Connecting the Dots© on Reflex Integration, Part 1

Past Course

Connecting the Dots© on Reflex Integration, Part 1

All you need to know about identifying, evaluating and compensating for retained primitive reflexes.

reflex integration cover

About this Course

Course Description

Primitive reflexes that stick around longer than they are supposed to can wreak havoc on our children’s physical, emotional, social and academic function. 

If you've learned different reflex integration methods, you're halfway there - but unfortunately, the wrong half. Because no matter how competent a therapist you are, your treatment can only be as good as your diagnosis.

Accurate, precise diagnosis of reflex issues is what will set you apart from the rest of the therapists out there, and immeasurably increase your ability to bring relief to the children you work with and love.

After you take “Connecting the Dots on Reflex Integration, Part 1," you'll be able to effectively assess, evaluate and identify retained primitive reflexes in cases of social, emotional, behavioral and academic challenges. You'll also know which reflex integration methods are most relevant for treating the case in front of you.

Day 1: Identification and Compensations

  • Deep understanding of the 9 different primitive reflexes
  • Recognizing the impact on a child’s development if those reflexes are retained and their practical manifestations
  • Compensations for retained reflexes

*For professionals and parents

Day One is not open for registration. 

Day 2: Assessment and Evaluation

  • Assessment techniques for specific reflexes
  • Detailed instructions on what to look for and how to interpret it
  • Hands-on practice in an all-day lab
  • Identification of 6 different reflex integration techniques and which presenting issues each can treat

*For licensed therapists only 

IMPORTANT: You cannot take Day 2 if you have not attended the Day 1. Day Two will be conducted live online and participants will need to have a partner, (also a participant) present in the same space for the lab portion of the class. 

Day 1 and Day 2 are often offered together; on occasion, they are offered separately

Second Day Only


  • When: Tuesday, May 14, 2024
  • Time: 9 AM - 4 PM Eastern
  • Where: Live Online Webinar
  • Speaker: Amy Guttmann, OTR/L Evelyn Guttmann, OTR/L
  • Course Level: Intermediate
  • Target Audience: OTs, PTs, SLPs, PTAs, COTAs

Meet the Presenter

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Amy and Evelyn Guttmann, OTR/L

Amy and Evelyn Guttmann, OTR/L, sister pediatric occupational therapists, have been treating families and children with over 40 years of experience between them.

Graduates of SUNY Health Science Center of New York, they currently run Hands on OT Rehab in Brooklyn, NY, a private practice focused on treating children with anxiety and processing delays, as well as a practice focused on training and educating therapists, pediatricians, educators, and parents. They have evaluated over 5,000 children and have been guest lecturers in some of the most prominent universities around the country.

Their specialty trainings include: Sensory Integration, NDT training, reflex integration, auditory processing specialization, and behavioral management. They are currently conducting research on sensory processing disorder and anxiety diagnosis.

Disclosure: Amy and Evelyn Guttmann receive a speaking fee for their presentation and are employees of Hands on OT Rehab. They have no relevant non-financial relationships to disclose.

Learning Objectives

Identify the movement pattern and purpose of primitive and postural reflexes.

Explain the connections between reflex integration and neurodevelopmental delay as it relates to dysfunction in language, physical and social-emotional development.

Identify the effects of retained reflexes in relation to dysfunction of the sensory systems and its significance in treating sensory integration, auditory and processing issues.

Identify the connections between oral motor/feeding and language delays and retention of the oral and palmar reflexes in association with the Babkin response.

Identify different therapeutic methods and protocols to treat reflex integration and determine which ones to implement based on development.

Explain the importance of integrating three key primitive reflexes for the proper development of posture, balance and the acquisition of age appropriate developmental milestones.

Evaluate key primitive and postural reflexes.

Interested in group pricing? Contact us.

Educational Credits

Hands on Approaches, Inc. is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures.

First or second day only: Approved by AOTA for 0.55 CEUs.

Both days: Approved by AOTA for 1.1 CEUs.

Intermediate Level

First or second day only: 0.55 ASHA CEUs

Both days: 1.1 ASHA CEUs


Recognized by NYSED State Board for PT as an approved provider of PT and PTA continuing education.

First or second day only: Approved for 5.5 contact hours. Both days: Approved for 11 contact hours.

Recognized by NYSED State Board for social workers as an approved provider of social worker continuing education. 

First or second day only: Approved for 5.5 contact hours. Both days: Approved for 11 contact hours.

Recognized by NYSED State Board for mental health providers as an approved provider of mental health provider continuing education. 

First or second day only: Approved for 5.5 contact hours. Both days: Approved for 11 contact hours.


First or second day only: Approved for 5.5 CTLE contact hours. Both days: Approved for 11 CTLE contact hours.

Tentative Schedule

Day One

Introduction to Reflexes, Neurodevelopmental Delay, Research Studies, Neural Maturation

75 Minutes


15 Minutes

Levels of the Brain, Posture and Balance

60 Minutes


60 Minutes

Intrauterine/Primitive Reflexes

90 Minutes


15 Minutes

Primitive Reflexes continued and Postural Reflexes

90 Minutes

Q & A

15 Minutes

Day Two

Lab: Testing of Balance and Primitive Reflexes

75 Minutes


15 Minutes

Lab: Testing of Primitive and Postural Reflexes

60 Minutes


60 Minutes

Comparison of Reflex Integration Methods and Techniques

45 Minutes

Treatment Analysis

45 Minutes


15 Minutes

Treatment Analysis Continued, Case Studies

90 Minutes

Questions and Wrap Up

15 Minutes

Frequently Asked Questions


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Past Attendee Testimonials