The Tonic Labyrinthine Reflex, or TLR is the basis for managing the head. If present, when the head flexes forward the body curls in. And when the head is tilted back, the legs stiffen and the body extends back, similar to a “superman” position. Take a look at our Primitive Reflex article to learn more about the TLR, when it is present, what it’s purpose is, and some characteristics you may see if the TLR is retained.
Following are some exercises and activities that can be performed to help with TLR integration. The goal is to maintain a fluid form and consistency through the exercise or movement pattern. If your child has difficulty performing these exercises while maintaining good symmetry and form, the reflex may be present. If you have further concerns regarding TLR integration, contact your local OT practitioner.
Superman Pose
Hold for 15 seconds. Perform 2-3 times/day.
- Lay on the stomach.
- Straighten the arms above the head.
- Lift up the arms and legs so the knees are off the floor, keeping the arms and legs straight.
Increase the challenge by tilting the head back then forward, with a 2-3 second hold each, while maintaining “superman.”
Observations
- Knees and arms may want to bend.
- Difficulty lifting the knees off the floor.
- Increase in extra body movement.
- Difficulty holding the “up” position.
Support by modeling beside your child. Give verbal cues. Lift their arms/legs as needed.
The Meatball
Hold the position for 15 seconds. Perform 2-3 times/day.
- Lay on your back with knees bent.
- Cross the arms over the chest.
- Curl up bringing the knees and chest together like a “meatball,” lifting the shoulders off the ground, keeping the head flexed forward.
Meatball variation to support self by holding/ hugging the knees
Observations
- Difficulty bringing the head and shoulders up.
- Difficulty staying up in the “meatball.”
If needed, provide physical support by lifting the head and shoulders up toward the midline, along with the knees/legs as needed .
Log Rolling
This is another fun way to integrate the TLR. This involves the child rolling in a way where the body stays straight and moves together. An added note and observation is that it may be difficult for you kiddo to coordinate and roll in a straight fashion. Slow down the movement or redirect your kiddo to help them remain straight.
- Start on either the stomach or the back with the child crossing both the arms and the legs.
- The child should roll over trying to keep the body as straight as possible.
- Roll back and forth several times.
- Integrate it into an obstacle course, have races, make it fun!
As with many reflex integration exercises, these TLR movement patterns can help the body in other areas as well. The “Superman” and “Meatball” exercises also work on trunk and core strength, body awareness, and coordination. The Log Roll movement also works on trunk strength, body awareness, and coordination, but also incorporates the vestibular system with the rolling aspect. Throw other textures into the mix, go outside in the grass or down a hill and you are challenging the sensory system in other ways. Remember, be creative and have fun!
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