to work with buyers to make them happy J

As a reminder, this is only 1 license for the person who purchased this product and the students on the caseload / classroom. Please support your fellow therapist and direct others to purchase this product from my store. This cannot be posted on websites or other areas where multiple people can access this resource.

 

DISCLAIMER: By using this, you agree that this activity is not intended to replace the advice of a physician or occupational therapist. Information provided should not be used for diagnostic or training purposes. Please speak with your physician or OT if you have questions. Stop any activity if you are unsure about a child’s reaction or ability.

 

This is perfect for general education students but also students with Autism spectrum disorder, ADHD, ADD, sensory processing disorder, and other special needs. This can be used with general education, RTI, MTSS, special education, school psychologist, school counselor, occupational therapy OT, speech language pathology SLP, and social work SW.

 

I am a school occupational therapist who has a doctorate in occupational therapy. I work closely with special education and general education staff adapting material. This is where I get my inspiration for this material. I have used my materials with a variety of children with different disabilities including learning disabilities, dyslexia, autism, sensory processing disorder, ADD, ADHD, visual impairments, deaf/hard of hearing, cerebral palsy, down syndrome and more.

 

DISCLAIMER: By using this, you agree that this activity is not intended to replace the advice of a physician or occupational therapist. Information provided should not be used for diagnostic or training purposes. Please speak with your physician or OT if you have questions. Stop any activity if you are unsure about a child’s reaction or ability. You should discontinue anything if you do not know your child’s reaction or ability.